1221387_SUP — Hc Supply Implant
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). HC Supply Implant (CDM 1221387_SUP) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/1221387_SUP?code_type=CDM
MLA (9th ed.)
“HC Supply Implant (CDM 1221387_SUP) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/1221387_SUP?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“HC Supply Implant (CDM 1221387_SUP) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/1221387_SUP?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $15,255–$31,875 (25th–75th percentile) across 5 hospitals · 67 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 1221387_SUP — 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 |
|---|---|---|---|---|---|---|---|
| ST FRANCIS MEDICAL CENTER Outpatient | LA HLTHCARE CONN MCAID-ALL PLANS | LA HLTHCARE CONN MCAID-ALL PLANS | $5,461.25 | $42,500.00 | $21,250.00 | 2026-03-18 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | HUMANA HLTHY HORIZ MCAID | HUMANA HLTHY HORIZ MCAID | $5,461.25 | $42,500.00 | $21,250.00 | 2026-03-18 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | HEALTHY BLUE MCAID | HEALTHY BLUE MCAID | $5,461.25 | $42,500.00 | $21,250.00 | 2026-03-18 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | UHC COMMUNITY MCAID | UHC COMMUNITY MCAID | $5,461.25 | $42,500.00 | $21,250.00 | 2026-03-18 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | AMERIHEALTH CARITAS MCAID-ALL PLANS | AMERIHEALTH CARITAS MCAID-ALL PLANS | $5,461.25 | $42,500.00 | $21,250.00 | 2026-03-18 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | AETNA BETTER HLTH MCAID | AETNA BETTER HLTH MCAID | $5,461.25 | $42,500.00 | $21,250.00 | 2026-03-18 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | HUMANA HLTHY HORIZ MCAID | HUMANA HLTHY HORIZ MCAID | $5,580.25 | $42,500.00 | $21,250.00 | 2026-07-09 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | AMERIHEALTH CARITAS MCAID-ALL PLANS | AMERIHEALTH CARITAS MCAID-ALL PLANS | $5,580.25 | $42,500.00 | $21,250.00 | 2026-07-09 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | HEALTHY BLUE MCAID | HEALTHY BLUE MCAID | $5,580.25 | $42,500.00 | $21,250.00 | 2026-07-09 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | UHC COMMUNITY MCAID | UHC COMMUNITY MCAID | $5,580.25 | $42,500.00 | $21,250.00 | 2026-07-09 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | AETNA BETTER HLTH MCAID | AETNA BETTER HLTH MCAID | $5,580.25 | $42,500.00 | $21,250.00 | 2026-07-09 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | LA HLTHCARE CONN MCAID-ALL PLANS | LA HLTHCARE CONN MCAID-ALL PLANS | $5,580.25 | $42,500.00 | $21,250.00 | 2026-07-09 | MRF ↗ |
| OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC Outpatient | AETNA BETTER HLTH MCAID | AETNA BETTER HLTH MCAID | $5,933.00 | $42,500.00 | $21,250.00 | 2026-01-17 | MRF ↗ |
| OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC Outpatient | UHC COMMUNITY MCAID | UHC COMMUNITY MCAID | $5,933.00 | $42,500.00 | $21,250.00 | 2026-01-17 | MRF ↗ |
| OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC Outpatient | HEALTHY BLUE MCAID - ALL OTHER PLANS | HEALTHY BLUE MCAID - ALL OTHER PLANS | $5,933.00 | $42,500.00 | $21,250.00 | 2026-01-17 | MRF ↗ |
| OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC Outpatient | LHC MEDICAID | LHC MEDICAID | $5,933.00 | $42,500.00 | $21,250.00 | 2026-01-17 | MRF ↗ |
| OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC Outpatient | AMERIHEALTH CARITAS MCAID - ALL PLANS | AMERIHEALTH CARITAS MCAID - ALL PLANS | $5,933.00 | $42,500.00 | $21,250.00 | 2026-01-17 | MRF ↗ |
| OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC Outpatient | HUMANA HLTHY HORIZ MCAID | HUMANA HLTHY HORIZ MCAID | $5,933.00 | $42,500.00 | $21,250.00 | 2026-01-17 | MRF ↗ |
| OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC Outpatient | MAGELLAN BEHAV MCAID - ALL PLANS | MAGELLAN BEHAV MCAID - ALL PLANS | $5,933.00 | $42,500.00 | $21,250.00 | 2026-01-17 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | AETNA MCR ADV | AETNA MCR ADV | $6,885.00 | $42,500.00 | $21,250.00 | 2026-07-09 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | AETNA MCR ADV | AETNA MCR ADV | $6,885.00 | $42,500.00 | $21,250.00 | 2026-03-18 | MRF ↗ |
| Assumption Community Hospital Outpatient | BCBS MCR ADV OP/PROFEE ONLY | BCBS MCR ADV OP/PROFEE ONLY | $7,777.50 | $42,500.00 | $21,250.00 | 2025-12-20 | MRF ↗ |
| Assumption Community Hospital Outpatient | WELLCARE OF LA INC MCR ADV OP/PROFEE ONLY - ALL PL | WELLCARE OF LA INC MCR ADV OP/PROFEE ONLY - ALL PL | $7,777.50 | $42,500.00 | $21,250.00 | 2025-12-20 | MRF ↗ |
| Assumption Community Hospital Outpatient | INSRANCE SYSTEMS OP/PROFEE ONLY- ALL PLANS | INSRANCE SYSTEMS OP/PROFEE ONLY- ALL PLANS | $7,777.50 | $42,500.00 | $21,250.00 | 2025-12-20 | MRF ↗ |
| Assumption Community Hospital Outpatient | HUMANA MCR ADV OP/PROFEE ONLY | HUMANA MCR ADV OP/PROFEE ONLY | $7,777.50 | $42,500.00 | $21,250.00 | 2025-12-20 | MRF ↗ |
| Assumption Community Hospital Outpatient | HEALTHY BLUE MCR ADV OP/PROFEE ONLY | HEALTHY BLUE MCR ADV OP/PROFEE ONLY | $7,777.50 | $42,500.00 | $21,250.00 | 2025-12-20 | MRF ↗ |
| Assumption Community Hospital Outpatient | HST MCR ADV OP/PROFEE ONLY - ALL PLANS | HST MCR ADV OP/PROFEE ONLY - ALL PLANS | $7,777.50 | $42,500.00 | $21,250.00 | 2025-12-20 | MRF ↗ |
| Assumption Community Hospital Outpatient | PEOPLES HLTH NETWORK MCR ADV OP/PROFEE ONLY - ALL | PEOPLES HLTH NETWORK MCR ADV OP/PROFEE ONLY - ALL | $7,777.50 | $42,500.00 | $21,250.00 | 2025-12-20 | MRF ↗ |
| Assumption Community Hospital Outpatient | VANTAGE MCR ADV OP/PROFEE ONLY | VANTAGE MCR ADV OP/PROFEE ONLY | $7,777.50 | $42,500.00 | $21,250.00 | 2025-12-20 | MRF ↗ |
| Assumption Community Hospital Outpatient | COVENTRY MCR ADV OP/PROFEE ONLY - ALL PLANS | COVENTRY MCR ADV OP/PROFEE ONLY - ALL PLANS | $7,777.50 | $42,500.00 | $21,250.00 | 2025-12-20 | MRF ↗ |
| Assumption Community Hospital Outpatient | AETNA MCR ADV OP/PROFEE ONLY | AETNA MCR ADV OP/PROFEE ONLY | $7,777.50 | $42,500.00 | $21,250.00 | 2025-12-20 | MRF ↗ |
| Assumption Community Hospital Outpatient | UHC MCR ADV OP/PROFEE ONLY | UHC MCR ADV OP/PROFEE ONLY | $7,777.50 | $42,500.00 | $21,250.00 | 2025-12-20 | MRF ↗ |
| Assumption Community Hospital Outpatient | SHARED HEALTH MCR ADV OP/PROFEE ONLY - ALL PLANS | SHARED HEALTH MCR ADV OP/PROFEE ONLY - ALL PLANS | $7,777.50 | $42,500.00 | $21,250.00 | 2025-12-20 | MRF ↗ |
| Assumption Community Hospital Outpatient | DEVOTED HEALTH OP/PROFEE ONLY -ALL PLANS | DEVOTED HEALTH OP/PROFEE ONLY -ALL PLANS | $8,011.25 | $42,500.00 | $21,250.00 | 2025-12-20 | MRF ↗ |
| OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC Outpatient | AETNA MCR ADV | AETNA MCR ADV | $8,330.00 | $42,500.00 | $21,250.00 | 2026-01-17 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | DELTA RESRCH PRTNRS-OP ONLY-ALL PLANS | DELTA RESRCH PRTNRS-OP ONLY-ALL PLANS | $10,200.00 | $42,500.00 | $21,250.00 | 2026-07-09 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | DELTA RESRCH PRTNRS-OP ONLY-ALL PLANS | DELTA RESRCH PRTNRS-OP ONLY-ALL PLANS | $10,200.00 | $42,500.00 | $21,250.00 | 2026-03-18 | MRF ↗ |
| OUR LADY OF THE ANGELS HOSPITAL Outpatient | UHC COMMUNITY MCAID | UHC COMMUNITY MCAID | $10,327.50 | $42,500.00 | $21,250.00 | 2026-03-18 | MRF ↗ |
| OUR LADY OF THE ANGELS HOSPITAL Outpatient | AETNA MCR ADV | AETNA MCR ADV | $14,067.50 | $42,500.00 | $21,250.00 | 2026-03-18 | MRF ↗ |
| OUR LADY OF THE ANGELS HOSPITAL Outpatient | LSU FIRST CHOICE - ALL PLANS | LSU FIRST CHOICE - ALL PLANS | $14,785.75 | $42,500.00 | $21,250.00 | 2026-03-18 | MRF ↗ |
| ST DOMINIC-JACKSON MEMORIAL HOSPITAL Outpatient | AETNA - ALL PLANS | AETNA - ALL PLANS | $15,725.00 | $42,500.00 | $21,250.00 | 2026-01-17 | MRF ↗ |
| OUR LADY OF THE ANGELS HOSPITAL Outpatient | CIGNA - ALL OTHER PLANS | CIGNA - ALL OTHER PLANS | $17,510.00 | $42,500.00 | $21,250.00 | 2026-03-18 | MRF ↗ |
| OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC Outpatient | HUMANA - ALL OTHER PLANS | HUMANA - ALL OTHER PLANS | $17,850.00 | $42,500.00 | $21,250.00 | 2026-01-17 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | HUMANA-ALL OTHER PLANS | HUMANA-ALL OTHER PLANS | $19,125.00 | $42,500.00 | $21,250.00 | 2026-03-18 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | HUMANA-ALL OTHER PLANS | HUMANA-ALL OTHER PLANS | $19,125.00 | $42,500.00 | $21,250.00 | 2026-07-09 | MRF ↗ |
| ST DOMINIC-JACKSON MEMORIAL HOSPITAL Outpatient | HUMANA - ALL OTHER PLANS | HUMANA - ALL OTHER PLANS | $19,125.00 | $42,500.00 | $21,250.00 | 2026-01-17 | MRF ↗ |
| ST DOMINIC-JACKSON MEMORIAL HOSPITAL Outpatient | MPCN - ALL PLANS | MPCN - ALL PLANS | $19,125.00 | $42,500.00 | $21,250.00 | 2026-01-17 | MRF ↗ |
| ST DOMINIC-JACKSON MEMORIAL HOSPITAL Outpatient | CIGNA - ALL OTHER PLANS | CIGNA - ALL OTHER PLANS | $19,125.00 | $42,500.00 | $21,250.00 | 2026-01-17 | MRF ↗ |
| OUR LADY OF THE ANGELS HOSPITAL Outpatient | HUMANA HLTHY HORIZ MCAID | HUMANA HLTHY HORIZ MCAID | $19,248.25 | $42,500.00 | $21,250.00 | 2026-03-18 | MRF ↗ |
| OUR LADY OF THE ANGELS HOSPITAL Outpatient | HEALTHY BLUE MCAID - ALL OTHER PLANS | HEALTHY BLUE MCAID - ALL OTHER PLANS | $19,248.25 | $42,500.00 | $21,250.00 | 2026-03-18 | MRF ↗ |
| OUR LADY OF THE ANGELS HOSPITAL Outpatient | AETNA BETTER HLTH MCAID | AETNA BETTER HLTH MCAID | $19,248.25 | $42,500.00 | $21,250.00 | 2026-03-18 | MRF ↗ |
| OUR LADY OF THE ANGELS HOSPITAL Outpatient | LHC MEDICAID | LHC MEDICAID | $19,248.25 | $42,500.00 | $21,250.00 | 2026-03-18 | MRF ↗ |
| OUR LADY OF THE ANGELS HOSPITAL Outpatient | MAGELLAN BEHAV MCAID -ALL PLANS | MAGELLAN BEHAV MCAID -ALL PLANS | $19,248.25 | $42,500.00 | $21,250.00 | 2026-03-18 | MRF ↗ |
| OUR LADY OF THE ANGELS HOSPITAL Outpatient | AMERIHEALTH / LA CARE - ALL PLANS | AMERIHEALTH / LA CARE - ALL PLANS | $19,248.25 | $42,500.00 | $21,250.00 | 2026-03-18 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | BCBS PRECISION/SIG BLUE | BCBS PRECISION/SIG BLUE | $21,250.00 | $42,500.00 | $21,250.00 | 2026-07-09 | MRF ↗ |
| OUR LADY OF THE ANGELS HOSPITAL Outpatient | BCBS MCR ADV | BCBS MCR ADV | $21,250.00 | $42,500.00 | $21,250.00 | 2026-03-18 | MRF ↗ |
| ST DOMINIC-JACKSON MEMORIAL HOSPITAL Outpatient | CIGNA BEHAV HLTH | CIGNA BEHAV HLTH | $21,250.00 | $42,500.00 | $21,250.00 | 2026-01-17 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | BCBS PRECISION/SIG BLUE | BCBS PRECISION/SIG BLUE | $21,250.00 | $42,500.00 | $21,250.00 | 2026-03-18 | MRF ↗ |
| ST DOMINIC-JACKSON MEMORIAL HOSPITAL Outpatient | FIRST CHOICE - ALL PLANS | FIRST CHOICE - ALL PLANS | $21,250.00 | $42,500.00 | $21,250.00 | 2026-01-17 | MRF ↗ |
| OUR LADY OF THE ANGELS HOSPITAL Outpatient | BCBS FMOLHS EMPLOYEE GRP | BCBS FMOLHS EMPLOYEE GRP | $21,250.00 | $42,500.00 | $21,250.00 | 2026-03-18 | MRF ↗ |
| OUR LADY OF THE ANGELS HOSPITAL Outpatient | BCBS PRECISION/SIG BLUE | BCBS PRECISION/SIG BLUE | $21,250.00 | $42,500.00 | $21,250.00 | 2026-03-18 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | BCBS FMOLHS EMPLOYEE GRP | BCBS FMOLHS EMPLOYEE GRP | $21,250.00 | $42,500.00 | $21,250.00 | 2026-07-09 | MRF ↗ |
| OUR LADY OF THE ANGELS HOSPITAL Outpatient | BCBS HMO - ALL OTHER PLANS | BCBS HMO - ALL OTHER PLANS | $21,250.00 | $42,500.00 | $21,250.00 | 2026-03-18 | MRF ↗ |
| OUR LADY OF THE ANGELS HOSPITAL Outpatient | BCBS TRAD & PPO | BCBS TRAD & PPO | $21,250.00 | $42,500.00 | $21,250.00 | 2026-03-18 | MRF ↗ |
| OUR LADY OF THE ANGELS HOSPITAL Outpatient | BEACON HLTH/VALUE OPTNS - ALL PLANS | BEACON HLTH/VALUE OPTNS - ALL PLANS | $21,250.00 | $42,500.00 | $21,250.00 | 2026-03-18 | MRF ↗ |
| OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC Outpatient | BCBS MCR ADV | BCBS MCR ADV | $21,250.00 | $42,500.00 | $21,250.00 | 2026-01-17 | MRF ↗ |
| OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC Outpatient | BCBS FMOLHS EMPLOYEE GRP | BCBS FMOLHS EMPLOYEE GRP | $21,250.00 | $42,500.00 | $21,250.00 | 2026-01-17 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | BCBS HMO-ALL OTHER PLANS | BCBS HMO-ALL OTHER PLANS | $21,250.00 | $42,500.00 | $21,250.00 | 2026-07-09 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | BCBS FMOLHS EMPLOYEE GRP | BCBS FMOLHS EMPLOYEE GRP | $21,250.00 | $42,500.00 | $21,250.00 | 2026-03-18 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | BCBS HMO-ALL OTHER PLANS | BCBS HMO-ALL OTHER PLANS | $21,250.00 | $42,500.00 | $21,250.00 | 2026-03-18 | MRF ↗ |
| OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC Outpatient | BCBS HMO - ALL OTHER PLANS | BCBS HMO - ALL OTHER PLANS | $21,250.00 | $42,500.00 | $21,250.00 | 2026-01-17 | MRF ↗ |
| OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC Outpatient | BCBS PRECISION/SIG BLUE | BCBS PRECISION/SIG BLUE | $21,250.00 | $42,500.00 | $21,250.00 | 2026-01-17 | MRF ↗ |
| OUR LADY OF THE ANGELS HOSPITAL Outpatient | HUMANA - ALL OTHER PLANS | HUMANA - ALL OTHER PLANS | $23,778.75 | $42,500.00 | $21,250.00 | 2026-03-18 | MRF ↗ |
| Assumption Community Hospital Outpatient | BCBS FMOLHS EMPLOYEE GRP OP/PROFEE ONLY | BCBS FMOLHS EMPLOYEE GRP OP/PROFEE ONLY | $23,812.75 | $42,500.00 | $21,250.00 | 2025-12-20 | MRF ↗ |
| Assumption Community Hospital Outpatient | BCBS PRECISION/SIG BLUE OP/PROFEE ONLY | BCBS PRECISION/SIG BLUE OP/PROFEE ONLY | $23,812.75 | $42,500.00 | $21,250.00 | 2025-12-20 | MRF ↗ |
| OUR LADY OF THE ANGELS HOSPITAL Outpatient | PHCS - ALL PLANS | PHCS - ALL PLANS | $25,075.00 | $42,500.00 | $21,250.00 | 2026-03-18 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | INSURANCE SYSTMS INC-ALL PLANS | INSURANCE SYSTMS INC-ALL PLANS | $25,500.00 | $42,500.00 | $21,250.00 | 2026-07-09 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | INSURANCE SYSTMS INC-ALL PLANS | INSURANCE SYSTMS INC-ALL PLANS | $25,500.00 | $42,500.00 | $21,250.00 | 2026-03-18 | MRF ↗ |
| OUR LADY OF THE ANGELS HOSPITAL Outpatient | PPO PLUS - ALL PLANS | PPO PLUS - ALL PLANS | $25,500.00 | $42,500.00 | $21,250.00 | 2026-03-18 | MRF ↗ |
| Assumption Community Hospital Outpatient | HUMANA OP/PROFEE ONLY - ALL OTHER PLANS | HUMANA OP/PROFEE ONLY - ALL OTHER PLANS | $25,500.00 | $42,500.00 | $21,250.00 | 2025-12-20 | MRF ↗ |
| Assumption Community Hospital Outpatient | GILLSBAR 360 ALLIANCE OP/PROFEE ONLY - ALL PLANS | GILLSBAR 360 ALLIANCE OP/PROFEE ONLY - ALL PLANS | $27,200.00 | $42,500.00 | $21,250.00 | 2025-12-20 | MRF ↗ |
| OUR LADY OF THE ANGELS HOSPITAL Outpatient | HST - ALL PLANS | HST - ALL PLANS | $27,625.00 | $42,500.00 | $21,250.00 | 2026-03-18 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | HST-ALL PLANS | HST-ALL PLANS | $27,625.00 | $42,500.00 | $21,250.00 | 2026-03-18 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | HST-ALL PLANS | HST-ALL PLANS | $27,625.00 | $42,500.00 | $21,250.00 | 2026-07-09 | MRF ↗ |
| OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC Outpatient | HST - ALL PLANS | HST - ALL PLANS | $27,625.00 | $42,500.00 | $21,250.00 | 2026-01-17 | MRF ↗ |
| Assumption Community Hospital Outpatient | BCBS HMO OP/PROFEE ONLY - ALL OTHER PLANS | BCBS HMO OP/PROFEE ONLY - ALL OTHER PLANS | $27,688.75 | $42,500.00 | $21,250.00 | 2025-12-20 | MRF ↗ |
| OUR LADY OF THE ANGELS HOSPITAL Outpatient | AETNA - ALL OTHER PLANS | AETNA - ALL OTHER PLANS | $28,007.50 | $42,500.00 | $21,250.00 | 2026-03-18 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | AETNA-ALL OTHER PLANS | AETNA-ALL OTHER PLANS | $28,050.00 | $42,500.00 | $21,250.00 | 2026-07-09 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | AETNA-ALL OTHER PLANS | AETNA-ALL OTHER PLANS | $28,050.00 | $42,500.00 | $21,250.00 | 2026-03-18 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $28,092.50 | $42,500.00 | $21,250.00 | 2026-03-18 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $28,092.50 | $42,500.00 | $21,250.00 | 2026-07-09 | MRF ↗ |
| Assumption Community Hospital Outpatient | CIGNA OP/PROFEE ONLY - ALL PLANS | CIGNA OP/PROFEE ONLY - ALL PLANS | $28,262.50 | $42,500.00 | $21,250.00 | 2025-12-20 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | PPO PLUS-ALL OTHER PLANS | PPO PLUS-ALL OTHER PLANS | $28,900.00 | $42,500.00 | $21,250.00 | 2026-07-09 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | PPO PLUS PLATINUM | PPO PLUS PLATINUM | $28,900.00 | $42,500.00 | $21,250.00 | 2026-03-18 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | PPO PLUS-ALL OTHER PLANS | PPO PLUS-ALL OTHER PLANS | $28,900.00 | $42,500.00 | $21,250.00 | 2026-03-18 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | PPO PLUS PLATINUM | PPO PLUS PLATINUM | $28,900.00 | $42,500.00 | $21,250.00 | 2026-07-09 | MRF ↗ |
| OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC Outpatient | CIGNA - ALL PLANS | CIGNA - ALL PLANS | $28,985.00 | $42,500.00 | $21,250.00 | 2026-01-17 | MRF ↗ |
| OUR LADY OF THE ANGELS HOSPITAL Outpatient | MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $29,325.00 | $42,500.00 | $21,250.00 | 2026-03-18 | MRF ↗ |
| OUR LADY OF THE ANGELS HOSPITAL Outpatient | CIGNA BH | CIGNA BH | $29,750.00 | $42,500.00 | $21,250.00 | 2026-03-18 | MRF ↗ |
| Assumption Community Hospital Outpatient | FIRST HEALTH/CCN OP/PROFEE ONLY - ALL PLANS | FIRST HEALTH/CCN OP/PROFEE ONLY - ALL PLANS | $29,877.50 | $42,500.00 | $21,250.00 | 2025-12-20 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | GILSBAR 360 ALLIANCE-ALL PLANS | GILSBAR 360 ALLIANCE-ALL PLANS | $30,600.00 | $42,500.00 | $21,250.00 | 2026-07-09 | MRF ↗ |
| OUR LADY OF THE ANGELS HOSPITAL Outpatient | GILSBAR 360 ALLIANCE - ALL PLANS | GILSBAR 360 ALLIANCE - ALL PLANS | $30,600.00 | $42,500.00 | $21,250.00 | 2026-03-18 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | SCT MGMT SERVICES-ALL PLANS | SCT MGMT SERVICES-ALL PLANS | $30,600.00 | $42,500.00 | $21,250.00 | 2026-03-18 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | GILSBAR 360 ALLIANCE-ALL PLANS | GILSBAR 360 ALLIANCE-ALL PLANS | $30,600.00 | $42,500.00 | $21,250.00 | 2026-03-18 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | SCT MGMT SERVICES-ALL PLANS | SCT MGMT SERVICES-ALL PLANS | $30,600.00 | $42,500.00 | $21,250.00 | 2026-07-09 | MRF ↗ |
| Assumption Community Hospital Outpatient | HUMANA HLTHY HORIZ MCAID OP/PROFEE ONLY | HUMANA HLTHY HORIZ MCAID OP/PROFEE ONLY | $30,719.00 | $42,500.00 | $21,250.00 | 2025-12-20 | MRF ↗ |
| Assumption Community Hospital Outpatient | UHC MCAID OP/PROFEE ONLY | UHC MCAID OP/PROFEE ONLY | $30,719.00 | $42,500.00 | $21,250.00 | 2025-12-20 | MRF ↗ |
| Assumption Community Hospital Outpatient | HEALTHY BLUE MCAID OP/PROFEE ONLY- ALL OTHER PLANS | HEALTHY BLUE MCAID OP/PROFEE ONLY- ALL OTHER PLANS | $30,719.00 | $42,500.00 | $21,250.00 | 2025-12-20 | MRF ↗ |
| Assumption Community Hospital Outpatient | AETNA BETTER HLTH MCAID OP/PROFEE ONLY | AETNA BETTER HLTH MCAID OP/PROFEE ONLY | $30,719.00 | $42,500.00 | $21,250.00 | 2025-12-20 | MRF ↗ |
| Assumption Community Hospital Outpatient | LA HLTHCARE CONN MCAID OP/PROFEE ONLY - ALL PLANS | LA HLTHCARE CONN MCAID OP/PROFEE ONLY - ALL PLANS | $30,719.00 | $42,500.00 | $21,250.00 | 2025-12-20 | MRF ↗ |
| Assumption Community Hospital Outpatient | AMERIHEALTH CARITAS MCAID OP/PROFEE ONLY- ALL PLAN | AMERIHEALTH CARITAS MCAID OP/PROFEE ONLY- ALL PLAN | $30,719.00 | $42,500.00 | $21,250.00 | 2025-12-20 | MRF ↗ |
| OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC Outpatient | AETNA - ALL OTHER PLANS | AETNA - ALL OTHER PLANS | $30,727.50 | $42,500.00 | $21,250.00 | 2026-01-17 | MRF ↗ |
| OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC Outpatient | GILSBAR 360 ALLIANCE - ALL PLANS | GILSBAR 360 ALLIANCE - ALL PLANS | $31,025.00 | $42,500.00 | $21,250.00 | 2026-01-17 | MRF ↗ |
| Assumption Community Hospital Outpatient | UHC VA CCN OP/PROFEE ONLY | UHC VA CCN OP/PROFEE ONLY | $31,025.00 | $42,500.00 | $21,250.00 | 2025-12-20 | MRF ↗ |
| Assumption Community Hospital Outpatient | AETNA OP/PROFEE ONLY - ALL OTHER PLANS | AETNA OP/PROFEE ONLY - ALL OTHER PLANS | $31,025.00 | $42,500.00 | $21,250.00 | 2025-12-20 | MRF ↗ |
| ST DOMINIC-JACKSON MEMORIAL HOSPITAL Outpatient | BCBS AHS/EMPLOYEE | BCBS AHS/EMPLOYEE | $31,875.00 | $42,500.00 | $21,250.00 | 2026-01-17 | MRF ↗ |
| ST DOMINIC-JACKSON MEMORIAL HOSPITAL Outpatient | BCBS FMP - ALL OTHER PLANS | BCBS FMP - ALL OTHER PLANS | $31,875.00 | $42,500.00 | $21,250.00 | 2026-01-17 | MRF ↗ |
| OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC Outpatient | PPO PLUS PLATINUM - ALL OTHER PLANS | PPO PLUS PLATINUM - ALL OTHER PLANS | $31,875.00 | $42,500.00 | $21,250.00 | 2026-01-17 | MRF ↗ |
| OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC Outpatient | PPO PLUS NON FMOLHS | PPO PLUS NON FMOLHS | $31,875.00 | $42,500.00 | $21,250.00 | 2026-01-17 | MRF ↗ |
| Assumption Community Hospital Outpatient | PPO PLUS LLC OP/PROFEE ONLY - ALL PLANS | PPO PLUS LLC OP/PROFEE ONLY - ALL PLANS | $31,875.00 | $42,500.00 | $21,250.00 | 2025-12-20 | MRF ↗ |
| OUR LADY OF THE ANGELS HOSPITAL Outpatient | HUMANA TRICARE | HUMANA TRICARE | $34,000.00 | $42,500.00 | $21,250.00 | 2026-03-18 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | AMERICAN LIFECARE/PHCS - ALL PLANS | AMERICAN LIFECARE/PHCS - ALL PLANS | $34,000.00 | $42,500.00 | $21,250.00 | 2026-03-18 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | MULTIPLAN-ALL PLANS | MULTIPLAN-ALL PLANS | $34,000.00 | $42,500.00 | $21,250.00 | 2026-03-18 | MRF ↗ |
| Assumption Community Hospital Outpatient | VANTAGE OP/PROFEE ONLY - ALL OTHER PLANS | VANTAGE OP/PROFEE ONLY - ALL OTHER PLANS | $34,000.00 | $42,500.00 | $21,250.00 | 2025-12-20 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | MULTIPLAN-ALL PLANS | MULTIPLAN-ALL PLANS | $34,000.00 | $42,500.00 | $21,250.00 | 2026-07-09 | MRF ↗ |
| OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC Outpatient | HUMANA TRICARE | HUMANA TRICARE | $34,000.00 | $42,500.00 | $21,250.00 | 2026-01-17 | MRF ↗ |
| OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC Outpatient | AMERICAN LIFECARE/PHCS - ALL PLANS | AMERICAN LIFECARE/PHCS - ALL PLANS | $34,000.00 | $42,500.00 | $21,250.00 | 2026-01-17 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | AMERICAN LIFECARE/PHCS - ALL PLANS | AMERICAN LIFECARE/PHCS - ALL PLANS | $34,000.00 | $42,500.00 | $21,250.00 | 2026-07-09 | MRF ↗ |
| Assumption Community Hospital Outpatient | MULTIPLAN/PHCS OP/PROFEE ONLY - ALL PLANS | MULTIPLAN/PHCS OP/PROFEE ONLY - ALL PLANS | $36,125.00 | $42,500.00 | $21,250.00 | 2025-12-20 | MRF ↗ |
| OUR LADY OF THE ANGELS HOSPITAL Outpatient | MHNET - ALL PLANS | MHNET - ALL PLANS | $36,125.00 | $42,500.00 | $21,250.00 | 2026-03-18 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | FIRST HEALTH/CCN-ALL PLANS | FIRST HEALTH/CCN-ALL PLANS | $38,250.00 | $42,500.00 | $21,250.00 | 2026-03-18 | MRF ↗ |
| OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC Outpatient | MCCP - ALL PLANS | MCCP - ALL PLANS | $38,250.00 | $42,500.00 | $21,250.00 | 2026-01-17 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | MCCP-ALL PLANS | MCCP-ALL PLANS | $38,250.00 | $42,500.00 | $21,250.00 | 2026-03-18 | MRF ↗ |
| Assumption Community Hospital Outpatient | MCPP OP/PROFEE ONLY - ALL PLANS | MCPP OP/PROFEE ONLY - ALL PLANS | $38,250.00 | $42,500.00 | $21,250.00 | 2025-12-20 | MRF ↗ |
| Assumption Community Hospital Outpatient | WORKERS COMP OP/PROFEE ONLY - ALL PLANS | WORKERS COMP OP/PROFEE ONLY - ALL PLANS | $38,250.00 | $42,500.00 | $21,250.00 | 2025-12-20 | MRF ↗ |
| OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC Outpatient | MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $38,250.00 | $42,500.00 | $21,250.00 | 2026-01-17 | MRF ↗ |
| Assumption Community Hospital Outpatient | CHOICE CARE OP/PROFEE ONLY - ALL PLANS | CHOICE CARE OP/PROFEE ONLY - ALL PLANS | $38,250.00 | $42,500.00 | $21,250.00 | 2025-12-20 | MRF ↗ |
| OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC Outpatient | FIRST HEALTH/CCN - ALL PLANS | FIRST HEALTH/CCN - ALL PLANS | $38,250.00 | $42,500.00 | $21,250.00 | 2026-01-17 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | MCCP-ALL PLANS | MCCP-ALL PLANS | $38,250.00 | $42,500.00 | $21,250.00 | 2026-07-09 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | FIRST HEALTH/CCN-ALL PLANS | FIRST HEALTH/CCN-ALL PLANS | $38,250.00 | $42,500.00 | $21,250.00 | 2026-07-09 | MRF ↗ |
| OUR LADY OF THE ANGELS HOSPITAL Outpatient | THREE RIVERS - ALL PLANS | THREE RIVERS - ALL PLANS | $38,250.00 | $42,500.00 | $21,250.00 | 2026-03-18 | MRF ↗ |
| OUR LADY OF THE ANGELS HOSPITAL Outpatient | MCCP - ALL PLANS | MCCP - ALL PLANS | $38,250.00 | $42,500.00 | $21,250.00 | 2026-03-18 | MRF ↗ |
| OUR LADY OF THE ANGELS HOSPITAL Outpatient | WORKERS COMP | WORKERS COMP | $38,250.00 | $42,500.00 | $21,250.00 | 2026-03-18 | MRF ↗ |
| Assumption Community Hospital Outpatient | UHC COMM COFFEE GRP OP ONLY | UHC COMM COFFEE GRP OP ONLY | $38,675.00 | $42,500.00 | $21,250.00 | 2025-12-20 | MRF ↗ |
| Assumption Community Hospital Outpatient | UHC OP/PROFEE ONLY - ALL OTHER PLANS | UHC OP/PROFEE ONLY - ALL OTHER PLANS | $39,865.00 | $42,500.00 | $21,250.00 | 2025-12-20 | MRF ↗ |
| Assumption Community Hospital Outpatient | UHC NEXUS ACO OP/PROFEE ONLY | UHC NEXUS ACO OP/PROFEE ONLY | $39,865.00 | $42,500.00 | $21,250.00 | 2025-12-20 | MRF ↗ |
| OUR LADY OF THE ANGELS HOSPITAL Outpatient | USA MCO - ALL PLANS | USA MCO - ALL PLANS | $39,950.00 | $42,500.00 | $21,250.00 | 2026-03-18 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | USA MANAGED CARE-ALL PLANS | USA MANAGED CARE-ALL PLANS | $39,950.00 | $42,500.00 | $21,250.00 | 2026-03-18 | MRF ↗ |
| OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC Outpatient | USA MANAGED CARE - ALL PLANS | USA MANAGED CARE - ALL PLANS | $39,950.00 | $42,500.00 | $21,250.00 | 2026-01-17 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | USA MANAGED CARE-ALL PLANS | USA MANAGED CARE-ALL PLANS | $39,950.00 | $42,500.00 | $21,250.00 | 2026-07-09 | MRF ↗ |
| Assumption Community Hospital Outpatient | USA MANAGED CARE OP/PROFEE ONLY - ALL PLANS | USA MANAGED CARE OP/PROFEE ONLY - ALL PLANS | $39,950.00 | $42,500.00 | $21,250.00 | 2025-12-20 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | THREE RIVERS PRVDR NTWK-ALL PLANS | THREE RIVERS PRVDR NTWK-ALL PLANS | $40,375.00 | $42,500.00 | $21,250.00 | 2026-07-09 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | THREE RIVERS PRVDR NTWK-ALL PLANS | THREE RIVERS PRVDR NTWK-ALL PLANS | $40,375.00 | $42,500.00 | $21,250.00 | 2026-03-18 | MRF ↗ |
| Assumption Community Hospital Outpatient | THREE RIVERS PRVDR NTWRK OP/PROFEE ONLY - ALL PLAN | THREE RIVERS PRVDR NTWRK OP/PROFEE ONLY - ALL PLAN | $40,375.00 | $42,500.00 | $21,250.00 | 2025-12-20 | MRF ↗ |
| OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC Outpatient | THREE RIVERS PRVDR NTWRK - ALL PLANS | THREE RIVERS PRVDR NTWRK - ALL PLANS | $40,375.00 | $42,500.00 | $21,250.00 | 2026-01-17 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | WORKERS COMP-ALL PLANS | WORKERS COMP-ALL PLANS | $51,000.00 | $42,500.00 | $21,250.00 | 2026-03-18 | MRF ↗ |
| OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC Outpatient | WORKERS COMP - ALL PLANS | WORKERS COMP - ALL PLANS | $51,000.00 | $42,500.00 | $21,250.00 | 2026-01-17 | MRF ↗ |
| ST FRANCIS MEDICAL CENTER Outpatient | WORKERS COMP-ALL PLANS | WORKERS COMP-ALL PLANS | $51,000.00 | $42,500.00 | $21,250.00 | 2026-07-09 | MRF ↗ |
| Assumption Community Hospital Outpatient | FORD, BACON & DAVIS LLC OP/PROFEE ONLY - ALL PLANS | FORD, BACON & DAVIS LLC OP/PROFEE ONLY - ALL PLANS | $80,354.75 | $42,500.00 | $21,250.00 | 2025-12-20 | MRF ↗ |