Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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1300937_SUP — Hc Supply Implant

Per-row negotiated rates, exactly as filed by each hospital. Aggregated views below summarize across hospitals; the bottom table shows the underlying rows.

Typical negotiated price $26,000

Usually $16,800–$32,000 (25th–75th percentile) across 6 hospitals · 83 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CDM 1300937_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 $5,140.00 $40,000.00 $20,000.00 2026-03-18 MRF ↗
ST FRANCIS MEDICAL CENTER Outpatient AETNA BETTER HLTH MCAID AETNA BETTER HLTH MCAID $5,140.00 $40,000.00 $20,000.00 2026-03-18 MRF ↗
ST FRANCIS MEDICAL CENTER Outpatient UHC COMMUNITY MCAID UHC COMMUNITY MCAID $5,140.00 $40,000.00 $20,000.00 2026-03-18 MRF ↗
ST FRANCIS MEDICAL CENTER Outpatient HUMANA HLTHY HORIZ MCAID HUMANA HLTHY HORIZ MCAID $5,140.00 $40,000.00 $20,000.00 2026-03-18 MRF ↗
ST FRANCIS MEDICAL CENTER Outpatient AMERIHEALTH CARITAS MCAID-ALL PLANS AMERIHEALTH CARITAS MCAID-ALL PLANS $5,140.00 $40,000.00 $20,000.00 2026-03-18 MRF ↗
ST FRANCIS MEDICAL CENTER Outpatient HEALTHY BLUE MCAID HEALTHY BLUE MCAID $5,140.00 $40,000.00 $20,000.00 2026-03-18 MRF ↗
ST FRANCIS MEDICAL CENTER Outpatient LA HLTHCARE CONN MCAID-ALL PLANS LA HLTHCARE CONN MCAID-ALL PLANS $5,252.00 $40,000.00 $20,000.00 2026-07-09 MRF ↗
ST FRANCIS MEDICAL CENTER Outpatient AETNA BETTER HLTH MCAID AETNA BETTER HLTH MCAID $5,252.00 $40,000.00 $20,000.00 2026-07-09 MRF ↗
ST FRANCIS MEDICAL CENTER Outpatient HUMANA HLTHY HORIZ MCAID HUMANA HLTHY HORIZ MCAID $5,252.00 $40,000.00 $20,000.00 2026-07-09 MRF ↗
ST FRANCIS MEDICAL CENTER Outpatient AMERIHEALTH CARITAS MCAID-ALL PLANS AMERIHEALTH CARITAS MCAID-ALL PLANS $5,252.00 $40,000.00 $20,000.00 2026-07-09 MRF ↗
ST FRANCIS MEDICAL CENTER Outpatient HEALTHY BLUE MCAID HEALTHY BLUE MCAID $5,252.00 $40,000.00 $20,000.00 2026-07-09 MRF ↗
ST FRANCIS MEDICAL CENTER Outpatient UHC COMMUNITY MCAID UHC COMMUNITY MCAID $5,252.00 $40,000.00 $20,000.00 2026-07-09 MRF ↗
OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC Outpatient UHC COMMUNITY MCAID UHC COMMUNITY MCAID $5,584.00 $40,000.00 $20,000.00 2026-01-17 MRF ↗
OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC Outpatient AETNA BETTER HLTH MCAID AETNA BETTER HLTH MCAID $5,584.00 $40,000.00 $20,000.00 2026-01-17 MRF ↗
OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC Outpatient LHC MEDICAID LHC MEDICAID $5,584.00 $40,000.00 $20,000.00 2026-01-17 MRF ↗
OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC Outpatient HUMANA HLTHY HORIZ MCAID HUMANA HLTHY HORIZ MCAID $5,584.00 $40,000.00 $20,000.00 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 $5,584.00 $40,000.00 $20,000.00 2026-01-17 MRF ↗
OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC Outpatient MAGELLAN BEHAV MCAID - ALL PLANS MAGELLAN BEHAV MCAID - ALL PLANS $5,584.00 $40,000.00 $20,000.00 2026-01-17 MRF ↗
OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC Outpatient AMERIHEALTH CARITAS MCAID - ALL PLANS AMERIHEALTH CARITAS MCAID - ALL PLANS $5,584.00 $40,000.00 $20,000.00 2026-01-17 MRF ↗
ST FRANCIS MEDICAL CENTER Outpatient AETNA MCR ADV AETNA MCR ADV $6,480.00 $40,000.00 $20,000.00 2026-03-18 MRF ↗
ST FRANCIS MEDICAL CENTER Outpatient AETNA MCR ADV AETNA MCR ADV $6,480.00 $40,000.00 $20,000.00 2026-07-09 MRF ↗
Assumption Community Hospital Outpatient HST MCR ADV OP/PROFEE ONLY - ALL PLANS HST MCR ADV OP/PROFEE ONLY - ALL PLANS $7,320.00 $40,000.00 $20,000.00 2025-12-20 MRF ↗
Assumption Community Hospital Outpatient HUMANA MCR ADV OP/PROFEE ONLY HUMANA MCR ADV OP/PROFEE ONLY $7,320.00 $40,000.00 $20,000.00 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 $7,320.00 $40,000.00 $20,000.00 2025-12-20 MRF ↗
Assumption Community Hospital Outpatient INSRANCE SYSTEMS OP/PROFEE ONLY- ALL PLANS INSRANCE SYSTEMS OP/PROFEE ONLY- ALL PLANS $7,320.00 $40,000.00 $20,000.00 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 $7,320.00 $40,000.00 $20,000.00 2025-12-20 MRF ↗
Assumption Community Hospital Outpatient UHC MCR ADV OP/PROFEE ONLY UHC MCR ADV OP/PROFEE ONLY $7,320.00 $40,000.00 $20,000.00 2025-12-20 MRF ↗
Assumption Community Hospital Outpatient BCBS MCR ADV OP/PROFEE ONLY BCBS MCR ADV OP/PROFEE ONLY $7,320.00 $40,000.00 $20,000.00 2025-12-20 MRF ↗
Assumption Community Hospital Outpatient INSRANCE SYSTEMS OP/PROFEE ONLY- ALL PLANS INSRANCE SYSTEMS OP/PROFEE ONLY- ALL PLANS $7,320.00 $40,000.00 $20,000.00 2025-12-20 MRF ↗
Assumption Community Hospital Outpatient HUMANA MCR ADV OP/PROFEE ONLY HUMANA MCR ADV OP/PROFEE ONLY $7,320.00 $40,000.00 $20,000.00 2025-12-20 MRF ↗
Assumption Community Hospital Outpatient HEALTHY BLUE MCR ADV OP/PROFEE ONLY HEALTHY BLUE MCR ADV OP/PROFEE ONLY $7,320.00 $40,000.00 $20,000.00 2025-12-20 MRF ↗
Assumption Community Hospital Outpatient HST MCR ADV OP/PROFEE ONLY - ALL PLANS HST MCR ADV OP/PROFEE ONLY - ALL PLANS $7,320.00 $40,000.00 $20,000.00 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 $7,320.00 $40,000.00 $20,000.00 2025-12-20 MRF ↗
Assumption Community Hospital Outpatient HEALTHY BLUE MCR ADV OP/PROFEE ONLY HEALTHY BLUE MCR ADV OP/PROFEE ONLY $7,320.00 $40,000.00 $20,000.00 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 $7,320.00 $40,000.00 $20,000.00 2025-12-20 MRF ↗
Assumption Community Hospital Outpatient VANTAGE MCR ADV OP/PROFEE ONLY VANTAGE MCR ADV OP/PROFEE ONLY $7,320.00 $40,000.00 $20,000.00 2025-12-20 MRF ↗
Assumption Community Hospital Outpatient COVENTRY MCR ADV OP/PROFEE ONLY - ALL PLANS COVENTRY MCR ADV OP/PROFEE ONLY - ALL PLANS $7,320.00 $40,000.00 $20,000.00 2025-12-20 MRF ↗
Assumption Community Hospital Outpatient AETNA MCR ADV OP/PROFEE ONLY AETNA MCR ADV OP/PROFEE ONLY $7,320.00 $40,000.00 $20,000.00 2025-12-20 MRF ↗
Assumption Community Hospital Outpatient UHC MCR ADV OP/PROFEE ONLY UHC MCR ADV OP/PROFEE ONLY $7,320.00 $40,000.00 $20,000.00 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 $7,320.00 $40,000.00 $20,000.00 2025-12-20 MRF ↗
Assumption Community Hospital Outpatient BCBS MCR ADV OP/PROFEE ONLY BCBS MCR ADV OP/PROFEE ONLY $7,320.00 $40,000.00 $20,000.00 2025-12-20 MRF ↗
Assumption Community Hospital Outpatient AETNA MCR ADV OP/PROFEE ONLY AETNA MCR ADV OP/PROFEE ONLY $7,320.00 $40,000.00 $20,000.00 2025-12-20 MRF ↗
Assumption Community Hospital Outpatient VANTAGE MCR ADV OP/PROFEE ONLY VANTAGE MCR ADV OP/PROFEE ONLY $7,320.00 $40,000.00 $20,000.00 2025-12-20 MRF ↗
Assumption Community Hospital Outpatient COVENTRY MCR ADV OP/PROFEE ONLY - ALL PLANS COVENTRY MCR ADV OP/PROFEE ONLY - ALL PLANS $7,320.00 $40,000.00 $20,000.00 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 $7,320.00 $40,000.00 $20,000.00 2025-12-20 MRF ↗
Assumption Community Hospital Outpatient DEVOTED HEALTH OP/PROFEE ONLY -ALL PLANS DEVOTED HEALTH OP/PROFEE ONLY -ALL PLANS $7,540.00 $40,000.00 $20,000.00 2025-12-20 MRF ↗
Assumption Community Hospital Outpatient DEVOTED HEALTH OP/PROFEE ONLY -ALL PLANS DEVOTED HEALTH OP/PROFEE ONLY -ALL PLANS $7,540.00 $40,000.00 $20,000.00 2025-12-20 MRF ↗
OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC Outpatient AETNA MCR ADV AETNA MCR ADV $7,840.00 $40,000.00 $20,000.00 2026-01-17 MRF ↗
ST FRANCIS MEDICAL CENTER Outpatient DELTA RESRCH PRTNRS-OP ONLY-ALL PLANS DELTA RESRCH PRTNRS-OP ONLY-ALL PLANS $9,600.00 $40,000.00 $20,000.00 2026-07-09 MRF ↗
ST FRANCIS MEDICAL CENTER Outpatient DELTA RESRCH PRTNRS-OP ONLY-ALL PLANS DELTA RESRCH PRTNRS-OP ONLY-ALL PLANS $9,600.00 $40,000.00 $20,000.00 2026-03-18 MRF ↗
OUR LADY OF THE ANGELS HOSPITAL Outpatient UHC COMMUNITY MCAID UHC COMMUNITY MCAID $9,720.00 $40,000.00 $20,000.00 2026-03-18 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient HEALTHY BLUE MCAID HEALTHY BLUE MCAID $11,448.00 $40,000.00 $20,000.00 2026-10-13 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient MAGELLAN MCAID MAGELLAN MCAID $11,448.00 $40,000.00 $20,000.00 2026-10-02 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient MAGELLAN MCAID MAGELLAN MCAID $11,448.00 $40,000.00 $20,000.00 2026-10-13 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient LHC MCAID LHC MCAID $11,448.00 $40,000.00 $20,000.00 2026-10-13 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient HUMANA HLTHY HORIZONS MCAID HUMANA HLTHY HORIZONS MCAID $11,448.00 $40,000.00 $20,000.00 2026-10-13 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient LHC MCAID LHC MCAID $11,448.00 $40,000.00 $20,000.00 2026-10-02 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient AMERIHLTH CARITAS MCAID - ALL PLANS AMERIHLTH CARITAS MCAID - ALL PLANS $11,448.00 $40,000.00 $20,000.00 2026-10-13 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient AETNA BETTER HLTH MCAID AETNA BETTER HLTH MCAID $11,448.00 $40,000.00 $20,000.00 2026-10-02 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient AETNA BETTER HLTH MCAID AETNA BETTER HLTH MCAID $11,448.00 $40,000.00 $20,000.00 2026-10-13 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient HEALTHY BLUE MCAID HEALTHY BLUE MCAID $11,448.00 $40,000.00 $20,000.00 2026-10-02 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient HUMANA HLTHY HORIZONS MCAID HUMANA HLTHY HORIZONS MCAID $11,448.00 $40,000.00 $20,000.00 2026-10-02 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient AMERIHLTH CARITAS MCAID - ALL PLANS AMERIHLTH CARITAS MCAID - ALL PLANS $11,448.00 $40,000.00 $20,000.00 2026-10-02 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient UHC MCAID UHC MCAID $11,572.00 $40,000.00 $20,000.00 2026-10-02 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient UHC MCAID UHC MCAID $11,572.00 $40,000.00 $20,000.00 2026-10-13 MRF ↗
OUR LADY OF THE ANGELS HOSPITAL Outpatient AETNA MCR ADV AETNA MCR ADV $13,240.00 $40,000.00 $20,000.00 2026-10-06 MRF ↗
OUR LADY OF THE ANGELS HOSPITAL Outpatient AETNA MCR ADV AETNA MCR ADV $13,240.00 $40,000.00 $20,000.00 2026-03-18 MRF ↗
OUR LADY OF THE ANGELS HOSPITAL Outpatient LSU FIRST CHOICE - ALL PLANS LSU FIRST CHOICE - ALL PLANS $13,916.00 $40,000.00 $20,000.00 2026-10-06 MRF ↗
OUR LADY OF THE ANGELS HOSPITAL Outpatient LSU FIRST CHOICE - ALL PLANS LSU FIRST CHOICE - ALL PLANS $13,916.00 $40,000.00 $20,000.00 2026-03-18 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient LSU FIRST CHOICE (WEBTPA) - ALL PLANS LSU FIRST CHOICE (WEBTPA) - ALL PLANS $13,916.00 $40,000.00 $20,000.00 2026-10-13 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient LSU FIRST CHOICE (WEBTPA) - ALL PLANS LSU FIRST CHOICE (WEBTPA) - ALL PLANS $13,916.00 $40,000.00 $20,000.00 2026-10-02 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient BRC EMPLOYEES WEBTPA - ALL PLANS BRC EMPLOYEES WEBTPA - ALL PLANS $14,688.00 $40,000.00 $20,000.00 2026-10-13 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient BRC EMPLOYEES WEBTPA - ALL PLANS BRC EMPLOYEES WEBTPA - ALL PLANS $14,688.00 $40,000.00 $20,000.00 2026-10-02 MRF ↗
ST DOMINIC-JACKSON MEMORIAL HOSPITAL Outpatient AETNA - ALL PLANS AETNA - ALL PLANS $14,800.00 $40,000.00 $20,000.00 2026-01-17 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient HUMANA - ALL OTHER PLANS HUMANA - ALL OTHER PLANS $15,600.00 $40,000.00 $20,000.00 2026-10-13 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient HUMANA - ALL OTHER PLANS HUMANA - ALL OTHER PLANS $15,600.00 $40,000.00 $20,000.00 2026-10-02 MRF ↗
OUR LADY OF THE ANGELS HOSPITAL Outpatient CIGNA - ALL OTHER PLANS CIGNA - ALL OTHER PLANS $16,480.00 $40,000.00 $20,000.00 2026-10-06 MRF ↗
OUR LADY OF THE ANGELS HOSPITAL Outpatient CIGNA - ALL OTHER PLANS CIGNA - ALL OTHER PLANS $16,480.00 $40,000.00 $20,000.00 2026-03-18 MRF ↗
OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC Outpatient HUMANA - ALL OTHER PLANS HUMANA - ALL OTHER PLANS $16,800.00 $40,000.00 $20,000.00 2026-01-17 MRF ↗
ST FRANCIS MEDICAL CENTER Outpatient HUMANA-ALL OTHER PLANS HUMANA-ALL OTHER PLANS $18,000.00 $40,000.00 $20,000.00 2026-03-18 MRF ↗
ST DOMINIC-JACKSON MEMORIAL HOSPITAL Outpatient MPCN - ALL PLANS MPCN - ALL PLANS $18,000.00 $40,000.00 $20,000.00 2026-01-17 MRF ↗
ST DOMINIC-JACKSON MEMORIAL HOSPITAL Outpatient HUMANA - ALL OTHER PLANS HUMANA - ALL OTHER PLANS $18,000.00 $40,000.00 $20,000.00 2026-01-17 MRF ↗
ST DOMINIC-JACKSON MEMORIAL HOSPITAL Outpatient CIGNA - ALL OTHER PLANS CIGNA - ALL OTHER PLANS $18,000.00 $40,000.00 $20,000.00 2026-01-17 MRF ↗
ST FRANCIS MEDICAL CENTER Outpatient HUMANA-ALL OTHER PLANS HUMANA-ALL OTHER PLANS $18,000.00 $40,000.00 $20,000.00 2026-07-09 MRF ↗
OUR LADY OF THE ANGELS HOSPITAL Outpatient MAGELLAN BEHAV MCAID -ALL PLANS MAGELLAN BEHAV MCAID -ALL PLANS $18,116.00 $40,000.00 $20,000.00 2026-03-18 MRF ↗
OUR LADY OF THE ANGELS HOSPITAL Outpatient HUMANA HLTHY HORIZ MCAID HUMANA HLTHY HORIZ MCAID $18,116.00 $40,000.00 $20,000.00 2026-03-18 MRF ↗
OUR LADY OF THE ANGELS HOSPITAL Outpatient AMERIHEALTH / LA CARE - ALL PLANS AMERIHEALTH / LA CARE - ALL PLANS $18,116.00 $40,000.00 $20,000.00 2026-03-18 MRF ↗
OUR LADY OF THE ANGELS HOSPITAL Outpatient HEALTHY BLUE MCAID - ALL OTHER PLANS HEALTHY BLUE MCAID - ALL OTHER PLANS $18,116.00 $40,000.00 $20,000.00 2026-03-18 MRF ↗
OUR LADY OF THE ANGELS HOSPITAL Outpatient LHC MEDICAID LHC MEDICAID $18,116.00 $40,000.00 $20,000.00 2026-03-18 MRF ↗
OUR LADY OF THE ANGELS HOSPITAL Outpatient AETNA BETTER HLTH MCAID AETNA BETTER HLTH MCAID $18,116.00 $40,000.00 $20,000.00 2026-03-18 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient LWHA (WEBTPA) - ALL PLANS LWHA (WEBTPA) - ALL PLANS $18,976.00 $40,000.00 $20,000.00 2026-10-13 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient LWHA (WEBTPA) - ALL PLANS LWHA (WEBTPA) - ALL PLANS $18,976.00 $40,000.00 $20,000.00 2026-10-02 MRF ↗
OUR LADY OF THE ANGELS HOSPITAL Outpatient LHC MEDICAID LHC MEDICAID $18,992.00 $40,000.00 $20,000.00 2026-10-06 MRF ↗
OUR LADY OF THE ANGELS HOSPITAL Outpatient MAGELLAN BEHAV MCAID -ALL PLANS MAGELLAN BEHAV MCAID -ALL PLANS $18,992.00 $40,000.00 $20,000.00 2026-10-06 MRF ↗
OUR LADY OF THE ANGELS HOSPITAL Outpatient HEALTHY BLUE MCAID - ALL OTHER PLANS HEALTHY BLUE MCAID - ALL OTHER PLANS $18,992.00 $40,000.00 $20,000.00 2026-10-06 MRF ↗
OUR LADY OF THE ANGELS HOSPITAL Outpatient HUMANA HLTHY HORIZ MCAID HUMANA HLTHY HORIZ MCAID $18,992.00 $40,000.00 $20,000.00 2026-10-06 MRF ↗
OUR LADY OF THE ANGELS HOSPITAL Outpatient AETNA BETTER HLTH MCAID AETNA BETTER HLTH MCAID $18,992.00 $40,000.00 $20,000.00 2026-10-06 MRF ↗
OUR LADY OF THE ANGELS HOSPITAL Outpatient AMERIHEALTH / LA CARE - ALL PLANS AMERIHEALTH / LA CARE - ALL PLANS $18,992.00 $40,000.00 $20,000.00 2026-10-06 MRF ↗
OUR LADY OF THE ANGELS HOSPITAL Outpatient UHC COMMUNITY MCAID UHC COMMUNITY MCAID $18,992.00 $40,000.00 $20,000.00 2026-10-06 MRF ↗
OUR LADY OF THE ANGELS HOSPITAL Outpatient BEACON HLTH/VALUE OPTNS - ALL PLANS BEACON HLTH/VALUE OPTNS - ALL PLANS $20,000.00 $40,000.00 $20,000.00 2026-10-06 MRF ↗
OUR LADY OF THE ANGELS HOSPITAL Outpatient BCBS HMO - ALL OTHER PLANS BCBS HMO - ALL OTHER PLANS $20,000.00 $40,000.00 $20,000.00 2026-10-06 MRF ↗
OUR LADY OF THE ANGELS HOSPITAL Outpatient BCBS PRECISION/SIG BLUE BCBS PRECISION/SIG BLUE $20,000.00 $40,000.00 $20,000.00 2026-10-06 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient BCBS FMOLHS EMPLOYEE BCBS FMOLHS EMPLOYEE $20,000.00 $40,000.00 $20,000.00 2026-10-02 MRF ↗
OUR LADY OF THE ANGELS HOSPITAL Outpatient BCBS FMOLHS EMPLOYEE GRP BCBS FMOLHS EMPLOYEE GRP $20,000.00 $40,000.00 $20,000.00 2026-10-06 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient BCBS HMO BCBS HMO $20,000.00 $40,000.00 $20,000.00 2026-10-02 MRF ↗
ST DOMINIC-JACKSON MEMORIAL HOSPITAL Outpatient FIRST CHOICE - ALL PLANS FIRST CHOICE - ALL PLANS $20,000.00 $40,000.00 $20,000.00 2026-01-17 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient BCBS PRECISION/SB - ALL OTHER PLANS BCBS PRECISION/SB - ALL OTHER PLANS $20,000.00 $40,000.00 $20,000.00 2026-10-02 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient BEACON BEHAV HLTH - ALL PLANS BEACON BEHAV HLTH - ALL PLANS $20,000.00 $40,000.00 $20,000.00 2026-10-02 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient BCBS HMO BCBS HMO $20,000.00 $40,000.00 $20,000.00 2026-10-13 MRF ↗
ST FRANCIS MEDICAL CENTER Outpatient BCBS FMOLHS EMPLOYEE GRP BCBS FMOLHS EMPLOYEE GRP $20,000.00 $40,000.00 $20,000.00 2026-03-18 MRF ↗
ST FRANCIS MEDICAL CENTER Outpatient BCBS HMO-ALL OTHER PLANS BCBS HMO-ALL OTHER PLANS $20,000.00 $40,000.00 $20,000.00 2026-03-18 MRF ↗
ST FRANCIS MEDICAL CENTER Outpatient BCBS PRECISION/SIG BLUE BCBS PRECISION/SIG BLUE $20,000.00 $40,000.00 $20,000.00 2026-03-18 MRF ↗
OUR LADY OF THE ANGELS HOSPITAL Outpatient BCBS MCR ADV BCBS MCR ADV $20,000.00 $40,000.00 $20,000.00 2026-10-06 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient BCBS FMOLHS EMPLOYEE BCBS FMOLHS EMPLOYEE $20,000.00 $40,000.00 $20,000.00 2026-10-13 MRF ↗
OUR LADY OF THE ANGELS HOSPITAL Outpatient BCBS TRAD & PPO BCBS TRAD & PPO $20,000.00 $40,000.00 $20,000.00 2026-03-18 MRF ↗
OUR LADY OF THE ANGELS HOSPITAL Outpatient BCBS HMO - ALL OTHER PLANS BCBS HMO - ALL OTHER PLANS $20,000.00 $40,000.00 $20,000.00 2026-03-18 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient BCBS PRECISION/SB - ALL OTHER PLANS BCBS PRECISION/SB - ALL OTHER PLANS $20,000.00 $40,000.00 $20,000.00 2026-10-13 MRF ↗
OUR LADY OF THE ANGELS HOSPITAL Outpatient BCBS PRECISION/SIG BLUE BCBS PRECISION/SIG BLUE $20,000.00 $40,000.00 $20,000.00 2026-03-18 MRF ↗
OUR LADY OF THE ANGELS HOSPITAL Outpatient BCBS FMOLHS EMPLOYEE GRP BCBS FMOLHS EMPLOYEE GRP $20,000.00 $40,000.00 $20,000.00 2026-03-18 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient BEACON BEHAV HLTH - ALL PLANS BEACON BEHAV HLTH - ALL PLANS $20,000.00 $40,000.00 $20,000.00 2026-10-13 MRF ↗
OUR LADY OF THE ANGELS HOSPITAL Outpatient BCBS MCR ADV BCBS MCR ADV $20,000.00 $40,000.00 $20,000.00 2026-03-18 MRF ↗
ST FRANCIS MEDICAL CENTER Outpatient BCBS FMOLHS EMPLOYEE GRP BCBS FMOLHS EMPLOYEE GRP $20,000.00 $40,000.00 $20,000.00 2026-07-09 MRF ↗
ST FRANCIS MEDICAL CENTER Outpatient BCBS HMO-ALL OTHER PLANS BCBS HMO-ALL OTHER PLANS $20,000.00 $40,000.00 $20,000.00 2026-07-09 MRF ↗
OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC Outpatient BCBS HMO - ALL OTHER PLANS BCBS HMO - ALL OTHER PLANS $20,000.00 $40,000.00 $20,000.00 2026-01-17 MRF ↗
ST FRANCIS MEDICAL CENTER Outpatient BCBS PRECISION/SIG BLUE BCBS PRECISION/SIG BLUE $20,000.00 $40,000.00 $20,000.00 2026-07-09 MRF ↗
OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC Outpatient BCBS PRECISION/SIG BLUE BCBS PRECISION/SIG BLUE $20,000.00 $40,000.00 $20,000.00 2026-01-17 MRF ↗
OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC Outpatient BCBS FMOLHS EMPLOYEE GRP BCBS FMOLHS EMPLOYEE GRP $20,000.00 $40,000.00 $20,000.00 2026-01-17 MRF ↗
OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC Outpatient BCBS MCR ADV BCBS MCR ADV $20,000.00 $40,000.00 $20,000.00 2026-01-17 MRF ↗
ST DOMINIC-JACKSON MEMORIAL HOSPITAL Outpatient CIGNA BEHAV HLTH CIGNA BEHAV HLTH $20,000.00 $40,000.00 $20,000.00 2026-01-17 MRF ↗
OUR LADY OF THE ANGELS HOSPITAL Outpatient BCBS TRAD & PPO BCBS TRAD & PPO $20,000.00 $40,000.00 $20,000.00 2026-10-06 MRF ↗
OUR LADY OF THE ANGELS HOSPITAL Outpatient BEACON HLTH/VALUE OPTNS - ALL PLANS BEACON HLTH/VALUE OPTNS - ALL PLANS $20,000.00 $40,000.00 $20,000.00 2026-03-18 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient AETNA - ALL OTHER PLANS AETNA - ALL OTHER PLANS $21,600.00 $40,000.00 $20,000.00 2026-10-13 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient AETNA - ALL OTHER PLANS AETNA - ALL OTHER PLANS $21,600.00 $40,000.00 $20,000.00 2026-10-02 MRF ↗
OUR LADY OF THE ANGELS HOSPITAL Outpatient HUMANA - ALL OTHER PLANS HUMANA - ALL OTHER PLANS $22,380.00 $40,000.00 $20,000.00 2026-10-06 MRF ↗
OUR LADY OF THE ANGELS HOSPITAL Outpatient HUMANA - ALL OTHER PLANS HUMANA - ALL OTHER PLANS $22,380.00 $40,000.00 $20,000.00 2026-03-18 MRF ↗
Assumption Community Hospital Outpatient BCBS FMOLHS EMPLOYEE GRP OP/PROFEE ONLY BCBS FMOLHS EMPLOYEE GRP OP/PROFEE ONLY $22,412.00 $40,000.00 $20,000.00 2025-12-20 MRF ↗
Assumption Community Hospital Outpatient BCBS PRECISION/SIG BLUE OP/PROFEE ONLY BCBS PRECISION/SIG BLUE OP/PROFEE ONLY $22,412.00 $40,000.00 $20,000.00 2025-12-20 MRF ↗
Assumption Community Hospital Outpatient BCBS PRECISION/SIG BLUE OP/PROFEE ONLY BCBS PRECISION/SIG BLUE OP/PROFEE ONLY $22,412.00 $40,000.00 $20,000.00 2025-12-20 MRF ↗
Assumption Community Hospital Outpatient BCBS FMOLHS EMPLOYEE GRP OP/PROFEE ONLY BCBS FMOLHS EMPLOYEE GRP OP/PROFEE ONLY $22,412.00 $40,000.00 $20,000.00 2025-12-20 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient CIGNA - ALL OTHER PLANS CIGNA - ALL OTHER PLANS $23,280.00 $40,000.00 $20,000.00 2026-10-02 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient CIGNA - ALL OTHER PLANS CIGNA - ALL OTHER PLANS $23,280.00 $40,000.00 $20,000.00 2026-10-13 MRF ↗
OUR LADY OF THE ANGELS HOSPITAL Outpatient PHCS - ALL PLANS PHCS - ALL PLANS $23,600.00 $40,000.00 $20,000.00 2026-03-18 MRF ↗
OUR LADY OF THE ANGELS HOSPITAL Outpatient PHCS - ALL PLANS PHCS - ALL PLANS $23,600.00 $40,000.00 $20,000.00 2026-10-06 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient UHC EXCHANGE COMPASS UHC EXCHANGE COMPASS $23,908.00 $40,000.00 $20,000.00 2026-10-13 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient UHC NEXUS ACO UHC NEXUS ACO $23,908.00 $40,000.00 $20,000.00 2026-10-02 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient UHC EXCHANGE COMPASS UHC EXCHANGE COMPASS $23,908.00 $40,000.00 $20,000.00 2026-10-02 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient UHC NEXUS ACO UHC NEXUS ACO $23,908.00 $40,000.00 $20,000.00 2026-10-13 MRF ↗
OUR LADY OF THE ANGELS HOSPITAL Outpatient PPO PLUS - ALL PLANS PPO PLUS - ALL PLANS $24,000.00 $40,000.00 $20,000.00 2026-10-06 MRF ↗
OUR LADY OF THE ANGELS HOSPITAL Outpatient PPO PLUS - ALL PLANS PPO PLUS - ALL PLANS $24,000.00 $40,000.00 $20,000.00 2026-03-18 MRF ↗
Assumption Community Hospital Outpatient HUMANA OP/PROFEE ONLY - ALL OTHER PLANS HUMANA OP/PROFEE ONLY - ALL OTHER PLANS $24,000.00 $40,000.00 $20,000.00 2025-12-20 MRF ↗
ST FRANCIS MEDICAL CENTER Outpatient INSURANCE SYSTMS INC-ALL PLANS INSURANCE SYSTMS INC-ALL PLANS $24,000.00 $40,000.00 $20,000.00 2026-03-18 MRF ↗
ST FRANCIS MEDICAL CENTER Outpatient INSURANCE SYSTMS INC-ALL PLANS INSURANCE SYSTMS INC-ALL PLANS $24,000.00 $40,000.00 $20,000.00 2026-07-09 MRF ↗
Assumption Community Hospital Outpatient HUMANA OP/PROFEE ONLY - ALL OTHER PLANS HUMANA OP/PROFEE ONLY - ALL OTHER PLANS $24,000.00 $40,000.00 $20,000.00 2025-12-20 MRF ↗
Assumption Community Hospital Outpatient GILLSBAR 360 ALLIANCE OP/PROFEE ONLY - ALL PLANS GILLSBAR 360 ALLIANCE OP/PROFEE ONLY - ALL PLANS $25,600.00 $40,000.00 $20,000.00 2025-12-20 MRF ↗
Assumption Community Hospital Outpatient GILLSBAR 360 ALLIANCE OP/PROFEE ONLY - ALL PLANS GILLSBAR 360 ALLIANCE OP/PROFEE ONLY - ALL PLANS $25,600.00 $40,000.00 $20,000.00 2025-12-20 MRF ↗
ST FRANCIS MEDICAL CENTER Outpatient HST-ALL PLANS HST-ALL PLANS $26,000.00 $40,000.00 $20,000.00 2026-03-18 MRF ↗
OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC Outpatient HST - ALL PLANS HST - ALL PLANS $26,000.00 $40,000.00 $20,000.00 2026-01-17 MRF ↗
ST FRANCIS MEDICAL CENTER Outpatient HST-ALL PLANS HST-ALL PLANS $26,000.00 $40,000.00 $20,000.00 2026-07-09 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient HST - ALL PLANS HST - ALL PLANS $26,000.00 $40,000.00 $20,000.00 2026-10-13 MRF ↗
OUR LADY OF THE ANGELS HOSPITAL Outpatient HST - ALL PLANS HST - ALL PLANS $26,000.00 $40,000.00 $20,000.00 2026-03-18 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient HST - ALL PLANS HST - ALL PLANS $26,000.00 $40,000.00 $20,000.00 2026-10-02 MRF ↗
OUR LADY OF THE ANGELS HOSPITAL Outpatient HST - ALL PLANS HST - ALL PLANS $26,000.00 $40,000.00 $20,000.00 2026-10-06 MRF ↗
Assumption Community Hospital Outpatient BCBS HMO OP/PROFEE ONLY - ALL OTHER PLANS BCBS HMO OP/PROFEE ONLY - ALL OTHER PLANS $26,060.00 $40,000.00 $20,000.00 2025-12-20 MRF ↗
Assumption Community Hospital Outpatient BCBS HMO OP/PROFEE ONLY - ALL OTHER PLANS BCBS HMO OP/PROFEE ONLY - ALL OTHER PLANS $26,060.00 $40,000.00 $20,000.00 2025-12-20 MRF ↗
OUR LADY OF THE ANGELS HOSPITAL Outpatient AETNA - ALL OTHER PLANS AETNA - ALL OTHER PLANS $26,360.00 $40,000.00 $20,000.00 2026-03-18 MRF ↗
OUR LADY OF THE ANGELS HOSPITAL Outpatient AETNA - ALL OTHER PLANS AETNA - ALL OTHER PLANS $26,360.00 $40,000.00 $20,000.00 2026-10-06 MRF ↗
ST FRANCIS MEDICAL CENTER Outpatient AETNA-ALL OTHER PLANS AETNA-ALL OTHER PLANS $26,400.00 $40,000.00 $20,000.00 2026-07-09 MRF ↗
ST FRANCIS MEDICAL CENTER Outpatient AETNA-ALL OTHER PLANS AETNA-ALL OTHER PLANS $26,400.00 $40,000.00 $20,000.00 2026-03-18 MRF ↗
ST FRANCIS MEDICAL CENTER Outpatient CIGNA-ALL PLANS CIGNA-ALL PLANS $26,440.00 $40,000.00 $20,000.00 2026-07-09 MRF ↗
ST FRANCIS MEDICAL CENTER Outpatient CIGNA-ALL PLANS CIGNA-ALL PLANS $26,440.00 $40,000.00 $20,000.00 2026-03-18 MRF ↗
Assumption Community Hospital Outpatient CIGNA OP/PROFEE ONLY - ALL PLANS CIGNA OP/PROFEE ONLY - ALL PLANS $26,600.00 $40,000.00 $20,000.00 2025-12-20 MRF ↗
Assumption Community Hospital Outpatient CIGNA OP/PROFEE ONLY - ALL PLANS CIGNA OP/PROFEE ONLY - ALL PLANS $26,600.00 $40,000.00 $20,000.00 2025-12-20 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient FIRST HEALTH - ALL PLANS FIRST HEALTH - ALL PLANS $27,156.00 $40,000.00 $20,000.00 2026-10-02 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient FIRST HEALTH - ALL PLANS FIRST HEALTH - ALL PLANS $27,156.00 $40,000.00 $20,000.00 2026-10-13 MRF ↗
ST FRANCIS MEDICAL CENTER Outpatient PPO PLUS-ALL OTHER PLANS PPO PLUS-ALL OTHER PLANS $27,200.00 $40,000.00 $20,000.00 2026-03-18 MRF ↗
ST FRANCIS MEDICAL CENTER Outpatient PPO PLUS PLATINUM PPO PLUS PLATINUM $27,200.00 $40,000.00 $20,000.00 2026-03-18 MRF ↗
ST FRANCIS MEDICAL CENTER Outpatient PPO PLUS PLATINUM PPO PLUS PLATINUM $27,200.00 $40,000.00 $20,000.00 2026-07-09 MRF ↗
ST FRANCIS MEDICAL CENTER Outpatient PPO PLUS-ALL OTHER PLANS PPO PLUS-ALL OTHER PLANS $27,200.00 $40,000.00 $20,000.00 2026-07-09 MRF ↗
OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC Outpatient CIGNA - ALL PLANS CIGNA - ALL PLANS $27,280.00 $40,000.00 $20,000.00 2026-01-17 MRF ↗
OUR LADY OF THE ANGELS HOSPITAL Outpatient MULTIPLAN - ALL PLANS MULTIPLAN - ALL PLANS $27,600.00 $40,000.00 $20,000.00 2026-03-18 MRF ↗
OUR LADY OF THE ANGELS HOSPITAL Outpatient MULTIPLAN - ALL PLANS MULTIPLAN - ALL PLANS $27,600.00 $40,000.00 $20,000.00 2026-10-06 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient UHC COMM COFFEE GRP UHC COMM COFFEE GRP $27,724.00 $40,000.00 $20,000.00 2026-10-13 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient UHC COMM COFFEE GRP UHC COMM COFFEE GRP $27,724.00 $40,000.00 $20,000.00 2026-10-02 MRF ↗
OUR LADY OF THE ANGELS HOSPITAL Outpatient CIGNA BH CIGNA BH $28,000.00 $40,000.00 $20,000.00 2026-03-18 MRF ↗
OUR LADY OF THE ANGELS HOSPITAL Outpatient CIGNA BH CIGNA BH $28,000.00 $40,000.00 $20,000.00 2026-10-06 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient WOMEN'S HOSPITAL FOUND - ALL PLANS WOMEN'S HOSPITAL FOUND - ALL PLANS $28,000.00 $40,000.00 $20,000.00 2026-10-13 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient WOMEN'S HOSPITAL FOUND - ALL PLANS WOMEN'S HOSPITAL FOUND - ALL PLANS $28,000.00 $40,000.00 $20,000.00 2026-10-02 MRF ↗
Assumption Community Hospital Outpatient FIRST HEALTH/CCN OP/PROFEE ONLY - ALL PLANS FIRST HEALTH/CCN OP/PROFEE ONLY - ALL PLANS $28,120.00 $40,000.00 $20,000.00 2025-12-20 MRF ↗
Assumption Community Hospital Outpatient FIRST HEALTH/CCN OP/PROFEE ONLY - ALL PLANS FIRST HEALTH/CCN OP/PROFEE ONLY - ALL PLANS $28,120.00 $40,000.00 $20,000.00 2025-12-20 MRF ↗
OUR LADY OF THE ANGELS HOSPITAL Outpatient GILSBAR 360 ALLIANCE - ALL PLANS GILSBAR 360 ALLIANCE - ALL PLANS $28,800.00 $40,000.00 $20,000.00 2026-03-18 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient UHC - ALL OTHER PLANS UHC - ALL OTHER PLANS $28,800.00 $40,000.00 $20,000.00 2026-10-02 MRF ↗
ST FRANCIS MEDICAL CENTER Outpatient GILSBAR 360 ALLIANCE-ALL PLANS GILSBAR 360 ALLIANCE-ALL PLANS $28,800.00 $40,000.00 $20,000.00 2026-03-18 MRF ↗
ST FRANCIS MEDICAL CENTER Outpatient SCT MGMT SERVICES-ALL PLANS SCT MGMT SERVICES-ALL PLANS $28,800.00 $40,000.00 $20,000.00 2026-03-18 MRF ↗
OUR LADY OF THE ANGELS HOSPITAL Outpatient GILSBAR 360 ALLIANCE - ALL PLANS GILSBAR 360 ALLIANCE - ALL PLANS $28,800.00 $40,000.00 $20,000.00 2026-10-06 MRF ↗
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient UHC - ALL OTHER PLANS UHC - ALL OTHER PLANS $28,800.00 $40,000.00 $20,000.00 2026-10-13 MRF ↗
ST FRANCIS MEDICAL CENTER Outpatient SCT MGMT SERVICES-ALL PLANS SCT MGMT SERVICES-ALL PLANS $28,800.00 $40,000.00 $20,000.00 2026-07-09 MRF ↗
ST FRANCIS MEDICAL CENTER Outpatient GILSBAR 360 ALLIANCE-ALL PLANS GILSBAR 360 ALLIANCE-ALL PLANS $28,800.00 $40,000.00 $20,000.00 2026-07-09 MRF ↗
Assumption Community Hospital Outpatient LA HLTHCARE CONN MCAID OP/PROFEE ONLY - ALL PLANS LA HLTHCARE CONN MCAID OP/PROFEE ONLY - ALL PLANS $28,912.00 $40,000.00 $20,000.00 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 $28,912.00 $40,000.00 $20,000.00 2025-12-20 MRF ↗
Assumption Community Hospital Outpatient HUMANA HLTHY HORIZ MCAID OP/PROFEE ONLY HUMANA HLTHY HORIZ MCAID OP/PROFEE ONLY $28,912.00 $40,000.00 $20,000.00 2025-12-20 MRF ↗

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