2203404 — Free Thyroxine
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). FREE THYROXINE (CDM 2203404) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/2203404?code_type=CDM
MLA (9th ed.)
“FREE THYROXINE (CDM 2203404) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/2203404?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“FREE THYROXINE (CDM 2203404) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/2203404?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $86–$211 (25th–75th percentile) across 6 hospitals · 26 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 2203404 — 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 |
|---|---|---|---|---|---|---|---|
| MAJOR HOSPITAL Outpatient | BCBS-ALL PLANS | BCBS-ALL PLANS | $28.14 | $57.19 | $17.73 | 2026-04-07 | MRF ↗ |
| MAJOR HOSPITAL Outpatient | SHO DIRECT-ALL PLANS | SHO DIRECT-ALL PLANS | $31.51 | $57.19 | $17.73 | 2026-04-07 | MRF ↗ |
| MAJOR HOSPITAL Outpatient | UMR - ALL PLANS | UMR - ALL PLANS | $37.23 | $57.19 | $17.73 | 2026-04-07 | MRF ↗ |
| MAJOR HOSPITAL Outpatient | UNITED HEALTHCARE -ALL PLANS | UNITED HEALTHCARE -ALL PLANS | $37.23 | $57.19 | $17.73 | 2026-04-07 | MRF ↗ |
| MAJOR HOSPITAL Outpatient | PHCS - ALL PLANS | PHCS - ALL PLANS | $43.46 | $57.19 | $17.73 | 2026-04-07 | MRF ↗ |
| MAJOR HOSPITAL Outpatient | AETNA-ALL PLANS | AETNA-ALL PLANS | $48.04 | $57.19 | $17.73 | 2026-04-07 | MRF ↗ |
| MAJOR HOSPITAL Outpatient | SIHO-ALL PLANS | SIHO-ALL PLANS | $49.76 | $57.19 | $17.73 | 2026-04-07 | MRF ↗ |
| MAJOR HOSPITAL Outpatient | HUMANA-ALL PLANS | HUMANA-ALL PLANS | $51.56 | $57.19 | $17.73 | 2026-04-07 | MRF ↗ |
| MAJOR HOSPITAL Outpatient | FIRST HEALTH - ALL PLANS | FIRST HEALTH - ALL PLANS | $53.76 | $57.19 | $17.73 | 2026-04-07 | MRF ↗ |
| ASCENSION ST VINCENT'S CLAY COUNTY Outpatient | AVMED EMPOWER | 1680_AVMED SELECT/EMPOWER SCFL 20250701 | $55.76 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| MAJOR HOSPITAL Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $56.62 | $57.19 | $17.73 | 2026-04-07 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | AVMED EMPOWER | 1453_AVMED SELECT/EMPOWER 20250701 | $59.24 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | BLUE CROSS BSL | 1583_BLUE CROSS BLUE SHIELD BSL 20250701 | $62.73 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | BLUE CROSS MBN | 1584_BLUE CROSS BLUE SHIELD MBN 20250701 | $62.73 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S ST JOHNS COUNTY Outpatient | AVMED EMPOWER | 1681_AVMED SELECT/EMPOWER SIFL 20250701 | $62.73 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | BLUE CROSS MBN | 1584_BLUE CROSS BLUE SHIELD MBN 20250701 | $62.73 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | BLUE CROSS BSL | 1583_BLUE CROSS BLUE SHIELD BSL 20250701 | $62.73 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S CLAY COUNTY Outpatient | BLUE CROSS BSL | 1673_BLUE CROSS BLUE SHIELD BSL SCFL 20250701 | $66.22 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S CLAY COUNTY Outpatient | BLUE CROSS MBN | 1674_BLUE CROSS BLUE SHIELD MBN SCFL 20250701 | $66.22 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | BLUE CROSS MBN | 1461_BLUE CROSS BLUE SHIELD MBN 20250701 | $69.70 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S ST JOHNS COUNTY Outpatient | GEORGIA MEDICAID | 1473_MEDICAID REPLACEMENT GEORGIA 20240901 | $69.70 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S CLAY COUNTY Outpatient | GEORGIA MEDICAID | 1473_MEDICAID REPLACEMENT GEORGIA 20240901 | $69.70 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | GEORGIA MEDICAID | 1494_MEDICAID REPLACEMENT GEORGIA 20240901 | $69.70 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | GEORGIA MEDICAID | 1494_MEDICAID REPLACEMENT GEORGIA 20240901 | $69.70 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | BLUE CROSS BSL | 1454_BLUE CROSS BLUE SHIELD BSL 20250701 | $69.70 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | GEORGIA MEDICAID | 1366_MEDICAID REPLACEMENT GEORGIA 20240901 | $69.70 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S ST JOHNS COUNTY Outpatient | BLUE CROSS BSL | 1684_BLUE CROSS BLUE SHIELD BSL SIFL 20250701 | $73.19 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S ST JOHNS COUNTY Outpatient | BLUE CROSS MBN | 1687_BLUE CROSS BLUE SHIELD MBN SIFL 20250701 | $73.19 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | BLUE CROSS NWB | 1587_BLUE CROSS BLUE SHIELD NWB 20250701 | $83.64 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | BLUE CROSS SBN | 1586_BLUE CROSS BLUE SHIELD SBN 20250701 | $83.64 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | BLUE CROSS NWB | 1587_BLUE CROSS BLUE SHIELD NWB 20250701 | $83.64 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | BLUE CROSS HMO | 1585_BLUE CROSS BLUE SHIELD HMO 20250701 | $83.64 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | BLUE CROSS SBN | 1586_BLUE CROSS BLUE SHIELD SBN 20250701 | $83.64 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | BLUE CROSS HMO | 1585_BLUE CROSS BLUE SHIELD HMO 20250701 | $83.64 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S CLAY COUNTY Outpatient | BLUE CROSS HMO | 1677_BLUE CROSS BLUE SHIELD HMO SCFL 20250701 | $87.13 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S CLAY COUNTY Outpatient | BLUE CROSS SBN | 1682_BLUE CROSS BLUE SHIELD SBN SCFL 20250701 | $87.13 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S CLAY COUNTY Outpatient | BLUE CROSS NWB | 1672_BLUE CROSS BLUE SHIELD NWB SCFL 20250701 | $87.13 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | BLUE CROSS SBN | 1462_BLUE CROSS BLUE SHIELD SBN 20250701 | $90.61 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | BLUE CROSS HMO | 1455_BLUE CROSS BLUE SHIELD HMO 20250701 | $90.61 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | BLUE CROSS NWB | 1456_BLUE CROSS BLUE SHIELD NWB 20250701 | $90.61 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S ST JOHNS COUNTY Outpatient | BLUE CROSS SBN | 1689_BLUE CROSS BLUE SHIELD SBN SIFL 20250701 | $94.09 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S ST JOHNS COUNTY Outpatient | BLUE CROSS NWB | 1683_BLUE CROSS BLUE SHIELD NWB SIFL 20250701 | $94.09 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S ST JOHNS COUNTY Outpatient | BLUE CROSS HMO | 1688_BLUE CROSS BLUE SHIELD HMO SIFL 20250701 | $94.09 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | AVMED NEW BUSINESS | 1442_AVMED NEW BUSINESS 20240701 | $101.06 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | AVMED NEW BUSINESS | 1442_AVMED NEW BUSINESS 20240701 | $101.06 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S CLAY COUNTY Outpatient | AVMED NEW BUSINESS | 1439_AVMED NEW BUSINESS SCFL 20240701 | $108.03 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | BLUE CROSS PPO | 1589_BLUE CROSS BLUE SHIELD PPO 20250701 | $111.52 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | AVMED | 1452_AVMED BROAD 20250701 | $111.52 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | BLUE CROSS PPO | 1589_BLUE CROSS BLUE SHIELD PPO 20250701 | $111.52 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | AHF MCO | 431_AHF MCO 20140101 | $115.00 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | AHF MCO | 399_AHF MCO 20140101 | $115.00 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S ST JOHNS COUNTY Outpatient | AHF MCO | 1386_AHF MCO 20220701 | $115.00 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S CLAY COUNTY Outpatient | AHF MCO | 1386_AHF MCO 20220701 | $115.00 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | AHF MCO | 431_AHF MCO 20140101 | $115.00 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S CLAY COUNTY Outpatient | BLUE CROSS PPO | 1676_BLUE CROSS BLUE SHIELD PPO SCFL 20250701 | $118.49 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S ST JOHNS COUNTY Outpatient | AVMED | 1679_AVMED BROAD SIFL 20250701 | $118.49 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | NORTHWELL DIRECT | 1543_NORTHWELL DIRECT 20241001 | $121.97 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S CLAY COUNTY Outpatient | NORTHWELL DIRECT | 1572_NORTHWELL DIRECT 20241001 | $121.97 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S ST JOHNS COUNTY Outpatient | NORTHWELL DIRECT | 1572_NORTHWELL DIRECT 20241001 | $121.97 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | AVMED | 1581_AVMED BROAD 20250701 | $121.97 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | NORTHWELL DIRECT | 1543_NORTHWELL DIRECT 20241001 | $121.97 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | AVMED | 1581_AVMED BROAD 20250701 | $121.97 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | BLUE CROSS PPO | 1458_BLUE CROSS BLUE SHIELD PPO 20250701 | $121.97 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | NORTHWELL DIRECT | 1414_NORTHWELL DIRECT 20241001 | $121.97 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S ST JOHNS COUNTY Outpatient | BLUE CROSS PPO | 1691_BLUE CROSS BLUE SHIELD PPO SIFL 20250701 | $128.94 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S CLAY COUNTY Outpatient | AVMED | 1678_AVMED BROAD SCFL 20250701 | $132.43 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | COVENTRY PPO HIGH PERFORMANCE | 1508_COVENTRY PPO AND HIGH PERFORMANCE 20241001 | $139.40 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | AVMED NEW BUSINESS | 476_AVMED NEW BUSINESS 20181001 | $139.40 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | COVENTRY PPO HIGH PERFORMANCE | 1508_COVENTRY PPO AND HIGH PERFORMANCE 20241001 | $139.40 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S ST JOHNS COUNTY Outpatient | COVENTRY PPO HIGH PERFORMANCE | 1549_COVENTRY PPO AND HIGH PERFORMANCE 20241001 | $139.40 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | COVENTRY PPO HIGH PERFORMANCE | 1380_COVENTRY PPO AND HIGH PERFORMANCE 20241001 | $139.40 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S CLAY COUNTY Outpatient | COVENTRY PPO HIGH PERFORMANCE | 1549_COVENTRY PPO AND HIGH PERFORMANCE 20241001 | $139.40 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | 90 DEGREE BENEFITS | 1517_90 DEGREE BENEFITS OUTPATIENT 20250101 | $174.25 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S CLAY COUNTY Outpatient | 90 DEGREE BENEFITS | 1577_90 DEGREE BENEFITS OUTPATIENT 20250101 | $174.25 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S ST JOHNS COUNTY Outpatient | 90 DEGREE BENEFITS | 1577_90 DEGREE BENEFITS OUTPATIENT 20250101 | $174.25 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | 90 DEGREE BENEFITS | 1517_90 DEGREE BENEFITS OUTPATIENT 20250101 | $174.25 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | 90 DEGREE BENEFITS | 1387_90 DEGREE BENEFITS OUTPATIENT 20250101 | $174.25 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | BLUE CROSS PHS | 1588_BLUE CROSS BLUE SHIELD PHS 20250701 | $177.74 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | BLUE CROSS PHS | 1588_BLUE CROSS BLUE SHIELD PHS 20250701 | $177.74 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | AETNA SIGNATURE ADMIN | 331_AETNA SIGNATURE ADMIN 20160701 | $177.74 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | AETNA SIGNATURE ADMIN | 339_AETNA SIGNATURE ADMINISTRATORS 20160701 | $177.74 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | AETNA SIGNATURE ADMIN | 339_AETNA SIGNATURE ADMINISTRATORS 20160701 | $177.74 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S CLAY COUNTY Outpatient | AETNA ASA | 224_AETNA SIGNATURE ADMINISTRATORS 20160701 | $177.74 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S CLAY COUNTY Outpatient | BLUE CROSS PHS | 1675_BLUE CROSS BLUE SHIELD PHS SCFL 20250701 | $188.19 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | BLUE CROSS PHS | 1457_BLUE CROSS BLUE SHIELD PHS 20250701 | $195.16 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | COVENTRY HMO | 1507_COVENTRY HMO 20241001 | $205.62 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | COVENTRY HMO | 1507_COVENTRY HMO 20241001 | $205.62 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S ST JOHNS COUNTY Outpatient | BLUE CROSS PHS | 1690_BLUE CROSS BLUE SHIELD PHS SIFL 20250701 | $205.62 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S CLAY COUNTY Outpatient | COVENTRY HMO | 1547_COVENTRY HMO 20241001 | $205.62 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | COVENTRY HMO | 1379_COVENTRY HMO 20241001 | $205.62 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | SE GEORGIA HEALTH SYSTEMS | 1236_SE GEORGIA HEALTH SYSTEM 20220601 | $209.10 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S CLAY COUNTY Outpatient | PHCS | 1384_PHCS 20220701 | $209.10 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S CLAY COUNTY Outpatient | SE GEORGIA HEALTH SYSTEM | 1117_SE GEORGIA HEALTH SYSTEM SCFL 20220601 | $209.10 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | PHCS | 277_PHCS 20020901 | $209.10 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | SE GEORGIA HEALTH SYSTEMS | 1115_SE GEORGIA HEALTH SYSTEM 20220601 | $209.10 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | PHCS | 303_PHCS 20020901 | $209.10 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | SE GEORGIA HEALTH SYSTEMS | 1236_SE GEORGIA HEALTH SYSTEM 20220601 | $209.10 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | PHCS | 303_PHCS 20020901 | $209.10 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | FIRST HEALTH | 1305_FIRST HEALTH COVENTRY 20230701 | $209.10 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | FIRST HEALTH | 1305_FIRST HEALTH COVENTRY 20230701 | $209.10 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S ST JOHNS COUNTY Outpatient | SE GEORGIA HEALTH SYSTEM | 1118_SE GEORGIA HEALTH SYSTEM SIFL 20220601 | $209.10 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S ST JOHNS COUNTY Outpatient | PHCS | 1384_PHCS 20220701 | $209.10 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S CLAY COUNTY Outpatient | FIRST HEALTH | 1210_FIRST HEALTH COVENTRY 20230701 | $216.07 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | FIRST HEALTH | 1184_FIRST HEALTH COVENTRY 20230701 | $216.07 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S CLAY COUNTY Outpatient | COVENTRY WC | 1359_COVENTRY WORKERS COMPENSATION SCFL 20230715 | $226.53 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | COVENTRY WC | 1407_COVENTRY WORKERS COMPENSATION 20230715 | $226.53 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | COVENTRY WC | 1407_COVENTRY WORKERS COMPENSATION 20230715 | $226.53 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | COVENTRY WC | 1282_COVENTRY WORKERS COMPENSATION 20230715 | $226.53 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S ST JOHNS COUNTY Outpatient | COVENTRY WC | 1358_COVENTRY WORKERS COMPENSATION SIFL 20230715 | $226.53 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | UHC PPO | 947_UNITED HEALTH CARE PPO 20210101 | $254.41 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | UHC PPO | 947_UNITED HEALTH CARE PPO 20210101 | $254.41 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S CLAY COUNTY Outpatient | UHC PPO | 1385_UNITED HEALTH CARE PPO 20220701 | $254.41 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S ST JOHNS COUNTY Outpatient | UHC PPO | 1385_UNITED HEALTH CARE PPO 20220701 | $254.41 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | UHC PPO | 822_UNITED HEALTH CARE PPO 20210101 | $254.41 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | MULTIPLAN | 344_MULTIPLAN 20160101 | $278.80 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S ST JOHNS COUNTY Outpatient | MULTIPLAN | 1383_MULTIPLAN 20220701 | $278.80 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | MULTIPLAN | 344_MULTIPLAN 20160101 | $278.80 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | MULTIPLAN | 384_MULTIPLAN 20160101 | $278.80 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S CLAY COUNTY Outpatient | MULTIPLAN | 1383_MULTIPLAN 20220701 | $278.80 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | BEECHSTREET | 533_BEECHSTREET 20160101 | $296.23 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S CLAY COUNTY Outpatient | BEECH STREET | 472_BEECHSTREET 20160101 | $296.23 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | BEECH STREET | 436_BEECHSTREET 20160101 | $296.23 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | BEECH STREET | 436_BEECHSTREET 20160101 | $296.23 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $348.50 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $348.50 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | HEARTLAND HOME HEALTH AND HOSPICE | 458_MEDICARE ADVANTAGE HEARTLAND HOME HEALTH AND HOSPICE INPATIENT 20090201 | $348.50 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S CLAY COUNTY Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $348.50 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S ST JOHNS COUNTY Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $348.50 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S CLAY COUNTY Outpatient | HEARTLAND HOME HEALTH AND HOSPICE | 794_MEDICARE ADVANTAGE HEARTLAND HOME HEALTH AND HOSPICE OUTPATIENT 20210101 | $348.50 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $348.50 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | HEARTLAND HOME HEALTH AND HOSPICE | 458_MEDICARE ADVANTAGE HEARTLAND HOME HEALTH AND HOSPICE INPATIENT 20090201 | $348.50 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | HEARTLAND HOME HEALTH AND HOSPICE | 757_MEDICARE ADVANTAGE HEARTLAND HOME HEALTH AND HOSPICE OUTPATIENT 20210101 | $348.50 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Both | HEARTLAND HOME HEALTH AND HOSPICE | 1165_MEDICARE ADVANTAGE HEARTLAND HOME HEALTH AND HOSPICE INPATIENT 20211001 | $348.50 | $348.50 | $128.95 | 2026-01-01 | MRF ↗ |
| ALTUS HOUSTON HOSPITAL, LP Outpatient | Blue Cross and Blue Shield of Texas | HMO | $49,502.00 | $61,878.00 | $61,878.00 | 2026-05-28 | MRF ↗ |
| ALTUS HOUSTON HOSPITAL, LP Outpatient | Blue Cross and Blue Shield of Texas | PPO | $49,502.00 | $61,878.00 | $61,878.00 | 2026-05-28 | MRF ↗ |
| ALTUS HOUSTON HOSPITAL, LP Outpatient | Blue Cross and Blue Shield of Texas | Blue Advantage HMO | $49,502.00 | $61,878.00 | $61,878.00 | 2026-05-28 | MRF ↗ |