2500755 — Mesalamine 1.2 G Oral Ec Tab
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). mesalamine 1.2 g oral EC Tab (CDM 2500755) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/2500755?code_type=CDM
MLA (9th ed.)
“mesalamine 1.2 g oral EC Tab (CDM 2500755) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/2500755?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“mesalamine 1.2 g oral EC Tab (CDM 2500755) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/2500755?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $24–$1,933 (25th–75th percentile) across 3 hospitals · 30 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 2500755 — 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 |
|---|---|---|---|---|---|---|---|
| Rehabilitation Hospital Of Indiana Inc Outpatient | Elevance Health | Anthem Pathways Essentials | $0.32 | $0.60 | $0.34 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | Elevance Health | All HMO/POS | $0.32 | $0.60 | $0.34 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | Anthem Pathways Essentials | $0.33 | $0.60 | $0.34 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | Elevance Health | All PPO | $0.33 | $0.60 | $0.34 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | All HMO/POS | $0.33 | $0.60 | $0.34 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | All PPO | $0.34 | $0.60 | $0.34 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | Elevance Health | All Traditional Plans | $0.35 | $0.60 | $0.34 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | Encore Health Network | PPO/HMO/EPO - Combined/Encircle | $0.35 | $0.60 | $0.34 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | Encore Health Network | All Managed Care | $0.35 | $0.60 | $0.34 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | All Traditional Plans | $0.35 | $0.60 | $0.34 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Encore Health Network | PPO/HMO/EPO - Combined/Encircle | $0.36 | $0.60 | $0.34 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Encore Health Network | All Managed Care | $0.36 | $0.60 | $0.34 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Sagamore Health Network/Cigna | PPO - NON-DRG | $0.40 | $0.60 | $0.34 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | United Healthcare | All Managed Care | $0.41 | $0.60 | $0.34 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Health Alliance | All Managed Care | $0.42 | $0.60 | $0.34 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Health Alliance | All Marketplace Plans | $0.42 | $0.60 | $0.34 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Aetna | PPO - First Health | $0.44 | $0.60 | $0.34 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Aetna | HMO - Coventry | $0.44 | $0.60 | $0.34 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Aetna | PPO - NAP | $0.44 | $0.60 | $0.34 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | USA Managed Care Organization | All PPO | $0.45 | $0.60 | $0.34 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | Multiplan | PPO - Multiplan Plans | $0.47 | $0.60 | $0.34 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Indiana University Health | All Managed Care | $0.48 | $0.60 | $0.34 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | SIHO Insurance Services | All PPO Plans | $0.48 | $0.60 | $0.34 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Community Health Alliance | All PPO Plans | $0.48 | $0.60 | $0.34 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Encore Health Network | PPO | $0.49 | $0.60 | $0.34 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Multiplan | PPO - PHCS Private Healthcare Plans | $0.51 | $0.60 | $0.34 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | SIHO Insurance Services | All PPO Plans | $0.51 | $0.60 | $0.34 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | Suburban Health Organization | PPO - Direct | $0.51 | $0.60 | $0.34 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Multiplan | PPO - Multiplan Plans | $0.54 | $0.60 | $0.34 | 2024-12-03 | MRF ↗ |
| FISHER COUNTY HOSPITAL DISTRICT Both | Blue Cross Blue Shield | Medicare Advantage | $11.00 | $19.00 | $16.00 | 2026-04-28 | MRF ↗ |
| FISHER COUNTY HOSPITAL DISTRICT Both | Aetna | Commercial | $16.00 | $19.00 | $16.00 | 2026-04-28 | MRF ↗ |
| FISHER COUNTY HOSPITAL DISTRICT Both | Cigna | Commercial | $16.00 | $19.00 | $16.00 | 2026-04-28 | MRF ↗ |
| FISHER COUNTY HOSPITAL DISTRICT Both | Blue Cross Blue Shield | Commercial | $16.00 | $19.00 | $16.00 | 2026-04-28 | MRF ↗ |
| FISHER COUNTY HOSPITAL DISTRICT Both | FirstCare | Commercial | $17.00 | $19.00 | $16.00 | 2026-04-28 | MRF ↗ |
| FISHER COUNTY HOSPITAL DISTRICT Both | United Healthcare | Commercial | $19.00 | $19.00 | $16.00 | 2026-04-28 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | Elevance Health | All HMO/POS | $40.44 | $74.70 | $42.58 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | Elevance Health | Anthem Pathways Essentials | $40.44 | $74.70 | $42.58 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | All HMO/POS | $41.17 | $74.70 | $42.58 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | Anthem Pathways Essentials | $41.17 | $74.70 | $42.58 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | Elevance Health | All PPO | $41.53 | $74.70 | $42.58 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | Elevance Health | All HMO/POS | $42.25 | $78.05 | $44.49 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | Elevance Health | Anthem Pathways Essentials | $42.25 | $78.05 | $44.49 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | All PPO | $42.28 | $74.70 | $42.58 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | All HMO/POS | $43.01 | $78.05 | $44.49 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | Anthem Pathways Essentials | $43.01 | $78.05 | $44.49 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | Elevance Health | All Traditional Plans | $43.14 | $74.70 | $42.58 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | Elevance Health | All PPO | $43.39 | $78.05 | $44.49 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | Elevance Health | Anthem IUH Employee Plan | $43.39 | $78.05 | $44.49 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | Encore Health Network | PPO/HMO/EPO - Combined/Encircle | $43.70 | $74.70 | $42.58 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | Encore Health Network | All Managed Care | $43.70 | $74.70 | $42.58 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | All Traditional Plans | $43.92 | $74.70 | $42.58 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | All PPO | $44.18 | $78.05 | $44.49 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | Anthem IUH Employee Plan | $44.18 | $78.05 | $44.49 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Encore Health Network | All Managed Care | $44.45 | $74.70 | $42.58 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Encore Health Network | PPO/HMO/EPO - Combined/Encircle | $44.45 | $74.70 | $42.58 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | Elevance Health | All Traditional Plans | $45.07 | $78.05 | $44.49 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | Encore Health Network | All Managed Care | $45.66 | $78.05 | $44.49 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | Encore Health Network | PPO/HMO/EPO - Combined/Encircle | $45.66 | $78.05 | $44.49 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | All Traditional Plans | $45.89 | $78.05 | $44.49 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Encore Health Network | PPO/HMO/EPO - Combined/Encircle | $46.44 | $78.05 | $44.49 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Encore Health Network | All Managed Care | $46.44 | $78.05 | $44.49 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Sagamore Health Network/Cigna | PPO - NON-DRG | $50.04 | $74.70 | $42.58 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | United Healthcare | All Managed Care | $51.36 | $74.70 | $42.58 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Health Alliance | All Marketplace Plans | $52.29 | $74.70 | $42.58 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Sagamore Health Network/Cigna | PPO - NON-DRG | $52.29 | $78.05 | $44.49 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Health Alliance | All Managed Care | $52.29 | $74.70 | $42.58 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | United Healthcare | All Managed Care | $53.70 | $78.05 | $44.49 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Health Alliance | All Managed Care | $54.63 | $78.05 | $44.49 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Health Alliance | All Marketplace Plans | $54.63 | $78.05 | $44.49 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Aetna | PPO - NAP | $54.90 | $74.70 | $42.58 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Aetna | HMO - Coventry | $54.90 | $74.70 | $42.58 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Aetna | PPO - First Health | $54.90 | $74.70 | $42.58 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | USA Managed Care Organization | All PPO | $56.02 | $74.70 | $42.58 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Aetna | PPO - NAP | $57.37 | $78.05 | $44.49 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Aetna | HMO - Coventry | $57.37 | $78.05 | $44.49 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Aetna | PPO - First Health | $57.37 | $78.05 | $44.49 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | USA Managed Care Organization | All PPO | $58.54 | $78.05 | $44.49 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | Multiplan | PPO - Multiplan Plans | $58.64 | $74.70 | $42.58 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Indiana University Health | All Managed Care | $59.76 | $74.70 | $42.58 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | SIHO Insurance Services | All PPO Plans | $59.76 | $74.70 | $42.58 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Community Health Alliance | All PPO Plans | $59.76 | $74.70 | $42.58 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Encore Health Network | PPO | $60.51 | $74.70 | $42.58 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | Multiplan | PPO - Multiplan Plans | $61.27 | $78.05 | $44.49 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | SIHO Insurance Services | All PPO Plans | $62.44 | $78.05 | $44.49 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Indiana University Health | All Managed Care | $62.44 | $78.05 | $44.49 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Community Health Alliance | All PPO Plans | $62.44 | $78.05 | $44.49 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Encore Health Network | PPO | $63.22 | $78.05 | $44.49 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | SIHO Insurance Services | All PPO Plans | $63.49 | $74.70 | $42.58 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | Suburban Health Organization | PPO - Direct | $63.49 | $74.70 | $42.58 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Multiplan | PPO - PHCS Private Healthcare Plans | $63.49 | $74.70 | $42.58 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Outpatient | Suburban Health Organization | PPO - Direct | $66.34 | $78.05 | $44.49 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Both | Multiplan | PPO - PHCS Private Healthcare Plans | $66.34 | $78.05 | $44.49 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | SIHO Insurance Services | All PPO Plans | $66.34 | $78.05 | $44.49 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Multiplan | PPO - Multiplan Plans | $67.23 | $74.70 | $42.58 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Multiplan | PPO - Multiplan Plans | $70.25 | $78.05 | $44.49 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Corvel | All Managed Care Plans | — | $0.60 | $0.34 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Health Alliance | All Managed Medicare | — | $0.60 | $0.34 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Multiplan | PPO - Multiplan Plans | — | $0.65 | $0.37 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Encore Health Network | All Managed Care | — | $0.65 | $0.37 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Encore Health Network | PPO/HMO/EPO - Combined/Encircle | — | $0.65 | $0.37 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | All Traditional Plans | — | $0.65 | $0.37 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | Anthem Pathways Essentials | — | $0.65 | $0.37 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | All Managed Medicare | — | $0.60 | $0.34 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | All PPO | — | $0.65 | $0.37 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | Anthem IUH Employee Plan | — | $0.65 | $0.37 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | All Government Medicaid HIP | — | $0.60 | $0.34 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Aetna | All Managed Medicare | — | $0.60 | $0.34 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | All HMO/POS | — | $0.65 | $0.37 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Elevance Health | All Government Medicaid HIP | — | $0.65 | $0.37 | 2025-12-11 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Humana | All Managed Medicare | — | $0.60 | $0.34 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | Caresource | All Marketplace Plans | — | $0.60 | $0.34 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | United Healthcare | All Managed Medicare | — | $0.60 | $0.34 | 2024-12-03 | MRF ↗ |
| Rehabilitation Hospital Of Indiana Inc Inpatient | SIHO Insurance Services | All PPO Plans | — | $0.65 | $0.37 | 2025-12-11 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | MEDICA MCR ADV | MEDICA MCR ADV | $5,307.14 | $10,051.40 | $8,041.12 | 2026-07-15 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | MEDICA PRIME SOLUTION | MEDICA PRIME SOLUTION | $5,307.14 | $10,051.40 | $8,041.12 | 2026-07-15 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | NE TOTAL CARE MCAID | NE TOTAL CARE MCAID | $6,533.41 | $10,051.40 | $8,041.12 | 2026-07-15 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | UHC MCAID | UHC MCAID | $6,533.41 | $10,051.40 | $8,041.12 | 2026-07-15 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | UHC MCR ADV | UHC MCR ADV | $6,633.92 | $10,051.40 | $8,041.12 | 2026-07-15 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | HUMANA MCR ADV-ALL PLANS | HUMANA MCR ADV-ALL PLANS | $6,633.92 | $10,051.40 | $8,041.12 | 2026-07-15 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | VA CCN - ALL PLANS | VA CCN - ALL PLANS | $6,633.92 | $10,051.40 | $8,041.12 | 2026-07-15 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | TRICARE - ALL PLANS | TRICARE - ALL PLANS | $6,633.92 | $10,051.40 | $8,041.12 | 2026-07-15 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | MOLINA MCAID | MOLINA MCAID | $6,729.41 | $10,051.40 | $8,041.12 | 2026-07-15 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | NE TOTAL CARE MCR - ALL OTHER PLANS | NE TOTAL CARE MCR - ALL OTHER PLANS | $6,766.60 | $10,051.40 | $8,041.12 | 2026-07-15 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | HEALTHY BLUE MCAID-ALL PLANS | HEALTHY BLUE MCAID-ALL PLANS | $6,860.08 | $10,051.40 | $8,041.12 | 2026-07-15 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | GREAT PLAINS MCR ADV-ALL PLANS | GREAT PLAINS MCR ADV-ALL PLANS | $6,965.62 | $10,051.40 | $8,041.12 | 2026-07-15 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | MOLINA MCR ADV - ALL OTHER PLANS | MOLINA MCR ADV - ALL OTHER PLANS | $6,965.62 | $10,051.40 | $8,041.12 | 2026-07-15 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | AETNA ADVANTRA MCR ADV | AETNA ADVANTRA MCR ADV | $6,965.62 | $10,051.40 | $8,041.12 | 2026-07-15 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | MEDICA CHI HEALTH | MEDICA CHI HEALTH | $9,146.77 | $10,051.40 | $8,041.12 | 2026-07-15 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | MEDICA CHI ACO - ALL OTHER PLANS | MEDICA CHI ACO - ALL OTHER PLANS | $9,146.77 | $10,051.40 | $8,041.12 | 2026-07-15 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | MEDICA CHOICE | MEDICA CHOICE | $9,146.77 | $10,051.40 | $8,041.12 | 2026-07-15 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | BCBSNE NETWORK BLUE | BCBSNE NETWORK BLUE | $9,548.83 | $10,051.40 | $8,041.12 | 2026-07-15 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | BCBSNE BLUE PRINT - ALL OTHER PLANS | BCBSNE BLUE PRINT - ALL OTHER PLANS | $9,548.83 | $10,051.40 | $8,041.12 | 2026-07-15 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | OHARA LLC WC- ALL PLANS | OHARA LLC WC- ALL PLANS | $9,548.83 | $10,051.40 | $8,041.12 | 2026-07-15 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | UHC-ALL OTHER PLANS | UHC-ALL OTHER PLANS | $9,649.34 | $10,051.40 | $8,041.12 | 2026-07-15 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | MEDICA IFB ACO | MEDICA IFB ACO | $9,649.34 | $10,051.40 | $8,041.12 | 2026-07-15 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | UHC ACO | UHC ACO | $9,649.34 | $10,051.40 | $8,041.12 | 2026-07-15 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | MEDICA IFB OPEN ACCESS | MEDICA IFB OPEN ACCESS | $9,649.34 | $10,051.40 | $8,041.12 | 2026-07-15 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | PHCS/MULTIPLAN-ALL PLANS | PHCS/MULTIPLAN-ALL PLANS | $9,850.37 | $10,051.40 | $8,041.12 | 2026-07-15 | MRF ↗ |