26140 — Impella 5.5 With Smartassist S2 Set
Cite this view
HANK Price Transparency. (n.d.). IMPELLA 5.5 WITH SMARTASSIST S2 SET (CDM 26140) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/26140?code_type=CDM
“IMPELLA 5.5 WITH SMARTASSIST S2 SET (CDM 26140) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/26140?code_type=CDM. Accessed .
“IMPELLA 5.5 WITH SMARTASSIST S2 SET (CDM 26140) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/26140?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $25–$142,378 (25th–75th percentile) across 11 hospitals · 39 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 26140 — 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 |
|---|---|---|---|---|---|---|---|
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | BCBS | BlueChoice | $4.24 | $29.47 | $29.47 | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | BCBS | Cap | $4.24 | $29.47 | $29.47 | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | United | OptionsPPO | $4.45 | $29.47 | $29.47 | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Health Partners of Kansas | CignaLocalPlusNetwork | $5.10 | $29.47 | $29.47 | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Aetna | LocalPreferred | $5.13 | $29.47 | $29.47 | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | WPPA | WPPAPrimeNetwork | $5.13 | $29.47 | $29.47 | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | WPPA | UnifiedHealth | $5.13 | $29.47 | $29.47 | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | WPPA | ProviderCareNetwork | $5.13 | $29.47 | $29.47 | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Centene | HIX | $5.30 | $29.47 | $29.47 | 2026-03-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | United | OptionsPPO | $5.52 | $34.26 | $34.26 | 2024-10-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Preferred Health Choices | COMM | $5.57 | $29.47 | $29.47 | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Medical Associates Health Plan | COMM | $5.57 | $29.47 | $29.47 | 2026-03-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Health Partners of Kansas | CignaLocalPlusNetwork | $6.41 | $34.26 | $34.26 | 2024-10-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | WPPA | ProviderCareNetwork | $6.54 | $34.26 | $34.26 | 2024-10-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | WPPA | PrimeNetwork | $6.54 | $34.26 | $34.26 | 2024-10-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | WPPA | UnifiedHealthPlan | $6.54 | $34.26 | $34.26 | 2024-10-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Aetna | LocalPreferred | $6.56 | $34.26 | $34.26 | 2024-10-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Centene | COMM | $6.85 | $34.26 | $34.26 | 2024-10-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Aetna | LocalOpen | $6.91 | $29.47 | $29.47 | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Health Partners of Kansas | Non-LocalPlusandNon-ConnectCare | $6.95 | $29.47 | $29.47 | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Aetna | NationalOpen | $7.07 | $29.47 | $29.47 | 2026-03-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Health Partners of Kansas | Non-LocalPlusandNon-ConnectCare | $8.36 | $34.26 | $34.26 | 2024-10-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Aetna | LocalOpen | $8.83 | $34.26 | $34.26 | 2024-10-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Aetna Better Health | MCD | $8.84 | $29.47 | $29.47 | 2026-03-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Aetna | NationalOpen | $9.03 | $34.26 | $34.26 | 2024-10-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Spirit Aerosystems | COMMOON | $9.43 | $29.47 | $29.47 | 2026-03-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Aetna Better Health | MCD | $10.28 | $34.26 | $34.26 | 2024-10-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Aetna | Spirit | $10.52 | $29.47 | $29.47 | 2026-03-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Spirit Aerosystems | COMMOON | $11.58 | $34.26 | $34.26 | 2024-10-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | United | GlobalBenefitPlan | $13.26 | $29.47 | $29.47 | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | First Health | PPO | $13.59 | $29.47 | $29.47 | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Health Partners of Kansas | Humana | $14.73 | $29.47 | $29.47 | 2026-03-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | United | GlobalBenefitPlan | $15.42 | $34.26 | $34.26 | 2024-10-01 | MRF ↗ |
| SOUTHWEST MEMORIAL HOSPITAL Both | Medicare | Part B | $16.00 | $150.00 | $75.00 | 2025-06-12 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | First Health | PPO | $16.62 | $34.26 | $34.26 | 2024-10-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Health Partners of Kansas | Humana | $17.13 | $34.26 | $34.26 | 2024-10-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Triwest Healthcare Alliance | Tricare | $19.16 | $29.47 | $29.47 | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Multiplan | COMMPPOPRIMARYNETWORK | $20.63 | $29.47 | $29.47 | 2026-03-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Triwest Healthcare Alliance | Tricare | $22.27 | $34.26 | $34.26 | 2024-10-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Multiplan | COMMPPOPRIMARYNETWORK | $23.98 | $34.26 | $34.26 | 2024-10-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | USA Managed Care | COMM | $25.05 | $29.47 | $29.47 | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $25.05 | $29.47 | $29.47 | 2026-03-01 | MRF ↗ |
| ASCENSION SAINT THOMAS THREE RIVERS Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $25.35 | $25.35 | $7.61 | 2026-01-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | Multiplan | BeechStreetCOMMPPO | $26.52 | $29.47 | $29.47 | 2026-03-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | USA Managed Care | COMM | $29.12 | $34.26 | $34.26 | 2024-10-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $29.12 | $34.26 | $34.26 | 2024-10-01 | MRF ↗ |
| WESLEY MEDICAL CENTER Outpatient | Multiplan | BeechStreetCOMMPPO | $30.83 | $34.26 | $34.26 | 2024-10-01 | MRF ↗ |
| SOUTHWEST MEMORIAL HOSPITAL Both | Cigna | Commercial | $49.00 | $150.00 | $75.00 | 2025-06-12 | MRF ↗ |
| SOUTHWEST MEMORIAL HOSPITAL Both | Blue Cross Blue Shield Co & NV | PPO | $132.00 | $150.00 | $75.00 | 2025-06-12 | MRF ↗ |
| SOUTHWEST MEMORIAL HOSPITAL Both | Rocky Mountain Health Maintenance Organization Inc. | Commercial | $138.00 | $150.00 | $75.00 | 2025-06-12 | MRF ↗ |
| SOUTHWEST MEMORIAL HOSPITAL Both | Kaiser Permanente | Commercial | $143.00 | $150.00 | $75.00 | 2025-06-12 | MRF ↗ |
| SOUTHWEST MEMORIAL HOSPITAL Both | Coventry | Commercial | $144.00 | $150.00 | $75.00 | 2025-06-12 | MRF ↗ |
| SOUTHWEST MEMORIAL HOSPITAL Both | United Healthcare Insurance Company | Commercial | $144.00 | $150.00 | $75.00 | 2025-06-12 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | BCBS - MN | Medicaid|All Plans | $146.76 | $489.20 | $283.74 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Health Partners | Medicare|All Plans | $161.44 | $489.20 | $283.74 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Medica | Medicare|All Plans | $169.51 | $489.20 | $283.74 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Humana | Medicare|All Plans | $176.12 | $489.20 | $283.74 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | BCBS - MN | Medicare|All Plans | $176.12 | $489.20 | $283.74 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Medica | Medicaid|All Plans | $181.01 | $489.20 | $283.74 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Health Partners | Medicaid|All Plans | $181.01 | $489.20 | $283.74 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Ucare | Medicare|All Plans | $184.92 | $489.20 | $283.74 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Ucare | Medicaid|All Plans | $199.11 | $489.20 | $283.74 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | BCBS - MN | Commercial|Federal Plans | $273.96 | $489.20 | $283.74 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | BCBS - MN | Commercial|All Other Plans | $278.85 | $489.20 | $283.74 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | Health Partners | Commercial|All Plans | $293.52 | $489.20 | $283.74 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | United | Commercial|New Business | $357.12 | $489.20 | $283.74 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | United | Commercial|All Other Plans | $391.36 | $489.20 | $283.74 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | Ucare | Commercial|All Plans | $430.50 | $489.20 | $283.74 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | MultiPlan | Commercial|All Plans | $464.74 | $489.20 | $283.74 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | Sanford Health Plan | Commercial|All Plans | $464.74 | $489.20 | $283.74 | 2026-02-28 | MRF ↗ |
| SARATOGA HOSPITAL BothFacility | — | — | — | $762.39 | $381.20 | 2025-01-01 | MRF ↗ |
| GLENS FALLS HOSPITAL BothFacility | — | — | — | $762.39 | $381.20 | 2025-01-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Aetna | MCR | $1,992.65 | $19,926.54 | $19,926.54 | 2024-10-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Aetna | MCR | $2,159.59 | $21,595.93 | $21,595.93 | 2026-03-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Imperial Insurance | MCR | $2,988.98 | $19,926.54 | $19,926.54 | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | MedCare Partners | MGMCR | $2,988.98 | $19,926.54 | $19,926.54 | 2024-10-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | MedCare Partners | MGMCR | $3,239.39 | $21,595.93 | $21,595.93 | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Aetna | PPO | $3,822.48 | $21,595.93 | $21,595.93 | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Aetna | HMO | $3,822.48 | $21,595.93 | $21,595.93 | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Aetna | EPO | $3,822.48 | $21,595.93 | $21,595.93 | 2026-03-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Bright Health | COMM | $5,491.75 | $19,926.54 | $19,926.54 | 2024-10-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Cigna | PPO | $5,571.75 | $21,595.93 | $21,595.93 | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Cigna | HMO | $5,571.75 | $21,595.93 | $21,595.93 | 2026-03-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Cigna | HMO | $5,659.14 | $19,926.54 | $19,926.54 | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Cigna | PPO | $5,659.14 | $19,926.54 | $19,926.54 | 2024-10-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Bright Health | COMM | $5,951.84 | $21,595.93 | $21,595.93 | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | United | OptionsPPO | $6,068.46 | $21,595.93 | $21,595.93 | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Blue Shield | EPN | $6,085.73 | $21,595.93 | $21,595.93 | 2026-03-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | United | OptionsPPO | $6,157.30 | $19,926.54 | $19,926.54 | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Health Net | COMM | $8,110.10 | $19,926.54 | $19,926.54 | 2024-10-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Blue Shield | COMM | $8,694.52 | $21,595.93 | $21,595.93 | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Health Net | COMM | $8,789.54 | $21,595.93 | $21,595.93 | 2026-03-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | First Health | COMM | $13,550.05 | $19,926.54 | $19,926.54 | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | ChoiceCare Network | COMMPPO | $13,948.58 | $19,926.54 | $19,926.54 | 2024-10-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | First Health | COMM | $14,685.23 | $21,595.93 | $21,595.93 | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | ChoiceCare Network | COMMPPO | $15,117.15 | $21,595.93 | $21,595.93 | 2026-03-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | First Health | WCOMP | $15,941.23 | $19,926.54 | $19,926.54 | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | PPO Next | PPO | $15,941.23 | $19,926.54 | $19,926.54 | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Multiplan | PRIMARY | $15,941.23 | $19,926.54 | $19,926.54 | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | PPO Next | WC | $15,941.23 | $19,926.54 | $19,926.54 | 2024-10-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | First Health | WCOMP | $17,276.74 | $21,595.93 | $21,595.93 | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | PPO Next | PPO | $17,276.74 | $21,595.93 | $21,595.93 | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | PPO Next | WC | $17,276.74 | $21,595.93 | $21,595.93 | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Multiplan | PRIMARY | $17,276.74 | $21,595.93 | $21,595.93 | 2026-03-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Interplan Corporation | COMM | $17,933.89 | $19,926.54 | $19,926.54 | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Interplan Corporation | WC | $17,933.89 | $19,926.54 | $19,926.54 | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Ventura County Foundation | COMM | $17,933.89 | $19,926.54 | $19,926.54 | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Multiplan | COMPLEMENTARY | $18,930.21 | $19,926.54 | $19,926.54 | 2024-10-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Interplan Corporation | COMM | $19,436.34 | $21,595.93 | $21,595.93 | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Interplan Corporation | WC | $19,436.34 | $21,595.93 | $21,595.93 | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Ventura County Foundation | COMM | $19,436.34 | $21,595.93 | $21,595.93 | 2026-03-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Aetna Senior Health Plan | MCR | $19,926.54 | $19,926.54 | $19,926.54 | 2024-10-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Multiplan | COMPLEMENTARY | $20,516.13 | $21,595.93 | $21,595.93 | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Aetna Senior Health Plan | MCR | $21,595.93 | $21,595.93 | $21,595.93 | 2026-03-01 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Devoted | Medicare Advantage | — | $298,800.00 | $149,400.00 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Anderson County Employees/EBMS | Commercial | $83,664.00 | $298,800.00 | $149,400.00 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Edison Health/Claim Doc | Commercial | — | $298,800.00 | $149,400.00 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Cigna | Commercial | — | $298,800.00 | $149,400.00 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Blue Cross Blue Shield | Preferred Blue | — | $298,800.00 | $149,400.00 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Blue Cross Blue Shield | Innovation | — | $298,800.00 | $149,400.00 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Blue Cross Blue Shield | Managed Medicaid | — | $298,800.00 | $149,400.00 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Blue Cross Blue Shield | Medicare Advantage | — | $298,800.00 | $149,400.00 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Blue Cross Blue Shield | State | — | $298,800.00 | $149,400.00 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Blue Cross Blue Shield | Health Exchange | — | $298,800.00 | $149,400.00 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Blue Cross Blue Shield | Health Exchange | — | $298,800.00 | $149,400.00 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Blue Cross Blue Shield | Innovation | — | $298,800.00 | $149,400.00 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Blue Cross Blue Shield | Managed Medicaid | — | $298,800.00 | $149,400.00 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Blue Cross Blue Shield | Medicare Advantage | — | $298,800.00 | $149,400.00 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Blue Cross Blue Shield | Blue Choice PCN | — | $298,800.00 | $149,400.00 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Blue Cross Blue Shield | Preferred Blue | — | $298,800.00 | $149,400.00 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Blue Cross Blue Shield | State | — | $298,800.00 | $149,400.00 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Blue Cross Blue Shield | Blue Choice | — | $298,800.00 | $149,400.00 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Aetna | Medicare Advantage | — | $298,800.00 | $149,400.00 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Centene | Managed Medicaid | — | $298,800.00 | $149,400.00 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Centene | Health Exchange | — | $298,800.00 | $149,400.00 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Centene | Medicare Advantage | — | $298,800.00 | $149,400.00 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Humana | Medicare Advantage | — | $298,800.00 | $149,400.00 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Humana | Managed Medicaid | — | $298,800.00 | $149,400.00 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Cigna | Medicare Advantage | — | $298,800.00 | $149,400.00 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Blue Cross Blue Shield | Blue Choice PCN | — | $298,800.00 | $149,400.00 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Blue Cross Blue Shield | Blue Choice | — | $298,800.00 | $149,400.00 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Aetna | Medicare Advantage | — | $298,800.00 | $149,400.00 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Centene | Managed Medicaid | — | $298,800.00 | $149,400.00 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Centene | Medicare Advantage | — | $298,800.00 | $149,400.00 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Centene | Health Exchange | — | $298,800.00 | $149,400.00 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Humana | Medicare Advantage | — | $298,800.00 | $149,400.00 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Humana | Managed Medicaid | — | $298,800.00 | $149,400.00 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Cigna | Medicare Advantage | — | $298,800.00 | $149,400.00 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Edison Health/Claim Doc | Commercial | — | $298,800.00 | $149,400.00 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Anderson County Employees/EBMS | Commercial | $83,664.00 | $298,800.00 | $149,400.00 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Devoted | Medicare Advantage | — | $298,800.00 | $149,400.00 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Magellan Behavioral Health | Medicare Advantage | — | $298,800.00 | $149,400.00 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Health Exchange | $85,755.60 | $298,800.00 | $149,400.00 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Innovation | $147,906.00 | $298,800.00 | $149,400.00 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield | State | $149,400.00 | $298,800.00 | $149,400.00 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Preferred Blue | $158,961.60 | $298,800.00 | $149,400.00 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | Cigna | Commercial | $166,730.40 | $298,800.00 | $149,400.00 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Aetna | HMO/POS/PPO | $170,614.80 | $298,800.00 | $149,400.00 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Blue Choice | $171,511.20 | $298,800.00 | $149,400.00 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Blue Choice PCN | $171,511.20 | $298,800.00 | $149,400.00 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Cigna | Commercial | $178,682.40 | $298,800.00 | $149,400.00 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | MedCost Ultra | Commercial | $179,280.00 | $298,800.00 | $149,400.00 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | First Health | Commercial | $187,646.40 | $298,800.00 | $149,400.00 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | MedCost | Commercial | $201,092.40 | $298,800.00 | $149,400.00 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Aetna | HMO/POS/PPO | $221,410.80 | $298,800.00 | $149,400.00 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | Aetna | HMO/POS/PPO | $230,374.80 | $298,800.00 | $149,400.00 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | First Health | Commercial | $265,932.00 | $298,800.00 | $149,400.00 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | MedCost | Commercial | $268,920.00 | $298,800.00 | $149,400.00 | 2024-11-21 | MRF ↗ |