27202239 — Hc Catheter Occlusion 7fr ER-reboa
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). HC CATHETER OCCLUSION 7FR ER-REBOA (CDM 27202239) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/27202239?code_type=CDM
MLA (9th ed.)
“HC CATHETER OCCLUSION 7FR ER-REBOA (CDM 27202239) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/27202239?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“HC CATHETER OCCLUSION 7FR ER-REBOA (CDM 27202239) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/27202239?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,935–$23,015 (25th–75th percentile) across 6 hospitals · 27 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 27202239 — 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 LUKE'S PATIENTS MEDICAL CENTER Outpatient | Cigna | Commercial|Surefit | $100.00 | $352.80 | $123.48 | 2026-02-28 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER Outpatient | Cigna | Commercial|PPO | $100.00 | $352.80 | $123.48 | 2026-02-28 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER Outpatient | Cigna | Commercial|PPO | $100.00 | $352.80 | $123.48 | 2026-02-28 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER Outpatient | Cigna | Commercial|HMO | $100.00 | $352.80 | $123.48 | 2026-02-28 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER Outpatient | Cigna | Commercial|HMO | $100.00 | $352.80 | $123.48 | 2026-02-28 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER Outpatient | Cigna | Commercial|Surefit | $100.00 | $352.80 | $123.48 | 2026-02-28 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER Outpatient | Cigna Lifesource | Commercial|Transplant | $211.68 | $352.80 | $123.48 | 2026-02-28 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER Outpatient | Cigna Lifesource | Commercial|Transplant | $211.68 | $352.80 | $123.48 | 2026-02-28 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER Inpatient | First Health | Commercial|All Plans | $229.32 | $352.80 | $123.48 | 2026-02-28 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER Inpatient | Coventry | Commercial|PPO | $229.32 | $352.80 | $123.48 | 2026-02-28 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER Inpatient | First Health | Commercial|All Plans | $229.32 | $352.80 | $123.48 | 2026-02-28 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER Inpatient | Coventry | Commercial|PPO | $229.32 | $352.80 | $123.48 | 2026-02-28 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER Inpatient | Cigna | Commercial|Transplant | $246.96 | $352.80 | $123.48 | 2026-02-28 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER Inpatient | Healthsmart | Commercial|PPO | $246.96 | $352.80 | $123.48 | 2026-02-28 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER Inpatient | Cigna | Commercial|Transplant | $246.96 | $352.80 | $123.48 | 2026-02-28 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER Inpatient | Healthsmart | Commercial|PPO | $246.96 | $352.80 | $123.48 | 2026-02-28 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER Inpatient | MultiPlan | Commercial|All Plans | $264.60 | $352.80 | $123.48 | 2026-02-28 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER Inpatient | MultiPlan | Commercial|All Plans | $264.60 | $352.80 | $123.48 | 2026-02-28 | MRF ↗ |
| Baylor Scott & White Medical Center - Lakeway OutpatientFacility | Superior Health Plan | Medicaid | $703.76 | $3,518.80 | $2,111.28 | 2026-06-13 | MRF ↗ |
| Baylor Scott & White Medical Center - Lakeway OutpatientFacility | United Healthcare | Medicaid/CHIP | $753.02 | $3,518.80 | $2,111.28 | 2026-06-13 | MRF ↗ |
| Baylor Scott & White Medical Center - Lakeway OutpatientFacility | Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | $1,280.14 | $3,518.80 | $2,111.28 | 2026-06-13 | MRF ↗ |
| Baylor Scott & White Medical Center - Lakeway OutpatientFacility | Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | $1,506.05 | $3,518.80 | $2,111.28 | 2026-06-13 | MRF ↗ |
| Baylor Scott & White Medical Center - Lakeway OutpatientFacility | Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | $1,618.65 | $3,518.80 | $2,111.28 | 2026-06-13 | MRF ↗ |
| Baylor Scott & White Medical Center - Lakeway OutpatientFacility | Blue Cross Blue Shield | Blue Advantage | $1,618.65 | $3,518.80 | $2,111.28 | 2026-06-13 | MRF ↗ |
| Baylor Scott & White Medical Center - Lakeway OutpatientFacility | Cigna | Local Plus | $1,632.72 | $3,518.80 | $2,111.28 | 2026-06-13 | MRF ↗ |
| Baylor Scott & White Medical Center - Lakeway OutpatientFacility | United Healthcare | Commercial | $1,734.77 | $3,518.80 | $2,111.28 | 2026-06-13 | MRF ↗ |
| Baylor Scott & White Medical Center - Lakeway OutpatientFacility | Blue Cross Blue Shield | Blue Essentials (HMO) | $1,864.96 | $3,518.80 | $2,111.28 | 2026-06-13 | MRF ↗ |
| Baylor Scott & White Medical Center - Lakeway OutpatientFacility | Cigna | HMO/PPO | $1,907.19 | $3,518.80 | $2,111.28 | 2026-06-13 | MRF ↗ |
| Baylor Scott & White Medical Center - Lakeway InpatientFacility | MidCoast | Commercial | $1,935.34 | $3,518.80 | $2,111.28 | 2026-06-13 | MRF ↗ |
| Baylor Scott & White Medical Center - Lakeway OutpatientFacility | Aetna | Commercial | $1,935.34 | $3,518.80 | $2,111.28 | 2026-06-13 | MRF ↗ |
| Baylor Scott & White Medical Center - Lakeway InpatientFacility | QuikTrip | Employee Benefit Plan | $1,935.34 | $3,518.80 | $2,111.28 | 2026-06-13 | MRF ↗ |
| Baylor Scott & White Medical Center - Lakeway OutpatientFacility | Blue Cross Blue Shield | BlueChoice (PPO) | $1,970.53 | $3,518.80 | $2,111.28 | 2026-06-13 | MRF ↗ |
| Baylor Scott & White Medical Center - Lakeway OutpatientFacility | University of Mary Hardin-Baylor | Commercial | $2,040.90 | $3,518.80 | $2,111.28 | 2026-06-13 | MRF ↗ |
| Baylor Scott & White Medical Center - Lakeway InpatientFacility | Independent Medical System | Commercial PPO | $2,111.28 | $3,518.80 | $2,111.28 | 2026-06-13 | MRF ↗ |
| Baylor Scott & White Medical Center - Lakeway OutpatientFacility | Aetna | Medicare Advantage | $2,111.28 | $3,518.80 | $2,111.28 | 2026-06-13 | MRF ↗ |
| Baylor Scott & White Medical Center - Lakeway InpatientFacility | Curative | Commercial | $2,287.22 | $3,518.80 | $2,111.28 | 2026-06-13 | MRF ↗ |
| Baylor Scott & White Medical Center - Lakeway OutpatientFacility | Humana | Commercial HMO | $2,287.22 | $3,518.80 | $2,111.28 | 2026-06-13 | MRF ↗ |
| Baylor Scott & White Medical Center - Lakeway OutpatientFacility | HealthSmart | Accel Network | $2,463.16 | $3,518.80 | $2,111.28 | 2026-06-13 | MRF ↗ |
| Baylor Scott & White Medical Center - Lakeway InpatientFacility | First Health | PPO | $2,463.16 | $3,518.80 | $2,111.28 | 2026-06-13 | MRF ↗ |
| Baylor Scott & White Medical Center - Lakeway OutpatientFacility | Humana | Commercial PPO | $2,463.16 | $3,518.80 | $2,111.28 | 2026-06-13 | MRF ↗ |
| Baylor Scott & White Medical Center - Lakeway OutpatientFacility | TriWest | Community Care Network | $2,639.10 | $3,518.80 | $2,111.28 | 2026-06-13 | MRF ↗ |
| Baylor Scott & White Medical Center - Lakeway OutpatientFacility | Private Health Care System | PHCS Network | $2,639.10 | $3,518.80 | $2,111.28 | 2026-06-13 | MRF ↗ |
| Baylor Scott & White Medical Center - Lakeway OutpatientFacility | HealthSmart | Preferred Network | $2,639.10 | $3,518.80 | $2,111.28 | 2026-06-13 | MRF ↗ |
| Baylor Scott & White Medical Center - Lakeway OutpatientFacility | CORVEL | Worker's Compensation | $2,990.98 | $3,518.80 | $2,111.28 | 2026-06-13 | MRF ↗ |
| Baylor Scott & White Medical Center - Lakeway InpatientFacility | Three Rivers | Three Rivers Provider Network | $3,166.92 | $3,518.80 | $2,111.28 | 2026-06-13 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | SENTARA HEALTH | SENTARA HEALTH | $8,684.29 | $33,647.00 | $5,047.05 | 2025-01-17 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | SENTARA HEALTH | SENTARA HEALTH | $9,360.60 | $33,647.00 | $5,047.05 | 2025-01-17 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | UNITED HEALTHCARE | UHC HERITAGE SELECT | $10,329.63 | $33,647.00 | $5,047.05 | 2025-01-17 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $10,867.98 | $33,647.00 | $5,047.05 | 2025-01-17 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | UNITED HEALTHCARE | UNITED HEALTHCARE | $10,867.98 | $33,647.00 | $5,047.05 | 2025-01-17 | MRF ↗ |
| INDIAN PATH COMMUNITY HOSPITAL Both | SENTARA HEALTH | SENTARA HEALTH | $11,611.58 | $33,647.00 | $5,047.05 | 2025-01-17 | MRF ↗ |
| INDIAN PATH COMMUNITY HOSPITAL Both | MEDCOST | MEDCOST VHN | $11,776.45 | $33,647.00 | $5,047.05 | 2025-01-17 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | MEDCOST | MEDCOST VHN | $11,776.45 | $33,647.00 | $5,047.05 | 2025-01-17 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $13,155.98 | $33,647.00 | $5,047.05 | 2025-01-17 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | UNITED HEALTHCARE | UHC HERITAGE SELECT | $13,155.98 | $33,647.00 | $5,047.05 | 2025-01-17 | MRF ↗ |
| INDIAN PATH COMMUNITY HOSPITAL Both | UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $13,155.98 | $33,647.00 | $5,047.05 | 2025-01-17 | MRF ↗ |
| INDIAN PATH COMMUNITY HOSPITAL Both | UNITED HEALTHCARE | UNITED HEALTHCARE | $13,155.98 | $33,647.00 | $5,047.05 | 2025-01-17 | MRF ↗ |
| INDIAN PATH COMMUNITY HOSPITAL Both | UNITED HEALTHCARE | UHC HERITAGE SELECT | $13,155.98 | $33,647.00 | $5,047.05 | 2025-01-17 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | UNITED HEALTHCARE | UNITED HEALTHCARE | $13,155.98 | $33,647.00 | $5,047.05 | 2025-01-17 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | CIGNA HEALTHCARE | CIGNA HMO | $13,862.56 | $33,647.00 | $5,047.05 | 2025-01-17 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | CIGNA HEALTHCARE | CIGNA LOCAL PLUS | $13,862.56 | $33,647.00 | $5,047.05 | 2025-01-17 | MRF ↗ |
| INDIAN PATH COMMUNITY HOSPITAL Both | CIGNA HEALTHCARE | CIGNA HMO | $13,862.56 | $33,647.00 | $5,047.05 | 2025-01-17 | MRF ↗ |
| INDIAN PATH COMMUNITY HOSPITAL Both | CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $13,862.56 | $33,647.00 | $5,047.05 | 2025-01-17 | MRF ↗ |
| INDIAN PATH COMMUNITY HOSPITAL Both | CIGNA HEALTHCARE | CIGNA LOCAL PLUS | $13,862.56 | $33,647.00 | $5,047.05 | 2025-01-17 | MRF ↗ |
| INDIAN PATH COMMUNITY HOSPITAL Both | CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $13,862.56 | $33,647.00 | $5,047.05 | 2025-01-17 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $13,862.56 | $33,647.00 | $5,047.05 | 2025-01-17 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $13,862.56 | $33,647.00 | $5,047.05 | 2025-01-17 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $14,030.80 | $33,647.00 | $5,047.05 | 2025-01-17 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $14,030.80 | $33,647.00 | $5,047.05 | 2025-01-17 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | CIGNA HEALTHCARE | CIGNA LOCAL PLUS | $14,030.80 | $33,647.00 | $5,047.05 | 2025-01-17 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | CIGNA HEALTHCARE | CIGNA HMO | $14,030.80 | $33,647.00 | $5,047.05 | 2025-01-17 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | CIGNA HEALTHCARE | CIGNA PPO | $14,030.80 | $33,647.00 | $5,047.05 | 2025-01-17 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | AETNA | AETNA | $14,367.27 | $33,647.00 | $5,047.05 | 2025-01-17 | MRF ↗ |
| Norton Community Hospital Both | UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $15,141.15 | $33,647.00 | $5,047.05 | 2025-01-17 | MRF ↗ |
| Norton Community Hospital Both | MEDCOST | MEDCOST | $16,012.61 | $33,647.00 | $5,047.05 | 2025-01-17 | MRF ↗ |
| Norton Community Hospital Both | MEDCOST | MEDCOST VHN | $16,012.61 | $33,647.00 | $5,047.05 | 2025-01-17 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | MEDCOST | MEDCOST | $16,012.61 | $33,647.00 | $5,047.05 | 2025-01-17 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | MEDCOST | MEDCOST VHN | $16,012.61 | $33,647.00 | $5,047.05 | 2025-01-17 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | CIGNA HEALTHCARE | CIGNA PPO | $16,251.50 | $33,647.00 | $5,047.05 | 2025-01-17 | MRF ↗ |
| INDIAN PATH COMMUNITY HOSPITAL Both | CIGNA HEALTHCARE | CIGNA PPO | $16,251.50 | $33,647.00 | $5,047.05 | 2025-01-17 | MRF ↗ |
| Norton Community Hospital Both | MCA LEVEL FUNDING | MCA LEVEL FUNDING | $17,496.44 | $33,647.00 | $5,047.05 | 2025-01-17 | MRF ↗ |
| INDIAN PATH COMMUNITY HOSPITAL Both | MCA LEVEL FUNDING | MCA LEVEL FUNDING | $17,496.44 | $33,647.00 | $5,047.05 | 2025-01-17 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | MCA LEVEL FUNDING | MCA LEVEL FUNDING | $17,496.44 | $33,647.00 | $5,047.05 | 2025-01-17 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | MCA LEVEL FUNDING | MCA LEVEL FUNDING | $17,496.44 | $33,647.00 | $5,047.05 | 2025-01-17 | MRF ↗ |
| INDIAN PATH COMMUNITY HOSPITAL Both | AETNA | AETNA | $21,668.67 | $33,647.00 | $5,047.05 | 2025-01-17 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | AETNA | AETNA | $21,668.67 | $33,647.00 | $5,047.05 | 2025-01-17 | MRF ↗ |
| INDIAN PATH COMMUNITY HOSPITAL Both | HUMANA | HUMANA | $23,014.55 | $33,647.00 | $5,047.05 | 2025-01-17 | MRF ↗ |
| Norton Community Hospital Both | HUMANA | HUMANA | $23,014.55 | $33,647.00 | $5,047.05 | 2025-01-17 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | HUMANA | HUMANA | $23,014.55 | $33,647.00 | $5,047.05 | 2025-01-17 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | HUMANA | HUMANA | $23,014.55 | $33,647.00 | $5,047.05 | 2025-01-17 | MRF ↗ |
| Norton Community Hospital Both | BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $23,552.90 | $33,647.00 | $5,047.05 | 2025-01-17 | MRF ↗ |
| INDIAN PATH COMMUNITY HOSPITAL Both | BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $23,552.90 | $33,647.00 | $5,047.05 | 2025-01-17 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $23,552.90 | $33,647.00 | $5,047.05 | 2025-01-17 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $23,552.90 | $33,647.00 | $5,047.05 | 2025-01-17 | MRF ↗ |
| INDIAN PATH COMMUNITY HOSPITAL Both | FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $25,235.25 | $33,647.00 | $5,047.05 | 2025-01-17 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $25,235.25 | $33,647.00 | $5,047.05 | 2025-01-17 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $25,908.19 | $33,647.00 | $5,047.05 | 2025-01-17 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | BEECH STREET | BEECH STREET | $26,917.60 | $33,647.00 | $5,047.05 | 2025-01-17 | MRF ↗ |
| Norton Community Hospital Both | BEECH STREET | BEECH STREET | $26,917.60 | $33,647.00 | $5,047.05 | 2025-01-17 | MRF ↗ |
| INDIAN PATH COMMUNITY HOSPITAL Both | MEDCOST | MEDCOST | $28,599.95 | $33,647.00 | $5,047.05 | 2025-01-17 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | MEDCOST | MEDCOST | $28,599.95 | $33,647.00 | $5,047.05 | 2025-01-17 | MRF ↗ |
| Norton Community Hospital Both | MULITPLAN | MULITPLAN | $29,272.89 | $33,647.00 | $5,047.05 | 2025-01-17 | MRF ↗ |
| INDIAN PATH COMMUNITY HOSPITAL Both | BEECH STREET | BEECH STREET | $29,272.89 | $33,647.00 | $5,047.05 | 2025-01-17 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | MULITPLAN | MULITPLAN | $29,272.89 | $33,647.00 | $5,047.05 | 2025-01-17 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | BEECH STREET | BEECH STREET | $29,272.89 | $33,647.00 | $5,047.05 | 2025-01-17 | MRF ↗ |
| Norton Community Hospital Both | PHCS | PHCS | $29,272.89 | $33,647.00 | $5,047.05 | 2025-01-17 | MRF ↗ |
| INDIAN PATH COMMUNITY HOSPITAL Both | PROVIDER NETWORK OF AMERICA | PROVIDER NETWORK OF AMERICA | $30,282.30 | $33,647.00 | $5,047.05 | 2025-01-17 | MRF ↗ |
| Norton Community Hospital Both | PROVIDER NETWORK OF AMERICA | PROVIDER NETWORK OF AMERICA | $30,282.30 | $33,647.00 | $5,047.05 | 2025-01-17 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | PROVIDER NETWORK OF AMERICA | PROVIDER NETWORK OF AMERICA | $30,282.30 | $33,647.00 | $5,047.05 | 2025-01-17 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | PROVIDER NETWORK OF AMERICA | PROVIDER NETWORK OF AMERICA | $30,282.30 | $33,647.00 | $5,047.05 | 2025-01-17 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | BLUE CROSS | BLUE CROSS TN NO NETWORK | $32,974.06 | $33,647.00 | $5,047.05 | 2025-01-17 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | WELLCARE | WELLCARE MEDICAID | $33,647.00 | $33,647.00 | $5,047.05 | 2025-01-17 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | WELLCARE | WELLCARE MEDICAID | $33,647.00 | $33,647.00 | $5,047.05 | 2025-01-17 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $33,647.00 | $33,647.00 | $5,047.05 | 2025-01-17 | MRF ↗ |
| INDIAN PATH COMMUNITY HOSPITAL Both | WELLCARE | WELLCARE MEDICAID | $33,647.00 | $33,647.00 | $5,047.05 | 2025-01-17 | MRF ↗ |
| Norton Community Hospital Both | SENTARA HEALTH | SENTARA HEALTH | $33,647.00 | $33,647.00 | $5,047.05 | 2025-01-17 | MRF ↗ |
| Norton Community Hospital Both | SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $33,647.00 | $33,647.00 | $5,047.05 | 2025-01-17 | MRF ↗ |