27800000002-52209 — Device Impella 5.5 Smartassist
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). DEVICE IMPELLA 5.5 SMARTASSIST (CDM 27800000002-52209) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/27800000002-52209?code_type=CDM
MLA (9th ed.)
“DEVICE IMPELLA 5.5 SMARTASSIST (CDM 27800000002-52209) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/27800000002-52209?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“DEVICE IMPELLA 5.5 SMARTASSIST (CDM 27800000002-52209) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/27800000002-52209?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $66,825–$174,642 (25th–75th percentile) across 8 hospitals · 57 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 27800000002-52209 — 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 |
|---|---|---|---|---|---|---|---|
| MERCY CATHOLIC MEDICAL CENTER- MERCY FITZGERALD OutpatientFacility | Independence Blue Cross | Traditional | $211.00 | $247,500.00 | $140,332.50 | 2025-01-01 | MRF ↗ |
| MERCY CATHOLIC MEDICAL CENTER- MERCY FITZGERALD OutpatientFacility | Independence Blue Cross | HMO_PPO | $211.00 | $247,500.00 | $140,332.50 | 2025-01-01 | MRF ↗ |
| NAZARETH HOSPITAL OutpatientFacility | Independence Blue Cross | HMO_PPO | $211.00 | $247,500.00 | $146,767.50 | 2025-01-01 | MRF ↗ |
| NAZARETH HOSPITAL OutpatientFacility | Independence Blue Cross | Traditional | $211.00 | $247,500.00 | $146,767.50 | 2025-01-01 | MRF ↗ |
| ST MARY MEDICAL CENTER OutpatientFacility | Independence Blue Cross | Traditional | $223.00 | $247,500.00 | $156,420.00 | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL OutpatientFacility | Independence Blue cross | HMO_PPO | $223.00 | $247,500.00 | $99,000.00 | 2025-01-01 | MRF ↗ |
| ST MARY MEDICAL CENTER OutpatientFacility | Independence Blue Cross | HMO_PPO | $233.00 | $247,500.00 | $156,420.00 | 2025-01-01 | MRF ↗ |
| ST MARY'S HOSPITAL OutpatientFacility | Cigna | All products | $258.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | AvMed | All Products | $323.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | AvMed | All Products | $323.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Humana | PPO_HMO | $1,973.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Humana | PPO_HMO | $1,973.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Aetna | QHP | $3,815.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Aetna | QHP | $3,815.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Cigna | Surefit | $4,436.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Cigna | Individual Family Plan | $4,436.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Cigna | Local Plus | $4,436.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Cigna | Individual Family Plan | $4,436.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Cigna | Local Plus | $4,436.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Cigna | Surefit | $4,436.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Cigna | Network Benefit | $4,984.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Cigna | Open Access | $4,984.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Cigna | HMO | $4,984.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Cigna | Open Access | $4,984.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Cigna | Network Benefit | $4,984.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Cigna | HMO | $4,984.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| ST MARY'S HOSPITAL OutpatientFacility | Aetna | All Products | $9,200.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| TY COBB REGIONAL MEDICAL CENTER, LLC OutpatientFacility | Aetna | All Products | $9,200.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $33,907.50 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $33,907.50 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| ST MARY MEDICAL CENTER InpatientFacility | Cigna | Individual Family Plan | $35,145.00 | $247,500.00 | $156,420.00 | 2025-01-01 | MRF ↗ |
| ST MARY MEDICAL CENTER InpatientFacility | Cigna | Open Access_Network Benefit | $35,145.00 | $247,500.00 | $156,420.00 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL InpatientFacility | Anthem | Pathway Program | $47,841.75 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | AvMed | Medicare Advantage | $49,500.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | AvMed | Medicare Advantage | $49,500.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| MERCY CATHOLIC MEDICAL CENTER- MERCY FITZGERALD OutpatientFacility | Aetna | Medicare Advantage | $55,440.00 | $247,500.00 | $140,332.50 | 2025-01-01 | MRF ↗ |
| ST MARY MEDICAL CENTER OutpatientFacility | Aetna | Medicare Advantage | $61,380.00 | $247,500.00 | $156,420.00 | 2025-01-01 | MRF ↗ |
| NAZARETH HOSPITAL OutpatientFacility | Oscar | Medicare Advantage | $61,875.00 | $247,500.00 | $170,775.00 | 2025-01-01 | MRF ↗ |
| MERCY CATHOLIC MEDICAL CENTER- MERCY FITZGERALD OutpatientFacility | Oscar | Medicare Advantage | $61,875.00 | $247,500.00 | $140,332.50 | 2025-01-01 | MRF ↗ |
| ST MARY MEDICAL CENTER OutpatientFacility | Oscar | Medicare Advantage | $61,875.00 | $247,500.00 | $156,420.00 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $66,825.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | AvMed | Select | $66,825.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL OutpatientFacility | UHC | Medicare Advantage | $66,825.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL OutpatientFacility | Anthem BCBS | Medicare Advantage | $66,825.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL OutpatientFacility | VACCN United | Veterans Affairs | $66,825.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $66,825.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | AvMed | Select | $66,825.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL OutpatientFacility | Caresource | Medicare Advantage | $66,825.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL OutpatientFacility | Coventry | Medicare Advantage | $66,825.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL OutpatientFacility | Care Improvement Plus | Medicare Advantage | $66,825.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL OutpatientFacility | Eon Health Plan | Medicare Advantage | $66,825.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL OutpatientFacility | Wellcare | Medicare Advantage | $66,825.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL OutpatientFacility | Centene | Medicare Advantage | $66,825.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL OutpatientFacility | Kaiser Permanente | Medicare Advantage | $66,825.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL OutpatientFacility | Pruitthealth Premier | Medicare Advantage | $66,825.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL OutpatientFacility | Cigna HealthSpring | Medicare Advantage | $66,825.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL OutpatientFacility | Todays Options PFFS | Medicare Advantage | $66,825.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL OutpatientFacility | Ambetter | Medicare Advantage | $66,825.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL OutpatientFacility | Molina | Medicare Advantage | $66,825.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL OutpatientFacility | Todays Options PPO | Medicare Advantage | $66,825.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | AvMed | HMO | $71,775.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | AvMed | HMO | $71,775.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| NAZARETH HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $73,012.50 | $247,500.00 | $146,767.50 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | BCBS FL | HMO | $76,725.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | BCBS FL | HMO | $76,725.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL OutpatientFacility | Anthem | Pathway Program | $83,902.50 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL OutpatientFacility | Amerihealth Caritas of DE | Medicaid | $86,625.00 | $247,500.00 | $99,000.00 | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL OutpatientFacility | Highmark Health Options DE | Medicaid | $96,772.50 | $247,500.00 | $99,000.00 | 2025-01-01 | MRF ↗ |
| ST MARY MEDICAL CENTER InpatientFacility | United Healthcare | All Products | $102,217.50 | $247,500.00 | $156,420.00 | 2025-01-01 | MRF ↗ |
| ST MARY MEDICAL CENTER InpatientFacility | UHC | Options PPO | $102,217.50 | $247,500.00 | $156,420.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | Aetna | First health International | $110,385.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | Aetna | First health International | $110,385.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | First Health | All Products | $110,385.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | First Health | All Products | $110,385.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| ST MARY MEDICAL CENTER OutpatientFacility | United Healthcare | All Products | $119,790.00 | $247,500.00 | $156,420.00 | 2025-01-01 | MRF ↗ |
| ST MARY MEDICAL CENTER OutpatientFacility | UHC | Options PPO | $119,790.00 | $247,500.00 | $156,420.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | Memorial Integrated Health | All Products | $121,027.50 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | Memorial Integrated Health | All Products | $121,027.50 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| MERCY CATHOLIC MEDICAL CENTER- MERCY FITZGERALD OutpatientFacility | Cigna | Open Access_Network Benefit | $123,750.00 | $247,500.00 | $140,332.50 | 2025-01-01 | MRF ↗ |
| MERCY CATHOLIC MEDICAL CENTER- MERCY FITZGERALD OutpatientFacility | Cigna | Individual Family Plan | $123,750.00 | $247,500.00 | $140,332.50 | 2025-01-01 | MRF ↗ |
| NAZARETH HOSPITAL OutpatientFacility | Cigna | Individual Family Plan | $123,750.00 | $247,500.00 | $146,767.50 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Bridge Health | All Products | $123,750.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| NAZARETH HOSPITAL OutpatientFacility | Cigna | Open Access_Network Benefit | $123,750.00 | $247,500.00 | $170,775.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Bridge Health | All Products | $123,750.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL InpatientFacility | Cigna | Open Access | $124,987.50 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL InpatientFacility | Cigna | HMO | $124,987.50 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL InpatientFacility | Cigna | Network Benefit | $124,987.50 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL InpatientFacility | Cigna | Open Access | $124,987.50 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL InpatientFacility | Cigna | Network Benefit | $124,987.50 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL InpatientFacility | Cigna | HMO | $124,987.50 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL InpatientFacility | Anthem | HMO | $125,655.75 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL InpatientFacility | Anthem | PPO | $125,655.75 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL InpatientFacility | Aetna | Gatekeeper/Nongatekeeper | $126,967.50 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL InpatientFacility | Aetna | Gatekeeper/Nongatekeeper | $126,967.50 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL InpatientFacility | Aetna | Global Benefits | $129,442.50 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL InpatientFacility | Aetna | Global Benefits | $129,442.50 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL InpatientFacility | Aetna | All Products | $129,442.50 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL InpatientFacility | Aetna | All Products | $129,442.50 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Aetna | All Products | $130,927.50 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Aetna | All Products | $130,927.50 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Aetna | Global Benefits | $130,927.50 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Aetna | Global Benefits | $130,927.50 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| MERCY CATHOLIC MEDICAL CENTER- MERCY FITZGERALD InpatientFacility | UHC | Options PPO | $140,332.50 | $247,500.00 | $140,332.50 | 2025-01-01 | MRF ↗ |
| TY COBB REGIONAL MEDICAL CENTER, LLC BothFacility | United Healthcare | All Products | $145,282.50 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| TY COBB REGIONAL MEDICAL CENTER, LLC BothFacility | UHC | All Products | $145,282.50 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| ST MARY MEDICAL CENTER BothFacility | HEALTH AMERICA | All Products | $148,005.00 | $247,500.00 | $156,420.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | DESJARDINS FINANCIAL SECURITY LIFE ASSURANCE | All Products | $148,500.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | AXA ASSISTANCE US | All Products | $148,500.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | GUARDIAN | All Products | $148,500.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | GLOBAL MEDICAL MANAGEMENT | All Products | $148,500.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | ALLIANZ GLOBAL ASSISTANCE | All Products | $148,500.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | AXIS SERVICES | All Products | $148,500.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | CMN GLOBAL | All Products | $148,500.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | DESJARDINS FINANCIAL SECURITY LIFE ASSURANCE | All Products | $148,500.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | GLOBAL HEALTH CLAIM SERVICES | All Products | $148,500.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | Morgan White Administrators International | All Products | $148,500.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | NATIONAL HEALTHCARE SOLUTIONS | All Products | $148,500.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | OLYMPUS MANAGED HEALTH CARE | All Products | $148,500.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | PENFIELD CARE | All Products | $148,500.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | QUALITY HEALTH MANAGEMENT | All Products | $148,500.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | Sanus Healthcare | All Products | $148,500.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | GUARDIAN | All Products | $148,500.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | GLOBAL MEDICAL MANAGEMENT | All Products | $148,500.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | ALLIANZ GLOBAL ASSISTANCE | All Products | $148,500.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | AXA ASSISTANCE US | All Products | $148,500.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | AXIS SERVICES | All Products | $148,500.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | CMN GLOBAL | All Products | $148,500.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | GLOBAL HEALTH CLAIM SERVICES | All Products | $148,500.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | Morgan White Administrators International | All Products | $148,500.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | NATIONAL HEALTHCARE SOLUTIONS | All Products | $148,500.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | OLYMPUS MANAGED HEALTH CARE | All Products | $148,500.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | PENFIELD CARE | All Products | $148,500.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | QUALITY HEALTH MANAGEMENT | All Products | $148,500.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | Sanus Healthcare | All Products | $148,500.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | SUNMED INTERNATIONAL | All Products | $153,450.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | SUNMED INTERNATIONAL | All Products | $153,450.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| NAZARETH HOSPITAL InpatientFacility | United Healthcare | All Products | $154,935.00 | $247,500.00 | $146,767.50 | 2025-01-01 | MRF ↗ |
| NAZARETH HOSPITAL InpatientFacility | UHC | Options PPO | $154,935.00 | $247,500.00 | $146,767.50 | 2025-01-01 | MRF ↗ |
| NAZARETH HOSPITAL BothFacility | HEALTH AMERICA | All Products | $158,895.00 | $247,500.00 | $170,775.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL InpatientFacility | Aetna | First Health Non International | $160,132.50 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL InpatientFacility | Aetna | First Health Non International | $160,132.50 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | Star Healthcare Network | PPO | $160,875.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | Star Healthcare Network | PPO | $160,875.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| MERCY CATHOLIC MEDICAL CENTER- MERCY FITZGERALD OutpatientFacility | UHC | Options PPO | $161,617.50 | $247,500.00 | $161,617.50 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | First Health | All Products | $162,360.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | First Health | All Products | $162,360.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Aetna | First Health Non International | $162,360.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Aetna | First Health Non International | $162,360.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| NAZARETH HOSPITAL OutpatientFacility | United Healthcare | All Products | $168,795.00 | $247,500.00 | $146,767.50 | 2025-01-01 | MRF ↗ |
| NAZARETH HOSPITAL OutpatientFacility | UHC | Options PPO | $169,290.00 | $247,500.00 | $146,767.50 | 2025-01-01 | MRF ↗ |
| MERCY CATHOLIC MEDICAL CENTER- MERCY FITZGERALD BothFacility | HEALTH AMERICA | All Products | $170,032.50 | $247,500.00 | $140,332.50 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | UNICARE | All Products | $173,250.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| TY COBB REGIONAL MEDICAL CENTER, LLC InpatientFacility | First Health | All Products | $173,250.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | PHCS | All Products | $173,250.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| TY COBB REGIONAL MEDICAL CENTER, LLC InpatientFacility | COVENTRY | All Products | $173,250.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | PHCS | All Products | $173,250.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL InpatientFacility | International Generic | All Products | $173,250.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | UNICARE | All Products | $173,250.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL InpatientFacility | International Generic | All Products | $173,250.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL OutpatientFacility | Anthem | PPO | $178,818.75 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL OutpatientFacility | Anthem | HMO | $178,818.75 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL BothFacility | COVENTRY | All Products | $185,625.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL BothFacility | PHCS | All Products | $185,625.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL BothFacility | Humana | All Products | $185,625.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL BothFacility | First Health | All Products | $185,625.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| ST MARY'S HOSPITAL BothFacility | Evolutions PPO | All Products | $198,000.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL BothFacility | Aetna | All Products | $198,000.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL BothFacility | MERITAIN | All Products | $198,000.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL BothFacility | Cigna | All products | $202,950.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| NAZARETH HOSPITAL BothFacility | DEVON HEALTH SERVICES | All Products | $210,375.00 | $247,500.00 | $146,767.50 | 2025-01-01 | MRF ↗ |
| TY COBB REGIONAL MEDICAL CENTER, LLC OutpatientFacility | First Health | All Products | $210,375.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| TY COBB REGIONAL MEDICAL CENTER, LLC OutpatientFacility | COVENTRY | All Products | $210,375.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| TY COBB REGIONAL MEDICAL CENTER, LLC BothFacility | NOVA | All Products | $210,375.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL BothFacility | Multiplan | All Products | $210,375.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| NAZARETH HOSPITAL BothFacility | Multiplan | All Products | $210,375.00 | $247,500.00 | $146,767.50 | 2025-01-01 | MRF ↗ |
| MERCY CATHOLIC MEDICAL CENTER- MERCY FITZGERALD BothFacility | DEVON HEALTH SERVICES | All Products | $210,375.00 | $247,500.00 | $161,617.50 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL InpatientFacility | NOVA | All Products | $210,375.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| MERCY CATHOLIC MEDICAL CENTER- MERCY FITZGERALD BothFacility | Multiplan | All Products | $210,375.00 | $247,500.00 | $161,617.50 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL BothFacility | Multiplan | All Products | $215,325.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL InpatientFacility | First Health | All Products | $217,800.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL InpatientFacility | Multiplan | All Products | $217,800.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL InpatientFacility | Multiplan | All Products | $217,800.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL InpatientFacility | First Health | All Products | $217,800.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| NAZARETH HOSPITAL BothFacility | Galaxy Health Network | All Products | $222,750.00 | $247,500.00 | $146,767.50 | 2025-01-01 | MRF ↗ |
| NAZARETH HOSPITAL BothFacility | PRIME HEALTH SERVICES | All Products | $222,750.00 | $247,500.00 | $146,767.50 | 2025-01-01 | MRF ↗ |
| MERCY CATHOLIC MEDICAL CENTER- MERCY FITZGERALD BothFacility | PRIME HEALTH SERVICES | All Products | $222,750.00 | $247,500.00 | $140,332.50 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | International Generic | All Products | $222,750.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| ST MARY MEDICAL CENTER BothFacility | PRIME HEALTH SERVICES | All Products | $222,750.00 | $247,500.00 | $156,420.00 | 2025-01-01 | MRF ↗ |
| ST MARY MEDICAL CENTER BothFacility | Multiplan | All Products | $222,750.00 | $247,500.00 | $156,420.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | International Generic | All Products | $222,750.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| MERCY CATHOLIC MEDICAL CENTER- MERCY FITZGERALD BothFacility | Galaxy Health Network | All Products | $222,750.00 | $247,500.00 | $140,332.50 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL OutpatientFacility | NOVA | All Products | $222,750.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL BothFacility | Three Rivers Provider Network | All Products | $222,750.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL BothFacility | WC CORVEL | Worker's Compensation | $235,125.00 | $247,500.00 | $99,000.00 | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL BothFacility | Three Rivers Provider Network | All Products | $235,125.00 | $247,500.00 | $99,000.00 | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL BothFacility | Multiplan | All Products | $235,125.00 | $247,500.00 | $99,000.00 | 2025-01-01 | MRF ↗ |
| NAZARETH HOSPITAL BothFacility | Three Rivers Provider Network | All Products | $235,125.00 | $247,500.00 | $146,767.50 | 2025-01-01 | MRF ↗ |
| ST MARY MEDICAL CENTER BothFacility | Galaxy Health Network | All Products | $235,125.00 | $247,500.00 | $156,420.00 | 2025-01-01 | MRF ↗ |
| ST MARY MEDICAL CENTER BothFacility | Three Rivers Provider Network | All Products | $235,125.00 | $247,500.00 | $156,420.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Multiplan | All Products | $235,125.00 | $247,500.00 | $160,875.00 | 2025-01-01 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.