29971 — Pack Biom 40205 Super View Disposable
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PACK BIOM 40205 SUPER VIEW DISPOSABLE (CDM 29971) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/29971?code_type=CDM
MLA (9th ed.)
“PACK BIOM 40205 SUPER VIEW DISPOSABLE (CDM 29971) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/29971?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“PACK BIOM 40205 SUPER VIEW DISPOSABLE (CDM 29971) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/29971?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $263–$1,577 (25th–75th percentile) across 6 hospitals · 53 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 29971 — 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 |
|---|---|---|---|---|---|---|---|
| MACON COUNTY SAMARITAN MEMORIAL HOSPITAL Outpatient | Ambetter | Commercial | $14.00 | $30.00 | $24.00 | 2026-06-22 | MRF ↗ |
| MACON COUNTY SAMARITAN MEMORIAL HOSPITAL Outpatient | Healthscope | Commercial | $18.00 | $30.00 | $24.00 | 2026-06-22 | MRF ↗ |
| MACON COUNTY SAMARITAN MEMORIAL HOSPITAL Outpatient | Anthem | Commercial | $23.00 | $30.00 | $24.00 | 2026-06-22 | MRF ↗ |
| MACON COUNTY SAMARITAN MEMORIAL HOSPITAL Outpatient | Humana | Commercial | $23.00 | $30.00 | $24.00 | 2026-06-22 | MRF ↗ |
| MACON COUNTY SAMARITAN MEMORIAL HOSPITAL Outpatient | MultiPlan | Commercial | $24.00 | $30.00 | $24.00 | 2026-06-22 | MRF ↗ |
| MACON COUNTY SAMARITAN MEMORIAL HOSPITAL Outpatient | Centene | Commercial | $30.00 | $30.00 | $24.00 | 2026-06-22 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | HEALTH PLAN w/o UHRIP | CHIP | $170.76 | $711.50 | $533.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | BEACON | HEALTH OPTIONS | $170.76 | $711.50 | $533.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | BEACON | ALL PRODUCTS | $170.76 | $711.50 | $533.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | BEACON | STAR | $170.76 | $711.50 | $533.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | FIRSTCARE | STAR | $170.76 | $711.50 | $533.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | BEACON | CHIP | $170.76 | $711.50 | $533.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | HEALTH PLAN w/o UHRIP | STAR KIDS | $170.76 | $711.50 | $533.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | RIGHTCARE | MDC S&W | $238.00 | $711.50 | $533.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | HEALTH PLAN w/o UHRIP | CHIP | $238.00 | $711.50 | $533.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | HEALTH PLAN w. UHRIP | STAR | $238.00 | $711.50 | $533.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | HEALTH PLAN w/o UHRIP | STAR KIDS | $238.00 | $711.50 | $533.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | RIGHTCARE | STAR | $238.00 | $711.50 | $533.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | UNITED COMMUNITY | STAR | $249.95 | $711.50 | $533.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | UNITED COMMUNITY | CHIP | $249.95 | $711.50 | $533.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | WELLPOINT | STAR | $249.95 | $711.50 | $533.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | WELLPOINT | STAR PLUS | $249.95 | $711.50 | $533.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | UNITED COMMUNITY | STAR PLUS | $249.95 | $711.50 | $533.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | WELLPOINT | CHIP | $249.95 | $711.50 | $533.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | UNITED COMMUNITY | STAR KIDS | $249.95 | $711.50 | $533.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | BCBS | CHIP | $257.06 | $711.50 | $533.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | BCBS | CHIP STAR KIDS | $257.06 | $711.50 | $533.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | BCBS | BCBS TX STAR | $257.06 | $711.50 | $533.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | MOLINA | STAR | $263.26 | $711.50 | $533.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | MOLINA | CHIP | $263.26 | $711.50 | $533.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | MOLINA | STAR KIDS | $263.26 | $711.50 | $533.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | HEALTH PLAN w. UHRIP | STAR | $270.51 | $711.50 | $533.63 | 2026-01-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Health Services Coalition | COMM | $286.01 | $2,103.00 | $2,103.00 | 2026-03-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | SUPERIOR HEALTH | STAR | $313.06 | $711.50 | $533.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | SUPERIOR HEALTH | STAR PLUS | $313.06 | $711.50 | $533.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | TX CHILDREN HEALTH | STAR | $313.06 | $711.50 | $533.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | BEACON | HEALTH OPTIONS | $313.06 | $711.50 | $533.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | BEACON | STAR | $313.06 | $711.50 | $533.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | BEACON | CHIP | $313.06 | $711.50 | $533.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | BEACON | ALL PRODUCTS | $313.06 | $711.50 | $533.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | RIGHTCARE | MDC S&W | $313.06 | $711.50 | $533.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | RIGHTCARE | STAR | $313.06 | $711.50 | $533.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | Optum | ALL PRODUCTS | $313.06 | $711.50 | $533.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | TX CHILDREN HEALTH | STAR KIDS | $313.06 | $711.50 | $533.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | TX CHILDREN HEALTH | CHIP | $313.06 | $711.50 | $533.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | EL PASO HEALTH FIRST | STAR MEDICAID | $313.06 | $711.50 | $533.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | EL PASO HEALTH FIRST | STAR | $313.06 | $711.50 | $533.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | EL PASO HEALTH FIRST | CHIP | $313.06 | $711.50 | $533.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | SUPERIOR HEALTH | CHIP | $313.06 | $711.50 | $533.63 | 2026-01-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Imperial NV | MCR | $315.45 | $2,103.00 | $2,103.00 | 2026-03-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | FIRSTCARE | STAR | $328.71 | $711.50 | $533.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | Aetna | BETTER HEALTH CHIP | $344.37 | $711.50 | $533.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | Aetna | BETTER HEALTH STAR UHRIP | $344.37 | $711.50 | $533.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | Aetna | BETTER HEALTH STAR Kids | $344.37 | $711.50 | $533.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | Aetna | EMPLOYEE | $355.75 | $711.50 | $533.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | Optum | ALL PRODUCTS | $412.67 | $711.50 | $533.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | Aetna | EMPLOYEE | $426.90 | $711.50 | $533.63 | 2026-01-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | United | OptionsPPO | $439.53 | $2,103.00 | $2,103.00 | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Centene | HIX | $441.63 | $2,103.00 | $2,103.00 | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Select Health | HIX | $454.25 | $2,103.00 | $2,103.00 | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | CIGNA | OAP | $471.07 | $2,103.00 | $2,103.00 | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Select Health | COMM | $484.74 | $2,103.00 | $2,103.00 | 2026-03-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | BCBS | HMO | $554.97 | $711.50 | $533.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | FIRSTCARE | ALL PRODUCTS | $569.20 | $711.50 | $533.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | BCBS | PPO | $597.66 | $711.50 | $533.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | S&W HEALTH | ALL PRODUCTS | $597.66 | $711.50 | $533.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | UHC | MGD | $604.78 | $711.50 | $533.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | IMAGINE HEALTH | ALL PRODUCTS | $604.78 | $711.50 | $533.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | Aetna | ALL PRODUCTS | $604.78 | $711.50 | $533.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA-MGD | $604.78 | $711.50 | $533.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | HEALTHSCOPE | ALL PRODUCTS | $604.78 | $711.50 | $533.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | HUMANA | CONCENTRIC PPO | $619.01 | $711.50 | $533.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | MULTIPLAN | ALL PRODUCTS | $619.01 | $711.50 | $533.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | MULTIPLAN | PHCS | $619.01 | $711.50 | $533.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | HUMANA | CHOICECARE PPO | $626.12 | $711.50 | $533.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | FIRST HEALTH | PPO | $626.12 | $711.50 | $533.63 | 2026-01-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna | HMO | $635.11 | $2,103.00 | $2,103.00 | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna | PPO | $635.11 | $2,103.00 | $2,103.00 | 2026-03-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | GALAXY HEALTH | ALL PRODUCTS | $640.35 | $711.50 | $533.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | BCBS | Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity | $640.35 | $711.50 | $533.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | Healthsmart | ALL PRODUCTS | $640.35 | $711.50 | $533.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | USAMCO | ALL PRODUCTS | $654.58 | $711.50 | $533.63 | 2026-01-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | CMN Global | COMM | $883.26 | $2,103.00 | $2,103.00 | 2026-03-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Aetna | MGMCR | $1,188.75 | $7,925.00 | $7,925.00 | 2024-10-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | NV Health & Welfare Trust | COMM | $1,261.80 | $2,103.00 | $2,103.00 | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | MultiPlan | INTERNATIONAL | $1,324.89 | $2,103.00 | $2,103.00 | 2026-03-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Cigna | NBR | $1,458.20 | $7,925.00 | $7,925.00 | 2024-10-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | MultiPlan | COMPLEMENTARY | $1,535.19 | $2,103.00 | $2,103.00 | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | MedCare International | COMM | $1,577.25 | $2,103.00 | $2,103.00 | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Olympus MedSave USA | COMM | $1,577.25 | $2,103.00 | $2,103.00 | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | First Health | WC | $1,682.40 | $2,103.00 | $2,103.00 | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Elevance (Anthem BCBS) | MCR | $2,103.00 | $2,103.00 | $2,103.00 | 2026-03-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | United | OptionsPPO | $3,177.93 | $7,925.00 | $7,925.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | United | GlobalBenefitPlan | $3,566.25 | $7,925.00 | $7,925.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Cigna | HMO | $3,566.25 | $7,925.00 | $7,925.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Cigna | PPO | $3,693.05 | $7,925.00 | $7,925.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Naphcare | Federal | $3,962.50 | $7,925.00 | $7,925.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Value Options | COMM | $4,755.00 | $7,925.00 | $7,925.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Greenvbrier Sporting Club | COMM | $4,755.00 | $7,925.00 | $7,925.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Richfield Nursing Center | COMM | $5,547.50 | $7,925.00 | $7,925.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Graham-White Manufacturing | COMM | $5,547.50 | $7,925.00 | $7,925.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Community Care Network | COMM | $5,943.75 | $7,925.00 | $7,925.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Richfield Retirement Community | COMM | $5,943.75 | $7,925.00 | $7,925.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | GM Southwest | COMM | $5,943.75 | $7,925.00 | $7,925.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | John W Hancock | COMM | $6,340.00 | $7,925.00 | $7,925.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | CSX Hotels | Product | $6,340.00 | $7,925.00 | $7,925.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | OccuNet Workers Comp | WorkersComp | $6,340.00 | $7,925.00 | $7,925.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | One Health Plan | POS | $6,340.00 | $7,925.00 | $7,925.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | One Health Plan | PPO | $6,340.00 | $7,925.00 | $7,925.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Patients Choice | COMM | $6,974.00 | $7,925.00 | $7,925.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | C&O Employees Hospital Assn | COMM | $7,132.50 | $7,925.00 | $7,925.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Star Transportation | COMM | $7,132.50 | $7,925.00 | $7,925.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | American Postal Workers Union | COMM | $7,132.50 | $7,925.00 | $7,925.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Alleghany Highland Community | COMM | $7,132.50 | $7,925.00 | $7,925.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | PHCS | COMM | $7,132.50 | $7,925.00 | $7,925.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | 4Most | COMM | $7,132.50 | $7,925.00 | $7,925.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | United Behavioral Health | VACCN | $7,925.00 | $7,925.00 | $7,925.00 | 2024-10-01 | MRF ↗ |
| Ascension Borgess Pipp Hospital Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $84,044.00 | $84,044.00 | $41,181.56 | 2026-01-01 | MRF ↗ |
| BORGESS MEDICAL CENTER Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $84,044.00 | $84,044.00 | $41,181.56 | 2026-01-01 | MRF ↗ |