30664 — Tavr Edwards Sapien 3 Ultra With Commander System 23mm S3usta123a
Cite this view
HANK Price Transparency. (n.d.). TAVR EDWARDS SAPIEN 3 ULTRA WITH COMMANDER SYSTEM 23MM S3USTA123A (CDM 30664) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/30664?code_type=CDM
“TAVR EDWARDS SAPIEN 3 ULTRA WITH COMMANDER SYSTEM 23MM S3USTA123A (CDM 30664) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/30664?code_type=CDM. Accessed .
“TAVR EDWARDS SAPIEN 3 ULTRA WITH COMMANDER SYSTEM 23MM S3USTA123A (CDM 30664) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/30664?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $115–$105,823 (25th–75th percentile) across 3 hospitals · 35 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 30664 — 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 |
|---|---|---|---|---|---|---|---|
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Regence Blue Shield | MGMCR | $50.00 | $59,151.10 | $59,151.10 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Intermountain Healthcare | HIX | — | $53,773.73 | $53,773.73 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Prime Health | WCOMP | — | $53,773.73 | $53,773.73 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Aetna | PEAKPERFERENCE | — | $53,773.73 | $53,773.73 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Coventry First Health | WCOMP | — | $53,773.73 | $53,773.73 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | TriWest Healthcare Alliance | Veterans | — | $53,773.73 | $53,773.73 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | GEHA PPO USA | COMM | — | $53,773.73 | $53,773.73 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Intermountain Healthcare | PPO | — | $53,773.73 | $53,773.73 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | St. John's Health Network | COMM | — | $53,773.73 | $53,773.73 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Shashone-Bannock Tribal Health | MCR | — | $53,773.73 | $53,773.73 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Shashone-Bannock Tribal Health | FED | — | $53,773.73 | $53,773.73 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Select Health Idaho (EIRMC only) | HIX | — | $53,773.73 | $53,773.73 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Select Health Idaho (EIRMC only) | SelectMed | — | $53,773.73 | $53,773.73 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Select Health Idaho (EIRMC only) | PPO | — | $53,773.73 | $53,773.73 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | PacificSource Health | PPO | — | $53,773.73 | $53,773.73 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | PacificSource Health | CCNNetworks | — | $53,773.73 | $53,773.73 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Interwest Health | PPO | — | $53,773.73 | $53,773.73 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | First Choice of the Midwest | COMM | — | $53,773.73 | $53,773.73 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | First Choice Health Of Washington | WCOMP | — | $53,773.73 | $53,773.73 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Doug Andrus Distributing | COMM | — | $53,773.73 | $53,773.73 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | EverNorth BH | COMM | — | $53,773.73 | $53,773.73 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Mountain Health Co-Op | Group | — | $53,773.73 | $53,773.73 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Mountain Health Co-Op | Individual | — | $53,773.73 | $53,773.73 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | DMBA | PPO | — | $53,773.73 | $53,773.73 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | DMBA | HMO | — | $53,773.73 | $53,773.73 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | United | OptionsPPO | — | $53,773.73 | $53,773.73 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Molina | HIX | — | $53,773.73 | $53,773.73 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Cigna | PPO | — | $53,773.73 | $53,773.73 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Multiplan | COMPLEMENTARY | — | $53,773.73 | $53,773.73 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Multiplan | PRIMARY | — | $53,773.73 | $53,773.73 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | PPO | — | $53,773.73 | $53,773.73 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | QHP | — | $53,773.73 | $53,773.73 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | TRAD | — | $53,773.73 | $53,773.73 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | POS | — | $53,773.73 | $53,773.73 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | QEP | — | $53,773.73 | $53,773.73 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | ConnectedCare | — | $53,773.73 | $53,773.73 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | University of Utah | HIX | — | $53,773.73 | $53,773.73 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | University of Utah | HMP | — | $53,773.73 | $53,773.73 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | University of Utah | PPO | — | $53,773.73 | $53,773.73 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Prime Health | GROUPHEALTH | — | $53,773.73 | $53,773.73 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Prime Health | INDIGENTCARE | — | $53,773.73 | $53,773.73 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Select Health | HIX | $17,922.78 | $59,151.10 | $59,151.10 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Select Health | PPO | $17,922.78 | $59,151.10 | $59,151.10 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Select Health ICHN Brightpath | PPO | $17,922.78 | $59,151.10 | $59,151.10 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Select Health Idaho (EIRMC only) | SelectMed | $18,869.20 | $59,151.10 | $59,151.10 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Select Health ICHN Brightpath | MED | $19,993.07 | $59,151.10 | $59,151.10 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Doug Andrus Distributing | COMM | $23,660.44 | $59,151.10 | $59,151.10 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | University of Utah | HIX | $24,843.46 | $59,151.10 | $59,151.10 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | University of Utah | PPO | $24,843.46 | $59,151.10 | $59,151.10 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | University of Utah | HMP | $24,843.46 | $59,151.10 | $59,151.10 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Aetna | PEAKPERFERENCE | $28,806.59 | $59,151.10 | $59,151.10 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Mountain Health Co-Op | Individual | $29,575.55 | $59,151.10 | $59,151.10 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | PPO | $31,468.39 | $59,151.10 | $59,151.10 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | TRAD | $31,468.39 | $59,151.10 | $59,151.10 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | POS | $31,468.39 | $59,151.10 | $59,151.10 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | PacificSource Health | PPO | $31,704.99 | $59,151.10 | $59,151.10 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Cigna | PPO | $32,533.10 | $59,151.10 | $59,151.10 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | United | OptionsPPO | $34,189.34 | $59,151.10 | $59,151.10 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | First Choice Health Of Washington | WCOMP | $35,490.66 | $59,151.10 | $59,151.10 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Moda | COMM | $36,851.14 | $59,151.10 | $59,151.10 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | DMBA | PPO | $38,093.31 | $59,151.10 | $59,151.10 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | DMBA | HMO | $38,093.31 | $59,151.10 | $59,151.10 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Prime Health | INDIGENTCARE | $44,363.32 | $59,151.10 | $59,151.10 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Mountain Health Co-Op | Group | $44,363.32 | $59,151.10 | $59,151.10 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | TriWest Healthcare Alliance | Veterans | $47,320.88 | $59,151.10 | $59,151.10 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | GEHA PPO USA | COMM | $47,320.88 | $59,151.10 | $59,151.10 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Multiplan | PRIMARY | $49,686.92 | $59,151.10 | $59,151.10 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Humana ChoiceCare | COMM | $49,686.92 | $59,151.10 | $59,151.10 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Prime Health | WCOMP | $50,278.43 | $59,151.10 | $59,151.10 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Prime Health | GROUPHEALTH | $50,278.43 | $59,151.10 | $59,151.10 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | First Choice of the Midwest | COMM | $53,235.99 | $59,151.10 | $59,151.10 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Multiplan | COMPLEMENTARY | $53,235.99 | $59,151.10 | $59,151.10 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | St. John's Health Network | COMM | $53,235.99 | $59,151.10 | $59,151.10 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Interwest Health | PPO | $53,235.99 | $59,151.10 | $59,151.10 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Coventry First Health | WCOMP | $53,827.50 | $59,151.10 | $59,151.10 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | QEP | $56,193.54 | $59,151.10 | $59,151.10 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | QHP | $56,193.54 | $59,151.10 | $59,151.10 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | ConnectedCare | $56,193.54 | $59,151.10 | $59,151.10 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Shashone-Bannock Tribal Health | FED | $59,151.10 | $59,151.10 | $59,151.10 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Shashone-Bannock Tribal Health | MCR | $59,151.10 | $59,151.10 | $59,151.10 | 2026-03-01 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Blue Cross Blue Shield | Innovation | — | $215,800.00 | $107,900.00 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Cigna | Medicare Advantage | — | $215,800.00 | $107,900.00 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Humana | Medicare Advantage | — | $215,800.00 | $107,900.00 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Humana | Managed Medicaid | — | $215,800.00 | $107,900.00 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Centene | Managed Medicaid | — | $215,800.00 | $107,900.00 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Centene | Health Exchange | — | $215,800.00 | $107,900.00 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Centene | Medicare Advantage | — | $215,800.00 | $107,900.00 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Aetna | Medicare Advantage | — | $215,800.00 | $107,900.00 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Blue Cross Blue Shield | Blue Choice PCN | — | $215,800.00 | $107,900.00 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Blue Cross Blue Shield | Innovation | — | $215,800.00 | $107,900.00 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Blue Cross Blue Shield | Health Exchange | — | $215,800.00 | $107,900.00 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Blue Cross Blue Shield | State | — | $215,800.00 | $107,900.00 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Blue Cross Blue Shield | Blue Choice | — | $215,800.00 | $107,900.00 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Blue Cross Blue Shield | Preferred Blue | — | $215,800.00 | $107,900.00 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Blue Cross Blue Shield | Managed Medicaid | — | $215,800.00 | $107,900.00 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Blue Cross Blue Shield | Medicare Advantage | — | $215,800.00 | $107,900.00 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Magellan Behavioral Health | Medicare Advantage | — | $215,800.00 | $107,900.00 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Devoted | Medicare Advantage | — | $215,800.00 | $107,900.00 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Anderson County Employees/EBMS | Commercial | $60,424.00 | $215,800.00 | $107,900.00 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Edison Health/Claim Doc | Commercial | — | $215,800.00 | $107,900.00 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Cigna | Medicare Advantage | — | $215,800.00 | $107,900.00 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Humana | Medicare Advantage | — | $215,800.00 | $107,900.00 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Humana | Managed Medicaid | — | $215,800.00 | $107,900.00 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Centene | Health Exchange | — | $215,800.00 | $107,900.00 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Centene | Medicare Advantage | — | $215,800.00 | $107,900.00 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Centene | Managed Medicaid | — | $215,800.00 | $107,900.00 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Aetna | Medicare Advantage | — | $215,800.00 | $107,900.00 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Blue Cross Blue Shield | State | — | $215,800.00 | $107,900.00 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Blue Cross Blue Shield | Health Exchange | — | $215,800.00 | $107,900.00 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Blue Cross Blue Shield | Blue Choice PCN | — | $215,800.00 | $107,900.00 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Blue Cross Blue Shield | Blue Choice | — | $215,800.00 | $107,900.00 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Blue Cross Blue Shield | Preferred Blue | — | $215,800.00 | $107,900.00 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Blue Cross Blue Shield | Medicare Advantage | — | $215,800.00 | $107,900.00 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Blue Cross Blue Shield | Managed Medicaid | — | $215,800.00 | $107,900.00 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Devoted | Medicare Advantage | — | $215,800.00 | $107,900.00 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Anderson County Employees/EBMS | Commercial | $60,424.00 | $215,800.00 | $107,900.00 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Edison Health/Claim Doc | Commercial | — | $215,800.00 | $107,900.00 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Health Exchange | $61,934.60 | $215,800.00 | $107,900.00 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Innovation | $106,821.00 | $215,800.00 | $107,900.00 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield | State | $107,900.00 | $215,800.00 | $107,900.00 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Preferred Blue | $114,805.60 | $215,800.00 | $107,900.00 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | Cigna | Commercial | $120,416.40 | $215,800.00 | $107,900.00 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Aetna | HMO/POS/PPO | $123,221.80 | $215,800.00 | $107,900.00 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Blue Choice PCN | $123,869.20 | $215,800.00 | $107,900.00 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Blue Choice | $123,869.20 | $215,800.00 | $107,900.00 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Cigna | Commercial | $126,674.60 | $215,800.00 | $107,900.00 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Cigna | Commercial | $129,048.40 | $215,800.00 | $107,900.00 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | MedCost Ultra | Commercial | $129,480.00 | $215,800.00 | $107,900.00 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | First Health | Commercial | $135,522.40 | $215,800.00 | $107,900.00 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | MedCost | Commercial | $145,233.40 | $215,800.00 | $107,900.00 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Aetna | HMO/POS/PPO | $159,907.80 | $215,800.00 | $107,900.00 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | Aetna | HMO/POS/PPO | $166,381.80 | $215,800.00 | $107,900.00 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | First Health | Commercial | $192,062.00 | $215,800.00 | $107,900.00 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | MedCost | Commercial | $194,220.00 | $215,800.00 | $107,900.00 | 2024-11-21 | MRF ↗ |