3721776 — Sp Sheath Destination 7fr Tbv-st
Cite this view
HANK Price Transparency. (n.d.). SP SHEATH DESTINATION 7FR TBV-ST (CDM 3721776) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/3721776?code_type=CDM
“SP SHEATH DESTINATION 7FR TBV-ST (CDM 3721776) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/3721776?code_type=CDM. Accessed .
“SP SHEATH DESTINATION 7FR TBV-ST (CDM 3721776) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/3721776?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $12–$356 (25th–75th percentile) across 5 hospitals · 46 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 3721776 — 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 |
|---|---|---|---|---|---|---|---|
| SACRED HEART HOSPITAL Outpatient | UHC NHP | 2530_UNITED HEALTH CARE NHP PSH 20250701 | $4.12 | $13.30 | $5.32 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | BCBS BSL | 2509_BLUE CROSS BLUE SHIELD BSL PSH 20250701 | $4.39 | $13.30 | $5.32 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | BCBS MBN | 2515_BLUE CROSS BLUE SHIELD MBN PSH 20250701 | $4.39 | $13.30 | $5.32 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | BCBS SBN | 2511_BLUE CROSS BLUE SHIELD SBN PSH 20250701 | $4.52 | $13.30 | $5.32 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | BCBS HMO | 2510_BLUE CROSS BLUE SHIELD HMO PSH 20250701 | $4.52 | $13.30 | $5.32 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | BCBS BSL | 2516_BLUE CROSS BLUE SHIELD BSL BMFL 20250701 | $4.53 | $23.84 | $9.54 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | BCBS MBN | 2517_BLUE CROSS BLUE SHIELD MBN BMFL 20250701 | $4.53 | $23.84 | $9.54 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | UHC HMO | 2529_UNITED HEALTH CARE HMO PSH 20250701 | $4.66 | $13.30 | $5.32 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | BCBS HMO | 2518_BLUE CROSS BLUE SHIELD HMO BMFL 20250701 | $5.48 | $23.84 | $9.54 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | BCBS SBN | 2519_BLUE CROSS BLUE SHIELD SBN BMFL 20250701 | $5.48 | $23.84 | $9.54 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | BCBS PHS | 2513_BLUE CROSS BLUE SHIELD PHS PSH 20250701 | $5.59 | $13.30 | $5.32 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | UHC NHP | 914_UNITED HEALTH CARE NHP 20250701 | $6.22 | $20.73 | $8.29 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | AETNA | 2494_AETNA PSH 20250701 | $6.38 | $13.30 | $5.32 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | CIGNA | 2531_CIGNA PSH 20250701 | $6.38 | $13.30 | $5.32 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | BCBS NWB | 2512_BLUE CROSS BLUE SHIELD NWB PSH 20250701 | $6.65 | $13.30 | $5.32 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | UHC | 913_UNITED HEALTH CARE 20250701 | $7.05 | $20.73 | $8.29 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | BCBS NWB | 2520_BLUE CROSS BLUE SHIELD NWB BMFL 20250701 | $7.39 | $23.84 | $9.54 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | UHC NHP | 2528_UNITED HEALTH CARE NHP BMFL 20250701 | $7.39 | $23.84 | $9.54 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | VISTA COVENTRY STATE OF FLORIDA | 2416_VISTA PSH 20241001 | $7.85 | $13.30 | $5.32 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | BCBS PPO | 2514_BLUE CROSS BLUE SHIELD PPO PSH 20250701 | $7.85 | $13.30 | $5.32 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | PCC EMPLOYEE | 2411_PENSACOLA CHRISTIAN COLLEGE PSH 20241001 | $7.98 | $13.30 | $5.32 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | FIRSTHEALTH | 1977_FIRST HEALTH PSH 20220701 | $8.11 | $13.30 | $5.32 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | UHC HMO | 2527_UNITED HEALTH CARE HMO BMFL 20250701 | $8.34 | $23.84 | $9.54 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | COVENTRY WC | 2265_COVENTRY WORKERS COMPENSATION SHFL 20230715 | $8.64 | $13.30 | $5.32 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | CHOICE CARE | 424_CHOICE CARE PSH 20181001 | $9.31 | $13.30 | $5.32 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | HUMANA | 811_HUMANA 20240701 | $9.33 | $20.73 | $8.29 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | BCBS PPO | 2522_BLUE CROSS BLUE SHIELD PPO BMFL 20250701 | $9.77 | $23.84 | $9.54 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | BCBS PHS | 2521_BLUE CROSS BLUE SHIELD PHS BMFL 20250701 | $9.77 | $23.84 | $9.54 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | CIGNA | 917_CIGNA 20250701 | $10.16 | $20.73 | $8.29 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | AETNA | 901_AETNA 20250701 | $10.37 | $20.73 | $8.29 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | MULTIPLAN | 1824_MULTIPLAN PSH 20210101 | $11.30 | $13.30 | $5.32 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | EVOLUTIONAL TRADITIONAL PPO | 1456_EVOLUTION HEALTHCARE TRADITIONAL PPO PSH 20170101 | $11.30 | $13.30 | $5.32 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | CIGNA | 2532_CIGNA BMFL 20250701 | $11.92 | $23.84 | $9.54 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | BEECHSTREET | 1477_BEECH STREET PSH 20170101 | $11.97 | $13.30 | $5.32 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | EVOLUTION MANAGED CARE PRIME | 321_EVOLUTION HEALTHCARE PPO 20170101 | $12.44 | $20.73 | $8.29 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | AETNA | 2495_AETNA BMFL 20250701 | $12.64 | $23.84 | $9.54 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | FIRSTHEALTH | 632_FIRST HEALTH 20220701 | $12.85 | $20.73 | $8.29 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | MVA | 1476_MVA AUTO 20150101 | $13.30 | $13.30 | $5.32 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | EVERNORTH BEHAVIORAL HEALTH | 2064_EVERNORTH BEHAVIORAL HEALTH 20221123 | $13.30 | $13.30 | $5.32 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $13.30 | $13.30 | $5.32 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | COVENTRY WC | 784_COVENTRY WORKERS COMPENSATION 20230715 | $13.47 | $20.73 | $8.29 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | COVENTRY WC | 2266_COVENTRY WORKERS COMPENSATION BMFL 20230715 | $15.50 | $23.84 | $9.54 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | BCBS AL PPO | 360_BLUE CROSS BLUE SHIELD OF ALABAMA 20170101 | $15.55 | $20.73 | $8.29 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | ACCOUNTABLE HEALTH | 827_ACCOUNTABLE HEALTH 20220301 | $16.58 | $20.73 | $8.29 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | EVOLUTION PPO TRADITIONAL | 320_EVOLUTION HEALTHCARE TRADITIONAL 20170101 | $17.62 | $20.73 | $8.29 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | ONE HEALTH PLAN OF FLORIDA | 828_ONE HEALTH PLAN OF FLORIDA 20030127 | $17.62 | $20.73 | $8.29 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | COVENTRY PPO | 1684_COVENTRY BMFL 20200101 | $17.88 | $23.84 | $9.54 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | BEECH STREET | 318_BEECH STREET 20170101 | $18.66 | $20.73 | $8.29 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | MULTIPLAN | 1824_MULTIPLAN PSH 20210101 | $20.26 | $23.84 | $9.54 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $20.73 | $20.73 | $8.29 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | EVERNORTH BEHAVIORAL HEALTH | 675_EVERNORTH BEHAVIORAL HEALTH 20221123 | $20.73 | $20.73 | $8.29 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $23.84 | $23.84 | $9.54 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | MVA | 1476_MVA AUTO 20150101 | $23.84 | $23.84 | $9.54 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | AVMED EMPOWER | 1453_AVMED SELECT/EMPOWER 20250701 | $100.98 | $594.00 | $219.78 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | AVMED EMPOWER | 1453_AVMED SELECT/EMPOWER 20250701 | $100.98 | $594.00 | $219.78 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | BLUE CROSS BSL | 1454_BLUE CROSS BLUE SHIELD BSL 20250701 | $118.80 | $594.00 | $219.78 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | BLUE CROSS BSL | 1454_BLUE CROSS BLUE SHIELD BSL 20250701 | $118.80 | $594.00 | $219.78 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | CIGNA NEW BUSINESS | 1465_CIGNA NEW BUSINESS 20250701 | $118.80 | $594.00 | $219.78 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | GEORGIA MEDICAID | 1366_MEDICAID REPLACEMENT GEORGIA 20240901 | $118.80 | $594.00 | $219.78 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | BLUE CROSS MBN | 1461_BLUE CROSS BLUE SHIELD MBN 20250701 | $118.80 | $594.00 | $219.78 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | CIGNA NEW BUSINESS | 1465_CIGNA NEW BUSINESS 20250701 | $118.80 | $594.00 | $219.78 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | GEORGIA MEDICAID | 1366_MEDICAID REPLACEMENT GEORGIA 20240901 | $118.80 | $594.00 | $219.78 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | BLUE CROSS MBN | 1461_BLUE CROSS BLUE SHIELD MBN 20250701 | $118.80 | $594.00 | $219.78 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | BLUE CROSS SBN | 1462_BLUE CROSS BLUE SHIELD SBN 20250701 | $136.62 | $594.00 | $219.78 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | BLUE CROSS HMO | 1455_BLUE CROSS BLUE SHIELD HMO 20250701 | $136.62 | $594.00 | $219.78 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | BLUE CROSS SBN | 1462_BLUE CROSS BLUE SHIELD SBN 20250701 | $136.62 | $594.00 | $219.78 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | BLUE CROSS HMO | 1455_BLUE CROSS BLUE SHIELD HMO 20250701 | $136.62 | $594.00 | $219.78 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | BLUE CROSS NWB | 1456_BLUE CROSS BLUE SHIELD NWB 20250701 | $154.44 | $594.00 | $219.78 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | BLUE CROSS NWB | 1456_BLUE CROSS BLUE SHIELD NWB 20250701 | $154.44 | $594.00 | $219.78 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | HUMANA HMO | 1443_HUMANA HMO 20250101 | $178.20 | $594.00 | $219.78 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | HUMANA PPO | 1444_HUMANA PPO 20250101 | $178.20 | $594.00 | $219.78 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | HUMANA PPO | 1444_HUMANA PPO 20250101 | $178.20 | $594.00 | $219.78 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | HUMANA HMO | 1443_HUMANA HMO 20250101 | $178.20 | $594.00 | $219.78 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | BLUE CROSS PPO | 1458_BLUE CROSS BLUE SHIELD PPO 20250701 | $190.08 | $594.00 | $219.78 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | BLUE CROSS PPO | 1458_BLUE CROSS BLUE SHIELD PPO 20250701 | $190.08 | $594.00 | $219.78 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | AVMED | 1452_AVMED BROAD 20250701 | $190.08 | $594.00 | $219.78 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | AVMED | 1452_AVMED BROAD 20250701 | $190.08 | $594.00 | $219.78 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | AHF MCO | 399_AHF MCO 20140101 | $196.02 | $594.00 | $219.78 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | AHF MCO | 399_AHF MCO 20140101 | $196.02 | $594.00 | $219.78 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | NORTHWELL DIRECT | 1414_NORTHWELL DIRECT 20241001 | $207.90 | $594.00 | $219.78 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | NORTHWELL DIRECT | 1414_NORTHWELL DIRECT 20241001 | $207.90 | $594.00 | $219.78 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | CIGNA HMO | 1463_CIGNA HMO 20250701 | $219.78 | $594.00 | $219.78 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | CIGNA PPO | 1464_CIGNA PPO 20250701 | $219.78 | $594.00 | $219.78 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | CIGNA HMO | 1463_CIGNA HMO 20250701 | $219.78 | $594.00 | $219.78 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | CIGNA PPO | 1464_CIGNA PPO 20250701 | $219.78 | $594.00 | $219.78 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | COVENTRY PPO HIGH PERFORMANCE | 1380_COVENTRY PPO AND HIGH PERFORMANCE 20241001 | $237.60 | $594.00 | $219.78 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | AVMED NEW BUSINESS | 476_AVMED NEW BUSINESS 20181001 | $237.60 | $594.00 | $219.78 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | AVMED NEW BUSINESS | 476_AVMED NEW BUSINESS 20181001 | $237.60 | $594.00 | $219.78 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | COVENTRY PPO HIGH PERFORMANCE | 1380_COVENTRY PPO AND HIGH PERFORMANCE 20241001 | $237.60 | $594.00 | $219.78 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | UHC | 1460_UNITED HEALTH CARE 20250701 | $243.54 | $594.00 | $219.78 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | UHC | 1460_UNITED HEALTH CARE 20250701 | $243.54 | $594.00 | $219.78 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | AETNA | 1447_AETNA SOUTH 20250701 | $267.30 | $594.00 | $219.78 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | AETNA | 1447_AETNA SOUTH 20250701 | $267.30 | $594.00 | $219.78 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | 90 DEGREE BENEFITS | 1387_90 DEGREE BENEFITS OUTPATIENT 20250101 | $297.00 | $594.00 | $219.78 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | 90 DEGREE BENEFITS | 1387_90 DEGREE BENEFITS OUTPATIENT 20250101 | $297.00 | $594.00 | $219.78 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | AETNA SIGNATURE ADMIN | 331_AETNA SIGNATURE ADMIN 20160701 | $302.94 | $594.00 | $219.78 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | AETNA SIGNATURE ADMIN | 331_AETNA SIGNATURE ADMIN 20160701 | $302.94 | $594.00 | $219.78 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | BLUE CROSS PHS | 1457_BLUE CROSS BLUE SHIELD PHS 20250701 | $332.64 | $594.00 | $219.78 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | BLUE CROSS PHS | 1457_BLUE CROSS BLUE SHIELD PHS 20250701 | $332.64 | $594.00 | $219.78 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | COVENTRY HMO | 1379_COVENTRY HMO 20241001 | $350.46 | $594.00 | $219.78 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | COVENTRY HMO | 1379_COVENTRY HMO 20241001 | $350.46 | $594.00 | $219.78 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | PHCS | 277_PHCS 20020901 | $356.40 | $594.00 | $219.78 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | SE GEORGIA HEALTH SYSTEMS | 1115_SE GEORGIA HEALTH SYSTEM 20220601 | $356.40 | $594.00 | $219.78 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | SE GEORGIA HEALTH SYSTEMS | 1115_SE GEORGIA HEALTH SYSTEM 20220601 | $356.40 | $594.00 | $219.78 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | PHCS | 277_PHCS 20020901 | $356.40 | $594.00 | $219.78 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | FIRST HEALTH | 1184_FIRST HEALTH COVENTRY 20230701 | $368.28 | $594.00 | $219.78 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | FIRST HEALTH | 1184_FIRST HEALTH COVENTRY 20230701 | $368.28 | $594.00 | $219.78 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | COVENTRY WC | 1282_COVENTRY WORKERS COMPENSATION 20230715 | $386.10 | $594.00 | $219.78 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | COVENTRY WC | 1282_COVENTRY WORKERS COMPENSATION 20230715 | $386.10 | $594.00 | $219.78 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | UHC PPO | 822_UNITED HEALTH CARE PPO 20210101 | $433.62 | $594.00 | $219.78 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | UHC PPO | 822_UNITED HEALTH CARE PPO 20210101 | $433.62 | $594.00 | $219.78 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | MULTIPLAN | 384_MULTIPLAN 20160101 | $475.20 | $594.00 | $219.78 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | MULTIPLAN | 384_MULTIPLAN 20160101 | $475.20 | $594.00 | $219.78 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | BEECHSTREET | 533_BEECHSTREET 20160101 | $504.90 | $594.00 | $219.78 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | BEECHSTREET | 533_BEECHSTREET 20160101 | $504.90 | $594.00 | $219.78 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $594.00 | $594.00 | $219.78 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Both | HEARTLAND HOME HEALTH AND HOSPICE | 1165_MEDICARE ADVANTAGE HEARTLAND HOME HEALTH AND HOSPICE INPATIENT 20211001 | $594.00 | $594.00 | $219.78 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | HEARTLAND HOME HEALTH AND HOSPICE | 757_MEDICARE ADVANTAGE HEARTLAND HOME HEALTH AND HOSPICE OUTPATIENT 20210101 | $594.00 | $594.00 | $219.78 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | HEARTLAND HOME HEALTH AND HOSPICE | 757_MEDICARE ADVANTAGE HEARTLAND HOME HEALTH AND HOSPICE OUTPATIENT 20210101 | $594.00 | $594.00 | $219.78 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Both | HEARTLAND HOME HEALTH AND HOSPICE | 1165_MEDICARE ADVANTAGE HEARTLAND HOME HEALTH AND HOSPICE INPATIENT 20211001 | $594.00 | $594.00 | $219.78 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $594.00 | $594.00 | $219.78 | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | MAGELLAN BEHAVIORAL | 1784_SJMA SJMC MAGELLAN BEHAVIORAL 20200101 | $18,900.00 | $63,000.00 | $35,280.00 | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | PRIORITY PPO | 2009_PRIORITY PPO 20210801 | $24,570.00 | $63,000.00 | $35,280.00 | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | HAP HMO | 2166_HEALTH ALLIANCE HMO 20241001 | $25,200.00 | $63,000.00 | $35,280.00 | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | HAP HMO | 2174_SJMA HEALTH ALLIANCE HMO 20241001 | $25,200.00 | $63,000.00 | $35,280.00 | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | AHLIC | 2163_AHLIC 20241001 | $25,200.00 | $63,000.00 | $35,280.00 | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | CIGNA | 2014_SJRD,SJMC CIGNA 20210701 | $25,830.00 | $63,000.00 | $35,280.00 | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | PRIORITY HMO | 2010_PRIORITY HMO 20210701 | $25,830.00 | $63,000.00 | $35,280.00 | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | HOSPICE | 447_SJMA, SJMC HOSPICE 20160101 | $31,500.00 | $63,000.00 | $35,280.00 | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | HAP PREFERRED | 2171_HAP PREFERRED (PHP) 20241001 | $40,320.00 | $63,000.00 | $35,280.00 | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | HEALTHPLUS PPO | 990_HEALTHPLUS PPO 20200101 | $40,950.00 | $63,000.00 | $35,280.00 | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | AETNA PPO | 2136_AETNA 20241001 | $43,470.00 | $63,000.00 | $35,280.00 | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | PHCS POS | 1311_PHCS POS 20201001 | $44,100.00 | $63,000.00 | $35,280.00 | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | PHCS PPO | 1457_PHCS PPO 20201001 | $47,250.00 | $63,000.00 | $35,280.00 | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | PHCS PPO GREAT WEST & MAILHANDLERS | 1458_PHCS PPO GR WEST & MAILHANDLERS 20201001 | $47,250.00 | $63,000.00 | $35,280.00 | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | PPOM | 934_PPOM 20191001 | $55,792.80 | $63,000.00 | $35,280.00 | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $63,000.00 | $63,000.00 | $35,280.00 | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | BCCCP | 1782_BCCCP 20210201 | $63,000.00 | $63,000.00 | $35,280.00 | 2026-01-01 | MRF ↗ |