3741 — Kit Floseal Fast Hemostatic Matrix Gel 5ml
Cite this view
HANK Price Transparency. (n.d.). KIT FLOSEAL FAST HEMOSTATIC MATRIX GEL 5ML (OTHER 3741) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/3741?code_type=OTHER
“KIT FLOSEAL FAST HEMOSTATIC MATRIX GEL 5ML (OTHER 3741) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/3741?code_type=OTHER. Accessed .
“KIT FLOSEAL FAST HEMOSTATIC MATRIX GEL 5ML (OTHER 3741) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/3741?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,198–$3,412 (25th–75th percentile) across 11 hospitals · 43 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 3741 — 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 |
|---|---|---|---|---|---|---|---|
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Blue Cross Blue Shield Of Louisiana | Bc Hmo | $0.67 | $14.60 | $10.37 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Blue Cross Blue Shield Of Louisiana | Bc Ppo | $0.67 | $14.60 | $10.37 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Blue Cross Of La Blue Connect | Blue Cross Of La Blue Connect | $0.67 | $14.60 | $10.37 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Ppoplus | Ppoplus | $0.68 | $14.60 | $10.37 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Champ Va | Champ Va | $0.70 | $14.60 | $10.37 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Medicare Blue Cross Advantage | Medicare Blue Cross Advantage | $0.82 | $14.60 | $10.37 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Humana Medicare Pffs/Hmo | Humana Medicare Pffs/Hmo | $0.82 | $14.60 | $10.37 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Aetna Health Managment | Aetna | $1.66 | $14.60 | $10.37 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Verity Health | Verity | $8.32 | $14.60 | $10.37 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Multiplan Inc | Multiplan | $9.49 | $14.60 | $10.37 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Cigna Healthcare Of Louisiana Inc | Cigna Ppo | $9.80 | $14.60 | $10.37 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Coventry Health Of Louisiana | First Health | $11.68 | $14.60 | $10.37 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Champus/Tricare | Champus/Tricare | $14.60 | $14.60 | $10.37 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Workers Comp | Workers Comp | $14.60 | $14.60 | $10.37 | 2026-05-08 | MRF ↗ |
| YORK HOSPITAL Both | Harvard Pilgrim Maine'S Choice | Commercial | $211.06 | $248.00 | $148.80 | 2026-05-06 | MRF ↗ |
| YORK HOSPITAL Both | Harvard Pilgrim | Commercial | $211.06 | $248.00 | $148.80 | 2026-05-06 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Outpatient | Santa Barbara Select | Medicare Adv | $758.20 | $3,791.00 | $2,653.70 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Outpatient | Santa Barbara Select | Medicare Adv | $758.20 | $3,791.00 | $2,653.70 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Outpatient | Sansum | Medicare Adv | $758.20 | $3,791.00 | $2,653.70 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Outpatient | Sansum | Medicare Adv | $758.20 | $3,791.00 | $2,653.70 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Outpatient | Santa Barbara Select | Medicare Adv | $758.20 | $3,791.00 | $2,653.70 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Outpatient | Sansum | Medicare Adv | $758.20 | $3,791.00 | $2,653.70 | 2026-05-27 | MRF ↗ |
| YORK HOSPITAL Both | Anthem Pathway | Commercial | $996.79 | $248.00 | $148.80 | 2026-05-06 | MRF ↗ |
| YORK HOSPITAL Both | Anthem Enhanced/X Enhanced | Commercial | $996.79 | $248.00 | $148.80 | 2026-05-06 | MRF ↗ |
| YORK HOSPITAL Both | Anthem Pathway X | Commercial | $996.79 | $248.00 | $148.80 | 2026-05-06 | MRF ↗ |
| SARATOGA HOSPITAL Both | Cigna | Commercial - Outpatient | $1,000.92 | $1,429.88 | $714.94 | 2026-05-09 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Inpatient | $1,072.41 | $1,429.88 | $714.94 | 2026-05-14 | MRF ↗ |
| SARATOGA HOSPITAL Both | Multiplan | Commercial - Outpatient | $1,072.41 | $1,429.88 | $714.94 | 2026-05-09 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Inpatient | $1,072.41 | $1,429.88 | $714.94 | 2026-05-23 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Outpatient | Health Net | Medicare Adv | $1,099.39 | $3,791.00 | $2,653.70 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Outpatient | Blue Shield | Medicare Adv | $1,099.39 | $3,791.00 | $2,653.70 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Outpatient | United Healthcare | Medicare Adv | $1,099.39 | $3,791.00 | $2,653.70 | 2026-05-27 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Outpatient | $1,143.90 | $1,429.88 | $714.94 | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Outpatient | $1,143.90 | $1,429.88 | $714.94 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Phcs | Commercial | $1,215.40 | $1,429.88 | $714.94 | 2026-05-23 | MRF ↗ |
| GLENS FALLS HOSPITAL Both | Multiplan | Commercial | $1,215.40 | $1,429.88 | $714.94 | 2026-05-08 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Hrgi | Commercial | $1,215.40 | $1,429.88 | $714.94 | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Excellus - Rmsco | Commercial | $1,215.40 | $1,429.88 | $714.94 | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Phcs | Commercial | $1,215.40 | $1,429.88 | $714.94 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Beech Street | Commercial | $1,215.40 | $1,429.88 | $714.94 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Excellus - Rmsco | Commercial | $1,215.40 | $1,429.88 | $714.94 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Hrgi | Commercial | $1,215.40 | $1,429.88 | $714.94 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Beech Street | Commercial | $1,215.40 | $1,429.88 | $714.94 | 2026-05-23 | MRF ↗ |
| YORK HOSPITAL Both | Anthem (Hmo,Ppo,Pos) | Commercial | $1,246.01 | $248.00 | $148.80 | 2026-05-06 | MRF ↗ |
| YORK HOSPITAL Both | Anthem Blue Access | Commercial | $1,246.01 | $248.00 | $148.80 | 2026-05-06 | MRF ↗ |
| SARATOGA HOSPITAL Both | United Healthcare | Commercial - Inpatient | $1,286.89 | $1,429.88 | $714.94 | 2026-05-09 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Uhc | Commercial | $1,613.00 | $6,156.51 | $4,617.38 | 2026-05-08 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Umr H&H Employees Facility | Umr Hh Employees Facility | $1,691.92 | $4,414.08 | $4,414.08 | 2026-05-27 | MRF ↗ |
| YORK HOSPITAL Both | Cigna | Commercial | $1,705.21 | $248.00 | $148.80 | 2026-05-06 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Umr H&H Employees Facility | Umr Hh Employees Facility | $1,711.78 | $4,414.08 | $4,414.08 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Humana Medicare Facility | Humana Medicare Facility | $1,765.63 | $4,414.08 | $4,414.08 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | Blue Cross | Dignity Health | $1,895.50 | $3,791.00 | $2,653.70 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Inpatient | Blue Cross | Dignity Health | $1,895.50 | $3,791.00 | $2,653.70 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Inpatient | Blue Cross | Dignity Health | $1,895.50 | $3,791.00 | $2,653.70 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Sagamore Commercial Facility | Sagamore Commercial Facility | $2,012.82 | $4,414.08 | $4,414.08 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | United Charter (Sg Commercial) Facility | United Charter (Sg Commercial) Facility | $2,083.45 | $4,414.08 | $4,414.08 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Outpatient | Sansum | Clinic | $2,085.05 | $3,791.00 | $2,653.70 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Outpatient | Santa Barbara Select | Commercial | $2,085.05 | $3,791.00 | $2,653.70 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Outpatient | Sansum | Clinic | $2,085.05 | $3,791.00 | $2,653.70 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Outpatient | Sansum | Clinic | $2,085.05 | $3,791.00 | $2,653.70 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Outpatient | Santa Barbara Select | Commercial | $2,085.05 | $3,791.00 | $2,653.70 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Outpatient | Santa Barbara Select | Commercial | $2,085.05 | $3,791.00 | $2,653.70 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Cigna Hmo/Oap Commercial Facility | Cigna Hmo/Oap Commercial Facility | $2,198.21 | $4,414.08 | $4,414.08 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | United Medicare Facility | United Medicare Facility | $2,198.21 | $4,414.08 | $4,414.08 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Zing Medicare Facility | Zing Medicare Facility | $2,198.21 | $4,414.08 | $4,414.08 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Aetna Medicare Advantage Facility | Aetna Medicare Advantage Facility | $2,198.21 | $4,414.08 | $4,414.08 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Mdwise Medicare Facility | Mdwise Medicare Facility | $2,198.21 | $4,414.08 | $4,414.08 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Caresource Exchange Facility | Caresource Exchange Facility | $2,198.21 | $4,414.08 | $4,414.08 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | United Commercial Facility | United Commercial Facility | $2,198.21 | $4,414.08 | $4,414.08 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | United Charter (Sg Commercial) Facility | United Charter (Sg Commercial) Facility | $2,198.21 | $4,414.08 | $4,414.08 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Workers Comp | Workers Comp - Generic | $2,198.21 | $4,414.08 | $4,414.08 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Eskenazi Health | Anthem Facility Exchange | $2,198.21 | $4,414.08 | $4,414.08 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Encore Main Commercial Facility | Encore Main Commercial Facility | $2,198.21 | $4,414.08 | $4,414.08 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Sagamore Commercial Facility | Sagamore Commercial Facility | $2,198.21 | $4,414.08 | $4,414.08 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Siho Commercial Facility | Siho Commercial Facility | $2,198.21 | $4,414.08 | $4,414.08 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Umr H&H Employees Facility | Umr Hh Employees Facility | $2,198.21 | $4,414.08 | $4,414.08 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Cigna Ppo Commercial Facility | Cigna Ppo Commercial Facility | $2,198.21 | $4,414.08 | $4,414.08 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Communicare Ma Facility | Communicare Ma Facility | $2,198.21 | $4,414.08 | $4,414.08 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Anthem | Anthem Medicare Advantage | $2,198.21 | $4,414.08 | $4,414.08 | 2026-05-27 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Medicare | Medicare | $2,339.47 | $6,156.51 | $4,617.38 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Humana | Medicare Pffs | $2,339.47 | $6,156.51 | $4,617.38 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Humana | Medicare Ppo | $2,339.47 | $6,156.51 | $4,617.38 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Blue Cross | Medicare | $2,339.47 | $6,156.51 | $4,617.38 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Aetna | Medicare | $2,339.47 | $6,156.51 | $4,617.38 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Apostrophe | Medicare | $2,339.47 | $6,156.51 | $4,617.38 | 2026-05-08 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | United Commercial Facility | United Commercial Facility | $2,365.95 | $4,414.08 | $4,414.08 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | Blue Shield | Trio Hmo | $2,866.00 | $3,791.00 | $2,653.70 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Inpatient | Blue Shield | Trio Hmo | $2,866.00 | $3,791.00 | $2,653.70 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Inpatient | Blue Shield | Trio Hmo | $2,866.00 | $3,791.00 | $2,653.70 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Inpatient | Anthem Blue Cross | Commercial | $2,938.02 | $3,791.00 | $2,653.70 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | Anthem Blue Cross | Commercial | $2,938.02 | $3,791.00 | $2,653.70 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Inpatient | Anthem Blue Cross | Commercial | $2,938.02 | $3,791.00 | $2,653.70 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | Health Net | Hmo/Pos/Ppo/Epo | $3,112.41 | $3,791.00 | $2,653.70 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Inpatient | Health Net | Hmo/Pos/Ppo/Epo | $3,112.41 | $3,791.00 | $2,653.70 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Inpatient | Health Net | Hmo/Pos/Ppo/Epo | $3,112.41 | $3,791.00 | $2,653.70 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | Blue Shield | Epn | $3,138.95 | $3,791.00 | $2,653.70 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Inpatient | Blue Shield | Epn | $3,138.95 | $3,791.00 | $2,653.70 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Inpatient | Blue Shield | Epn | $3,138.95 | $3,791.00 | $2,653.70 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Siho Commercial Facility | Siho Commercial Facility | $3,310.56 | $4,414.08 | $4,414.08 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | Blue Shield | Ppo | $3,411.90 | $3,791.00 | $2,653.70 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | Blue Shield | Hmo | $3,411.90 | $3,791.00 | $2,653.70 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | United Healthcare | Commercial | $3,411.90 | $3,791.00 | $2,653.70 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | Cigna | Hmo/Ppo | $3,411.90 | $3,791.00 | $2,653.70 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | Aetna | Commercial | $3,411.90 | $3,791.00 | $2,653.70 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | Multiplan Eff | Commercial | $3,411.90 | $3,791.00 | $2,653.70 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Inpatient | Blue Shield | Commercial | $3,411.90 | $3,791.00 | $2,653.70 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Inpatient | Blue Shield | Hmo | $3,411.90 | $3,791.00 | $2,653.70 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Inpatient | Blue Shield | Ppo | $3,411.90 | $3,791.00 | $2,653.70 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Inpatient | United Healthcare | Commercial | $3,411.90 | $3,791.00 | $2,653.70 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Inpatient | Aetna | Commercial | $3,411.90 | $3,791.00 | $2,653.70 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Inpatient | Cigna | Hmo/Ppo | $3,411.90 | $3,791.00 | $2,653.70 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Inpatient | Multiplan Eff | Commercial | $3,411.90 | $3,791.00 | $2,653.70 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Inpatient | Aetna | Commercial | $3,411.90 | $3,791.00 | $2,653.70 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Inpatient | Cigna | Hmo/Ppo | $3,411.90 | $3,791.00 | $2,653.70 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | Blue Shield | Commercial | $3,411.90 | $3,791.00 | $2,653.70 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Inpatient | Blue Shield | Commercial | $3,411.90 | $3,791.00 | $2,653.70 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Inpatient | Blue Shield | Ppo | $3,411.90 | $3,791.00 | $2,653.70 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Inpatient | Blue Shield | Hmo | $3,411.90 | $3,791.00 | $2,653.70 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Inpatient | Multiplan Eff | Commercial | $3,411.90 | $3,791.00 | $2,653.70 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Inpatient | United Healthcare | Commercial | $3,411.90 | $3,791.00 | $2,653.70 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Cigna Hmo/Oap Commercial Facility | Cigna Hmo/Oap Commercial Facility | $3,751.97 | $4,414.08 | $4,414.08 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Encore Main Commercial Facility | Encore Main Commercial Facility | $3,751.97 | $4,414.08 | $4,414.08 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Cigna Ppo Commercial Facility | Cigna Ppo Commercial Facility | $3,751.97 | $4,414.08 | $4,414.08 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Cigna Ppo Commercial Facility | Cigna Ppo Commercial Facility | $3,972.67 | $4,414.08 | $4,414.08 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Aetna Commercial Facility | Aetna Commercial Facility | $4,414.08 | $4,414.08 | $4,414.08 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Eskenazi Health | Anthem Facility Exchange | $4,414.08 | $4,414.08 | $4,414.08 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Cigna | Cigna Exchange Facility | $4,414.08 | $4,414.08 | $4,414.08 | 2026-05-27 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Slvhmo Friday | Commercial | $4,617.38 | $6,156.51 | $4,617.38 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Cigna | Commercial | $5,011.40 | $6,156.51 | $4,617.38 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Blue Cross | Commercial | $5,233.03 | $6,156.51 | $4,617.38 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Aetna | Commercial | $5,540.86 | $6,156.51 | $4,617.38 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Humana | Choicecare | $5,540.86 | $6,156.51 | $4,617.38 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Cofinity | Commercial | $5,540.86 | $6,156.51 | $4,617.38 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Aetna | Medical Rental Cofinity | $5,725.55 | $6,156.51 | $4,617.38 | 2026-05-08 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO | $54,839.00 | — | — | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | PPO | $60,837.00 | — | — | 2025-11-26 | MRF ↗ |