3905539 — Xps Moxyfiber
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). XPS MOXYFIBER (CDM 3905539) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/3905539?code_type=CDM
MLA (9th ed.)
“XPS MOXYFIBER (CDM 3905539) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/3905539?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“XPS MOXYFIBER (CDM 3905539) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/3905539?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,284–$4,937 (25th–75th percentile) across 1 hospital · 22 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 3905539 — 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 |
|---|---|---|---|---|---|---|---|
| PERRY COUNTY MEMORIAL HOSPITAL Both | KENTUCKY MEDICAID | KY MEDI MOLINA PSPRT IP | $1,135.51 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | KENTUCKY MEDICAID | KY MEDI UNITEDHEALTH IP | $1,135.51 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | KENTUCKY MEDICAID | KY MEDI BC KMA IP | $1,135.51 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | KENTUCKY MEDICAID | KY MEDI BC KMA OP | $1,135.51 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | KENTUCKY MEDICAID | KY MCAID OP | $1,184.88 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | KENTUCKY MEDICAID | KY MEDI UNITEDHEALTH CARE | $1,184.88 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | KENTUCKY MEDICAID | KY MEDI HUMANA IP | $1,184.88 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | KENTUCKY MEDICAID | KY_MCAID IP | $1,184.88 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | KENTUCKY MEDICAID | KY MEDI PASSPORT HLTH | $1,184.88 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | VETERANS ADMINISTRATION | VA ROUTINE SERVICES | $1,234.25 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | VETERANS ADMINISTRATION | VA IP | $1,234.25 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | VETERANS ADMINISTRATION | VA OP | $1,234.25 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED PASSPRT ASC | $1,283.62 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | KENTUCKY MEDICAID | KY MEDI WELLCARE OF KY OP | $1,283.62 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED BC ADV OP | $1,283.62 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED PASSPRT OP | $1,283.62 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED WELLCARE SWING | $1,283.62 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED UHC SWING BED | $1,283.62 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED HUMANA OP | $1,283.62 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED PYRAMID LIFE ADV OP | $1,283.62 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED HUM SWING BED | $1,283.62 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED AETNA | $1,283.62 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED HUM ASC | $1,283.62 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED ALLWELL FROM MHS IP | $1,283.62 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED AETNA SWINGBED | $1,283.62 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED PASSPRT IP | $1,283.62 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED UHC ADV IP | $1,283.62 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED WELLCARE IP | $1,283.62 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE | MEDICARE IP | $1,283.62 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE | MEDICARE OP | $1,283.62 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE | MEDICARE SWING BED | $1,283.62 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE | MEDICARE ASC | $1,283.62 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED PYRAMID LIFE ADV IP | $1,283.62 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED IU HLTH ADV IP | $1,283.62 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | BC 130 | BC OP ESSENTIAL | $1,283.62 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED OP | $1,283.62 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | WEXFORD HLTH OP/BCF | $1,283.62 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED MOLINA HLTHCR MCO OP | $1,283.62 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED BC IP | $1,283.62 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED MEDICAL MUTUAL OP | $1,283.62 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED AETNA IP | $1,283.62 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED BC ASC | $1,283.62 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED OPTUM MED NETWORK OP | $1,283.62 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED IP | $1,283.62 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED WELLCARE OP | $1,283.62 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED ALLWELL FROM MHS OP | $1,283.62 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED UHC ADV OP | $1,283.62 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED BC SWING BED | $1,283.62 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | CENTURION BCF IP | $1,283.62 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | CENTURION BCF OP | $1,283.62 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICAID | MEDI BC PATHWAY OP | $1,283.62 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICAID | MEDI BC PATHWAY IP | $1,283.62 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED ALLWELL MHS SWINGBED | $1,283.62 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED CIGNA OP | $1,283.62 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | KENTUCKY MEDICAID | KY MEDI WELLCARE OF KY IP | $1,283.62 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | KENTUCKY MEDICAID | KY MEDI PASSPORT/KMA HLTH | $1,579.84 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | KENTUCKY MEDICAID | KY MEDI HUMANA OP | $1,629.21 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | KENTUCKY MEDICAID | KY MEDI AETNA BET HEALTH | $1,678.58 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | WORKERS COMPENSATION | ACCIDENT FUND PCMH IP | $2,468.50 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | WORKERS COMPENSATION | WORKERS COMP OP | $2,468.50 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | WORKERS COMPENSATION | WORKERS COMP IP | $2,468.50 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | WORKERS COMPENSATION | ACCIDENT FUND PCMH OUPT | $2,468.50 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | NSA | ACORDIA NATIONAL OP | $2,901.47 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | BC 130 | BC LAB | $2,901.47 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | NSA | ACORDIA NATIONAL IP | $2,901.47 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | BC 130 | BC 160 (XT) KY/OP | $2,901.47 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | BC 130 | BC IP ESSENTIALS | $2,901.47 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | BC 130 | BC IP | $2,901.47 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | BC 130 | BC 130 SWING | $2,901.47 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | CARESOURCE SWINGBED | $2,901.47 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | BC 130 | BC OP | $2,901.47 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | BC 130 | BC IP | $3,047.61 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | CARESOURCE SWINGBED | $3,047.61 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | NSA | ACORDIA NATIONAL OP | $3,047.61 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | NSA | ACORDIA NATIONAL IP | $3,047.61 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | BC 130 | BC 160 (XT) KY/OP | $3,047.61 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | BC 130 | BC IP ESSENTIALS | $3,047.61 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | BC 130 | BC LAB | $3,047.61 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | BC 130 | BC 130 SWING | $3,047.61 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | BC 130 | BC OP | $3,047.61 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GUARANTOR LIABLE | TP | $3,455.90 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | PCMH INSURNACE | PCMH DEACONESS ONECARE | $3,850.86 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | UNITED HEALTHCARE | UNITED HEALTH INPATIENT | $3,944.66 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | UNITED HEALTHCARE | ALL SAVERS | $3,944.66 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | UNITED HEALTHCARE | UNITED HEALTH | $3,944.66 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | SECONDARY INSURANCE | AARP INSURANCE | $3,944.66 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | UNITED HEALTHCARE | UNITED HEALTH OP | $3,944.66 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | UMR IP | $3,944.66 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | UNITED HEALTHCARE | UNITED HEALTH INPT | $3,944.66 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | UMR OP | $3,944.66 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | BC 130 | UNICARE IP | $3,944.66 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | PASSPORT MOLINA MRKTPLACE | $3,944.66 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | KENTUCKY HEALTH COOP | $4,097.71 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | UNIFIED GROUP SERVICES | $4,097.71 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | PAT VALLEY MEDICAL BENEFI | $4,097.71 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | AETNA | $4,156.95 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | FREEDOM LIFE IP | $4,156.95 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | AETNA US HLTHCARE IP | $4,156.95 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | FREEDOM LIFE OP | $4,156.95 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | ENCORE HEALTH NETWORK | $4,196.45 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | OPERATING ENGINEERS | ENCORE HEALTH NETWORK | $4,196.45 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | SAGXXXX | SAG2064 | $4,295.19 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | CIGNA | CIGNA OP | $4,295.19 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | CIGNA | CIGNA IP | $4,295.19 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GREAT WEST | GREAT WEST OP | $4,295.19 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GREAT WEST | GREAT WEST IP | $4,295.19 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | SAGXXXX | SAG1308 | $4,295.19 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | SAGXXXX | SAG1609 | $4,295.19 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | SAGXXXX | SAGAMORE OP | $4,295.19 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | SAGXXXX | SAG1942 | $4,295.19 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | SAGXXXX | SAGAMORE | $4,295.19 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | SAGXXXX | SAGA1912 | $4,295.19 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | SAGXXXX | SAG1718 | $4,295.19 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | BOILERMAKERS HEALTHCARE | CIGNA BOILERM OP | $4,295.19 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | BOILERMAKERS HEALTHCARE | CIGNA BOILERM IP | $4,295.19 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | NALC HEALTH BENEFIT PLAN | $4,937.00 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | ICHIA | $4,937.00 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | GROUP INS IP | $4,937.00 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | CORESOURCE | $4,937.00 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | INDIANA STATE COUNCIL | $4,937.00 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | EXCEEDENT LLC | $4,937.00 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | NECA-IBEW WELFARE TRUST | $4,937.00 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | MERITAIN OP | $4,937.00 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | BENEFIT PLANNERS | $4,937.00 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | IHN | $4,937.00 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | PREFERRED HEALTH PLAN | $4,937.00 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | TRANSCHOICE | $4,937.00 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | HEALTHSMART | $4,937.00 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | CHAMPUS | CHAMP VA OP | $4,937.00 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | CHAMPUS | CHAMPVA IP | $4,937.00 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | CHAMPUS | CHAMPUS | $4,937.00 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | WAUSAU BENEFITS | WAUSAU BENEFITS IP | $4,937.00 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | WAUSAU BENEFITS | WAUSAU BENEFITS OP | $4,937.00 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GREAT WEST | G-W CONSOLIDATED IP | $4,937.00 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GREAT WEST | G-W CONSOLIDATED OP | $4,937.00 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICAID | MEDI OUT OF STATE IP | $4,937.00 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICAID | MEDI OUT OF STATE OP | $4,937.00 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | TRICARE | TRICARE EAST IP | $4,937.00 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | TRICARE | TRICARE | $4,937.00 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | TRICARE | TRICARE FOR LIFE | $4,937.00 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GUARANTOR LIABLE | AUTO ACCIDENT OP | $4,937.00 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | VETERANS ADMINISTRATION | VES | $4,937.00 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GUARANTOR LIABLE | STANDARD MUTUAL INS | $4,937.00 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | NGS AMERICAN, INC | NGS AMERICAN INC IP | $4,937.00 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | NGS AMERICAN, INC | NGS AMERICAN INC OP | $4,937.00 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | PCMH INSURNACE | DUNN & ASSOC OP | $4,937.00 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | VETERANS ADMINISTRATION | TRIWEST | $4,937.00 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | SOUTHWIRE | SOUTHWIRE OP | $4,937.00 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | SOUTHWIRE | SOUTHWIRE IP | $4,937.00 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | TRICARE | TRICARE EAST | $4,937.00 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | IU HEALTH EXCHANGE | $4,937.00 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | RELIANCE STANDARD | $4,937.00 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | WEB TPA | $4,937.00 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | BENEFIT PLANNERS CLAIMS | $4,937.00 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | ASSURANT HEALTH | $4,937.00 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | MERITAIN IP | $4,937.00 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | GROUP INS OP | $4,937.00 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | NYHART | $4,937.00 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | INDIANA CARPENTERS | $4,937.00 | $4,937.00 | $3,455.90 | 2026-01-02 | MRF ↗ |