4050064 — Celltome Applicat
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). CELLTOME APPLICAT (CDM 4050064) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/4050064?code_type=CDM
MLA (9th ed.)
“CELLTOME APPLICAT (CDM 4050064) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/4050064?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“CELLTOME APPLICAT (CDM 4050064) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/4050064?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,558–$5,423 (25th–75th percentile) across 4 hospitals · 38 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 4050064 — 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 |
|---|---|---|---|---|---|---|---|
| FERRY COUNTY MEMORIAL HOSPITAL Outpatient | Amerigroup/Wellpoint (Medicaid) | Amerigroup/Wellpoint (Medicaid) All Plans | $5.04 | $9.00 | $7.65 | 2025-07-01 | MRF ↗ |
| FERRY COUNTY MEMORIAL HOSPITAL Outpatient | Wellcare/Allwell | Wellcare/Allwell All Plans | $5.13 | $9.00 | $7.65 | 2025-07-01 | MRF ↗ |
| FERRY COUNTY MEMORIAL HOSPITAL Outpatient | Wellpoint (Dual Eligibles only) | Wellpoint (Dual Eligibles only) All Plans | $5.31 | $9.00 | $7.65 | 2025-07-01 | MRF ↗ |
| FERRY COUNTY MEMORIAL HOSPITAL Outpatient | Regence | Regence All Plans | $7.65 | $9.00 | $7.65 | 2025-07-01 | MRF ↗ |
| FERRY COUNTY MEMORIAL HOSPITAL Outpatient | Uniform Medical Plan (WA Public Employees and Retiree Plan) | Uniform Medical Plan (WA Public Employees and Retiree Plan) All Plans | $7.65 | $9.00 | $7.65 | 2025-07-01 | MRF ↗ |
| FERRY COUNTY MEMORIAL HOSPITAL Outpatient | Premera | Premera All Plans | $7.65 | $9.00 | $7.65 | 2025-07-01 | MRF ↗ |
| FERRY COUNTY MEMORIAL HOSPITAL Outpatient | Lifewise | Lifewise All Plans | $7.65 | $9.00 | $7.65 | 2025-07-01 | MRF ↗ |
| FERRY COUNTY MEMORIAL HOSPITAL Outpatient | Molina (Medicaid) | Molina (Medicaid) All Plans | $7.74 | $9.00 | $7.65 | 2025-07-01 | MRF ↗ |
| FERRY COUNTY MEMORIAL HOSPITAL Outpatient | CHPW (Cascade Select) | CHPW (Cascade Select) All Plans | $8.10 | $9.00 | $7.65 | 2025-07-01 | MRF ↗ |
| FERRY COUNTY MEMORIAL HOSPITAL Outpatient | Cigna | Cigna All Plans | $8.37 | $9.00 | $7.65 | 2025-07-01 | MRF ↗ |
| FERRY COUNTY MEMORIAL HOSPITAL Outpatient | Aetna | Aetna All Plans | $8.55 | $9.00 | $7.65 | 2025-07-01 | MRF ↗ |
| FERRY COUNTY MEMORIAL HOSPITAL Outpatient | Asuris | Asuris All Plans | $8.64 | $9.00 | $7.65 | 2025-07-01 | MRF ↗ |
| FERRY COUNTY MEMORIAL HOSPITAL Outpatient | HMA | HMA All Plans | $8.64 | $9.00 | $7.65 | 2025-07-01 | MRF ↗ |
| FERRY COUNTY MEMORIAL HOSPITAL Outpatient | Ambetter | Ambetter All Plans | $8.73 | $9.00 | $7.65 | 2025-07-01 | MRF ↗ |
| FERRY COUNTY MEMORIAL HOSPITAL Outpatient | Coordinated Care (Medicaid) | Coordinated Care (Medicaid) All Plans | $8.73 | $9.00 | $7.65 | 2025-07-01 | MRF ↗ |
| FOREST HEALTH MEDICAL CENTER Both | None | — | — | $52.96 | — | 2026-02-26 | MRF ↗ |
| KERALTY HOSPITAL Both | CIGNA COMMERCIAL | CIGNA COMMERCIAL | $441.00 | $1,764.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AVMED HEALTH COMMERCIAL | AVMED SELECT NETWORK | $441.00 | $1,764.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AVMED HEALTH COMMERCIAL | AVMED EXCHANGE NETWORKAL | $441.00 | $1,764.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AVMED HEALTH COMMERCIAL | AVMED BROAD NETWORK | $441.00 | $1,764.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | CIGNA MEDICARE | CIGNA MEDICARE | $441.00 | $1,764.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AVMED HEALTH COMMERCIAL | AVMED BROAD NTWRK | $441.00 | $1,764.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AVMED HEALTH COMMERCIAL | AVMED EXCHANGE NETWORK | $441.00 | $1,764.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | CIGNA MEDICARE | CIGNA MEDICARE IDEMNITY | $441.00 | $1,764.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AVMED HEALTH COMMERCIAL | AVMED BROAD NETWORK | $441.00 | $1,764.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AVMED HEALTH COMMERCIAL | AVMED EXCHANGE NETWORKAL | $441.00 | $1,764.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AVMED HEALTH COMMERCIAL | AVMED BROAD NTWRK | $441.00 | $1,764.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | CIGNA COMMERCIAL | CIGNA COMMERCIAL | $441.00 | $1,764.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AVMED HEALTH COMMERCIAL | AVMED EXCHANGE NETWORK | $441.00 | $1,764.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AVMED HEALTH COMMERCIAL | AVMED SELECT NETWORK | $441.00 | $1,764.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | CIGNA MEDICARE | CIGNA MEDICARE IDEMNITY | $441.00 | $1,764.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | CIGNA MEDICARE | CIGNA MEDICARE | $441.00 | $1,764.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | HUMANA COMMERCIAL | HUMANA COMMERCIAL | $529.20 | $1,764.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | HUMANA COMMERCIAL | HUMANA COMMERCIAL | $529.20 | $1,764.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | FIRST HEALTH COMMERICAL | FIRST HEALTH | $882.00 | $1,764.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | FIRST HEALTH COMMERICAL | FIRST HEALTH | $882.00 | $1,764.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | HUMANA COMMERCIAL | HUMANA COMMERCIAL | $934.92 | $1,764.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | HUMANA COMMERCIAL | HUMANA COMMERCIAL | $934.92 | $1,764.00 | — | 2024-06-28 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | KENTUCKY MEDICAID | KY MEDI UNITEDHEALTH IP | $1,433.59 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | KENTUCKY MEDICAID | KY MEDI BC KMA OP | $1,433.59 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | KENTUCKY MEDICAID | KY MEDI BC KMA IP | $1,433.59 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | KENTUCKY MEDICAID | KY MEDI MOLINA PSPRT IP | $1,433.59 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | KENTUCKY MEDICAID | KY MEDI HUMANA IP | $1,495.92 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | KENTUCKY MEDICAID | KY_MCAID IP | $1,495.92 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | KENTUCKY MEDICAID | KY MEDI PASSPORT HLTH | $1,495.92 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | KENTUCKY MEDICAID | KY MEDI UNITEDHEALTH CARE | $1,495.92 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | KENTUCKY MEDICAID | KY MCAID OP | $1,495.92 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | VETERANS ADMINISTRATION | VA ROUTINE SERVICES | $1,558.25 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | VETERANS ADMINISTRATION | VA IP | $1,558.25 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | VETERANS ADMINISTRATION | VA OP | $1,558.25 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED ALLWELL FROM MHS IP | $1,620.58 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED AETNA | $1,620.58 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED ALLWELL FROM MHS OP | $1,620.58 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED AETNA IP | $1,620.58 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED BC SWING BED | $1,620.58 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED PASSPRT IP | $1,620.58 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED BC IP | $1,620.58 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED BC ASC | $1,620.58 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED MEDICAL MUTUAL OP | $1,620.58 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED IU HLTH ADV IP | $1,620.58 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED PYRAMID LIFE ADV OP | $1,620.58 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED PASSPRT OP | $1,620.58 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED AETNA SWINGBED | $1,620.58 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED IP | $1,620.58 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED CIGNA OP | $1,620.58 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED WELLCARE IP | $1,620.58 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED UHC ADV IP | $1,620.58 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED HUM SWING BED | $1,620.58 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | KENTUCKY MEDICAID | KY MEDI WELLCARE OF KY OP | $1,620.58 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE | MEDICARE SWING BED | $1,620.58 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE | MEDICARE IP | $1,620.58 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE | MEDICARE ASC | $1,620.58 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE | MEDICARE OP | $1,620.58 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | KENTUCKY MEDICAID | KY MEDI WELLCARE OF KY IP | $1,620.58 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED OP | $1,620.58 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | BC 130 | BC OP ESSENTIAL | $1,620.58 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | CENTURION BCF IP | $1,620.58 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | WEXFORD HLTH OP/BCF | $1,620.58 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | CENTURION BCF OP | $1,620.58 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED HUM ASC | $1,620.58 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED UHC SWING BED | $1,620.58 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED MOLINA HLTHCR MCO OP | $1,620.58 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED WELLCARE SWING | $1,620.58 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED UHC ADV OP | $1,620.58 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED PYRAMID LIFE ADV IP | $1,620.58 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED BC ADV OP | $1,620.58 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICAID | MEDI BC PATHWAY OP | $1,620.58 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICAID | MEDI BC PATHWAY IP | $1,620.58 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED HUMANA OP | $1,620.58 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED OPTUM MED NETWORK OP | $1,620.58 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED PASSPRT ASC | $1,620.58 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED ALLWELL MHS SWINGBED | $1,620.58 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED WELLCARE OP | $1,620.58 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | KENTUCKY MEDICAID | KY MEDI PASSPORT/KMA HLTH | $1,994.56 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | KENTUCKY MEDICAID | KY MEDI HUMANA OP | $2,056.89 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | KENTUCKY MEDICAID | KY MEDI AETNA BET HEALTH | $2,119.22 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | WORKERS COMPENSATION | ACCIDENT FUND PCMH IP | $3,116.50 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | WORKERS COMPENSATION | WORKERS COMP IP | $3,116.50 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | WORKERS COMPENSATION | ACCIDENT FUND PCMH OUPT | $3,116.50 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | WORKERS COMPENSATION | WORKERS COMP OP | $3,116.50 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | BC 130 | BC 130 SWING | $3,663.13 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | BC 130 | BC 160 (XT) KY/OP | $3,663.13 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | BC 130 | BC LAB | $3,663.13 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | CARESOURCE SWINGBED | $3,663.13 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | BC 130 | BC IP ESSENTIALS | $3,663.13 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | NSA | ACORDIA NATIONAL IP | $3,663.13 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | NSA | ACORDIA NATIONAL OP | $3,663.13 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | BC 130 | BC OP | $3,663.13 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | BC 130 | BC IP | $3,663.13 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | BC 130 | BC 160 (XT) KY/OP | $3,847.63 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | NSA | ACORDIA NATIONAL OP | $3,847.63 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | BC 130 | BC OP | $3,847.63 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | BC 130 | BC IP | $3,847.63 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | NSA | ACORDIA NATIONAL IP | $3,847.63 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | BC 130 | BC IP ESSENTIALS | $3,847.63 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | CARESOURCE SWINGBED | $3,847.63 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | BC 130 | BC 130 SWING | $3,847.63 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | BC 130 | BC LAB | $3,847.63 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GUARANTOR LIABLE | TP | $4,363.10 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | PCMH INSURNACE | PCMH DEACONESS ONECARE | $4,861.74 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | BC 130 | UNICARE IP | $4,980.16 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | UNITED HEALTHCARE | ALL SAVERS | $4,980.16 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | UNITED HEALTHCARE | UNITED HEALTH OP | $4,980.16 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | UNITED HEALTHCARE | UNITED HEALTH | $4,980.16 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | UNITED HEALTHCARE | UNITED HEALTH INPT | $4,980.16 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | PASSPORT MOLINA MRKTPLACE | $4,980.16 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | UMR IP | $4,980.16 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | UMR OP | $4,980.16 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | SECONDARY INSURANCE | AARP INSURANCE | $4,980.16 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | UNITED HEALTHCARE | UNITED HEALTH INPATIENT | $4,980.16 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | UNIFIED GROUP SERVICES | $5,173.39 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | KENTUCKY HEALTH COOP | $5,173.39 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | PAT VALLEY MEDICAL BENEFI | $5,173.39 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | FREEDOM LIFE IP | $5,248.18 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | FREEDOM LIFE OP | $5,248.18 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | AETNA | $5,248.18 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | AETNA US HLTHCARE IP | $5,248.18 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | ENCORE HEALTH NETWORK | $5,298.05 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | OPERATING ENGINEERS | ENCORE HEALTH NETWORK | $5,298.05 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | BOILERMAKERS HEALTHCARE | CIGNA BOILERM OP | $5,422.71 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | BOILERMAKERS HEALTHCARE | CIGNA BOILERM IP | $5,422.71 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GREAT WEST | GREAT WEST OP | $5,422.71 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | SAGXXXX | SAG2064 | $5,422.71 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | SAGXXXX | SAG1718 | $5,422.71 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | CIGNA | CIGNA OP | $5,422.71 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | SAGXXXX | SAG1942 | $5,422.71 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | SAGXXXX | SAGAMORE OP | $5,422.71 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | SAGXXXX | SAGAMORE | $5,422.71 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | SAGXXXX | SAG1609 | $5,422.71 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | SAGXXXX | SAG1308 | $5,422.71 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | CIGNA | CIGNA IP | $5,422.71 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | SAGXXXX | SAGA1912 | $5,422.71 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GREAT WEST | GREAT WEST IP | $5,422.71 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICAID | MEDI OUT OF STATE IP | $6,233.00 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | TRICARE | TRICARE EAST IP | $6,233.00 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | TRICARE | TRICARE FOR LIFE | $6,233.00 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | TRICARE | TRICARE | $6,233.00 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | TRICARE | TRICARE EAST | $6,233.00 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | VETERANS ADMINISTRATION | VES | $6,233.00 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | GROUP INS OP | $6,233.00 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | MERITAIN IP | $6,233.00 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | RELIANCE STANDARD | $6,233.00 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | INDIANA CARPENTERS | $6,233.00 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | IHN | $6,233.00 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | TRANSCHOICE | $6,233.00 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | NYHART | $6,233.00 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | WEB TPA | $6,233.00 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | BENEFIT PLANNERS CLAIMS | $6,233.00 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | MERITAIN OP | $6,233.00 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | BENEFIT PLANNERS | $6,233.00 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | EXCEEDENT LLC | $6,233.00 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | NECA-IBEW WELFARE TRUST | $6,233.00 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | ASSURANT HEALTH | $6,233.00 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | GROUP INS IP | $6,233.00 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | HEALTHSMART | $6,233.00 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | VETERANS ADMINISTRATION | TRIWEST | $6,233.00 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GUARANTOR LIABLE | STANDARD MUTUAL INS | $6,233.00 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GUARANTOR LIABLE | AUTO ACCIDENT OP | $6,233.00 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | NGS AMERICAN, INC | NGS AMERICAN INC IP | $6,233.00 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | NGS AMERICAN, INC | NGS AMERICAN INC OP | $6,233.00 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | PCMH INSURNACE | DUNN & ASSOC OP | $6,233.00 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | NALC HEALTH BENEFIT PLAN | $6,233.00 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | SOUTHWIRE | SOUTHWIRE OP | $6,233.00 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | ICHIA | $6,233.00 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | SOUTHWIRE | SOUTHWIRE IP | $6,233.00 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | PREFERRED HEALTH PLAN | $6,233.00 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | INDIANA STATE COUNCIL | $6,233.00 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | CORESOURCE | $6,233.00 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | IU HEALTH EXCHANGE | $6,233.00 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | CHAMPUS | CHAMP VA OP | $6,233.00 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | CHAMPUS | CHAMPUS | $6,233.00 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | CHAMPUS | CHAMPVA IP | $6,233.00 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | WAUSAU BENEFITS | WAUSAU BENEFITS OP | $6,233.00 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | WAUSAU BENEFITS | WAUSAU BENEFITS IP | $6,233.00 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GREAT WEST | G-W CONSOLIDATED OP | $6,233.00 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GREAT WEST | G-W CONSOLIDATED IP | $6,233.00 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICAID | MEDI OUT OF STATE OP | $6,233.00 | $6,233.00 | $4,363.10 | 2026-01-02 | MRF ↗ |