40925546 — Abt Xience Sierra 4.0x38 Des
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). ABT XIENCE SIERRA 4.0X38 DES (CDM 40925546) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/40925546?code_type=CDM
MLA (9th ed.)
“ABT XIENCE SIERRA 4.0X38 DES (CDM 40925546) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/40925546?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“ABT XIENCE SIERRA 4.0X38 DES (CDM 40925546) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/40925546?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2,302–$98,642 (25th–75th percentile) across 2 hospitals · 16 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 40925546 — 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 |
|---|---|---|---|---|---|---|---|
| SAINT THOMAS RUTHERFORD HOSPITAL Outpatient | BCBS SELECT | 3178_MTTN BLUE CROSS BLUE SHIELD SELECT 20250701 | $979.39 | $6,529.25 | $1,958.78 | 2026-01-01 | MRF ↗ |
| SAINT THOMAS RUTHERFORD HOSPITAL Outpatient | BCBS SELECT | 3182_BLUE CROSS BLUE SHIELD SELECT REGIONAL 20250701 | $979.39 | $6,529.25 | $1,958.78 | 2026-01-01 | MRF ↗ |
| SAINT THOMAS RUTHERFORD HOSPITAL Outpatient | BCBS ACA EXCHANGE | 3147_STTN BLUE CROSS BLUE SHIELD NETWORK E 20241231 | $979.39 | $6,529.25 | $1,958.78 | 2026-01-01 | MRF ↗ |
| SAINT THOMAS RUTHERFORD HOSPITAL Outpatient | BCBS ACA EXCHANGE | 3146_MTTN BLUE CROSS BLUE SHIELD NETWORK E 20241231 | $979.39 | $6,529.25 | $1,958.78 | 2026-01-01 | MRF ↗ |
| SAINT THOMAS RUTHERFORD HOSPITAL Outpatient | BCBS NETWORK L | 3151_MTTN BLUE CROSS BLUE SHIELD NETWORK L 20250401 | $979.39 | $6,529.25 | $1,958.78 | 2026-01-01 | MRF ↗ |
| SAINT THOMAS RUTHERFORD HOSPITAL Outpatient | BCBS NETWORK L | 3150_BLUE CROSS BLUE SHIELD NETWORK L REGIONAL 20250401 | $979.39 | $6,529.25 | $1,958.78 | 2026-01-01 | MRF ↗ |
| SAINT THOMAS RUTHERFORD HOSPITAL Outpatient | BCBS PREFERRED | 3181_BLUE CROSS BLUE SHIELD PREFERRED REGIONAL 20250701 | $979.39 | $6,529.25 | $1,958.78 | 2026-01-01 | MRF ↗ |
| SAINT THOMAS RUTHERFORD HOSPITAL Outpatient | BCBS PREFERRED | 3177_MTTN BLUE CROSS BLUE SHIELD PREFERRED 20250701 | $979.39 | $6,529.25 | $1,958.78 | 2026-01-01 | MRF ↗ |
| SAINT THOMAS RUTHERFORD HOSPITAL Outpatient | SMART HEALTH | 2936_MTTN, RPTN, RHTN, SDTN, THTN ASCENSION SMART HEALTH OUTPATIENT 20250101 | $1,240.56 | $6,529.25 | $1,958.78 | 2026-01-01 | MRF ↗ |
| SAINT THOMAS RUTHERFORD HOSPITAL Both | SMART HEALTH | 2840_MTTN, RPTN, RHTN, SDTN, THTN ASCENSION SMART HEALTH INPATIENT 20241001 | $1,240.56 | $6,529.25 | $1,958.78 | 2026-01-01 | MRF ↗ |
| SAINT THOMAS RUTHERFORD HOSPITAL Outpatient | SMART HEALTH | 2937_STTN ASCENSION SMART HEALTH OUTPATIENT 20250101 | $1,240.56 | $6,529.25 | $1,958.78 | 2026-01-01 | MRF ↗ |
| SAINT THOMAS RUTHERFORD HOSPITAL Outpatient | HEALTH 2 BUSINESS | 1741_MTTN HEALTH 2 BUSINESS 20201211 | $1,762.90 | $6,529.25 | $1,958.78 | 2026-01-01 | MRF ↗ |
| SAINT THOMAS RUTHERFORD HOSPITAL Outpatient | HEALTH 2 BUSINESS | 1742_REGIONALS HEALTH 2 BUSINESS 20201211 | $1,762.90 | $6,529.25 | $1,958.78 | 2026-01-01 | MRF ↗ |
| SAINT THOMAS RUTHERFORD HOSPITAL Outpatient | HEALTH 2 BUSINESS | 1740_STTN HEALTH 2 BUSINESS 20201211 | $1,762.90 | $6,529.25 | $1,958.78 | 2026-01-01 | MRF ↗ |
| SAINT THOMAS RUTHERFORD HOSPITAL Outpatient | CHRISTIAN HEALTHCARE MINISTRIES | 1811_CHRISTIAN HEALTHCARE MINISTRIES 20210222 | $1,958.78 | $6,529.25 | $1,958.78 | 2026-01-01 | MRF ↗ |
| SAINT THOMAS RUTHERFORD HOSPITAL Inpatient | UHC COMPASS/EXCHANGE | 3166_UHC STTN EXCHANGE 20250715 | $2,024.07 | $6,529.25 | $1,958.78 | 2026-01-01 | MRF ↗ |
| SAINT THOMAS RUTHERFORD HOSPITAL Inpatient | UHC | 3176_UHC (STTN) 20250715 | $2,024.07 | $6,529.25 | $1,958.78 | 2026-01-01 | MRF ↗ |
| SAINT THOMAS RUTHERFORD HOSPITAL Inpatient | CIGNA PPO | 3183_STTN CIGNA PPO 20250601 | $2,089.36 | $6,529.25 | $1,958.78 | 2026-01-01 | MRF ↗ |
| SAINT THOMAS RUTHERFORD HOSPITAL Outpatient | AETNA VHAN | 3022_MTTN AETNA VHAN 20241015 | $2,219.95 | $6,529.25 | $1,958.78 | 2026-01-01 | MRF ↗ |
| SAINT THOMAS RUTHERFORD HOSPITAL Outpatient | AETNA WHOLE HEALTH | 3023_MTTN AETNA WHOLE HEALTH 20241015 | $2,219.95 | $6,529.25 | $1,958.78 | 2026-01-01 | MRF ↗ |
| SAINT THOMAS RUTHERFORD HOSPITAL Outpatient | AETNA | 3159_STTN AETNA 20250701 | $2,219.95 | $6,529.25 | $1,958.78 | 2026-01-01 | MRF ↗ |
| SAINT THOMAS RUTHERFORD HOSPITAL Outpatient | CIGNA SUREFIT | 2834_MTTN CIGNA SUREFIT 20241001 | $2,285.24 | $6,529.25 | $1,958.78 | 2026-01-01 | MRF ↗ |
| SAINT THOMAS RUTHERFORD HOSPITAL Inpatient | CIGNA LOCALPLUS | 3186_MTTN CIGNA LOCALPLUS 20250601 | $2,285.24 | $6,529.25 | $1,958.78 | 2026-01-01 | MRF ↗ |
| SAINT THOMAS RUTHERFORD HOSPITAL Outpatient | CIGNA LOCALPLUS | 3187_STTN CIGNA LOCALPLUS 20250601 | $2,350.53 | $6,529.25 | $1,958.78 | 2026-01-01 | MRF ↗ |
| SAINT THOMAS RUTHERFORD HOSPITAL Outpatient | HUMANA +51 CPOS | 2835_MTTN HUMANA +51 CPOS 20241001 | $2,350.53 | $6,529.25 | $1,958.78 | 2026-01-01 | MRF ↗ |
| SAINT THOMAS RUTHERFORD HOSPITAL Inpatient | CIGNA HMO | 3188_MTTN CIGNA HMO 20250601 | $2,415.82 | $6,529.25 | $1,958.78 | 2026-01-01 | MRF ↗ |
| SAINT THOMAS RUTHERFORD HOSPITAL Both | AETNA | 3161_RPTN AETNA 20250701 | $2,611.70 | $6,529.25 | $1,958.78 | 2026-01-01 | MRF ↗ |
| SAINT THOMAS RUTHERFORD HOSPITAL Inpatient | UHC COMPASS/EXCHANGE | 3169_SDTN UHC COMPASS 20250715 | $2,611.70 | $6,529.25 | $1,958.78 | 2026-01-01 | MRF ↗ |
| SAINT THOMAS RUTHERFORD HOSPITAL Inpatient | CIGNA PPO | 3184_MTTN CIGNA PPO 20250601 | $2,611.70 | $6,529.25 | $1,958.78 | 2026-01-01 | MRF ↗ |
| SAINT THOMAS RUTHERFORD HOSPITAL Inpatient | UHC COMPASS/EXCHANGE | 3170_THTN UHC COMPASS 20250715 | $2,676.99 | $6,529.25 | $1,958.78 | 2026-01-01 | MRF ↗ |
| SAINT THOMAS RUTHERFORD HOSPITAL Inpatient | UHC COMPASS/EXCHANGE | 3165_MTTN UHC EXCHANGE 20250715 | $2,676.99 | $6,529.25 | $1,958.78 | 2026-01-01 | MRF ↗ |
| SAINT THOMAS RUTHERFORD HOSPITAL Inpatient | UHC COMPASS/EXCHANGE | 3167_RPTN UHC EXCHANGE 20250715 | $2,676.99 | $6,529.25 | $1,958.78 | 2026-01-01 | MRF ↗ |
| SAINT THOMAS RUTHERFORD HOSPITAL Inpatient | UHC COMPASS/EXCHANGE | 3168_RHTN UHC EXCHANGE 20250715 | $2,676.99 | $6,529.25 | $1,958.78 | 2026-01-01 | MRF ↗ |
| SAINT THOMAS RUTHERFORD HOSPITAL Inpatient | UHC | 3172_RPTN UHC 20250715 | $2,807.58 | $6,529.25 | $1,958.78 | 2026-01-01 | MRF ↗ |
| SAINT THOMAS RUTHERFORD HOSPITAL Inpatient | UHC | 3173_RHTN UHC 20250715 | $2,807.58 | $6,529.25 | $1,958.78 | 2026-01-01 | MRF ↗ |
| SAINT THOMAS RUTHERFORD HOSPITAL Inpatient | UHC | 3175_THTN UHC 20250715 | $2,807.58 | $6,529.25 | $1,958.78 | 2026-01-01 | MRF ↗ |
| SAINT THOMAS RUTHERFORD HOSPITAL Inpatient | UHC | 3171_MTTN UHC 20250715 | $2,807.58 | $6,529.25 | $1,958.78 | 2026-01-01 | MRF ↗ |
| SAINT THOMAS RUTHERFORD HOSPITAL Inpatient | UHC | 3174_SDTN UHC 20250715 | $2,872.87 | $6,529.25 | $1,958.78 | 2026-01-01 | MRF ↗ |
| SAINT THOMAS RUTHERFORD HOSPITAL Inpatient | CIGNA LOCALPLUS | 3192_RHTN CIGNA LOCALPLUS 20250601 | $3,264.63 | $6,529.25 | $1,958.78 | 2026-01-01 | MRF ↗ |
| SAINT THOMAS RUTHERFORD HOSPITAL Outpatient | AETNA (RUTHERFORD ONLY) | 3160_MTTN AETNA 20250701 | $3,329.92 | $6,529.25 | $1,958.78 | 2026-01-01 | MRF ↗ |
| SAINT THOMAS RUTHERFORD HOSPITAL Inpatient | CIGNA LOCALPLUS | 3193_CIGNA LOCALPLUS (DEKALB) 20250601 | $3,329.92 | $6,529.25 | $1,958.78 | 2026-01-01 | MRF ↗ |
| SAINT THOMAS RUTHERFORD HOSPITAL Outpatient | CIGNA LOCALPLUS | 3191_RPTN CIGNA LOCALPLUS 20250601 | $3,395.21 | $6,529.25 | $1,958.78 | 2026-01-01 | MRF ↗ |
| SAINT THOMAS RUTHERFORD HOSPITAL Outpatient | AETNA | 3164_THTN AETNA 20250701 | $3,395.21 | $6,529.25 | $1,958.78 | 2026-01-01 | MRF ↗ |
| SAINT THOMAS RUTHERFORD HOSPITAL Outpatient | CIGNA HMO | 3195_RPTN CIGNA HMO 20250601 | $3,395.21 | $6,529.25 | $1,958.78 | 2026-01-01 | MRF ↗ |
| SAINT THOMAS RUTHERFORD HOSPITAL Outpatient | CIGNA PPO | 3198_RPTN CIGNA PPO 20250601 | $3,525.80 | $6,529.25 | $1,958.78 | 2026-01-01 | MRF ↗ |
| SAINT THOMAS RUTHERFORD HOSPITAL Outpatient | BCBS MISSIONPOINT | 2422_BLUE CROSS BLUE SHIELD MISSIONPOINT REGIONAL 20221001 | $3,591.09 | $6,529.25 | $1,958.78 | 2026-01-01 | MRF ↗ |
| SAINT THOMAS RUTHERFORD HOSPITAL Inpatient | CIGNA HMO | 3196_CIGNA HMO (DEKALB) 20250601 | $3,591.09 | $6,529.25 | $1,958.78 | 2026-01-01 | MRF ↗ |
| SAINT THOMAS RUTHERFORD HOSPITAL Outpatient | BCBS MISSIONPOINT | 2416_MTTN BLUE CROSS BLUE SHIELD MISSION POINT 20221001 | $3,591.09 | $6,529.25 | $1,958.78 | 2026-01-01 | MRF ↗ |
| SAINT THOMAS RUTHERFORD HOSPITAL Inpatient | CIGNA PPO | 3199_CIGNA PPO (DEKALB) 20250601 | $3,721.67 | $6,529.25 | $1,958.78 | 2026-01-01 | MRF ↗ |
| SAINT THOMAS RUTHERFORD HOSPITAL Outpatient | BCBS NETWORK E | 3149_BLUE CROSS BLUE SHIELD NETWORK E REGIONAL 20250401 | $3,917.55 | $6,529.25 | $1,958.78 | 2026-01-01 | MRF ↗ |
| SAINT THOMAS RUTHERFORD HOSPITAL Outpatient | CIGNA LOCALPLUS | 3194_THTN CIGNA LOCALPLUS 20250601 | $4,048.14 | $6,529.25 | $1,958.78 | 2026-01-01 | MRF ↗ |
| SAINT THOMAS RUTHERFORD HOSPITAL Outpatient | PHCS | 445_MTTN PHCS 20140901 | $4,309.31 | $6,529.25 | $1,958.78 | 2026-01-01 | MRF ↗ |
| SAINT THOMAS RUTHERFORD HOSPITAL Outpatient | AETNA | 3163_SDTN AETNA 20250701 | $4,635.77 | $6,529.25 | $1,958.78 | 2026-01-01 | MRF ↗ |
| SAINT THOMAS RUTHERFORD HOSPITAL Outpatient | AETNA | 3162_RHTN AETNA 20250701 | $4,635.77 | $6,529.25 | $1,958.78 | 2026-01-01 | MRF ↗ |
| SAINT THOMAS RUTHERFORD HOSPITAL Outpatient | MULTIPLAN | 418_MTTN, STTN MULTIPLAN 20120701 | $5,027.52 | $6,529.25 | $1,958.78 | 2026-01-01 | MRF ↗ |
| SAINT THOMAS RUTHERFORD HOSPITAL Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $6,529.25 | $6,529.25 | $1,958.78 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Outpatient | SMART HEALTH | 2937_STTN ASCENSION SMART HEALTH OUTPATIENT 20250101 | $36,930.20 | $194,369.45 | $58,310.84 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Both | SMART HEALTH | 2840_MTTN, RPTN, RHTN, SDTN, THTN ASCENSION SMART HEALTH INPATIENT 20241001 | $36,930.20 | $194,369.45 | $58,310.84 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Outpatient | SMART HEALTH | 2936_MTTN, RPTN, RHTN, SDTN, THTN ASCENSION SMART HEALTH OUTPATIENT 20250101 | $36,930.20 | $194,369.45 | $58,310.84 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Both | SMART HEALTH | 2789_STTN ASCENSION SMART HEALTH INPATIENT 20241001 | $36,930.20 | $194,369.45 | $58,310.84 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Outpatient | HEALTH 2 BUSINESS | 1740_STTN HEALTH 2 BUSINESS 20201211 | $52,479.75 | $194,369.45 | $58,310.84 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Outpatient | HEALTH 2 BUSINESS | 1741_MTTN HEALTH 2 BUSINESS 20201211 | $52,479.75 | $194,369.45 | $58,310.84 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Outpatient | AETNA | 3161_RPTN AETNA 20250701 | $52,479.75 | $194,369.45 | $58,310.84 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Outpatient | HEALTH 2 BUSINESS | 1742_REGIONALS HEALTH 2 BUSINESS 20201211 | $52,479.75 | $194,369.45 | $58,310.84 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Outpatient | CHRISTIAN HEALTHCARE MINISTRIES | 1811_CHRISTIAN HEALTHCARE MINISTRIES 20210222 | $58,310.83 | $194,369.45 | $58,310.84 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Outpatient | CIGNA SUREFIT | 2862_STTN CIGNA SUREFIT 20241001 | $95,241.03 | $194,369.45 | $58,310.84 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Outpatient | AETNA | 3164_THTN AETNA 20250701 | $97,184.73 | $194,369.45 | $58,310.84 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Both | CIGNA LOCALPLUS | 3187_STTN CIGNA LOCALPLUS 20250601 | $99,128.42 | $194,369.45 | $58,310.84 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Outpatient | AETNA (RUTHERFORD ONLY) | 3160_MTTN AETNA 20250701 | $99,128.42 | $194,369.45 | $58,310.84 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Outpatient | AETNA | 3159_STTN AETNA 20250701 | $99,128.42 | $194,369.45 | $58,310.84 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Outpatient | CIGNA HMO | 3185_STTN CIGNA HMO 20250601 | $101,072.11 | $194,369.45 | $58,310.84 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Outpatient | CIGNA LOCALPLUS | 3191_RPTN CIGNA LOCALPLUS 20250601 | $101,072.11 | $194,369.45 | $58,310.84 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Outpatient | CIGNA HMO | 3195_RPTN CIGNA HMO 20250601 | $101,072.11 | $194,369.45 | $58,310.84 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Outpatient | CIGNA PPO | 3198_RPTN CIGNA PPO 20250601 | $104,959.50 | $194,369.45 | $58,310.84 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Outpatient | CIGNA PPO | 3184_MTTN CIGNA PPO 20250601 | $106,903.20 | $194,369.45 | $58,310.84 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Outpatient | CIGNA PPO | 3183_STTN CIGNA PPO 20250601 | $106,903.20 | $194,369.45 | $58,310.84 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Outpatient | BCBS NETWORK E | 3149_BLUE CROSS BLUE SHIELD NETWORK E REGIONAL 20250401 | $116,621.67 | $194,369.45 | $58,310.84 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Outpatient | BCBS ACA EXCHANGE | 3147_STTN BLUE CROSS BLUE SHIELD NETWORK E 20241231 | $116,621.67 | $194,369.45 | $58,310.84 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Outpatient | BCBS ACA EXCHANGE | 3146_MTTN BLUE CROSS BLUE SHIELD NETWORK E 20241231 | $116,621.67 | $194,369.45 | $58,310.84 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Outpatient | CIGNA LOCALPLUS | 3194_THTN CIGNA LOCALPLUS 20250601 | $120,509.06 | $194,369.45 | $58,310.84 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Outpatient | BCBS NETWORK L | 3152_STTN BLUE CROSS BLUE SHIELD NETWORK L 20250401 | $126,340.14 | $194,369.45 | $58,310.84 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Outpatient | BCBS MISSIONPOINT | 2410_STTN BLUE CROSS BLUE SHIELD MISSION POINT 20221001 | $130,227.53 | $194,369.45 | $58,310.84 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Outpatient | AETNA | 3162_RHTN AETNA 20250701 | $138,002.31 | $194,369.45 | $58,310.84 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Outpatient | PHCS | 2867_STTN PHCS 20241001 | $138,002.31 | $194,369.45 | $58,310.84 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Outpatient | AETNA | 3163_SDTN AETNA 20250701 | $138,002.31 | $194,369.45 | $58,310.84 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Outpatient | BCBS MISSIONPOINT | 2422_BLUE CROSS BLUE SHIELD MISSIONPOINT REGIONAL 20221001 | $139,946.00 | $194,369.45 | $58,310.84 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Outpatient | CIGNA HMO | 3196_CIGNA HMO (DEKALB) 20250601 | $141,889.70 | $194,369.45 | $58,310.84 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Outpatient | CIGNA PPO | 3199_CIGNA PPO (DEKALB) 20250601 | $147,720.78 | $194,369.45 | $58,310.84 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Outpatient | MULTIPLAN | 418_MTTN, STTN MULTIPLAN 20120701 | $149,664.48 | $194,369.45 | $58,310.84 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $194,369.45 | $194,369.45 | $58,310.84 | 2026-01-01 | MRF ↗ |