4100001 — Factor Viii Inhibitor Rl
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). FACTOR VIII INHIBITOR RL (OTHER 4100001) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/4100001?code_type=OTHER
MLA (9th ed.)
“FACTOR VIII INHIBITOR RL (OTHER 4100001) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/4100001?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“FACTOR VIII INHIBITOR RL (OTHER 4100001) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/4100001?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $80–$273 (25th–75th percentile) across 6 hospitals · 55 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 4100001 — 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 |
|---|---|---|---|---|---|---|---|
| HILLSDALE HOSPITAL Both | Cofinity | Commercial | $12.23 | $287.75 | $244.59 | 2026-05-13 | MRF ↗ |
| HILLSDALE HOSPITAL Both | Aetna | Medicare Advantage | $12.23 | $287.75 | $244.59 | 2026-05-13 | MRF ↗ |
| HILLSDALE HOSPITAL Both | Thome Pace | Medicare Advantage | $12.23 | $287.75 | $244.59 | 2026-05-13 | MRF ↗ |
| HILLSDALE HOSPITAL Both | Cigna | Commercial | $12.71 | $287.75 | $244.59 | 2026-05-13 | MRF ↗ |
| HILLSDALE HOSPITAL Both | Cigna | Commercial | $12.71 | $287.75 | $244.59 | 2026-05-06 | MRF ↗ |
| HILLSDALE HOSPITAL Both | Aetna | Medicare Advantage | $12.87 | $287.75 | $244.59 | 2026-05-06 | MRF ↗ |
| HILLSDALE HOSPITAL Both | United Healthcare | Medicare Advantage | $12.87 | $287.75 | $244.59 | 2026-05-06 | MRF ↗ |
| HILLSDALE HOSPITAL Both | Hap | Medicare Advantage | $12.87 | $287.75 | $244.59 | 2026-05-13 | MRF ↗ |
| HILLSDALE HOSPITAL Both | Medicare | Medicare | $12.87 | $287.75 | $244.59 | 2026-05-06 | MRF ↗ |
| HILLSDALE HOSPITAL Both | Humana | Medicare Advantage | $12.87 | $287.75 | $244.59 | 2026-05-13 | MRF ↗ |
| HILLSDALE HOSPITAL Both | Humana | Medicare Advantage | $12.87 | $287.75 | $244.59 | 2026-05-06 | MRF ↗ |
| HILLSDALE HOSPITAL Both | Amerigroup | Medicare Advantage | $12.87 | $287.75 | $244.59 | 2026-05-13 | MRF ↗ |
| HILLSDALE HOSPITAL Both | Amerigroup | Medicare Advantage | $12.87 | $287.75 | $244.59 | 2026-05-06 | MRF ↗ |
| HILLSDALE HOSPITAL Both | Wellpath | Medicaid | $12.87 | $287.75 | $244.59 | 2026-05-06 | MRF ↗ |
| HILLSDALE HOSPITAL Both | Bcbs | Medicare Advantage | $12.87 | $287.75 | $244.59 | 2026-05-06 | MRF ↗ |
| HILLSDALE HOSPITAL Both | Bcbs | Medicare Advantage | $12.87 | $287.75 | $244.59 | 2026-05-13 | MRF ↗ |
| HILLSDALE HOSPITAL Both | Medicare | Medicare | $12.87 | $287.75 | $244.59 | 2026-05-13 | MRF ↗ |
| HILLSDALE HOSPITAL Both | Hap | Medicare | $12.87 | $287.75 | $244.59 | 2026-05-06 | MRF ↗ |
| HILLSDALE HOSPITAL Both | Priority Health | Medicare Advantage | $12.87 | $287.75 | $244.59 | 2026-05-13 | MRF ↗ |
| HILLSDALE HOSPITAL Both | Priority Health | Medicare Advantage | $12.87 | $287.75 | $244.59 | 2026-05-06 | MRF ↗ |
| HILLSDALE HOSPITAL Both | United Healthcare | Medicare Advantage | $12.87 | $287.75 | $244.59 | 2026-05-13 | MRF ↗ |
| HILLSDALE HOSPITAL Both | Vcpg | Medicaid | $16.09 | $287.75 | $244.59 | 2026-05-13 | MRF ↗ |
| HILLSDALE HOSPITAL Both | Nomi Hsa | Commercial | $19.30 | $287.75 | $244.59 | 2026-05-13 | MRF ↗ |
| CRESCENT MEDICAL CENTER LANCASTER | Aetna Commercial Health | — | $19.72 | $583.30 | — | 2026-08-01 | MRF ↗ |
| CRESCENT MEDICAL CENTER LANCASTER | Aetna Workerscomp | — | $19.72 | $583.30 | — | 2026-08-01 | MRF ↗ |
| CRESCENT MEDICAL CENTER LANCASTER | Bluecross Blueshield Of Tx_ Bav/Hmo | — | $34.46 | $583.30 | — | 2026-08-01 | MRF ↗ |
| CRESCENT MEDICAL CENTER LANCASTER | Bluecross Blueshield Of Tx_ Blueessentials | — | $38.77 | $583.30 | — | 2026-08-01 | MRF ↗ |
| CRESCENT MEDICAL CENTER LANCASTER | Bluecross Blueshield Of Tx_Traditional | — | $43.08 | $583.30 | — | 2026-08-01 | MRF ↗ |
| CRESCENT MEDICAL CENTER LANCASTER | Bluecross Blueshield Of Tx_Ppo | — | $43.08 | $583.30 | — | 2026-08-01 | MRF ↗ |
| ARKANSAS SURGICAL HOSPITAL Outpatient | Providence Health Plan | Providence Health Plan | $80.50 | $161.00 | — | 2026-05-09 | MRF ↗ |
| ARKANSAS SURGICAL HOSPITAL Outpatient | Cigna Ppo | Cigna Ppo | $80.50 | $161.00 | — | 2026-05-09 | MRF ↗ |
| ARKANSAS SURGICAL HOSPITAL Outpatient | Nalc | Nalc | $80.50 | $161.00 | — | 2026-05-09 | MRF ↗ |
| ARKANSAS SURGICAL HOSPITAL Outpatient | Apwu Health Plan | Apwu Health Plan | $80.50 | $161.00 | — | 2026-05-09 | MRF ↗ |
| ARKANSAS SURGICAL HOSPITAL Outpatient | Allied Benefit System | Allied Benefit System | $80.50 | $161.00 | — | 2026-05-09 | MRF ↗ |
| ARKANSAS SURGICAL HOSPITAL Outpatient | Allegiance | Allegiance | $80.50 | $161.00 | — | 2026-05-09 | MRF ↗ |
| ARKANSAS SURGICAL HOSPITAL Outpatient | Cigna Loyal American Life | Cigna Loyal American Life | $80.50 | $161.00 | — | 2026-05-09 | MRF ↗ |
| ARKANSAS SURGICAL HOSPITAL Outpatient | Nalc Medical Claims | Nalc Medical Claims | $80.50 | $161.00 | — | 2026-05-09 | MRF ↗ |
| ARKANSAS SURGICAL HOSPITAL Outpatient | Cigna Healthcare | Cigna Healthcare | $80.50 | $161.00 | — | 2026-05-09 | MRF ↗ |
| ARKANSAS SURGICAL HOSPITAL Outpatient | S&S Healthcare Strategies | S&S Healthcare Strategies | $80.50 | $161.00 | — | 2026-05-09 | MRF ↗ |
| ARKANSAS SURGICAL HOSPITAL Outpatient | Cigna | Cigna | $80.50 | $161.00 | — | 2026-05-09 | MRF ↗ |
| ARKANSAS SURGICAL HOSPITAL Outpatient | Priority Health | Priority Health | $80.50 | $161.00 | — | 2026-05-09 | MRF ↗ |
| ARKANSAS SURGICAL HOSPITAL Outpatient | Tufts Health Plan | Tufts Health Plan | $80.50 | $161.00 | — | 2026-05-09 | MRF ↗ |
| ARKANSAS SURGICAL HOSPITAL Outpatient | Apwu | Apwu | $80.50 | $161.00 | — | 2026-05-09 | MRF ↗ |
| ARKANSAS SURGICAL HOSPITAL Outpatient | Nalc Health Benefit Plan | Nalc Health Benefit Plan | $80.50 | $161.00 | — | 2026-05-09 | MRF ↗ |
| ARKANSAS SURGICAL HOSPITAL Outpatient | Cigna Dme Government | Cigna Dme Government | $80.50 | $161.00 | — | 2026-05-09 | MRF ↗ |
| BROOKINGS HEALTH SYSTEM Outpatient | Medica Msho | Commercial | $91.18 | $232.00 | $116.00 | 2026-05-14 | MRF ↗ |
| BROOKINGS HEALTH SYSTEM Outpatient | Medica Choice Care | Commercial | $93.26 | $232.00 | $116.00 | 2026-05-14 | MRF ↗ |
| ARKANSAS SURGICAL HOSPITAL Outpatient | Municipal Health | Municipal Health | $96.60 | $161.00 | — | 2026-05-09 | MRF ↗ |
| ARKANSAS SURGICAL HOSPITAL Outpatient | Municipal Health Benefit Fund | Municipal Health Benefit Fund | $96.60 | $161.00 | — | 2026-05-09 | MRF ↗ |
| CRESCENT MEDICAL CENTER LANCASTER | United Healthcare Medicaid/Chip | — | $110.25 | $583.30 | — | 2026-08-01 | MRF ↗ |
| CRESCENT MEDICAL CENTER LANCASTER | Amerigroup Medicaid | — | $110.25 | $583.30 | — | 2026-08-01 | MRF ↗ |
| CRESCENT MEDICAL CENTER LANCASTER | Cigna Healthsprings Medicaid | — | $110.25 | $583.30 | — | 2026-08-01 | MRF ↗ |
| CRESCENT MEDICAL CENTER LANCASTER | Texas Medicaid Health Plan | — | $110.25 | $583.30 | — | 2026-08-01 | MRF ↗ |
| CRESCENT MEDICAL CENTER LANCASTER | Superiorhealthcare Ambetter Wellcare Allwell Star_Star+Plus_Starkids_Chip_Chip Perinate_Star Health | — | $110.25 | $583.30 | — | 2026-08-01 | MRF ↗ |
| CRESCENT MEDICAL CENTER LANCASTER | Cigna Healthsprings Medicare Advantage | — | $112.62 | $583.30 | — | 2026-08-01 | MRF ↗ |
| CRESCENT MEDICAL CENTER LANCASTER | Multiplan Medicare Advantage | — | $116.18 | $583.30 | — | 2026-08-01 | MRF ↗ |
| CRESCENT MEDICAL CENTER LANCASTER | Superiorhealthcare Ambetter Wellcare Allwell Commercial | — | $118.55 | $583.30 | — | 2026-08-01 | MRF ↗ |
| CRESCENT MEDICAL CENTER LANCASTER | Choice Care Humana Medicare Medicare Network Private Fee For Service Plan | — | $118.55 | $583.30 | — | 2026-08-01 | MRF ↗ |
| CRESCENT MEDICAL CENTER LANCASTER | Aetna Medicare | — | $118.55 | $583.30 | — | 2026-08-01 | MRF ↗ |
| CRESCENT MEDICAL CENTER LANCASTER | Wellmed(Uhc) Hmo/Ppo Medicare Advantage Plans | — | $118.55 | $583.30 | — | 2026-08-01 | MRF ↗ |
| CRESCENT MEDICAL CENTER LANCASTER | United Healthcare Medicare Advantage | — | $118.55 | $583.30 | — | 2026-08-01 | MRF ↗ |
| CRESCENT MEDICAL CENTER LANCASTER | Medicare Traditional | — | $118.55 | $583.30 | — | 2026-08-01 | MRF ↗ |
| BROOKINGS HEALTH SYSTEM Outpatient | Medica Medicare Adv | Medicare | $134.84 | $232.00 | $116.00 | 2026-05-14 | MRF ↗ |
| BROOKINGS HEALTH SYSTEM Outpatient | Medicare And Medicare Adv | Medicare | $134.84 | $232.00 | $116.00 | 2026-05-14 | MRF ↗ |
| CRESCENT MEDICAL CENTER LANCASTER | Molina Healthcare Of Texas Healthbenefitexchange Healthinsurance Marketplace | — | $139.89 | $583.30 | — | 2026-08-01 | MRF ↗ |
| ARKANSAS SURGICAL HOSPITAL | Bcbs True Blue Ppo | — | $144.90 | $161.00 | — | 2026-07-30 | MRF ↗ |
| HILLSDALE HOSPITAL Both | Bcbs | Medicaid | $157.40 | $287.75 | $244.59 | 2026-05-06 | MRF ↗ |
| HILLSDALE HOSPITAL Both | Meridian Health Plan | Medicaid | $157.40 | $287.75 | $244.59 | 2026-05-06 | MRF ↗ |
| HILLSDALE HOSPITAL Both | Uhc | Medicaid | $157.40 | $287.75 | $244.59 | 2026-05-06 | MRF ↗ |
| HILLSDALE HOSPITAL Both | Paramount | Mi Hmo | $158.26 | $287.75 | $244.59 | 2026-05-06 | MRF ↗ |
| HILLSDALE HOSPITAL Both | Paramount | Mi Hmo | $161.14 | $287.75 | $244.59 | 2026-05-13 | MRF ↗ |
| BROOKINGS HEALTH SYSTEM Outpatient | Medica | Commercial | $169.82 | $232.00 | $116.00 | 2026-05-14 | MRF ↗ |
| BROOKINGS HEALTH SYSTEM Outpatient | Medica Selectcare | Commercial | $169.82 | $232.00 | $116.00 | 2026-05-14 | MRF ↗ |
| BROOKINGS HEALTH SYSTEM Outpatient | Medica Accessibility Solution | Commercial | $169.82 | $232.00 | $116.00 | 2026-05-14 | MRF ↗ |
| HILLSDALE HOSPITAL Both | Bcbs | Commercial | $180.65 | $287.75 | $244.59 | 2026-05-13 | MRF ↗ |
| BROOKINGS HEALTH SYSTEM Outpatient | Uhc | Commercial | $192.10 | $232.00 | $116.00 | 2026-05-14 | MRF ↗ |
| HILLSDALE HOSPITAL Both | Bcbs | Commercial | $193.60 | $287.75 | $244.59 | 2026-05-06 | MRF ↗ |
| HILLSDALE HOSPITAL Both | Front Path | Commercial | $204.30 | $287.75 | $244.59 | 2026-05-13 | MRF ↗ |
| HILLSDALE HOSPITAL Both | Front Path | Commercial | $204.30 | $287.75 | $244.59 | 2026-05-06 | MRF ↗ |
| BROOKINGS HEALTH SYSTEM Outpatient | Humana | Commercial | $208.80 | $232.00 | $116.00 | 2026-05-14 | MRF ↗ |
| BROOKINGS HEALTH SYSTEM Outpatient | Avera | Commercial | $208.80 | $232.00 | $116.00 | 2026-05-14 | MRF ↗ |
| HILLSDALE HOSPITAL Both | Mclaren | All Commercial Plans | $215.81 | $287.75 | $244.59 | 2026-05-06 | MRF ↗ |
| HILLSDALE HOSPITAL Both | Mclaren | All Commercial | $215.81 | $287.75 | $244.59 | 2026-05-13 | MRF ↗ |
| HILLSDALE HOSPITAL Both | Hap | All Commercial | $215.81 | $287.75 | $244.59 | 2026-05-13 | MRF ↗ |
| HILLSDALE HOSPITAL Both | Hap | All Commercial | $215.81 | $287.75 | $244.59 | 2026-05-06 | MRF ↗ |
| BROOKINGS HEALTH SYSTEM Outpatient | Sanford Bhcag | Commercial | $220.40 | $232.00 | $116.00 | 2026-05-14 | MRF ↗ |
| HILLSDALE HOSPITAL Both | Priority Health | All Commercial Plans | $223.01 | $287.75 | $244.59 | 2026-05-06 | MRF ↗ |
| HILLSDALE HOSPITAL Both | Priority Health | All Commercial | $223.01 | $287.75 | $244.59 | 2026-05-13 | MRF ↗ |
| BROOKINGS HEALTH SYSTEM Outpatient | Multiplan | Commercial | $225.04 | $232.00 | $116.00 | 2026-05-14 | MRF ↗ |
| BROOKINGS HEALTH SYSTEM Outpatient | Bcbs | Commercial | $225.64 | $232.00 | $116.00 | 2026-05-14 | MRF ↗ |
| HILLSDALE HOSPITAL Both | Paramount | Ppo | $227.32 | $287.75 | $244.59 | 2026-05-06 | MRF ↗ |
| HILLSDALE HOSPITAL Both | Paramount | Oh Hmo | $227.32 | $287.75 | $244.59 | 2026-05-06 | MRF ↗ |
| HILLSDALE HOSPITAL Both | United Healthcare | Commercial | $230.20 | $287.75 | $244.59 | 2026-05-13 | MRF ↗ |
| HILLSDALE HOSPITAL Both | United Healthcare | Commercial | $230.20 | $287.75 | $244.59 | 2026-05-06 | MRF ↗ |
| BROOKINGS HEALTH SYSTEM Outpatient | Medicaid | Medicaid | $232.00 | $232.00 | $116.00 | 2026-05-14 | MRF ↗ |
| HILLSDALE HOSPITAL Both | Paramount | Oh Hmo And Ppo | $233.08 | $287.75 | $244.59 | 2026-05-13 | MRF ↗ |
| HILLSDALE HOSPITAL Both | Aetna | Commercial | $235.67 | $287.75 | $244.59 | 2026-05-13 | MRF ↗ |
| HILLSDALE HOSPITAL Both | Aetna | Commercial | $235.67 | $287.75 | $244.59 | 2026-05-06 | MRF ↗ |
| HILLSDALE HOSPITAL Both | Cofinity | Commercial | $258.98 | $287.75 | $244.59 | 2026-05-06 | MRF ↗ |
| HILLSDALE HOSPITAL Both | Multiplan | Commercial | $273.36 | $287.75 | $244.59 | 2026-05-06 | MRF ↗ |
| HILLSDALE HOSPITAL Both | Multiplan | Commercial | $273.36 | $287.75 | $244.59 | 2026-05-13 | MRF ↗ |
| ALLENDALE COUNTY HOSPITAL Both | Devoted Health | Medicare | $341.00 | $775.00 | $658.75 | 2026-05-06 | MRF ↗ |
| ALLENDALE COUNTY HOSPITAL Both | Wellcare Medicare Advantage | Medicare | $341.00 | $775.00 | $658.75 | 2026-05-06 | MRF ↗ |
| ALLENDALE COUNTY HOSPITAL Both | United Healthcare Medicare Solutions | Medicare | $341.00 | $775.00 | $658.75 | 2026-05-06 | MRF ↗ |
| ALLENDALE COUNTY HOSPITAL Both | Pruitt Health Premier | Medicare | $341.00 | $775.00 | $658.75 | 2026-05-06 | MRF ↗ |
| ALLENDALE COUNTY HOSPITAL Both | Humana Gold | Medicare | $341.00 | $775.00 | $658.75 | 2026-05-06 | MRF ↗ |
| ALLENDALE COUNTY HOSPITAL Both | Healthsun Health | Medicare | $341.00 | $775.00 | $658.75 | 2026-05-06 | MRF ↗ |
| ALLENDALE COUNTY HOSPITAL Both | Freedom Health | Medicare | $341.00 | $775.00 | $658.75 | 2026-05-06 | MRF ↗ |
| ALLENDALE COUNTY HOSPITAL Both | Allwell Medicare | Medicare | $341.00 | $775.00 | $658.75 | 2026-05-06 | MRF ↗ |
| ALLENDALE COUNTY HOSPITAL Both | Aetna Medicare Open | Medicare | $341.00 | $775.00 | $658.75 | 2026-05-06 | MRF ↗ |
| ALLENDALE COUNTY HOSPITAL Both | Eon Health | Medicare | $341.00 | $775.00 | $658.75 | 2026-05-06 | MRF ↗ |
| ALLENDALE COUNTY HOSPITAL Both | Emblem Health | Medicare | $341.00 | $775.00 | $658.75 | 2026-05-06 | MRF ↗ |
| ARKANSAS SURGICAL HOSPITAL | Priority Health | — | $1,120.00 | $161.00 | — | 2026-07-30 | MRF ↗ |
| ARKANSAS SURGICAL HOSPITAL | Cigna Loyal American Life | — | $1,120.00 | $161.00 | — | 2026-07-30 | MRF ↗ |
| ARKANSAS SURGICAL HOSPITAL | Cigna | — | $1,120.00 | $161.00 | — | 2026-07-30 | MRF ↗ |
| ARKANSAS SURGICAL HOSPITAL | Cigna Healthcare | — | $1,120.00 | $161.00 | — | 2026-07-30 | MRF ↗ |
| ARKANSAS SURGICAL HOSPITAL | Providence Health Plan | — | $1,120.00 | $161.00 | — | 2026-07-30 | MRF ↗ |
| ARKANSAS SURGICAL HOSPITAL | Tufts Health Plan | — | $1,120.00 | $161.00 | — | 2026-07-30 | MRF ↗ |
| ARKANSAS SURGICAL HOSPITAL | Cigna Ppo | — | $1,120.00 | $161.00 | — | 2026-07-30 | MRF ↗ |
| ARKANSAS SURGICAL HOSPITAL | Cigna Dme Government | — | $1,120.00 | $161.00 | — | 2026-07-30 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Molina Medicare | — | $1,972.67 | $10,732.68 | $6,439.61 | 2026-07-17 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Molina Marketplace | — | $2,146.54 | $10,732.68 | $6,439.61 | 2026-07-17 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Blue Cross Blue Shield Marketplace | — | $2,449.36 | $10,732.68 | $6,439.61 | 2026-07-17 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Humana Medicare | — | $2,494.02 | $10,732.68 | $6,439.61 | 2026-07-17 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Wellcare Medicare | — | $2,568.57 | $10,732.68 | $6,439.61 | 2026-07-17 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Aetna Medicare | — | $2,728.07 | $10,732.68 | $6,439.61 | 2026-07-17 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Atc Medicare | — | $3,052.02 | $10,732.68 | $6,439.61 | 2026-07-17 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Molina Healthy Connection Prime | — | $3,137.65 | $10,732.68 | $6,439.61 | 2026-07-17 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Atc Medicaid | — | $3,244.91 | $10,732.68 | $6,439.61 | 2026-07-17 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Blue Cross Blue Shield Medicare | — | $3,373.60 | $10,732.68 | $6,439.61 | 2026-07-17 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Select Medicaid | — | $4,034.96 | $10,732.68 | $6,439.61 | 2026-07-17 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Molina Medicaid | — | $4,229.07 | $10,732.68 | $6,439.61 | 2026-07-17 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Wellcare Medicaid | — | $4,469.12 | $10,732.68 | $6,439.61 | 2026-07-17 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Bluechoice Medicaid | — | $4,649.25 | $10,732.68 | $6,439.61 | 2026-07-17 | MRF ↗ |