4402182 — Ventolin Mdi 108 Mcg/act (8 Gm)
Cite this view
HANK Price Transparency. (n.d.). VENTOLIN MDI 108 MCG/ACT (8 GM) (CDM 4402182) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/4402182?code_type=CDM
“VENTOLIN MDI 108 MCG/ACT (8 GM) (CDM 4402182) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/4402182?code_type=CDM. Accessed .
“VENTOLIN MDI 108 MCG/ACT (8 GM) (CDM 4402182) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/4402182?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $118–$1,300 (25th–75th percentile) across 4 hospitals · 51 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 4402182 — 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 |
|---|---|---|---|---|---|---|---|
| LARKIN COMMUNITY HOSPITAL Outpatient | BCBS MCR ADV | BCBS MCR ADV | $26.64 | $148.00 | $103.60 | 2025-12-10 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL Outpatient | CIGNA PPO-ALL OTHER PLANS | CIGNA PPO-ALL OTHER PLANS | $37.00 | $148.00 | $103.60 | 2025-12-10 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL Outpatient | HUMANA HMO/PPO/POS-ALL OTHER PLANS | HUMANA HMO/PPO/POS-ALL OTHER PLANS | $44.40 | $148.00 | $103.60 | 2025-12-10 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL Outpatient | OSCAR HEALTH-ALL PLANS | OSCAR HEALTH-ALL PLANS | $44.40 | $148.00 | $103.60 | 2025-12-10 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL Outpatient | HEALTHSUN-ALL PLANS | HEALTHSUN-ALL PLANS | $44.40 | $148.00 | $103.60 | 2025-12-10 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL Outpatient | MOLINA MEDICAID | MOLINA MEDICAID | $44.40 | $148.00 | $103.60 | 2025-12-10 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL Outpatient | DOCTORS HEALTHCARE-ALL PLANS | DOCTORS HEALTHCARE-ALL PLANS | $51.80 | $148.00 | $103.60 | 2025-12-10 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL Outpatient | STAR NETWORK-ALL PLANS | STAR NETWORK-ALL PLANS | $59.20 | $148.00 | $103.60 | 2025-12-10 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL PALM SPRINGS CAMPUS Outpatient | BCBS MCR ADV | BCBS MCR ADV | $71.10 | $395.00 | $276.50 | 2026-01-30 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL BEHAVIORAL HEALTH SRVS Outpatient | FCC MEDICAID | FCC MEDICAID | $74.00 | $148.00 | $103.60 | 2025-12-16 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL Outpatient | JMH HEALTH PLAN HMO/PPO-ALL OTHER PLANS | JMH HEALTH PLAN HMO/PPO-ALL OTHER PLANS | $81.40 | $148.00 | $103.60 | 2025-12-10 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL Outpatient | FIRST MED HP OF FL-ALL PLANS | FIRST MED HP OF FL-ALL PLANS | $88.80 | $148.00 | $103.60 | 2025-12-10 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL Outpatient | GLOBAL EXCEL-ALL PLANS | GLOBAL EXCEL-ALL PLANS | $88.80 | $148.00 | $103.60 | 2025-12-10 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL Outpatient | HAA PREFERRED PARTNERS-ALL PLANS | HAA PREFERRED PARTNERS-ALL PLANS | $88.80 | $148.00 | $103.60 | 2025-12-10 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL BEHAVIORAL HEALTH SRVS Outpatient | MAGELLAN HEALTHCARE-ALL PLANS | MAGELLAN HEALTHCARE-ALL PLANS | $88.80 | $148.00 | $103.60 | 2025-12-16 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL PALM SPRINGS CAMPUS Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $98.75 | $395.00 | $276.50 | 2026-01-30 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL BEHAVIORAL HEALTH SRVS Outpatient | CIGNA BEHAV - ALL PLANS | CIGNA BEHAV - ALL PLANS | $103.60 | $148.00 | $103.60 | 2025-12-16 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMD UHC | MCD UHC IP | $118.16 | $2,013.00 | $1,207.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMD LA HLTH CONN | MCD LHC OP | $118.16 | $2,013.00 | $1,207.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MEDICAID LA | MEDICAID IP | $118.16 | $2,013.00 | $1,207.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MEDICAID LA | MEDICAID OP | $118.16 | $2,013.00 | $1,207.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMD MISC | MCD MISC IP | $118.16 | $2,013.00 | $1,207.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMD MISC | MCD MISC OP | $118.16 | $2,013.00 | $1,207.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMD AETNA BETTER HLTH | MCD AETNA OP | $118.16 | $2,013.00 | $1,207.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMD AETNA BETTER HLTH | MCD AETNA IP | $118.16 | $2,013.00 | $1,207.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMD AMERIHEALTH CARITAS | MCD AMERIHEALTH OP | $118.16 | $2,013.00 | $1,207.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMD AMERIHEALTH CARITAS | MCD AMERIHEALTH IP | $118.16 | $2,013.00 | $1,207.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMD HEALTHY BLUE | MCD HEALTHY BLUE IP | $118.16 | $2,013.00 | $1,207.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMD HEALTHY BLUE | MCD HEALTHY BLUE OP | $118.16 | $2,013.00 | $1,207.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMD UHC | MCD UHC OP | $118.16 | $2,013.00 | $1,207.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMD LA HLTH CONN | MCD LHC IP | $118.16 | $2,013.00 | $1,207.80 | 2025-12-04 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL PALM SPRINGS CAMPUS Outpatient | OSCAR HEALTH-ALL PLANS | OSCAR HEALTH-ALL PLANS | $118.50 | $395.00 | $276.50 | 2026-01-30 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL PALM SPRINGS CAMPUS Outpatient | HUMANA COMMERCIAL/PPO - ALL OTHER PLANS | HUMANA COMMERCIAL/PPO - ALL OTHER PLANS | $118.50 | $395.00 | $276.50 | 2026-01-30 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL BEHAVIORAL HEALTH SRVS Outpatient | AETNA MCR ADV | AETNA MCR ADV | $138.78 | $148.00 | $103.60 | 2025-12-16 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL BEHAVIORAL HEALTH SRVS Outpatient | SUNSHINE BEHAV COMM - ALL OTHER PLANS | SUNSHINE BEHAV COMM - ALL OTHER PLANS | $138.78 | $148.00 | $103.60 | 2025-12-16 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL BEHAVIORAL HEALTH SRVS Outpatient | LONGEVITY MCR ADV-ALL PLANS | LONGEVITY MCR ADV-ALL PLANS | $138.78 | $148.00 | $103.60 | 2025-12-16 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL BEHAVIORAL HEALTH SRVS Outpatient | AETNA - ALL OTHER PLANS | AETNA - ALL OTHER PLANS | $138.78 | $148.00 | $103.60 | 2025-12-16 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL BEHAVIORAL HEALTH SRVS Outpatient | BRIGHT HLTH MCR ADV | BRIGHT HLTH MCR ADV | $138.78 | $148.00 | $103.60 | 2025-12-16 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL BEHAVIORAL HEALTH SRVS Outpatient | CLEAR SPRING HEALTH-ALL PLANS | CLEAR SPRING HEALTH-ALL PLANS | $145.72 | $148.00 | $103.60 | 2025-12-16 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL Outpatient | AVMED-ALL PLANS | AVMED-ALL PLANS | $148.00 | $148.00 | $103.60 | 2025-12-10 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL BEHAVIORAL HEALTH SRVS Outpatient | HMA MCR ADV | HMA MCR ADV | $159.60 | $148.00 | $103.60 | 2025-12-16 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL PALM SPRINGS CAMPUS Outpatient | WELLCARE COMM (CHOICE) - ALL OTHER PLANS | WELLCARE COMM (CHOICE) - ALL OTHER PLANS | $197.50 | $395.00 | $276.50 | 2026-01-30 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL PALM SPRINGS CAMPUS Outpatient | WELLCARE MEDICARE | WELLCARE MEDICARE | $256.75 | $395.00 | $276.50 | 2026-01-30 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | CASHIERING | SELF PAY OP | $805.20 | $2,013.00 | $1,207.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | CASHIERING | SELF PAY IP | $805.20 | $2,013.00 | $1,207.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | CIGNA | CIGNA IP | $1,006.50 | $2,013.00 | $1,207.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | CIGNA | CIGNA OP | $1,006.50 | $2,013.00 | $1,207.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMC HEALTHY BLUE MEDICARE | MCR HEALTHY BLUE DUAL IP | $1,087.02 | $2,013.00 | $1,207.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | AMBETTER | AMBETTER IP | $1,087.02 | $2,013.00 | $1,207.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | AETNA MEDICARE | MCR AETNA IP | $1,087.02 | $2,013.00 | $1,207.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | AETNA MEDICARE | MCR AETNA OP | $1,087.02 | $2,013.00 | $1,207.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MEDICARE | MEDICARE NOV IP | $1,087.02 | $2,013.00 | $1,207.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MEDICARE | MEDICARE NOV OP | $1,087.02 | $2,013.00 | $1,207.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MEDICARE | MEDICARE NOV SWING | $1,087.02 | $2,013.00 | $1,207.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MEDICARE | MEDICARE NOV PT B IP ONLY | $1,087.02 | $2,013.00 | $1,207.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | UMR | UMR OP | $1,087.02 | $2,013.00 | $1,207.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | UMR | UMR IP | $1,087.02 | $2,013.00 | $1,207.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | UHC | UHC COMM OP | $1,087.02 | $2,013.00 | $1,207.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | UHC | UHC COMM IP | $1,087.02 | $2,013.00 | $1,207.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMC MISC | MCR HMO MISC IP | $1,087.02 | $2,013.00 | $1,207.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMC MISC | DOWNGRADE MEDICARE HMO | $1,087.02 | $2,013.00 | $1,207.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMC MISC | MCR HMO MISC OP | $1,087.02 | $2,013.00 | $1,207.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMC BLUE ADVANTAGE | MCR BCBS ADVANTAGE OP | $1,087.02 | $2,013.00 | $1,207.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMC BLUE ADVANTAGE | MCR BCBS ADVANTAGE IP | $1,087.02 | $2,013.00 | $1,207.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | AMBETTER | AMBETTER OP | $1,087.02 | $2,013.00 | $1,207.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMC HEALTHY BLUE MEDICARE | MCR HEALTHY BLUE DUAL OP | $1,087.02 | $2,013.00 | $1,207.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMC HUMANA GOLD | MMC AMERICAN HEALTH | $1,087.02 | $2,013.00 | $1,207.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMC HUMANA GOLD | MCR HUMANA IP | $1,087.02 | $2,013.00 | $1,207.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMC HUMANA GOLD | MCR HUMANA OP | $1,087.02 | $2,013.00 | $1,207.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMC UHC | MCR UHC OP | $1,087.02 | $2,013.00 | $1,207.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MMC UHC | MCR UHC IP | $1,087.02 | $2,013.00 | $1,207.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MISC MGD CARE | MCR HMO MISC OP | $1,087.02 | $2,013.00 | $1,207.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | VA HEALTH | VA HEALTH | $1,087.02 | $2,013.00 | $1,207.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MCR AMERICAN HLTH ADV | MCR AMERICAN HLTH ADV IP | $1,087.02 | $2,013.00 | $1,207.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MCR AMERICAN HLTH ADV | MCR AMERICAN HLTH ADV OP | $1,087.02 | $2,013.00 | $1,207.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | CASHIERING | SELF PAY OP | $1,207.80 | $2,013.00 | $1,207.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | CASHIERING | SELF PAY IP | $1,207.80 | $2,013.00 | $1,207.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | BCBS 00S | DEACTIVATE BCBS OOS | $1,211.82 | $2,013.00 | $1,207.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | BCBS LA | BLUE CROSS OP | $1,211.82 | $2,013.00 | $1,207.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | BCBS LA | BLUE CROSS IP | $1,211.82 | $2,013.00 | $1,207.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | HUMANA MEDICAID | MCD HUMANA IP | $1,299.79 | $2,013.00 | $1,207.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | HUMANA MEDICAID | MCD HUMANA OP | $1,299.79 | $2,013.00 | $1,207.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | WC STONETRUST | WC STONETRUST WC OP | $1,811.70 | $2,013.00 | $1,207.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | WC STONETRUST | WC STONETRUST WC IP | $1,811.70 | $2,013.00 | $1,207.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | WC CITY OF ARCADIA | WC CITY ARCADIA IP | $1,811.70 | $2,013.00 | $1,207.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | WC CITY OF ARCADIA | WC CITY ARCADIA OP | $1,811.70 | $2,013.00 | $1,207.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | WC HOUSE OF RAEFORD | WC HOUSE OF RAEFORD IP | $1,811.70 | $2,013.00 | $1,207.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | WC HOUSE OF RAEFORD | WC HOUSE OF RAEFORD OP | $1,811.70 | $2,013.00 | $1,207.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | WC MISC | WORK COMP OP | $1,811.70 | $2,013.00 | $1,207.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | WC MISC | WORK COMP IP | $1,811.70 | $2,013.00 | $1,207.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | AARP | AARP IP | $2,013.00 | $2,013.00 | $1,207.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MISC COMM M-Z | DEACTIVATE MISC M TO Z | $2,013.00 | $2,013.00 | $1,207.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | APWU | APWU OP | $2,013.00 | $2,013.00 | $1,207.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | APWU | APWU IP | $2,013.00 | $2,013.00 | $1,207.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | TRICARE FOR LIFE | TRICARE FOR LIFE OP | $2,013.00 | $2,013.00 | $1,207.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | TRICARE FOR LIFE | TRICARE FOR LIFE IP | $2,013.00 | $2,013.00 | $1,207.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | AETNA | AETNA OP | $2,013.00 | $2,013.00 | $1,207.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | AETNA | AETNA IP | $2,013.00 | $2,013.00 | $1,207.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | LIBERTY MUTUAL | LIBERTY MUTUAL IP | $2,013.00 | $2,013.00 | $1,207.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | LIBERTY MUTUAL | LIBERTY MUTUAL OP | $2,013.00 | $2,013.00 | $1,207.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | AARP | AARP OP | $2,013.00 | $2,013.00 | $1,207.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MISC COMM A-L | MISC COMM IP | $2,013.00 | $2,013.00 | $1,207.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | AMFIRST | AMFIRST IP | $2,013.00 | $2,013.00 | $1,207.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | AMFIRST | AMFIRST OP | $2,013.00 | $2,013.00 | $1,207.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MISC MGD CARE | MCR HMO MISC IP | $2,013.00 | $2,013.00 | $1,207.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | MISC COMM A-L | MISC COMM OP | $2,013.00 | $2,013.00 | $1,207.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | ALLEGIANCE HEALTH MANAGME | GULF SOUTH IP | $2,013.00 | $2,013.00 | $1,207.80 | 2025-12-04 | MRF ↗ |
| BIENVILLE MEDICAL CENTER Inpatient | ALLEGIANCE HEALTH MANAGME | GULF SOUTH OP | $2,013.00 | $2,013.00 | $1,207.80 | 2025-12-04 | MRF ↗ |