4901109 — Antivenin Crotalidae
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). ANTIVENIN CROTALIDAE (CDM 4901109) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/4901109?code_type=CDM
MLA (9th ed.)
“ANTIVENIN CROTALIDAE (CDM 4901109) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/4901109?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“ANTIVENIN CROTALIDAE (CDM 4901109) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/4901109?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,556–$5,886 (25th–75th percentile) across 4 hospitals · 36 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 4901109 — 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 |
|---|---|---|---|---|---|---|---|
| MC CAMEY HOSPITAL Outpatient | Blue Cross Blue Shield - Tx | Blue Advantage HMO | $47.00 | $79.00 | $79.00 | 2026-03-24 | MRF ↗ |
| MC CAMEY HOSPITAL Outpatient | Wellpoint | Medicare Advantage | $52.00 | $79.00 | $79.00 | 2026-03-24 | MRF ↗ |
| MC CAMEY HOSPITAL Outpatient | Superior Health Plan | Medicare Advantage | $56.00 | $79.00 | $79.00 | 2026-03-24 | MRF ↗ |
| MC CAMEY HOSPITAL Outpatient | ChoiceCare | Commercial | $63.00 | $79.00 | $79.00 | 2026-03-24 | MRF ↗ |
| MC CAMEY HOSPITAL Outpatient | Cigna | Commercial | $63.00 | $79.00 | $79.00 | 2026-03-24 | MRF ↗ |
| MC CAMEY HOSPITAL Outpatient | Aetna | Medicare Advantage | $67.00 | $79.00 | $79.00 | 2026-03-24 | MRF ↗ |
| MC CAMEY HOSPITAL Outpatient | Three Rivers Provider Network | Commercial | $67.00 | $79.00 | $79.00 | 2026-03-24 | MRF ↗ |
| MC CAMEY HOSPITAL Outpatient | Aetna | Commercial | $67.00 | $79.00 | $79.00 | 2026-03-24 | MRF ↗ |
| MC CAMEY HOSPITAL Outpatient | Blue Cross Blue Shield - Tx | Blue Essentials | $68.00 | $79.00 | $79.00 | 2026-03-24 | MRF ↗ |
| MC CAMEY HOSPITAL Outpatient | Blue Cross Blue Shield - Tx | Commercial | $71.00 | $79.00 | $79.00 | 2026-03-24 | MRF ↗ |
| MC CAMEY HOSPITAL Outpatient | Galaxy Health Network | Commercial | $71.00 | $79.00 | $79.00 | 2026-03-24 | MRF ↗ |
| MC CAMEY HOSPITAL Outpatient | FirstCare | Commercial | $71.00 | $79.00 | $79.00 | 2026-03-24 | MRF ↗ |
| MC CAMEY HOSPITAL Outpatient | Scott and White Health Plan | Commercial | $71.00 | $79.00 | $79.00 | 2026-03-24 | MRF ↗ |
| MC CAMEY HOSPITAL Outpatient | HealthSmart Preferred Network | Commercial | $71.00 | $79.00 | $79.00 | 2026-03-24 | MRF ↗ |
| MC CAMEY HOSPITAL Outpatient | Private Health Care Systems (PHCS) | Commercial | $71.00 | $79.00 | $79.00 | 2026-03-24 | MRF ↗ |
| MC CAMEY HOSPITAL Outpatient | CapStar | PPO | $78.00 | $79.00 | $79.00 | 2026-03-24 | MRF ↗ |
| MC CAMEY HOSPITAL Outpatient | Superior Health Plan | Commercial - Exchange | $78.00 | $79.00 | $79.00 | 2026-03-24 | MRF ↗ |
| MC CAMEY HOSPITAL Outpatient | MultiPlan | Commercial | $79.00 | $79.00 | $79.00 | 2026-03-24 | MRF ↗ |
| LOYOLA GOTTLIEB MEMORIAL HOSPITAL OutpatientFacility | Cigna | HMO | $186.62 | $620.00 | $117.80 | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER OutpatientFacility | Cigna | HMO | $215.14 | $620.00 | $142.60 | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER OutpatientFacility | Cigna | HMO | $215.14 | $620.00 | $142.60 | 2026-03-31 | MRF ↗ |
| LOYOLA GOTTLIEB MEMORIAL HOSPITAL OutpatientFacility | Cigna | PPO | $264.12 | $620.00 | $117.80 | 2026-03-31 | MRF ↗ |
| LOYOLA GOTTLIEB MEMORIAL HOSPITAL OutpatientFacility | Aetna | All Products | $272.80 | $620.00 | $117.80 | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER OutpatientFacility | BCBS IL | Blue Precision | $296.98 | $620.00 | $142.60 | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER OutpatientFacility | BCBS IL | Blue Precision | $296.98 | $620.00 | $142.60 | 2026-03-31 | MRF ↗ |
| LOYOLA GOTTLIEB MEMORIAL HOSPITAL OutpatientFacility | BCBS IL | Blue Choice | $303.18 | $620.00 | $117.80 | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER OutpatientFacility | BCBS IL | HMO | $309.38 | $620.00 | $142.60 | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER OutpatientFacility | BCBS IL | HMO | $309.38 | $620.00 | $142.60 | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER OutpatientFacility | Humana | All Products | $310.00 | $620.00 | $142.60 | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER OutpatientFacility | UHC | All Products | $310.00 | $620.00 | $142.60 | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER OutpatientFacility | Humana | All Products | $310.00 | $620.00 | $142.60 | 2026-03-31 | MRF ↗ |
| LOYOLA GOTTLIEB MEMORIAL HOSPITAL OutpatientFacility | UHC | Navigate Core | $310.00 | $620.00 | $117.80 | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER OutpatientFacility | UHC | All Products | $310.00 | $620.00 | $142.60 | 2026-03-31 | MRF ↗ |
| LOYOLA GOTTLIEB MEMORIAL HOSPITAL OutpatientFacility | UHC | All Products | $322.40 | $620.00 | $117.80 | 2026-03-31 | MRF ↗ |
| LOYOLA GOTTLIEB MEMORIAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $356.50 | $620.00 | $117.80 | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER OutpatientFacility | Cigna | PPO | $381.92 | $620.00 | $142.60 | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER OutpatientFacility | Cigna | PPO | $381.92 | $620.00 | $142.60 | 2026-03-31 | MRF ↗ |
| LOYOLA GOTTLIEB MEMORIAL HOSPITAL OutpatientFacility | BCBS IL | HMO | $382.54 | $620.00 | $117.80 | 2026-03-31 | MRF ↗ |
| LOYOLA GOTTLIEB MEMORIAL HOSPITAL OutpatientFacility | BCBS IL | Blue Precision | $397.42 | $620.00 | $117.80 | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER OutpatientFacility | Aetna | FH-Medical Rental | $403.00 | $620.00 | $142.60 | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER OutpatientFacility | Aetna | FH-Medical Rental | $403.00 | $620.00 | $142.60 | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER OutpatientFacility | BCBS IL | Blue Choice | $442.06 | $620.00 | $142.60 | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER OutpatientFacility | BCBS IL | Blue Choice | $442.06 | $620.00 | $142.60 | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER OutpatientFacility | Aetna | ASA | $443.30 | $620.00 | $142.60 | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER OutpatientFacility | Aetna | ASA | $443.30 | $620.00 | $142.60 | 2026-03-31 | MRF ↗ |
| LOYOLA GOTTLIEB MEMORIAL HOSPITAL OutpatientFacility | Aetna | FH-Medical Rental | $452.60 | $620.00 | $117.80 | 2026-03-31 | MRF ↗ |
| LOYOLA GOTTLIEB MEMORIAL HOSPITAL OutpatientFacility | Humana | All Products | $519.56 | $620.00 | $117.80 | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER OutpatientFacility | BCBS IL | PPO | $530.10 | $620.00 | $142.60 | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER OutpatientFacility | BCBS IL | PPO | $530.10 | $620.00 | $142.60 | 2026-03-31 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | KENTUCKY MEDICAID | KY MEDI BC KMA IP | $1,556.18 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | KENTUCKY MEDICAID | KY MEDI MOLINA PSPRT IP | $1,556.18 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | KENTUCKY MEDICAID | KY MEDI UNITEDHEALTH IP | $1,556.18 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | KENTUCKY MEDICAID | KY MEDI BC KMA OP | $1,556.18 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | KENTUCKY MEDICAID | KY_MCAID IP | $1,623.84 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | KENTUCKY MEDICAID | KY MCAID OP | $1,623.84 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | KENTUCKY MEDICAID | KY MEDI PASSPORT HLTH | $1,623.84 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | KENTUCKY MEDICAID | KY MEDI UNITEDHEALTH CARE | $1,623.84 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | KENTUCKY MEDICAID | KY MEDI HUMANA IP | $1,623.84 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | VETERANS ADMINISTRATION | VA OP | $1,691.50 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | VETERANS ADMINISTRATION | VA IP | $1,691.50 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | VETERANS ADMINISTRATION | VA ROUTINE SERVICES | $1,691.50 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED OP | $1,759.16 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED IP | $1,759.16 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED WELLCARE SWING | $1,759.16 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED BC ASC | $1,759.16 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE | MEDICARE ASC | $1,759.16 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE | MEDICARE IP | $1,759.16 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE | MEDICARE SWING BED | $1,759.16 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE | MEDICARE OP | $1,759.16 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | CENTURION BCF IP | $1,759.16 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | CENTURION BCF OP | $1,759.16 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED MEDICAL MUTUAL OP | $1,759.16 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | WEXFORD HLTH OP/BCF | $1,759.16 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | KENTUCKY MEDICAID | KY MEDI WELLCARE OF KY OP | $1,759.16 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | KENTUCKY MEDICAID | KY MEDI WELLCARE OF KY IP | $1,759.16 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | BC 130 | BC OP ESSENTIAL | $1,759.16 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED AETNA IP | $1,759.16 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICAID | MEDI BC PATHWAY IP | $1,759.16 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICAID | MEDI BC PATHWAY OP | $1,759.16 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED BC IP | $1,759.16 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED PASSPRT ASC | $1,759.16 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED WELLCARE IP | $1,759.16 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED HUM SWING BED | $1,759.16 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED OPTUM MED NETWORK OP | $1,759.16 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED HUMANA OP | $1,759.16 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED BC ADV OP | $1,759.16 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED BC SWING BED | $1,759.16 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED WELLCARE OP | $1,759.16 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED MOLINA HLTHCR MCO OP | $1,759.16 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED AETNA SWINGBED | $1,759.16 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED ALLWELL MHS SWINGBED | $1,759.16 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED CIGNA OP | $1,759.16 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED ALLWELL FROM MHS OP | $1,759.16 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED PASSPRT OP | $1,759.16 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED AETNA | $1,759.16 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED PYRAMID LIFE ADV OP | $1,759.16 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED ALLWELL FROM MHS IP | $1,759.16 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED IU HLTH ADV IP | $1,759.16 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED UHC ADV OP | $1,759.16 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED UHC SWING BED | $1,759.16 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED PYRAMID LIFE ADV IP | $1,759.16 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED UHC ADV IP | $1,759.16 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED PASSPRT IP | $1,759.16 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICARE HMO | MED HUM ASC | $1,759.16 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | KENTUCKY MEDICAID | KY MEDI PASSPORT/KMA HLTH | $2,165.12 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | KENTUCKY MEDICAID | KY MEDI HUMANA OP | $2,232.78 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | KENTUCKY MEDICAID | KY MEDI AETNA BET HEALTH | $2,300.44 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | WORKERS COMPENSATION | WORKERS COMP IP | $3,383.00 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | WORKERS COMPENSATION | ACCIDENT FUND PCMH IP | $3,383.00 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | WORKERS COMPENSATION | WORKERS COMP OP | $3,383.00 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | WORKERS COMPENSATION | ACCIDENT FUND PCMH OUPT | $3,383.00 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | BC 130 | BC IP ESSENTIALS | $3,976.37 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | NSA | ACORDIA NATIONAL IP | $3,976.37 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | NSA | ACORDIA NATIONAL OP | $3,976.37 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | BC 130 | BC OP | $3,976.37 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | BC 130 | BC LAB | $3,976.37 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | BC 130 | BC 160 (XT) KY/OP | $3,976.37 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | BC 130 | BC 130 SWING | $3,976.37 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | BC 130 | BC IP | $3,976.37 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | CARESOURCE SWINGBED | $3,976.37 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | NSA | ACORDIA NATIONAL IP | $4,176.65 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | NSA | ACORDIA NATIONAL OP | $4,176.65 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | CARESOURCE SWINGBED | $4,176.65 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | BC 130 | BC 130 SWING | $4,176.65 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | BC 130 | BC OP | $4,176.65 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | BC 130 | BC 160 (XT) KY/OP | $4,176.65 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | BC 130 | BC IP ESSENTIALS | $4,176.65 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | BC 130 | BC LAB | $4,176.65 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | BC 130 | BC IP | $4,176.65 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GUARANTOR LIABLE | TP | $4,736.20 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | PCMH INSURNACE | PCMH DEACONESS ONECARE | $5,277.48 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | BC 130 | UNICARE IP | $5,406.03 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | PASSPORT MOLINA MRKTPLACE | $5,406.03 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | UNITED HEALTHCARE | UNITED HEALTH INPATIENT | $5,406.03 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | SECONDARY INSURANCE | AARP INSURANCE | $5,406.03 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | UMR OP | $5,406.03 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | UNITED HEALTHCARE | UNITED HEALTH | $5,406.03 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | UMR IP | $5,406.03 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | UNITED HEALTHCARE | UNITED HEALTH OP | $5,406.03 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | UNITED HEALTHCARE | ALL SAVERS | $5,406.03 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | UNITED HEALTHCARE | UNITED HEALTH INPT | $5,406.03 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | KENTUCKY HEALTH COOP | $5,615.78 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | PAT VALLEY MEDICAL BENEFI | $5,615.78 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | UNIFIED GROUP SERVICES | $5,615.78 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | AETNA US HLTHCARE IP | $5,696.97 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | FREEDOM LIFE IP | $5,696.97 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | AETNA | $5,696.97 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | FREEDOM LIFE OP | $5,696.97 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | OPERATING ENGINEERS | ENCORE HEALTH NETWORK | $5,751.10 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | ENCORE HEALTH NETWORK | $5,751.10 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | SAGXXXX | SAG1718 | $5,886.42 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | SAGXXXX | SAG1942 | $5,886.42 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | SAGXXXX | SAGAMORE OP | $5,886.42 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | SAGXXXX | SAGA1912 | $5,886.42 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | CIGNA | CIGNA OP | $5,886.42 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | CIGNA | CIGNA IP | $5,886.42 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | SAGXXXX | SAG1609 | $5,886.42 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GREAT WEST | GREAT WEST IP | $5,886.42 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | BOILERMAKERS HEALTHCARE | CIGNA BOILERM IP | $5,886.42 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | BOILERMAKERS HEALTHCARE | CIGNA BOILERM OP | $5,886.42 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | SAGXXXX | SAG2064 | $5,886.42 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | SAGXXXX | SAGAMORE | $5,886.42 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GREAT WEST | GREAT WEST OP | $5,886.42 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | SAGXXXX | SAG1308 | $5,886.42 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | CHAMPUS | CHAMPUS | $6,766.00 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GUARANTOR LIABLE | AUTO ACCIDENT OP | $6,766.00 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GUARANTOR LIABLE | STANDARD MUTUAL INS | $6,766.00 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | NGS AMERICAN, INC | NGS AMERICAN INC OP | $6,766.00 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | NGS AMERICAN, INC | NGS AMERICAN INC IP | $6,766.00 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | PCMH INSURNACE | DUNN & ASSOC OP | $6,766.00 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | SOUTHWIRE | SOUTHWIRE OP | $6,766.00 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | SOUTHWIRE | SOUTHWIRE IP | $6,766.00 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | WAUSAU BENEFITS | WAUSAU BENEFITS OP | $6,766.00 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | WAUSAU BENEFITS | WAUSAU BENEFITS IP | $6,766.00 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GREAT WEST | G-W CONSOLIDATED IP | $6,766.00 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GREAT WEST | G-W CONSOLIDATED OP | $6,766.00 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICAID | MEDI OUT OF STATE OP | $6,766.00 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | MEDICAID | MEDI OUT OF STATE IP | $6,766.00 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | TRICARE | TRICARE EAST | $6,766.00 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | TRICARE | TRICARE | $6,766.00 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | BENEFIT PLANNERS | $6,766.00 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | ICHIA | $6,766.00 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | GROUP INS OP | $6,766.00 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | NYHART | $6,766.00 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | IU HEALTH EXCHANGE | $6,766.00 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | MERITAIN IP | $6,766.00 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | INDIANA CARPENTERS | $6,766.00 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | INDIANA STATE COUNCIL | $6,766.00 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | VETERANS ADMINISTRATION | VES | $6,766.00 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | VETERANS ADMINISTRATION | TRIWEST | $6,766.00 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | TRICARE | TRICARE EAST IP | $6,766.00 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | TRICARE | TRICARE FOR LIFE | $6,766.00 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | RELIANCE STANDARD | $6,766.00 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | WEB TPA | $6,766.00 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | IHN | $6,766.00 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | NALC HEALTH BENEFIT PLAN | $6,766.00 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | EXCEEDENT LLC | $6,766.00 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | HEALTHSMART | $6,766.00 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | TRANSCHOICE | $6,766.00 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
| PERRY COUNTY MEMORIAL HOSPITAL Both | GROUP INSURANCE | GROUP INS IP | $6,766.00 | $6,766.00 | $4,736.20 | 2026-01-02 | MRF ↗ |
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