5004940 — Insert/rplc Neuro Com Sys 0424t
Cite this view
HANK Price Transparency. (n.d.). INSERT/RPLC NEURO COM SYS 0424T (CDM 5004940) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/5004940?code_type=CDM
“INSERT/RPLC NEURO COM SYS 0424T (CDM 5004940) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/5004940?code_type=CDM. Accessed .
“INSERT/RPLC NEURO COM SYS 0424T (CDM 5004940) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/5004940?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,076–$92,742 (25th–75th percentile) across 7 hospitals · 40 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 5004940 — 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 |
|---|---|---|---|---|---|---|---|
| JOHNSON COUNTY HOSPITAL Outpatient | Molina Healthcare of Nebraska | Commercial | $4.00 | $6.00 | $6.00 | 2025-07-09 | MRF ↗ |
| JOHNSON COUNTY HOSPITAL Outpatient | Wellcare | Medicare Advantage | $4.00 | $6.00 | $6.00 | 2025-07-09 | MRF ↗ |
| JOHNSON COUNTY HOSPITAL Outpatient | VA CCN | Commercial | $4.00 | $6.00 | $6.00 | 2025-07-09 | MRF ↗ |
| JOHNSON COUNTY HOSPITAL Outpatient | Coventry | Medicare Advantage | $4.00 | $6.00 | $6.00 | 2025-07-09 | MRF ↗ |
| OCHILTREE GENERAL HOSPITAL Outpatient | Superior Health Plan | Commercial | $5.00 | $10.00 | $7.00 | 2026-05-06 | MRF ↗ |
| JOHNSON COUNTY HOSPITAL Outpatient | Ambetter | Commercial | $5.00 | $6.00 | $6.00 | 2025-07-09 | MRF ↗ |
| OCHILTREE GENERAL HOSPITAL Outpatient | Humana | Medicare Advantage | $5.00 | $10.00 | $7.00 | 2026-05-06 | MRF ↗ |
| OCHILTREE GENERAL HOSPITAL Outpatient | Aetna | Medicare Advantage | $5.00 | $10.00 | $7.00 | 2026-05-06 | MRF ↗ |
| JOHNSON COUNTY HOSPITAL Outpatient | Midland's Choice | Commercial | $5.00 | $6.00 | $6.00 | 2025-07-09 | MRF ↗ |
| JOHNSON COUNTY HOSPITAL Outpatient | Aetna | Commercial | $6.00 | $6.00 | $6.00 | 2025-07-09 | MRF ↗ |
| JOHNSON COUNTY HOSPITAL Outpatient | United Healthcare | Commercial | $6.00 | $6.00 | $6.00 | 2025-07-09 | MRF ↗ |
| JOHNSON COUNTY HOSPITAL Outpatient | Blue Cross and Blue Shield of Nebraska | Commercial | $6.00 | $6.00 | $6.00 | 2025-07-09 | MRF ↗ |
| OCHILTREE GENERAL HOSPITAL Outpatient | Aetna | Commercial | $9.00 | $10.00 | $7.00 | 2026-05-06 | MRF ↗ |
| OCHILTREE GENERAL HOSPITAL Outpatient | Blue Cross Blue Shield of Texas | PPO | $9.00 | $10.00 | $7.00 | 2026-05-06 | MRF ↗ |
| OCHILTREE GENERAL HOSPITAL Outpatient | Blue Cross Blue Shield of Texas | Commercial | $9.00 | $10.00 | $7.00 | 2026-05-06 | MRF ↗ |
| OCHILTREE GENERAL HOSPITAL Outpatient | Cigna | Commercial | $9.00 | $10.00 | $7.00 | 2026-05-06 | MRF ↗ |
| OCHILTREE GENERAL HOSPITAL Outpatient | FirstCare | Commercial | $9.00 | $10.00 | $7.00 | 2026-05-06 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | MAGELLAN BEHAVIORAL | 1784_SJMA SJMC MAGELLAN BEHAVIORAL 20200101 | $308.70 | $1,029.00 | $576.24 | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | PRIORITY PPO | 2009_PRIORITY PPO 20210801 | $401.31 | $1,029.00 | $576.24 | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | HAP HMO | 2166_HEALTH ALLIANCE HMO 20241001 | $411.60 | $1,029.00 | $576.24 | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | AHLIC | 2163_AHLIC 20241001 | $411.60 | $1,029.00 | $576.24 | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | HAP HMO | 2174_SJMA HEALTH ALLIANCE HMO 20241001 | $411.60 | $1,029.00 | $576.24 | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | PRIORITY HMO | 2010_PRIORITY HMO 20210701 | $421.89 | $1,029.00 | $576.24 | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | CIGNA | 2014_SJRD,SJMC CIGNA 20210701 | $421.89 | $1,029.00 | $576.24 | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | HOSPICE | 447_SJMA, SJMC HOSPICE 20160101 | $514.50 | $1,029.00 | $576.24 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S CLAY COUNTY Outpatient | BLUE CROSS PHS | 1675_BLUE CROSS BLUE SHIELD PHS SCFL 20250701 | $576.00 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | BLUE CROSS PHS | 1588_BLUE CROSS BLUE SHIELD PHS 20250701 | $580.00 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | BLUE CROSS PHS | 1588_BLUE CROSS BLUE SHIELD PHS 20250701 | $580.00 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S ST JOHNS COUNTY Outpatient | BLUE CROSS PHS | 1690_BLUE CROSS BLUE SHIELD PHS SIFL 20250701 | $584.00 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | BLUE CROSS PHS | 1457_BLUE CROSS BLUE SHIELD PHS 20250701 | $584.00 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | HAP PREFERRED | 2171_HAP PREFERRED (PHP) 20241001 | $658.56 | $1,029.00 | $576.24 | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | HEALTHPLUS PPO | 990_HEALTHPLUS PPO 20200101 | $668.85 | $1,029.00 | $576.24 | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | AETNA PPO | 2136_AETNA 20241001 | $710.01 | $1,029.00 | $576.24 | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | PHCS POS | 1311_PHCS POS 20201001 | $720.30 | $1,029.00 | $576.24 | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | PHCS PPO GREAT WEST & MAILHANDLERS | 1458_PHCS PPO GR WEST & MAILHANDLERS 20201001 | $771.75 | $1,029.00 | $576.24 | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | PHCS PPO | 1457_PHCS PPO 20201001 | $771.75 | $1,029.00 | $576.24 | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | PPOM | 934_PPOM 20191001 | $911.28 | $1,029.00 | $576.24 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S CLAY COUNTY Outpatient | BLUE CROSS BSL | 1673_BLUE CROSS BLUE SHIELD BSL SCFL 20250701 | $929.00 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S CLAY COUNTY Outpatient | BLUE CROSS MBN | 1674_BLUE CROSS BLUE SHIELD MBN SCFL 20250701 | $929.00 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | BLUE CROSS MBN | 1584_BLUE CROSS BLUE SHIELD MBN 20250701 | $935.00 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | BLUE CROSS BSL | 1583_BLUE CROSS BLUE SHIELD BSL 20250701 | $935.00 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | BLUE CROSS MBN | 1584_BLUE CROSS BLUE SHIELD MBN 20250701 | $935.00 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | BLUE CROSS BSL | 1583_BLUE CROSS BLUE SHIELD BSL 20250701 | $935.00 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S ST JOHNS COUNTY Outpatient | BLUE CROSS BSL | 1684_BLUE CROSS BLUE SHIELD BSL SIFL 20250701 | $945.00 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S ST JOHNS COUNTY Outpatient | BLUE CROSS MBN | 1687_BLUE CROSS BLUE SHIELD MBN SIFL 20250701 | $945.00 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | BLUE CROSS MBN | 1461_BLUE CROSS BLUE SHIELD MBN 20250701 | $945.00 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | BLUE CROSS BSL | 1454_BLUE CROSS BLUE SHIELD BSL 20250701 | $945.00 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | BCCCP | 1782_BCCCP 20210201 | $1,029.00 | $1,029.00 | $576.24 | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $1,029.00 | $1,029.00 | $576.24 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S CLAY COUNTY Outpatient | BLUE CROSS SBN | 1682_BLUE CROSS BLUE SHIELD SBN SCFL 20250701 | $1,091.00 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S CLAY COUNTY Outpatient | BLUE CROSS HMO | 1677_BLUE CROSS BLUE SHIELD HMO SCFL 20250701 | $1,091.00 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | BLUE CROSS HMO | 1585_BLUE CROSS BLUE SHIELD HMO 20250701 | $1,098.00 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | BLUE CROSS HMO | 1585_BLUE CROSS BLUE SHIELD HMO 20250701 | $1,098.00 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | BLUE CROSS SBN | 1586_BLUE CROSS BLUE SHIELD SBN 20250701 | $1,098.00 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | BLUE CROSS SBN | 1586_BLUE CROSS BLUE SHIELD SBN 20250701 | $1,098.00 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S ST JOHNS COUNTY Outpatient | BLUE CROSS SBN | 1689_BLUE CROSS BLUE SHIELD SBN SIFL 20250701 | $1,108.00 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | BLUE CROSS HMO | 1455_BLUE CROSS BLUE SHIELD HMO 20250701 | $1,108.00 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | BLUE CROSS SBN | 1462_BLUE CROSS BLUE SHIELD SBN 20250701 | $1,108.00 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S ST JOHNS COUNTY Outpatient | BLUE CROSS HMO | 1688_BLUE CROSS BLUE SHIELD HMO SIFL 20250701 | $1,108.00 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S CLAY COUNTY Outpatient | BLUE CROSS NWB | 1672_BLUE CROSS BLUE SHIELD NWB SCFL 20250701 | $1,293.00 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | BLUE CROSS NWB | 1587_BLUE CROSS BLUE SHIELD NWB 20250701 | $1,302.00 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | BLUE CROSS NWB | 1587_BLUE CROSS BLUE SHIELD NWB 20250701 | $1,302.00 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | BLUE CROSS NWB | 1456_BLUE CROSS BLUE SHIELD NWB 20250701 | $1,313.00 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S ST JOHNS COUNTY Outpatient | BLUE CROSS NWB | 1683_BLUE CROSS BLUE SHIELD NWB SIFL 20250701 | $1,313.00 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S CLAY COUNTY Outpatient | BLUE CROSS PPO | 1676_BLUE CROSS BLUE SHIELD PPO SCFL 20250701 | $1,746.00 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | BLUE CROSS PPO | 1589_BLUE CROSS BLUE SHIELD PPO 20250701 | $1,760.00 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | BLUE CROSS PPO | 1589_BLUE CROSS BLUE SHIELD PPO 20250701 | $1,760.00 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | BLUE CROSS PPO | 1458_BLUE CROSS BLUE SHIELD PPO 20250701 | $1,773.00 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S ST JOHNS COUNTY Outpatient | BLUE CROSS PPO | 1691_BLUE CROSS BLUE SHIELD PPO SIFL 20250701 | $1,773.00 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | NORTH FLORIDA SURGEONS | 610_NORTH FLORIDA SURGEONS | $10,000.00 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S CLAY COUNTY Outpatient | NORTH FLORIDA SURGEONS | 473_NORTH FLORIDA SURGEONS | $10,000.00 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | NORTH FLORIDA SURGEONS | 536_NORTH FLORIDA SURGEONS | $10,000.00 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | NORTH FLORIDA SURGEONS | 610_NORTH FLORIDA SURGEONS | $10,000.00 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S CLAY COUNTY Outpatient | AETNA | 1663_AETNA SCFL 20250701 | $11,550.00 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S ST JOHNS COUNTY Outpatient | AETNA | 1664_AETNA SIFL 20250701 | $11,550.00 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | AETNA | 1447_AETNA SOUTH 20250701 | $11,550.00 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | AETNA | 1576_AETNA RIVER 20250701 | $11,655.00 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | AETNA | 1576_AETNA RIVER 20250701 | $11,655.00 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S CLAY COUNTY Outpatient | AVMED EMPOWER | 1680_AVMED SELECT/EMPOWER SCFL 20250701 | $29,095.60 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | AVMED EMPOWER | 1453_AVMED SELECT/EMPOWER 20250701 | $30,914.08 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S ST JOHNS COUNTY Outpatient | AVMED EMPOWER | 1681_AVMED SELECT/EMPOWER SIFL 20250701 | $32,732.55 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S CLAY COUNTY Outpatient | CIGNA HMO NEW BUSINESS | 1698_CIGNA HMO NEW BUSINESS 20250701 | $36,369.50 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | GEORGIA MEDICAID | 1494_MEDICAID REPLACEMENT GEORGIA 20240901 | $36,369.50 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | CIGNA HMO NEW BUSINESS | 1594_CIGNA HMO NEW BUSINESS 20250701 | $36,369.50 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S ST JOHNS COUNTY Outpatient | CIGNA HMO NEW BUSINESS | 1700_CIGNA HMO NEW BUSINESS 20250701 | $36,369.50 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | CIGNA NEW BUSINESS | 1465_CIGNA NEW BUSINESS 20250701 | $36,369.50 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | GEORGIA MEDICAID | 1494_MEDICAID REPLACEMENT GEORGIA 20240901 | $36,369.50 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | GEORGIA MEDICAID | 1366_MEDICAID REPLACEMENT GEORGIA 20240901 | $36,369.50 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | CIGNA HMO NEW BUSINESS | 1594_CIGNA HMO NEW BUSINESS 20250701 | $36,369.50 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S CLAY COUNTY Outpatient | GEORGIA MEDICAID | 1473_MEDICAID REPLACEMENT GEORGIA 20240901 | $36,369.50 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S ST JOHNS COUNTY Outpatient | GEORGIA MEDICAID | 1473_MEDICAID REPLACEMENT GEORGIA 20240901 | $36,369.50 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | HUMANA PPO | 1573_HUMANA PPO 20250101 | $50,917.30 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | HUMANA HMO | 1572_HUMANA HMO 20250101 | $50,917.30 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | HUMANA PPO | 1573_HUMANA PPO 20250101 | $50,917.30 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | HUMANA HMO | 1572_HUMANA HMO 20250101 | $50,917.30 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S CLAY COUNTY Outpatient | HUMANA PPO | 1659_HUMANA PPO SCFL 20250101 | $52,735.78 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | AVMED NEW BUSINESS | 1442_AVMED NEW BUSINESS 20240701 | $52,735.78 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S CLAY COUNTY Outpatient | HUMANA HMO | 1657_HUMANA HMO SCFL 20250101 | $52,735.78 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | AVMED NEW BUSINESS | 1442_AVMED NEW BUSINESS 20240701 | $52,735.78 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | HUMANA HMO | 1443_HUMANA HMO 20250101 | $54,554.25 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | HUMANA PPO | 1444_HUMANA PPO 20250101 | $54,554.25 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S CLAY COUNTY Outpatient | AVMED NEW BUSINESS | 1439_AVMED NEW BUSINESS SCFL 20240701 | $56,372.72 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S ST JOHNS COUNTY Outpatient | HUMANA HMO | 1658_HUMANA HMO SIFL 20250101 | $58,191.20 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S ST JOHNS COUNTY Outpatient | HUMANA PPO | 1660_HUMANA PPO SIFL 20250101 | $58,191.20 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | AVMED | 1452_AVMED BROAD 20250701 | $58,191.20 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | AHF MCO | 431_AHF MCO 20140101 | $60,009.68 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S CLAY COUNTY Outpatient | AHF MCO | 1386_AHF MCO 20220701 | $60,009.68 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S ST JOHNS COUNTY Outpatient | AHF MCO | 1386_AHF MCO 20220701 | $60,009.68 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | AHF MCO | 399_AHF MCO 20140101 | $60,009.68 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | AHF MCO | 431_AHF MCO 20140101 | $60,009.68 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S ST JOHNS COUNTY Outpatient | AVMED | 1679_AVMED BROAD SIFL 20250701 | $61,828.15 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | NORTHWELL DIRECT | 1543_NORTHWELL DIRECT 20241001 | $63,646.63 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S ST JOHNS COUNTY Outpatient | NORTHWELL DIRECT | 1572_NORTHWELL DIRECT 20241001 | $63,646.63 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | NORTHWELL DIRECT | 1543_NORTHWELL DIRECT 20241001 | $63,646.63 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | AVMED | 1581_AVMED BROAD 20250701 | $63,646.63 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S CLAY COUNTY Outpatient | NORTHWELL DIRECT | 1572_NORTHWELL DIRECT 20241001 | $63,646.63 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | NORTHWELL DIRECT | 1414_NORTHWELL DIRECT 20241001 | $63,646.63 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | AVMED | 1581_AVMED BROAD 20250701 | $63,646.63 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S ST JOHNS COUNTY Outpatient | CIGNA PPO | 1697_CIGNA PPO 20250701 | $67,283.57 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S CLAY COUNTY Outpatient | CIGNA HMO | 1694_CIGNA HMO 20250701 | $67,283.57 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S CLAY COUNTY Outpatient | CIGNA PPO | 1695_CIGNA PPO 20250701 | $67,283.57 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S ST JOHNS COUNTY Outpatient | CIGNA HMO | 1696_CIGNA HMO 20250701 | $67,283.57 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | CIGNA PPO | 1593_CIGNA PPO 20250701 | $67,283.57 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | CIGNA HMO | 1592_CIGNA HMO 20250701 | $67,283.57 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | CIGNA PPO | 1593_CIGNA PPO 20250701 | $67,283.57 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | CIGNA HMO | 1592_CIGNA HMO 20250701 | $67,283.57 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | CIGNA HMO | 1463_CIGNA HMO 20250701 | $67,283.57 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | CIGNA PPO | 1464_CIGNA PPO 20250701 | $67,283.57 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S CLAY COUNTY Outpatient | AVMED | 1678_AVMED BROAD SCFL 20250701 | $69,102.05 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S ST JOHNS COUNTY Outpatient | COVENTRY PPO HIGH PERFORMANCE | 1549_COVENTRY PPO AND HIGH PERFORMANCE 20241001 | $72,739.00 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | COVENTRY PPO HIGH PERFORMANCE | 1380_COVENTRY PPO AND HIGH PERFORMANCE 20241001 | $72,739.00 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S CLAY COUNTY Outpatient | COVENTRY PPO HIGH PERFORMANCE | 1549_COVENTRY PPO AND HIGH PERFORMANCE 20241001 | $72,739.00 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | COVENTRY PPO HIGH PERFORMANCE | 1508_COVENTRY PPO AND HIGH PERFORMANCE 20241001 | $72,739.00 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | AVMED NEW BUSINESS | 476_AVMED NEW BUSINESS 20181001 | $72,739.00 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | COVENTRY PPO HIGH PERFORMANCE | 1508_COVENTRY PPO AND HIGH PERFORMANCE 20241001 | $72,739.00 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | UHC HMO | 1591_UNITED HEALTH CARE 20250701 | $74,557.48 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | UHC | 1460_UNITED HEALTH CARE 20250701 | $74,557.48 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | UHC HMO | 1591_UNITED HEALTH CARE 20250701 | $74,557.48 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S CLAY COUNTY Both | UHC HMO | 1692_UNITED HEALTH CARE SCFL 20250701 | $76,375.95 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S ST JOHNS COUNTY Outpatient | UHC HMO | 1693_UNITED HEALTH CARE SIFL 20250701 | $78,194.43 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S ST JOHNS COUNTY Outpatient | 90 DEGREE BENEFITS | 1577_90 DEGREE BENEFITS OUTPATIENT 20250101 | $90,923.75 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | 90 DEGREE BENEFITS | 1517_90 DEGREE BENEFITS OUTPATIENT 20250101 | $90,923.75 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | 90 DEGREE BENEFITS | 1387_90 DEGREE BENEFITS OUTPATIENT 20250101 | $90,923.75 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S CLAY COUNTY Outpatient | 90 DEGREE BENEFITS | 1577_90 DEGREE BENEFITS OUTPATIENT 20250101 | $90,923.75 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | 90 DEGREE BENEFITS | 1517_90 DEGREE BENEFITS OUTPATIENT 20250101 | $90,923.75 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | AETNA SIGNATURE ADMIN | 331_AETNA SIGNATURE ADMIN 20160701 | $92,742.23 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | AETNA SIGNATURE ADMIN | 339_AETNA SIGNATURE ADMINISTRATORS 20160701 | $92,742.23 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S CLAY COUNTY Outpatient | AETNA ASA | 224_AETNA SIGNATURE ADMINISTRATORS 20160701 | $92,742.23 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | AETNA SIGNATURE ADMIN | 339_AETNA SIGNATURE ADMINISTRATORS 20160701 | $92,742.23 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | COVENTRY HMO | 1507_COVENTRY HMO 20241001 | $107,290.02 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | COVENTRY HMO | 1507_COVENTRY HMO 20241001 | $107,290.02 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S CLAY COUNTY Outpatient | COVENTRY HMO | 1547_COVENTRY HMO 20241001 | $107,290.02 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | COVENTRY HMO | 1379_COVENTRY HMO 20241001 | $107,290.02 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S ST JOHNS COUNTY Outpatient | PHCS | 1384_PHCS 20220701 | $109,108.50 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S CLAY COUNTY Outpatient | PHCS | 1384_PHCS 20220701 | $109,108.50 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | PHCS | 303_PHCS 20020901 | $109,108.50 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | FIRST HEALTH | 1305_FIRST HEALTH COVENTRY 20230701 | $109,108.50 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | SE GEORGIA HEALTH SYSTEMS | 1236_SE GEORGIA HEALTH SYSTEM 20220601 | $109,108.50 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | SE GEORGIA HEALTH SYSTEMS | 1115_SE GEORGIA HEALTH SYSTEM 20220601 | $109,108.50 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | SE GEORGIA HEALTH SYSTEMS | 1236_SE GEORGIA HEALTH SYSTEM 20220601 | $109,108.50 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | FIRST HEALTH | 1305_FIRST HEALTH COVENTRY 20230701 | $109,108.50 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | PHCS | 303_PHCS 20020901 | $109,108.50 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | PHCS | 277_PHCS 20020901 | $109,108.50 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S ST JOHNS COUNTY Outpatient | SE GEORGIA HEALTH SYSTEM | 1118_SE GEORGIA HEALTH SYSTEM SIFL 20220601 | $109,108.50 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S CLAY COUNTY Outpatient | SE GEORGIA HEALTH SYSTEM | 1117_SE GEORGIA HEALTH SYSTEM SCFL 20220601 | $109,108.50 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | FIRST HEALTH | 1184_FIRST HEALTH COVENTRY 20230701 | $112,745.45 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S CLAY COUNTY Outpatient | FIRST HEALTH | 1210_FIRST HEALTH COVENTRY 20230701 | $112,745.45 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S CLAY COUNTY Outpatient | COVENTRY WC | 1359_COVENTRY WORKERS COMPENSATION SCFL 20230715 | $118,200.88 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | COVENTRY WC | 1407_COVENTRY WORKERS COMPENSATION 20230715 | $118,200.88 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | COVENTRY WC | 1407_COVENTRY WORKERS COMPENSATION 20230715 | $118,200.88 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S ST JOHNS COUNTY Outpatient | COVENTRY WC | 1358_COVENTRY WORKERS COMPENSATION SIFL 20230715 | $118,200.88 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | COVENTRY WC | 1282_COVENTRY WORKERS COMPENSATION 20230715 | $118,200.88 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S ST JOHNS COUNTY Outpatient | UHC PPO | 1385_UNITED HEALTH CARE PPO 20220701 | $132,748.67 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | UHC PPO | 947_UNITED HEALTH CARE PPO 20210101 | $132,748.67 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | UHC PPO | 822_UNITED HEALTH CARE PPO 20210101 | $132,748.67 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | UHC PPO | 947_UNITED HEALTH CARE PPO 20210101 | $132,748.67 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S CLAY COUNTY Outpatient | UHC PPO | 1385_UNITED HEALTH CARE PPO 20220701 | $132,748.67 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S CLAY COUNTY Outpatient | MULTIPLAN | 1383_MULTIPLAN 20220701 | $145,478.00 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S ST JOHNS COUNTY Outpatient | MULTIPLAN | 1383_MULTIPLAN 20220701 | $145,478.00 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | MULTIPLAN | 344_MULTIPLAN 20160101 | $145,478.00 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | MULTIPLAN | 384_MULTIPLAN 20160101 | $145,478.00 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | MULTIPLAN | 344_MULTIPLAN 20160101 | $145,478.00 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | BEECH STREET | 436_BEECHSTREET 20160101 | $154,570.38 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | BEECH STREET | 436_BEECHSTREET 20160101 | $154,570.38 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | BEECHSTREET | 533_BEECHSTREET 20160101 | $154,570.38 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S CLAY COUNTY Outpatient | BEECH STREET | 472_BEECHSTREET 20160101 | $154,570.38 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S CLAY COUNTY Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $181,847.50 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S ST JOHNS COUNTY Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $181,847.50 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S CLAY COUNTY Outpatient | HEARTLAND HOME HEALTH AND HOSPICE | 794_MEDICARE ADVANTAGE HEARTLAND HOME HEALTH AND HOSPICE OUTPATIENT 20210101 | $181,847.50 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | HEARTLAND HOME HEALTH AND HOSPICE | 458_MEDICARE ADVANTAGE HEARTLAND HOME HEALTH AND HOSPICE INPATIENT 20090201 | $181,847.50 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | HEARTLAND HOME HEALTH AND HOSPICE | 458_MEDICARE ADVANTAGE HEARTLAND HOME HEALTH AND HOSPICE INPATIENT 20090201 | $181,847.50 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $181,847.50 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Both | HEARTLAND HOME HEALTH AND HOSPICE | 1165_MEDICARE ADVANTAGE HEARTLAND HOME HEALTH AND HOSPICE INPATIENT 20211001 | $181,847.50 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Outpatient | HEARTLAND HOME HEALTH AND HOSPICE | 757_MEDICARE ADVANTAGE HEARTLAND HOME HEALTH AND HOSPICE OUTPATIENT 20210101 | $181,847.50 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S SOUTHSIDE Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $181,847.50 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $181,847.50 | $181,847.50 | $67,283.58 | 2026-01-01 | MRF ↗ |