5005640 — DiazePAM Rectal Gel 10mg (rhc Stock)
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). DiazePAM Rectal Gel 10mg (RHC Stock) (CDM 5005640) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/5005640?code_type=CDM
MLA (9th ed.)
“DiazePAM Rectal Gel 10mg (RHC Stock) (CDM 5005640) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/5005640?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“DiazePAM Rectal Gel 10mg (RHC Stock) (CDM 5005640) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/5005640?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $297–$6,423 (25th–75th percentile) across 5 hospitals · 57 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 5005640 — 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 | Wellcare | Medicare Advantage | $43.00 | $71.00 | $71.00 | 2025-07-09 | MRF ↗ |
| JOHNSON COUNTY HOSPITAL Outpatient | VA CCN | Commercial | $43.00 | $71.00 | $71.00 | 2025-07-09 | MRF ↗ |
| JOHNSON COUNTY HOSPITAL Outpatient | Molina Healthcare of Nebraska | Commercial | $43.00 | $71.00 | $71.00 | 2025-07-09 | MRF ↗ |
| JOHNSON COUNTY HOSPITAL Outpatient | Coventry | Medicare Advantage | $43.00 | $71.00 | $71.00 | 2025-07-09 | MRF ↗ |
| JOHNSON COUNTY HOSPITAL Outpatient | Midland's Choice | Commercial | $57.00 | $71.00 | $71.00 | 2025-07-09 | MRF ↗ |
| JOHNSON COUNTY HOSPITAL Outpatient | Ambetter | Commercial | $64.00 | $71.00 | $71.00 | 2025-07-09 | MRF ↗ |
| JOHNSON COUNTY HOSPITAL Outpatient | Blue Cross and Blue Shield of Nebraska | Commercial | $67.00 | $71.00 | $71.00 | 2025-07-09 | MRF ↗ |
| JOHNSON COUNTY HOSPITAL Outpatient | United Healthcare | Commercial | $69.00 | $71.00 | $71.00 | 2025-07-09 | MRF ↗ |
| JOHNSON COUNTY HOSPITAL Outpatient | Aetna | Commercial | $71.00 | $71.00 | $71.00 | 2025-07-09 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | MAGELLAN BEHAVIORAL | 1784_SJMA SJMC MAGELLAN BEHAVIORAL 20200101 | $118.80 | $396.00 | $221.76 | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | PRIORITY PPO | 2009_PRIORITY PPO 20210801 | $154.44 | $396.00 | $221.76 | 2026-01-01 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL OutpatientFacility | Meridian Health Plan Commercial | Meridian Health Plan Commercial | $156.96 | $436.00 | $305.20 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL OutpatientFacility | Humana | Commercial | — | $436.00 | $305.20 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $156.96 | $436.00 | $305.20 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL OutpatientFacility | Humana | Commercial | — | $436.00 | $305.20 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $156.96 | $436.00 | $305.20 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL OutpatientFacility | Meridian Health Plan Commercial | Meridian Health Plan Commercial | $156.96 | $436.00 | $305.20 | 2026-03-21 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | HAP HMO | 2166_HEALTH ALLIANCE HMO 20241001 | $158.40 | $396.00 | $221.76 | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | AHLIC | 2163_AHLIC 20241001 | $158.40 | $396.00 | $221.76 | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | HAP HMO | 2174_SJMA HEALTH ALLIANCE HMO 20241001 | $158.40 | $396.00 | $221.76 | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | CIGNA | 2014_SJRD,SJMC CIGNA 20210701 | $162.36 | $396.00 | $221.76 | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | PRIORITY HMO | 2010_PRIORITY HMO 20210701 | $162.36 | $396.00 | $221.76 | 2026-01-01 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL OutpatientFacility | HealthNet Commercial | HealthNet Commercial | $176.58 | $436.00 | $305.20 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL OutpatientFacility | HealthNet Commercial | HealthNet Commercial | $176.58 | $436.00 | $305.20 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL OutpatientFacility | United Healthcare | Medicare Advantage | $178.76 | $436.00 | $305.20 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL OutpatientFacility | United Healthcare | Medicare Advantage | $178.76 | $436.00 | $305.20 | 2026-03-21 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | HOSPICE | 447_SJMA, SJMC HOSPICE 20160101 | $198.00 | $396.00 | $221.76 | 2026-01-01 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $204.92 | $436.00 | $305.20 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Medicare Advantage | $204.92 | $436.00 | $305.20 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $204.92 | $436.00 | $305.20 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Medicare Advantage | $204.92 | $436.00 | $305.20 | 2026-03-21 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | HAP PREFERRED | 2171_HAP PREFERRED (PHP) 20241001 | $253.44 | $396.00 | $221.76 | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | HEALTHPLUS PPO | 990_HEALTHPLUS PPO 20200101 | $257.40 | $396.00 | $221.76 | 2026-01-01 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL InpatientFacility | Meridian Health Plan Medicaid | Meridian Health Plan Medicaid | — | $436.00 | $305.20 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL InpatientFacility | Aetna | Medicaid | — | $436.00 | $305.20 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL InpatientFacility | Blue Cross Blue Shield | Medicaid | — | $436.00 | $305.20 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL InpatientFacility | Blue Cross Blue Shield | Commercial | — | $436.00 | $305.20 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL InpatientFacility | Molina Medicare | Molina Medicare | — | $436.00 | $305.20 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL InpatientFacility | Health Alliance | Medicare Advantage | — | $436.00 | $305.20 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL InpatientFacility | Meridian Health Plan | Medicare Advantage | — | $436.00 | $305.20 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL InpatientFacility | Wellcare Commercial | Wellcare Commercial | — | $436.00 | $305.20 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL InpatientFacility | Molina | Medicaid | — | $436.00 | $305.20 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL InpatientFacility | HealthNet Commercial | HealthNet Commercial | $271.19 | $436.00 | $305.20 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL InpatientFacility | IlliniCare Medicaid | IlliniCare Medicaid | — | $436.00 | $305.20 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL InpatientFacility | Integrated Health Plan Workers Comp | Integrated Health Plan Workers Comp | — | $436.00 | $305.20 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL InpatientFacility | Vitas Healthcare Commercial | Vitas Healthcare Commercial | — | $436.00 | $305.20 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL InpatientFacility | Essence Commercial | Essence Commercial | — | $436.00 | $305.20 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL InpatientFacility | Molina | Medicaid | — | $436.00 | $305.20 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL InpatientFacility | Aetna | Medicaid | — | $436.00 | $305.20 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL InpatientFacility | Blue Cross Blue Shield | Medicaid | — | $436.00 | $305.20 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL InpatientFacility | Blue Cross Blue Shield | Commercial | — | $436.00 | $305.20 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL InpatientFacility | Molina Medicare | Molina Medicare | — | $436.00 | $305.20 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL InpatientFacility | Health Alliance | Medicare Advantage | — | $436.00 | $305.20 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL InpatientFacility | Meridian Health Plan | Medicare Advantage | — | $436.00 | $305.20 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL InpatientFacility | Wellcare Commercial | Wellcare Commercial | — | $436.00 | $305.20 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL InpatientFacility | Meridian Health Plan Medicaid | Meridian Health Plan Medicaid | — | $436.00 | $305.20 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL InpatientFacility | HealthNet Commercial | HealthNet Commercial | $271.19 | $436.00 | $305.20 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL InpatientFacility | IlliniCare Medicaid | IlliniCare Medicaid | — | $436.00 | $305.20 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL InpatientFacility | Integrated Health Plan Workers Comp | Integrated Health Plan Workers Comp | — | $436.00 | $305.20 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL InpatientFacility | Vitas Healthcare Commercial | Vitas Healthcare Commercial | — | $436.00 | $305.20 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL InpatientFacility | Essence Commercial | Essence Commercial | — | $436.00 | $305.20 | 2026-03-21 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | AETNA PPO | 2136_AETNA 20241001 | $273.24 | $396.00 | $221.76 | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | PHCS POS | 1311_PHCS POS 20201001 | $277.20 | $396.00 | $221.76 | 2026-01-01 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL OutpatientFacility | Cigna Commercial | Cigna Commercial | $285.58 | $436.00 | $305.20 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL OutpatientFacility | Cigna Commercial | Cigna Commercial | $285.58 | $436.00 | $305.20 | 2026-03-21 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | PHCS PPO GREAT WEST & MAILHANDLERS | 1458_PHCS PPO GR WEST & MAILHANDLERS 20201001 | $297.00 | $396.00 | $221.76 | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | PHCS PPO | 1457_PHCS PPO 20201001 | $297.00 | $396.00 | $221.76 | 2026-01-01 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL OutpatientFacility | Aetna | Commercial | $297.79 | $436.00 | $305.20 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL OutpatientFacility | Aetna | Commercial | $297.79 | $436.00 | $305.20 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL OutpatientFacility | HealthLink Commercial HMO | HealthLink Commercial HMO | $305.20 | $436.00 | $305.20 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL InpatientFacility | Health Choices Commercial | Health Choices Commercial | $305.20 | $436.00 | $305.20 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL OutpatientFacility | HealthLink Commercial HMO | HealthLink Commercial HMO | $305.20 | $436.00 | $305.20 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL InpatientFacility | Medical Associates Health Plan Commercial | Medical Associates Health Plan Commercial | $305.20 | $436.00 | $305.20 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL InpatientFacility | Preferred Health Choices Commercial | Preferred Health Choices Commercial | $305.20 | $436.00 | $305.20 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL OutpatientFacility | Blue Cross Blue Shield Workers Comp | Blue Cross Blue Shield Workers Comp | $305.20 | $436.00 | $305.20 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL InpatientFacility | Medical Associates Health Plan Commercial | Medical Associates Health Plan Commercial | $305.20 | $436.00 | $305.20 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL OutpatientFacility | Aetna Workers Comp | Aetna Workers Comp | $305.20 | $436.00 | $305.20 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL InpatientFacility | Preferred Health Choices Commercial | Preferred Health Choices Commercial | $305.20 | $436.00 | $305.20 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL OutpatientFacility | Aetna Workers Comp | Aetna Workers Comp | $305.20 | $436.00 | $305.20 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL InpatientFacility | Health Choices Commercial | Health Choices Commercial | $305.20 | $436.00 | $305.20 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL OutpatientFacility | Blue Cross Blue Shield Workers Comp | Blue Cross Blue Shield Workers Comp | $305.20 | $436.00 | $305.20 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL OutpatientFacility | Great West | Commercial | $322.64 | $436.00 | $305.20 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL OutpatientFacility | Great West | Commercial | $322.64 | $436.00 | $305.20 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL InpatientFacility | Blue Cross Blue Shield Auto | Blue Cross Blue Shield Auto | $335.72 | $436.00 | $305.20 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL InpatientFacility | Blue Cross Blue Shield Medical Rental | Blue Cross Blue Shield Medical Rental | $335.72 | $436.00 | $305.20 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL InpatientFacility | Blue Cross Blue Shield Medical Rental | Blue Cross Blue Shield Medical Rental | $335.72 | $436.00 | $305.20 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL InpatientFacility | Blue Cross Blue Shield Workers Comp | Blue Cross Blue Shield Workers Comp | $335.72 | $436.00 | $305.20 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL InpatientFacility | Blue Cross Blue Shield Workers Comp | Blue Cross Blue Shield Workers Comp | $335.72 | $436.00 | $305.20 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL InpatientFacility | Blue Cross Blue Shield Auto | Blue Cross Blue Shield Auto | $335.72 | $436.00 | $305.20 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL OutpatientFacility | Health Alliance Commercial | Health Alliance Commercial | $348.80 | $436.00 | $305.20 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL OutpatientFacility | HealthLink Commercial PPO | HealthLink Commercial PPO | $348.80 | $436.00 | $305.20 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL InpatientFacility | CorVel Workers Comp | CorVel Workers Comp | $348.80 | $436.00 | $305.20 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL InpatientFacility | CorVel Auto Medical | CorVel Auto Medical | $348.80 | $436.00 | $305.20 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL OutpatientFacility | Health Alliance Commercial | Health Alliance Commercial | $348.80 | $436.00 | $305.20 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL OutpatientFacility | HealthLink Commercial PPO | HealthLink Commercial PPO | $348.80 | $436.00 | $305.20 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL InpatientFacility | Integrated Health Plan Commercial | Integrated Health Plan Commercial | $348.80 | $436.00 | $305.20 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL InpatientFacility | CorVel Auto Medical | CorVel Auto Medical | $348.80 | $436.00 | $305.20 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL InpatientFacility | CorVel Workers Comp | CorVel Workers Comp | $348.80 | $436.00 | $305.20 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL InpatientFacility | Integrated Health Plan Commercial | Integrated Health Plan Commercial | $348.80 | $436.00 | $305.20 | 2026-03-21 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | PPOM | 934_PPOM 20191001 | $350.70 | $396.00 | $221.76 | 2026-01-01 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL InpatientFacility | United Healthcare | Commercial | $370.60 | $436.00 | $305.20 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL InpatientFacility | United Healthcare | Commercial | $370.60 | $436.00 | $305.20 | 2026-03-21 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $396.00 | $396.00 | $221.76 | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | BCCCP | 1782_BCCCP 20210201 | $396.00 | $396.00 | $221.76 | 2026-01-01 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL InpatientFacility | Velocity Commercial | Velocity Commercial | $401.12 | $436.00 | $305.20 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL InpatientFacility | Velocity Commercial | Velocity Commercial | $401.12 | $436.00 | $305.20 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL InpatientFacility | Harmony Health Plan Medicaid/CHIP | Harmony Health Plan Medicaid/CHIP | $436.00 | $436.00 | $305.20 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL InpatientFacility | Harmony Health Plan Medicaid/CHIP | Harmony Health Plan Medicaid/CHIP | $436.00 | $436.00 | $305.20 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL InpatientFacility | Harmony Health Plan Commercial | Harmony Health Plan Commercial | $436.00 | $436.00 | $305.20 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL InpatientFacility | Harmony Health Plan Commercial | Harmony Health Plan Commercial | $436.00 | $436.00 | $305.20 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Commercial | $622.86 | $436.00 | $305.20 | 2026-03-21 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Commercial | $622.86 | $436.00 | $305.20 | 2026-03-21 | MRF ↗ |
| OCHILTREE GENERAL HOSPITAL Outpatient | Superior Health Plan | Commercial | $6,423.00 | $13,108.00 | $9,176.00 | 2026-05-06 | MRF ↗ |
| OCHILTREE GENERAL HOSPITAL Outpatient | Humana | Medicare Advantage | $6,423.00 | $13,108.00 | $9,176.00 | 2026-05-06 | MRF ↗ |
| OCHILTREE GENERAL HOSPITAL Outpatient | Aetna | Medicare Advantage | $6,423.00 | $13,108.00 | $9,176.00 | 2026-05-06 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | NORTH FLORIDA SURGEONS | 610_NORTH FLORIDA SURGEONS | $10,000.00 | $61,632.00 | $22,803.84 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | BLUE CROSS BSL | 1583_BLUE CROSS BLUE SHIELD BSL 20250701 | $11,093.76 | $61,632.00 | $22,803.84 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | BLUE CROSS MBN | 1584_BLUE CROSS BLUE SHIELD MBN 20250701 | $11,093.76 | $61,632.00 | $22,803.84 | 2026-01-01 | MRF ↗ |
| OCHILTREE GENERAL HOSPITAL Outpatient | Aetna | Commercial | $11,142.00 | $13,108.00 | $9,176.00 | 2026-05-06 | MRF ↗ |
| OCHILTREE GENERAL HOSPITAL Outpatient | FirstCare | Commercial | $11,797.00 | $13,108.00 | $9,176.00 | 2026-05-06 | MRF ↗ |
| OCHILTREE GENERAL HOSPITAL Outpatient | Cigna | Commercial | $11,797.00 | $13,108.00 | $9,176.00 | 2026-05-06 | MRF ↗ |
| OCHILTREE GENERAL HOSPITAL Outpatient | Blue Cross Blue Shield of Texas | PPO | $11,797.00 | $13,108.00 | $9,176.00 | 2026-05-06 | MRF ↗ |
| OCHILTREE GENERAL HOSPITAL Outpatient | Blue Cross Blue Shield of Texas | Commercial | $11,797.00 | $13,108.00 | $9,176.00 | 2026-05-06 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | CIGNA HMO NEW BUSINESS | 1594_CIGNA HMO NEW BUSINESS 20250701 | $12,326.40 | $61,632.00 | $22,803.84 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | GEORGIA MEDICAID | 1494_MEDICAID REPLACEMENT GEORGIA 20240901 | $12,326.40 | $61,632.00 | $22,803.84 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | BLUE CROSS SBN | 1586_BLUE CROSS BLUE SHIELD SBN 20250701 | $13,559.04 | $61,632.00 | $22,803.84 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | BLUE CROSS HMO | 1585_BLUE CROSS BLUE SHIELD HMO 20250701 | $13,559.04 | $61,632.00 | $22,803.84 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | BLUE CROSS NWB | 1587_BLUE CROSS BLUE SHIELD NWB 20250701 | $14,791.68 | $61,632.00 | $22,803.84 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | HUMANA PPO | 1573_HUMANA PPO 20250101 | $17,256.96 | $61,632.00 | $22,803.84 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | HUMANA HMO | 1572_HUMANA HMO 20250101 | $17,256.96 | $61,632.00 | $22,803.84 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | AVMED NEW BUSINESS | 1442_AVMED NEW BUSINESS 20240701 | $17,873.28 | $61,632.00 | $22,803.84 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | BLUE CROSS PPO | 1589_BLUE CROSS BLUE SHIELD PPO 20250701 | $18,489.60 | $61,632.00 | $22,803.84 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | AHF MCO | 431_AHF MCO 20140101 | $20,338.56 | $61,632.00 | $22,803.84 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | NORTHWELL DIRECT | 1543_NORTHWELL DIRECT 20241001 | $21,571.20 | $61,632.00 | $22,803.84 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | AVMED | 1581_AVMED BROAD 20250701 | $21,571.20 | $61,632.00 | $22,803.84 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | CIGNA PPO | 1593_CIGNA PPO 20250701 | $22,803.84 | $61,632.00 | $22,803.84 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | CIGNA HMO | 1592_CIGNA HMO 20250701 | $22,803.84 | $61,632.00 | $22,803.84 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | AETNA | 1576_AETNA RIVER 20250701 | $24,036.48 | $61,632.00 | $22,803.84 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | COVENTRY PPO HIGH PERFORMANCE | 1508_COVENTRY PPO AND HIGH PERFORMANCE 20241001 | $24,652.80 | $61,632.00 | $22,803.84 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | UHC HMO | 1591_UNITED HEALTH CARE 20250701 | $25,269.12 | $61,632.00 | $22,803.84 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | 90 DEGREE BENEFITS | 1517_90 DEGREE BENEFITS OUTPATIENT 20250101 | $30,816.00 | $61,632.00 | $22,803.84 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | AETNA SIGNATURE ADMIN | 339_AETNA SIGNATURE ADMINISTRATORS 20160701 | $31,432.32 | $61,632.00 | $22,803.84 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | BLUE CROSS PHS | 1588_BLUE CROSS BLUE SHIELD PHS 20250701 | $31,432.32 | $61,632.00 | $22,803.84 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | COVENTRY HMO | 1507_COVENTRY HMO 20241001 | $36,362.88 | $61,632.00 | $22,803.84 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | SE GEORGIA HEALTH SYSTEMS | 1236_SE GEORGIA HEALTH SYSTEM 20220601 | $36,979.20 | $61,632.00 | $22,803.84 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | PHCS | 303_PHCS 20020901 | $36,979.20 | $61,632.00 | $22,803.84 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | FIRST HEALTH | 1305_FIRST HEALTH COVENTRY 20230701 | $36,979.20 | $61,632.00 | $22,803.84 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | COVENTRY WC | 1407_COVENTRY WORKERS COMPENSATION 20230715 | $40,060.80 | $61,632.00 | $22,803.84 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | UHC PPO | 947_UNITED HEALTH CARE PPO 20210101 | $44,991.36 | $61,632.00 | $22,803.84 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | MULTIPLAN | 344_MULTIPLAN 20160101 | $49,305.60 | $61,632.00 | $22,803.84 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Outpatient | BEECH STREET | 436_BEECHSTREET 20160101 | $52,387.20 | $61,632.00 | $22,803.84 | 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 | $61,632.00 | $61,632.00 | $22,803.84 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT'S RIVERSIDE Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $61,632.00 | $61,632.00 | $22,803.84 | 2026-01-01 | MRF ↗ |