56552177 — Delandistrogene Moxeparvovec Inj
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Delandistrogene moxeparvovec Inj (CDM 56552177) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/56552177?code_type=CDM
MLA (9th ed.)
“Delandistrogene moxeparvovec Inj (CDM 56552177) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/56552177?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“Delandistrogene moxeparvovec Inj (CDM 56552177) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/56552177?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $3,114,334–$4,267,212 (25th–75th percentile) across 11 hospitals · 24 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 56552177 — 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 |
|---|---|---|---|---|---|---|---|
| INDIANA UNIVERSITY HEALTH ARNETT HOSPITAL Outpatient | SIHO Insurance Services | HMO/POS Plans | $0.03 | $5,216,640.00 | $1,303,638.34 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH BALL MEMORIAL HOSPITAL Outpatient | SIHO Insurance Services | All PPO Plans | $0.03 | $5,216,640.00 | $1,106,971.01 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH ARNETT HOSPITAL Outpatient | SIHO Insurance Services | All PPO Plans | $0.03 | $5,216,640.00 | $1,303,638.34 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH FRANKFORT INC Outpatient | SIHO Insurance Services | HMO/POS Plans | $0.03 | $5,216,640.00 | $2,106,479.23 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH FRANKFORT INC Outpatient | SIHO Insurance Services | All PPO Plans | $0.03 | $5,216,640.00 | $2,106,479.23 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH BALL MEMORIAL HOSPITAL Outpatient | SIHO Insurance Services | HMO/POS Plans | $0.03 | $5,216,640.00 | $1,106,971.01 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH BALL MEMORIAL HOSPITAL Outpatient | SIHO Insurance Services | PPO - Union Health | $0.03 | $5,216,640.00 | $1,106,971.01 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH Outpatient | SIHO Insurance Services | All PPO Plans | $0.03 | $5,216,640.00 | $1,481,004.10 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH WHITE MEMORIAL HOSPITAL Outpatient | SIHO Insurance Services | All PPO Plans | $0.03 | $5,216,640.00 | $1,626,548.35 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH WHITE MEMORIAL HOSPITAL Outpatient | SIHO Insurance Services | HMO/POS Plans | $0.03 | $5,216,640.00 | $1,626,548.35 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH Outpatient | SIHO Insurance Services | PPO - Union Health | $0.03 | $5,216,640.00 | $1,481,004.10 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH Outpatient | SIHO Insurance Services | HMO/POS Plans | $0.03 | $5,216,640.00 | $1,481,004.10 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH BEDFORD HOSPITAL Outpatient | SIHO Insurance Services | All PPO Plans | $0.03 | $5,216,640.00 | $1,489,350.72 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH BEDFORD HOSPITAL Outpatient | SIHO Insurance Services | PPO - Union Health | $0.03 | $5,216,640.00 | $1,489,350.72 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH BEDFORD HOSPITAL Outpatient | SIHO Insurance Services | HMO/POS Plans | $0.03 | $5,216,640.00 | $1,489,350.72 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH BLOOMINGTON HOSPITAL Outpatient | SIHO Insurance Services | PPO - Union Health | $0.03 | $5,216,640.00 | $1,284,336.77 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH BLOOMINGTON HOSPITAL Outpatient | SIHO Insurance Services | All PPO Plans | $0.03 | $5,216,640.00 | $1,284,336.77 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH BLOOMINGTON HOSPITAL Outpatient | SIHO Insurance Services | HMO/POS Plans | $0.03 | $5,216,640.00 | $1,284,336.77 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH PAOLI HOSPITAL Outpatient | SIHO Insurance Services | All PPO Plans | $0.03 | $5,216,640.00 | $2,001,624.77 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH PAOLI HOSPITAL Outpatient | SIHO Insurance Services | PPO - Union Health | $0.03 | $5,216,640.00 | $2,001,624.77 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH PAOLI HOSPITAL Outpatient | SIHO Insurance Services | HMO/POS Plans | $0.03 | $5,216,640.00 | $2,001,624.77 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH NORTH HOSPITAL Outpatient | SIHO Insurance Services | PPO - Union Health | $0.03 | $5,216,640.00 | $1,481,004.10 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH NORTH HOSPITAL Outpatient | SIHO Insurance Services | All PPO Plans | $0.03 | $5,216,640.00 | $1,481,004.10 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH NORTH HOSPITAL Outpatient | SIHO Insurance Services | HMO/POS Plans | $0.03 | $5,216,640.00 | $1,481,004.10 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH JAY, INC. Outpatient | SIHO Insurance Services | All PPO Plans | $0.03 | $5,216,640.00 | $2,333,924.74 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH JAY, INC. Outpatient | SIHO Insurance Services | HMO/POS Plans | $0.03 | $5,216,640.00 | $2,333,924.74 | 2026-03-25 | MRF ↗ |
| IU HEALTH WEST HOSPITAL Outpatient | SIHO Insurance Services | HMO/POS Plans | $0.03 | $5,216,640.00 | $1,481,004.10 | 2026-03-25 | MRF ↗ |
| IU HEALTH WEST HOSPITAL Outpatient | SIHO Insurance Services | All PPO Plans | $0.03 | $5,216,640.00 | $1,481,004.10 | 2026-03-25 | MRF ↗ |
| IU HEALTH WEST HOSPITAL Outpatient | SIHO Insurance Services | PPO - Union Health | $0.03 | $5,216,640.00 | $1,481,004.10 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH WHITE MEMORIAL HOSPITAL Outpatient | SIHO Insurance Services | PPO - Union Health | $0.03 | $5,216,640.00 | $1,626,548.35 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH BALL MEMORIAL HOSPITAL Outpatient | Self-Pay | Other - Self-Pay | $1,106,971.01 | $5,216,640.00 | $1,106,971.01 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH BLOOMINGTON HOSPITAL Outpatient | Self-Pay | Other - Self-Pay | $1,284,336.77 | $5,216,640.00 | $1,284,336.77 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH ARNETT HOSPITAL Outpatient | Self-Pay | Other - Self-Pay | $1,303,638.34 | $5,216,640.00 | $1,303,638.34 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH NORTH HOSPITAL Outpatient | Self-Pay | Other - Self-Pay | $1,481,004.10 | $5,216,640.00 | $1,481,004.10 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH Outpatient | Self-Pay | Other - Self-Pay | $1,481,004.10 | $5,216,640.00 | $1,481,004.10 | 2026-03-25 | MRF ↗ |
| IU HEALTH WEST HOSPITAL Outpatient | Self-Pay | Other - Self-Pay | $1,481,004.10 | $5,216,640.00 | $1,481,004.10 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH BEDFORD HOSPITAL Outpatient | Self-Pay | Other - Self-Pay | $1,489,350.72 | $5,216,640.00 | $1,489,350.72 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH WHITE MEMORIAL HOSPITAL Outpatient | Self-Pay | Other - Self-Pay | $1,626,548.35 | $5,216,640.00 | $1,626,548.35 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH WHITE MEMORIAL HOSPITAL Outpatient | Encore Health Network | PPO | $1,930,156.80 | $5,216,640.00 | $1,626,548.35 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH PAOLI HOSPITAL Outpatient | Self-Pay | Other - Self-Pay | $2,001,624.77 | $5,216,640.00 | $2,001,624.77 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH JAY, INC. Outpatient | Elevance Health | All HMO/POS | $2,093,959.30 | $5,216,640.00 | $2,333,924.74 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH FRANKFORT INC Outpatient | Self-Pay | Other - Self-Pay | $2,106,479.23 | $5,216,640.00 | $2,106,479.23 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH JAY, INC. Outpatient | Self-Pay | Other - Self-Pay | $2,333,924.74 | $5,216,640.00 | $2,333,924.74 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH FRANKFORT INC Outpatient | Encore Health Network | PPO | $2,524,853.76 | $5,216,640.00 | $2,106,479.23 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH WHITE MEMORIAL HOSPITAL Outpatient | Indiana Health Network (IHN) | All Managed Care | $2,714,739.46 | $5,216,640.00 | $1,626,548.35 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH NORTH HOSPITAL Outpatient | Suburban Health Organization | PPO - Witham Health Services | $2,738,736.00 | $5,216,640.00 | $1,481,004.10 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH PAOLI HOSPITAL Outpatient | Suburban Health Organization | PPO - Witham Health Services | $2,738,736.00 | $5,216,640.00 | $2,001,624.77 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH NORTH HOSPITAL Outpatient | Suburban Health Organization | PPO - Direct | $2,738,736.00 | $5,216,640.00 | $1,481,004.10 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH ARNETT HOSPITAL Outpatient | Suburban Health Organization | PPO - Witham Health Services | $2,738,736.00 | $5,216,640.00 | $1,303,638.34 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH PAOLI HOSPITAL Outpatient | Suburban Health Organization | PPO - Direct | $2,738,736.00 | $5,216,640.00 | $2,001,624.77 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH WHITE MEMORIAL HOSPITAL Outpatient | Suburban Health Organization | PPO - Direct | $2,738,736.00 | $5,216,640.00 | $1,626,548.35 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH Outpatient | Suburban Health Organization | PPO - Direct | $2,738,736.00 | $5,216,640.00 | $1,481,004.10 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH Outpatient | Suburban Health Organization | PPO - Witham Health Services | $2,738,736.00 | $5,216,640.00 | $1,481,004.10 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH JAY, INC. Outpatient | Suburban Health Organization | PPO - Witham Health Services | $2,738,736.00 | $5,216,640.00 | $2,333,924.74 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH JAY, INC. Outpatient | Suburban Health Organization | PPO - Direct | $2,738,736.00 | $5,216,640.00 | $2,333,924.74 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH WHITE MEMORIAL HOSPITAL Outpatient | Suburban Health Organization | PPO - Witham Health Services | $2,738,736.00 | $5,216,640.00 | $1,626,548.35 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH BEDFORD HOSPITAL Outpatient | Suburban Health Organization | PPO - Direct | $2,738,736.00 | $5,216,640.00 | $1,489,350.72 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH BEDFORD HOSPITAL Outpatient | Suburban Health Organization | PPO - Witham Health Services | $2,738,736.00 | $5,216,640.00 | $1,489,350.72 | 2026-03-25 | MRF ↗ |
| IU HEALTH WEST HOSPITAL Outpatient | Suburban Health Organization | PPO - Direct | $2,738,736.00 | $5,216,640.00 | $1,481,004.10 | 2026-03-25 | MRF ↗ |
| IU HEALTH WEST HOSPITAL Outpatient | Suburban Health Organization | PPO - Witham Health Services | $2,738,736.00 | $5,216,640.00 | $1,481,004.10 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH FRANKFORT INC Outpatient | Suburban Health Organization | PPO - Witham Health Services | $2,738,736.00 | $5,216,640.00 | $2,106,479.23 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH ARNETT HOSPITAL Outpatient | Suburban Health Organization | PPO - Direct | $2,738,736.00 | $5,216,640.00 | $1,303,638.34 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH FRANKFORT INC Outpatient | Suburban Health Organization | PPO - Direct | $2,738,736.00 | $5,216,640.00 | $2,106,479.23 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH BALL MEMORIAL HOSPITAL Outpatient | Suburban Health Organization | PPO - Witham Health Services | $2,790,902.40 | $5,216,640.00 | $1,106,971.01 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH BLOOMINGTON HOSPITAL Outpatient | Suburban Health Organization | PPO - Witham Health Services | $2,790,902.40 | $5,216,640.00 | $1,284,336.77 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH BLOOMINGTON HOSPITAL Outpatient | Suburban Health Organization | PPO - Direct | $2,790,902.40 | $5,216,640.00 | $1,284,336.77 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH BALL MEMORIAL HOSPITAL Outpatient | Suburban Health Organization | PPO - Direct | $2,790,902.40 | $5,216,640.00 | $1,106,971.01 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH BALL MEMORIAL HOSPITAL Outpatient | United Healthcare | All Managed Care | $2,948,966.59 | $5,216,640.00 | $1,106,971.01 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH WHITE MEMORIAL HOSPITAL Outpatient | United Healthcare | All Managed Care | $3,000,611.33 | $5,216,640.00 | $1,626,548.35 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH WHITE MEMORIAL HOSPITAL Outpatient | Aetna | PPO - First Health | $3,025,651.20 | $5,216,640.00 | $1,626,548.35 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH WHITE MEMORIAL HOSPITAL Outpatient | Aetna | PPO - NAP | $3,025,651.20 | $5,216,640.00 | $1,626,548.35 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH ARNETT HOSPITAL Outpatient | Deaconess Health System | All Managed Care | $3,025,651.20 | $5,216,640.00 | $1,303,638.34 | 2026-03-25 | MRF ↗ |
| IU HEALTH WEST HOSPITAL Outpatient | Deaconess Health System | All Managed Care | $3,025,651.20 | $5,216,640.00 | $1,481,004.10 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH FRANKFORT INC Outpatient | Deaconess Health System | All Managed Care | $3,025,651.20 | $5,216,640.00 | $2,106,479.23 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH BEDFORD HOSPITAL Outpatient | Deaconess Health System | All Managed Care | $3,025,651.20 | $5,216,640.00 | $1,489,350.72 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH Outpatient | Deaconess Health System | All Managed Care | $3,025,651.20 | $5,216,640.00 | $1,481,004.10 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH JAY, INC. Outpatient | Deaconess Health System | All Managed Care | $3,025,651.20 | $5,216,640.00 | $2,333,924.74 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH NORTH HOSPITAL Outpatient | Deaconess Health System | All Managed Care | $3,025,651.20 | $5,216,640.00 | $1,481,004.10 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH PAOLI HOSPITAL Outpatient | Deaconess Health System | All Managed Care | $3,025,651.20 | $5,216,640.00 | $2,001,624.77 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH FRANKFORT INC Outpatient | Aetna | PPO - NAP | $3,025,651.20 | $5,216,640.00 | $2,106,479.23 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH BLOOMINGTON HOSPITAL Outpatient | Deaconess Health System | All Managed Care | $3,025,651.20 | $5,216,640.00 | $1,284,336.77 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH FRANKFORT INC Outpatient | Aetna | PPO - First Health | $3,025,651.20 | $5,216,640.00 | $2,106,479.23 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH WHITE MEMORIAL HOSPITAL Outpatient | Deaconess Health System | All Managed Care | $3,025,651.20 | $5,216,640.00 | $1,626,548.35 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH BALL MEMORIAL HOSPITAL Outpatient | Deaconess Health System | All Managed Care | $3,025,651.20 | $5,216,640.00 | $1,106,971.01 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH BALL MEMORIAL HOSPITAL Outpatient | Community Health Direct | HMO - LaPorte Regional Plans | $3,077,817.60 | $5,216,640.00 | $1,106,971.01 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH FRANKFORT INC Outpatient | Community Health Direct | HMO - LaPorte Regional Plans | $3,077,817.60 | $5,216,640.00 | $2,106,479.23 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH BEDFORD HOSPITAL Outpatient | Community Health Direct | HMO - LaPorte Regional Plans | $3,077,817.60 | $5,216,640.00 | $1,489,350.72 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH BLOOMINGTON HOSPITAL Outpatient | Community Health Direct | HMO - LaPorte Regional Plans | $3,077,817.60 | $5,216,640.00 | $1,284,336.77 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH PAOLI HOSPITAL Outpatient | Community Health Direct | HMO - LaPorte Regional Plans | $3,077,817.60 | $5,216,640.00 | $2,001,624.77 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH NORTH HOSPITAL Outpatient | Community Health Direct | HMO - LaPorte Regional Plans | $3,077,817.60 | $5,216,640.00 | $1,481,004.10 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH JAY, INC. Outpatient | Community Health Direct | HMO - LaPorte Regional Plans | $3,077,817.60 | $5,216,640.00 | $2,333,924.74 | 2026-03-25 | MRF ↗ |
| IU HEALTH WEST HOSPITAL Outpatient | Community Health Direct | HMO - LaPorte Regional Plans | $3,077,817.60 | $5,216,640.00 | $1,481,004.10 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH WHITE MEMORIAL HOSPITAL Outpatient | Community Health Direct | HMO - LaPorte Regional Plans | $3,077,817.60 | $5,216,640.00 | $1,626,548.35 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH Outpatient | Community Health Direct | HMO - LaPorte Regional Plans | $3,077,817.60 | $5,216,640.00 | $1,481,004.10 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH ARNETT HOSPITAL Outpatient | Community Health Direct | HMO - LaPorte Regional Plans | $3,077,817.60 | $5,216,640.00 | $1,303,638.34 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH BALL MEMORIAL HOSPITAL Outpatient | Parkview Health | HMO - Employee Plans | $3,223,883.52 | $5,216,640.00 | $1,106,971.01 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH WHITE MEMORIAL HOSPITAL Outpatient | Parkview Health | HMO - Employee Plans | $3,223,883.52 | $5,216,640.00 | $1,626,548.35 | 2026-03-25 | MRF ↗ |
| IU HEALTH WEST HOSPITAL Outpatient | Parkview Health | HMO - Employee Plans | $3,223,883.52 | $5,216,640.00 | $1,481,004.10 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH JAY, INC. Outpatient | Parkview Health | HMO - Employee Plans | $3,223,883.52 | $5,216,640.00 | $2,333,924.74 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH NORTH HOSPITAL Outpatient | Parkview Health | HMO - Employee Plans | $3,223,883.52 | $5,216,640.00 | $1,481,004.10 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH PAOLI HOSPITAL Outpatient | Parkview Health | HMO - Employee Plans | $3,223,883.52 | $5,216,640.00 | $2,001,624.77 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH BLOOMINGTON HOSPITAL Outpatient | Parkview Health | HMO - Employee Plans | $3,223,883.52 | $5,216,640.00 | $1,284,336.77 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH BEDFORD HOSPITAL Outpatient | Parkview Health | HMO - Employee Plans | $3,223,883.52 | $5,216,640.00 | $1,489,350.72 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH Outpatient | Parkview Health | HMO - Employee Plans | $3,223,883.52 | $5,216,640.00 | $1,481,004.10 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH ARNETT HOSPITAL Outpatient | Parkview Health | HMO - Employee Plans | $3,223,883.52 | $5,216,640.00 | $1,303,638.34 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH BALL MEMORIAL HOSPITAL Outpatient | Unified Group Services | HMO | $3,234,316.80 | $5,216,640.00 | $1,106,971.01 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH FRANKFORT INC Outpatient | Unified Group Services | HMO | $3,234,316.80 | $5,216,640.00 | $2,106,479.23 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH ARNETT HOSPITAL Outpatient | Unified Group Services | HMO | $3,234,316.80 | $5,216,640.00 | $1,303,638.34 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH BEDFORD HOSPITAL Outpatient | Unified Group Services | HMO | $3,234,316.80 | $5,216,640.00 | $1,489,350.72 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH PAOLI HOSPITAL Outpatient | Unified Group Services | HMO | $3,234,316.80 | $5,216,640.00 | $2,001,624.77 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH WHITE MEMORIAL HOSPITAL Outpatient | Unified Group Services | HMO | $3,234,316.80 | $5,216,640.00 | $1,626,548.35 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH NORTH HOSPITAL Outpatient | Unified Group Services | HMO | $3,234,316.80 | $5,216,640.00 | $1,481,004.10 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH JAY, INC. Outpatient | Unified Group Services | HMO | $3,234,316.80 | $5,216,640.00 | $2,333,924.74 | 2026-03-25 | MRF ↗ |
| IU HEALTH WEST HOSPITAL Outpatient | Unified Group Services | HMO | $3,234,316.80 | $5,216,640.00 | $1,481,004.10 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH Outpatient | Unified Group Services | HMO | $3,234,316.80 | $5,216,640.00 | $1,481,004.10 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH BLOOMINGTON HOSPITAL Outpatient | Unified Group Services | HMO | $3,234,316.80 | $5,216,640.00 | $1,284,336.77 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH FRANKFORT INC Outpatient | United Healthcare | All Managed Care | $3,239,533.44 | $5,216,640.00 | $2,106,479.23 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH BALL MEMORIAL HOSPITAL Outpatient | Sagamore Health Network/Cigna | PPO - DRG Plans | $3,249,966.72 | $5,216,640.00 | $1,106,971.01 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH BALL MEMORIAL HOSPITAL Outpatient | Sagamore Health Network/Cigna | PPO - NON-DRG | $3,249,966.72 | $5,216,640.00 | $1,106,971.01 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH FRANKFORT INC Outpatient | Indiana Health Network (IHN) | All Managed Care | $3,276,049.92 | $5,216,640.00 | $2,106,479.23 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH WHITE MEMORIAL HOSPITAL Outpatient | Cigna | HMO/POS - Arnett Hospital Plans | $3,286,483.20 | $5,216,640.00 | $1,626,548.35 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH WHITE MEMORIAL HOSPITAL Outpatient | Cigna | PPO | $3,286,483.20 | $5,216,640.00 | $1,626,548.35 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH WHITE MEMORIAL HOSPITAL Outpatient | Sagamore Health Network/Cigna | PPO - DRG Plans | $3,286,483.20 | $5,216,640.00 | $1,626,548.35 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH WHITE MEMORIAL HOSPITAL Outpatient | Cigna | HMO - Open Access | $3,286,483.20 | $5,216,640.00 | $1,626,548.35 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH WHITE MEMORIAL HOSPITAL Outpatient | Sagamore Health Network/Cigna | PPO - NON-DRG | $3,286,483.20 | $5,216,640.00 | $1,626,548.35 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH WHITE MEMORIAL HOSPITAL Outpatient | Cigna | HMO | $3,286,483.20 | $5,216,640.00 | $1,626,548.35 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH PAOLI HOSPITAL Outpatient | Managed Health Services | All Government Medicaid HIP | $3,360,000.00 | $5,216,640.00 | $2,001,624.77 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH Outpatient | United Healthcare | All Managed Medicaid | $3,360,000.00 | $5,216,640.00 | $1,481,004.10 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH Outpatient | Caresource | All Managed Medicaid | $3,360,000.00 | $5,216,640.00 | $1,481,004.10 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH Outpatient | Caresource | All Government Medicaid HIP | $3,360,000.00 | $5,216,640.00 | $1,481,004.10 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH Outpatient | Managed Health Services | All Government Medicaid HIP | $3,360,000.00 | $5,216,640.00 | $1,481,004.10 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH Outpatient | Managed Health Services | All Government Medicaid | $3,360,000.00 | $5,216,640.00 | $1,481,004.10 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH Outpatient | Elevance Health | All Managed Medicaid | $3,360,000.00 | $5,216,640.00 | $1,481,004.10 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH Outpatient | Elevance Health | All Government Medicaid HIP | $3,360,000.00 | $5,216,640.00 | $1,481,004.10 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH FRANKFORT INC Outpatient | United Healthcare | All Managed Medicaid | $3,360,000.00 | $5,216,640.00 | $2,106,479.23 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH FRANKFORT INC Outpatient | Caresource | All Managed Medicaid | $3,360,000.00 | $5,216,640.00 | $2,106,479.23 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH FRANKFORT INC Outpatient | Caresource | All Government Medicaid HIP | $3,360,000.00 | $5,216,640.00 | $2,106,479.23 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH FRANKFORT INC Outpatient | Managed Health Services | All Government Medicaid | $3,360,000.00 | $5,216,640.00 | $2,106,479.23 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH FRANKFORT INC Outpatient | Managed Health Services | All Government Medicaid HIP | $3,360,000.00 | $5,216,640.00 | $2,106,479.23 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH FRANKFORT INC Outpatient | Elevance Health | All Government Medicaid HIP | $3,360,000.00 | $5,216,640.00 | $2,106,479.23 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH FRANKFORT INC Outpatient | Elevance Health | All Managed Medicaid | $3,360,000.00 | $5,216,640.00 | $2,106,479.23 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH BEDFORD HOSPITAL Outpatient | United Healthcare | All Managed Medicaid | $3,360,000.00 | $5,216,640.00 | $1,489,350.72 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH BLOOMINGTON HOSPITAL Outpatient | United Healthcare | All Managed Medicaid | $3,360,000.00 | $5,216,640.00 | $1,284,336.77 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH PAOLI HOSPITAL Outpatient | United Healthcare | All Managed Medicaid | $3,360,000.00 | $5,216,640.00 | $2,001,624.77 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH NORTH HOSPITAL Outpatient | United Healthcare | All Managed Medicaid | $3,360,000.00 | $5,216,640.00 | $1,481,004.10 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH JAY, INC. Outpatient | United Healthcare | All Managed Medicaid | $3,360,000.00 | $5,216,640.00 | $2,333,924.74 | 2026-03-25 | MRF ↗ |
| IU HEALTH WEST HOSPITAL Outpatient | United Healthcare | All Managed Medicaid | $3,360,000.00 | $5,216,640.00 | $1,481,004.10 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH WHITE MEMORIAL HOSPITAL Outpatient | United Healthcare | All Managed Medicaid | $3,360,000.00 | $5,216,640.00 | $1,626,548.35 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH BALL MEMORIAL HOSPITAL Outpatient | United Healthcare | All Managed Medicaid | $3,360,000.00 | $5,216,640.00 | $1,106,971.01 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH ARNETT HOSPITAL Outpatient | United Healthcare | All Managed Medicaid | $3,360,000.00 | $5,216,640.00 | $1,303,638.34 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH BEDFORD HOSPITAL Outpatient | Caresource | All Managed Medicaid | $3,360,000.00 | $5,216,640.00 | $1,489,350.72 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH BEDFORD HOSPITAL Outpatient | Caresource | All Government Medicaid HIP | $3,360,000.00 | $5,216,640.00 | $1,489,350.72 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH BLOOMINGTON HOSPITAL Outpatient | Caresource | All Government Medicaid HIP | $3,360,000.00 | $5,216,640.00 | $1,284,336.77 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH BLOOMINGTON HOSPITAL Outpatient | Caresource | All Managed Medicaid | $3,360,000.00 | $5,216,640.00 | $1,284,336.77 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH PAOLI HOSPITAL Outpatient | Caresource | All Government Medicaid HIP | $3,360,000.00 | $5,216,640.00 | $2,001,624.77 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH PAOLI HOSPITAL Outpatient | Caresource | All Managed Medicaid | $3,360,000.00 | $5,216,640.00 | $2,001,624.77 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH NORTH HOSPITAL Outpatient | Caresource | All Government Medicaid HIP | $3,360,000.00 | $5,216,640.00 | $1,481,004.10 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH NORTH HOSPITAL Outpatient | Caresource | All Managed Medicaid | $3,360,000.00 | $5,216,640.00 | $1,481,004.10 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH JAY, INC. Outpatient | Caresource | All Government Medicaid HIP | $3,360,000.00 | $5,216,640.00 | $2,333,924.74 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH JAY, INC. Outpatient | Caresource | All Managed Medicaid | $3,360,000.00 | $5,216,640.00 | $2,333,924.74 | 2026-03-25 | MRF ↗ |
| IU HEALTH WEST HOSPITAL Outpatient | Caresource | All Government Medicaid HIP | $3,360,000.00 | $5,216,640.00 | $1,481,004.10 | 2026-03-25 | MRF ↗ |
| IU HEALTH WEST HOSPITAL Outpatient | Caresource | All Managed Medicaid | $3,360,000.00 | $5,216,640.00 | $1,481,004.10 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH WHITE MEMORIAL HOSPITAL Outpatient | Caresource | All Government Medicaid HIP | $3,360,000.00 | $5,216,640.00 | $1,626,548.35 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH WHITE MEMORIAL HOSPITAL Outpatient | Caresource | All Managed Medicaid | $3,360,000.00 | $5,216,640.00 | $1,626,548.35 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH BALL MEMORIAL HOSPITAL Outpatient | Caresource | All Government Medicaid HIP | $3,360,000.00 | $5,216,640.00 | $1,106,971.01 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH BALL MEMORIAL HOSPITAL Outpatient | Caresource | All Managed Medicaid | $3,360,000.00 | $5,216,640.00 | $1,106,971.01 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH ARNETT HOSPITAL Outpatient | Caresource | All Government Medicaid HIP | $3,360,000.00 | $5,216,640.00 | $1,303,638.34 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH ARNETT HOSPITAL Outpatient | Caresource | All Managed Medicaid | $3,360,000.00 | $5,216,640.00 | $1,303,638.34 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH BEDFORD HOSPITAL Outpatient | Managed Health Services | All Government Medicaid | $3,360,000.00 | $5,216,640.00 | $1,489,350.72 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH BEDFORD HOSPITAL Outpatient | Managed Health Services | All Government Medicaid HIP | $3,360,000.00 | $5,216,640.00 | $1,489,350.72 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH BLOOMINGTON HOSPITAL Outpatient | Managed Health Services | All Government Medicaid HIP | $3,360,000.00 | $5,216,640.00 | $1,284,336.77 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH BLOOMINGTON HOSPITAL Outpatient | Managed Health Services | All Government Medicaid | $3,360,000.00 | $5,216,640.00 | $1,284,336.77 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH PAOLI HOSPITAL Outpatient | Managed Health Services | All Government Medicaid | $3,360,000.00 | $5,216,640.00 | $2,001,624.77 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH NORTH HOSPITAL Outpatient | Managed Health Services | All Government Medicaid | $3,360,000.00 | $5,216,640.00 | $1,481,004.10 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH NORTH HOSPITAL Outpatient | Managed Health Services | All Government Medicaid HIP | $3,360,000.00 | $5,216,640.00 | $1,481,004.10 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH JAY, INC. Outpatient | Managed Health Services | All Government Medicaid | $3,360,000.00 | $5,216,640.00 | $2,333,924.74 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH JAY, INC. Outpatient | Managed Health Services | All Government Medicaid HIP | $3,360,000.00 | $5,216,640.00 | $2,333,924.74 | 2026-03-25 | MRF ↗ |
| IU HEALTH WEST HOSPITAL Outpatient | Managed Health Services | All Government Medicaid HIP | $3,360,000.00 | $5,216,640.00 | $1,481,004.10 | 2026-03-25 | MRF ↗ |
| IU HEALTH WEST HOSPITAL Outpatient | Managed Health Services | All Government Medicaid | $3,360,000.00 | $5,216,640.00 | $1,481,004.10 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH WHITE MEMORIAL HOSPITAL Outpatient | Managed Health Services | All Government Medicaid | $3,360,000.00 | $5,216,640.00 | $1,626,548.35 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH WHITE MEMORIAL HOSPITAL Outpatient | Managed Health Services | All Government Medicaid HIP | $3,360,000.00 | $5,216,640.00 | $1,626,548.35 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH BALL MEMORIAL HOSPITAL Outpatient | Managed Health Services | All Government Medicaid | $3,360,000.00 | $5,216,640.00 | $1,106,971.01 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH BALL MEMORIAL HOSPITAL Outpatient | Managed Health Services | All Government Medicaid HIP | $3,360,000.00 | $5,216,640.00 | $1,106,971.01 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH ARNETT HOSPITAL Outpatient | Managed Health Services | All Government Medicaid HIP | $3,360,000.00 | $5,216,640.00 | $1,303,638.34 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH ARNETT HOSPITAL Outpatient | Managed Health Services | All Government Medicaid | $3,360,000.00 | $5,216,640.00 | $1,303,638.34 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH BEDFORD HOSPITAL Outpatient | Elevance Health | All Managed Medicaid | $3,360,000.00 | $5,216,640.00 | $1,489,350.72 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH BEDFORD HOSPITAL Outpatient | Elevance Health | All Government Medicaid HIP | $3,360,000.00 | $5,216,640.00 | $1,489,350.72 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH BLOOMINGTON HOSPITAL Outpatient | Elevance Health | All Government Medicaid HIP | $3,360,000.00 | $5,216,640.00 | $1,284,336.77 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH BLOOMINGTON HOSPITAL Outpatient | Elevance Health | All Managed Medicaid | $3,360,000.00 | $5,216,640.00 | $1,284,336.77 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH PAOLI HOSPITAL Outpatient | Elevance Health | All Managed Medicaid | $3,360,000.00 | $5,216,640.00 | $2,001,624.77 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH PAOLI HOSPITAL Outpatient | Elevance Health | All Government Medicaid HIP | $3,360,000.00 | $5,216,640.00 | $2,001,624.77 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH WHITE MEMORIAL HOSPITAL Outpatient | Elevance Health | All Government Medicaid HIP | $3,360,000.00 | $5,216,640.00 | $1,626,548.35 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH NORTH HOSPITAL Outpatient | Elevance Health | All Government Medicaid HIP | $3,360,000.00 | $5,216,640.00 | $1,481,004.10 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH NORTH HOSPITAL Outpatient | Elevance Health | All Managed Medicaid | $3,360,000.00 | $5,216,640.00 | $1,481,004.10 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH JAY, INC. Outpatient | Elevance Health | All Managed Medicaid | $3,360,000.00 | $5,216,640.00 | $2,333,924.74 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH JAY, INC. Outpatient | Elevance Health | All Government Medicaid HIP | $3,360,000.00 | $5,216,640.00 | $2,333,924.74 | 2026-03-25 | MRF ↗ |
| IU HEALTH WEST HOSPITAL Outpatient | Elevance Health | All Government Medicaid HIP | $3,360,000.00 | $5,216,640.00 | $1,481,004.10 | 2026-03-25 | MRF ↗ |
| IU HEALTH WEST HOSPITAL Outpatient | Elevance Health | All Managed Medicaid | $3,360,000.00 | $5,216,640.00 | $1,481,004.10 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH WHITE MEMORIAL HOSPITAL Outpatient | Elevance Health | All Managed Medicaid | $3,360,000.00 | $5,216,640.00 | $1,626,548.35 | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH BALL MEMORIAL HOSPITAL Outpatient | Elevance Health | All Government Medicaid HIP | $3,360,000.00 | $5,216,640.00 | $1,106,971.01 | 2026-03-25 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.