702129252 — 000000000000504021-stem
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). 000000000000504021-STEM (CDM 702129252) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/702129252?code_type=CDM
MLA (9th ed.)
“000000000000504021-STEM (CDM 702129252) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/702129252?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“000000000000504021-STEM (CDM 702129252) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/702129252?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $19,647–$30,142 (25th–75th percentile) across 1 hospital · 90 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 702129252 — 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 |
|---|---|---|---|---|---|---|---|
| ASCENSION ST VINCENT RANDOLPH Outpatient | THERAMATRIX PHYSICAL THERAPY | 5501_THERAMATRIX PHYSICAL THERAPY 20210101 | $40.00 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | THERAMATRIX PHYSICAL THERAPY | 3187_THERAMATRIX PHYSICAL THERAPY 20170101 | $40.00 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | THERAMATRIX PHYSICAL THERAPY | 5501_THERAMATRIX PHYSICAL THERAPY 20210101 | $40.00 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | THERAMATRIX PHYSICAL THERAPY | 3187_THERAMATRIX PHYSICAL THERAPY 20170101 | $40.00 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | MDWISE HOOSIER ALLIANCE MEDICAID | 9347_MDWISE MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 | $362.89 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 | 9365_MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 | $362.89 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | MDWISE HOOSIER ALLIANCE MEDICAID | 9347_MDWISE MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 | $362.89 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 | 9365_MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 | $362.89 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM BEHAVIORAL | 4090_ANTHEM BEHAVIORAL MEDICAID REPLACEMENT OUTPATIENT 20200201 | $389.76 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM BEHAVIORAL | 4090_ANTHEM BEHAVIORAL MEDICAID REPLACEMENT OUTPATIENT 20200201 | $389.76 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM CARE CONNECT | 8879_ANTHEM CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401 | $524.16 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | MHS CARE CONNECT | 8257_MHS CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101 | $524.16 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM CARE CONNECT | 8255_ANTHEM CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101 | $524.16 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | MDWISE HOOSIER ALLIANCE MEDICAID | 8256_MDWISE MEDICAID REPLACEMENT OUTPATIENT 20240101 | $524.16 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM CARE CONNECT | 8255_ANTHEM CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101 | $524.16 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | MHS CARE CONNECT | 8877_MHS CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401 | $524.16 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | MHS CARE CONNECT | 8257_MHS CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101 | $524.16 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | MEDICAID ADVANTAGE | 8723_MEDICAID REPLACEMENT OUTPATIENT 20240401 | $524.16 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | MHS CARE CONNECT | 8877_MHS CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401 | $524.16 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | MEDICAID ADVANTAGE | 8723_MEDICAID REPLACEMENT OUTPATIENT 20240401 | $524.16 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM MEDICAID | 7373_ANTHEM MEDICAID REPLACEMENT OUTPATIENT 20230101 | $524.16 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM CARE CONNECT | 8879_ANTHEM CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401 | $524.16 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM MEDICAID | 7373_ANTHEM MEDICAID REPLACEMENT OUTPATIENT 20230101 | $524.16 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | MDWISE HOOSIER ALLIANCE MEDICAID | 8256_MDWISE MEDICAID REPLACEMENT OUTPATIENT 20240101 | $524.16 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | HELPING HAND OLD ORDER | 6647_HELPING HANDS MEDICAL ASSISTANCE VRIN 20220701 | $6,716.80 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | MDWISE MEDICARE | 8364_MDWISE MEDICARE VRIN 20240701 | $6,716.80 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | SECURE HORIZONS-UNICARE | 8369_SECURE HORIZONS UNICARE MEDICARE REPLACEMENT VRIN 20240701 | $6,716.80 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | SECURE HORIZONS-PACIFICARE | 8368_SECURE HORIZONS PACIFICARE VRIN 20240701 | $6,716.80 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | SECURE HORIZONS-PACIFICARE | 8368_SECURE HORIZONS PACIFICARE VRIN 20240701 | $6,716.80 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | CORIZON | 6645_CORIZON MEDICARE VRIN 20220701 | $6,716.80 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | SMARTHEALTH PPO | 9206_SMARTHEALTH VRIN 20240701 | $6,716.80 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | HELPING HAND OLD ORDER | 6647_HELPING HANDS MEDICAL ASSISTANCE VRIN 20220701 | $6,716.80 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | SECURE HORIZONS-UNICARE | 8369_SECURE HORIZONS UNICARE MEDICARE REPLACEMENT VRIN 20240701 | $6,716.80 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | CORIZON | 6645_CORIZON MEDICARE VRIN 20220701 | $6,716.80 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | SMARTHEALTH PPO | 9206_SMARTHEALTH VRIN 20240701 | $6,716.80 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | IMMERGRUN | 6655_IMMERGRUN VRIN 20220701 | $6,716.80 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | AETNA MCR | 8360_AETNA MEDICARE REPLACEMENT VRIN 20240701 | $6,716.80 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | AETNA MCR | 8360_AETNA MEDICARE REPLACEMENT VRIN 20240701 | $6,716.80 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | MDWISE MEDICARE | 8364_MDWISE MEDICARE VRIN 20240701 | $6,716.80 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | IMMERGRUN | 6655_IMMERGRUN VRIN 20220701 | $6,716.80 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM MCR | 8361_ANTHEM MEDICARE REPLACEMENT VRIN 20240701 | $7,052.64 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | UHC MCR | 8370_UNITED HEALTHCARE MEDICARE REPLACEMENT VRIN 20240701 | $7,052.64 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | WELLCARE MEDICARE ADVANTAGE | 8371_WELLCARE MEDICARE REPLACEMENT VRIN 20240701 | $7,052.64 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ZING MEDICARE ADVANTAGE | 8372_ZING HEALTH MEDICARE REPLACEMENT VRIN 20240701 | $7,052.64 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | CARESOURCE MARKETPLACE | 9215_CARESOURCE MARKETPLACE VRIN 20240701 | $7,052.64 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM MCR | 8361_ANTHEM MEDICARE REPLACEMENT VRIN 20240701 | $7,052.64 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ZING MEDICARE ADVANTAGE | 8372_ZING HEALTH MEDICARE REPLACEMENT VRIN 20240701 | $7,052.64 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | CARESOURCE MARKETPLACE | 9215_CARESOURCE MARKETPLACE VRIN 20240701 | $7,052.64 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | WELLCARE MEDICARE ADVANTAGE | 8371_WELLCARE MEDICARE REPLACEMENT VRIN 20240701 | $7,052.64 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | AETNA MCR CHOICE | 8359_AETNA MEDICARE REPLACEMENT CHOICE VRIN 20240701 | $7,052.64 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | HUMANA PPO MCR REPLACEMENT | 8363_HUMANA PPO MEDICARE REPLACEMENT VRIN 20240701 | $7,052.64 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | AETNA MCR CHOICE | 8359_AETNA MEDICARE REPLACEMENT CHOICE VRIN 20240701 | $7,052.64 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | HUMANA PPO MCR REPLACEMENT | 8363_HUMANA PPO MEDICARE REPLACEMENT VRIN 20240701 | $7,052.64 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | MHS AMBETTER MKTPL | 8367_MHS CENPATICO-AMBETTER MARKETPLACE VRIN 20240701 | $7,052.64 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | UHC MCR | 8370_UNITED HEALTHCARE MEDICARE REPLACEMENT VRIN 20240701 | $7,052.64 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | MHS AMBETTER MKTPL | 8367_MHS CENPATICO-AMBETTER MARKETPLACE VRIN 20240701 | $7,052.64 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | MEDICARE REPLACEMENT | 8365_MEDICARE REPLACEMENT VRIN 20240701 | $7,052.64 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | HUMANA GOLD MCR | 8362_HUMANA GOLD CHOICE MEDICARE REPLACEMENT VRIN 20240701 | $7,052.64 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | MEDICARE REPLACEMENT | 8365_MEDICARE REPLACEMENT VRIN 20240701 | $7,052.64 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | HUMANA GOLD MCR | 8362_HUMANA GOLD CHOICE MEDICARE REPLACEMENT VRIN 20240701 | $7,052.64 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | PERSONALIZED CARE | 6409_ASCENSION PERSONALIZED CARE VRIN 20220701 | $7,388.48 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | PERSONALIZED CARE | 6409_ASCENSION PERSONALIZED CARE VRIN 20220701 | $7,388.48 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ALLIANCE COALITION MEDICARE REPLACEMENT | 8215_ALLIANCE COALITION MEDICARE ADVANTAGE VRIN 20230301 | $7,724.32 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | DEVOTED HEALTH MCR | 8134_DEVOTED HEALTH MEDICARE ADVANTAGE VRIN 20231120 | $7,724.32 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ALLIANCE COALITION MEDICARE REPLACEMENT | 8215_ALLIANCE COALITION MEDICARE ADVANTAGE VRIN 20230301 | $7,724.32 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | DEVOTED HEALTH MCR | 8134_DEVOTED HEALTH MEDICARE ADVANTAGE VRIN 20231120 | $7,724.32 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | HUMANA PPO MCR REPLACEMENT | 8683_HUMANA PPO MEDICARE REPLACEMENT INPATIENT SVIN 20241001 | $8,396.00 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | HUMANA PPO MCR REPLACEMENT | 8683_HUMANA PPO MEDICARE REPLACEMENT INPATIENT SVIN 20241001 | $8,396.00 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | SECURE HORIZONS-PACIFICARE | 9156_SECURE HORIZONS PACIFICARE MEDICARE REPLACEMENT OUTPATIENT VKIN 20250101 | $8,731.84 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | SECURE HORIZONS-PACIFICARE | 9156_SECURE HORIZONS PACIFICARE MEDICARE REPLACEMENT OUTPATIENT VKIN 20250101 | $8,731.84 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | MHS CENPATICO AMBETTER | 3449_MHS CENPATICO AMBETTER OUTPATIENT VRIN 20200201 | $9,067.68 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | WORKERS COMP CORVEL | 4274_WORKERS COMP CORVEL 20200201 | $9,067.68 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | WORKERS COMP | 4248_WORKERS COMP 20200201 | $9,067.68 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | MHS CENPATICO AMBETTER | 3449_MHS CENPATICO AMBETTER OUTPATIENT VRIN 20200201 | $9,067.68 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | WORKERS COMP OBJSURG | 4302_WORKERS OBJ SURGICAL 20200201 | $9,067.68 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | WORKERS COMP | 4248_WORKERS COMP 20200201 | $9,067.68 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | WORKERS COMP CORVEL | 4274_WORKERS COMP CORVEL 20200201 | $9,067.68 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | WORKERS COMP OBJSURG | 4302_WORKERS OBJ SURGICAL 20200201 | $9,067.68 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | UGS | 8844_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20241001 | $10,075.20 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | PATOKA VALLEY TIER 1 | 9410_PAKOTA VALLEY TIER 1 VEIN 20250101 | $10,075.20 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | PATOKA VALLEY TIER 1 | 9412_PAKOTA VALLEY TIER 1 20250101 | $10,075.20 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ADVANTUS | 8847_ST. VINCENT HEALTH, WELLNESS AND PREVENTIVE CARE INSTITUTE, LLC 20241001 | $10,075.20 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | PATOKA VALLEY TIER 1 | 9412_PAKOTA VALLEY TIER 1 20250101 | $10,075.20 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | PATOKA VALLEY TIER 1 | 9410_PAKOTA VALLEY TIER 1 VEIN 20250101 | $10,075.20 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ADVANTUS | 8847_ST. VINCENT HEALTH, WELLNESS AND PREVENTIVE CARE INSTITUTE, LLC 20241001 | $10,075.20 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | UGS | 8844_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20241001 | $10,075.20 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | UGS | 8852_ST. VINCENT PREVENTIVE HEALTH AND WELLNESS INSTITUTE ADVANTUS 20241001 | $10,411.04 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ADVANTUS | 8851_ST. VINCENT HEALTH, WELLNESS AND PREVENTIVE CARE INSTITUTE, LLC 20241001 | $10,411.04 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ADVANTUS | 8851_ST. VINCENT HEALTH, WELLNESS AND PREVENTIVE CARE INSTITUTE, LLC 20241001 | $10,411.04 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | UGS | 8852_ST. VINCENT PREVENTIVE HEALTH AND WELLNESS INSTITUTE ADVANTUS 20241001 | $10,411.04 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | UGS | 4204_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20200701 | $13,097.76 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ADVANTUS | 4195_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20200701 | $13,097.76 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | UGS | 4204_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20200701 | $13,097.76 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ADVANTUS | 4195_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20200701 | $13,097.76 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM HEALTHSYNC HMO | 9399_ANTHEM HEALTHSYNC HMO VEIN 20250101 | $13,433.60 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM HEALTHSYNC HMO | 9399_ANTHEM HEALTHSYNC HMO VEIN 20250101 | $13,433.60 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | PATOKA VALLEY TIER 2 | 9413_PAKOTA VALLEY TIER 2 20250101 | $14,105.28 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | PATOKA VALLEY TIER 2 | 9413_PAKOTA VALLEY TIER 2 20250101 | $14,105.28 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | PATOKA VALLEY TIER 2 | 9415_PAKOTA VALLEY TIER 2 VEIN 20250101 | $14,105.28 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | SIHO HMO | 5477_SIHO HMO DAVIS COUNTY EMPLOYEES SEIN VEIN 20210101 | $14,105.28 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | PATOKA VALLEY TIER 2 | 9415_PAKOTA VALLEY TIER 2 VEIN 20250101 | $14,105.28 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | SIHO HMO | 5477_SIHO HMO DAVIS COUNTY EMPLOYEES SEIN VEIN 20210101 | $14,105.28 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM HEALTHSYNC POS | 9401_ANTHEM HEALTHSYNC POS VEIN 20250101 | $15,784.48 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM HEALTHSYNC POS | 9401_ANTHEM HEALTHSYNC POS VEIN 20250101 | $15,784.48 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM SHORT TERM LIMITED DURATION | 9355_ANTHEM SHORT TERM LIMITED DURATION VRIN 20250101 | $16,120.32 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM PATHWAY X | 9316_ANTHEM PATHWAY X VRIN 20250101 | $16,120.32 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM HEALTHSYNC HMO | 9312_ANTHEM HEALTHSYNC HMO VRIN 20250101 | $16,120.32 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM SHORT TERM LIMITED DURATION | 9355_ANTHEM SHORT TERM LIMITED DURATION VRIN 20250101 | $16,120.32 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM PATHWAY X | 9316_ANTHEM PATHWAY X VRIN 20250101 | $16,120.32 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM HEALTHSYNC HMO | 9312_ANTHEM HEALTHSYNC HMO VRIN 20250101 | $16,120.32 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM PATHWAY X | 9405_ANTHEM PATHWAY X VEIN 20250101 | $17,127.84 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM PATHWAY X | 9405_ANTHEM PATHWAY X VEIN 20250101 | $17,127.84 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM HEALTHSYNC POS | 9313_ANTHEM HEALTHSYNC POS VRIN 20250101 | $17,463.68 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM HEALTHSYNC POS | 9313_ANTHEM HEALTHSYNC POS VRIN 20250101 | $17,463.68 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | SMARTHEALTH PPO/HDHP 20161001 | 1440_SMARTHEALTH PPO/HDHP 20161001 | $17,799.52 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM SHORT TERM LIMITED DURATION | 9407_ANTHEM SHORT TERM LIMITED DURATION VEIN 20250101 | $17,799.52 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM SHORT TERM LIMITED DURATION | 9407_ANTHEM SHORT TERM LIMITED DURATION VEIN 20250101 | $17,799.52 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | SMARTHEALTH PPO/HDHP 20161001 | 1440_SMARTHEALTH PPO/HDHP 20161001 | $17,799.52 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | SMARTHEALTH PPO | 2911_SMARTHEALTH PPO 20170101 | $17,799.52 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | SMARTHEALTH PPO | 2911_SMARTHEALTH PPO 20170101 | $17,799.52 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | PROHEALTH | 8831_PROHEALTH 20241001 | $18,471.20 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | SUBURBAN/SHO | 8856_SUBURBAN 20241001 | $18,471.20 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | PROHEALTH | 8832_PROHEALTH 20241001 | $18,471.20 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | PROHEALTH | 8832_PROHEALTH 20241001 | $18,471.20 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | PROHEALTH | 8831_PROHEALTH 20241001 | $18,471.20 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | SUBURBAN/SHO | 8855_SUBURBAN 20241001 | $18,471.20 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | SUBURBAN/SHO | 8856_SUBURBAN 20241001 | $18,471.20 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | SUBURBAN/SHO | 8855_SUBURBAN 20241001 | $18,471.20 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM HMO/POS | 9403_ANTHEM HMO POS VEIN 20250101 | $18,807.04 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM HMO/POS | 9403_ANTHEM HMO POS VEIN 20250101 | $18,807.04 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | AETNA NBR | 3697_AETNA SVIN VFIN VHIN 20210101 | $19,478.72 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | AETNA NBR | 3697_AETNA SVIN VFIN VHIN 20210101 | $19,478.72 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | SELFPAY | 2253_SELF PAY 20100101 | $20,150.40 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | TRICOUNTY | 3658_TRICOUNTY 20200901 | $20,150.40 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | SELFPAY | 2253_SELF PAY 20100101 | $20,150.40 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | TRICOUNTY | 3658_TRICOUNTY 20200901 | $20,150.40 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | PLAIN CHURCH GROUP | 4069_PLAIN CHURCH GROUP 20201101 | $20,150.40 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | PLAIN CHURCH GROUP | 4433_PLAIN CHURCH GROUP STIN SSIN 20201101 | $20,150.40 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | AMISH | 272_AMISH SELF PAY 20120101 | $20,150.40 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | HELPING HAND OLD ORDER | 5383_HELPING HANDS MEDICAL ASSISTANCE OUTPATIENT 20211101 | $20,150.40 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | PLAIN CHURCH GROUP | 4066_PLAIN CHURCH GROUP OUTPATIENT 20201101 | $20,150.40 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | PLAIN CHURCH GROUP | 4433_PLAIN CHURCH GROUP STIN SSIN 20201101 | $20,150.40 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | PLAIN CHURCH GROUP | 4069_PLAIN CHURCH GROUP 20201101 | $20,150.40 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | PLAIN CHURCH GROUP | 4066_PLAIN CHURCH GROUP OUTPATIENT 20201101 | $20,150.40 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ONE HEALTH PLAN | 9213_ONE HEALTH PLAN VEIN 20241001 | $20,150.40 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ONE HEALTH PLAN | 9213_ONE HEALTH PLAN VEIN 20241001 | $20,150.40 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | AMISH | 272_AMISH SELF PAY 20120101 | $20,150.40 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | HELPING HAND OLD ORDER | 5383_HELPING HANDS MEDICAL ASSISTANCE OUTPATIENT 20211101 | $20,150.40 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | HUMANA CHOICECARE | 8830_HUMANA CHOICE CARE VEIN 20241001 | $20,486.24 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM HMO/POS | 9314_ANTHEM HMO POS VRIN 20250101 | $20,486.24 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | HUMANA CHOICE 1 NETWORK | 8829_HUMANA CHOICE CARE NETWORK VEIN 20241001 | $20,486.24 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | HUMANA CHOICECARE | 8830_HUMANA CHOICE CARE VEIN 20241001 | $20,486.24 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | HUMANA CHOICE 1 NETWORK | 8829_HUMANA CHOICE CARE NETWORK VEIN 20241001 | $20,486.24 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM HMO/POS | 9314_ANTHEM HMO POS VRIN 20250101 | $20,486.24 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $20,822.08 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | KEY BENEFIT FAYETTE | 370_KEY BENEFIT FAYETTE 20130101 | $20,822.08 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | KEY BENEFIT FAYETTE | 370_KEY BENEFIT FAYETTE 20130101 | $20,822.08 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $20,822.08 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | UGS | 3295_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20180201 | $21,157.92 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | UNIFIED ZIONSVILLE | 8861_UNIFIED ZIONSVILLE ASIN ECIN 20241001 | $21,157.92 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM PPO PREFERRED | 9406_ANTHEM PREFERRED VEIN 20250101 | $21,157.92 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM PATHWAY | 9404_ANTHEM PATHWAY VEIN 20250101 | $21,157.92 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | AHS ST FRANCIS | 720_AHS ST FRANCIS 20120101 | $21,157.92 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | UGS | 3295_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20180201 | $21,157.92 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | AHS ST FRANCIS | 104_AHR ST. FRANCIS 20120101 | $21,157.92 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | UNIFIED ZIONSVILLE | 1814_UNIFIED ZIONSVILLE CAH 20180101 CLIN VDIN VMIN VRIN VJIN VSIN VWIN VFKT SVIN | $21,157.92 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ADVANTUS | 3251_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20180201 | $21,157.92 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ADVANTAGE 360 | 8729_ADVANTAGE 360 20241001 | $21,157.92 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ADVANTAGE 360 | 8732_ADVANTAGE 360 20241001 | $21,157.92 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | AHS ST FRANCIS | 104_AHR ST. FRANCIS 20120101 | $21,157.92 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | SIHO PPO | 5476_SIHO HMO SEIN VEIN 20210101 | $21,157.92 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | UNIFIED ZIONSVILLE | 8865_UNIFIED ZIONSVILLE VFIN NRIN 20241001 | $21,157.92 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | AHS ST FRANCIS | 720_AHS ST FRANCIS 20120101 | $21,157.92 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | SIHO PPO | 5476_SIHO HMO SEIN VEIN 20210101 | $21,157.92 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | UNIFIED ZIONSVILLE | 8865_UNIFIED ZIONSVILLE VFIN NRIN 20241001 | $21,157.92 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ADVANTAGE 360 | 8732_ADVANTAGE 360 20241001 | $21,157.92 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ADVANTAGE 360 | 8729_ADVANTAGE 360 20241001 | $21,157.92 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | UNIFIED ZIONSVILLE | 8861_UNIFIED ZIONSVILLE ASIN ECIN 20241001 | $21,157.92 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | UNIFIED ZIONSVILLE | 1814_UNIFIED ZIONSVILLE CAH 20180101 CLIN VDIN VMIN VRIN VJIN VSIN VWIN VFKT SVIN | $21,157.92 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | SAGAMORE ZIONSVILLE | 762_SAGAMORE ZIONSVILLE 20120101 | $21,157.92 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM PATHWAY | 9404_ANTHEM PATHWAY VEIN 20250101 | $21,157.92 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM PPO PREFERRED | 9406_ANTHEM PREFERRED VEIN 20250101 | $21,157.92 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ADVANTUS | 3251_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20180201 | $21,157.92 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | SAGAMORE ZIONSVILLE | 762_SAGAMORE ZIONSVILLE 20120101 | $21,157.92 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM PPO PREFERRED | 9317_ANTHEM PREFERRED VRIN 20250101 | $21,493.76 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM PATHWAY | 9315_ANTHEM PATHWAY VRIN 20250101 | $21,493.76 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM PPO PREFERRED | 9317_ANTHEM PREFERRED VRIN 20250101 | $21,493.76 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | $21,493.76 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM PATHWAY | 9315_ANTHEM PATHWAY VRIN 20250101 | $21,493.76 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | HUMANA CHOICE 1 NETWORK | 8825_HUMANA CHOICE 1 NETWORK ASIN, ECIN 20241001 | $21,493.76 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | $21,493.76 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | HUMANA CHOICE 1 NETWORK | 8825_HUMANA CHOICE 1 NETWORK ASIN, ECIN 20241001 | $21,493.76 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | CIGNA EXISTING BUSINESS | 8817_CIGNA PPO CHOICE OAP VEIN 20241001 | $21,829.60 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | SAGAMORE SELECT | 1718_SAGAMORE SELECT 20120101 | $21,829.60 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | SAGAMORE PLUS DRG | 8840_SAGAMORE PLUS 20241001 | $21,829.60 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | HUMANA CHOICE 1 NETWORK | 8828_HUMANA CHOICE 1 NETWORK VFIN, NRIN 20241001 | $21,829.60 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | SAGAMORE PLUS | 1717_SAGAMORE PLUS 20120101 | $21,829.60 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | HUMANA CHOICE 1 NETWORK | 8828_HUMANA CHOICE 1 NETWORK VFIN, NRIN 20241001 | $21,829.60 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | SAGAMORE PLUS | 1717_SAGAMORE PLUS 20120101 | $21,829.60 | $33,584.00 | $20,150.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | CIGNA EXISTING BUSINESS | 8817_CIGNA PPO CHOICE OAP VEIN 20241001 | $21,829.60 | $33,584.00 | $20,150.40 | 2026-01-01 | 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.