709038895 — Fistulagram W/wo Pta Stent+im
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). FISTULAGRAM W/WO PTA STENT+IM (CDM 709038895) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/709038895?code_type=CDM
MLA (9th ed.)
“FISTULAGRAM W/WO PTA STENT+IM (CDM 709038895) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/709038895?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“FISTULAGRAM W/WO PTA STENT+IM (CDM 709038895) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/709038895?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $44,577–$60,542 (25th–75th percentile) across 5 hospitals · 74 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 709038895 — 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 |
|---|---|---|---|---|---|---|---|
| ST VINCENT HEART CENTER Outpatient | THERAMATRIX PHYSICAL THERAPY | 5501_THERAMATRIX PHYSICAL THERAPY 20210101 | $40.00 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Outpatient | THERAMATRIX PHYSICAL THERAPY | 3187_THERAMATRIX PHYSICAL THERAPY 20170101 | $40.00 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | HUMANA PPO MCR REPLACEMENT | 8683_HUMANA PPO MEDICARE REPLACEMENT INPATIENT SVIN 20241001 | $15,948.75 | $63,795.00 | $38,277.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | SECURE HORIZONS-PACIFICARE | 9156_SECURE HORIZONS PACIFICARE MEDICARE REPLACEMENT OUTPATIENT VKIN 20250101 | $16,586.70 | $63,795.00 | $38,277.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | HUMANA PPO MCR REPLACEMENT | 8683_HUMANA PPO MEDICARE REPLACEMENT INPATIENT SVIN 20241001 | $16,817.25 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | HUMANA PPO MCR REPLACEMENT | 8683_HUMANA PPO MEDICARE REPLACEMENT INPATIENT SVIN 20241001 | $16,817.25 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | HUMANA PPO MCR REPLACEMENT | 9137_HUMANA PPO MEDICARE REPLACEMENT OUTPATIENT SVIN 20250101 | $16,817.25 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | HUMANA PPO MCR REPLACEMENT | 8683_HUMANA PPO MEDICARE REPLACEMENT INPATIENT SVIN 20241001 | $16,817.25 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | HUMANA PPO MCR REPLACEMENT | 8683_HUMANA PPO MEDICARE REPLACEMENT INPATIENT SVIN 20241001 | $16,817.25 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Outpatient | HUMANA PPO MCR REPLACEMENT | 8683_HUMANA PPO MEDICARE REPLACEMENT INPATIENT SVIN 20241001 | $16,817.25 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Outpatient | HUMANA PPO MCR REPLACEMENT | 8683_HUMANA PPO MEDICARE REPLACEMENT INPATIENT SVIN 20241001 | $17,114.25 | $68,457.00 | $41,074.20 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | SECURE HORIZONS-PACIFICARE | 9156_SECURE HORIZONS PACIFICARE MEDICARE REPLACEMENT OUTPATIENT VKIN 20250101 | $17,489.94 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | SECURE HORIZONS-PACIFICARE | 9156_SECURE HORIZONS PACIFICARE MEDICARE REPLACEMENT OUTPATIENT VKIN 20250101 | $17,489.94 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | SECURE HORIZONS-PACIFICARE | 9156_SECURE HORIZONS PACIFICARE MEDICARE REPLACEMENT OUTPATIENT VKIN 20250101 | $17,489.94 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | SECURE HORIZONS-PACIFICARE | 9156_SECURE HORIZONS PACIFICARE MEDICARE REPLACEMENT OUTPATIENT VKIN 20250101 | $17,489.94 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Outpatient | SECURE HORIZONS-PACIFICARE | 9156_SECURE HORIZONS PACIFICARE MEDICARE REPLACEMENT OUTPATIENT VKIN 20250101 | $17,489.94 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Outpatient | SECURE HORIZONS-PACIFICARE | 9156_SECURE HORIZONS PACIFICARE MEDICARE REPLACEMENT OUTPATIENT VKIN 20250101 | $17,798.82 | $68,457.00 | $41,074.20 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | ADVANTUS | 8847_ST. VINCENT HEALTH, WELLNESS AND PREVENTIVE CARE INSTITUTE, LLC 20241001 | $19,138.50 | $63,795.00 | $38,277.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | UGS | 8844_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20241001 | $19,138.50 | $63,795.00 | $38,277.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | UGS | 8852_ST. VINCENT PREVENTIVE HEALTH AND WELLNESS INSTITUTE ADVANTUS 20241001 | $19,776.45 | $63,795.00 | $38,277.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | ADVANTUS | 8851_ST. VINCENT HEALTH, WELLNESS AND PREVENTIVE CARE INSTITUTE, LLC 20241001 | $19,776.45 | $63,795.00 | $38,277.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | ADVANTUS | 8847_ST. VINCENT HEALTH, WELLNESS AND PREVENTIVE CARE INSTITUTE, LLC 20241001 | $20,180.70 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ADVANTUS | 8847_ST. VINCENT HEALTH, WELLNESS AND PREVENTIVE CARE INSTITUTE, LLC 20241001 | $20,180.70 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | ADVANTUS | 8847_ST. VINCENT HEALTH, WELLNESS AND PREVENTIVE CARE INSTITUTE, LLC 20241001 | $20,180.70 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UGS | 8844_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20241001 | $20,180.70 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UGS | 8844_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20241001 | $20,180.70 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UGS | 8844_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20241001 | $20,180.70 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Outpatient | UGS | 8844_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20241001 | $20,180.70 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ADVANTUS | 8847_ST. VINCENT HEALTH, WELLNESS AND PREVENTIVE CARE INSTITUTE, LLC 20241001 | $20,180.70 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UGS | 8844_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20241001 | $20,180.70 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Outpatient | ADVANTUS | 8847_ST. VINCENT HEALTH, WELLNESS AND PREVENTIVE CARE INSTITUTE, LLC 20241001 | $20,180.70 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Outpatient | UGS | 8844_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20241001 | $20,537.10 | $68,457.00 | $41,074.20 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Outpatient | ADVANTUS | 8847_ST. VINCENT HEALTH, WELLNESS AND PREVENTIVE CARE INSTITUTE, LLC 20241001 | $20,537.10 | $68,457.00 | $41,074.20 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ADVANTUS | 8851_ST. VINCENT HEALTH, WELLNESS AND PREVENTIVE CARE INSTITUTE, LLC 20241001 | $20,853.39 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | ADVANTUS | 8850_ST. VINCENT HEALTH, WELLNESS AND PREVENTIVE CARE INSTITUTE, LLC 20241001 | $20,853.39 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UGS | 8846_ST. VINCENT HEALTH, WELLNESS AND PREVENTIVE CARE INSTITUTE, LLC 20241001 | $20,853.39 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UGS | 8852_ST. VINCENT PREVENTIVE HEALTH AND WELLNESS INSTITUTE ADVANTUS 20241001 | $20,853.39 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | ADVANTUS | 8851_ST. VINCENT HEALTH, WELLNESS AND PREVENTIVE CARE INSTITUTE, LLC 20241001 | $20,853.39 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UGS | 8852_ST. VINCENT PREVENTIVE HEALTH AND WELLNESS INSTITUTE ADVANTUS 20241001 | $20,853.39 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ADVANTUS | 8851_ST. VINCENT HEALTH, WELLNESS AND PREVENTIVE CARE INSTITUTE, LLC 20241001 | $20,853.39 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UGS | 8852_ST. VINCENT PREVENTIVE HEALTH AND WELLNESS INSTITUTE ADVANTUS 20241001 | $20,853.39 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Outpatient | ADVANTUS | 8851_ST. VINCENT HEALTH, WELLNESS AND PREVENTIVE CARE INSTITUTE, LLC 20241001 | $20,853.39 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Outpatient | UGS | 8852_ST. VINCENT PREVENTIVE HEALTH AND WELLNESS INSTITUTE ADVANTUS 20241001 | $20,853.39 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | ADVANTUS | 8851_ST. VINCENT HEALTH, WELLNESS AND PREVENTIVE CARE INSTITUTE, LLC 20241001 | $20,853.39 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UGS | 8852_ST. VINCENT PREVENTIVE HEALTH AND WELLNESS INSTITUTE ADVANTUS 20241001 | $20,853.39 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Outpatient | ADVANTUS | 8851_ST. VINCENT HEALTH, WELLNESS AND PREVENTIVE CARE INSTITUTE, LLC 20241001 | $21,221.67 | $68,457.00 | $41,074.20 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Outpatient | UGS | 8852_ST. VINCENT PREVENTIVE HEALTH AND WELLNESS INSTITUTE ADVANTUS 20241001 | $21,221.67 | $68,457.00 | $41,074.20 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | ADVANTUS | 4195_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20200701 | $24,880.05 | $63,795.00 | $38,277.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | UGS | 4204_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20200701 | $24,880.05 | $63,795.00 | $38,277.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UGS | 4204_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20200701 | $26,234.91 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ADVANTUS | 4195_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20200701 | $26,234.91 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UGS | 4204_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20200701 | $26,234.91 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | ADVANTUS | 4195_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20200701 | $26,234.91 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UGS | 4204_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20200701 | $26,234.91 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Outpatient | ADVANTUS | 4195_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20200701 | $26,234.91 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | ADVANTUS | 4196_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20200701 | $26,234.91 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Outpatient | UGS | 4204_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20200701 | $26,234.91 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UGS | 4204_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20200701 | $26,234.91 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UGS | 4208_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20200701 | $26,234.91 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ADVANTUS | 4195_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20200701 | $26,234.91 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | ADVANTUS | 4195_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20200701 | $26,234.91 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Outpatient | ADVANTUS | 4195_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20200701 | $26,698.23 | $68,457.00 | $41,074.20 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Outpatient | UGS | 4204_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20200701 | $26,698.23 | $68,457.00 | $41,074.20 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | SIHO HMO | 5477_SIHO HMO DAVIS COUNTY EMPLOYEES SEIN VEIN 20210101 | $26,793.90 | $63,795.00 | $38,277.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UHC | 9386_UNITED HEALTHCARE FULLY FUNDED OUTPATIENT ECIN 20250101 | $27,580.29 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UHC | 9385_UNITED HEALTHCARE FULLY FUNDED OUTPATIENT ASIN 20250101 | $28,252.98 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | SIHO HMO | 5477_SIHO HMO DAVIS COUNTY EMPLOYEES SEIN VEIN 20210101 | $28,252.98 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC | 9387_UNITED HEALTHCARE FULLY FUNDED OUTPATIENT NRIN 20250101 | $28,252.98 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | SIHO HMO | 5477_SIHO HMO DAVIS COUNTY EMPLOYEES SEIN VEIN 20210101 | $28,252.98 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Outpatient | SIHO HMO | 5477_SIHO HMO DAVIS COUNTY EMPLOYEES SEIN VEIN 20210101 | $28,252.98 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | SIHO HMO | 5477_SIHO HMO DAVIS COUNTY EMPLOYEES SEIN VEIN 20210101 | $28,252.98 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | SIHO HMO | 5477_SIHO HMO DAVIS COUNTY EMPLOYEES SEIN VEIN 20210101 | $28,252.98 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Outpatient | SIHO HMO | 5477_SIHO HMO DAVIS COUNTY EMPLOYEES SEIN VEIN 20210101 | $28,751.94 | $68,457.00 | $41,074.20 | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Outpatient | UHC | 9391_UNITED HEALTHCARE VHIN 20250101 | $31,616.43 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UHC SELF | 6794_UNITED HEALTHCARE SELF FUNDED OUTPATIENT ECIN 20230101 | $32,961.81 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UHC SELF | 6791_UNITED HEALTHCARE SELF FUNDED OUTPATIENT ASIN 20230101 | $33,634.50 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | SMARTHEALTH PPO | 2911_SMARTHEALTH PPO 20170101 | $33,811.35 | $63,795.00 | $38,277.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | SMARTHEALTH PPO/HDHP 20161001 | 1440_SMARTHEALTH PPO/HDHP 20161001 | $33,811.35 | $63,795.00 | $38,277.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | PROHEALTH | 8832_PROHEALTH 20241001 | $35,087.25 | $63,795.00 | $38,277.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | SUBURBAN/SHO | 8856_SUBURBAN 20241001 | $35,087.25 | $63,795.00 | $38,277.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | PROHEALTH | 8839_PROHEALTH VKIN 20241001 | $35,087.25 | $63,795.00 | $38,277.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | PROHEALTH | 8831_PROHEALTH 20241001 | $35,087.25 | $63,795.00 | $38,277.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | SUBURBAN/SHO | 8855_SUBURBAN 20241001 | $35,087.25 | $63,795.00 | $38,277.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | SMARTHEALTH PPO/HDHP 20161001 | 1440_SMARTHEALTH PPO/HDHP 20161001 | $35,652.57 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | SMARTHEALTH PPO | 2911_SMARTHEALTH PPO 20170101 | $35,652.57 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | SMARTHEALTH PPO | 2911_SMARTHEALTH PPO 20170101 | $35,652.57 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | SMARTHEALTH PPO/HDHP 20161001 | 1440_SMARTHEALTH PPO/HDHP 20161001 | $35,652.57 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Outpatient | SMARTHEALTH PPO/HDHP 20161001 | 1440_SMARTHEALTH PPO/HDHP 20161001 | $35,652.57 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | SMARTHEALTH PPO/HDHP 20161001 | 1440_SMARTHEALTH PPO/HDHP 20161001 | $35,652.57 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | SMARTHEALTH PPO | 2911_SMARTHEALTH PPO 20170101 | $35,652.57 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | SMARTHEALTH PPO/HDHP 20161001 | 1440_SMARTHEALTH PPO/HDHP 20161001 | $35,652.57 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | SMARTHEALTH PPO | 2911_SMARTHEALTH PPO 20170101 | $35,652.57 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Outpatient | SMARTHEALTH PPO | 2911_SMARTHEALTH PPO 20170101 | $35,652.57 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Outpatient | SMARTHEALTH PPO/HDHP 20161001 | 1440_SMARTHEALTH PPO/HDHP 20161001 | $36,282.21 | $68,457.00 | $41,074.20 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Outpatient | SMARTHEALTH PPO | 2911_SMARTHEALTH PPO 20170101 | $36,282.21 | $68,457.00 | $41,074.20 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | SUBURBAN/SHO | 8855_SUBURBAN 20241001 | $36,997.95 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | SUBURBAN/SHO | 8856_SUBURBAN 20241001 | $36,997.95 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | SUBURBAN/SHO | 8855_SUBURBAN 20241001 | $36,997.95 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | PROHEALTH | 8831_PROHEALTH 20241001 | $36,997.95 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | SUBURBAN/SHO | 8853_SUBURBAN 20241001 | $36,997.95 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Outpatient | SUBURBAN/SHO | 8854_SUBURBAN 20241001 | $36,997.95 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | PROHEALTH | 8832_PROHEALTH 20241001 | $36,997.95 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | PROHEALTH | 8835_PROHEALTH SVIN 20241001 | $36,997.95 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | SUBURBAN/SHO | 8855_SUBURBAN 20241001 | $36,997.95 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | SUBURBAN/SHO | 8856_SUBURBAN 20241001 | $36,997.95 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | PROHEALTH | 8832_PROHEALTH 20241001 | $36,997.95 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | PROHEALTH | 8831_PROHEALTH 20241001 | $36,997.95 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Outpatient | SUBURBAN/SHO | 8856_SUBURBAN 20241001 | $36,997.95 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Outpatient | SUBURBAN/SHO | 8855_SUBURBAN 20241001 | $36,997.95 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | PROHEALTH | 8832_PROHEALTH 20241001 | $36,997.95 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | SUBURBAN/SHO | 8856_SUBURBAN 20241001 | $36,997.95 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | PROHEALTH | 8831_PROHEALTH 20241001 | $36,997.95 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | PROHEALTH | 8832_PROHEALTH 20241001 | $36,997.95 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | SUBURBAN/SHO | 8855_SUBURBAN 20241001 | $36,997.95 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Outpatient | PROHEALTH | 8832_PROHEALTH 20241001 | $36,997.95 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | SUBURBAN/SHO | 8856_SUBURBAN 20241001 | $36,997.95 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Outpatient | PROHEALTH | 8831_PROHEALTH 20241001 | $36,997.95 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | PROHEALTH | 8831_PROHEALTH 20241001 | $36,997.95 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Outpatient | PROHEALTH | 8833_PROHEALTH 20241001 | $36,997.95 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | AETNA NBR | 3695_AETNA VKIN 20210101 | $37,001.10 | $63,795.00 | $38,277.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | AETNA NBR | 3697_AETNA SVIN VFIN VHIN 20210101 | $37,001.10 | $63,795.00 | $38,277.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Outpatient | SUBURBAN/SHO | 8856_SUBURBAN 20241001 | $37,651.35 | $68,457.00 | $41,074.20 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Outpatient | SUBURBAN/SHO | 8858_SUBURBAN VAIN 20241001 | $37,651.35 | $68,457.00 | $41,074.20 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Outpatient | SUBURBAN/SHO | 8855_SUBURBAN 20241001 | $37,651.35 | $68,457.00 | $41,074.20 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Outpatient | PROHEALTH | 8832_PROHEALTH 20241001 | $37,651.35 | $68,457.00 | $41,074.20 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Outpatient | PROHEALTH | 8831_PROHEALTH 20241001 | $37,651.35 | $68,457.00 | $41,074.20 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Outpatient | PROHEALTH | 8836_PROHEALTH VAIN 20241001 | $37,651.35 | $68,457.00 | $41,074.20 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | HELPING HAND OLD ORDER | 5383_HELPING HANDS MEDICAL ASSISTANCE OUTPATIENT 20211101 | $38,277.00 | $63,795.00 | $38,277.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | ONE HEALTH PLAN | 9213_ONE HEALTH PLAN VEIN 20241001 | $38,277.00 | $63,795.00 | $38,277.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | PLAIN CHURCH GROUP | 4069_PLAIN CHURCH GROUP 20201101 | $38,277.00 | $63,795.00 | $38,277.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | TRICOUNTY | 3658_TRICOUNTY 20200901 | $38,277.00 | $63,795.00 | $38,277.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | SECURE HORIZONS-UNICARE | 9155_SECURE HORIZONS UNICARE MEDICARE REPLACEMENT OUTPATIENT VKIN 20250101 | $38,277.00 | $63,795.00 | $38,277.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | SELFPAY | 2253_SELF PAY 20100101 | $38,277.00 | $63,795.00 | $38,277.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | PLAIN CHURCH GROUP | 4433_PLAIN CHURCH GROUP STIN SSIN 20201101 | $38,277.00 | $63,795.00 | $38,277.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | PLAIN CHURCH GROUP | 4066_PLAIN CHURCH GROUP OUTPATIENT 20201101 | $38,277.00 | $63,795.00 | $38,277.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | HUMANA CHOICECARE | 8830_HUMANA CHOICE CARE VEIN 20241001 | $38,914.95 | $63,795.00 | $38,277.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | HUMANA CHOICE 1 NETWORK | 8829_HUMANA CHOICE CARE NETWORK VEIN 20241001 | $38,914.95 | $63,795.00 | $38,277.00 | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Outpatient | AETNA NBR | 3697_AETNA SVIN VFIN VHIN 20210101 | $39,016.02 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | AETNA NBR | 3697_AETNA SVIN VFIN VHIN 20210101 | $39,016.02 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | AETNA NBR | 3697_AETNA SVIN VFIN VHIN 20210101 | $39,016.02 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | AETNA NBR | 3697_AETNA SVIN VFIN VHIN 20210101 | $39,016.02 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | AETNA NBR | 3697_AETNA SVIN VFIN VHIN 20210101 | $39,016.02 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | KEY BENEFIT FAYETTE | 370_KEY BENEFIT FAYETTE 20130101 | $39,552.90 | $63,795.00 | $38,277.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Outpatient | AETNA NBR | 3697_AETNA SVIN VFIN VHIN 20210101 | $39,705.06 | $68,457.00 | $41,074.20 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | AHS ST FRANCIS | 104_AHR ST. FRANCIS 20120101 | $40,190.85 | $63,795.00 | $38,277.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | UNIFIED ZIONSVILLE | 8861_UNIFIED ZIONSVILLE ASIN ECIN 20241001 | $40,190.85 | $63,795.00 | $38,277.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | UNIFIED ZIONSVILLE | 8865_UNIFIED ZIONSVILLE VFIN NRIN 20241001 | $40,190.85 | $63,795.00 | $38,277.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | UNIFIED ZIONSVILLE | 8867_UNIFIED ZIONSVILLE VKIN 20241001 | $40,190.85 | $63,795.00 | $38,277.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | ADVANTAGE 360 | 8729_ADVANTAGE 360 20241001 | $40,190.85 | $63,795.00 | $38,277.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | AHS ST FRANCIS | 720_AHS ST FRANCIS 20120101 | $40,190.85 | $63,795.00 | $38,277.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | SAGAMORE ZIONSVILLE | 762_SAGAMORE ZIONSVILLE 20120101 | $40,190.85 | $63,795.00 | $38,277.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | UNIFIED ZIONSVILLE | 1814_UNIFIED ZIONSVILLE CAH 20180101 CLIN VDIN VMIN VRIN VJIN VSIN VWIN VFKT SVIN | $40,190.85 | $63,795.00 | $38,277.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | SIHO PPO | 5476_SIHO HMO SEIN VEIN 20210101 | $40,190.85 | $63,795.00 | $38,277.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | ADVANTAGE 360 | 8732_ADVANTAGE 360 20241001 | $40,190.85 | $63,795.00 | $38,277.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | PLAIN CHURCH GROUP | 4433_PLAIN CHURCH GROUP STIN SSIN 20201101 | $40,361.40 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | PLAIN CHURCH GROUP | 4433_PLAIN CHURCH GROUP STIN SSIN 20201101 | $40,361.40 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | PLAIN CHURCH GROUP | 4069_PLAIN CHURCH GROUP 20201101 | $40,361.40 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | SELFPAY | 2253_SELF PAY 20100101 | $40,361.40 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ONE HEALTH PLAN | 9213_ONE HEALTH PLAN VEIN 20241001 | $40,361.40 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | TRICOUNTY | 3658_TRICOUNTY 20200901 | $40,361.40 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | HELPING HAND OLD ORDER | 5383_HELPING HANDS MEDICAL ASSISTANCE OUTPATIENT 20211101 | $40,361.40 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | PLAIN CHURCH GROUP | 4066_PLAIN CHURCH GROUP OUTPATIENT 20201101 | $40,361.40 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | PLAIN CHURCH GROUP | 4069_PLAIN CHURCH GROUP 20201101 | $40,361.40 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | PLAIN CHURCH GROUP | 4433_PLAIN CHURCH GROUP STIN SSIN 20201101 | $40,361.40 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | TRICOUNTY | 3658_TRICOUNTY 20200901 | $40,361.40 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | SELFPAY | 2253_SELF PAY 20100101 | $40,361.40 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | PLAIN CHURCH GROUP | 4069_PLAIN CHURCH GROUP 20201101 | $40,361.40 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | ONE HEALTH PLAN | 9213_ONE HEALTH PLAN VEIN 20241001 | $40,361.40 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | HELPING HAND OLD ORDER | 5383_HELPING HANDS MEDICAL ASSISTANCE OUTPATIENT 20211101 | $40,361.40 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | PLAIN CHURCH GROUP | 4066_PLAIN CHURCH GROUP OUTPATIENT 20201101 | $40,361.40 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ONE HEALTH PLAN | 9213_ONE HEALTH PLAN VEIN 20241001 | $40,361.40 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | PLAIN CHURCH GROUP | 4066_PLAIN CHURCH GROUP OUTPATIENT 20201101 | $40,361.40 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | SELFPAY | 2253_SELF PAY 20100101 | $40,361.40 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | SELFPAY | 2253_SELF PAY 20100101 | $40,361.40 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Outpatient | TRICOUNTY | 3658_TRICOUNTY 20200901 | $40,361.40 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | HELPING HAND OLD ORDER | 5383_HELPING HANDS MEDICAL ASSISTANCE OUTPATIENT 20211101 | $40,361.40 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | PLAIN CHURCH GROUP | 4433_PLAIN CHURCH GROUP STIN SSIN 20201101 | $40,361.40 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | PLAIN CHURCH GROUP | 4066_PLAIN CHURCH GROUP OUTPATIENT 20201101 | $40,361.40 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | PLAIN CHURCH GROUP | 4069_PLAIN CHURCH GROUP 20201101 | $40,361.40 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Outpatient | ONE HEALTH PLAN | 9213_ONE HEALTH PLAN VEIN 20241001 | $40,361.40 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | HELPING HAND OLD ORDER | 5383_HELPING HANDS MEDICAL ASSISTANCE OUTPATIENT 20211101 | $40,361.40 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Outpatient | HELPING HAND OLD ORDER | 5383_HELPING HANDS MEDICAL ASSISTANCE OUTPATIENT 20211101 | $40,361.40 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Outpatient | PLAIN CHURCH GROUP | 4066_PLAIN CHURCH GROUP OUTPATIENT 20201101 | $40,361.40 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Outpatient | PLAIN CHURCH GROUP | 4433_PLAIN CHURCH GROUP STIN SSIN 20201101 | $40,361.40 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Outpatient | PLAIN CHURCH GROUP | 4069_PLAIN CHURCH GROUP 20201101 | $40,361.40 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | ONE HEALTH PLAN | 9213_ONE HEALTH PLAN VEIN 20241001 | $40,361.40 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | TRICOUNTY | 3658_TRICOUNTY 20200901 | $40,361.40 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | TRICOUNTY | 3658_TRICOUNTY 20200901 | $40,361.40 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Outpatient | SELFPAY | 2253_SELF PAY 20100101 | $40,361.40 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | CIGNA BEHAVIORAL HLTH | 4579_CIGNA BEHAVIORAL HEALTH VKIN 20210912 | $40,828.80 | $63,795.00 | $38,277.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | HUMANA CHOICE 1 NETWORK | 8825_HUMANA CHOICE 1 NETWORK ASIN, ECIN 20241001 | $40,828.80 | $63,795.00 | $38,277.00 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | HUMANA CHOICE 1 NETWORK | 8829_HUMANA CHOICE CARE NETWORK VEIN 20241001 | $41,034.09 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | HUMANA CHOICECARE | 8830_HUMANA CHOICE CARE VEIN 20241001 | $41,034.09 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | HUMANA CHOICECARE | 8830_HUMANA CHOICE CARE VEIN 20241001 | $41,034.09 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | HUMANA CHOICECARE | 8830_HUMANA CHOICE CARE VEIN 20241001 | $41,034.09 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | HUMANA CHOICE 1 NETWORK | 8829_HUMANA CHOICE CARE NETWORK VEIN 20241001 | $41,034.09 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | HUMANA CHOICE 1 NETWORK | 8829_HUMANA CHOICE CARE NETWORK VEIN 20241001 | $41,034.09 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Outpatient | HUMANA CHOICE 1 NETWORK | 8829_HUMANA CHOICE CARE NETWORK VEIN 20241001 | $41,034.09 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Outpatient | HUMANA CHOICECARE | 8830_HUMANA CHOICE CARE VEIN 20241001 | $41,034.09 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | HUMANA CHOICECARE | 8830_HUMANA CHOICE CARE VEIN 20241001 | $41,034.09 | $67,269.00 | $40,361.40 | 2026-01-01 | MRF ↗ |
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