714128171 — Place Endovasc Vc Filter+im
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PLACE ENDOVASC VC FILTER+IM (CDM 714128171) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/714128171?code_type=CDM
MLA (9th ed.)
“PLACE ENDOVASC VC FILTER+IM (CDM 714128171) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/714128171?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“PLACE ENDOVASC VC FILTER+IM (CDM 714128171) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/714128171?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $12,898–$17,261 (25th–75th percentile) across 1 hospital · 69 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 714128171 — 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 Seton Specialty Hospital Outpatient | THERAMATRIX PHYSICAL THERAPY | 3187_THERAMATRIX PHYSICAL THERAPY 20170101 | $40.00 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | THERAMATRIX PHYSICAL THERAPY | 5501_THERAMATRIX PHYSICAL THERAPY 20210101 | $40.00 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | HUMANA PPO MCR REPLACEMENT | 8683_HUMANA PPO MEDICARE REPLACEMENT INPATIENT SVIN 20241001 | $4,742.00 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | AETNA MCR | 2792_AETNA MEDICARE REPLACEMENT SSIN 20160101 | $4,742.00 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | SECURE HORIZONS-PACIFICARE | 9156_SECURE HORIZONS PACIFICARE MEDICARE REPLACEMENT OUTPATIENT VKIN 20250101 | $4,931.68 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | UGS | 8844_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20241001 | $5,690.40 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | ADVANTUS | 8847_ST. VINCENT HEALTH, WELLNESS AND PREVENTIVE CARE INSTITUTE, LLC 20241001 | $5,690.40 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | ADVANTUS | 8851_ST. VINCENT HEALTH, WELLNESS AND PREVENTIVE CARE INSTITUTE, LLC 20241001 | $5,880.08 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | UGS | 8852_ST. VINCENT PREVENTIVE HEALTH AND WELLNESS INSTITUTE ADVANTUS 20241001 | $5,880.08 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | UGS | 4204_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20200701 | $7,397.52 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | ADVANTUS | 4195_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20200701 | $7,397.52 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | SIHO HMO | 5477_SIHO HMO DAVIS COUNTY EMPLOYEES SEIN VEIN 20210101 | $7,966.56 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | SMARTHEALTH PPO | 2911_SMARTHEALTH PPO 20170101 | $10,053.04 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | SMARTHEALTH PPO/HDHP 20161001 | 1440_SMARTHEALTH PPO/HDHP 20161001 | $10,053.04 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | PROHEALTH | 2709_PROHEALTH 20160101 | $10,432.40 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | SUBURBAN/CMO | 3069_SUBURBAN CMO 20160101 | $10,432.40 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | PROHEALTH | 8832_PROHEALTH 20241001 | $10,432.40 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | PROHEALTH | 8831_PROHEALTH 20241001 | $10,432.40 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | SUBURBAN/SHO | 8855_SUBURBAN 20241001 | $10,432.40 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | SUBURBAN/SHO | 2959_SUBURBAN 20160101 | $10,432.40 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | SUBURBAN/SHO | 8856_SUBURBAN 20241001 | $10,432.40 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | AETNA NBR | 3697_AETNA SVIN VFIN VHIN 20210101 | $11,001.44 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | SELFPAY | 2253_SELF PAY 20100101 | $11,380.80 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | PLAIN CHURCH GROUP | 4069_PLAIN CHURCH GROUP 20201101 | $11,380.80 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | TRICOUNTY | 3658_TRICOUNTY 20200901 | $11,380.80 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | HELPING HAND OLD ORDER | 5383_HELPING HANDS MEDICAL ASSISTANCE OUTPATIENT 20211101 | $11,380.80 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | PLAIN CHURCH GROUP | 4066_PLAIN CHURCH GROUP OUTPATIENT 20201101 | $11,380.80 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | PLAIN CHURCH GROUP | 4433_PLAIN CHURCH GROUP STIN SSIN 20201101 | $11,380.80 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | ONE HEALTH PLAN | 9213_ONE HEALTH PLAN VEIN 20241001 | $11,380.80 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | HUMANA CHOICECARE | 8830_HUMANA CHOICE CARE VEIN 20241001 | $11,570.48 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | HUMANA CHOICE 1 NETWORK | 8829_HUMANA CHOICE CARE NETWORK VEIN 20241001 | $11,570.48 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | KEY BENEFIT FAYETTE | 370_KEY BENEFIT FAYETTE 20130101 | $11,760.16 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | SAGAMORE ZIONSVILLE | 762_SAGAMORE ZIONSVILLE 20120101 | $11,949.84 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | UNIFIED ZIONSVILLE | 8865_UNIFIED ZIONSVILLE VFIN NRIN 20241001 | $11,949.84 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | ADVANTAGE 360 | 8729_ADVANTAGE 360 20241001 | $11,949.84 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | AHS ST FRANCIS | 104_AHR ST. FRANCIS 20120101 | $11,949.84 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | AHS ST FRANCIS | 720_AHS ST FRANCIS 20120101 | $11,949.84 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | ADVANTAGE 360 | 8732_ADVANTAGE 360 20241001 | $11,949.84 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | UNIFIED ZIONSVILLE | 1814_UNIFIED ZIONSVILLE CAH 20180101 CLIN VDIN VMIN VRIN VJIN VSIN VWIN VFKT SVIN | $11,949.84 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | SIHO PPO | 5476_SIHO HMO SEIN VEIN 20210101 | $11,949.84 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | UNIFIED ZIONSVILLE | 8861_UNIFIED ZIONSVILLE ASIN ECIN 20241001 | $11,949.84 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | HUMANA CHOICE 1 NETWORK | 8825_HUMANA CHOICE 1 NETWORK ASIN, ECIN 20241001 | $12,139.52 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | SAGAMORE PLUS | 1717_SAGAMORE PLUS 20120101 | $12,329.20 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | SAGAMORE SELECT | 1718_SAGAMORE SELECT 20120101 | $12,329.20 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | HUMANA CHOICE 1 NETWORK | 8828_HUMANA CHOICE 1 NETWORK VFIN, NRIN 20241001 | $12,329.20 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | SAGAMORE PLUS DRG | 8840_SAGAMORE PLUS 20241001 | $12,329.20 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | CIGNA EXISTING BUSINESS | 8817_CIGNA PPO CHOICE OAP VEIN 20241001 | $12,329.20 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | UNIFIED GROUP SERVICES | 3098_ANTHEM UNIFIED GROUPS SSIN 20180101 | $12,329.20 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | CIGNA EXCLUSIVE | 8821_CIGNA VEIN 20241001 | $12,518.88 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | SAGAMORE CARMEL | 763_SAGAMORE CARMEL 20130101 | $12,898.24 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | ENCORE EXCLUSIVE | 352_ENCORE EXCLUSIVE 20120101 | $12,898.24 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | ENCORE EXCLUSIVE | 779_ENCORE EXCLUSIVE 20120101 | $12,898.24 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | PHP | 1427_PHP SVIN VKIN 20120101 | $12,898.24 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | ENCORE ENCIRCLE | 753_ENCORE ENCIRCLE 20140101 | $12,898.24 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | SIHO PPO | 8841_SIHO 20241001 | $12,898.24 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | ENCORE | 8824_ENCORE HEALTH NETWORK 20241001 | $12,898.24 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | SAGAMORE CARMEL | 379_SAGAMORE CARMEL 20120101 | $12,898.24 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | SAGAMORE ANGIE | 528_SAGAMORE ANGIES 20131001 | $12,898.24 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | SAGAMORE ANGIE | 743_SAGAMORE ANGIES 20131001 | $12,898.24 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | AETNA | 9370_AETNA SSIN 20250101 | $13,087.92 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | AETNA | 9398_AETNA VEIN 20250101 | $13,087.92 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | LUTHERAN ADVANCED | 6928_LUTHERAN ADVANCED 20230101 | $13,277.60 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | MULTIPLAN | 1836_MULTIPLAN 201120101 | $13,277.60 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | OWENSBORO COMMUNITY HEALTH | 3177_OCHN 20070301 | $13,277.60 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | MED MUTUAL OHIO | 372_MEDICAL MUTUAL OF OHIO 20120101 | $13,656.96 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | CIGNA NEW BUSINESS | 8818_CIGNA PPO ECIN ASIN 20241001 | $13,656.96 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | KEY BENEFIT FAYETTE | 3096_KEY BENEFIT - FAYETTE 20130101 | $13,846.64 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | PPOM | 2934_PPOM 20170101 | $13,846.64 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | CIGNA EXCLUSIVE | 4584_CIGNA EXCLUSIVE ECIN ASIN 20210912 | $13,846.64 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | SAGAMORE SELECT | 744_SAGAMORE SELECT 20131001 | $14,036.32 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | SAGAMORE SELECT | 530_SAGAMORE SELECT 20131001 | $14,036.32 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | SAGAMORE FIN INST | 741_SAGAMORE FINANCIAL INST 20131001 | $14,226.00 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | SIHO PPO | 170_SIHO 20120101 | $14,226.00 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | ENCORE ENCIRCLE | 5490_ENCORE ENCIRCLE 20140101 | $14,226.00 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | SIHO PPO | 3047_SIHO 20120101 | $14,226.00 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | SIHO PPO | 1326_SIHO 20170101 | $14,226.00 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | SUBURBAN TPA | 760_SUBURBAN TPA 20120101 | $14,226.00 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | KEY BENEFIT FAYETTE | 205_KEY BENEFIT - FAYETTE 20130101 | $14,226.00 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | SAGAMORE FIN INST | 525_SAGAMORE FIN INST 20131001 | $14,226.00 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | SAGAMORE IRVING | 742_SAGAMORE IRVING 20131001 | $14,415.68 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | SAGAMORE IRVING | 526_SAGAMORE IRVING 20131001 | $14,415.68 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | ILLINOIS WORKERS COMP 20120101 | 1858_ILLINOIS WORKERS COMP 20120101 | $14,415.68 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | SAGAMORE PRINCIPLE | 527_SAGAMORE PRINCIPLE 20131001 | $14,415.68 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | SAGAMORE PRINCIPLE | 2919_SAGAMORE PRINCIPLE 20070101 | $14,415.68 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | WORK COMP AETNA 20210101 | 5991_WORK COMP AETNA 20210101 | $14,605.36 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | SAGAMORE PLUM STEAM | 740_SAGAMORE PLUM STEAM 20131001 | $14,795.04 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | UNIFIED GROUP SERVICES | 3145_UNIFIED GROUPS VEIN SEIN 20190101 | $14,795.04 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | SAGAMORE PLUM STEAM | 524_SAGAMORE PLUM STEAM 20131001 | $14,795.04 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | UNIFIED GROUP SERVICES | 4819_ANTHEM UNIFIED GROUPS 20210401 | $14,795.04 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | CIGNA EXISTING BUSINESS | 4561_CIGNA ECIN ASIN 20210912 | $14,795.04 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | SAGAMORE PLUS | 739_SAGAMORE HEALTH NETWORK 20131001 | $14,795.04 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | MED MUTUAL OHIO | 710_MEDICAL MUTUAL OF OHIO 20120101 | $14,795.04 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | SAGAMORE PLUS | 521_SAGAMORE PLUS 20131001 | $14,795.04 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | PCIP | 765_PCIP 20130101 | $14,984.72 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | HUMANA CHOICE 1 NETWORK | 2781_HUMANA CHOICE 1 NETWORK SSIN 20070301 | $14,984.72 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | WORKERS COMP CIGNA | 4312_WORKERS COMP CIGNA 20191001 | $14,984.72 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | ENCORE BANKERS | 260_ENCORE BANKERS 20120101 | $15,174.40 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | HEALTHLINK HMO | 3176_HEALTHLINK HMO 20120101 | $15,174.40 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | LUTHERAN PREFERRED | 6926_LUTHERAN PREFERRED 20230101 | $15,174.40 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | HUMANA CHOICECARE | 769_HUMANA CHOICECARE ASIN ECIN 20130901 | $15,174.40 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | CARDINAL HEALTH HMO | 704_CARDINAL HEALTH HMO 20120101 | $15,174.40 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | CARDINAL HEALTH PPO | 705_CARDINAL HEALTH PPO 20120101 | $15,174.40 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | CIGNA BEHAVIORAL HLTH | 4580_CIGNA BEHAVIORAL HEALTH 20210912 | $15,174.40 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | ENCORE BANKERS | 778_ENCORE BANKERS 20120101 | $15,174.40 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | KAUFFMAN ENGINEERING | 2767_KAUFFMEN 20140101 | $15,174.40 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | PRIME HEALTH WORKER COMP | 6088_PRIME HEALTH WORKER COMP VEIN 20211101 | $15,174.40 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | SAGAMORE PLUS | 2924_SAGAMORE PLUS 20080101 | $15,174.40 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | SAGAMORE SELECT | 2925_SAGAMORE SELECT 20080101 | $15,174.40 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | UHC | 9389_UNITED HEALTHCARE SSIN 20250101 | $15,364.08 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | ADVANTAGE 360 | 2768_ADVANTAGE 360 20100101 | $15,553.76 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | COVENTRY HEALTH | 3095_COVENTRY HEALTH 20120101 | $15,743.44 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | COVENTRY HEALTH | 781_COVENTRY HEALTH 20120101 | $15,743.44 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | THREE RIVERS | 392_THREE RIVERS PREFERRED 20120101 | $15,743.44 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | COVENTRY HEALTH | 112_COVENTRY HEALTH 20120101 | $15,743.44 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | THREE RIVERS | 714_THREE RIVERS PREFERRED 20120101 | $15,743.44 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | ENCORE | 752_ENCORE 20140101 | $15,743.44 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | ADVANTAGE 360 | 219_ADVANTAGE 360 20120101 | $15,743.44 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | ENCORE | 621_ENCORE 20140101 | $15,743.44 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | PCIP | 698_PCIP 20140101 | $15,743.44 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | SIGNATURE CARE | 3062_PARKVIEW HEALTH PLAN 20130301 | $15,933.12 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | HUMANA CHOICECARE | 2782_HUMANA CHOICE NETWORK SSIN 20070301 | $15,933.12 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | SIHO PPO | 215_SIHO 20120101 | $15,933.12 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | SIGNATURE CARE | 373_PARKVIEW HEALTH PLAN 20120101 | $15,933.12 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | SIGNATURE CARE | 718_PARKVIEW HEALTH PLAN 20130101 | $15,933.12 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | PHP | 784_PHP 20120101 | $16,122.80 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | CORVEL | 188_CORVEL 20120101 | $16,122.80 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | CORVEL | 3154_CORVEL VEIN 20140701 | $16,122.80 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | BLUEGRASS | 228_BLUEGRASS FAMILY HEALTH 20120101 | $16,122.80 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | ENCORE BANKERS | 191_ENCORE BANKERS 20120101 | $16,122.80 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | CORVEL | 797_CORVEL 20140301 | $16,122.80 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | CORVEL | 793_CORVEL 20140301 | $16,122.80 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | MED MUTUAL OHIO | 135_MEDICAL MUTUAL OF OHIO 20120101 | $16,122.80 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | HEALTHLINK PPO | 1714_HEALTHLINK PPO/WC 20120101 | $16,122.80 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | ENCORE | 3091_ENCORE 20150101 | $16,312.48 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | FIRST HEALTH | 780_FIRST HEALTH 20120101 | $16,691.84 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | PHP | 1422_PHP 20160101 | $16,691.84 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | FIRST HEALTH | 113_FIRST HEALTH 20120101 | $16,691.84 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | FIRST HEALTH | 1843_FIRST HEALTH 20120101 | $16,691.84 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | FIRST HEALTH | 3093_FIRST HEALTH 20120101 | $16,691.84 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | ONE HEALTH PLAN | 738_ONE HEALTH PLAN 20131001 | $16,691.84 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | SIGNATURE CARE | 175_PARKVIEW HEALTH PLAN 20120101 | $16,691.84 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | INDIANA HEALTH NETWORK | 782_INDIANA HEALTH NETWORK 20120101 | $16,691.84 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | INDIANA HEALTH NETWORK | 369_INDIANA HEALTH NETWORK 20120101 | $16,691.84 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | WORKERS COMP IN HEALTH | 4310_WORKERS COMP IN HEALTH 20191001 | $16,691.84 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | SAGAMORE PLUS | 522_SAGAMORE PLUS 20131001 | $16,881.52 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | SAGAMORE PLUS | 5495_SAGAMORE PLUS VKIN 20210101 | $16,881.52 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | SAGAMORE SELECT | 531_SAGAMORE SELECT 20131001 | $16,881.52 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | MULTIPLAN | 174_MULTIPLAN 20120101 | $17,071.20 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | MULTIPLAN | 783_MULTIPLAN 20120101 | $17,071.20 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | INDIANA HEALTH NETWORK | 343_INDIANA HEALTH NETWORK 20120101 | $17,071.20 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | COOK HEALTH PLAN | 707_COOK HEALTH PLAN 20120101 | $17,071.20 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | FIRST HEALTH | 166_FIRST HEALTH 20120101 | $17,260.88 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | WORKERS COMP FIRST HEALTH | 4311_WORKERS COMP FIRST HEALTH 20191001 | $17,260.88 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | COVENTRY HEALTH | 167_COVENTRY HEALTH 20120101 | $17,260.88 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | PRIME HEALTH | 6087_PRIME HEALTH VEIN 20211101 | $17,450.56 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | BEECHSTREET | 3173_BEECHSTREET VEIN 20170101 | $17,450.56 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | MULTIPLAN | 206_MULTIPLAN 20120101 | $17,829.92 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | COMMUNITY HLTH ALLIANCE | 145_COMMUNITY HEALTH ALLIANCE 20120101 | $17,829.92 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | PPOM | 2932_PPOM 20170101 | $17,829.92 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | ASMED HEALTH PARTNERSHIP 20120101 | 1865_ASMED HEALTH PARTNERSHIP 20120101 | $17,829.92 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | COMMUNITY HLTH ALLIANCE | 706_COMMUNITY HEALTH ALLIANCE 20120101 | $17,829.92 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | CARDINAL HEALTH PPO | 278_CARDINAL HEALTH PPO 20120101 | $18,019.60 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | SAGAMORE SELECT | 245_SAGAMORE SELECT 20120101 | $18,019.60 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | SAGAMORE PLUS | 244_SAGAMORE PLUS 20120101 | $18,019.60 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | HEALTH SOUTH | 708_HEALTHSOUTH 20120101 | $18,019.60 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | THREE RIVERS | 3179_THREE RIVERS 20120101 | $18,019.60 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | INTEGRATED HEALTH PLAN | 1864_INTEGRATED HEALTH PLAN 20120101 | $18,019.60 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | MEDICARE REPLACEMENT | 7634_MEDICARE REPLACEMENT NON-CONTRACTED 20210101 | $18,968.00 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | HUMANA PPO MCR REPLACEMENT | 7643_HUMANA PPO MEDICARE REPLACEMENT NON-CONTRACTED 20210101 | $18,968.00 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | MHS AMBETTER MKTPL | 7656_MHS AMBETTER MKTPL NON-CONTRACTED 20210101 | $18,968.00 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $18,968.00 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | MHN COMMERCIAL | 7659_MHS COMMERCIAL NON-CONTRACTED 20210101 | $18,968.00 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | MEDICAID OOS | 2257_MEDICAID OUT OF STATE 20100101 | $18,968.00 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | SUBURBAN/SHO | 7647_SUBURBAN NON-CONTRACTED 20210101 | $18,968.00 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | ADVANTAGE 360 | 7665_ADVANTAGE 360 NON-CONTRACTED 20210101 | $18,968.00 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | ANTHEM MCR | 7655_ANTHEM MEDICARE REPLACEMENT NON-CONTRACTED 20210101 | $18,968.00 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | TRICARE EAST | 5579_TRICARE EAST NON-CONTRACTED 20210101 | $18,968.00 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | IMMERGRUN | 8077_IMMERGRUN MEDICARE REPLACEMENT NON-CONTRACTED INPATIENT 20230701 | $18,968.00 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | UHC BEHAVIORAL HEALTH | 7666_UNITED HEALTHCARE BEHAVIORAL HEALTH NON-CONTRACTED 20210101 | $18,968.00 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | UHC BEHAVIORAL HEALTH | 5592_UNITED HEALTHCARE BEHAVIORAL HEALTH CAH NON-CONTRACTED 20210101 | $18,968.00 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | UHC NEW | 5478_UNITED HEALTHCARE NEW NON-CONTRACTED VEIN 20220101 | $18,968.00 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $18,968.00 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | UHC SELF | 5586_UNITED HEALTHCARE SELF CAH NON-CONTRACTED 20210101 | $18,968.00 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | UHC SELF | 5559_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED 20210101 | $18,968.00 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | PHP | 7663_PHP NON-CONTRACTED 20210101 | $18,968.00 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | CARESOURCE HMO MEDICARE ADVANTAGE | 7662_CARESOURCE HMO MEDICARE REPLACEMENT NON-CONTRACTED 20210101 | $18,968.00 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | ENCORE BANKERS | 7658_ENCORE BANKERS NON-CONTRACTED 20210101 | $18,968.00 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | CIGNA EXISTING BUSINESS | 5557_CIGNA EXISTING BUSINESS NON-CONTRACTED STIN 20210101 | $18,968.00 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | UHC MEDICAID | 7648_UNITED HEALTHCARE MEDICAID REPLACEMENT NON-CONTRACTED 20210101 | $18,968.00 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | HUMANA GOLD MCR | 7653_HUMANA GOLD MEDICARE REPLACEMENT NON-CONTRACTED 20210101 | $18,968.00 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | SAGAMORE PLUS DRG | 5590_SAGAMORE PLUS DRG NON-CONTRACTED SWIN 20210101 | $18,968.00 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | HEALTHLINK PPO | 5574_HEALTHLINK PPO NON-CONTRACTED 20210101 | $18,968.00 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | HEALTHLINK HMO | 5573_HEALTHLINK HMO NON-CONTRACTED 20210101 | $18,968.00 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | CARESOURCE MARKETPLACE | 7641_CARESOURCE MARKETPLACE NON-CONTRACTED 20210101 | $18,968.00 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Inpatient | INDIANA HEALTH NETWORK | 7650_INDIANA HEALTH NETWORK NON-CONTRACTED 20210101 | $18,968.00 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | SAGAMORE FIN INST | 7660_SAGAMORE FIN INST NON-CONTRACTED 20210101 | $18,968.00 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | UHC MCR | 7654_UNITED HEALTHCARE MEDICARE REPLACEMENT NON-CONTRACTED 20210101 | $18,968.00 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | PROHEALTH | 7644_PROHEALTH NON-CONTRACTED 20210101 | $18,968.00 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | SELECT HEALTH ORDER | 7661_SELECT HEALTH ORDER NON-CONTRACTED 20210101 | $18,968.00 | $18,968.00 | $11,380.80 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | TRICARE | 5506_TRICARE NON-CONTRACTED 20210101 | $18,968.00 | $18,968.00 | $11,380.80 | 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.