717020303 — Histrelin Acetate 50mg Kit
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). HISTRELIN ACETATE 50MG KIT (CDM 717020303) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/717020303?code_type=CDM
MLA (9th ed.)
“HISTRELIN ACETATE 50MG KIT (CDM 717020303) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/717020303?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“HISTRELIN ACETATE 50MG KIT (CDM 717020303) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/717020303?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $81,545–$112,909 (25th–75th percentile) across 3 hospitals · 68 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 717020303 — 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 FISHERS Outpatient | THERAMATRIX PHYSICAL THERAPY | 3187_THERAMATRIX PHYSICAL THERAPY 20170101 | $40.00 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Outpatient | THERAMATRIX PHYSICAL THERAPY | 5501_THERAMATRIX PHYSICAL THERAPY 20210101 | $40.00 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | HUMANA PPO MCR REPLACEMENT | 8683_HUMANA PPO MEDICARE REPLACEMENT INPATIENT SVIN 20241001 | $31,363.51 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | HUMANA PPO MCR REPLACEMENT | 9137_HUMANA PPO MEDICARE REPLACEMENT OUTPATIENT SVIN 20250101 | $31,363.51 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | HUMANA PPO MCR REPLACEMENT | 8683_HUMANA PPO MEDICARE REPLACEMENT INPATIENT SVIN 20241001 | $31,363.51 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Outpatient | HUMANA PPO MCR REPLACEMENT | 8683_HUMANA PPO MEDICARE REPLACEMENT INPATIENT SVIN 20241001 | $31,363.51 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | HUMANA PPO MCR REPLACEMENT | 8683_HUMANA PPO MEDICARE REPLACEMENT INPATIENT SVIN 20241001 | $31,363.51 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | HUMANA PPO MCR REPLACEMENT | 8683_HUMANA PPO MEDICARE REPLACEMENT INPATIENT SVIN 20241001 | $31,363.51 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | SECURE HORIZONS-PACIFICARE | 9156_SECURE HORIZONS PACIFICARE MEDICARE REPLACEMENT OUTPATIENT VKIN 20250101 | $32,618.05 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | SECURE HORIZONS-PACIFICARE | 9156_SECURE HORIZONS PACIFICARE MEDICARE REPLACEMENT OUTPATIENT VKIN 20250101 | $32,618.05 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | SECURE HORIZONS-PACIFICARE | 9156_SECURE HORIZONS PACIFICARE MEDICARE REPLACEMENT OUTPATIENT VKIN 20250101 | $32,618.05 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | SECURE HORIZONS-PACIFICARE | 9156_SECURE HORIZONS PACIFICARE MEDICARE REPLACEMENT OUTPATIENT VKIN 20250101 | $32,618.05 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Outpatient | SECURE HORIZONS-PACIFICARE | 9156_SECURE HORIZONS PACIFICARE MEDICARE REPLACEMENT OUTPATIENT VKIN 20250101 | $32,618.05 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ADVANTUS | 8847_ST. VINCENT HEALTH, WELLNESS AND PREVENTIVE CARE INSTITUTE, LLC 20241001 | $37,636.21 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ADVANTUS | 8847_ST. VINCENT HEALTH, WELLNESS AND PREVENTIVE CARE INSTITUTE, LLC 20241001 | $37,636.21 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Outpatient | UGS | 8844_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20241001 | $37,636.21 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ANTHEM PATHWAY X | 9253_ANTHEM PATHWAY X OUTPATIENT ECIN 20250101 | $37,636.21 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UGS | 8844_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20241001 | $37,636.21 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ANTHEM SHORT TERM LIMITED DURATION | 9351_ANTHEM SHORT TERM LIMITED DURATION OUTPATIENT ECIN 20250101 | $37,636.21 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ANTHEM HEALTHSYNC HMO | 9234_ANTHEM HEALTHSYNC HMO OUTPATIENT ASIN 20250101 | $37,636.21 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Outpatient | ADVANTUS | 8847_ST. VINCENT HEALTH, WELLNESS AND PREVENTIVE CARE INSTITUTE, LLC 20241001 | $37,636.21 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | ADVANTUS | 8847_ST. VINCENT HEALTH, WELLNESS AND PREVENTIVE CARE INSTITUTE, LLC 20241001 | $37,636.21 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | ADVANTUS | 8847_ST. VINCENT HEALTH, WELLNESS AND PREVENTIVE CARE INSTITUTE, LLC 20241001 | $37,636.21 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ANTHEM SHORT TERM LIMITED DURATION | 9350_ANTHEM SHORT TERM LIMITED DURATION OUTPATIENT ASIN 20250101 | $37,636.21 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UGS | 8844_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20241001 | $37,636.21 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UGS | 8844_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20241001 | $37,636.21 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UGS | 8844_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20241001 | $37,636.21 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ANTHEM PATHWAY X | 9238_ANTHEM PATHWAY X OUTPATIENT ASIN 20250101 | $37,636.21 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ANTHEM HEALTHSYNC HMO | 9249_ANTHEM HEALTHSYNC HMO OUTPATIENT ECIN 20250101 | $37,636.21 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | ANTHEM PATHWAY X | 9309_ANTHEM PATHWAY X OUTPATIENT NRIN 20250101 | $38,890.76 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Outpatient | ADVANTUS | 8851_ST. VINCENT HEALTH, WELLNESS AND PREVENTIVE CARE INSTITUTE, LLC 20241001 | $38,890.76 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UGS | 8852_ST. VINCENT PREVENTIVE HEALTH AND WELLNESS INSTITUTE ADVANTUS 20241001 | $38,890.76 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UGS | 8852_ST. VINCENT PREVENTIVE HEALTH AND WELLNESS INSTITUTE ADVANTUS 20241001 | $38,890.76 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UGS | 8852_ST. VINCENT PREVENTIVE HEALTH AND WELLNESS INSTITUTE ADVANTUS 20241001 | $38,890.76 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UGS | 8852_ST. VINCENT PREVENTIVE HEALTH AND WELLNESS INSTITUTE ADVANTUS 20241001 | $38,890.76 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | ANTHEM SHORT TERM LIMITED DURATION | 9348_ANTHEM SHORT TERM LIMITED DURATION OUTPATIENT NRIN 20250101 | $38,890.76 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | ANTHEM HEALTHSYNC HMO | 9305_ANTHEM HEALTHSYNC HMO OUTPATIENT NRIN 20250101 | $38,890.76 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ADVANTUS | 8851_ST. VINCENT HEALTH, WELLNESS AND PREVENTIVE CARE INSTITUTE, LLC 20241001 | $38,890.76 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ADVANTUS | 8851_ST. VINCENT HEALTH, WELLNESS AND PREVENTIVE CARE INSTITUTE, LLC 20241001 | $38,890.76 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | ADVANTUS | 8851_ST. VINCENT HEALTH, WELLNESS AND PREVENTIVE CARE INSTITUTE, LLC 20241001 | $38,890.76 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | ADVANTUS | 8850_ST. VINCENT HEALTH, WELLNESS AND PREVENTIVE CARE INSTITUTE, LLC 20241001 | $38,890.76 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Outpatient | UGS | 8852_ST. VINCENT PREVENTIVE HEALTH AND WELLNESS INSTITUTE ADVANTUS 20241001 | $38,890.76 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | ADVANTUS | 8851_ST. VINCENT HEALTH, WELLNESS AND PREVENTIVE CARE INSTITUTE, LLC 20241001 | $38,890.76 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UGS | 8846_ST. VINCENT HEALTH, WELLNESS AND PREVENTIVE CARE INSTITUTE, LLC 20241001 | $38,890.76 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ANTHEM HEALTHSYNC POS | 9250_ANTHEM HEALTHSYNC POS OUTPATIENT ECIN 20250101 | $40,145.30 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ANTHEM HEALTHSYNC POS | 9235_ANTHEM HEALTHSYNC POS OUTPATIENT ASIN 20250101 | $40,145.30 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | ANTHEM HEALTHSYNC POS | 9306_ANTHEM HEALTHSYNC POS OUTPATIENT NRIN 20250101 | $42,654.38 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | ANTHEM SHORT TERM LIMITED DURATION | 9359_ANTHEM SHORT TERM LIMITED DURATION SVIN 20250101 | $45,163.46 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | ANTHEM HEALTHSYNC HMO | 9277_ANTHEM HEALTHSYNC HMO SVIN 20250101 | $45,163.46 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | ANTHEM PATHWAY X | 9281_ANTHEM PATHWAY X SVIN 20250101 | $45,163.46 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Outpatient | ANTHEM HEALTHSYNC HMO | 9256_ANTHEM HEALTHSYNC HMO VFIN 20250101 | $46,418.00 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Outpatient | ANTHEM SHORT TERM LIMITED DURATION | 9362_ANTHEM SHORT TERM LIMITED DURATION VFIN 20250101 | $46,418.00 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Outpatient | ANTHEM PATHWAY X | 9260_ANTHEM PATHWAY X VFIN 20250101 | $46,418.00 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ANTHEM HMO/POS | 9251_ANTHEM HMO POS OUTPATIENT ECIN 20250101 | $47,672.54 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ANTHEM HMO/POS | 9236_ANTHEM HMO POS OUTPATIENT ASIN 20250101 | $47,672.54 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UGS | 4204_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20200701 | $48,927.08 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UGS | 4204_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20200701 | $48,927.08 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | ANTHEM HEALTHSYNC POS | 9278_ANTHEM HEALTHSYNC POS SVIN 20250101 | $48,927.08 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UGS | 4204_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20200701 | $48,927.08 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | ADVANTUS | 4195_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20200701 | $48,927.08 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ADVANTUS | 4195_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20200701 | $48,927.08 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ADVANTUS | 4195_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20200701 | $48,927.08 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | ADVANTUS | 4195_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20200701 | $48,927.08 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | ADVANTUS | 4196_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20200701 | $48,927.08 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UGS | 4208_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20200701 | $48,927.08 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Outpatient | ADVANTUS | 4195_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20200701 | $48,927.08 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Outpatient | UGS | 4204_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20200701 | $48,927.08 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UGS | 4204_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20200701 | $48,927.08 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ANTHEM PATHWAY | 9237_ANTHEM PATHWAY OUTPATIENT ASIN 20250101 | $50,181.62 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ANTHEM PATHWAY | 9252_ANTHEM PATHWAY OUTPATIENT ECIN 20250101 | $50,181.62 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ANTHEM PPO PREFERRED | 9239_ANTHEM PREFERRED OUTPATIENT ASIN 20250101 | $50,181.62 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Outpatient | ANTHEM HEALTHSYNC POS | 9257_ANTHEM HEALTHSYNC POS VFIN 20250101 | $50,181.62 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ANTHEM PPO PREFERRED | 9254_ANTHEM PREFERRED OUTPATIENT ECIN 20250101 | $50,181.62 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UHC | 9386_UNITED HEALTHCARE FULLY FUNDED OUTPATIENT ECIN 20250101 | $51,436.16 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | ANTHEM HMO/POS | 9307_ANTHEM HMO POS OUTPATIENT NRIN 20250101 | $52,690.70 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC | 9387_UNITED HEALTHCARE FULLY FUNDED OUTPATIENT NRIN 20250101 | $52,690.70 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | SIHO HMO | 5477_SIHO HMO DAVIS COUNTY EMPLOYEES SEIN VEIN 20210101 | $52,690.70 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | ANTHEM PATHWAY | 9308_ANTHEM PATHWAY OUTPATIENT NRIN 20250101 | $52,690.70 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | SIHO HMO | 5477_SIHO HMO DAVIS COUNTY EMPLOYEES SEIN VEIN 20210101 | $52,690.70 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Outpatient | SIHO HMO | 5477_SIHO HMO DAVIS COUNTY EMPLOYEES SEIN VEIN 20210101 | $52,690.70 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UHC | 9385_UNITED HEALTHCARE FULLY FUNDED OUTPATIENT ASIN 20250101 | $52,690.70 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | SIHO HMO | 5477_SIHO HMO DAVIS COUNTY EMPLOYEES SEIN VEIN 20210101 | $52,690.70 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | ANTHEM PPO PREFERRED | 9310_ANTHEM PREFERRED OUTPATIENT NRIN 20250101 | $52,690.70 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | SIHO HMO | 5477_SIHO HMO DAVIS COUNTY EMPLOYEES SEIN VEIN 20210101 | $52,690.70 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ANTHEM TRADITIONAL | 9255_ANTHEM TRADITIONAL OUTPATIENT ECIN 20250101 | $58,963.40 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ANTHEM TRADITIONAL | 9240_ANTHEM TRADITIONAL OUTPATIENT ASIN 20250101 | $58,963.40 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | ANTHEM TRADITIONAL | 9311_ANTHEM TRADITIONAL OUTPATIENT NRIN 20250101 | $60,217.94 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | ANTHEM HMO/POS | 9279_ANTHEM HMO POS SVIN 20250101 | $60,217.94 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | ANTHEM PATHWAY | 9280_ANTHEM PATHWAY SVIN 20250101 | $60,217.94 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | ANTHEM PPO PREFERRED | 9282_ANTHEM PREFERRED SVIN 20250101 | $60,217.94 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UHC SELF | 6794_UNITED HEALTHCARE SELF FUNDED OUTPATIENT ECIN 20230101 | $61,472.48 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Outpatient | ANTHEM HMO/POS | 9258_ANTHEM HMO POS VFIN 20250101 | $61,472.48 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Outpatient | ANTHEM PATHWAY | 9259_ANTHEM PATHWAY VFIN 20250101 | $62,727.03 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UHC SELF | 6791_UNITED HEALTHCARE SELF FUNDED OUTPATIENT ASIN 20230101 | $62,727.03 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Outpatient | ANTHEM PPO PREFERRED | 9261_ANTHEM PREFERRED VFIN 20250101 | $62,727.03 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | SMARTHEALTH PPO/HDHP 20161001 | 1440_SMARTHEALTH PPO/HDHP 20161001 | $66,490.65 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | SMARTHEALTH PPO/HDHP 20161001 | 1440_SMARTHEALTH PPO/HDHP 20161001 | $66,490.65 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | SMARTHEALTH PPO | 2911_SMARTHEALTH PPO 20170101 | $66,490.65 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | SMARTHEALTH PPO | 2911_SMARTHEALTH PPO 20170101 | $66,490.65 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | SMARTHEALTH PPO/HDHP 20161001 | 1440_SMARTHEALTH PPO/HDHP 20161001 | $66,490.65 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | SMARTHEALTH PPO | 8842_SMARTHEALTH PPO 20241001 | $66,490.65 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | SMARTHEALTH PPO | 2911_SMARTHEALTH PPO 20170101 | $66,490.65 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Outpatient | SMARTHEALTH PPO/HDHP 20161001 | 1440_SMARTHEALTH PPO/HDHP 20161001 | $66,490.65 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | SMARTHEALTH PPO/HDHP 20161001 | 1440_SMARTHEALTH PPO/HDHP 20161001 | $66,490.65 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Outpatient | SMARTHEALTH PPO | 2911_SMARTHEALTH PPO 20170101 | $66,490.65 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | SMARTHEALTH PPO | 2911_SMARTHEALTH PPO 20170101 | $66,490.65 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Inpatient | UHC NEW | 8872_UNITED HEALTH CARE NEW BUSINESS VFIN 20241001 | $67,745.19 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | SUBURBAN/SHO | 8855_SUBURBAN 20241001 | $68,999.73 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | ANTHEM TRADITIONAL | 9283_ANTHEM TRADITIONAL SVIN 20250101 | $68,999.73 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | SUBURBAN/SHO | 8856_SUBURBAN 20241001 | $68,999.73 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | PROHEALTH | 8832_PROHEALTH 20241001 | $68,999.73 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | SUBURBAN/SHO | 8853_SUBURBAN 20241001 | $68,999.73 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | PROHEALTH | 8835_PROHEALTH SVIN 20241001 | $68,999.73 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | SUBURBAN/SHO | 8856_SUBURBAN 20241001 | $68,999.73 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | PROHEALTH | 8831_PROHEALTH 20241001 | $68,999.73 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | SUBURBAN/SHO | 8856_SUBURBAN 20241001 | $68,999.73 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | PROHEALTH | 8832_PROHEALTH 20241001 | $68,999.73 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | PROHEALTH | 8832_PROHEALTH 20241001 | $68,999.73 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | PROHEALTH | 8831_PROHEALTH 20241001 | $68,999.73 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | SUBURBAN/SHO | 8855_SUBURBAN 20241001 | $68,999.73 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | PROHEALTH | 8831_PROHEALTH 20241001 | $68,999.73 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Outpatient | SUBURBAN/SHO | 8856_SUBURBAN 20241001 | $68,999.73 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Outpatient | PROHEALTH | 8832_PROHEALTH 20241001 | $68,999.73 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Outpatient | PROHEALTH | 8838_PROHEALTH VFIN 20241001 | $68,999.73 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | SUBURBAN/SHO | 8856_SUBURBAN 20241001 | $68,999.73 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Outpatient | SUBURBAN/SHO | 8855_SUBURBAN 20241001 | $68,999.73 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Outpatient | PROHEALTH | 8831_PROHEALTH 20241001 | $68,999.73 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | PROHEALTH | 8832_PROHEALTH 20241001 | $68,999.73 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | PROHEALTH | 8831_PROHEALTH 20241001 | $68,999.73 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | SUBURBAN/SHO | 8855_SUBURBAN 20241001 | $68,999.73 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | SUBURBAN/SHO | 8855_SUBURBAN 20241001 | $68,999.73 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Outpatient | ANTHEM TRADITIONAL | 9262_ANTHEM TRADITIONAL VFIN 20250101 | $70,254.27 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | AETNA NBR | 3697_AETNA SVIN VFIN VHIN 20210101 | $72,763.35 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | AETNA NBR | 3697_AETNA SVIN VFIN VHIN 20210101 | $72,763.35 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | AETNA NBR | 3697_AETNA SVIN VFIN VHIN 20210101 | $72,763.35 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Outpatient | AETNA NBR | 3697_AETNA SVIN VFIN VHIN 20210101 | $72,763.35 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | AETNA NBR | 3697_AETNA SVIN VFIN VHIN 20210101 | $72,763.35 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | SELFPAY | 2253_SELF PAY 20100101 | $75,272.43 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | PLAIN CHURCH GROUP | 4066_PLAIN CHURCH GROUP OUTPATIENT 20201101 | $75,272.43 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | TRICOUNTY | 3658_TRICOUNTY 20200901 | $75,272.43 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | SELFPAY | 2253_SELF PAY 20100101 | $75,272.43 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | TRICOUNTY | 3658_TRICOUNTY 20200901 | $75,272.43 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | HELPING HAND OLD ORDER | 5383_HELPING HANDS MEDICAL ASSISTANCE OUTPATIENT 20211101 | $75,272.43 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | PLAIN CHURCH GROUP | 4066_PLAIN CHURCH GROUP OUTPATIENT 20201101 | $75,272.43 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | TRICOUNTY | 3658_TRICOUNTY 20200901 | $75,272.43 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ONE HEALTH PLAN | 9213_ONE HEALTH PLAN VEIN 20241001 | $75,272.43 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | PLAIN CHURCH GROUP | 4069_PLAIN CHURCH GROUP 20201101 | $75,272.43 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | PLAIN CHURCH GROUP | 4433_PLAIN CHURCH GROUP STIN SSIN 20201101 | $75,272.43 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | HELPING HAND OLD ORDER | 5383_HELPING HANDS MEDICAL ASSISTANCE OUTPATIENT 20211101 | $75,272.43 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | ONE HEALTH PLAN | 9213_ONE HEALTH PLAN VEIN 20241001 | $75,272.43 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | SELFPAY | 2253_SELF PAY 20100101 | $75,272.43 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ONE HEALTH PLAN | 9213_ONE HEALTH PLAN VEIN 20241001 | $75,272.43 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Outpatient | HELPING HAND OLD ORDER | 5383_HELPING HANDS MEDICAL ASSISTANCE OUTPATIENT 20211101 | $75,272.43 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Outpatient | PLAIN CHURCH GROUP | 4069_PLAIN CHURCH GROUP 20201101 | $75,272.43 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | PLAIN CHURCH GROUP | 4069_PLAIN CHURCH GROUP 20201101 | $75,272.43 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | SELFPAY | 2253_SELF PAY 20100101 | $75,272.43 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | PLAIN CHURCH GROUP | 4066_PLAIN CHURCH GROUP OUTPATIENT 20201101 | $75,272.43 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | ONE HEALTH PLAN | 9213_ONE HEALTH PLAN VEIN 20241001 | $75,272.43 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | HELPING HAND OLD ORDER | 5383_HELPING HANDS MEDICAL ASSISTANCE OUTPATIENT 20211101 | $75,272.43 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | PLAIN CHURCH GROUP | 4433_PLAIN CHURCH GROUP STIN SSIN 20201101 | $75,272.43 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | TRICOUNTY | 3658_TRICOUNTY 20200901 | $75,272.43 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Outpatient | PLAIN CHURCH GROUP | 4433_PLAIN CHURCH GROUP STIN SSIN 20201101 | $75,272.43 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | PLAIN CHURCH GROUP | 4433_PLAIN CHURCH GROUP STIN SSIN 20201101 | $75,272.43 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | PLAIN CHURCH GROUP | 4433_PLAIN CHURCH GROUP STIN SSIN 20201101 | $75,272.43 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | HELPING HAND OLD ORDER | 5383_HELPING HANDS MEDICAL ASSISTANCE OUTPATIENT 20211101 | $75,272.43 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Outpatient | TRICOUNTY | 3658_TRICOUNTY 20200901 | $75,272.43 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Outpatient | PLAIN CHURCH GROUP | 4066_PLAIN CHURCH GROUP OUTPATIENT 20201101 | $75,272.43 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | PLAIN CHURCH GROUP | 4066_PLAIN CHURCH GROUP OUTPATIENT 20201101 | $75,272.43 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Outpatient | ONE HEALTH PLAN | 9213_ONE HEALTH PLAN VEIN 20241001 | $75,272.43 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | PLAIN CHURCH GROUP | 4069_PLAIN CHURCH GROUP 20201101 | $75,272.43 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Outpatient | SELFPAY | 2253_SELF PAY 20100101 | $75,272.43 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | PLAIN CHURCH GROUP | 4069_PLAIN CHURCH GROUP 20201101 | $75,272.43 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | HUMANA CHOICECARE | 8830_HUMANA CHOICE CARE VEIN 20241001 | $76,526.97 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | HUMANA CHOICECARE | 8830_HUMANA CHOICE CARE VEIN 20241001 | $76,526.97 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | HUMANA CHOICE 1 NETWORK | 8829_HUMANA CHOICE CARE NETWORK VEIN 20241001 | $76,526.97 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | HUMANA CHOICE 1 NETWORK | 8829_HUMANA CHOICE CARE NETWORK VEIN 20241001 | $76,526.97 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | HUMANA CHOICECARE | 8830_HUMANA CHOICE CARE VEIN 20241001 | $76,526.97 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | HUMANA CHOICECARE | 8830_HUMANA CHOICE CARE VEIN 20241001 | $76,526.97 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | HUMANA CHOICE 1 NETWORK | 8829_HUMANA CHOICE CARE NETWORK VEIN 20241001 | $76,526.97 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Outpatient | HUMANA CHOICE 1 NETWORK | 8829_HUMANA CHOICE CARE NETWORK VEIN 20241001 | $76,526.97 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Outpatient | HUMANA CHOICECARE | 8830_HUMANA CHOICE CARE VEIN 20241001 | $76,526.97 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | HUMANA CHOICE 1 NETWORK | 8829_HUMANA CHOICE CARE NETWORK VEIN 20241001 | $76,526.97 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Outpatient | KEY BENEFIT FAYETTE | 370_KEY BENEFIT FAYETTE 20130101 | $77,781.51 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | KEY BENEFIT FAYETTE | 370_KEY BENEFIT FAYETTE 20130101 | $77,781.51 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | KEY BENEFIT FAYETTE | 370_KEY BENEFIT FAYETTE 20130101 | $77,781.51 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | KEY BENEFIT FAYETTE | 370_KEY BENEFIT FAYETTE 20130101 | $77,781.51 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | KEY BENEFIT FAYETTE | 2703_KEY BENEFIT - FAYETTE SVIN 20130101 | $77,781.51 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | KEY BENEFIT FAYETTE | 370_KEY BENEFIT FAYETTE 20130101 | $77,781.51 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Outpatient | SIHO PPO | 5476_SIHO HMO SEIN VEIN 20210101 | $79,036.05 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Inpatient | ADVANTAGE 360 | 8732_ADVANTAGE 360 20241001 | $79,036.05 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | SIHO PPO | 5476_SIHO HMO SEIN VEIN 20210101 | $79,036.05 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | SAGAMORE ZIONSVILLE | 762_SAGAMORE ZIONSVILLE 20120101 | $79,036.05 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UNIFIED ZIONSVILLE | 8865_UNIFIED ZIONSVILLE VFIN NRIN 20241001 | $79,036.05 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | ADVANTAGE 360 | 8729_ADVANTAGE 360 20241001 | $79,036.05 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Outpatient | UNIFIED ZIONSVILLE | 8861_UNIFIED ZIONSVILLE ASIN ECIN 20241001 | $79,036.05 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Outpatient | UNIFIED ZIONSVILLE | 8865_UNIFIED ZIONSVILLE VFIN NRIN 20241001 | $79,036.05 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Outpatient | AHS ST FRANCIS | 104_AHR ST. FRANCIS 20120101 | $79,036.05 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UNIFIED ZIONSVILLE | 8861_UNIFIED ZIONSVILLE ASIN ECIN 20241001 | $79,036.05 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Inpatient | ADVANTAGE 360 | 8732_ADVANTAGE 360 20241001 | $79,036.05 | $125,454.05 | $75,272.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Outpatient | AHS ST FRANCIS | 720_AHS ST FRANCIS 20120101 | $79,036.05 | $125,454.05 | $75,272.43 | 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.