717039856 — Atezolizumab 840mg/14ml Inj
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). ATEZOLIZUMAB 840MG/14ML INJ (CDM 717039856) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/717039856?code_type=CDM
MLA (9th ed.)
“ATEZOLIZUMAB 840MG/14ML INJ (CDM 717039856) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/717039856?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“ATEZOLIZUMAB 840MG/14ML INJ (CDM 717039856) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/717039856?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $12,269–$17,332 (25th–75th percentile) across 7 hospitals · 108 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 717039856 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| ASCENSION ST VINCENT RANDOLPH Outpatient | THERAMATRIX PHYSICAL THERAPY | 3187_THERAMATRIX PHYSICAL THERAPY 20170101 | $40.00 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | THERAMATRIX PHYSICAL THERAPY | 5501_THERAMATRIX PHYSICAL THERAPY 20210101 | $40.00 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | THERAMATRIX PHYSICAL THERAPY | 3187_THERAMATRIX PHYSICAL THERAPY 20170101 | $40.00 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | THERAMATRIX PHYSICAL THERAPY | 5501_THERAMATRIX PHYSICAL THERAPY 20210101 | $40.00 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Outpatient | THERAMATRIX PHYSICAL THERAPY | 3187_THERAMATRIX PHYSICAL THERAPY 20170101 | $40.00 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Outpatient | THERAMATRIX PHYSICAL THERAPY | 5501_THERAMATRIX PHYSICAL THERAPY 20210101 | $40.00 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | ZING MEDICARE ADVANTAGE | 8372_ZING HEALTH MEDICARE REPLACEMENT VRIN 20240701 | $3,894.82 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | ZING MEDICARE ADVANTAGE | 8372_ZING HEALTH MEDICARE REPLACEMENT VRIN 20240701 | $3,894.82 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | AETNA MCR | 8360_AETNA MEDICARE REPLACEMENT VRIN 20240701 | $3,894.82 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | HELPING HAND OLD ORDER | 6647_HELPING HANDS MEDICAL ASSISTANCE VRIN 20220701 | $3,894.82 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | HELPING HAND OLD ORDER | 6647_HELPING HANDS MEDICAL ASSISTANCE VRIN 20220701 | $3,894.82 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | AETNA MCR | 8360_AETNA MEDICARE REPLACEMENT VRIN 20240701 | $3,894.82 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | UHC MCR | 8370_UNITED HEALTHCARE MEDICARE REPLACEMENT VRIN 20240701 | $4,089.56 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM MCR | 8361_ANTHEM MEDICARE REPLACEMENT VRIN 20240701 | $4,089.56 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | WELLCARE MEDICARE ADVANTAGE | 8371_WELLCARE MEDICARE REPLACEMENT VRIN 20240701 | $4,089.56 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | SECURE HORIZONS-UNICARE | 8369_SECURE HORIZONS UNICARE MEDICARE REPLACEMENT VRIN 20240701 | $4,089.56 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | CARESOURCE MARKETPLACE | 9215_CARESOURCE MARKETPLACE VRIN 20240701 | $4,089.56 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | AETNA MCR CHOICE | 8359_AETNA MEDICARE REPLACEMENT CHOICE VRIN 20240701 | $4,089.56 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | SECURE HORIZONS-PACIFICARE | 8368_SECURE HORIZONS PACIFICARE VRIN 20240701 | $4,089.56 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | HUMANA PPO MCR REPLACEMENT | 8363_HUMANA PPO MEDICARE REPLACEMENT VRIN 20240701 | $4,089.56 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | MHS AMBETTER MKTPL | 8367_MHS CENPATICO-AMBETTER MARKETPLACE VRIN 20240701 | $4,089.56 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | SMARTHEALTH PPO | 9206_SMARTHEALTH VRIN 20240701 | $4,089.56 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | WELLCARE MEDICARE ADVANTAGE | 8371_WELLCARE MEDICARE REPLACEMENT VRIN 20240701 | $4,089.56 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | HUMANA PPO MCR REPLACEMENT | 8363_HUMANA PPO MEDICARE REPLACEMENT VRIN 20240701 | $4,089.56 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | MEDICARE REPLACEMENT | 8365_MEDICARE REPLACEMENT VRIN 20240701 | $4,089.56 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | MHS AMBETTER MKTPL | 8367_MHS CENPATICO-AMBETTER MARKETPLACE VRIN 20240701 | $4,089.56 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | MDWISE MEDICARE | 8364_MDWISE MEDICARE VRIN 20240701 | $4,089.56 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | CARESOURCE MARKETPLACE | 9215_CARESOURCE MARKETPLACE VRIN 20240701 | $4,089.56 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | SECURE HORIZONS-PACIFICARE | 8368_SECURE HORIZONS PACIFICARE VRIN 20240701 | $4,089.56 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | MEDICARE REPLACEMENT | 8365_MEDICARE REPLACEMENT VRIN 20240701 | $4,089.56 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | HUMANA GOLD MCR | 8362_HUMANA GOLD CHOICE MEDICARE REPLACEMENT VRIN 20240701 | $4,089.56 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | AETNA MCR CHOICE | 8359_AETNA MEDICARE REPLACEMENT CHOICE VRIN 20240701 | $4,089.56 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | MDWISE MEDICARE | 8364_MDWISE MEDICARE VRIN 20240701 | $4,089.56 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | UHC MCR | 8370_UNITED HEALTHCARE MEDICARE REPLACEMENT VRIN 20240701 | $4,089.56 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | HUMANA GOLD MCR | 8362_HUMANA GOLD CHOICE MEDICARE REPLACEMENT VRIN 20240701 | $4,089.56 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM MCR | 8361_ANTHEM MEDICARE REPLACEMENT VRIN 20240701 | $4,089.56 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | SECURE HORIZONS-UNICARE | 8369_SECURE HORIZONS UNICARE MEDICARE REPLACEMENT VRIN 20240701 | $4,089.56 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | SMARTHEALTH PPO | 9206_SMARTHEALTH VRIN 20240701 | $4,089.56 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | IMMERGRUN | 6655_IMMERGRUN VRIN 20220701 | $4,284.30 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | PERSONALIZED CARE | 6409_ASCENSION PERSONALIZED CARE VRIN 20220701 | $4,284.30 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | PERSONALIZED CARE | 6409_ASCENSION PERSONALIZED CARE VRIN 20220701 | $4,284.30 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | CORIZON | 6645_CORIZON MEDICARE VRIN 20220701 | $4,284.30 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | IMMERGRUN | 6655_IMMERGRUN VRIN 20220701 | $4,284.30 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | CORIZON | 6645_CORIZON MEDICARE VRIN 20220701 | $4,284.30 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ALLIANCE COALITION MEDICARE REPLACEMENT | 8215_ALLIANCE COALITION MEDICARE ADVANTAGE VRIN 20230301 | $4,479.04 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | DEVOTED HEALTH MCR | 8134_DEVOTED HEALTH MEDICARE ADVANTAGE VRIN 20231120 | $4,479.04 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ALLIANCE COALITION MEDICARE REPLACEMENT | 8215_ALLIANCE COALITION MEDICARE ADVANTAGE VRIN 20230301 | $4,479.04 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | DEVOTED HEALTH MCR | 8134_DEVOTED HEALTH MEDICARE ADVANTAGE VRIN 20231120 | $4,479.04 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | HUMANA PPO MCR REPLACEMENT | 8683_HUMANA PPO MEDICARE REPLACEMENT INPATIENT SVIN 20241001 | $4,868.52 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Outpatient | HUMANA PPO MCR REPLACEMENT | 8683_HUMANA PPO MEDICARE REPLACEMENT INPATIENT SVIN 20241001 | $4,868.52 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | HUMANA PPO MCR REPLACEMENT | 8683_HUMANA PPO MEDICARE REPLACEMENT INPATIENT SVIN 20241001 | $4,868.52 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | HUMANA PPO MCR REPLACEMENT | 8683_HUMANA PPO MEDICARE REPLACEMENT INPATIENT SVIN 20241001 | $4,868.52 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | HUMANA PPO MCR REPLACEMENT | 8683_HUMANA PPO MEDICARE REPLACEMENT INPATIENT SVIN 20241001 | $4,868.52 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | HUMANA PPO MCR REPLACEMENT | 8683_HUMANA PPO MEDICARE REPLACEMENT INPATIENT SVIN 20241001 | $4,868.52 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Outpatient | HUMANA PPO MCR REPLACEMENT | 8683_HUMANA PPO MEDICARE REPLACEMENT INPATIENT SVIN 20241001 | $4,868.52 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | HUMANA PPO MCR REPLACEMENT | 8683_HUMANA PPO MEDICARE REPLACEMENT INPATIENT SVIN 20241001 | $4,868.52 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Outpatient | HUMANA PPO MCR REPLACEMENT | 8683_HUMANA PPO MEDICARE REPLACEMENT INPATIENT SVIN 20241001 | $4,868.52 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | HUMANA PPO MCR REPLACEMENT | 9137_HUMANA PPO MEDICARE REPLACEMENT OUTPATIENT SVIN 20250101 | $4,868.52 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | HUMANA PPO MCR REPLACEMENT | 8683_HUMANA PPO MEDICARE REPLACEMENT INPATIENT SVIN 20241001 | $4,868.52 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | HUMANA PPO MCR REPLACEMENT | 8683_HUMANA PPO MEDICARE REPLACEMENT INPATIENT SVIN 20241001 | $4,868.52 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | SECURE HORIZONS-PACIFICARE | 9156_SECURE HORIZONS PACIFICARE MEDICARE REPLACEMENT OUTPATIENT VKIN 20250101 | $5,063.26 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Outpatient | SECURE HORIZONS-PACIFICARE | 9156_SECURE HORIZONS PACIFICARE MEDICARE REPLACEMENT OUTPATIENT VKIN 20250101 | $5,063.26 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | SECURE HORIZONS-PACIFICARE | 9156_SECURE HORIZONS PACIFICARE MEDICARE REPLACEMENT OUTPATIENT VKIN 20250101 | $5,063.26 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Outpatient | SECURE HORIZONS-PACIFICARE | 9156_SECURE HORIZONS PACIFICARE MEDICARE REPLACEMENT OUTPATIENT VKIN 20250101 | $5,063.26 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | SECURE HORIZONS-PACIFICARE | 9156_SECURE HORIZONS PACIFICARE MEDICARE REPLACEMENT OUTPATIENT VKIN 20250101 | $5,063.26 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Outpatient | SECURE HORIZONS-PACIFICARE | 9156_SECURE HORIZONS PACIFICARE MEDICARE REPLACEMENT OUTPATIENT VKIN 20250101 | $5,063.26 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | SECURE HORIZONS-PACIFICARE | 9156_SECURE HORIZONS PACIFICARE MEDICARE REPLACEMENT OUTPATIENT VKIN 20250101 | $5,063.26 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | SECURE HORIZONS-PACIFICARE | 9156_SECURE HORIZONS PACIFICARE MEDICARE REPLACEMENT OUTPATIENT VKIN 20250101 | $5,063.26 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | SECURE HORIZONS-PACIFICARE | 9156_SECURE HORIZONS PACIFICARE MEDICARE REPLACEMENT OUTPATIENT VKIN 20250101 | $5,063.26 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | SECURE HORIZONS-PACIFICARE | 9156_SECURE HORIZONS PACIFICARE MEDICARE REPLACEMENT OUTPATIENT VKIN 20250101 | $5,063.26 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | SECURE HORIZONS-PACIFICARE | 9156_SECURE HORIZONS PACIFICARE MEDICARE REPLACEMENT OUTPATIENT VKIN 20250101 | $5,063.26 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | WORKERS COMP | 4248_WORKERS COMP 20200201 | $5,258.00 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | MHS CENPATICO AMBETTER | 3449_MHS CENPATICO AMBETTER OUTPATIENT VRIN 20200201 | $5,258.00 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | WORKERS COMP | 4248_WORKERS COMP 20200201 | $5,258.00 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | WORKERS COMP CORVEL | 4274_WORKERS COMP CORVEL 20200201 | $5,258.00 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | WORKERS COMP CORVEL | 4274_WORKERS COMP CORVEL 20200201 | $5,258.00 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | MHS CENPATICO AMBETTER | 3449_MHS CENPATICO AMBETTER OUTPATIENT VRIN 20200201 | $5,258.00 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | WORKERS COMP OBJSURG | 4302_WORKERS OBJ SURGICAL 20200201 | $5,258.00 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | WORKERS COMP OBJSURG | 4302_WORKERS OBJ SURGICAL 20200201 | $5,258.00 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Outpatient | PATOKA VALLEY TIER 1 | 9410_PAKOTA VALLEY TIER 1 VEIN 20250101 | $5,842.22 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | ADVANTUS | 8847_ST. VINCENT HEALTH, WELLNESS AND PREVENTIVE CARE INSTITUTE, LLC 20241001 | $5,842.22 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UGS | 8844_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20241001 | $5,842.22 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Outpatient | UGS | 8844_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20241001 | $5,842.22 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UGS | 8844_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20241001 | $5,842.22 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | PATOKA VALLEY TIER 1 | 9410_PAKOTA VALLEY TIER 1 VEIN 20250101 | $5,842.22 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | PATOKA VALLEY TIER 1 | 9412_PAKOTA VALLEY TIER 1 20250101 | $5,842.22 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Outpatient | PATOKA VALLEY TIER 1 | 9412_PAKOTA VALLEY TIER 1 20250101 | $5,842.22 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | PATOKA VALLEY TIER 1 | 9410_PAKOTA VALLEY TIER 1 VEIN 20250101 | $5,842.22 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UGS | 8844_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20241001 | $5,842.22 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Outpatient | ADVANTUS | 8847_ST. VINCENT HEALTH, WELLNESS AND PREVENTIVE CARE INSTITUTE, LLC 20241001 | $5,842.22 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Outpatient | ADVANTUS | 8847_ST. VINCENT HEALTH, WELLNESS AND PREVENTIVE CARE INSTITUTE, LLC 20241001 | $5,842.22 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | PATOKA VALLEY TIER 1 | 9412_PAKOTA VALLEY TIER 1 20250101 | $5,842.22 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Outpatient | UGS | 8844_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20241001 | $5,842.22 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Outpatient | PATOKA VALLEY TIER 1 | 9412_PAKOTA VALLEY TIER 1 20250101 | $5,842.22 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | UGS | 8844_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20241001 | $5,842.22 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Outpatient | UGS | 8844_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20241001 | $5,842.22 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | ADVANTUS | 8847_ST. VINCENT HEALTH, WELLNESS AND PREVENTIVE CARE INSTITUTE, LLC 20241001 | $5,842.22 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Outpatient | PATOKA VALLEY TIER 1 | 9412_PAKOTA VALLEY TIER 1 20250101 | $5,842.22 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UGS | 8844_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20241001 | $5,842.22 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Outpatient | PATOKA VALLEY TIER 1 | 9410_PAKOTA VALLEY TIER 1 VEIN 20250101 | $5,842.22 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | PATOKA VALLEY TIER 1 | 9412_PAKOTA VALLEY TIER 1 20250101 | $5,842.22 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ADVANTUS | 8847_ST. VINCENT HEALTH, WELLNESS AND PREVENTIVE CARE INSTITUTE, LLC 20241001 | $5,842.22 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | PATOKA VALLEY TIER 1 | 9412_PAKOTA VALLEY TIER 1 20250101 | $5,842.22 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ANTHEM HEALTHSYNC HMO | 9249_ANTHEM HEALTHSYNC HMO OUTPATIENT ECIN 20250101 | $5,842.22 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Outpatient | ADVANTUS | 8847_ST. VINCENT HEALTH, WELLNESS AND PREVENTIVE CARE INSTITUTE, LLC 20241001 | $5,842.22 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UGS | 8844_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20241001 | $5,842.22 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | PATOKA VALLEY TIER 1 | 9412_PAKOTA VALLEY TIER 1 20250101 | $5,842.22 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Outpatient | PATOKA VALLEY TIER 1 | 9410_PAKOTA VALLEY TIER 1 VEIN 20250101 | $5,842.22 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | PATOKA VALLEY TIER 1 | 9412_PAKOTA VALLEY TIER 1 20250101 | $5,842.22 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | UGS | 8844_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20241001 | $5,842.22 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ANTHEM PATHWAY X | 9238_ANTHEM PATHWAY X OUTPATIENT ASIN 20250101 | $5,842.22 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ADVANTUS | 8847_ST. VINCENT HEALTH, WELLNESS AND PREVENTIVE CARE INSTITUTE, LLC 20241001 | $5,842.22 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | PATOKA VALLEY TIER 1 | 9410_PAKOTA VALLEY TIER 1 VEIN 20250101 | $5,842.22 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | PATOKA VALLEY TIER 1 | 9412_PAKOTA VALLEY TIER 1 20250101 | $5,842.22 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ANTHEM PATHWAY X | 9253_ANTHEM PATHWAY X OUTPATIENT ECIN 20250101 | $5,842.22 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | PATOKA VALLEY TIER 1 | 9410_PAKOTA VALLEY TIER 1 VEIN 20250101 | $5,842.22 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ADVANTUS | 8847_ST. VINCENT HEALTH, WELLNESS AND PREVENTIVE CARE INSTITUTE, LLC 20241001 | $5,842.22 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | PATOKA VALLEY TIER 1 | 9412_PAKOTA VALLEY TIER 1 20250101 | $5,842.22 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | PATOKA VALLEY TIER 1 | 9410_PAKOTA VALLEY TIER 1 VEIN 20250101 | $5,842.22 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | PATOKA VALLEY TIER 1 | 9410_PAKOTA VALLEY TIER 1 VEIN 20250101 | $5,842.22 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | ADVANTUS | 8847_ST. VINCENT HEALTH, WELLNESS AND PREVENTIVE CARE INSTITUTE, LLC 20241001 | $5,842.22 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | PATOKA VALLEY TIER 1 | 9410_PAKOTA VALLEY TIER 1 VEIN 20250101 | $5,842.22 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ANTHEM SHORT TERM LIMITED DURATION | 9350_ANTHEM SHORT TERM LIMITED DURATION OUTPATIENT ASIN 20250101 | $5,842.22 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ANTHEM HEALTHSYNC HMO | 9234_ANTHEM HEALTHSYNC HMO OUTPATIENT ASIN 20250101 | $5,842.22 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ADVANTUS | 8847_ST. VINCENT HEALTH, WELLNESS AND PREVENTIVE CARE INSTITUTE, LLC 20241001 | $5,842.22 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | UGS | 8844_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20241001 | $5,842.22 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ANTHEM SHORT TERM LIMITED DURATION | 9351_ANTHEM SHORT TERM LIMITED DURATION OUTPATIENT ECIN 20250101 | $5,842.22 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | PATOKA VALLEY TIER 1 | 9410_PAKOTA VALLEY TIER 1 VEIN 20250101 | $5,842.22 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ADVANTUS | 8847_ST. VINCENT HEALTH, WELLNESS AND PREVENTIVE CARE INSTITUTE, LLC 20241001 | $5,842.22 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | UGS | 8852_ST. VINCENT PREVENTIVE HEALTH AND WELLNESS INSTITUTE ADVANTUS 20241001 | $6,036.96 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | UGS | 8852_ST. VINCENT PREVENTIVE HEALTH AND WELLNESS INSTITUTE ADVANTUS 20241001 | $6,036.96 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ADVANTUS | 8851_ST. VINCENT HEALTH, WELLNESS AND PREVENTIVE CARE INSTITUTE, LLC 20241001 | $6,036.96 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UGS | 8852_ST. VINCENT PREVENTIVE HEALTH AND WELLNESS INSTITUTE ADVANTUS 20241001 | $6,036.96 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ADVANTUS | 8851_ST. VINCENT HEALTH, WELLNESS AND PREVENTIVE CARE INSTITUTE, LLC 20241001 | $6,036.96 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UGS | 8852_ST. VINCENT PREVENTIVE HEALTH AND WELLNESS INSTITUTE ADVANTUS 20241001 | $6,036.96 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | ANTHEM SHORT TERM LIMITED DURATION | 9348_ANTHEM SHORT TERM LIMITED DURATION OUTPATIENT NRIN 20250101 | $6,036.96 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Outpatient | UGS | 8852_ST. VINCENT PREVENTIVE HEALTH AND WELLNESS INSTITUTE ADVANTUS 20241001 | $6,036.96 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ADVANTUS | 8851_ST. VINCENT HEALTH, WELLNESS AND PREVENTIVE CARE INSTITUTE, LLC 20241001 | $6,036.96 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UGS | 8846_ST. VINCENT HEALTH, WELLNESS AND PREVENTIVE CARE INSTITUTE, LLC 20241001 | $6,036.96 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ADVANTUS | 8851_ST. VINCENT HEALTH, WELLNESS AND PREVENTIVE CARE INSTITUTE, LLC 20241001 | $6,036.96 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Outpatient | ADVANTUS | 8851_ST. VINCENT HEALTH, WELLNESS AND PREVENTIVE CARE INSTITUTE, LLC 20241001 | $6,036.96 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | ADVANTUS | 8851_ST. VINCENT HEALTH, WELLNESS AND PREVENTIVE CARE INSTITUTE, LLC 20241001 | $6,036.96 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Outpatient | UGS | 8852_ST. VINCENT PREVENTIVE HEALTH AND WELLNESS INSTITUTE ADVANTUS 20241001 | $6,036.96 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | ADVANTUS | 8851_ST. VINCENT HEALTH, WELLNESS AND PREVENTIVE CARE INSTITUTE, LLC 20241001 | $6,036.96 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Outpatient | ADVANTUS | 8851_ST. VINCENT HEALTH, WELLNESS AND PREVENTIVE CARE INSTITUTE, LLC 20241001 | $6,036.96 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | ANTHEM PATHWAY X | 9309_ANTHEM PATHWAY X OUTPATIENT NRIN 20250101 | $6,036.96 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UGS | 8852_ST. VINCENT PREVENTIVE HEALTH AND WELLNESS INSTITUTE ADVANTUS 20241001 | $6,036.96 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UGS | 8852_ST. VINCENT PREVENTIVE HEALTH AND WELLNESS INSTITUTE ADVANTUS 20241001 | $6,036.96 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UGS | 8852_ST. VINCENT PREVENTIVE HEALTH AND WELLNESS INSTITUTE ADVANTUS 20241001 | $6,036.96 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ADVANTUS | 8851_ST. VINCENT HEALTH, WELLNESS AND PREVENTIVE CARE INSTITUTE, LLC 20241001 | $6,036.96 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | UGS | 8852_ST. VINCENT PREVENTIVE HEALTH AND WELLNESS INSTITUTE ADVANTUS 20241001 | $6,036.96 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | ANTHEM HEALTHSYNC HMO | 9305_ANTHEM HEALTHSYNC HMO OUTPATIENT NRIN 20250101 | $6,036.96 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | ADVANTUS | 8851_ST. VINCENT HEALTH, WELLNESS AND PREVENTIVE CARE INSTITUTE, LLC 20241001 | $6,036.96 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Outpatient | UGS | 8852_ST. VINCENT PREVENTIVE HEALTH AND WELLNESS INSTITUTE ADVANTUS 20241001 | $6,036.96 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | ADVANTUS | 8850_ST. VINCENT HEALTH, WELLNESS AND PREVENTIVE CARE INSTITUTE, LLC 20241001 | $6,036.96 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Outpatient | ADVANTUS | 8851_ST. VINCENT HEALTH, WELLNESS AND PREVENTIVE CARE INSTITUTE, LLC 20241001 | $6,036.96 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ANTHEM HEALTHSYNC POS | 9250_ANTHEM HEALTHSYNC POS OUTPATIENT ECIN 20250101 | $6,231.71 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ANTHEM HEALTHSYNC POS | 9235_ANTHEM HEALTHSYNC POS OUTPATIENT ASIN 20250101 | $6,231.71 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | ANTHEM HEALTHSYNC POS | 9306_ANTHEM HEALTHSYNC POS OUTPATIENT NRIN 20250101 | $6,621.19 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ANTHEM SHORT TERM LIMITED DURATION | 9361_ANTHEM SHORT TERM LIMITED DURATION VCIN 20250101 | $6,621.19 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ANTHEM HEALTHSYNC HMO | 9227_ANTHEM HEALTHSYNC HMO VCIN 20250101 | $6,621.19 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ANTHEM PATHWAY X | 9231_ANTHEM PATHWAY X VCIN 20250101 | $6,621.19 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | UHC | 9393_UNITED HEALTHCARE VKIN 20250101 | $6,815.93 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | ANTHEM SHORT TERM LIMITED DURATION | 9359_ANTHEM SHORT TERM LIMITED DURATION SVIN 20250101 | $7,010.67 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | ANTHEM HEALTHSYNC HMO | 9277_ANTHEM HEALTHSYNC HMO SVIN 20250101 | $7,010.67 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | ANTHEM PATHWAY X | 9337_ANTHEM PATHWAY X VKIN 20250101 | $7,010.67 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | ANTHEM PATHWAY X | 9281_ANTHEM PATHWAY X SVIN 20250101 | $7,010.67 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | ANTHEM SHORT TERM LIMITED DURATION | 9364_ANTHEM SHORT TERM LIMITED DURATION VKIN 20250101 | $7,010.67 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | ANTHEM HEALTHSYNC HMO | 9333_ANTHEM HEALTHSYNC HMO VKIN 20250101 | $7,010.67 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ANTHEM HEALTHSYNC POS | 9228_ANTHEM HEALTHSYNC POS VCIN 20250101 | $7,205.41 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Outpatient | ANTHEM PATHWAY X | 9260_ANTHEM PATHWAY X VFIN 20250101 | $7,205.41 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Outpatient | ANTHEM HEALTHSYNC HMO | 9256_ANTHEM HEALTHSYNC HMO VFIN 20250101 | $7,205.41 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Outpatient | ANTHEM SHORT TERM LIMITED DURATION | 9362_ANTHEM SHORT TERM LIMITED DURATION VFIN 20250101 | $7,205.41 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ANTHEM HMO/POS | 9236_ANTHEM HMO POS OUTPATIENT ASIN 20250101 | $7,400.15 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ANTHEM HMO/POS | 9251_ANTHEM HMO POS OUTPATIENT ECIN 20250101 | $7,400.15 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | UGS | 4204_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20200701 | $7,594.89 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UGS | 4204_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20200701 | $7,594.89 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ADVANTUS | 4195_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20200701 | $7,594.89 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UGS | 4204_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20200701 | $7,594.89 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UGS | 4208_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20200701 | $7,594.89 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | UGS | 4204_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20200701 | $7,594.89 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | ADVANTUS | 4196_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20200701 | $7,594.89 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ADVANTUS | 4195_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20200701 | $7,594.89 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | ADVANTUS | 4195_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20200701 | $7,594.89 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UGS | 4204_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20200701 | $7,594.89 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | UGS | 4204_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20200701 | $7,594.89 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ADVANTUS | 4195_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20200701 | $7,594.89 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | ANTHEM HEALTHSYNC POS | 9334_ANTHEM HEALTHSYNC POS VKIN 20250101 | $7,594.89 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Outpatient | UGS | 4204_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20200701 | $7,594.89 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Outpatient | ADVANTUS | 4195_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20200701 | $7,594.89 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Outpatient | UGS | 4204_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20200701 | $7,594.89 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | ADVANTUS | 4195_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20200701 | $7,594.89 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | ANTHEM HEALTHSYNC POS | 9278_ANTHEM HEALTHSYNC POS SVIN 20250101 | $7,594.89 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ADVANTUS | 4195_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20200701 | $7,594.89 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UGS | 4204_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20200701 | $7,594.89 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Outpatient | UGS | 4204_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20200701 | $7,594.89 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | ADVANTUS | 4195_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20200701 | $7,594.89 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Outpatient | ADVANTUS | 4195_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20200701 | $7,594.89 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Outpatient | ADVANTUS | 4195_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20200701 | $7,594.89 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UGS | 4204_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20200701 | $7,594.89 | $19,474.08 | $11,684.45 | 2026-01-01 | MRF ↗ |
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