717086125 — Dostarlimab-gxly 500mg Inj
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). DOSTARLIMAB-GXLY 500MG INJ (CDM 717086125) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/717086125?code_type=CDM
MLA (9th ed.)
“DOSTARLIMAB-GXLY 500MG INJ (CDM 717086125) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/717086125?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“DOSTARLIMAB-GXLY 500MG INJ (CDM 717086125) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/717086125?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $18,212–$25,728 (25th–75th percentile) across 8 hospitals · 109 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 717086125 — 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 | 5501_THERAMATRIX PHYSICAL THERAPY 20210101 | $40.00 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | THERAMATRIX PHYSICAL THERAPY | 3187_THERAMATRIX PHYSICAL THERAPY 20170101 | $40.00 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | THERAMATRIX PHYSICAL THERAPY | 3187_THERAMATRIX PHYSICAL THERAPY 20170101 | $40.00 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | THERAMATRIX PHYSICAL THERAPY | 3187_THERAMATRIX PHYSICAL THERAPY 20170101 | $40.00 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | THERAMATRIX PHYSICAL THERAPY | 5501_THERAMATRIX PHYSICAL THERAPY 20210101 | $40.00 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | THERAMATRIX PHYSICAL THERAPY | 3187_THERAMATRIX PHYSICAL THERAPY 20170101 | $40.00 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Outpatient | THERAMATRIX PHYSICAL THERAPY | 3187_THERAMATRIX PHYSICAL THERAPY 20170101 | $40.00 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | THERAMATRIX PHYSICAL THERAPY | 5501_THERAMATRIX PHYSICAL THERAPY 20210101 | $40.00 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | THERAMATRIX PHYSICAL THERAPY | 5501_THERAMATRIX PHYSICAL THERAPY 20210101 | $40.00 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | THERAMATRIX PHYSICAL THERAPY | 5501_THERAMATRIX PHYSICAL THERAPY 20210101 | $40.00 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | ZING MEDICARE ADVANTAGE | 8372_ZING HEALTH MEDICARE REPLACEMENT VRIN 20240701 | $5,781.56 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | WORKERS COMP OBJSURG | 4297_WORKERS OBJ SURGICAL 20200201 | $5,781.56 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | WELLCARE MEDICARE ADVANTAGE | 8915_WELLCARE MEDICARE REPLACEMENT VMIN 20240701 | $5,781.56 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | SECURE HORIZONS-PACIFICARE | 8368_SECURE HORIZONS PACIFICARE VRIN 20240701 | $5,781.56 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | HELPING HAND OLD ORDER | 7247_HELPING HANDS MEDICAL ASSISTANCE VMIN 20230301 | $5,781.56 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | AETNA MCR CHOICE | 8916_AETNA MEDICARE REPLACEMENT CHOICE VMIN 20240701 | $5,781.56 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | ZING MEDICARE ADVANTAGE | 8921_ZING HEALTH MEDICARE REPLACEMENT VMIN 20240701 | $5,781.56 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | AETNA MCR | 8360_AETNA MEDICARE REPLACEMENT VRIN 20240701 | $5,781.56 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | HELPING HAND OLD ORDER | 7247_HELPING HANDS MEDICAL ASSISTANCE VMIN 20230301 | $5,781.56 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | SECURE HORIZONS-PACIFICARE | 8919_SECURE HORIZONS PACIFICARE VMIN 20240701 | $5,781.56 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | IMMERGRUN | 7254_IMMERGRUN VMIN 20230701 | $5,781.56 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | CORIZON | 7240_CORIZON MEDICARE VMIN 20230701 | $5,781.56 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | HUMANA GOLD MCR | 8910_HUMANA GOLD CHOICE MEDICARE REPLACEMENT VMIN 20240701 | $5,781.56 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | MHS CENPATICO AMBETTER | 3441_MHS CENPATICO AMBETTER OUTPATIENT VMIN 20200101 | $5,781.56 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | SMARTHEALTH PPO | 9204_SMARTHEALTH VMIN 20240701 | $5,781.56 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | MHS CENPATICO AMBETTER | 3441_MHS CENPATICO AMBETTER OUTPATIENT VMIN 20200101 | $5,781.56 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC MCR | 8909_UNITED HEALTHCARE MEDICARE REPLACEMENT VMIN 20240701 | $5,781.56 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | MDWISE MEDICARE | 8917_MDWISE MEDICARE VMIN 20240701 | $5,781.56 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | MDWISE MEDICARE | 8364_MDWISE MEDICARE VRIN 20240701 | $5,781.56 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | HUMANA PPO MCR REPLACEMENT | 8911_HUMANA PPO MEDICARE REPLACEMENT VMIN 20240701 | $5,781.56 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | ZING MEDICARE ADVANTAGE | 8372_ZING HEALTH MEDICARE REPLACEMENT VRIN 20240701 | $5,781.56 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | WELLCARE MEDICARE ADVANTAGE | 8371_WELLCARE MEDICARE REPLACEMENT VRIN 20240701 | $5,781.56 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | AETNA MCR | 8912_AETNA MEDICARE REPLACEMENT VMIN 20240701 | $5,781.56 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | PACE | 8918_PACE VMIN 20240701 | $5,781.56 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | SECURE HORIZONS-UNICARE | 8920_SECURE HORIZONS UNICARE MEDICARE REPLACEMENT VMIN 20240701 | $5,781.56 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | SMARTHEALTH PPO | 9206_SMARTHEALTH VRIN 20240701 | $5,781.56 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | SMARTHEALTH PPO | 9204_SMARTHEALTH VMIN 20240701 | $5,781.56 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | AETNA MCR CHOICE | 8359_AETNA MEDICARE REPLACEMENT CHOICE VRIN 20240701 | $5,781.56 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | SMARTHEALTH PPO | 9206_SMARTHEALTH VRIN 20240701 | $5,781.56 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | IMMERGRUN | 6655_IMMERGRUN VRIN 20220701 | $5,781.56 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | HUMANA PPO MCR REPLACEMENT | 8911_HUMANA PPO MEDICARE REPLACEMENT VMIN 20240701 | $5,781.56 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | MEDICARE REPLACEMENT | 8913_MEDICARE REPLACEMENT VMIN 20240701 | $5,781.56 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | AETNA MCR CHOICE | 8359_AETNA MEDICARE REPLACEMENT CHOICE VRIN 20240701 | $5,781.56 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | WORKERS COMP CORVEL | 4278_WORKERS COMP CORVEL 20200201 | $5,781.56 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | IMMERGRUN | 7254_IMMERGRUN VMIN 20230701 | $5,781.56 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | WORKERS COMP CORVEL | 4278_WORKERS COMP CORVEL 20200201 | $5,781.56 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | PACE | 8918_PACE VMIN 20240701 | $5,781.56 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | ZING MEDICARE ADVANTAGE | 8921_ZING HEALTH MEDICARE REPLACEMENT VMIN 20240701 | $5,781.56 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | AETNA MCR | 8360_AETNA MEDICARE REPLACEMENT VRIN 20240701 | $5,781.56 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | IMMERGRUN | 6655_IMMERGRUN VRIN 20220701 | $5,781.56 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | WELLCARE MEDICARE ADVANTAGE | 8915_WELLCARE MEDICARE REPLACEMENT VMIN 20240701 | $5,781.56 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | MDWISE MEDICARE | 8917_MDWISE MEDICARE VMIN 20240701 | $5,781.56 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | SECURE HORIZONS-UNICARE | 8920_SECURE HORIZONS UNICARE MEDICARE REPLACEMENT VMIN 20240701 | $5,781.56 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | SECURE HORIZONS-PACIFICARE | 8919_SECURE HORIZONS PACIFICARE VMIN 20240701 | $5,781.56 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | AETNA MCR | 8912_AETNA MEDICARE REPLACEMENT VMIN 20240701 | $5,781.56 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC MCR | 8909_UNITED HEALTHCARE MEDICARE REPLACEMENT VMIN 20240701 | $5,781.56 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | AETNA MCR CHOICE | 8916_AETNA MEDICARE REPLACEMENT CHOICE VMIN 20240701 | $5,781.56 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | MEDICARE REPLACEMENT | 8913_MEDICARE REPLACEMENT VMIN 20240701 | $5,781.56 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | HUMANA GOLD MCR | 8910_HUMANA GOLD CHOICE MEDICARE REPLACEMENT VMIN 20240701 | $5,781.56 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | MDWISE MEDICARE | 8364_MDWISE MEDICARE VRIN 20240701 | $5,781.56 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | WORKERS COMP OBJSURG | 4297_WORKERS OBJ SURGICAL 20200201 | $5,781.56 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | WELLCARE MEDICARE ADVANTAGE | 8371_WELLCARE MEDICARE REPLACEMENT VRIN 20240701 | $5,781.56 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | CORIZON | 7240_CORIZON MEDICARE VMIN 20230701 | $5,781.56 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | SECURE HORIZONS-PACIFICARE | 8368_SECURE HORIZONS PACIFICARE VRIN 20240701 | $5,781.56 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | UHC MCR | 8370_UNITED HEALTHCARE MEDICARE REPLACEMENT VRIN 20240701 | $6,070.64 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | CARESOURCE MARKETPLACE | 9215_CARESOURCE MARKETPLACE VRIN 20240701 | $6,070.64 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | HUMANA PPO MCR REPLACEMENT | 8363_HUMANA PPO MEDICARE REPLACEMENT VRIN 20240701 | $6,070.64 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | HUMANA PPO MCR REPLACEMENT | 8363_HUMANA PPO MEDICARE REPLACEMENT VRIN 20240701 | $6,070.64 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | SECURE HORIZONS-UNICARE | 8369_SECURE HORIZONS UNICARE MEDICARE REPLACEMENT VRIN 20240701 | $6,070.64 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM MCR | 8361_ANTHEM MEDICARE REPLACEMENT VRIN 20240701 | $6,070.64 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | MEDICARE REPLACEMENT | 8365_MEDICARE REPLACEMENT VRIN 20240701 | $6,070.64 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | MHS AMBETTER MKTPL | 8367_MHS CENPATICO-AMBETTER MARKETPLACE VRIN 20240701 | $6,070.64 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | HUMANA GOLD MCR | 8362_HUMANA GOLD CHOICE MEDICARE REPLACEMENT VRIN 20240701 | $6,070.64 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | MHS AMBETTER MKTPL | 8367_MHS CENPATICO-AMBETTER MARKETPLACE VRIN 20240701 | $6,070.64 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | SECURE HORIZONS-UNICARE | 8369_SECURE HORIZONS UNICARE MEDICARE REPLACEMENT VRIN 20240701 | $6,070.64 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | UHC MCR | 8370_UNITED HEALTHCARE MEDICARE REPLACEMENT VRIN 20240701 | $6,070.64 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM MCR | 8361_ANTHEM MEDICARE REPLACEMENT VRIN 20240701 | $6,070.64 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | HUMANA GOLD MCR | 8362_HUMANA GOLD CHOICE MEDICARE REPLACEMENT VRIN 20240701 | $6,070.64 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | MEDICARE REPLACEMENT | 8365_MEDICARE REPLACEMENT VRIN 20240701 | $6,070.64 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | CARESOURCE MARKETPLACE | 9215_CARESOURCE MARKETPLACE VRIN 20240701 | $6,070.64 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | PERSONALIZED CARE | 6409_ASCENSION PERSONALIZED CARE VRIN 20220701 | $6,359.72 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | PERSONALIZED CARE | 6409_ASCENSION PERSONALIZED CARE VRIN 20220701 | $6,359.72 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | CORIZON | 6645_CORIZON MEDICARE VRIN 20220701 | $6,359.72 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | CORIZON | 6645_CORIZON MEDICARE VRIN 20220701 | $6,359.72 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ALLIANCE COALITION MEDICARE REPLACEMENT | 8215_ALLIANCE COALITION MEDICARE ADVANTAGE VRIN 20230301 | $6,648.79 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | DEVOTED HEALTH MCR | 8134_DEVOTED HEALTH MEDICARE ADVANTAGE VRIN 20231120 | $6,648.79 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | DEVOTED HEALTH MCR | 8134_DEVOTED HEALTH MEDICARE ADVANTAGE VRIN 20231120 | $6,648.79 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ALLIANCE COALITION MEDICARE REPLACEMENT | 8215_ALLIANCE COALITION MEDICARE ADVANTAGE VRIN 20230301 | $6,648.79 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | HUMANA PPO MCR REPLACEMENT | 9137_HUMANA PPO MEDICARE REPLACEMENT OUTPATIENT SVIN 20250101 | $7,226.95 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | HUMANA PPO MCR REPLACEMENT | 8683_HUMANA PPO MEDICARE REPLACEMENT INPATIENT SVIN 20241001 | $7,226.95 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | HUMANA PPO MCR REPLACEMENT | 8683_HUMANA PPO MEDICARE REPLACEMENT INPATIENT SVIN 20241001 | $7,226.95 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | HUMANA PPO MCR REPLACEMENT | 8683_HUMANA PPO MEDICARE REPLACEMENT INPATIENT SVIN 20241001 | $7,226.95 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | HUMANA PPO MCR REPLACEMENT | 8683_HUMANA PPO MEDICARE REPLACEMENT INPATIENT SVIN 20241001 | $7,226.95 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | HUMANA PPO MCR REPLACEMENT | 8683_HUMANA PPO MEDICARE REPLACEMENT INPATIENT SVIN 20241001 | $7,226.95 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Outpatient | HUMANA PPO MCR REPLACEMENT | 8683_HUMANA PPO MEDICARE REPLACEMENT INPATIENT SVIN 20241001 | $7,226.95 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | HUMANA PPO MCR REPLACEMENT | 8683_HUMANA PPO MEDICARE REPLACEMENT INPATIENT SVIN 20241001 | $7,226.95 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Outpatient | HUMANA PPO MCR REPLACEMENT | 8683_HUMANA PPO MEDICARE REPLACEMENT INPATIENT SVIN 20241001 | $7,226.95 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | HUMANA PPO MCR REPLACEMENT | 8683_HUMANA PPO MEDICARE REPLACEMENT INPATIENT SVIN 20241001 | $7,226.95 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | HUMANA PPO MCR REPLACEMENT | 8683_HUMANA PPO MEDICARE REPLACEMENT INPATIENT SVIN 20241001 | $7,226.95 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Outpatient | HUMANA PPO MCR REPLACEMENT | 8683_HUMANA PPO MEDICARE REPLACEMENT INPATIENT SVIN 20241001 | $7,226.95 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | HUMANA PPO MCR REPLACEMENT | 8683_HUMANA PPO MEDICARE REPLACEMENT INPATIENT SVIN 20241001 | $7,226.95 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Outpatient | SECURE HORIZONS-PACIFICARE | 9156_SECURE HORIZONS PACIFICARE MEDICARE REPLACEMENT OUTPATIENT VKIN 20250101 | $7,516.03 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | SECURE HORIZONS-PACIFICARE | 9156_SECURE HORIZONS PACIFICARE MEDICARE REPLACEMENT OUTPATIENT VKIN 20250101 | $7,516.03 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | SECURE HORIZONS-PACIFICARE | 9156_SECURE HORIZONS PACIFICARE MEDICARE REPLACEMENT OUTPATIENT VKIN 20250101 | $7,516.03 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Outpatient | SECURE HORIZONS-PACIFICARE | 9156_SECURE HORIZONS PACIFICARE MEDICARE REPLACEMENT OUTPATIENT VKIN 20250101 | $7,516.03 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | SECURE HORIZONS-PACIFICARE | 9156_SECURE HORIZONS PACIFICARE MEDICARE REPLACEMENT OUTPATIENT VKIN 20250101 | $7,516.03 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | SECURE HORIZONS-PACIFICARE | 9156_SECURE HORIZONS PACIFICARE MEDICARE REPLACEMENT OUTPATIENT VKIN 20250101 | $7,516.03 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | SECURE HORIZONS-PACIFICARE | 9156_SECURE HORIZONS PACIFICARE MEDICARE REPLACEMENT OUTPATIENT VKIN 20250101 | $7,516.03 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Outpatient | SECURE HORIZONS-PACIFICARE | 9156_SECURE HORIZONS PACIFICARE MEDICARE REPLACEMENT OUTPATIENT VKIN 20250101 | $7,516.03 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | SECURE HORIZONS-PACIFICARE | 9156_SECURE HORIZONS PACIFICARE MEDICARE REPLACEMENT OUTPATIENT VKIN 20250101 | $7,516.03 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | SECURE HORIZONS-PACIFICARE | 9156_SECURE HORIZONS PACIFICARE MEDICARE REPLACEMENT OUTPATIENT VKIN 20250101 | $7,516.03 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | SECURE HORIZONS-PACIFICARE | 9156_SECURE HORIZONS PACIFICARE MEDICARE REPLACEMENT OUTPATIENT VKIN 20250101 | $7,516.03 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | SECURE HORIZONS-PACIFICARE | 9156_SECURE HORIZONS PACIFICARE MEDICARE REPLACEMENT OUTPATIENT VKIN 20250101 | $7,516.03 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | WORKERS COMP CORVEL | 4274_WORKERS COMP CORVEL 20200201 | $7,805.11 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | WORKERS COMP | 4248_WORKERS COMP 20200201 | $7,805.11 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | MHS CENPATICO AMBETTER | 3449_MHS CENPATICO AMBETTER OUTPATIENT VRIN 20200201 | $7,805.11 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | MHS CENPATICO AMBETTER | 3449_MHS CENPATICO AMBETTER OUTPATIENT VRIN 20200201 | $7,805.11 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | WORKERS COMP | 4248_WORKERS COMP 20200201 | $7,805.11 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | WORKERS COMP CORVEL | 4274_WORKERS COMP CORVEL 20200201 | $7,805.11 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | WORKERS COMP OBJSURG | 4302_WORKERS OBJ SURGICAL 20200201 | $7,805.11 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | WORKERS COMP OBJSURG | 4302_WORKERS OBJ SURGICAL 20200201 | $7,805.11 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | ALLIANCE COALITION MEDICARE REPLACEMENT | 8243_ALLIANCE COALITION MEDICARE ADVANTAGE VMIN 20230701 | $8,094.18 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | ALLIANCE COALITION MEDICARE REPLACEMENT | 8243_ALLIANCE COALITION MEDICARE ADVANTAGE VMIN 20230701 | $8,094.18 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | ANTHEM MCR | 8908_ANTHEM MEDICARE REPLACEMENT VMIN 20240701 | $8,383.26 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | CARESOURCE MARKETPLACE | 9198_CARESOURCE MARKETPLACE VMIN 20240701 | $8,383.26 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | ANTHEM MCR | 8908_ANTHEM MEDICARE REPLACEMENT VMIN 20240701 | $8,383.26 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | MHS AMBETTER MKTPL | 8914_MHS CENPATICO AMBETTER MARKETPLACE VMIN 20240701 | $8,383.26 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | MHS AMBETTER MKTPL | 8914_MHS CENPATICO AMBETTER MARKETPLACE VMIN 20240701 | $8,383.26 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | CARESOURCE MARKETPLACE | 9198_CARESOURCE MARKETPLACE VMIN 20240701 | $8,383.26 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | PATOKA VALLEY TIER 1 | 9410_PAKOTA VALLEY TIER 1 VEIN 20250101 | $8,672.34 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ADVANTUS | 8847_ST. VINCENT HEALTH, WELLNESS AND PREVENTIVE CARE INSTITUTE, LLC 20241001 | $8,672.34 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | PATOKA VALLEY TIER 1 | 9412_PAKOTA VALLEY TIER 1 20250101 | $8,672.34 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | ADVANTUS | 8847_ST. VINCENT HEALTH, WELLNESS AND PREVENTIVE CARE INSTITUTE, LLC 20241001 | $8,672.34 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | UGS | 8844_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20241001 | $8,672.34 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | UGS | 8844_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20241001 | $8,672.34 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | PATOKA VALLEY TIER 1 | 9410_PAKOTA VALLEY TIER 1 VEIN 20250101 | $8,672.34 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Outpatient | UGS | 8844_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20241001 | $8,672.34 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | ADVANTUS | 8847_ST. VINCENT HEALTH, WELLNESS AND PREVENTIVE CARE INSTITUTE, LLC 20241001 | $8,672.34 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | UGS | 8844_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20241001 | $8,672.34 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | UGS | 8844_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20241001 | $8,672.34 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Outpatient | ADVANTUS | 8847_ST. VINCENT HEALTH, WELLNESS AND PREVENTIVE CARE INSTITUTE, LLC 20241001 | $8,672.34 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | PATOKA VALLEY TIER 1 | 9412_PAKOTA VALLEY TIER 1 20250101 | $8,672.34 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Outpatient | PATOKA VALLEY TIER 1 | 9412_PAKOTA VALLEY TIER 1 20250101 | $8,672.34 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Outpatient | UGS | 8844_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20241001 | $8,672.34 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | ADVANTUS | 8847_ST. VINCENT HEALTH, WELLNESS AND PREVENTIVE CARE INSTITUTE, LLC 20241001 | $8,672.34 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | PATOKA VALLEY TIER 1 | 9410_PAKOTA VALLEY TIER 1 VEIN 20250101 | $8,672.34 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | PATOKA VALLEY TIER 1 | 9412_PAKOTA VALLEY TIER 1 20250101 | $8,672.34 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | ADVANTUS | 8847_ST. VINCENT HEALTH, WELLNESS AND PREVENTIVE CARE INSTITUTE, LLC 20241001 | $8,672.34 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ADVANTUS | 8847_ST. VINCENT HEALTH, WELLNESS AND PREVENTIVE CARE INSTITUTE, LLC 20241001 | $8,672.34 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ANTHEM HEALTHSYNC HMO | 9249_ANTHEM HEALTHSYNC HMO OUTPATIENT ECIN 20250101 | $8,672.34 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ADVANTUS | 8847_ST. VINCENT HEALTH, WELLNESS AND PREVENTIVE CARE INSTITUTE, LLC 20241001 | $8,672.34 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | PATOKA VALLEY TIER 1 | 9410_PAKOTA VALLEY TIER 1 VEIN 20250101 | $8,672.34 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ANTHEM PATHWAY X | 9238_ANTHEM PATHWAY X OUTPATIENT ASIN 20250101 | $8,672.34 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UGS | 8844_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20241001 | $8,672.34 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | PATOKA VALLEY TIER 1 | 9410_PAKOTA VALLEY TIER 1 VEIN 20250101 | $8,672.34 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ANTHEM SHORT TERM LIMITED DURATION | 9351_ANTHEM SHORT TERM LIMITED DURATION OUTPATIENT ECIN 20250101 | $8,672.34 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | PATOKA VALLEY TIER 1 | 9412_PAKOTA VALLEY TIER 1 20250101 | $8,672.34 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ANTHEM HEALTHSYNC HMO | 9234_ANTHEM HEALTHSYNC HMO OUTPATIENT ASIN 20250101 | $8,672.34 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ANTHEM PATHWAY X | 9253_ANTHEM PATHWAY X OUTPATIENT ECIN 20250101 | $8,672.34 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Outpatient | ADVANTUS | 8847_ST. VINCENT HEALTH, WELLNESS AND PREVENTIVE CARE INSTITUTE, LLC 20241001 | $8,672.34 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | PATOKA VALLEY TIER 1 | 9412_PAKOTA VALLEY TIER 1 20250101 | $8,672.34 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UGS | 8844_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20241001 | $8,672.34 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | PATOKA VALLEY TIER 1 | 9410_PAKOTA VALLEY TIER 1 VEIN 20250101 | $8,672.34 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | PATOKA VALLEY TIER 1 | 9412_PAKOTA VALLEY TIER 1 20250101 | $8,672.34 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | PATOKA VALLEY TIER 1 | 9410_PAKOTA VALLEY TIER 1 VEIN 20250101 | $8,672.34 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | PATOKA VALLEY TIER 1 | 9412_PAKOTA VALLEY TIER 1 20250101 | $8,672.34 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | ADVANTUS | 8847_ST. VINCENT HEALTH, WELLNESS AND PREVENTIVE CARE INSTITUTE, LLC 20241001 | $8,672.34 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Outpatient | PATOKA VALLEY TIER 1 | 9412_PAKOTA VALLEY TIER 1 20250101 | $8,672.34 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UGS | 8844_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20241001 | $8,672.34 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Outpatient | PATOKA VALLEY TIER 1 | 9410_PAKOTA VALLEY TIER 1 VEIN 20250101 | $8,672.34 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Outpatient | PATOKA VALLEY TIER 1 | 9410_PAKOTA VALLEY TIER 1 VEIN 20250101 | $8,672.34 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Outpatient | UGS | 8844_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20241001 | $8,672.34 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Outpatient | ADVANTUS | 8847_ST. VINCENT HEALTH, WELLNESS AND PREVENTIVE CARE INSTITUTE, LLC 20241001 | $8,672.34 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | UGS | 8844_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20241001 | $8,672.34 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ANTHEM SHORT TERM LIMITED DURATION | 9350_ANTHEM SHORT TERM LIMITED DURATION OUTPATIENT ASIN 20250101 | $8,672.34 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | PATOKA VALLEY TIER 1 | 9410_PAKOTA VALLEY TIER 1 VEIN 20250101 | $8,672.34 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | PATOKA VALLEY TIER 1 | 9412_PAKOTA VALLEY TIER 1 20250101 | $8,672.34 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | PATOKA VALLEY TIER 1 | 9410_PAKOTA VALLEY TIER 1 VEIN 20250101 | $8,672.34 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Outpatient | PATOKA VALLEY TIER 1 | 9410_PAKOTA VALLEY TIER 1 VEIN 20250101 | $8,672.34 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ADVANTUS | 8847_ST. VINCENT HEALTH, WELLNESS AND PREVENTIVE CARE INSTITUTE, LLC 20241001 | $8,672.34 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Outpatient | PATOKA VALLEY TIER 1 | 9412_PAKOTA VALLEY TIER 1 20250101 | $8,672.34 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UGS | 8844_ST. VINCENT HEALTH AND WELLNESS INSTITUTE ADVANTUS 20241001 | $8,672.34 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | PATOKA VALLEY TIER 1 | 9412_PAKOTA VALLEY TIER 1 20250101 | $8,672.34 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | UGS | 8852_ST. VINCENT PREVENTIVE HEALTH AND WELLNESS INSTITUTE ADVANTUS 20241001 | $8,961.42 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | DEVOTED HEALTH MCR | 8132_DEVOTED HEALTH MEDICARE ADVANTAGE VMIN 20231120 | $8,961.42 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UGS | 8852_ST. VINCENT PREVENTIVE HEALTH AND WELLNESS INSTITUTE ADVANTUS 20241001 | $8,961.42 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | ADVANTUS | 8851_ST. VINCENT HEALTH, WELLNESS AND PREVENTIVE CARE INSTITUTE, LLC 20241001 | $8,961.42 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Outpatient | ADVANTUS | 8851_ST. VINCENT HEALTH, WELLNESS AND PREVENTIVE CARE INSTITUTE, LLC 20241001 | $8,961.42 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Outpatient | ADVANTUS | 8851_ST. VINCENT HEALTH, WELLNESS AND PREVENTIVE CARE INSTITUTE, LLC 20241001 | $8,961.42 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Outpatient | UGS | 8852_ST. VINCENT PREVENTIVE HEALTH AND WELLNESS INSTITUTE ADVANTUS 20241001 | $8,961.42 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | DEVOTED HEALTH MCR | 8132_DEVOTED HEALTH MEDICARE ADVANTAGE VMIN 20231120 | $8,961.42 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | ADVANTUS | 8850_ST. VINCENT HEALTH, WELLNESS AND PREVENTIVE CARE INSTITUTE, LLC 20241001 | $8,961.42 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | ADVANTUS | 8851_ST. VINCENT HEALTH, WELLNESS AND PREVENTIVE CARE INSTITUTE, LLC 20241001 | $8,961.42 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ADVANTUS | 8851_ST. VINCENT HEALTH, WELLNESS AND PREVENTIVE CARE INSTITUTE, LLC 20241001 | $8,961.42 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UGS | 8846_ST. VINCENT HEALTH, WELLNESS AND PREVENTIVE CARE INSTITUTE, LLC 20241001 | $8,961.42 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ADVANTUS | 8851_ST. VINCENT HEALTH, WELLNESS AND PREVENTIVE CARE INSTITUTE, LLC 20241001 | $8,961.42 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UGS | 8852_ST. VINCENT PREVENTIVE HEALTH AND WELLNESS INSTITUTE ADVANTUS 20241001 | $8,961.42 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | ADVANTUS | 8851_ST. VINCENT HEALTH, WELLNESS AND PREVENTIVE CARE INSTITUTE, LLC 20241001 | $8,961.42 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Outpatient | UGS | 8852_ST. VINCENT PREVENTIVE HEALTH AND WELLNESS INSTITUTE ADVANTUS 20241001 | $8,961.42 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Outpatient | UGS | 8852_ST. VINCENT PREVENTIVE HEALTH AND WELLNESS INSTITUTE ADVANTUS 20241001 | $8,961.42 | $28,907.80 | $17,344.68 | 2026-01-01 | MRF ↗ |
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