Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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90399 — Unlisted Immune Globulin

Per-row negotiated rates, exactly as filed by each hospital. Aggregated views below summarize across hospitals; the bottom table shows the underlying rows.

Typical negotiated price $428

Usually $155–$522 (25th–75th percentile) across 520 hospitals · 285 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 90399 — 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 CARMEL Outpatient MDWISE HOOSIER ALLIANCE MEDICAID 9347_MDWISE MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 2026-01-01 MRF ↗
ASCENSION ST VINCENT MERCY Outpatient ANTHEM CARE CONNECT 8879_ANTHEM CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401 2026-01-01 MRF ↗
ASCENSION ST VINCENT WARRICK Outpatient ANTHEM CARE CONNECT 8255_ANTHEM CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Outpatient MHS CARE CONNECT 8257_MHS CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101 2026-01-01 MRF ↗
ASCENSION ST VINCENT CLAY Outpatient MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 9365_MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 2026-01-01 MRF ↗
ASCENSION ST VINCENT CLAY Outpatient ANTHEM MEDICAID 7373_ANTHEM MEDICAID REPLACEMENT OUTPATIENT 20230101 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Outpatient MEDICAID ADVANTAGE 8723_MEDICAID REPLACEMENT OUTPATIENT 20240401 2026-01-01 MRF ↗
ASCENSION ST VINCENT MERCY Outpatient MEDICAID ADVANTAGE 8723_MEDICAID REPLACEMENT OUTPATIENT 20240401 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Outpatient MDWISE HOOSIER ALLIANCE MEDICAID 8256_MDWISE MEDICAID REPLACEMENT OUTPATIENT 20240101 2026-01-01 MRF ↗
ASCENSION ST VINCENT SALEM Outpatient MHS CARE CONNECT 8877_MHS CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Outpatient MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 9365_MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 2026-01-01 MRF ↗
ASCENSION ST VINCENT ANDERSON Outpatient MDWISE HOOSIER ALLIANCE MEDICAID 8256_MDWISE MEDICAID REPLACEMENT OUTPATIENT 20240101 2026-01-01 MRF ↗
ASCENSION ST VINCENT EVANSVILLE Outpatient MEDICAID ADVANTAGE 8723_MEDICAID REPLACEMENT OUTPATIENT 20240401 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Outpatient ANTHEM CARE CONNECT 8255_ANTHEM CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101 2026-01-01 MRF ↗
ASCENSION ST VINCENT ANDERSON Outpatient MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 9365_MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Outpatient ANTHEM MEDICAID 7373_ANTHEM MEDICAID REPLACEMENT OUTPATIENT 20230101 2026-01-01 MRF ↗
Ascension St. Vincent Seton Specialty Hospital Outpatient ANTHEM CARE CONNECT 8879_ANTHEM CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401 2026-01-01 MRF ↗
ASCENSION ST VINCENT WARRICK Outpatient MHS CARE CONNECT 8877_MHS CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401 2026-01-01 MRF ↗
ASCENSION ST VINCENT WILLIAMSPORT Outpatient MHS CARE CONNECT 8877_MHS CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401 2026-01-01 MRF ↗
ASCENSION ST VINCENT MERCY Outpatient MHS CARE CONNECT 8257_MHS CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101 2026-01-01 MRF ↗
ASCENSION ST VINCENT WARRICK Outpatient MDWISE HOOSIER ALLIANCE MEDICAID 9347_MDWISE MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 2026-01-01 MRF ↗
ASCENSION ST VINCENT MERCY Outpatient MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 9365_MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 2026-01-01 MRF ↗
ASCENSION ST VINCENT WILLIAMSPORT Outpatient MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 9365_MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 2026-01-01 MRF ↗
ASCENSION ST VINCENT HOSPITAL Outpatient ANTHEM CARE CONNECT 8255_ANTHEM CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101 2026-01-01 MRF ↗
ASCENSION ST VINCENT WARRICK Outpatient ANTHEM MEDICAID 7373_ANTHEM MEDICAID REPLACEMENT OUTPATIENT 20230101 2026-01-01 MRF ↗
ASCENSION ST VINCENT EVANSVILLE Outpatient MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 9365_MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 2026-01-01 MRF ↗
ASCENSION ST VINCENT MERCY Outpatient MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 9365_MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Outpatient ANTHEM CARE CONNECT 8879_ANTHEM CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Outpatient MDWISE HOOSIER ALLIANCE MEDICAID 9347_MDWISE MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Outpatient ANTHEM CARE CONNECT 8879_ANTHEM CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401 2026-01-01 MRF ↗
ASCENSION ST VINCENT WILLIAMSPORT Outpatient ANTHEM MEDICAID 7373_ANTHEM MEDICAID REPLACEMENT OUTPATIENT 20230101 2026-01-01 MRF ↗
Ascension St. Vincent Seton Specialty Hospital Outpatient ANTHEM MEDICAID 7373_ANTHEM MEDICAID REPLACEMENT OUTPATIENT 20230101 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Outpatient MHS CARE CONNECT 8877_MHS CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401 2026-01-01 MRF ↗
Ascension St. Vincent Seton Specialty Hospital Outpatient ANTHEM CARE CONNECT 8255_ANTHEM CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Outpatient MHS CARE CONNECT 8257_MHS CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101 2026-01-01 MRF ↗
ASCENSION ST VINCENT MERCY Outpatient ANTHEM MEDICAID 7373_ANTHEM MEDICAID REPLACEMENT OUTPATIENT 20230101 2026-01-01 MRF ↗
ASCENSION ST VINCENT WARRICK Outpatient MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 9365_MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 2026-01-01 MRF ↗
ASCENSION ST VINCENT WARRICK Outpatient MHS CARE CONNECT 8257_MHS CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101 2026-01-01 MRF ↗
Ascension St. Vincent Seton Specialty Hospital Outpatient MDWISE HOOSIER ALLIANCE MEDICAID 8256_MDWISE MEDICAID REPLACEMENT OUTPATIENT 20240101 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Outpatient ANTHEM CARE CONNECT 8879_ANTHEM CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401 2026-01-01 MRF ↗
ASCENSION ST VINCENT MERCY Outpatient MHS CARE CONNECT 8877_MHS CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401 2026-01-01 MRF ↗
ASCENSION ST VINCENT MERCY Outpatient ANTHEM CARE CONNECT 8255_ANTHEM CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101 2026-01-01 MRF ↗
ASCENSION ST VINCENT MERCY Outpatient MHS CARE CONNECT 8257_MHS CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101 2026-01-01 MRF ↗
ASCENSION ST VINCENT SALEM Outpatient MHS CARE CONNECT 8257_MHS CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101 2026-01-01 MRF ↗
ASCENSION ST VINCENT MERCY Outpatient MDWISE HOOSIER ALLIANCE MEDICAID 8256_MDWISE MEDICAID REPLACEMENT OUTPATIENT 20240101 2026-01-01 MRF ↗
ASCENSION ST VINCENT MERCY Outpatient MDWISE HOOSIER ALLIANCE MEDICAID 9347_MDWISE MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 2026-01-01 MRF ↗
ASCENSION ST VINCENT HOSPITAL Outpatient MHS CARE CONNECT 8257_MHS CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Outpatient MHS CARE CONNECT 8877_MHS CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401 2026-01-01 MRF ↗
ASCENSION ST VINCENT CLAY Outpatient MHS CARE CONNECT 8877_MHS CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401 2026-01-01 MRF ↗
ASCENSION ST VINCENT CLAY Outpatient MHS CARE CONNECT 8257_MHS CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101 2026-01-01 MRF ↗
ASCENSION ST VINCENT SALEM Outpatient MEDICAID ADVANTAGE 8723_MEDICAID REPLACEMENT OUTPATIENT 20240401 2026-01-01 MRF ↗
ASCENSION ST VINCENT ANDERSON Outpatient MEDICAID ADVANTAGE 8723_MEDICAID REPLACEMENT OUTPATIENT 20240401 2026-01-01 MRF ↗
ASCENSION ST VINCENT ANDERSON Outpatient ANTHEM MEDICAID 7373_ANTHEM MEDICAID REPLACEMENT OUTPATIENT 20230101 2026-01-01 MRF ↗
ASCENSION ST VINCENT CLAY Outpatient MDWISE HOOSIER ALLIANCE MEDICAID 9347_MDWISE MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Outpatient MEDICAID ADVANTAGE 8723_MEDICAID REPLACEMENT OUTPATIENT 20240401 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Outpatient ANTHEM CARE CONNECT 8879_ANTHEM CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Outpatient MHS CARE CONNECT 8257_MHS CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Outpatient MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 9365_MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 2026-01-01 MRF ↗
Ascension St. Vincent Seton Specialty Hospital Outpatient MHS CARE CONNECT 8257_MHS CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Outpatient ANTHEM CARE CONNECT 8255_ANTHEM CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101 2026-01-01 MRF ↗
ASCENSION ST VINCENT FISHERS Outpatient MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 9365_MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Outpatient MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 9365_MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 2026-01-01 MRF ↗
ASCENSION ST VINCENT EVANSVILLE Outpatient ANTHEM CARE CONNECT 8255_ANTHEM CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101 2026-01-01 MRF ↗
ASCENSION ST VINCENT WILLIAMSPORT Outpatient MDWISE HOOSIER ALLIANCE MEDICAID 8256_MDWISE MEDICAID REPLACEMENT OUTPATIENT 20240101 2026-01-01 MRF ↗
ASCENSION ST VINCENT CLAY Outpatient MDWISE HOOSIER ALLIANCE MEDICAID 8256_MDWISE MEDICAID REPLACEMENT OUTPATIENT 20240101 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Outpatient ANTHEM CARE CONNECT 8255_ANTHEM CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101 2026-01-01 MRF ↗
Ascension St. Vincent Seton Specialty Hospital Outpatient MEDICAID ADVANTAGE 8723_MEDICAID REPLACEMENT OUTPATIENT 20240401 2026-01-01 MRF ↗
ASCENSION ST VINCENT WILLIAMSPORT Outpatient MEDICAID ADVANTAGE 8723_MEDICAID REPLACEMENT OUTPATIENT 20240401 2026-01-01 MRF ↗
ASCENSION ST VINCENT EVANSVILLE Outpatient MHS CARE CONNECT 8257_MHS CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101 2026-01-01 MRF ↗
ASCENSION ST VINCENT EVANSVILLE Outpatient MDWISE HOOSIER ALLIANCE MEDICAID 9347_MDWISE MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 2026-01-01 MRF ↗
ASCENSION ST VINCENT MERCY Outpatient ANTHEM MEDICAID 7373_ANTHEM MEDICAID REPLACEMENT OUTPATIENT 20230101 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Outpatient MHS CARE CONNECT 8877_MHS CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401 2026-01-01 MRF ↗
ASCENSION ST VINCENT KOKOMO Outpatient MDWISE HOOSIER ALLIANCE MEDICAID 8256_MDWISE MEDICAID REPLACEMENT OUTPATIENT 20240101 2026-01-01 MRF ↗
ASCENSION ST VINCENT HOSPITAL Outpatient MDWISE HOOSIER ALLIANCE MEDICAID 9347_MDWISE MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 2026-01-01 MRF ↗
Ascension St. Vincent Seton Specialty Hospital Outpatient MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 9365_MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 2026-01-01 MRF ↗
ASCENSION ST VINCENT WARRICK Outpatient MDWISE HOOSIER ALLIANCE MEDICAID 8256_MDWISE MEDICAID REPLACEMENT OUTPATIENT 20240101 2026-01-01 MRF ↗
ASCENSION ST VINCENT WARRICK Outpatient ANTHEM CARE CONNECT 8879_ANTHEM CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401 2026-01-01 MRF ↗
ASCENSION ST VINCENT WARRICK Outpatient MEDICAID ADVANTAGE 8723_MEDICAID REPLACEMENT OUTPATIENT 20240401 2026-01-01 MRF ↗
ASCENSION ST VINCENT EVANSVILLE Outpatient ANTHEM CARE CONNECT 8879_ANTHEM CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Outpatient MHS CARE CONNECT 8257_MHS CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101 2026-01-01 MRF ↗
ASCENSION ST VINCENT WILLIAMSPORT Outpatient ANTHEM CARE CONNECT 8879_ANTHEM CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401 2026-01-01 MRF ↗
ASCENSION ST VINCENT WILLIAMSPORT Outpatient ANTHEM CARE CONNECT 8255_ANTHEM CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101 2026-01-01 MRF ↗
ASCENSION ST VINCENT WILLIAMSPORT Outpatient MDWISE HOOSIER ALLIANCE MEDICAID 9347_MDWISE MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 2026-01-01 MRF ↗
ASCENSION ST VINCENT KOKOMO Outpatient MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 9365_MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 2026-01-01 MRF ↗
ASCENSION ST VINCENT EVANSVILLE Outpatient ANTHEM MEDICAID 7373_ANTHEM MEDICAID REPLACEMENT OUTPATIENT 20230101 2026-01-01 MRF ↗
ASCENSION ST VINCENT EVANSVILLE Outpatient IN MEDICAID MGD CARE 20140101 (ST. MARY) 1753_IN MEDICAID MGD CARE 20140101 (ST. MARY) 2026-01-01 MRF ↗
ASCENSION ST VINCENT KOKOMO Outpatient ANTHEM CARE CONNECT 8879_ANTHEM CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401 2026-01-01 MRF ↗
ASCENSION ST VINCENT EVANSVILLE Outpatient MHS CARE CONNECT 8877_MHS CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401 2026-01-01 MRF ↗
ASCENSION ST VINCENT WILLIAMSPORT Outpatient MHS CARE CONNECT 8257_MHS CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101 2026-01-01 MRF ↗
ASCENSION ST VINCENT EVANSVILLE Outpatient MDWISE HOOSIER ALLIANCE MEDICAID 8256_MDWISE MEDICAID REPLACEMENT OUTPATIENT 20240101 2026-01-01 MRF ↗
ASCENSION ST VINCENT MERCY Outpatient ANTHEM CARE CONNECT 8255_ANTHEM CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Outpatient MDWISE HOOSIER ALLIANCE MEDICAID 8256_MDWISE MEDICAID REPLACEMENT OUTPATIENT 20240101 2026-01-01 MRF ↗
ASCENSION ST VINCENT MERCY Outpatient MDWISE HOOSIER ALLIANCE MEDICAID 9347_MDWISE MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Outpatient ANTHEM CARE CONNECT 8255_ANTHEM CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101 2026-01-01 MRF ↗
ASCENSION ST VINCENT HOSPITAL Outpatient ANTHEM CARE CONNECT 8879_ANTHEM CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401 2026-01-01 MRF ↗
ASCENSION ST VINCENT MERCY Outpatient ANTHEM CARE CONNECT 8879_ANTHEM CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401 2026-01-01 MRF ↗
ASCENSION ST VINCENT HOSPITAL Outpatient MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 9365_MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 2026-01-01 MRF ↗
ASCENSION ST VINCENT MERCY Outpatient MDWISE HOOSIER ALLIANCE MEDICAID 8256_MDWISE MEDICAID REPLACEMENT OUTPATIENT 20240101 2026-01-01 MRF ↗
ASCENSION ST VINCENT CLAY Outpatient MEDICAID ADVANTAGE 8723_MEDICAID REPLACEMENT OUTPATIENT 20240401 2026-01-01 MRF ↗
ASCENSION ST VINCENT ANDERSON Outpatient MHS CARE CONNECT 8257_MHS CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101 2026-01-01 MRF ↗
ASCENSION ST VINCENT SALEM Outpatient MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 9365_MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 2026-01-01 MRF ↗
ASCENSION ST VINCENT ANDERSON Outpatient MHS CARE CONNECT 8877_MHS CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401 2026-01-01 MRF ↗
ASCENSION ST VINCENT CLAY Outpatient ANTHEM CARE CONNECT 8879_ANTHEM CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401 2026-01-01 MRF ↗
ASCENSION ST VINCENT CLAY Outpatient ANTHEM CARE CONNECT 8255_ANTHEM CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101 2026-01-01 MRF ↗
ASCENSION ST VINCENT SALEM Outpatient MDWISE HOOSIER ALLIANCE MEDICAID 8256_MDWISE MEDICAID REPLACEMENT OUTPATIENT 20240101 2026-01-01 MRF ↗
ASCENSION ST VINCENT ANDERSON Outpatient ANTHEM CARE CONNECT 8879_ANTHEM CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401 2026-01-01 MRF ↗
ASCENSION ST VINCENT KOKOMO Outpatient MHS CARE CONNECT 8257_MHS CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101 2026-01-01 MRF ↗
ASCENSION ST VINCENT FISHERS Outpatient MHS CARE CONNECT 8257_MHS CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101 2026-01-01 MRF ↗
ASCENSION ST VINCENT FISHERS Outpatient MHS CARE CONNECT 8877_MHS CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401 2026-01-01 MRF ↗
ASCENSION ST VINCENT FISHERS Outpatient MEDICAID ADVANTAGE 8723_MEDICAID REPLACEMENT OUTPATIENT 20240401 2026-01-01 MRF ↗
ASCENSION ST VINCENT MERCY Outpatient MEDICAID ADVANTAGE 8723_MEDICAID REPLACEMENT OUTPATIENT 20240401 2026-01-01 MRF ↗
ASCENSION ST VINCENT SALEM Outpatient MDWISE HOOSIER ALLIANCE MEDICAID 9347_MDWISE MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 2026-01-01 MRF ↗
ASCENSION ST VINCENT KOKOMO Outpatient MEDICAID ADVANTAGE 8723_MEDICAID REPLACEMENT OUTPATIENT 20240401 2026-01-01 MRF ↗
ASCENSION ST VINCENT FISHERS Outpatient ANTHEM CARE CONNECT 8879_ANTHEM CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Outpatient ANTHEM MEDICAID 7373_ANTHEM MEDICAID REPLACEMENT OUTPATIENT 20230101 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Outpatient MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 9365_MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Outpatient MDWISE HOOSIER ALLIANCE MEDICAID 8256_MDWISE MEDICAID REPLACEMENT OUTPATIENT 20240101 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Outpatient MDWISE HOOSIER ALLIANCE MEDICAID 9347_MDWISE MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Outpatient MEDICAID ADVANTAGE 8723_MEDICAID REPLACEMENT OUTPATIENT 20240401 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Outpatient MHS CARE CONNECT 8877_MHS CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401 2026-01-01 MRF ↗
ASCENSION ST VINCENT SALEM Outpatient ANTHEM MEDICAID 7373_ANTHEM MEDICAID REPLACEMENT OUTPATIENT 20230101 2026-01-01 MRF ↗
ASCENSION ST VINCENT FISHERS Outpatient ANTHEM CARE CONNECT 8255_ANTHEM CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101 2026-01-01 MRF ↗
ASCENSION ST VINCENT KOKOMO Outpatient MHS CARE CONNECT 8877_MHS CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401 2026-01-01 MRF ↗
ASCENSION ST VINCENT FISHERS Outpatient ANTHEM MEDICAID 7373_ANTHEM MEDICAID REPLACEMENT OUTPATIENT 20230101 2026-01-01 MRF ↗
ASCENSION ST VINCENT FISHERS Outpatient MDWISE HOOSIER ALLIANCE MEDICAID 8256_MDWISE MEDICAID REPLACEMENT OUTPATIENT 20240101 2026-01-01 MRF ↗
ASCENSION ST VINCENT FISHERS Outpatient MDWISE HOOSIER ALLIANCE MEDICAID 9347_MDWISE MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 2026-01-01 MRF ↗
ASCENSION ST VINCENT ANDERSON Outpatient ANTHEM CARE CONNECT 8255_ANTHEM CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Outpatient MDWISE HOOSIER ALLIANCE MEDICAID 9347_MDWISE MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 2026-01-01 MRF ↗
ASCENSION ST VINCENT KOKOMO Outpatient MDWISE HOOSIER ALLIANCE MEDICAID 9347_MDWISE MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 2026-01-01 MRF ↗
ASCENSION ST VINCENT MERCY Outpatient MHS CARE CONNECT 8877_MHS CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401 2026-01-01 MRF ↗
ASCENSION ST VINCENT HOSPITAL Outpatient MDWISE HOOSIER ALLIANCE MEDICAID 8256_MDWISE MEDICAID REPLACEMENT OUTPATIENT 20240101 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Outpatient MDWISE HOOSIER ALLIANCE MEDICAID 8256_MDWISE MEDICAID REPLACEMENT OUTPATIENT 20240101 2026-01-01 MRF ↗
ASCENSION ST VINCENT HOSPITAL Outpatient ANTHEM MEDICAID 7373_ANTHEM MEDICAID REPLACEMENT OUTPATIENT 20230101 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Outpatient MEDICAID ADVANTAGE 8723_MEDICAID REPLACEMENT OUTPATIENT 20240401 2026-01-01 MRF ↗
ASCENSION ST VINCENT HOSPITAL Outpatient MEDICAID ADVANTAGE 8723_MEDICAID REPLACEMENT OUTPATIENT 20240401 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Outpatient ANTHEM MEDICAID 7373_ANTHEM MEDICAID REPLACEMENT OUTPATIENT 20230101 2026-01-01 MRF ↗
ASCENSION ST VINCENT SALEM Outpatient ANTHEM CARE CONNECT 8255_ANTHEM CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101 2026-01-01 MRF ↗
Ascension St. Vincent Seton Specialty Hospital Outpatient MHS CARE CONNECT 8877_MHS CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401 2026-01-01 MRF ↗
ASCENSION ST VINCENT KOKOMO Outpatient ANTHEM CARE CONNECT 8255_ANTHEM CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Outpatient ANTHEM MEDICAID 7373_ANTHEM MEDICAID REPLACEMENT OUTPATIENT 20230101 2026-01-01 MRF ↗
ASCENSION ST VINCENT HOSPITAL Outpatient MHS CARE CONNECT 8877_MHS CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401 2026-01-01 MRF ↗
ASCENSION ST VINCENT ANDERSON Outpatient MDWISE HOOSIER ALLIANCE MEDICAID 9347_MDWISE MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 2026-01-01 MRF ↗
ASCENSION ST VINCENT KOKOMO Outpatient ANTHEM MEDICAID 7373_ANTHEM MEDICAID REPLACEMENT OUTPATIENT 20230101 2026-01-01 MRF ↗
Ascension St. Vincent Seton Specialty Hospital Outpatient MDWISE HOOSIER ALLIANCE MEDICAID 9347_MDWISE MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 2026-01-01 MRF ↗
ASCENSION ST VINCENT SALEM Outpatient ANTHEM CARE CONNECT 8879_ANTHEM CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401 2026-01-01 MRF ↗
METROHEALTH SYSTEM OutpatientFacility Cigna All Commercial Plans $0.47 2026-04-01 MRF ↗
KOOTENAI HEALTH OutpatientFacility Regence Blue Shield of Idaho All Commercial Plans $0.61 2026-03-27 MRF ↗
SAINT THOMAS RIVER PARK HOSPITAL Outpatient COMMUNITY PLAN 1351_RPTN MEDICAID REPLACEMENT UNITED HEALTH CARE COMMUNITY PLAN 20191001 $7.57 2026-01-01 MRF ↗
ROANE MEDICAL CENTER Outpatient United Healthcare Tenncare $9.17 2024-12-10 MRF ↗
LECONTE MEDICAL CENTER Outpatient United Healthcare Tenncare $9.17 2024-12-10 MRF ↗
FORT LOUDOUN MEDICAL CENTER Outpatient United Healthcare Tenncare $9.17 2024-12-10 MRF ↗
LECONTE MEDICAL CENTER Outpatient United Healthcare Tenncare $9.17 2024-12-10 MRF ↗
CLAIBORNE MEDICAL CENTER OutpatientFacility United Healthcare Tenncare $9.17 2025-12-23 MRF ↗
ROANE MEDICAL CENTER Outpatient United Healthcare Tenncare $9.17 2024-12-10 MRF ↗
LECONTE MEDICAL CENTER OutpatientFacility United Healthcare Tenncare $9.17 2025-12-23 MRF ↗
METHODIST MEDICAL CENTER OF OAK RIDGE OutpatientFacility United Healthcare Tenncare $9.17 2025-12-23 MRF ↗
PARKWEST MEDICAL CENTER OutpatientFacility United Healthcare Tenncare $9.17 2025-12-23 MRF ↗
FORT LOUDOUN MEDICAL CENTER OutpatientFacility United Healthcare Tenncare $9.17 2025-12-23 MRF ↗
ROANE MEDICAL CENTER OutpatientFacility United Healthcare Tenncare $9.17 2025-12-23 MRF ↗
FORT LOUDOUN MEDICAL CENTER Outpatient United Healthcare Tenncare $9.17 2024-12-10 MRF ↗
FORT SANDERS REGIONAL MEDICAL CENTER OutpatientFacility United Healthcare Tenncare $9.17 2025-12-23 MRF ↗
MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION OutpatientFacility United Healthcare Tenncare $9.17 2025-12-23 MRF ↗
CLAIBORNE MEDICAL CENTER OutpatientFacility United Healthcare Tenncare $9.17 2025-12-23 MRF ↗
ST JUDE CHILDRENS RESEARCH HOSPITAL OutpatientFacility UnitedHealthcare of TN Community Plan MANAGED MEDICAID $9.54 2025-07-01 MRF ↗
CUMBERLAND MEDICAL CENTER OutpatientFacility United Healthcare Tenncare $11.00 2025-12-23 MRF ↗
LEHIGH VALLEY HOSPITAL Outpatient CAPITAL BLUE CROSS CHIP $13.57 2025-08-01 MRF ↗
CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient CAPITAL BLUE CROSS CHIP $13.58 2025-08-01 MRF ↗
CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient CAPITAL BLUE CROSS CHIP $13.58 2025-08-01 MRF ↗
LEHIGH VALLEY HOSPITAL Outpatient CAPITAL BLUE CROSS CHIP $13.58 2025-08-01 MRF ↗
LEHIGH VALLEY HOSPITAL Outpatient CAPITAL BLUE CROSS CHIP $14.29 2025-08-01 MRF ↗
ERLANGER MEDICAL CENTER OutpatientFacility UHC UHC COMMUNITY-CHILDREN $14.38 2026-01-25 MRF ↗
ERLANGER MEDICAL CENTER OutpatientFacility UHC UHC COMMUNITY-CHILDREN $14.38 2026-01-25 MRF ↗
ERLANGER BLEDSOE HOSPITAL OutpatientFacility UHC UHC COMMUNITY-CHILDREN $14.38 2026-01-25 MRF ↗
ERLANGER MEDICAL CENTER OutpatientFacility UHC UHC COMMUNITY-ADULT $17.41 2026-01-25 MRF ↗
ERLANGER MEDICAL CENTER OutpatientFacility UHC UHC COMMUNITY-ADULT $17.41 2026-01-25 MRF ↗
ERLANGER BLEDSOE HOSPITAL OutpatientFacility UHC UHC COMMUNITY-ADULT $17.41 2026-01-25 MRF ↗
OSS ORTHOPAEDIC HOSPITAL OutpatientFacility Capital Blue Cross F8103_Capital Blue Cross $19.38 2026-04-01 MRF ↗
OSS ORTHOPAEDIC HOSPITAL OutpatientFacility Amerihealth F8102_Amerihealth $19.38 2026-04-01 MRF ↗
OSS ORTHOPAEDIC HOSPITAL OutpatientFacility Capital Blue Cross F8103_Capital Blue Cross $19.38 2026-04-01 MRF ↗
OSS ORTHOPAEDIC HOSPITAL OutpatientFacility Amerihealth F8102_Amerihealth $19.38 2026-04-01 MRF ↗
LEHIGH VALLEY HOSPITAL Outpatient CAPITAL BLUE CROSS ALL PRODUCTS $19.38 2025-08-01 MRF ↗
Shepherd Center Outpatient Bcbs Ppo $21.13 2026-05-06 MRF ↗
Shepherd Center Outpatient Bcbs Hmo $22.18 2026-05-06 MRF ↗
CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient CAPITAL BLUE CROSS ALL PRODUCTS $23.01 2025-08-01 MRF ↗
LEHIGH VALLEY HOSPITAL Outpatient CAPITAL BLUE CROSS ALL PRODUCTS $23.01 2025-08-01 MRF ↗
CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient CAPITAL BLUE CROSS ALL PRODUCTS $23.01 2025-08-01 MRF ↗
LEHIGH VALLEY HOSPITAL Outpatient CAPITAL BLUE CROSS ALL PRODUCTS $24.23 2025-08-01 MRF ↗
COASTAL CAROLINA HOSPITAL Outpatient BCBS-SC BCBSSCBlueChoice $28.70 2024-12-08 MRF ↗
ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility UHC HARD CHIP $30.53 2025-01-01 MRF ↗
ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility Excellus BCBS Medicaid $30.53 2025-01-01 MRF ↗
ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility Correctional Facility Medicaid $30.53 2025-01-01 MRF ↗
ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility CDPHP HARP $30.53 2025-01-01 MRF ↗
ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility Excellus Healthy Medicaid $30.53 2025-01-01 MRF ↗
ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility Fidelis MMC HARP CHP EPP 3_4 MLTC $30.53 2025-01-01 MRF ↗
SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility Fidelis MMC HARP CHP EPP 3_4 MLTC $30.53 2025-01-01 MRF ↗
ST PETER'S HOSPITAL OutpatientFacility UHC HARD CHIP $30.53 2025-01-01 MRF ↗
ST PETER'S HOSPITAL OutpatientFacility Fidelis MMC HARP CHP EPP 3_4 MLTC $30.53 2025-01-01 MRF ↗
SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility CDPHP Medicaid $30.53 2025-01-01 MRF ↗
SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility Albany Correctional Facility Medicaid $30.53 2025-01-01 MRF ↗
ST PETER'S HOSPITAL OutpatientFacility Albany Correctional Facility Medicaid $30.53 2025-01-01 MRF ↗

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