9200487 — Ria Nonantibody
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). RIA NONANTIBODY (CDM 9200487) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/9200487?code_type=CDM
MLA (9th ed.)
“RIA NONANTIBODY (CDM 9200487) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/9200487?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“RIA NONANTIBODY (CDM 9200487) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/9200487?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $161–$223 (25th–75th percentile) across 2 hospitals · 70 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 9200487 — 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 SETON HAYS Outpatient | COUNTY INDIGENT | 501_COUNTY INDIGENT (BRK,DEL,SMV,BAS) 20140601 | $34.76 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | SMARTHEALTH | 4957_SMARTHEALTH OP 20250811 | $47.17 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | SMARTHEALTH | 4680_SMARTHEALTH IP 20251001 | $47.17 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | HEART SAVER | 614_HEART SAVER (HAY,EBD) 20140101 | $49.00 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | TRAVIS COUNTY INDIGENT | 4139_TRAVIS COUNTY INDIGENT (CHI,DCN) 20240901 | $49.65 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | COUNTY INDIGENT | 502_COUNTY INDIGENT (CHI,DCN) 20140701 | $49.65 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | WINGS | 902_WINGS | $54.62 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | TEXAS REHAB | 603_TEXAS REHAB VOCATIONAL | $57.10 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | UTMB | 530_UTMB PRISONS (CHI,DCN) 20140101 | $57.10 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | TX REHAB | 510_TEXAS REHAB (AUS,NW,SW) 20150101 | $67.03 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | CORNERSTONE | 602_CORNERSTONE HOSPITAL | $74.47 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | HEART SAVER VETERANS | 4194_HEART SAVER VETERANS (HAYS,CHI,DCN,WIL) 20250301 | $75.00 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | MEDICARE OON | 4666_MEDICARE ADVANTAGE INPATIENT OON 20251001 | $79.44 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | CSHCN CIDC | 4694_CSHCN CIDC IP (ADULT) 20251001 | $79.44 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | WHOLE FOODS | 4512_WHOLE FOODS 20251001 | $79.44 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | BCBS BAV EXCHANGE | 4093_BLUE CROSS BLUE SHIELD BAV EXCHANGE (CHI,DCN) 20250101 | $84.41 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | SENDERO IDEALCARE | 816_SENDERO IDEALCARE CHAP (CHI,DCN) 20180301 | $84.41 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | VISTA HEALTH | 594_VISTA 360 (CHI,DCN) HEALTHPLAN | $86.89 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | FIRST CARE PROVIDENCE EMPLOYEE | 204_FIRST CARE PROVIDENCE EMPLOYEE 20101001 | $99.30 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | OSCAR HEALTH EXCHANGE | 4511_OSCAR HEALTH PLAN 20251001 | $104.27 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | AUSTIN STATE HOSPITAL | 500_AUSTIN STATE HOSPITAL | $111.71 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | AETNA ACO PPO | 3438_AETNA ACO PPO 20240701 | $116.68 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | AETNA PPO EXCHANGE | 249_AETNA PPO EXCHANGE 20140101 | $119.16 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | BCBS BAV EXCHANGE | 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101 | $126.61 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | HUMANA EXCHANGE | 387_HUMANA EXCHANGE 20160101 | $136.54 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | AETNA PPO | 4488_AETNA PPO 20250801 | $139.02 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | FIRST CARE PROVIDENCE | 205_FIRST CARE PROVIDENCE FOCUS 20100801 | $143.99 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | HUMANA HMO CUST | 206_HUMANA HMO CUSTOM 20140201 | $143.99 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | AETNA PPO EXCHANGE | 552_AETNA PPO EXCHANGE (CHI,DCN) 20170415 | $146.47 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | AETNA HMO EXCHANGE | 551_AETNA HMO EXCHANGE (CHI,DCN) 20170415 | $146.47 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | FIRST CARE PROVIDENCE EMPLOYEE | 201_FIRST CARE PROVIDENCE EMPLOYEE (CHI,DCN) 20101001 | $148.95 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | HEALTHSMART ACCEL | 755_HEALTH SMART ACCEL (ADULT SITES) 20140101 | $148.95 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | UHC STANDARD NEXUS ACO | 3316_UNITED HEALTHCARE STANDARD NEXUS ACO (CHI,DCN) 20240101 | $156.40 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | BCBS HPN | 4455_BLUE CROSS BLUE SHIELD HPN (CHI,DCN) 20250501 | $158.88 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | UHC STANDARD NEXUS ACO | 4509_UNITED HEALTHCARE STANDARD NEXUS ACO (WIL,HAYS) 20250701 | $161.00 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | UHC NEXUS CITY HMO | 4503_UNITED HEALTHCARE NEXUS CITY HMO (WIL,HAYS) 20250701 | $161.00 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | UHC NEXUS CITY HMO | 4501_UNITED HEALTHCARE NEXUS CITY HMO (AUS,NW,SW,BAS) 20250701 | $161.00 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | UHC NEXUS CITY PPO | 4504_UNITED HEALTHCARE NEXUS CITY PPO (AUS,NW,SW,BAS) 20250401 | $161.00 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | UHC STANDARD NEXUS ACO | 4507_UNITED HEALTHCARE STANDARD NEXUS ACO (AUS,NW,SW,BAS) 20250701 | $161.00 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | UHC NEXUS CITY PPO | 4506_UNITED HEALTHCARE NEXUS CITY PPO (WIL,HAYS) 20250701 | $161.00 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | AETNA SHA AISD | 3425_AETNA SHA AISD (EBD,SHL) 20240701 | $166.33 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | AETNA ACO HMO | 4461_AETNA ACO HMO (EBD,SHL) 20250701 | $166.33 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | HUMANA EXCHANGE | 415_HUMANA EXCHANGE (CHI,DCN) 20160101 | $168.81 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | AETNA HMO EXCHANGE | 1468_AETNA HMO EXCHANGE (EBD,SHL) 20170415 | $168.81 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | AETNA SHA AISD | 3435_AETNA SHA AISD (CHI,DCN) 20240701 | $168.81 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | EMPHESYS | 605_EMPHESYS | $168.81 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | HUMANA HMO CUST | 124_HUMANA HMO CUSTOM (CHI,DCN) 20130201 | $168.81 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | OSCAR HEALTH EXCHANGE | 3198_OSCAR HEALTH PLAN (CHI,DCN) 20240101 | $171.29 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | BCBS HMO ESSENTIALS | 4092_BLUE CROSS BLUE SHIELD HMO ESSENTIALS (CHI,DCN) 20250101 | $171.29 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | AETNA ACO PPO/HMO - CHI | 4483_AETNA ACO PPO/HMO (CHI,DCN) 20250801 | $173.78 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | COVENTRY HPN (EBD,SHL) 20140101 | 257_COVENTRY HPN (EBD,SHL) 20140101 | $173.78 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | SETON PERFORMANCE PLUS | 688_SETON PERFORMANCE EPO PPO (EBD,HL) HMO 20160101 | $173.78 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | SETON PERFORMANCE PLUS | 732_SETON PERFORMANCE EPO PPO (CHI,DCN) HMO 20160901 | $178.74 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | AETNA MULTI-TIER WHOLE HEALTH SHA | 4462_AETNA MULTI-TIER WHOLE HEALTH SHA (EBD,SHL) 20250701 | $183.71 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | FIRST CARE PPO | 203_FIRST CARE PPO 20050801 | $186.19 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | WHOLE FOODS | 819_WHOLE FOODS (CAH) 20180301 | $186.19 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | FIRST CARE PPO | 259_FIRST CARE PPO (EBD,SHL) 20140101 | $186.19 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | FIRST CARE HMO | 202_FIRST CARE HMO 20050801 | $186.19 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | FIRST CARE HMO | 258_FIRST CARE HMO (EBD,SHL) 20140101 | $186.19 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | UHC NEXUS CITY PPO | 3317_UNITED HEALTHCARE NEXUS CITY PPO (CHI,DCN) 20240101 | $191.15 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | CIGNA PPO | 4478_CIGNA PPO (CHI,DCN) 20250101 | $191.15 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | CIGNA HMO | 4477_CIGNA HMO (CHI,DCN) 20250101 | $191.15 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | UHC NEXUS CITY HMO | 3315_UNITED HEALTHCARE NEXUS CITY HMO (CHI,DCN) 20240101 | $191.15 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | AETNA MULTI-TIER WHOLE HEALTH SHA | 4484_AETNA MULTI-TIER WHOLE HEALTH SHA (CHI,DCN) 20250801 | $191.15 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | BCBS PPO | 4091_BLUE CROSS BLUE SHIELD PPO (CHI,DCN) 20250101 | $191.15 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | UHC | 3303_UNITED HEALTHCARE (CHI,DCN) 20240101 | $191.15 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | AETNA HMO EXCHANGE | 1377_AETNA HMO EXCHANGE 20200101 | $193.63 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | FIRST HEALTH/COVENTRY | 260_FIRSTHEALTH/COVENTRY PPO 20140101 | $193.63 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | UHC | 4500_UNITED HEALTHCARE (WIL,HAYS) 20250701 | $196.00 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | UHC | 4498_UNITED HEALTHCARE (AUS,NW,SW, BAS) 20250701 | $197.00 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | EMPLOYERS HEALTH NETWORK (CHI,EBD,SHL,SMV,DCN) 20220301 | 2105_EMPLOYERS HEALTH NETWORK (CHI,EBD,SHL,SMV,DCN) 20220301 | $198.60 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | AVERDE HEALTH | 252_AVERDE HEALTH (EBD,SHL) 20140101 | $198.60 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | PHCS | 150_PHCS 20111201 | $198.60 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | MULTIPLAN | 267_MULTIPLAN PPO (EBD,SHL) 20140101 | $198.60 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | PHCS | 268_PHCS PPO (EBD,SHL) 20140101 | $198.60 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | GREAT WEST | 598_GREAT WEST | $198.60 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | HUMANA HMO | 2669_HUMANA HMO (SMV) 20230701 | $198.60 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | HEALTHSMART ACCEL | 263_HEALTH SMART ACCEL (EBD,SHL) 20140101 | $198.60 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | TX TRUE CHOICE | 271_TEXAS TRUE CHOICE PPO (EBD,SHL) 20140101 | $198.60 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | UHC STANDARD NEXUS ACO | 3450_UNITED HEALTHCARE STANDARD NEXUS ACO (EBD,SHL) 20240701 | $201.08 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | UHC NEXUS CITY HMO | 3448_UNITED HEALTHCARE NEXUS CITY HMO (EBD,SHL) 20240701 | $201.08 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | UHC | 3447_UNITED HEALTHCARE (EBD,SHL) 20240701 | $201.08 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | UHC NEXUS CITY PPO | 3449_UNITED HEALTHCARE NEXUS CITY PPO (EBD,SHL) 20240701 | $201.08 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | AETNA PPO | 4460_AETNA PPO (EBD,SHL) 20250701 | $203.56 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | AETNA HMO | 4459_AETNA HMO (EBD,SHL) 20250701 | $203.56 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | COVENANT HEALTH | 4474_COVENANT MANAGEMENT SOLUTIONS-AETNA (EBD,SHL) 20250701 | $203.56 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | HUMANA HMO | 3191_HUMANA HMO (CHI,DCN) 20240101 | $206.05 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | AETNA PPO - CHI | 4482_AETNA PPO (CHI,DCN) 20250801 | $211.01 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | WELMED MEDICARE | 4361_MEDICARE ADVANTAGE WELLMED OUTPATIENT (CHI,DCN) 20230207 | $211.01 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | WELMED MEDICARE | 4369_MEDICARE ADVANTAGE WELLMED INPATIENT (CHI,DCN) 20250305 | $211.01 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | COVENANT HEALTH | 4485_COVENANT MANAGEMENT SOLUTIONS-AETNA (CHI,DCN) 20250801 | $211.01 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | CIGNA HMO | 1188_CIGNA HMO (SMV,BAS) 20190501 | $211.01 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | CIGNA LOCALPLUS | 1783_CIGNA LOCAL PLUS (EBD,SHL,SMV) 20190701 | $211.01 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | AETNA HMO - CHI | 4481_AETNA HMO (CHI,DCN) 20250801 | $211.01 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | ADDR CANCER TOGETHER | 4364_ADDR CANCER TOGETHER (CHI,DCN) INPATIENT 20250305 | $211.01 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | CSHCN CIDC | 1398_CSHCN CIDC (CHI,DCN) INPATIENT 20180701 | $211.01 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | TRICARE | 3129_TRICARE (CHI,DCN) OUTPATIENT 20231101 | $211.01 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | UHC STUDENT RESOURCE | 625_UNITED HEALTHCARE STUDENT RESOURCE 20020401 | $211.01 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | VISTA HEALTH | 593_VISTA 360 HEALTHPLAN | $211.01 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | MEDICARE OON | 4366_MEDICARE ADVANTAGE 100% (CHI,DCN) INPATIENT 20250305 | $211.01 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | MEDICARE OON | 3139_MEDICARE ADVANTAGE 100% (CHI,DCN) OUTPATIENT 20231101 | $211.01 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | CIGNA HMO | 340_CIGNA HMO (EBD, SHL) 20140701 | $211.01 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | TRICARE | 4372_TRICARE (CHI,DCN) INPATIENT 20250305 | $211.01 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | ADDR CANCER TOGETHER | 4104_ADDR CANCER TOGETHER (CHI,DCN) OUTPATIENT 20250101 | $211.01 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | HUMANA PPO | 3192_HUMANA PPO (CHI,DCN) 20240101 | $213.50 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | DEVOTED HEALTH MCR REPLACEMENT | 4413_MEDICARE ADVANTAGE DEVOTED HEALTH (CHI,DCN) OUTPATIENT 20250101 | $215.98 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | CIGNA PPO | 1150_CIGNA PPO 20190701 | $215.98 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | CIGNA PPO | 339_CIGNA PPO (EBD, SHL) 20140701 | $215.98 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | PPHP MCR ADVANTAGE | 4368_MEDICARE ADVANTAGE PPHP (CHI,DCN) INPATIENT 20250305 | $220.94 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | INTEGRATED PPO | 266_INTEGRATED PPO 20140101 | $220.94 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | PPHP MCR ADVANTAGE | 3135_MEDICARE ADVANTAGE PPHP (CHI,DCN) OUTPATIENT 20231101 | $220.94 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | BEECH STREET | 253_BEECH STREET PPO 20140101 | $223.43 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | PNOA PPO | 1789_PROVIDER NETWORK OF AMERICA PPO 20210405 | $223.43 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | GALAXY HC PPO | 261_GALAXY HC PPO 20140101 | $223.43 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | COASTAL COMP | 256_COASTAL COMP (EBD, SHL) 20140101 | $223.43 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | HEALTHSMART PPO | 262_HEALTH SMART PPO 20140101 | $223.43 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | INTERPLAN | 265_INTERPLAN PPO (EBD,SHL) 20140101 | $223.43 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | CAPP CARE | 608_CAPP CARE 20160101 | $223.43 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | SHANNON HEALTH PLAN | 270_SHANNON HEALTH PLAN PPO (EBD, SHL) 20140101 | $223.43 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | USA HEALTHNET | 273_USA HEALTH NET PPO (EBD,SHL) 20140101 | $223.43 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | PHCS | 151_PHCS (CHI,DCN) 20111201 | $230.87 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | HEALTH NET | 561_HEALTH NET (CHI,DCN) 20010301 | $235.84 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | CAPP CARE | 607_CAPP CARE (CHI,DCN) 20160101 | $235.84 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | UHC STUDENT RESOURCE | 626_UNITED HEALTHCARE STUDENT RESOURCE (CHI,DCN) 20020401 | $235.84 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | OXFORD HEALTH INSURANCE | 600_OXFORD HEALTH INSURANCE | $235.84 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | PPO NEXT (EBD,SHL) 20140101 | 269_PPO NEXT (EBD,SHL) 20140101 | $235.84 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | GREAT WEST | 599_GREAT WEST (CHI,DCN) | $235.84 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | UHC COMPASS EXCHANGE | 4453_UHC COMPASS EXCHANGE 20220101 | $248.25 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | HOSPICE AUSTIN 20161001 | 517_HOSPICE AUSTIN 20161001 | $248.25 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | ASCENSION PERSONALIZED CARE | 4480_ ASCENSION PERSONALIZED CARE 20250101 | $248.25 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | PROVIDER LIABLE | 751_MEDICARE PROVIDER LIABLE | $248.25 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | BCBS OON | 2454_BLUE CROSS BLUE SHIELD OON (ADULT) 20221201 | $248.25 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | BCBS OON | 2456_BLUE CROSS BLUE SHIELD OON (EBD,SMV) 20221201 | $248.25 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | BCBS OON | 2458_BLUE CROSS BLUE SHIELD OON (CHI,SHL,DCN) 20221201 | $248.25 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | BCBS OON | 2451_BLUE CROSS BLUE SHIELD OON (BAS) 20221201 | $248.25 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | CIGNA LOCALPLUS | 1885_CIGNA LOCAL PLUS OON 20210912 | $248.25 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $248.25 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | ORGAN SHARING ALLIANCE | 2450_TX ORGAN SHARING ALLIANCE 20221201 | $248.25 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | UHC COMPASS EXCHANGE | 4454_UNITED HEALTHCARE COMPASS EXCHANGE (CHI,DCN) 20220101 | $248.25 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | HEALTH SOUTH LAB | 531_HEALTH SOUTH LAB (DEL) 19980701 | $248.25 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Inpatient | HEART SAVER | 4192_HEART SAVER 20250301 | $248.25 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Both | SMARTHEALTH | 4371_SMARTHEALTH (CHI,DCN) INPATIENT 20250305 | $283.00 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| ASCENSION SETON HAYS Outpatient | SMARTHEALTH | 4100_SMARTHEALTH (CHI,DCN) OUTPATIENT 20250101 | $283.00 | $248.25 | $89.37 | 2026-01-01 | MRF ↗ |
| COOSA VALLEY MEDICAL CENTER Both | Health Spring | Commercial | $6,563.00 | $18,750.00 | $4,500.00 | 2026-01-28 | MRF ↗ |
| COOSA VALLEY MEDICAL CENTER Both | Aetna | Commercial | $8,625.00 | $18,750.00 | $4,500.00 | 2026-01-28 | MRF ↗ |
| COOSA VALLEY MEDICAL CENTER Both | Humana | Medicare Advantage | $18,750.00 | $18,750.00 | $4,500.00 | 2026-01-28 | MRF ↗ |
| COOSA VALLEY MEDICAL CENTER Both | Humana | PPO | $18,750.00 | $18,750.00 | $4,500.00 | 2026-01-28 | MRF ↗ |
| COOSA VALLEY MEDICAL CENTER Both | Blue Cross Blue Shield of Alabama | Medicare Advantage | $18,750.00 | $18,750.00 | $4,500.00 | 2026-01-28 | MRF ↗ |
| COOSA VALLEY MEDICAL CENTER Both | Humana | HMO | $18,750.00 | $18,750.00 | $4,500.00 | 2026-01-28 | MRF ↗ |