920334 — Icd Defib Quadra Assura Cd3365-40c
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). ICD DEFIB QUADRA ASSURA CD3365-40C (CDM 920334) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/920334?code_type=CDM
MLA (9th ed.)
“ICD DEFIB QUADRA ASSURA CD3365-40C (CDM 920334) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/920334?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“ICD DEFIB QUADRA ASSURA CD3365-40C (CDM 920334) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/920334?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $153–$122,878 (25th–75th percentile) across 5 hospitals · 40 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 920334 — 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 |
|---|---|---|---|---|---|---|---|
| MOUNTAINVIEW HOSPITAL Outpatient | Health Services Coalition | COMM | $35.36 | $260.00 | $260.00 | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Imperial NV | MCR | $39.00 | $260.00 | $260.00 | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Health Services Coalition | COMM | $41.48 | $305.00 | $305.00 | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Imperial NV | MCR | $45.75 | $305.00 | $305.00 | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Centene | HIX | $54.60 | $260.00 | $260.00 | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Select Health | HIX | $56.16 | $260.00 | $260.00 | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | United | OptionsPPO | $56.68 | $260.00 | $260.00 | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | CIGNA | OAP | $58.24 | $260.00 | $260.00 | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Select Health | COMM | $59.93 | $260.00 | $260.00 | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | United | OptionsPPO | $63.74 | $305.00 | $305.00 | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Centene | HIX | $64.05 | $305.00 | $305.00 | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Select Health | HIX | $65.88 | $305.00 | $305.00 | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Aetna | HMO | $66.30 | $260.00 | $260.00 | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Aetna | PPO | $66.30 | $260.00 | $260.00 | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | CIGNA | OAP | $68.32 | $305.00 | $305.00 | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Select Health | COMM | $70.30 | $305.00 | $305.00 | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Prominence HealthFirst | COMM | $78.00 | $260.00 | $260.00 | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Prominence HealthFirst | COMM | $91.50 | $305.00 | $305.00 | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna | PPO | $92.11 | $305.00 | $305.00 | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna | HMO | $92.11 | $305.00 | $305.00 | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | CMN Global | COMM | $109.20 | $260.00 | $260.00 | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Emerging Therapy Solutions | MGMCR | $127.40 | $260.00 | $260.00 | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | CMN Global | COMM | $128.10 | $305.00 | $305.00 | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Hometown Health Providers | ThirdPartyAdministratior(TPA) | $130.00 | $260.00 | $260.00 | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Hometown Health Providers | HMO/PPO/POS | $130.00 | $260.00 | $260.00 | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Hometown Health Providers | HMO/PPO/POS | $152.50 | $305.00 | $305.00 | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Hometown Health Providers | ThirdPartyAdministratior(TPA) | $152.50 | $305.00 | $305.00 | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | NV Health & Welfare Trust | COMM | $156.00 | $260.00 | $260.00 | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | MultiPlan | INTERNATIONAL | $163.80 | $260.00 | $260.00 | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | MultiPlan | PRIMARY | $163.80 | $260.00 | $260.00 | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | First Health | COMM | $171.60 | $260.00 | $260.00 | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Emerging Therapy Solutions | COMM | $174.20 | $260.00 | $260.00 | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | NV Health & Welfare Trust | COMM | $183.00 | $305.00 | $305.00 | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | MultiPlan | COMPLEMENTARY | $189.80 | $260.00 | $260.00 | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | MultiPlan | PRIMARY | $192.15 | $305.00 | $305.00 | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | MultiPlan | INTERNATIONAL | $192.15 | $305.00 | $305.00 | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | MedCare International | COMM | $195.00 | $260.00 | $260.00 | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Olympus MedSave USA | COMM | $195.00 | $260.00 | $260.00 | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | First Health | COMM | $201.30 | $305.00 | $305.00 | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | First Health | WCOMP | $208.00 | $260.00 | $260.00 | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | MultiPlan | COMPLEMENTARY | $222.65 | $305.00 | $305.00 | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | MedCare International | COMM | $228.75 | $305.00 | $305.00 | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Olympus MedSave USA | COMM | $228.75 | $305.00 | $305.00 | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | First Health | WC | $244.00 | $305.00 | $305.00 | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Elevance (Anthem BCBS) | MCR | $260.00 | $260.00 | $260.00 | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Elevance (Anthem BCBS) | MCR | $305.00 | $305.00 | $305.00 | 2026-03-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | UHC NHP | 2530_UNITED HEALTH CARE NHP PSH 20250701 | $28,912.46 | $144,562.30 | $57,824.92 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | UHC HMO | 2529_UNITED HEALTH CARE HMO PSH 20250701 | $31,803.71 | $144,562.30 | $57,824.92 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | CIGNA | 2531_CIGNA PSH 20250701 | $41,923.07 | $144,562.30 | $57,824.92 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | UHC NHP | 2528_UNITED HEALTH CARE NHP BMFL 20250701 | $42,568.24 | $212,841.22 | $85,136.49 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | UHC NHP | 914_UNITED HEALTH CARE NHP 20250701 | $44,419.04 | $222,095.18 | $88,838.07 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | UHC HMO | 2527_UNITED HEALTH CARE HMO BMFL 20250701 | $46,825.07 | $212,841.22 | $85,136.49 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | UHC | 913_UNITED HEALTH CARE 20250701 | $48,860.94 | $222,095.18 | $88,838.07 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | CIGNA | 2532_CIGNA BMFL 20250701 | $68,109.19 | $212,841.22 | $85,136.49 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | CIGNA | 917_CIGNA 20250701 | $68,849.51 | $222,095.18 | $88,838.07 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | AETNA | 2494_AETNA PSH 20250701 | $69,389.90 | $144,562.30 | $57,824.92 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | BCBS BSL | 2509_BLUE CROSS BLUE SHIELD BSL PSH 20250701 | $73,726.77 | $144,562.30 | $57,824.92 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | BCBS MBN | 2515_BLUE CROSS BLUE SHIELD MBN PSH 20250701 | $73,726.77 | $144,562.30 | $57,824.92 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | BCBS SBN | 2519_BLUE CROSS BLUE SHIELD SBN BMFL 20250701 | $76,622.84 | $212,841.22 | $85,136.49 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | BCBS MBN | 2517_BLUE CROSS BLUE SHIELD MBN BMFL 20250701 | $76,622.84 | $212,841.22 | $85,136.49 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | BCBS BSL | 2516_BLUE CROSS BLUE SHIELD BSL BMFL 20250701 | $76,622.84 | $212,841.22 | $85,136.49 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | BCBS HMO | 2518_BLUE CROSS BLUE SHIELD HMO BMFL 20250701 | $76,622.84 | $212,841.22 | $85,136.49 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | VISTA COVENTRY STATE OF FLORIDA | 2416_VISTA PSH 20241001 | $85,291.76 | $144,562.30 | $57,824.92 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | BCBS PHS | 2513_BLUE CROSS BLUE SHIELD PHS PSH 20250701 | $85,291.76 | $144,562.30 | $57,824.92 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | PCC EMPLOYEE | 2411_PENSACOLA CHRISTIAN COLLEGE PSH 20241001 | $86,737.38 | $144,562.30 | $57,824.92 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | BCBS NWB | 2520_BLUE CROSS BLUE SHIELD NWB BMFL 20250701 | $87,264.90 | $212,841.22 | $85,136.49 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | FIRSTHEALTH | 1977_FIRST HEALTH PSH 20220701 | $88,183.00 | $144,562.30 | $57,824.92 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | BCBS HMO | 2510_BLUE CROSS BLUE SHIELD HMO PSH 20250701 | $88,183.00 | $144,562.30 | $57,824.92 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | BCBS SBN | 2511_BLUE CROSS BLUE SHIELD SBN PSH 20250701 | $88,183.00 | $144,562.30 | $57,824.92 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | BCBS PHS | 2521_BLUE CROSS BLUE SHIELD PHS BMFL 20250701 | $91,521.72 | $212,841.22 | $85,136.49 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | BCBS PPO | 2522_BLUE CROSS BLUE SHIELD PPO BMFL 20250701 | $91,521.72 | $212,841.22 | $85,136.49 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | COVENTRY WC | 2265_COVENTRY WORKERS COMPENSATION SHFL 20230715 | $93,965.49 | $144,562.30 | $57,824.92 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | BCBS NWB | 2512_BLUE CROSS BLUE SHIELD NWB PSH 20250701 | $93,965.49 | $144,562.30 | $57,824.92 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | HUMANA | 811_HUMANA 20240701 | $99,942.83 | $222,095.18 | $88,838.07 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | CHOICE CARE | 424_CHOICE CARE PSH 20181001 | $101,193.61 | $144,562.30 | $57,824.92 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | BCBS PPO | 2514_BLUE CROSS BLUE SHIELD PPO PSH 20250701 | $101,193.61 | $144,562.30 | $57,824.92 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | AETNA | 901_AETNA 20250701 | $111,047.59 | $222,095.18 | $88,838.07 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | AETNA | 2495_AETNA BMFL 20250701 | $112,805.85 | $212,841.22 | $85,136.49 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | MULTIPLAN | 1824_MULTIPLAN PSH 20210101 | $122,877.95 | $144,562.30 | $57,824.92 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | EVOLUTIONAL TRADITIONAL PPO | 1456_EVOLUTION HEALTHCARE TRADITIONAL PPO PSH 20170101 | $122,877.95 | $144,562.30 | $57,824.92 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | BEECHSTREET | 1477_BEECH STREET PSH 20170101 | $130,106.07 | $144,562.30 | $57,824.92 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | EVOLUTION MANAGED CARE PRIME | 321_EVOLUTION HEALTHCARE PPO 20170101 | $133,257.11 | $222,095.18 | $88,838.07 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | BCBS BSL | 909_BLUE CROSS BLUE SHIELD BSL 20250701 | $137,699.01 | $222,095.18 | $88,838.07 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | FIRSTHEALTH | 632_FIRST HEALTH 20220701 | $137,699.01 | $222,095.18 | $88,838.07 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | BCBS MBN | 910_BLUE CROSS BLUE SHIELD MBN 20250701 | $137,699.01 | $222,095.18 | $88,838.07 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | COVENTRY WC | 2266_COVENTRY WORKERS COMPENSATION BMFL 20230715 | $138,346.79 | $212,841.22 | $85,136.49 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | BCBS SBN | 916_BLUE CROSS BLUE SHIELD SBN 20250701 | $142,140.92 | $222,095.18 | $88,838.07 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | BCBS HMO | 911_BLUE CROSS BLUE SHIELD HMO 20250701 | $142,140.92 | $222,095.18 | $88,838.07 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | COVENTRY WC | 784_COVENTRY WORKERS COMPENSATION 20230715 | $144,361.87 | $222,095.18 | $88,838.07 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | MVA | 1476_MVA AUTO 20150101 | $144,562.30 | $144,562.30 | $57,824.92 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $144,562.30 | $144,562.30 | $57,824.92 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | EVERNORTH BEHAVIORAL HEALTH | 2064_EVERNORTH BEHAVIORAL HEALTH 20221123 | $144,562.30 | $144,562.30 | $57,824.92 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | BCBS PHS | 915_BLUE CROSS BLUE SHIELD PHS 20250701 | $157,687.58 | $222,095.18 | $88,838.07 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | COVENTRY PPO | 1684_COVENTRY BMFL 20200101 | $159,630.92 | $212,841.22 | $85,136.49 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | BCBS NWB | 908_BLUE CROSS BLUE SHIELD NWB 20250701 | $164,350.43 | $222,095.18 | $88,838.07 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | BCBS AL PPO | 360_BLUE CROSS BLUE SHIELD OF ALABAMA 20170101 | $166,571.39 | $222,095.18 | $88,838.07 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | ACCOUNTABLE HEALTH | 827_ACCOUNTABLE HEALTH 20220301 | $177,676.14 | $222,095.18 | $88,838.07 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | MULTIPLAN | 1824_MULTIPLAN PSH 20210101 | $180,915.04 | $212,841.22 | $85,136.49 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | BCBS PPO | 912_BLUE CROSS BLUE SHIELD PPO 20250701 | $182,118.05 | $222,095.18 | $88,838.07 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | EVOLUTION PPO TRADITIONAL | 320_EVOLUTION HEALTHCARE TRADITIONAL 20170101 | $188,780.90 | $222,095.18 | $88,838.07 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | ONE HEALTH PLAN OF FLORIDA | 828_ONE HEALTH PLAN OF FLORIDA 20030127 | $188,780.90 | $222,095.18 | $88,838.07 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | BEECH STREET | 318_BEECH STREET 20170101 | $199,885.66 | $222,095.18 | $88,838.07 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $212,841.22 | $212,841.22 | $85,136.49 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | MVA | 1476_MVA AUTO 20150101 | $212,841.22 | $212,841.22 | $85,136.49 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | EVERNORTH BEHAVIORAL HEALTH | 675_EVERNORTH BEHAVIORAL HEALTH 20221123 | $222,095.18 | $222,095.18 | $88,838.07 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $222,095.18 | $222,095.18 | $88,838.07 | 2026-01-01 | MRF ↗ |