920365 — Icd Defib Inogen Crt-d X4 Df1 G146
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). ICD DEFIB INOGEN CRT-D X4 DF1 G146 (CDM 920365) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/920365?code_type=CDM
MLA (9th ed.)
“ICD DEFIB INOGEN CRT-D X4 DF1 G146 (CDM 920365) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/920365?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“ICD DEFIB INOGEN CRT-D X4 DF1 G146 (CDM 920365) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/920365?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $54–$94,171 (25th–75th percentile) across 5 hospitals · 45 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 920365 — 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 |
|---|---|---|---|---|---|---|---|
| DOCTORS HOSPITAL OF MANTECA Outpatient | Cigna | LocalPlus | $14.62 | $116.07 | $116.07 | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Amerigroup | MCD | $16.48 | $116.07 | $116.07 | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Peach State (Ambetter) | HIX | $16.95 | $116.07 | $116.07 | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Aetna | MCR | $17.41 | $116.07 | $116.07 | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | United | OptionsPPO | $18.11 | $116.07 | $116.07 | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Friday Health | HIX | $19.73 | $116.07 | $116.07 | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Absolute Total Care | MCD | $20.89 | $116.07 | $116.07 | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Pruitt Health | MCR | $22.05 | $116.07 | $116.07 | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | NHC Advantage | MGMCR | $22.05 | $116.07 | $116.07 | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Wellcare | MCD | $23.21 | $116.07 | $116.07 | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Peach State | MGMCD | $23.21 | $116.07 | $116.07 | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Aetna | QualifiedHealthPlan | $24.83 | $116.07 | $116.07 | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Cigna | OAP | $26.58 | $116.07 | $116.07 | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Cigna | HMO | $26.58 | $116.07 | $116.07 | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Cigna | PPO | $26.58 | $116.07 | $116.07 | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Centurion | PRISN | $32.14 | $116.07 | $116.07 | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Americas 1st Choice | MCR | $32.50 | $116.07 | $116.07 | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Aetna | PPO | $33.20 | $116.07 | $116.07 | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Aetna | OpenAccess | $33.20 | $116.07 | $116.07 | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Aetna | HMO | $33.20 | $116.07 | $116.07 | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Aetna | POS | $33.20 | $116.07 | $116.07 | 2026-03-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Amerigroup | MCD | $35.40 | $278.71 | $278.71 | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State (Ambetter) | HIX | $41.53 | $278.71 | $278.71 | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Friday Health | HIX | $41.81 | $278.71 | $278.71 | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Aetna | MCR | $41.81 | $278.71 | $278.71 | 2024-10-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | United | GlobalBenefitPlan | $52.23 | $116.07 | $116.07 | 2026-03-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Pruitt Health | MCR | $52.95 | $278.71 | $278.71 | 2024-10-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Health One Alliance | COMMHIX | $53.39 | $116.07 | $116.07 | 2026-03-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State | MGMCD | $55.74 | $278.71 | $278.71 | 2024-10-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Medcost | NEWULTRA | $58.15 | $116.07 | $116.07 | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Kaiser Permanente | HMO | $63.43 | $116.07 | $116.07 | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Aetna | NAP | $63.99 | $116.07 | $116.07 | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | MultiPlan | Primary | $69.64 | $116.07 | $116.07 | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Medcost | STANDARD | $74.17 | $116.07 | $116.07 | 2026-03-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | United | OptionsPPO | $75.81 | $278.71 | $278.71 | 2024-10-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Performax | COMM | $78.93 | $116.07 | $116.07 | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | First Health | PPO | $87.05 | $116.07 | $116.07 | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Employer's Health Network | WCOMP | $92.86 | $116.07 | $116.07 | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | NovaNet | COMM | $104.46 | $116.07 | $116.07 | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | MultiPlan | Complementary | $104.46 | $116.07 | $116.07 | 2026-03-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Cigna | PPO | $105.91 | $278.71 | $278.71 | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Cigna | HMO | $105.91 | $278.71 | $278.71 | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Cigna | OAP | $105.91 | $278.71 | $278.71 | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | United | GlobalBenefitPlan | $125.42 | $278.71 | $278.71 | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Health One Alliance | COMMHIX | $128.21 | $278.71 | $278.71 | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Memorial Health Plan-Core Community Care | COMM | $128.21 | $278.71 | $278.71 | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Industry Buying Group | COMM | $139.35 | $278.71 | $278.71 | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Aetna | PPO | $205.97 | $278.71 | $278.71 | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | MultiPlan | Primary | $250.84 | $278.71 | $278.71 | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | MultiPlan | Complementary | $250.84 | $278.71 | $278.71 | 2024-10-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | UHC NHP | 2530_UNITED HEALTH CARE NHP PSH 20250701 | $21,984.24 | $109,921.20 | $43,968.48 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | UHC HMO | 2529_UNITED HEALTH CARE HMO PSH 20250701 | $24,182.66 | $109,921.20 | $43,968.48 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | CIGNA | 2531_CIGNA PSH 20250701 | $31,877.15 | $109,921.20 | $43,968.48 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | UHC NHP | 2528_UNITED HEALTH CARE NHP BMFL 20250701 | $36,193.00 | $180,965.00 | $72,386.00 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | UHC NHP | 914_UNITED HEALTH CARE NHP 20250701 | $37,766.61 | $188,833.04 | $75,533.22 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | UHC HMO | 2527_UNITED HEALTH CARE HMO BMFL 20250701 | $39,812.30 | $180,965.00 | $72,386.00 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | UHC | 913_UNITED HEALTH CARE 20250701 | $41,543.27 | $188,833.04 | $75,533.22 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | AETNA | 2494_AETNA PSH 20250701 | $52,762.18 | $109,921.20 | $43,968.48 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | BCBS MBN | 2515_BLUE CROSS BLUE SHIELD MBN PSH 20250701 | $56,059.81 | $109,921.20 | $43,968.48 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | BCBS BSL | 2509_BLUE CROSS BLUE SHIELD BSL PSH 20250701 | $56,059.81 | $109,921.20 | $43,968.48 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | CIGNA | 2532_CIGNA BMFL 20250701 | $57,908.80 | $180,965.00 | $72,386.00 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | CIGNA | 917_CIGNA 20250701 | $58,538.24 | $188,833.04 | $75,533.22 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | BCBS PHS | 2513_BLUE CROSS BLUE SHIELD PHS PSH 20250701 | $64,853.51 | $109,921.20 | $43,968.48 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | VISTA COVENTRY STATE OF FLORIDA | 2416_VISTA PSH 20241001 | $64,853.51 | $109,921.20 | $43,968.48 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | BCBS HMO | 2518_BLUE CROSS BLUE SHIELD HMO BMFL 20250701 | $65,147.40 | $180,965.00 | $72,386.00 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | BCBS MBN | 2517_BLUE CROSS BLUE SHIELD MBN BMFL 20250701 | $65,147.40 | $180,965.00 | $72,386.00 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | BCBS SBN | 2519_BLUE CROSS BLUE SHIELD SBN BMFL 20250701 | $65,147.40 | $180,965.00 | $72,386.00 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | BCBS BSL | 2516_BLUE CROSS BLUE SHIELD BSL BMFL 20250701 | $65,147.40 | $180,965.00 | $72,386.00 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | PCC EMPLOYEE | 2411_PENSACOLA CHRISTIAN COLLEGE PSH 20241001 | $65,952.72 | $109,921.20 | $43,968.48 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | FIRSTHEALTH | 1977_FIRST HEALTH PSH 20220701 | $67,051.93 | $109,921.20 | $43,968.48 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | BCBS HMO | 2510_BLUE CROSS BLUE SHIELD HMO PSH 20250701 | $67,051.93 | $109,921.20 | $43,968.48 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | BCBS SBN | 2511_BLUE CROSS BLUE SHIELD SBN PSH 20250701 | $67,051.93 | $109,921.20 | $43,968.48 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | COVENTRY WC | 2265_COVENTRY WORKERS COMPENSATION SHFL 20230715 | $71,448.78 | $109,921.20 | $43,968.48 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | BCBS NWB | 2512_BLUE CROSS BLUE SHIELD NWB PSH 20250701 | $71,448.78 | $109,921.20 | $43,968.48 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | BCBS NWB | 2520_BLUE CROSS BLUE SHIELD NWB BMFL 20250701 | $74,195.65 | $180,965.00 | $72,386.00 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | CHOICE CARE | 424_CHOICE CARE PSH 20181001 | $76,944.84 | $109,921.20 | $43,968.48 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | BCBS PPO | 2514_BLUE CROSS BLUE SHIELD PPO PSH 20250701 | $76,944.84 | $109,921.20 | $43,968.48 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | BCBS PHS | 2521_BLUE CROSS BLUE SHIELD PHS BMFL 20250701 | $77,814.95 | $180,965.00 | $72,386.00 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | BCBS PPO | 2522_BLUE CROSS BLUE SHIELD PPO BMFL 20250701 | $77,814.95 | $180,965.00 | $72,386.00 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | HUMANA | 811_HUMANA 20240701 | $84,974.87 | $188,833.04 | $75,533.22 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | MULTIPLAN | 1824_MULTIPLAN PSH 20210101 | $93,433.02 | $109,921.20 | $43,968.48 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | EVOLUTIONAL TRADITIONAL PPO | 1456_EVOLUTION HEALTHCARE TRADITIONAL PPO PSH 20170101 | $93,433.02 | $109,921.20 | $43,968.48 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | AETNA | 901_AETNA 20250701 | $94,416.52 | $188,833.04 | $75,533.22 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | AETNA | 2495_AETNA BMFL 20250701 | $95,911.45 | $180,965.00 | $72,386.00 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | BEECHSTREET | 1477_BEECH STREET PSH 20170101 | $98,929.08 | $109,921.20 | $43,968.48 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $109,921.20 | $109,921.20 | $43,968.48 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | MVA | 1476_MVA AUTO 20150101 | $109,921.20 | $109,921.20 | $43,968.48 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | EVERNORTH BEHAVIORAL HEALTH | 2064_EVERNORTH BEHAVIORAL HEALTH 20221123 | $109,921.20 | $109,921.20 | $43,968.48 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | EVOLUTION MANAGED CARE PRIME | 321_EVOLUTION HEALTHCARE PPO 20170101 | $113,299.82 | $188,833.04 | $75,533.22 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | BCBS BSL | 909_BLUE CROSS BLUE SHIELD BSL 20250701 | $117,076.48 | $188,833.04 | $75,533.22 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | FIRSTHEALTH | 632_FIRST HEALTH 20220701 | $117,076.48 | $188,833.04 | $75,533.22 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | BCBS MBN | 910_BLUE CROSS BLUE SHIELD MBN 20250701 | $117,076.48 | $188,833.04 | $75,533.22 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | COVENTRY WC | 2266_COVENTRY WORKERS COMPENSATION BMFL 20230715 | $117,627.25 | $180,965.00 | $72,386.00 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | BCBS HMO | 911_BLUE CROSS BLUE SHIELD HMO 20250701 | $120,853.15 | $188,833.04 | $75,533.22 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | BCBS SBN | 916_BLUE CROSS BLUE SHIELD SBN 20250701 | $120,853.15 | $188,833.04 | $75,533.22 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | COVENTRY WC | 784_COVENTRY WORKERS COMPENSATION 20230715 | $122,741.48 | $188,833.04 | $75,533.22 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | BCBS PHS | 915_BLUE CROSS BLUE SHIELD PHS 20250701 | $134,071.46 | $188,833.04 | $75,533.22 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | COVENTRY PPO | 1684_COVENTRY BMFL 20200101 | $135,723.75 | $180,965.00 | $72,386.00 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | BCBS NWB | 908_BLUE CROSS BLUE SHIELD NWB 20250701 | $139,736.45 | $188,833.04 | $75,533.22 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | BCBS AL PPO | 360_BLUE CROSS BLUE SHIELD OF ALABAMA 20170101 | $141,624.78 | $188,833.04 | $75,533.22 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | ACCOUNTABLE HEALTH | 827_ACCOUNTABLE HEALTH 20220301 | $151,066.43 | $188,833.04 | $75,533.22 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | MULTIPLAN | 1824_MULTIPLAN PSH 20210101 | $153,820.25 | $180,965.00 | $72,386.00 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | BCBS PPO | 912_BLUE CROSS BLUE SHIELD PPO 20250701 | $154,843.09 | $188,833.04 | $75,533.22 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | EVOLUTION PPO TRADITIONAL | 320_EVOLUTION HEALTHCARE TRADITIONAL 20170101 | $160,508.08 | $188,833.04 | $75,533.22 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | ONE HEALTH PLAN OF FLORIDA | 828_ONE HEALTH PLAN OF FLORIDA 20030127 | $160,508.08 | $188,833.04 | $75,533.22 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | BEECH STREET | 318_BEECH STREET 20170101 | $169,949.74 | $188,833.04 | $75,533.22 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | MVA | 1476_MVA AUTO 20150101 | $180,965.00 | $180,965.00 | $72,386.00 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $180,965.00 | $180,965.00 | $72,386.00 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $188,833.04 | $188,833.04 | $75,533.22 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | EVERNORTH BEHAVIORAL HEALTH | 675_EVERNORTH BEHAVIORAL HEALTH 20221123 | $188,833.04 | $188,833.04 | $75,533.22 | 2026-01-01 | MRF ↗ |