926011 — Clip Endoscopic Tri Tricuspid G5
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). CLIP ENDOSCOPIC TRI TRICUSPID G5 (CDM 926011) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/926011?code_type=CDM
MLA (9th ed.)
“CLIP ENDOSCOPIC TRI TRICUSPID G5 (CDM 926011) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/926011?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“CLIP ENDOSCOPIC TRI TRICUSPID G5 (CDM 926011) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/926011?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $90–$84,374 (25th–75th percentile) across 5 hospitals · 52 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 926011 — 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 |
|---|---|---|---|---|---|---|---|
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | NHC Advantage | MGMCD | $26.60 | $140.00 | $140.00 | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | NHC Advantage | MGMCR | $26.60 | $140.00 | $140.00 | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | Ambetter | Commercial-Exchange | $27.30 | $140.00 | $140.00 | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | HealthyBlue | MGMCD | $28.00 | $140.00 | $140.00 | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | Aetna Coventry | FamilyHealthPlanMCD | $36.40 | $140.00 | $140.00 | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | Universal Healthcare | MCR | $36.40 | $140.00 | $140.00 | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | United | OptionsPPO | $37.52 | $140.00 | $140.00 | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | Premier WorkComp Mgmt | WC | $42.00 | $140.00 | $140.00 | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | Aetna Better Health | MCD | $42.00 | $140.00 | $140.00 | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | Humana | EPO | $47.32 | $140.00 | $140.00 | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | Humana | HMO | $47.32 | $140.00 | $140.00 | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | Humana | ASO | $47.32 | $140.00 | $140.00 | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | BCBS | BlueAccess | $53.20 | $140.00 | $140.00 | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | BCBS | Preferred-CareBlue(PPO) | $53.20 | $140.00 | $140.00 | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | BCBS | Blue-Care(HMO) | $53.20 | $140.00 | $140.00 | 2025-01-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Outpatient | Vail Health | COMM | $54.26 | $357.00 | $357.00 | 2026-03-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | BCBS | FreedomNetwork | $57.40 | $140.00 | $140.00 | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | BCBS | FreedomNetworkSelect | $58.80 | $140.00 | $140.00 | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | BCBS | PC | $60.20 | $140.00 | $140.00 | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | Humana | POS | $60.20 | $140.00 | $140.00 | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | College Park Family Care Center | COMM | $60.20 | $140.00 | $140.00 | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | Humana | PPO | $60.20 | $140.00 | $140.00 | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | United | GlobalBenefitPlan | $63.00 | $140.00 | $140.00 | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | Aetna | IVLHIX | $66.50 | $140.00 | $140.00 | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | Oscar | HIX | $70.00 | $140.00 | $140.00 | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | OHA Network | MissouriWCOMP | $70.00 | $140.00 | $140.00 | 2025-01-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Outpatient | Kaiser | KPSelect | $71.40 | $357.00 | $357.00 | 2026-03-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Outpatient | Kaiser | KPIF | $71.40 | $357.00 | $357.00 | 2026-03-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Outpatient | Kaiser | CommercialSmallGroupPlans | $71.40 | $357.00 | $357.00 | 2026-03-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | Aetna | KCCarePlus | $73.36 | $140.00 | $140.00 | 2025-01-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Outpatient | United | OptionsPPO | $73.90 | $357.00 | $357.00 | 2026-03-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | Cigna | LocalKC | $81.63 | $140.00 | $140.00 | 2025-01-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Outpatient | Cigna | Connect-SBP | $83.54 | $357.00 | $357.00 | 2026-03-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | BCBS | Participating | $89.60 | $140.00 | $140.00 | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | BCBS | Traditional | $89.60 | $140.00 | $140.00 | 2025-01-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Outpatient | Cigna | SureFit | $90.68 | $357.00 | $357.00 | 2026-03-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Outpatient | Cigna | Connect-NSBP | $92.46 | $357.00 | $357.00 | 2026-03-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | Aetna | Local | $93.38 | $140.00 | $140.00 | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | Cigna | SureFit/LocalPlus | $100.95 | $140.00 | $140.00 | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | Cigna | Comm | $101.09 | $140.00 | $140.00 | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | Aetna | NAP | $105.14 | $140.00 | $140.00 | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | Aetna | National | $106.26 | $140.00 | $140.00 | 2025-01-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Outpatient | Bright Health | OON | $107.10 | $357.00 | $357.00 | 2026-03-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Outpatient | Aetna | MCRADVHMO | $107.10 | $357.00 | $357.00 | 2026-03-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Outpatient | Aetna | MCRADVPPO | $107.10 | $357.00 | $357.00 | 2026-03-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | Multiplan | PrimaryNetwork | $109.20 | $140.00 | $140.00 | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | Coventry | WCOMP | $112.00 | $140.00 | $140.00 | 2025-01-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Outpatient | Aetna | NBR | $116.38 | $357.00 | $357.00 | 2026-03-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | CorVel Corporation | WC | $119.00 | $140.00 | $140.00 | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | CCO, Inc. | COMM | $119.00 | $140.00 | $140.00 | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | CCO, Inc. | WORKERSCOMPPPO | $119.00 | $140.00 | $140.00 | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | Aetna | FHMedicalRental | $120.12 | $140.00 | $140.00 | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $126.00 | $140.00 | $140.00 | 2025-01-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Outpatient | Kaiser | HMO | $126.73 | $357.00 | $357.00 | 2026-03-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Outpatient | Cigna | Broad | $126.73 | $357.00 | $357.00 | 2026-03-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Outpatient | Kaiser | PPO | $126.73 | $357.00 | $357.00 | 2026-03-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | Anthem MissouriCare | MissouriCareMGMCD | $140.00 | $140.00 | $140.00 | 2025-01-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Outpatient | Aetna | ExistingBusiness | $141.73 | $357.00 | $357.00 | 2026-03-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Outpatient | United | GlobalBenefit | $160.65 | $357.00 | $357.00 | 2026-03-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Outpatient | Aetna | ASA | $170.29 | $357.00 | $357.00 | 2026-03-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Outpatient | Aetna | Cofinity | $188.50 | $357.00 | $357.00 | 2026-03-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Outpatient | Cigna | Connect-SBPLeanBenefitPlans | $228.48 | $357.00 | $357.00 | 2026-03-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Outpatient | Cigna | BroadLeanBenefitPlans | $228.48 | $357.00 | $357.00 | 2026-03-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Outpatient | Cigna | Connect-NSBPLeanBenefitPlans | $228.48 | $357.00 | $357.00 | 2026-03-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Outpatient | Cigna | SureFitLeanBenefitPlans | $228.48 | $357.00 | $357.00 | 2026-03-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Outpatient | Western Plains Community Health | COMM | $232.05 | $357.00 | $357.00 | 2026-03-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Outpatient | NorthCare | COMM | $249.90 | $357.00 | $357.00 | 2026-03-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Outpatient | Physician Health Partners | MCR | $249.90 | $357.00 | $357.00 | 2026-03-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Outpatient | Multiplan | COMMPPOPRIMARYNETWORK | $249.90 | $357.00 | $357.00 | 2026-03-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Outpatient | Anthem | PAR | $264.18 | $357.00 | $357.00 | 2026-03-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Outpatient | Pinnacol Workers Comp | WORKERSCOMP | $267.75 | $357.00 | $357.00 | 2026-03-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Outpatient | TriWest Health Alliance | FED | $285.60 | $357.00 | $357.00 | 2026-03-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Outpatient | Medical Development International | COMM | $285.60 | $357.00 | $357.00 | 2026-03-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Outpatient | Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $303.45 | $357.00 | $357.00 | 2026-03-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Outpatient | Prime Health | WORKERSCOMP | $321.30 | $357.00 | $357.00 | 2026-03-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Outpatient | Multiplan | BeechStreetCOMMPPO | $321.30 | $357.00 | $357.00 | 2026-03-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | UHC NHP | 2528_UNITED HEALTH CARE NHP BMFL 20250701 | $28,008.00 | $140,040.00 | $56,016.00 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | UHC NHP | 2530_UNITED HEALTH CARE NHP PSH 20250701 | $28,008.00 | $140,040.00 | $56,016.00 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | UHC NHP | 914_UNITED HEALTH CARE NHP 20250701 | $28,008.00 | $140,040.00 | $56,016.00 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | UHC HMO | 2529_UNITED HEALTH CARE HMO PSH 20250701 | $30,808.80 | $140,040.00 | $56,016.00 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | UHC HMO | 2527_UNITED HEALTH CARE HMO BMFL 20250701 | $30,808.80 | $140,040.00 | $56,016.00 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | UHC | 913_UNITED HEALTH CARE 20250701 | $30,808.80 | $140,040.00 | $56,016.00 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | CIGNA | 2531_CIGNA PSH 20250701 | $40,611.60 | $140,040.00 | $56,016.00 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | CIGNA | 917_CIGNA 20250701 | $43,412.40 | $140,040.00 | $56,016.00 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | CIGNA | 2532_CIGNA BMFL 20250701 | $44,812.80 | $140,040.00 | $56,016.00 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | BCBS MBN | 2517_BLUE CROSS BLUE SHIELD MBN BMFL 20250701 | $50,414.40 | $140,040.00 | $56,016.00 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | BCBS BSL | 2516_BLUE CROSS BLUE SHIELD BSL BMFL 20250701 | $50,414.40 | $140,040.00 | $56,016.00 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | BCBS HMO | 2518_BLUE CROSS BLUE SHIELD HMO BMFL 20250701 | $50,414.40 | $140,040.00 | $56,016.00 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | BCBS SBN | 2519_BLUE CROSS BLUE SHIELD SBN BMFL 20250701 | $50,414.40 | $140,040.00 | $56,016.00 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | BCBS NWB | 2520_BLUE CROSS BLUE SHIELD NWB BMFL 20250701 | $57,416.40 | $140,040.00 | $56,016.00 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | BCBS PHS | 2521_BLUE CROSS BLUE SHIELD PHS BMFL 20250701 | $60,217.20 | $140,040.00 | $56,016.00 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | BCBS PPO | 2522_BLUE CROSS BLUE SHIELD PPO BMFL 20250701 | $60,217.20 | $140,040.00 | $56,016.00 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | HUMANA | 811_HUMANA 20240701 | $63,018.00 | $140,040.00 | $56,016.00 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | AETNA | 2494_AETNA PSH 20250701 | $67,219.20 | $140,040.00 | $56,016.00 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | AETNA | 901_AETNA 20250701 | $70,020.00 | $140,040.00 | $56,016.00 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | BCBS BSL | 2509_BLUE CROSS BLUE SHIELD BSL PSH 20250701 | $71,420.40 | $140,040.00 | $56,016.00 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | BCBS MBN | 2515_BLUE CROSS BLUE SHIELD MBN PSH 20250701 | $71,420.40 | $140,040.00 | $56,016.00 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | AETNA | 2495_AETNA BMFL 20250701 | $74,221.20 | $140,040.00 | $56,016.00 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | BCBS PHS | 2513_BLUE CROSS BLUE SHIELD PHS PSH 20250701 | $82,623.60 | $140,040.00 | $56,016.00 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | VISTA COVENTRY STATE OF FLORIDA | 2416_VISTA PSH 20241001 | $82,623.60 | $140,040.00 | $56,016.00 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | PCC EMPLOYEE | 2411_PENSACOLA CHRISTIAN COLLEGE PSH 20241001 | $84,024.00 | $140,040.00 | $56,016.00 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | EVOLUTION MANAGED CARE PRIME | 321_EVOLUTION HEALTHCARE PPO 20170101 | $84,024.00 | $140,040.00 | $56,016.00 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | BCBS SBN | 2511_BLUE CROSS BLUE SHIELD SBN PSH 20250701 | $85,424.40 | $140,040.00 | $56,016.00 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | BCBS HMO | 2510_BLUE CROSS BLUE SHIELD HMO PSH 20250701 | $85,424.40 | $140,040.00 | $56,016.00 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | FIRSTHEALTH | 1977_FIRST HEALTH PSH 20220701 | $85,424.40 | $140,040.00 | $56,016.00 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | BCBS BSL | 909_BLUE CROSS BLUE SHIELD BSL 20250701 | $86,824.80 | $140,040.00 | $56,016.00 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | BCBS MBN | 910_BLUE CROSS BLUE SHIELD MBN 20250701 | $86,824.80 | $140,040.00 | $56,016.00 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | FIRSTHEALTH | 632_FIRST HEALTH 20220701 | $86,824.80 | $140,040.00 | $56,016.00 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | BCBS HMO | 911_BLUE CROSS BLUE SHIELD HMO 20250701 | $89,625.60 | $140,040.00 | $56,016.00 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | BCBS SBN | 916_BLUE CROSS BLUE SHIELD SBN 20250701 | $89,625.60 | $140,040.00 | $56,016.00 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | BCBS NWB | 2512_BLUE CROSS BLUE SHIELD NWB PSH 20250701 | $91,026.00 | $140,040.00 | $56,016.00 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | COVENTRY WC | 2266_COVENTRY WORKERS COMPENSATION BMFL 20230715 | $91,026.00 | $140,040.00 | $56,016.00 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | COVENTRY WC | 784_COVENTRY WORKERS COMPENSATION 20230715 | $91,026.00 | $140,040.00 | $56,016.00 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | COVENTRY WC | 2265_COVENTRY WORKERS COMPENSATION SHFL 20230715 | $91,026.00 | $140,040.00 | $56,016.00 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | BCBS PPO | 2514_BLUE CROSS BLUE SHIELD PPO PSH 20250701 | $98,028.00 | $140,040.00 | $56,016.00 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | CHOICE CARE | 424_CHOICE CARE PSH 20181001 | $98,028.00 | $140,040.00 | $56,016.00 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | BCBS PHS | 915_BLUE CROSS BLUE SHIELD PHS 20250701 | $99,428.40 | $140,040.00 | $56,016.00 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | BCBS NWB | 908_BLUE CROSS BLUE SHIELD NWB 20250701 | $103,629.60 | $140,040.00 | $56,016.00 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | COVENTRY PPO | 1684_COVENTRY BMFL 20200101 | $105,030.00 | $140,040.00 | $56,016.00 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | BCBS AL PPO | 360_BLUE CROSS BLUE SHIELD OF ALABAMA 20170101 | $105,030.00 | $140,040.00 | $56,016.00 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | ACCOUNTABLE HEALTH | 827_ACCOUNTABLE HEALTH 20220301 | $112,032.00 | $140,040.00 | $56,016.00 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | BCBS PPO | 912_BLUE CROSS BLUE SHIELD PPO 20250701 | $114,832.80 | $140,040.00 | $56,016.00 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | EVOLUTIONAL TRADITIONAL PPO | 1456_EVOLUTION HEALTHCARE TRADITIONAL PPO PSH 20170101 | $119,034.00 | $140,040.00 | $56,016.00 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | EVOLUTION PPO TRADITIONAL | 320_EVOLUTION HEALTHCARE TRADITIONAL 20170101 | $119,034.00 | $140,040.00 | $56,016.00 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | ONE HEALTH PLAN OF FLORIDA | 828_ONE HEALTH PLAN OF FLORIDA 20030127 | $119,034.00 | $140,040.00 | $56,016.00 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | MULTIPLAN | 1824_MULTIPLAN PSH 20210101 | $119,034.00 | $140,040.00 | $56,016.00 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | MULTIPLAN | 1824_MULTIPLAN PSH 20210101 | $119,034.00 | $140,040.00 | $56,016.00 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | BEECH STREET | 318_BEECH STREET 20170101 | $126,036.00 | $140,040.00 | $56,016.00 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | BEECHSTREET | 1477_BEECH STREET PSH 20170101 | $126,036.00 | $140,040.00 | $56,016.00 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | MVA | 1476_MVA AUTO 20150101 | $140,040.00 | $140,040.00 | $56,016.00 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $140,040.00 | $140,040.00 | $56,016.00 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | MVA | 1476_MVA AUTO 20150101 | $140,040.00 | $140,040.00 | $56,016.00 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $140,040.00 | $140,040.00 | $56,016.00 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $140,040.00 | $140,040.00 | $56,016.00 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | EVERNORTH BEHAVIORAL HEALTH | 675_EVERNORTH BEHAVIORAL HEALTH 20221123 | $140,040.00 | $140,040.00 | $56,016.00 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL Outpatient | EVERNORTH BEHAVIORAL HEALTH | 2064_EVERNORTH BEHAVIORAL HEALTH 20221123 | $140,040.00 | $140,040.00 | $56,016.00 | 2026-01-01 | MRF ↗ |