955453 — Bandage Hmstc Topical
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). BANDAGE HMSTC TOPICAL (CDM 955453) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/955453?code_type=CDM
MLA (9th ed.)
“BANDAGE HMSTC TOPICAL (CDM 955453) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/955453?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“BANDAGE HMSTC TOPICAL (CDM 955453) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/955453?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $88–$59,433 (25th–75th percentile) across 3 hospitals · 41 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 955453 — 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 |
|---|---|---|---|---|---|---|---|
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | BCBS | MCRPPO | $28.91 | $419.00 | $419.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | BCBS | MCRHMO | $28.91 | $419.00 | $419.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | BCBS | MCRPPO | $31.26 | $453.00 | $453.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | BCBS | MCRHMO | $31.26 | $453.00 | $453.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Aetna | MCR | $31.26 | $453.00 | $453.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Aetna | MCR | $33.94 | $419.00 | $419.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Optimum Healthcare | MGMCR | $35.20 | $419.00 | $419.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Optimum Healthcare | MGMCR | $38.05 | $453.00 | $453.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | BCBS | MBN | $45.67 | $419.00 | $419.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | BCBS | MBN | $48.02 | $453.00 | $453.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | AvMed | HIX | $54.36 | $453.00 | $453.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | AvMed | HIX | $54.47 | $419.00 | $419.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Oscar | HIX | $54.47 | $419.00 | $419.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | BCBS | HMO | $56.98 | $419.00 | $419.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Simply Healthcare | HIX | $57.53 | $453.00 | $453.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | United | OptionsPPO | $57.98 | $453.00 | $453.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | United | OptionsPPO | $59.08 | $419.00 | $419.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | BCBS | HMO | $60.25 | $453.00 | $453.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | BCBS | SBN | $60.25 | $453.00 | $453.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | BCBS | PPONWB | $60.34 | $419.00 | $419.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Bright Health | HIX | $62.85 | $419.00 | $419.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | BCBS | PPO | $63.42 | $453.00 | $453.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | BCBS | NWB | $63.42 | $453.00 | $453.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Simply Healthcare | MGMCR | $67.04 | $419.00 | $419.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Simply Healthcare | MGMCR | $69.76 | $453.00 | $453.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Oscar | HIX | $72.48 | $453.00 | $453.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Aetna | QHP | $75.42 | $419.00 | $419.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Aetna | QHP | $77.92 | $453.00 | $453.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Aetna | PPO | $80.03 | $419.00 | $419.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Aetna | HMO | $80.03 | $419.00 | $419.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Aetna | PPO | $88.33 | $453.00 | $453.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Aetna | HMO | $88.33 | $453.00 | $453.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Positive Healthcare | MCR | $92.18 | $419.00 | $419.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Positive Healthcare | MCR | $99.66 | $453.00 | $453.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | AvMed | HMOFI | $100.56 | $419.00 | $419.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | AvMed | HMOFI | $104.19 | $453.00 | $453.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | BCBS | BSELNonPar | $104.33 | $419.00 | $419.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | BCBS | PHS | $104.33 | $419.00 | $419.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Cigna | NBN | $107.68 | $419.00 | $419.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Cigna | NBN | $108.27 | $453.00 | $453.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | BCBS | PHS | $109.17 | $453.00 | $453.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | BCBS | BSLNON-PAR | $109.17 | $453.00 | $453.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Sunshine State Health Plan | QHP | $111.03 | $419.00 | $419.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Molina Healthcare | HIX | $113.13 | $419.00 | $419.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Sunshine State Health Plan | QHP | $115.52 | $453.00 | $453.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | AvMed | ASOEO | $117.32 | $419.00 | $419.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Centurion | PRISN | $120.67 | $419.00 | $419.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Humana | HMO | $121.51 | $419.00 | $419.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Humana | PPO | $121.51 | $419.00 | $419.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Molina Healthcare | HIX | $122.31 | $453.00 | $453.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Centurion | PRISN | $125.44 | $453.00 | $453.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Corizon | COMM | $125.70 | $419.00 | $419.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | AvMed | ASOEO | $126.84 | $453.00 | $453.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Cigna | PPO | $128.20 | $453.00 | $453.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Cigna | OAP | $128.20 | $453.00 | $453.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Humana | PPO | $131.37 | $453.00 | $453.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Humana | HMO | $131.37 | $453.00 | $453.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Corizon | COMM | $135.90 | $453.00 | $453.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Aetna | ASA | $135.90 | $453.00 | $453.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Cigna | OAP | $140.37 | $419.00 | $419.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | United | GlobalBenefitPlanAppendix | $203.85 | $453.00 | $453.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Cigna | PPO | $206.57 | $419.00 | $419.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Beacon Health Options | COMM | $209.50 | $419.00 | $419.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Plotkin Health | WORKERSCOMP | $209.50 | $419.00 | $419.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Plotkin Health | COMM | $226.50 | $453.00 | $453.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | MultiPlan | PRIMARYNETWORK | $326.82 | $419.00 | $419.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Evolutions Healthcare | MANAGEDCAREPPO | $335.20 | $419.00 | $419.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Evernorth | COMM | $335.20 | $419.00 | $419.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | MultiPlan | PRIMARYNETWORK | $353.34 | $453.00 | $453.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Evolutions Healthcare | TRADITIONALPPO | $356.15 | $419.00 | $419.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | PPO Next | COMM | $356.15 | $419.00 | $419.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | PPO Next | PPO | $356.15 | $419.00 | $419.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | MultiPlan | COMPLEMENTARYNETWORK | $356.15 | $419.00 | $419.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Evernorth | COMM | $362.40 | $453.00 | $453.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Evolutions Healthcare | MANAGEDCAREPPO | $362.40 | $453.00 | $453.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | NovaNet | COMM | $377.10 | $419.00 | $419.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | PPO Next | COMM | $385.05 | $453.00 | $453.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | MultiPlan | COMPLEMENTARYNETWORK | $385.05 | $453.00 | $453.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Evolutions Healthcare | TRADITIONALPPO | $385.05 | $453.00 | $453.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | PPO Next | PPO | $385.05 | $453.00 | $453.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | NovaNet | COMM | $407.70 | $453.00 | $453.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | United Behavioral Health | VACCN | $419.00 | $419.00 | $419.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Beacon Health Options | MCR | $419.00 | $419.00 | $419.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | United Behavioral Health | VACCN | $453.00 | $453.00 | $453.00 | 2026-03-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | UHC NHP | 2528_UNITED HEALTH CARE NHP BMFL 20250701 | $33,018.18 | $165,090.88 | $66,036.35 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | UHC NHP | 914_UNITED HEALTH CARE NHP 20250701 | $34,453.75 | $172,268.75 | $68,907.50 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | UHC HMO | 2527_UNITED HEALTH CARE HMO BMFL 20250701 | $36,319.99 | $165,090.88 | $66,036.35 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | UHC | 913_UNITED HEALTH CARE 20250701 | $37,899.13 | $172,268.75 | $68,907.50 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | CIGNA | 2532_CIGNA BMFL 20250701 | $52,829.08 | $165,090.88 | $66,036.35 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | CIGNA | 917_CIGNA 20250701 | $53,403.31 | $172,268.75 | $68,907.50 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | BCBS HMO | 2518_BLUE CROSS BLUE SHIELD HMO BMFL 20250701 | $59,432.72 | $165,090.88 | $66,036.35 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | BCBS MBN | 2517_BLUE CROSS BLUE SHIELD MBN BMFL 20250701 | $59,432.72 | $165,090.88 | $66,036.35 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | BCBS SBN | 2519_BLUE CROSS BLUE SHIELD SBN BMFL 20250701 | $59,432.72 | $165,090.88 | $66,036.35 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | BCBS BSL | 2516_BLUE CROSS BLUE SHIELD BSL BMFL 20250701 | $59,432.72 | $165,090.88 | $66,036.35 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | BCBS NWB | 2520_BLUE CROSS BLUE SHIELD NWB BMFL 20250701 | $67,687.26 | $165,090.88 | $66,036.35 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | BCBS PHS | 2521_BLUE CROSS BLUE SHIELD PHS BMFL 20250701 | $70,989.08 | $165,090.88 | $66,036.35 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | BCBS PPO | 2522_BLUE CROSS BLUE SHIELD PPO BMFL 20250701 | $70,989.08 | $165,090.88 | $66,036.35 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | HUMANA | 811_HUMANA 20240701 | $77,520.94 | $172,268.75 | $68,907.50 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | AETNA | 901_AETNA 20250701 | $86,134.38 | $172,268.75 | $68,907.50 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | AETNA | 2495_AETNA BMFL 20250701 | $87,498.17 | $165,090.88 | $66,036.35 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | EVOLUTION MANAGED CARE PRIME | 321_EVOLUTION HEALTHCARE PPO 20170101 | $103,361.25 | $172,268.75 | $68,907.50 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | BCBS BSL | 909_BLUE CROSS BLUE SHIELD BSL 20250701 | $106,806.63 | $172,268.75 | $68,907.50 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | FIRSTHEALTH | 632_FIRST HEALTH 20220701 | $106,806.63 | $172,268.75 | $68,907.50 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | BCBS MBN | 910_BLUE CROSS BLUE SHIELD MBN 20250701 | $106,806.63 | $172,268.75 | $68,907.50 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | COVENTRY WC | 2266_COVENTRY WORKERS COMPENSATION BMFL 20230715 | $107,309.07 | $165,090.88 | $66,036.35 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | BCBS SBN | 916_BLUE CROSS BLUE SHIELD SBN 20250701 | $110,252.00 | $172,268.75 | $68,907.50 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | BCBS HMO | 911_BLUE CROSS BLUE SHIELD HMO 20250701 | $110,252.00 | $172,268.75 | $68,907.50 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | COVENTRY WC | 784_COVENTRY WORKERS COMPENSATION 20230715 | $111,974.69 | $172,268.75 | $68,907.50 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | BCBS PHS | 915_BLUE CROSS BLUE SHIELD PHS 20250701 | $122,310.81 | $172,268.75 | $68,907.50 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | COVENTRY PPO | 1684_COVENTRY BMFL 20200101 | $123,818.16 | $165,090.88 | $66,036.35 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | BCBS NWB | 908_BLUE CROSS BLUE SHIELD NWB 20250701 | $127,478.88 | $172,268.75 | $68,907.50 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | BCBS AL PPO | 360_BLUE CROSS BLUE SHIELD OF ALABAMA 20170101 | $129,201.56 | $172,268.75 | $68,907.50 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | ACCOUNTABLE HEALTH | 827_ACCOUNTABLE HEALTH 20220301 | $137,815.00 | $172,268.75 | $68,907.50 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | MULTIPLAN | 1824_MULTIPLAN PSH 20210101 | $140,327.25 | $165,090.88 | $66,036.35 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | BCBS PPO | 912_BLUE CROSS BLUE SHIELD PPO 20250701 | $141,260.38 | $172,268.75 | $68,907.50 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | EVOLUTION PPO TRADITIONAL | 320_EVOLUTION HEALTHCARE TRADITIONAL 20170101 | $146,428.44 | $172,268.75 | $68,907.50 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | ONE HEALTH PLAN OF FLORIDA | 828_ONE HEALTH PLAN OF FLORIDA 20030127 | $146,428.44 | $172,268.75 | $68,907.50 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | BEECH STREET | 318_BEECH STREET 20170101 | $155,041.88 | $172,268.75 | $68,907.50 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $165,090.88 | $165,090.88 | $66,036.35 | 2026-01-01 | MRF ↗ |
| ASCENSION SACRED HEART BAY Outpatient | MVA | 1476_MVA AUTO 20150101 | $165,090.88 | $165,090.88 | $66,036.35 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Outpatient | EVERNORTH BEHAVIORAL HEALTH | 675_EVERNORTH BEHAVIORAL HEALTH 20221123 | $172,268.75 | $172,268.75 | $68,907.50 | 2026-01-01 | MRF ↗ |
| SACRED HEART HOSPITAL ON THE EMERALD COAST Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $172,268.75 | $172,268.75 | $68,907.50 | 2026-01-01 | MRF ↗ |