SUP-116751 — Valve Aortic Evolut R Porcine Pericardium 29 Mm Od23-26 Mm Self Expand Multilevel Transcatheter Sterile Latex Free
Cite this view
HANK Price Transparency. (n.d.). VALVE AORTIC EVOLUT R PORCINE PERICARDIUM 29 MM OD23-26 MM SELF EXPAND MULTILEVEL TRANSCATHETER STERILE LATEX FREE (CDM SUP-116751) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/SUP-116751?code_type=CDM
“VALVE AORTIC EVOLUT R PORCINE PERICARDIUM 29 MM OD23-26 MM SELF EXPAND MULTILEVEL TRANSCATHETER STERILE LATEX FREE (CDM SUP-116751) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/SUP-116751?code_type=CDM. Accessed .
“VALVE AORTIC EVOLUT R PORCINE PERICARDIUM 29 MM OD23-26 MM SELF EXPAND MULTILEVEL TRANSCATHETER STERILE LATEX FREE (CDM SUP-116751) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/SUP-116751?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $280–$113,670 (25th–75th percentile) across 4 hospitals · 79 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM SUP-116751 — 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 |
|---|---|---|---|---|---|---|---|
| PALOS COMMUNITY HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | PH BCBS BLUECHOICE OPTIONS SELECT | $49.38 | $352.98 | $247.09 | 2026-04-01 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | PH BCBS BLUECHOICE PREFERRED | $50.37 | $352.98 | $247.09 | 2026-04-01 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | PH BCBS BLUECHOICE OPTIONS | $59.76 | $352.98 | $247.09 | 2026-04-01 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | CIGNA HEALTH PLAN [178] | PH CIGNA ALTERNATIVE | $66.01 | $352.98 | $247.09 | 2026-04-01 | MRF ↗ |
| ST JOSEPH MEMORIAL HOSPITAL Both | MEDICARE ADVANTAGE | AETNA MEDICARE PPO | $68.27 | $359.34 | $287.47 | 2026-03-04 | MRF ↗ |
| ST JOSEPH MEMORIAL HOSPITAL Both | MEDICARE ADVANTAGE | HEALTHSPRING MEDICARE ADVANTAGE | $68.27 | $359.34 | $287.47 | 2026-03-04 | MRF ↗ |
| ST JOSEPH MEMORIAL HOSPITAL Both | DSNP/MMAI | MOLINA | $68.27 | $359.34 | $287.47 | 2026-03-04 | MRF ↗ |
| ST JOSEPH MEMORIAL HOSPITAL Both | DSNP/MMAI | HUMANA | $68.27 | $359.34 | $287.47 | 2026-03-04 | MRF ↗ |
| ST JOSEPH MEMORIAL HOSPITAL Both | MEDICARE ADVANTAGE | AETNA MEDICARE HMO | $68.27 | $359.34 | $287.47 | 2026-03-04 | MRF ↗ |
| ST JOSEPH MEMORIAL HOSPITAL Both | MEDICARE ADVANTAGE | BLUE CROSS HMO MEDICARE ADVANTAGE | $68.27 | $359.34 | $287.47 | 2026-03-04 | MRF ↗ |
| ST JOSEPH MEMORIAL HOSPITAL Both | DSNP/MMAI | AETNA BETTER HEALTH | $68.27 | $359.34 | $287.47 | 2026-03-04 | MRF ↗ |
| ST JOSEPH MEMORIAL HOSPITAL Both | DSNP/MMAI | MERIDIAN | $74.42 | $359.34 | $287.47 | 2026-03-04 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | AETNA HEALTH PLAN [171] | PH AETNA NM EMPLOYEES | $75.89 | $352.98 | $247.09 | 2026-04-01 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | CIGNA HEALTH PLAN [178] | PH CIGNA BROAD | $104.48 | $352.98 | $247.09 | 2026-04-01 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | AETNA HEALTH PLAN [171] | PH AETNA IL PREFERRED | $119.66 | $352.98 | $247.09 | 2026-04-01 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | ALTERNATE BLUE CROSS [1402] | PH BCBS HMO | $138.12 | $352.98 | $247.09 | 2026-04-01 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | PH BCBS HMO | $138.12 | $352.98 | $247.09 | 2026-04-01 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | ALTERNATE BLUE CROSS [1402] | PH BCBS PPO | $156.30 | $352.98 | $247.09 | 2026-04-01 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | PH BCBS PPO | $156.30 | $352.98 | $247.09 | 2026-04-01 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | UNITED HEALTHCARE [158] | PH UHC CORE | $159.90 | $352.98 | $247.09 | 2026-04-01 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | HEALTHLINK [125] | PH SEIU HEALTHLINK | $176.49 | $352.98 | $247.09 | 2026-04-01 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | CARELON BEHAVIORAL HEALTH [159] | PH VALUE OPTIONS BHO | $176.49 | $352.98 | $247.09 | 2026-04-01 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | UNITED HEALTHCARE [158] | PH UHC ALL OTHER | $180.37 | $352.98 | $247.09 | 2026-04-01 | MRF ↗ |
| ST JOSEPH MEMORIAL HOSPITAL Both | BLUE CROSS | BLUE CHOICE | $185.42 | $359.34 | $287.47 | 2026-03-04 | MRF ↗ |
| ST JOSEPH MEMORIAL HOSPITAL Both | BLUE CROSS | BLUE CROSS PLAN | $197.28 | $359.34 | $287.47 | 2026-03-04 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | FIRST HEALTH PLAN [6034] | PH AETNA | $200.49 | $352.98 | $247.09 | 2026-04-01 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | AETNA HEALTH PLAN [171] | PH AETNA | $200.49 | $352.98 | $247.09 | 2026-04-01 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | MAGELLAN BEHAVIORAL HLTH [136] | PH MAGELLAN BHS | $211.79 | $352.98 | $247.09 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | AETNA HEALTH PLAN [171] | NLFH AETNA NM EMPLOYEES | $214.53 | $1,292.32 | $904.62 | 2026-04-01 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | THE ALLIANCE [1703] | PH THE ALLIANCE | $226.72 | $352.98 | $247.09 | 2026-04-01 | MRF ↗ |
| ST JOSEPH MEMORIAL HOSPITAL Both | SANA BENEFITS | SANA BENEFITS | $233.57 | $359.34 | $287.47 | 2026-03-04 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | MULTIPLAN/PHCS [142] | PH MULTIPLAN/PHCS | $247.09 | $352.98 | $247.09 | 2026-04-01 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | FIRST HEALTH PLAN [6034] | PH FIRST HEALTH | $264.74 | $352.98 | $247.09 | 2026-04-01 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | COMPSYCH [112] | PH COMPSYCH | $264.74 | $352.98 | $247.09 | 2026-04-01 | MRF ↗ |
| ST JOSEPH MEMORIAL HOSPITAL Both | CIGNA | ALL PLANS | $269.51 | $359.34 | $287.47 | 2026-03-04 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | NLFH BCBS BLUECHOICE SELECT | $270.87 | $1,292.32 | $904.62 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | CIGNA HEALTH PLAN [178] | NLFH CIGNA ALTERNATIVE | $271.39 | $1,292.32 | $904.62 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | NLFH BCBS HMO | $273.84 | $1,292.32 | $904.62 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | ALTERNATE BLUE CROSS [1402] | NLFH BCBS HMO | $273.84 | $1,292.32 | $904.62 | 2026-04-01 | MRF ↗ |
| ST JOSEPH MEMORIAL HOSPITAL Both | HEALTHLINK PPO | ALL PLANS | $276.69 | $359.34 | $287.47 | 2026-03-04 | MRF ↗ |
| ST JOSEPH MEMORIAL HOSPITAL Both | HEALTHLINK HMO | ALL PLANS | $276.69 | $359.34 | $287.47 | 2026-03-04 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | CIGNA HEALTH PLAN [178] | PH CIGNA BEHAVIORAL BHS | $282.38 | $352.98 | $247.09 | 2026-04-01 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | BEECHSTREET [176] | PH BEECHSTREET | $282.38 | $352.98 | $247.09 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | NLFH BCBS BLUECHOICE PREFERRED | $284.44 | $1,292.32 | $904.62 | 2026-04-01 | MRF ↗ |
| ST JOSEPH MEMORIAL HOSPITAL Both | AETNA | ALL PLANS | $287.47 | $359.34 | $287.47 | 2026-03-04 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | HEALTH'S FINEST NETWORK [126] | PH HFN | $300.03 | $352.98 | $247.09 | 2026-04-01 | MRF ↗ |
| ST JOSEPH MEMORIAL HOSPITAL Both | UNITED HEALTHCARE | ALL PLANS | $300.05 | $359.34 | $287.47 | 2026-03-04 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | NLFH BCBS BLUECHOICE OPTIONS | $300.72 | $1,292.32 | $904.62 | 2026-04-01 | MRF ↗ |
| ST JOSEPH MEMORIAL HOSPITAL Both | MULTIPLAN/PHCS | ALL PLANS | $305.44 | $359.34 | $287.47 | 2026-03-04 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | NLFH BCBS PPO | $352.93 | $1,292.32 | $904.62 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | ALTERNATE BLUE CROSS [1402] | NLFH BCBS PPO | $352.93 | $1,292.32 | $904.62 | 2026-04-01 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | GLOBAL EXCEL [1712] | PH NON-CONTRACTED PAYORS | $352.98 | $352.98 | $247.09 | 2026-04-01 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | HEALTH ALLIANCE [181] | PH NON-CONTRACTED PAYORS | $352.98 | $352.98 | $247.09 | 2026-04-01 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | OPTUM/UNITED BEHAVIORAL HEALTH [157] | PH UBH BHS | — | $352.98 | $247.09 | 2026-04-01 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | ALTERNATE BLUE CROSS MEDICARE ADV [2304] | PH MEDICARE | — | $352.98 | $247.09 | 2026-04-01 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | GLOBAL EXCEL [1712] | PH MEDICARE | — | $352.98 | $247.09 | 2026-04-01 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | GALAXY HEALTH NETWORK [220] | PH NON-CONTRACTED PAYORS | $352.98 | $352.98 | $247.09 | 2026-04-01 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | HEALTHLINK [125] | PH NON-CONTRACTED PAYORS | $352.98 | $352.98 | $247.09 | 2026-04-01 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | CIGNA HEALTH PLAN [178] | PH NON-CONTRACTED PAYORS | $352.98 | $352.98 | $247.09 | 2026-04-01 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | AETNA HEALTH PLAN [171] | PH NON-CONTRACTED PAYORS | $352.98 | $352.98 | $247.09 | 2026-04-01 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | PH BCBS PAR/INDEMNITY ADP | $352.98 | $352.98 | $247.09 | 2026-04-01 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | MULTIPLAN/PHCS [142] | PH NON-CONTRACTED PAYORS | $352.98 | $352.98 | $247.09 | 2026-04-01 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | UNITED HEALTHCARE [158] | PH UHC NON-CONTRACTED OON - ED ONLY | $352.98 | $352.98 | $247.09 | 2026-04-01 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | UNITED HEALTHCARE [158] | PH NON-CONTRACTED PAYORS | $352.98 | $352.98 | $247.09 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | AETNA HEALTH PLAN [171] | NLFH AETNA | $555.70 | $1,292.32 | $904.62 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | NLFH BC LAKE COUNTY PHYS ASSOC IPA | $581.54 | $1,292.32 | $904.62 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | AETNA HEALTH PLAN [171] | NLFH AETNA ASA | $588.01 | $1,292.32 | $904.62 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | UNITED HEALTHCARE [158] | NLFH UHC CORE | $612.56 | $1,292.32 | $904.62 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | CIGNA HEALTH PLAN [178] | NLFH CIGNA BROAD | $628.07 | $1,292.32 | $904.62 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | HEALTHLINK [125] | NLFH SEIU HEALTHLINK | $646.16 | $1,292.32 | $904.62 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | UNITED HEALTHCARE [158] | NLFH UHC HMO/PPO | $681.05 | $1,292.32 | $904.62 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | HEALTH'S FINEST NETWORK [126] | NLFH HFN PLATINUM/CHC ELITE | $825.79 | $1,292.32 | $904.62 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | THE ALLIANCE [1703] | NLFH THE ALLIANCE | $830.06 | $1,292.32 | $904.62 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | BEECHSTREET [176] | NLFH PHCS | $1,033.86 | $1,292.32 | $904.62 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | MULTIPLAN/PHCS [142] | NLFH PHCS | $1,033.86 | $1,292.32 | $904.62 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | FIRST HEALTH PLAN [6034] | NLFH FIRST HEALTH | $1,059.70 | $1,292.32 | $904.62 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | HEALTH'S FINEST NETWORK [126] | NLFH HFN PPO | $1,163.09 | $1,292.32 | $904.62 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | UNITED HEALTHCARE [158] | NLFH UHC NON-CONTRACTED OON - ED ONLY | $1,292.32 | $1,292.32 | $904.62 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | NLFH BCBS PAR/INDEMNITY ADP | $1,292.32 | $1,292.32 | $904.62 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | MULTIPLAN/PHCS [142] | NLFH NON-CONTRACTED PAYORS | $1,292.32 | $1,292.32 | $904.62 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | ALTERNATE HUMANA MEDICARE ADV [2409] | NLFH HUMANA MEDICARE ADVT | — | $1,292.32 | $904.62 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | HUMANA HEALTH PLAN [130] | NLFH ADVOCATE IPA | — | $1,292.32 | $904.62 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | GLOBAL EXCEL [1712] | NLFH MEDICARE | — | $1,292.32 | $904.62 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | NLFH ADVOCATE IPA | — | $1,292.32 | $904.62 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | ALTERNATE BLUE CROSS MEDICARE ADV [2304] | NLFH BLUE CROSS MEDICARE ADVT | — | $1,292.32 | $904.62 | 2026-04-01 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | THE HEALTH PLAN [2915] | THE HEALTH PLAN [291500] | $26,017.80 | $126,300.00 | $37,890.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | UMR - ARDENT EMPLOYEE [2036] | UMR - ARDENT EMPLOYEE [203601] | $32,219.13 | $126,300.00 | $37,890.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | CORVEL CORP [2235] | CORVEL CORP [223500] | $36,753.30 | $126,300.00 | $37,890.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | ENABLECOMP [1350] | W/C WORK COMP ENABLECOMP [135000] | $37,498.47 | $126,300.00 | $37,890.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | WORKER'S COMP [2125] | CNA INSURANCE WC [2125100] | $37,498.47 | $126,300.00 | $37,890.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | ZELIS [2385] | NEW MEXICO MEDICAL INSURANCE POOL [238502] | $63,150.00 | $126,300.00 | $37,890.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | PRESBYTERIAN HEALTH PLAN [1830] | PRESBYTERIAN HIX [183001] | $63,150.00 | $126,300.00 | $37,890.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | BENEFIT MANAGEMENT [1175] | NEW MEXICO INSURANCE POOL [117501] | $63,150.00 | $126,300.00 | $37,890.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | MAGELLAN BEHAVIORAL COMMERCIAL [2895] | MAGELLAN BEHAVIORAL COMMERCIAL [289500] | $63,150.00 | $126,300.00 | $37,890.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | AETNA [1015] | AETNA ACO WILCO [101532] | $69,970.20 | $126,300.00 | $37,890.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | ADMINISTRATIVE CONCEPTS [1005] | ADMINISTRATIVE CONCEPTS [100502] | $113,670.00 | $126,300.00 | $37,890.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | NATIONAL TELEPHONE COOPERATIVE [1700] | NATIONAL TELEPHONE COOP ASSO [170000] | $113,670.00 | $126,300.00 | $37,890.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | EMBLEM HEALTH [2430] | EMBLEM HEALTH [243001] | $113,670.00 | $126,300.00 | $37,890.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | BOON-CHAPMAN [2375] | BOON-CHAPMAN [237501] | $113,670.00 | $126,300.00 | $37,890.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | AMERICAN MEDICAL SECURITY [2190] | AMERICAN MEDICAL SECURITY [219000] | $113,670.00 | $126,300.00 | $37,890.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | HEALTHCOST SOLUTIONS [2415] | HEALTHCOST SOLUTIONS [241501] | $113,670.00 | $126,300.00 | $37,890.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | EMPLOYEE BENEFIT MANAGEMENT SERVICES [2445] | EMPLOYEE BENEFIT MANAGEMENT SERVICES [244501] | $113,670.00 | $126,300.00 | $37,890.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | HEALTHSMART [1505] | HEALTHSMART PREFERRED CARE (HSPC) [150500] | $113,670.00 | $126,300.00 | $37,890.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | FIRST HEALTH [1375] | QUALCHOICE [137513] | $113,670.00 | $126,300.00 | $37,890.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | TRUSTMARK [2030] | STARMARK [203000] | $113,670.00 | $126,300.00 | $37,890.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | PAN AMERICAN LIFE INSURANCE CO [1770] | PAN AMERICAN LIFE [177000] | $113,670.00 | $126,300.00 | $37,890.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | UNITED HEALTHCARE [2060] | UNITED HEALTHCARE STUDENT SVC [206012] | $113,670.00 | $126,300.00 | $37,890.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | MUTUAL OF OMAHA [1685] | MUTUAL OF OMAHA [168500] | $113,670.00 | $126,300.00 | $37,890.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | MULTIPLAN [1680] | IHC HS [168011] | $113,670.00 | $126,300.00 | $37,890.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | KAISER PERMANENTE [1560] | KAISER FOUNDATION HEALTH PLAN [156001] | $113,670.00 | $126,300.00 | $37,890.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | HEALTHNET [1495] | HEALTHNET [149500] | $113,670.00 | $126,300.00 | $37,890.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | GEHA [1415] | GEHA [141500] | $113,670.00 | $126,300.00 | $37,890.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | FMH BENEFIT SERVICES [1390] | FMH [139000] | $113,670.00 | $126,300.00 | $37,890.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | COVENTRY HEALTHCARE [1320] | COVENTRY HEALTH CARE [132000] | $113,670.00 | $126,300.00 | $37,890.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | CORESOURCE [1315] | CORESOURCE [131500] | $113,670.00 | $126,300.00 | $37,890.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | ALLIED NATIONAL GLOBAL CARE [1035] | ALLIED NATIONAL [103500] | $113,670.00 | $126,300.00 | $37,890.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | ALLIED BENEFIT SYSTEMS INC [1030] | ALLIED BENEFIT SYSTEMS [103000] | $113,670.00 | $126,300.00 | $37,890.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | UMR [2035] | UMR OPTIONS [203501] | $113,670.00 | $126,300.00 | $37,890.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | PHCS [1780] | GROUP HEALTH COOPERATIVE SCW [178012] | $113,670.00 | $126,300.00 | $37,890.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | AETNA [1015] | COVENTRY HEALTHCARE [101502] | $113,670.00 | $126,300.00 | $37,890.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | UNITED HEALTHCARE [2060] | GOLDEN RULE [206003] | $113,670.00 | $126,300.00 | $37,890.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | UNITED HEALTHCARE [2060] | THE EMPIRE PLAN [206029] | $113,670.00 | $126,300.00 | $37,890.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | NORTHAMERICA ADMINISTRATORS [1725] | NORTHAMERICA ADMINISTRATORS [172500] | $113,670.00 | $126,300.00 | $37,890.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | HEALTHSMART [1505] | HEALTHSMART [150501] | $117,459.00 | $126,300.00 | $37,890.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | BCBS [1155] | BCBS TRAD/HMO/PPO/POS NM [115513] | $126,300.00 | $126,300.00 | $37,890.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | IHS HEALTH SERVICES [1535] | WITHDRAWAL STABILIZATION-CHICKASAW [153543] | $126,300.00 | $126,300.00 | $37,890.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | MOLINA MEDICAID [2255] | MOLINA MEDICAID NEW MEXICO [225500] | $126,300.00 | $126,300.00 | $37,890.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | MEDICARE [1635] | REHAB MEDICARE [163504] | $126,300.00 | $126,300.00 | $37,890.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | WORKER'S COMP [2125] | DEPARTMENT OF LABOR (WC) [212507] | $126,300.00 | $126,300.00 | $37,890.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | BCBS [1155] | BLUE CROSS BLUE COMMUNITY HMO OF NM [115528] | $126,300.00 | $126,300.00 | $37,890.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | UNITED HEALTHCARE MEDICARE REPLACEMENT [2065] | UHC MEDICARE ADVANTAGE [206511] | $126,300.00 | $126,300.00 | $37,890.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | MOLINA HEALTHCARE [1670] | MOLINA HEALTHCARE HIX [167001] | $126,300.00 | $126,300.00 | $37,890.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | UNITED HEALTHCARE CENTENNIAL CARE [2250] | UHC MEDICAID NEW MEXICO [225000] | $126,300.00 | $126,300.00 | $37,890.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | TOTAL COMMUNITY CARE [2245] | TOTAL COMM CARE MEDICARE REPL [224501] | $126,300.00 | $126,300.00 | $37,890.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | CHRISTUS HEALTH PLAN [2330] | CHRISTUS HP GENERATIONS HMO [233000] | $126,300.00 | $126,300.00 | $37,890.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | TRUE HEALTH NEW MEXICO [2810] | TRUE HEALTH NEW MEXICO [281000] | $126,300.00 | $126,300.00 | $37,890.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | BCBS IPA PAYOR [2945] | BCBS BEHAVIORAL HEALTH [294500] | $126,300.00 | $126,300.00 | $37,890.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | MULTIPLAN [1680] | HMA [168003] | $126,300.00 | $126,300.00 | $37,890.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | MOLINA MEDICARE REPLACEMENT [1675] | MOLINA MEDICARE ADVANTAGE [167500] | $126,300.00 | $126,300.00 | $37,890.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | MEDICARE [1635] | MEDICARE PART A AND B [163500] | $126,300.00 | $126,300.00 | $37,890.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | HEALTHSCOPE BENEFITS [2290] | HEALTHSCOPE BENEFITS [229000] | $126,300.00 | $126,300.00 | $37,890.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | VA CCN OPTUM [3920] | VA CCN OPTUM [392000] | $126,300.00 | $126,300.00 | $37,890.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | MAYO CLINIC HEALTH SOLUTIONS [2280] | MAYO CLINIC HEALTH SOLUTIONS [228000] | $126,300.00 | $126,300.00 | $37,890.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | MEDICARE [1635] | MEDICARE PART A ONLY [163502] | $126,300.00 | $126,300.00 | $37,890.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | PENDING SSI [1616] | PENDING SSI RCA [161601] | $126,300.00 | $126,300.00 | $37,890.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | TRIWEST [3750] | TRIWEST TWVACCN [375000] | $126,300.00 | $126,300.00 | $37,890.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | MEDICARE [1635] | MEDICARE PART B ONLY [163501] | $126,300.00 | $126,300.00 | $37,890.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | AETNA MEDICARE REPLACEMENT [1020] | AETNA COVENTRY MEDICARE REPLACEMENT [102002] | $126,300.00 | $126,300.00 | $37,890.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | BCBS [1155] | BLUE CROSS IMAGINE HEALTH OF NEW MEXICO [115527] | $126,300.00 | $126,300.00 | $37,890.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | BCBS [1155] | BLUE CROSS NLP NEW MEXICO [115529] | $126,300.00 | $126,300.00 | $37,890.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | BCBS MEDICAID [1165] | BLUE CROSS MEDICAID NEW MEXICO [116500] | $126,300.00 | $126,300.00 | $37,890.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | BCBS MEDICARE REPLACEMENT [1160] | BLUE CROSS MEDICARE ADVANTAGE OOS [116005] | $126,300.00 | $126,300.00 | $37,890.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | BLACK LUNG [6055] | BLACK LUNG [605500] | $126,300.00 | $126,300.00 | $37,890.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | CIGNA MEDICARE REPLACEMENT [1265] | CIGNA MEDICARE REPLACEMENT [126500] | $126,300.00 | $126,300.00 | $37,890.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | GROUP PENSION ADMIN [1450] | GPA-TLC [145007] | $126,300.00 | $126,300.00 | $37,890.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | HUMANA COMMERCIAL [2140] | HUMANA CHOICECARE [214003] | $126,300.00 | $126,300.00 | $37,890.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | HUMANA MEDICARE REPLACEMENT [1525] | HUMANA MEDICARE ADVANTAGE/PPO/GOLD [152503] | $126,300.00 | $126,300.00 | $37,890.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | LUCENT HEALTH [6000] | LUCENT HEALTH [600000] | $126,300.00 | $126,300.00 | $37,890.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | MANAGED MEDICARE [1600] | MANAGED MEDICARE OTHER [160000] | $126,300.00 | $126,300.00 | $37,890.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | PENDING COUNTY RCA [3910] | PENDING COUNTY RCA [391000] | $126,300.00 | $126,300.00 | $37,890.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | AMERIGROUP MEDICARE [1100] | WELLPOINT FKA AMERIGROUP MEDICARE [110000] | $126,300.00 | $126,300.00 | $37,890.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | CAPROCK HEALTH PLANS [1200] | CAPROCK HEALTH PLAN [120004] | $126,300.00 | $126,300.00 | $37,890.00 | 2025-04-05 | MRF ↗ |
| LOVELACE MEDICAL CENTER Outpatient | AETNA [1015] | AETNA SUPPLEMENT [101514] | $126,300.00 | $126,300.00 | $37,890.00 | 2025-04-05 | MRF ↗ |