SUP-64602 — Valve 26Mm Evolut Pro + Transcatheter Evproplus-26us
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Valve 26Mm Evolut Pro + Transcatheter Evproplus-26Us (CDM SUP-64602) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/SUP-64602?code_type=CDM
MLA (9th ed.)
“Valve 26Mm Evolut Pro + Transcatheter Evproplus-26Us (CDM SUP-64602) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/SUP-64602?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“Valve 26Mm Evolut Pro + Transcatheter Evproplus-26Us (CDM SUP-64602) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/SUP-64602?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $102,375–$136,500 (25th–75th percentile) across 2 hospitals · 32 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM SUP-64602 — 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 |
|---|---|---|---|---|---|---|---|
| THOMAS HOSPITAL Outpatient | FIRST HEALTH NETWORK [85081] | TH FIRST HEALTH COMMERCIAL | $42,997.50 | $136,500.00 | $136,500.00 | 2025-10-30 | MRF ↗ |
| THOMAS HOSPITAL Outpatient | FIRST HEALTH NETWORK [85081] | TH FIRST HEALTH COMMERCIAL | $42,997.50 | $136,500.00 | $136,500.00 | 2025-10-30 | MRF ↗ |
| THOMAS HOSPITAL Outpatient | FIRST HEALTH NETWORK [85081] | TH FIRST HEALTH COMMERCIAL | $42,997.50 | $136,500.00 | $136,500.00 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | AETNA COMMERCIAL [85189] | MI AETNA | $79,170.00 | $136,500.00 | $136,500.00 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | AETNA COMMERCIAL [85189] | MI AETNA | $79,170.00 | $136,500.00 | $136,500.00 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | AETNA COMMERCIAL [85189] | MI AETNA | $79,170.00 | $136,500.00 | $136,500.00 | 2025-10-30 | MRF ↗ |
| THOMAS HOSPITAL Outpatient | AETNA COMMERCIAL [85189] | TH AETNA | $81,900.00 | $136,500.00 | $136,500.00 | 2025-10-30 | MRF ↗ |
| THOMAS HOSPITAL Outpatient | AETNA COMMERCIAL [85189] | TH AETNA | $81,900.00 | $136,500.00 | $136,500.00 | 2025-10-30 | MRF ↗ |
| THOMAS HOSPITAL Outpatient | AETNA COMMERCIAL [85189] | TH AETNA | $81,900.00 | $136,500.00 | $136,500.00 | 2025-10-30 | MRF ↗ |
| THOMAS HOSPITAL Outpatient | VIVA COMMERCIAL [85130] | TH VIVA | $88,725.00 | $136,500.00 | $136,500.00 | 2025-10-30 | MRF ↗ |
| THOMAS HOSPITAL Outpatient | VIVA COMMERCIAL [85130] | TH VIVA | $88,725.00 | $136,500.00 | $136,500.00 | 2025-10-30 | MRF ↗ |
| THOMAS HOSPITAL Outpatient | VIVA COMMERCIAL [85130] | TH VIVA | $88,725.00 | $136,500.00 | $136,500.00 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | VIVA COMMERCIAL [85130] | MI VIVA | $95,550.00 | $136,500.00 | $136,500.00 | 2025-10-30 | MRF ↗ |
| THOMAS HOSPITAL Outpatient | CIGNA COMMERCIAL [85040] | CIGNA | $95,550.00 | $136,500.00 | $136,500.00 | 2025-10-30 | MRF ↗ |
| THOMAS HOSPITAL Outpatient | HUMANA COMMERCIAL [85368] | TH HUMANA | $95,550.00 | $136,500.00 | $136,500.00 | 2025-10-30 | MRF ↗ |
| THOMAS HOSPITAL Outpatient | CIGNA COMMERCIAL [85040] | CIGNA | $95,550.00 | $136,500.00 | $136,500.00 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | FIRST HEALTH NETWORK [85081] | MI FIRST HEALTH COMMERCIAL | $95,550.00 | $136,500.00 | $136,500.00 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | VIVA COMMERCIAL [85130] | MI VIVA | $95,550.00 | $136,500.00 | $136,500.00 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | HUMANA COMMERCIAL [85368] | MI HUMANA | $95,550.00 | $136,500.00 | $136,500.00 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | CIGNA COMMERCIAL [85040] | CIGNA | $95,550.00 | $136,500.00 | $136,500.00 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | HEALTH CHOICE [85751] | MI Health Choice | $95,550.00 | $136,500.00 | $136,500.00 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | CIGNA COMMERCIAL [85040] | CIGNA | $95,550.00 | $136,500.00 | $136,500.00 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | FIRST HEALTH NETWORK [85081] | MI FIRST HEALTH COMMERCIAL | $95,550.00 | $136,500.00 | $136,500.00 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | HEALTH CHOICE [85751] | MI Health Choice | $95,550.00 | $136,500.00 | $136,500.00 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | HUMANA COMMERCIAL [85368] | MI HUMANA | $95,550.00 | $136,500.00 | $136,500.00 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | VIVA COMMERCIAL [85130] | MI VIVA | $95,550.00 | $136,500.00 | $136,500.00 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | CIGNA COMMERCIAL [85040] | CIGNA | $95,550.00 | $136,500.00 | $136,500.00 | 2025-10-30 | MRF ↗ |
| THOMAS HOSPITAL Outpatient | HEALTH CHOICE [85751] | NB/TH HEALTH CHOICE | $95,550.00 | $136,500.00 | $136,500.00 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | FIRST HEALTH NETWORK [85081] | MI FIRST HEALTH COMMERCIAL | $95,550.00 | $136,500.00 | $136,500.00 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | HEALTH CHOICE [85751] | MI Health Choice | $95,550.00 | $136,500.00 | $136,500.00 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | HUMANA COMMERCIAL [85368] | MI HUMANA | $95,550.00 | $136,500.00 | $136,500.00 | 2025-10-30 | MRF ↗ |
| THOMAS HOSPITAL Outpatient | HEALTH CHOICE [85751] | NB/TH HEALTH CHOICE | $95,550.00 | $136,500.00 | $136,500.00 | 2025-10-30 | MRF ↗ |
| THOMAS HOSPITAL Outpatient | HUMANA COMMERCIAL [85368] | TH HUMANA | $95,550.00 | $136,500.00 | $136,500.00 | 2025-10-30 | MRF ↗ |
| THOMAS HOSPITAL Outpatient | CIGNA COMMERCIAL [85040] | CIGNA | $95,550.00 | $136,500.00 | $136,500.00 | 2025-10-30 | MRF ↗ |
| THOMAS HOSPITAL Outpatient | HEALTH CHOICE [85751] | NB/TH HEALTH CHOICE | $95,550.00 | $136,500.00 | $136,500.00 | 2025-10-30 | MRF ↗ |
| THOMAS HOSPITAL Outpatient | HUMANA COMMERCIAL [85368] | TH HUMANA | $95,550.00 | $136,500.00 | $136,500.00 | 2025-10-30 | MRF ↗ |
| THOMAS HOSPITAL Outpatient | GENERIC HOME HEALTH [85997] | BAY POINTE EAST POINTE ALTAPOINTE | $102,375.00 | $136,500.00 | $136,500.00 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | GENERIC HOME HEALTH [85997] | BAY POINTE EAST POINTE ALTAPOINTE | $102,375.00 | $136,500.00 | $136,500.00 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | GENERIC HOME HEALTH [85997] | BAY POINTE EAST POINTE ALTAPOINTE | $102,375.00 | $136,500.00 | $136,500.00 | 2025-10-30 | MRF ↗ |
| THOMAS HOSPITAL Outpatient | GENERIC HOME HEALTH [85997] | BAY POINTE EAST POINTE ALTAPOINTE | $102,375.00 | $136,500.00 | $136,500.00 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | GENERIC HOME HEALTH [85997] | BAY POINTE EAST POINTE ALTAPOINTE | $102,375.00 | $136,500.00 | $136,500.00 | 2025-10-30 | MRF ↗ |
| THOMAS HOSPITAL Outpatient | GENERIC HOME HEALTH [85997] | BAY POINTE EAST POINTE ALTAPOINTE | $102,375.00 | $136,500.00 | $136,500.00 | 2025-10-30 | MRF ↗ |
| THOMAS HOSPITAL Outpatient | GENERIC COMMERCIAL [85995] | TH Private Healthcare Systems (PHCS) | $109,200.00 | $136,500.00 | $136,500.00 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | MULTIPLAN NETWORK [85552] | MI MULTI PLAN | $109,200.00 | $136,500.00 | $136,500.00 | 2025-10-30 | MRF ↗ |
| THOMAS HOSPITAL Outpatient | GENERIC COMMERCIAL [85995] | TH Private Healthcare Systems (PHCS) | $109,200.00 | $136,500.00 | $136,500.00 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | MULTIPLAN NETWORK [85552] | MI MULTI PLAN | $109,200.00 | $136,500.00 | $136,500.00 | 2025-10-30 | MRF ↗ |
| THOMAS HOSPITAL Outpatient | GENERIC COMMERCIAL [85995] | TH Private Healthcare Systems (PHCS) | $109,200.00 | $136,500.00 | $136,500.00 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | MULTIPLAN NETWORK [85552] | MI MULTI PLAN | $109,200.00 | $136,500.00 | $136,500.00 | 2025-10-30 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Inpatient | GENERIC HOSPICE [85998] | ALABAMA HOSPICE CARE HB [8599801] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Inpatient | GENERIC WORKERS' COMP [85992] | WC DEPARTMENT OF LABOR HB [8599209] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | GILSBAR INC [85198] | GILSBAR INC. HB [8519801] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Inpatient | GILSBAR INC [85198] | GILSBAR INC. HB [8519801] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | GLOBAL EXCEL MANAGEMENT [85585] | GLOBAL EXCEL MANAGEMENT HB [8558501] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Inpatient | GLOBAL EXCEL MANAGEMENT [85585] | GLOBAL EXCEL MANAGEMENT HB [8558501] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | HEALTH CHOICE [85751] | GENERIC HEALTH CHOICE HB [8575101] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Inpatient | HEALTH CHOICE [85751] | GENERIC HEALTH CHOICE HB [8575101] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Inpatient | HEALTHGRAM [85529] | HEALTHGRAM HB [8552901] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | HEALTHGRAM [85529] | HEALTHGRAM HB [8552901] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | HUMANA COMMERCIAL [85368] | HUMANA COMMERCIAL HB [8536801] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | HUMANA COMMERCIAL [85368] | HUMANA COMMERCIAL NATIONAL POINT OF SERVICE (NPOS) HB [8536802] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Inpatient | HUMANA COMMERCIAL [85368] | HUMANA COMMERCIAL NATIONAL POINT OF SERVICE (NPOS) HB [8536802] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Inpatient | HUMANA COMMERCIAL [85368] | HUMANA COMMERCIAL HB [8536801] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | MAIL HANDLERS [85221] | MAIL HANDLERS HB [8522101] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Inpatient | MAIL HANDLERS [85221] | MAIL HANDLERS HB [8522101] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | MASTERS MATES AND PILOTS [85544] | MASTERS MATES AND PILOTS HB [8554401] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Inpatient | MASTERS MATES AND PILOTS [85544] | MASTERS MATES AND PILOTS HB [8554401] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Inpatient | MERITAIN HEALTH [85229] | MERITAIN HEALTH HB [8522901] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | MERITAIN HEALTH [85229] | MERITAIN HEALTH HB [8522901] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Inpatient | MPCN [85753] | GENERIC MS PHYSICIANS CARE NETWORK HB [8575301] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | MULTIPLAN NETWORK [85552] | MULTIPLAN GENERIC HB [8555201] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Inpatient | MULTIPLAN NETWORK [85552] | MULTIPLAN GENERIC HB [8555201] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Inpatient | NALC HEALTH BENEFIT PLAN [85230] | NALC HEALTH BENEFIT PLAN HB [8523001] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | NALC HEALTH BENEFIT PLAN [85230] | NALC HEALTH BENEFIT PLAN HB [8523001] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Inpatient | OTHER ARRANGED [85999] | BAY POINTE ALTAPOINTE HB [8599910] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Inpatient | OTHER ARRANGED [85999] | ARRANGED EAST POINTE [8599958] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | OTHER ARRANGED [85999] | BAY POINTE ALTAPOINTE HB [8599910] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | OTHER ARRANGED [85999] | ARRANGED EAST POINTE [8599958] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Inpatient | PHCS NETWORK [85240] | PHCS GENERIC HB [8524003] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | PHCS NETWORK [85240] | MEDI SHARE PHCS HB [8524002] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Inpatient | PHCS NETWORK [85240] | MEDI SHARE PHCS HB [8524002] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | PHCS NETWORK [85240] | PHCS GENERIC HB [8524003] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | SENIOR BOWL [85755] | GENERIC SENIOR BOWL PLAYERS HB [8575501] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Inpatient | SENIOR BOWL [85755] | GENERIC SENIOR BOWL PLAYERS HB [8575501] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICARE ADVANTAGE [85098] | ZZ UBH MED ADVANTAGE DUAL HB [8509801] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICARE ADVANTAGE [85098] | ZZZ UHC STUDENT RESOURCES HB [8509806] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICARE ADVANTAGE [85098] | UBH MED ADVANTAGE HB [8509812] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICARE ADVANTAGE [85098] | UHC MED ADVANTAGE HB [8509804] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICARE ADVANTAGE [85098] | ZZ UHC MED ADVANTAGE DUAL HB [8509803] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICARE ADVANTAGE VACCINE [85099] | UBH MED ADVANTAGE DUAL HB VACCINE [8509901] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Inpatient | UNITED HEALTHCARE COMMERCIAL [85097] | UHC COMMERICIAL EXCHANGE HB [8509716] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICARE ADVANTAGE VACCINE [85099] | UHC STUDENT RESOURCES HB VACCINE [8509904] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICARE ADVANTAGE VACCINE [85099] | UBH MED ADVANTAGE NON DUAL HB VACCINE [8509905] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Inpatient | VIVA MEDICARE ADVANTAGE [85132] | VIVA MED ADVANTAGE HB [8513201] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Inpatient | VIVA MEDICARE ADVANTAGE [85132] | ZZ VIVA MED ADVANTAGE NON DUAL HB [8513202] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Inpatient | VIVA MEDICARE ADVANTAGE VACCINE [85133] | VIVA MED ADVANTAGE DUAL HB VACCINE [8513301] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Inpatient | VIVA MEDICARE ADVANTAGE VACCINE [85133] | VIVA MED ADVANTAGE NON DUAL HB VACCINE [8513302] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICARE ADVANTAGE VACCINE [85099] | UHC MED ADVANTAGE NON DUAL HB VACCINE [8509903] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Inpatient | CIGNA HEALTHSPRING MEDICARE ADVANTAGE VACCINE [85204] | CIGNA HEALTHSPRING NON DUAL HB VACCINE [8520402] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Inpatient | CIGNA HEALTHSPRING MEDICARE ADVANTAGE VACCINE [85204] | CIGNA HEALTHSPR PSYCH MA NON DUAL HB VAX [8520404] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Inpatient | CIGNA HEALTHSPRING MEDICARE ADVANTAGE VACCINE [85204] | CIGNA HEALTHSPRING DUAL HB VACCINE [8520401] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Inpatient | CIGNA HEALTHSPRING MEDICARE ADVANTAGE VACCINE [85204] | CIGNA HEALTHSPRING PSYCH MA DUAL HB VAX [8520403] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Inpatient | CIGNA HEALTHSPRING MEDICARE ADVANTAGE [85203] | ZZ CIGNA HEALTHSPRING DUAL HB [8520301] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Inpatient | CIGNA HEALTHSPRING MEDICARE ADVANTAGE [85203] | ZZ CIGNA HEALTHSPRING PSYCH MED ADV HB [8520303] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Inpatient | CIGNA HEALTHSPRING MEDICARE ADVANTAGE [85203] | CIGNA HEALTHSPRING PSYCH MED ADV HB [8520304] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICARE ADVANTAGE VACCINE [85099] | UHC MED ADVANTAGE DUAL HB VACCINE [8509902] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | CIGNA COMMERCIAL [85040] | CIGNA HEALTHCARE HB [8504002] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | CIGNA COMMERCIAL [85040] | CIGNA INTERNATIONAL HB [8504007] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Inpatient | CIGNA COMMERCIAL [85040] | CIGNA INTERNATIONAL HB [8504007] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | CIGNA COMMERCIAL [85040] | CIGNA HEALTHCARE GENERIC HB [8504003] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Inpatient | CIGNA COMMERCIAL [85040] | CIGNA HEALTHCARE GENERIC HB [8504003] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Inpatient | CIGNA COMMERCIAL [85040] | CIGNA HEALTHCARE HB [8504002] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Inpatient | AETNA COMMERCIAL [85189] | AMERICAN CONTINENTAL MEDICARE SUPPLEMENT HB [8518904] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | AETNA COMMERCIAL [85189] | REPRICER TRIAL AETNA [9999999] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | AETNA COMMERCIAL [85189] | POST AETNA HB [8518905] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | AETNA COMMERCIAL [85189] | AETNA COMMERCIAL GENERIC HB [8518902] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Inpatient | AETNA COMMERCIAL [85189] | AETNA COMMERCIAL HB [8518901] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Inpatient | AETNA COMMERCIAL [85189] | POST AETNA HB [8518905] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Inpatient | AETNA COMMERCIAL [85189] | REPRICER TRIAL AETNA [9999999] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Inpatient | AETNA COMMERCIAL [85189] | AETNA MEDICARE SUPPLEMENT HB [8518903] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | AETNA COMMERCIAL [85189] | AETNA COMMERCIAL HB [8518901] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Inpatient | AETNA COMMERCIAL [85189] | AETNA COMMERCIAL GENERIC HB [8518902] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | AETNA COMMERCIAL [85189] | AETNA MEDICARE SUPPLEMENT HB [8518903] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Inpatient | AMERICAN POSTAL WORKERS UNION [85161] | AMERICAN POSTAL WORKERS UNION HB [8516101] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | AMERICAN POSTAL WORKERS UNION [85161] | AMERICAN POSTAL WORKERS UNION HB [8516101] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Inpatient | BLUE ADVANTAGE [85293] | BLUE ADVANTAGE OUT OF STATE HB [8529302] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Inpatient | BLUE ADVANTAGE [85293] | BLUE ADVANTAGE HB [8529301] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Inpatient | BLUE ADVANTAGE VACCINE [85295] | BLUE ADVANTAGE OUT OF STATE HB VACCINE [8592502] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Inpatient | BLUE ADVANTAGE VACCINE [85295] | BLUE ADVANTAGE HB VACCINE [8529501] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Inpatient | BLUE CROSS [85294] | BLUE CROSS FEDERAL HB [8529402] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Inpatient | CORESOURCE [85513] | CORESOURCE HUMANA HB [8551303] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | CORESOURCE [85513] | CORESOURCE UNITED HEALTHCARE HB [8551304] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Inpatient | CORESOURCE [85513] | CORESOURCE UNITED HEALTHCARE HB [8551304] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | CORESOURCE [85513] | CORESOURCE HUMANA HB [8551303] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | CORESOURCE [85513] | CORESOURCE COMMERCIAL HB [8551302] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Inpatient | CORESOURCE [85513] | CORESOURCE COMMERCIAL HB [8551302] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Inpatient | FIRST HEALTH NETWORK [85081] | FIRST HEALTH NETWORK GENERIC HB [8508102] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Inpatient | FIRST HEALTH NETWORK [85081] | FIRST HEALTH NETWORK HB [8508101] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | FIRST HEALTH NETWORK [85081] | FIRST HEALTH NETWORK HB [8508101] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | FIRST HEALTH NETWORK [85081] | FIRST HEALTH NETWORK GENERIC HB [8508102] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Inpatient | GENERIC COMMERCIAL [85995] | POST MS PHYSICIANS CARE (MPCN) [8599511] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Outpatient | GENERIC HOME HEALTH [85997] | EAST POINTE HB [8599703] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Inpatient | GENERIC HOME HEALTH [85997] | EAST POINTE HB [8599703] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Inpatient | GENERIC HOSPICE [85998] | COMMUNITY HOSPICE HB [8599803] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Inpatient | GENERIC HOSPICE [85998] | KINDRED HOSPICE HB [8599805] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Inpatient | GENERIC HOSPICE [85998] | SAAD'S HOSPICE HB [8599810] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Inpatient | GENERIC HOSPICE [85998] | SPRINGHILL HOSPICE-MOBILE HB [8599806] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Inpatient | GENERIC HOSPICE [85998] | ST JOSEPH'S HOSPICE HB [8599812] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Inpatient | GENERIC HOSPICE [85998] | HOMETOWN HOSPICE HB [8599804] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Inpatient | GENERIC HOSPICE [85998] | COVENANT HOSPICE HB [8599809] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Inpatient | GENERIC HOSPICE [85998] | ASERA CARE HOSPICE HB [8599802] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Inpatient | GENERIC HOSPICE [85998] | HOSPICE GENERIC HB [8599813] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |
| MOBILE INFIRMARY MEDICAL CENTER Inpatient | GENERIC HOSPICE [85998] | SPRINGHILL HOSPICE- BALDWIN HB [8599807] | $136,500.00 | $136,500.00 | $136,500.00 | 2024-10-16 | MRF ↗ |