37267 — Revsc Evsc Fpvt Stent Sf 1st
Cite this view
HANK Price Transparency. (n.d.). Revsc evsc fpvt stent sf 1st (CPT 37267) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/37267?code_type=CPT
“Revsc evsc fpvt stent sf 1st (CPT 37267) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/37267?code_type=CPT. Accessed .
“Revsc evsc fpvt stent sf 1st (CPT 37267) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/37267?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $11,075–$22,867 (25th–75th percentile) across 684 hospitals · 2,228 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 37267 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
What the whole episode might cost
Your hospital facility price plus the separately-billed professional fees a complete episode adds. The facility figure is an actual negotiated rate from our data; the surgeon and anesthesia figures are estimates from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
The middle 50% of negotiated facility rates for this procedure, measured across 684 hospitals. Surgeon & anesthesia fees are modeled estimates added on top.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $14,527 |
| Surgeon (professional fee) Estimate national typical Medicare PFS $401 × 1.22 commercial. | $490 |
| Likely subtotal | $15,017 |
Your recovery plan — adjust to what your surgeon told you
After surgery, recovery care is billed separately. We pre-fill the typical plan; change it to your situation.
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
- Surgeon (professional fee) (estimate)
- rvu_version: RVU26A (updated 2025-12-29) · gpci: National (unadjusted, GPCI = 1.000) · cf_rule: CMS-1832-F ($33.40) · multiplier_source: HCCI 2017 national
Estimates use CMS Medicare Physician Fee Schedule reference data (RVU × GPCI × conversion factor; anesthesia base+time × CF) scaled by a sourced commercial multiplier, weighted by how often each component is billed. See the methodology. Your real total appears on your insurer’s Explanation of Benefits (EOB).
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 |
|---|---|---|---|---|---|---|---|
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Professional Benefits Administrator | Ppo | — | $2.25 | $0.79 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Joliet | Hmo | — | $2.25 | $0.79 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Union Medical | Hmo | — | $2.25 | $0.79 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Blue Cross Blue Shield | Ppo | — | $2.25 | $0.79 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Multiplan | Ppo | — | $2.25 | $0.79 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Health Alliance | Commercial | — | $2.25 | $0.79 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Health Alliance | Public Exchange | — | $2.25 | $0.79 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Blue Cross Blue Shield | Blue Choice | — | $2.25 | $0.79 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Cigna | Local Plus | — | $2.25 | $0.79 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Cigna | Hmo, Ppo, Pos | — | $2.25 | $0.79 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Blue Cross Blue Shield | Hmo Illinois | — | $2.25 | $0.79 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Aetna | Commercial | — | $2.25 | $0.79 | 2026-05-08 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Both | Blue Cross Blue Shield | Blue Precision Hmo | — | $2.25 | $0.79 | 2026-05-08 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | WELLPOINT [1007] | BELOW FPIL WELLPOINT CHIP PERINATE [100708] | $5.43 | $193,113.02 | $77,245.21 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | WELLPOINT [1007] | ABOVE FPIL WELLPOINT CHIP PERINATE [100709] | $5.43 | $193,113.02 | $77,245.21 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | WELLPOINT [1007] | BELOW FPIL WELLPOINT CHIP PERINATE [100708] | $5.43 | $193,113.02 | $77,245.21 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | WELLPOINT [1007] | ABOVE FPIL WELLPOINT CHIP PERINATE [100709] | $5.43 | $193,113.02 | $77,245.21 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | WELLPOINT [1007] | ABOVE FPIL WELLPOINT CHIP PERINATE [100709] | $5.43 | $193,113.02 | $77,245.21 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | WELLPOINT [1007] | BELOW FPIL WELLPOINT CHIP PERINATE [100708] | $5.43 | $193,113.02 | $77,245.21 | 2026-03-31 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | BCBS MEDICAID CONTRACTED [320046] | HB SPRG KANCARE HEALTHY BLUE MEDICAID | $8.30 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | BCBS MEDICAID CONTRACTED [320046] | HB SPRG KANCARE HEALTHY BLUE MEDICAID | $8.30 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | HUMANA MEDICAID CONTRACTED [320486] | HB SPRG OK MEDICAID | $8.82 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | OKLAHOMA COMPLETE HEALTH MEDICAID CONTRACTED [320485] | HB SPRG OK MEDICAID | $8.82 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | MEDICAID [20240] | HB SPRG OK MEDICAID | $8.82 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB SPRG OK MEDICAID | $8.82 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | HUMANA MEDICAID CONTRACTED [320486] | HB SPRG OK MEDICAID | $8.82 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | MEDICAID [20240] | HB SPRG OK MEDICAID | $8.82 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB SPRG OK MEDICAID | $8.82 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | OKLAHOMA COMPLETE HEALTH MEDICAID CONTRACTED [320485] | HB SPRG OK MEDICAID | $8.82 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB SPRG MEDICARE | $9.58 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB SPRG MEDICARE | $9.58 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | INDIAN HEALTH SERVICE CONTRACTED [320198] | HB WASH MEDICARE AND 100% MANAGED MEDICARE | $80.51 | $50,836.43 | $33,043.68 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB WASH MEDICARE AND 100% MANAGED MEDICARE | $80.51 | $50,836.43 | $33,043.68 | 2026-03-12 | MRF ↗ |
| OROVILLE HOSPITAL Outpatient | Anthem BlueCross | Commercial | $89.00 | $331.00 | $166.00 | 2025-10-29 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | MEDICAID [20240] | HB SPRG MO MEDICAID | $109.89 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | MEDICAID [20240] | HB SPRG MO MEDICAID | $109.89 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | MO MEDICAID BH CARVE OUT [320315] | HB SPRG MO MEDICAID | $109.89 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | MO MEDICAID BH CARVE OUT [320315] | HB SPRG MO MEDICAID | $109.89 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | KINDFUL HOSPICE [20434] | HB SPRG MEDICARE | $114.53 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | BCBS MEDICARE ADVANTAGE CONTRACTED [320047] | HB SPRG MEDICARE | $114.53 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | HALO HCR INC HOSPICE [20432] | HB SPRG MEDICARE | $114.53 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | KINDFUL HOSPICE CONTRACTED [320434] | HB SPRG MEDICARE | $114.53 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | DEPT OF VETERAN AFFAIRS CONTRACTED [320106] | HB SPRG MEDICARE | $114.53 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | GLOBALHEALTH CONTRACTED [320145] | HB SPRG MEDICARE | $114.53 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | INDIAN HEALTH SERVICE [20198] | HB SPRG MEDICARE | $114.53 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | MEDICARE [20244] | HB SPRG MEDICARE | $114.53 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | CROSS TIMBERS HOSPICE [20098] | HB SPRG MEDICARE | $114.53 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | MERCY MGD BEHAVIORAL HEALTH CONTRACTED [320259] | HB SPRG MEDICARE | $114.53 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | INDIAN HEALTH SERVICE CONTRACTED [320198] | HB SPRG MEDICARE | $114.53 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB SPRG MEDICARE | $114.53 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB SPRG UHC ALL PAYER | — | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | CHAMPVA [20065] | HB SPRG MEDICARE | $114.53 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | MEDICA MEDICARE ADVANTAGE CONTRACTED [320477] | HB SPRG MEDICARE | $114.53 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | OPTUM HEALTH BEHAVIORAL SOLUTIONS [520250] | HB SPRG UHC ALL PAYER | — | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | MERCY REHAB HOSPITAL CONTRACTED [320260] | HB SPRG MEDICARE | $114.53 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | UNITED HEALTHCARE MEDICARE ADVANTAGE CONTRACTED [320398] | HB SPRG UHC MCR 100% | $114.53 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | PROMINENCE HEALTH PLAN MEDICARE ADVANTAGE CONTRACTED [320496] | HB SPRG MEDICARE | $114.53 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | INDIAN HEALTH SERVICE [20198] | HB SPRG MEDICARE | $114.53 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | ESSENCE HEALTHCARE MEDICARE CONTRACTED [320122] | HB SPRG MEDICARE | $114.53 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | CHEROKEE NATION HEALTH SERV CONTRACTED [320066] | HB SPRG MEDICARE | $114.53 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | AETNA MEDICARE ADVANTAGE CONTRACTED [320010] | HB SPRG MEDICARE | $114.53 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | ELARA CARING ASPIRE HOSPICE [20433] | HB SPRG MEDICARE | $114.53 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | CHEROKEE NATION HEALTH SERV CONTRACTED [320066] | HB SPRG MEDICARE | $114.53 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | QUAL CHOICE CONTRACTED [320325] | HB SPRG MEDICARE | $114.53 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB SPRG UHC ALL PAYER | — | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | ESSENCE HEALTHCARE MEDICARE CONTRACTED [320122] | HB SPRG MEDICARE | $114.53 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | TRICARE CONTRACTED [320380] | HB SPRG TRICARE | $114.53 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | HUMANA MEDICARE ADVANTAGE [20194] | HB SPRG HUMANA MEDICARE 100% | $114.53 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | MEDICA MEDICARE ADVANTAGE CONTRACTED [320477] | HB SPRG MEDICARE | $114.53 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | CROSS TIMBERS HOSPICE [20098] | HB SPRG MEDICARE | $114.53 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | OPTUM HEALTH BEHAVIORAL SOLUTIONS [520250] | HB SPRG UHC ALL PAYER | — | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | PACE OF THE OZARKS CONTRACTED [320518] | HB SPRG MEDICARE | $114.53 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | UNITED MEDICAL RESOURCES CONTRACTED [320454] | HB SPRG UHC ALL PAYER | — | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | MERCY MGD BEHAVIORAL HEALTH CONTRACTED [320259] | HB SPRG MEDICARE | $114.53 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | CENTURION OF MISSOURI [20459] | HB SPRG MEDICARE | $114.53 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | CENTURION OF MISSOURI [20459] | HB SPRG MEDICARE | $114.53 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | HALO HCR INC HOSPICE CONTRACTED [320432] | HB SPRG MEDICARE | $114.53 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | LONGEVITY HEALTH PLAN MEDICARE CONTRACTED [320225] | HB SPRG MEDICARE | $114.53 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | MERCY HOSPICE OKC [20252] | HB SPRG MEDICARE | $114.53 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | HALO HCR INC HOSPICE [20432] | HB SPRG MEDICARE | $114.53 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | CHAMPVA [20065] | HB SPRG MEDICARE | $114.53 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB SPRG MEDICARE | $114.53 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | ELARA CARING ASPIRE HOSPICE [20433] | HB SPRG MEDICARE | $114.53 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | KINDFUL HOSPICE [20434] | HB SPRG MEDICARE | $114.53 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | CIGNA MEDICARE ADVANTAGE CONTRACTED [320072] | HB SPRG MEDICARE | $114.53 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | HUMANA MEDICARE ADVANTAGE CONTRACTED [320194] | HB SPRG HUMANA MEDICARE 100% | $114.53 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | HALO HCR INC HOSPICE CONTRACTED [320432] | HB SPRG MEDICARE | $114.53 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB SPRG UHC INDIVIDUAL EXCHANGE | — | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | AETNA MEDICARE ADVANTAGE [20010] | HB SPRG MEDICARE | $114.53 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB SPRG UHC OPTIONS PPO | — | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | PROMINENCE HEALTH PLAN MEDICARE ADVANTAGE CONTRACTED [320496] | HB SPRG MEDICARE | $114.53 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | UNITED MEDICAL RESOURCES CONTRACTED [320454] | HB SPRG UHC ALL PAYER | — | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | MERCY REHAB HOSPITAL CONTRACTED [320260] | HB SPRG MEDICARE | $114.53 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | GLOBALHEALTH CONTRACTED [320145] | HB SPRG MEDICARE | $114.53 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | CIGNA MEDICARE ADVANTAGE CONTRACTED [320072] | HB SPRG MEDICARE | $114.53 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | MEDICARE [20244] | HB SPRG MEDICARE | $114.53 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | DEPT OF VETERAN AFFAIRS CONTRACTED [320106] | HB SPRG MEDICARE | $114.53 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | AETNA MEDICARE ADVANTAGE CONTRACTED [320010] | HB SPRG MEDICARE | $114.53 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | AETNA MEDICARE ADVANTAGE [20010] | HB SPRG MEDICARE | $114.53 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | KINDFUL HOSPICE CONTRACTED [320434] | HB SPRG MEDICARE | $114.53 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | MERCY HOSPICE OKC [20252] | HB SPRG MEDICARE | $114.53 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | HUMANA MEDICARE ADVANTAGE CONTRACTED [320194] | HB SPRG HUMANA MEDICARE 100% | $114.53 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | QUAL CHOICE CONTRACTED [320325] | HB SPRG MEDICARE | $114.53 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | UNITED HEALTHCARE MEDICARE ADVANTAGE CONTRACTED [320398] | HB SPRG UHC MCR 100% | $114.53 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB SPRG UHC OPTIONS PPO | — | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | PACE OF THE OZARKS CONTRACTED [320518] | HB SPRG MEDICARE | $114.53 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | TRICARE CONTRACTED [320380] | HB SPRG TRICARE | $114.53 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | LONGEVITY HEALTH PLAN MEDICARE CONTRACTED [320225] | HB SPRG MEDICARE | $114.53 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB SPRG UHC INDIVIDUAL EXCHANGE | — | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | HUMANA MEDICARE ADVANTAGE [20194] | HB SPRG HUMANA MEDICARE 100% | $114.53 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | BCBS MEDICARE ADVANTAGE CONTRACTED [320047] | HB SPRG MEDICARE | $114.53 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | INDIAN HEALTH SERVICE CONTRACTED [320198] | HB SPRG MEDICARE | $114.53 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| OROVILLE HOSPITAL Outpatient | Butte County | Commercial | $115.00 | $331.00 | $166.00 | 2025-10-29 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | WELLCARE MEDICARE ADVANTAGE CONTRACTED [320421] | HB SPRG & LEBN WELLCARE MCR 103% | $118.03 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | WELLCARE MEDICARE ADVANTAGE CONTRACTED [320421] | HB SPRG & LEBN WELLCARE MCR 103% | $118.03 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | DEVOTED HEALTH MEDICARE CONTRACTED [320500] | HB SPRG DEVOTED HEALTH MEDICARE ADVANTAGE 104% W/SEQ | $119.20 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | DEVOTED HEALTH MEDICARE CONTRACTED [320500] | HB SPRG DEVOTED HEALTH MEDICARE ADVANTAGE 104% W/SEQ | $119.20 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | NHC ADVANTAGE MEDICARE CONTRACTED [320282] | HB SPRG NHC ADVANTAGE MCR 105% | $120.37 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | NHC ADVANTAGE MEDICARE CONTRACTED [320282] | HB SPRG NHC ADVANTAGE MCR 105% | $120.37 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | PROVIDER PARTNERS HEALTH PLANS CONTRACTED [320450] | HB SPRG PROVIDER PARTNERS PPHP 110% MCR | $126.21 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | PROVIDER PARTNERS HEALTH PLANS CONTRACTED [320450] | HB SPRG PROVIDER PARTNERS PPHP 110% MCR | $126.21 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| SARATOGA HOSPITAL OutpatientFacility | MVP Commercial | Individual_Student_CIGNA Health Plans | $127.00 | $36,026.08 | $18,013.04 | 2025-12-31 | MRF ↗ |
| SARATOGA HOSPITAL OutpatientFacility | MVP Commercial | Individual_Student_CIGNA Health Plans | $127.00 | $36,026.08 | $18,013.04 | 2025-12-31 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | HEALTHSCOPE CONTRACTED [320182] | HB SPRG DEC ORSCHELN 125% MCR | $145.94 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | HEALTHSCOPE CONTRACTED [320182] | HB SPRG DEC ORSCHELN 125% MCR | $145.94 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | HOME STATE MEDICAID [520247] | HB SPRG HOME STATE HEALTH PLAN | $164.84 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | HOME STATE MEDICAID CONTRACTED [320189] | HB SPRG HOME STATE HEALTH PLAN | $164.84 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | HOME STATE MEDICAID CONTRACTED [320189] | HB SPRG HOME STATE HEALTH PLAN | $164.84 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | HOME STATE MEDICAID [520247] | HB SPRG HOME STATE HEALTH PLAN | $164.84 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | HOME STATE MEDICAID [20189] | HB SPRG HOME STATE HEALTH PLAN | $164.84 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | HOME STATE MEDICAID [20189] | HB SPRG HOME STATE HEALTH PLAN | $164.84 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | BCBS MEDICAID CONTRACTED [320046] | HB SPRG MISSOURI CARE PLAN/HEALTHY BLUE | $181.32 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | BCBS MEDICAID [20046] | HB SPRG MISSOURI CARE PLAN/HEALTHY BLUE | $181.32 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | BCBS MEDICAID CONTRACTED [320046] | HB SPRG MISSOURI CARE PLAN/HEALTHY BLUE | $181.32 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | BCBS MEDICAID [20046] | HB SPRG MISSOURI CARE PLAN/HEALTHY BLUE | $181.32 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | UNITED HEALTHCARE MEDICAID CONTRACTED [320397] | HB SPRG UHC MO MEDICAID | $186.81 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | UNITED HEALTHCARE MEDICAID CONTRACTED [320397] | HB SPRG UHC MO MEDICAID | $186.81 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | CENTIVO CONTRACTED [320505] | HB SPRG CENTIVO 165% MEDICARE | $192.64 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | CENTIVO CONTRACTED [320505] | HB SPRG CENTIVO 165% MEDICARE | $192.64 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| OROVILLE HOSPITAL Outpatient | MultiPlan | PPO | $265.00 | $331.00 | $166.00 | 2025-10-29 | MRF ↗ |
| OROVILLE HOSPITAL Outpatient | Health Net | Commercial | $265.00 | $331.00 | $166.00 | 2025-10-29 | MRF ↗ |
| OROVILLE HOSPITAL Outpatient | Coventry Health Care | Commercial | $265.00 | $331.00 | $166.00 | 2025-10-29 | MRF ↗ |
| OROVILLE HOSPITAL Outpatient | Cigna | HMO | $265.00 | $331.00 | $166.00 | 2025-10-29 | MRF ↗ |
| OROVILLE HOSPITAL Outpatient | United Healthcare | PPO | $281.00 | $331.00 | $166.00 | 2025-10-29 | MRF ↗ |
| OROVILLE HOSPITAL Outpatient | United Healthcare | POS | $281.00 | $331.00 | $166.00 | 2025-10-29 | MRF ↗ |
| OROVILLE HOSPITAL Outpatient | United Healthcare | EPO | $281.00 | $331.00 | $166.00 | 2025-10-29 | MRF ↗ |
| OROVILLE HOSPITAL Outpatient | United Healthcare | HMO | $281.00 | $331.00 | $166.00 | 2025-10-29 | MRF ↗ |
| OROVILLE HOSPITAL Outpatient | Interplan | Commercial | $281.00 | $331.00 | $166.00 | 2025-10-29 | MRF ↗ |
| OROVILLE HOSPITAL Outpatient | Three Rivers Provider Network | Commercial | $281.00 | $331.00 | $166.00 | 2025-10-29 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | MEDICAID [20240] | HB SPRG/JOPL ARK MEDICAID | $297.00 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | MEDICAID [20240] | HB SPRG/JOPL ARK MEDICAID | $297.00 | $39,676.21 | $25,789.54 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | SUMMIT COMMUNITY CARE [20368] | HB ROGR ARKANSAS MEDICAID | $297.00 | $16,640.00 | $10,816.00 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL OKLAHOMA CITY, INC OutpatientFacility | MEDICAID [20240] | HB OKLC ARK MEDICAID | $297.00 | $19,430.00 | $12,629.50 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | ARKANSAS DEPARTMENT OF HEALTH [20036] | HB ROGR ARKANSAS MEDICAID | $297.00 | $16,640.00 | $10,816.00 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | ARKANSAS DEPARTMENT OF HEALTH [20036] | HB FTSM ARK MEDICAID | $297.00 | $14,959.00 | $9,723.35 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | SUMMIT COMMUNITY CARE CONTRACTED [320368] | HB FTSM SUMMIT | $297.00 | $14,959.00 | $9,723.35 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | SUMMIT COMMUNITY CARE CONTRACTED [320368] | HB ROGR SUMMIT | $297.00 | $16,640.00 | $10,816.00 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | MEDICAID [20240] | HB SPRG/JOPL ARK MEDICAID | $297.00 | $21,654.00 | $14,075.10 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | ARKANSAS DEPARTMENT OF HEALTH [20036] | HB FTSM ARK MEDICAID | $297.00 | $14,959.00 | $9,723.35 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | SUMMIT COMMUNITY CARE CONTRACTED [320368] | HB FTSM SUMMIT | $297.00 | $14,959.00 | $9,723.35 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | MEDICAID [20240] | HB FTSM ARK MEDICAID | $297.00 | $14,959.00 | $9,723.35 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | MEDICAID [20240] | HB ROGR ARKANSAS MEDICAID | $297.00 | $16,640.00 | $10,816.00 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | SUMMIT COMMUNITY CARE [20368] | HB FTSM ARK MEDICAID | $297.00 | $14,959.00 | $9,723.35 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | SUMMIT COMMUNITY CARE [20368] | HB FTSM ARK MEDICAID | $297.00 | $14,959.00 | $9,723.35 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | MEDICAID [20240] | HB FTSM ARK MEDICAID | $297.00 | $14,959.00 | $9,723.35 | 2026-03-13 | MRF ↗ |
| OROVILLE HOSPITAL Outpatient | Beech Street | Commercial | $298.00 | $331.00 | $166.00 | 2025-10-29 | MRF ↗ |
| OROVILLE HOSPITAL Outpatient | HealthStar | Commercial | $298.00 | $331.00 | $166.00 | 2025-10-29 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | KAISER MEDICARE ADVANTAGE- AFTER 10/01/2021 [30506] | KAISER MEDICARE ADVANTAGE WASHINGTON [3050609] | $300.20 | $1,200.78 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | KAISER-AFTER 10/01/2021 [40006] | KAISER NORTHERN CA [4000601] | $300.20 | $1,200.78 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | KAISER-AFTER 10/01/2021 [40006] | KAISER SOUTHERN CA [4000602] | $300.20 | $1,200.78 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | KAISER MEDICARE ADVANTAGE- AFTER 10/01/2021 [30506] | KAISER MEDICARE ADVANTAGE SOUTHERN CA [3050602] | $300.20 | $1,200.78 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | KAISER MEDICARE ADVANTAGE- AFTER 10/01/2021 [30506] | KAISER MEDICARE ADV MID-ATLANTIC STATES [3050607] | $300.20 | $1,200.78 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | KAISER MEDICARE ADVANTAGE- AFTER 10/01/2021 [30506] | KAISER OUT OF AREA MEDICARE ADVANTAGE [3050603] | $300.20 | $1,200.78 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | KAISER MEDICARE ADVANTAGE- AFTER 10/01/2021 [30506] | KAISER MEDICARE ADVANTAGE NORTHERN CA [3050601] | $300.20 | $1,200.78 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | KAISER MEDICARE ADVANTAGE- AFTER 10/01/2021 [30506] | KAISER MEDICARE ADVANTAGE HAWAII [3050606] | $300.20 | $1,200.78 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | KAISER MEDICARE ADVANTAGE- AFTER 10/01/2021 [30506] | KAISER MEDICARE ADVANTAGE GEORGIA [3050605] | $300.20 | $1,200.78 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | KAISER MEDICARE ADVANTAGE- AFTER 10/01/2021 [30506] | KAISER MEDICARE ADVANTAGE NORTHWEST [3050608] | $300.20 | $1,200.78 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | KAISER MEDICARE ADVANTAGE- AFTER 10/01/2021 [30506] | KAISER MEDICARE ADVANTAGE COLORADO [3050604] | $300.20 | $1,200.78 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | KAISER MEDI-CAL- AFTER 10/01/21 [30505] | KAISER MEDI-CAL HMO [3050501] | $300.20 | $1,200.78 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | KAISER-AFTER 10/01/2021 [40006] | KAISER EPO [4000604] | $300.20 | $1,200.78 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | KAISER-AFTER 10/01/2021 [40006] | KAISER OUT OF AREA [4000603] | $300.20 | $1,200.78 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | KAISER-AFTER 10/01/2021 [40006] | KAISER HAWAII [4000607] | $300.20 | $1,200.78 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | KAISER-AFTER 10/01/2021 [40006] | KAISER NORTHWEST [4000609] | $300.20 | $1,200.78 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | KAISER-AFTER 10/01/2021 [40006] | KAISER WASHINGTON [4000610] | $300.20 | $1,200.78 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | KAISER-AFTER 10/01/2021 [40006] | KAISER MID ATLANTIC STATES [4000608] | $300.20 | $1,200.78 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | KAISER-AFTER 10/01/2021 [40006] | KAISER COLORADO [4000605] | $300.20 | $1,200.78 | — | 2026-04-02 | MRF ↗ |
| EISENHOWER MEDICAL CENTER Inpatient | KAISER-AFTER 10/01/2021 [40006] | KAISER GEORGIA [4000611] | $300.20 | $1,200.78 | — | 2026-04-02 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | CARESOURCE MEDICAID CONTRACTED [320460] | HB ROGR CARESOURCE MEDICAID | $302.94 | $16,640.00 | $10,816.00 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | CARESOURCE MEDICAID [20460] | HB ROGR CARESOURCE MEDICAID | $302.94 | $16,640.00 | $10,816.00 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | CARESOURCE MEDICAID CONTRACTED [320460] | HB FTSM CARESOURCE MEDICAID | $302.94 | $14,959.00 | $9,723.35 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | CARESOURCE MEDICAID [20460] | HB FTSM CARESOURCE MEDICAID | $302.94 | $14,959.00 | $9,723.35 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | CARESOURCE MEDICAID CONTRACTED [320460] | HB FTSM CARESOURCE MEDICAID | $302.94 | $14,959.00 | $9,723.35 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | CARESOURCE MEDICAID [20460] | HB FTSM CARESOURCE MEDICAID | $302.94 | $14,959.00 | $9,723.35 | 2026-03-13 | MRF ↗ |
| Ira Davenport Memorial Hospital OutpatientFacility | Empire | All Products Non MD | $303.02 | $46,300.71 | $9,260.14 | 2026-03-27 | MRF ↗ |
| OROVILLE HOSPITAL Outpatient | Health Payors Organization | Commercial | $314.00 | $331.00 | $166.00 | 2025-10-29 | MRF ↗ |
| OROVILLE HOSPITAL Outpatient | Blue Shield of California | Commercial | $321.00 | $331.00 | $166.00 | 2025-10-29 | MRF ↗ |
| Ira Davenport Memorial Hospital OutpatientFacility | Excellus BCBS | Managed Medicaid | $333.00 | $46,300.71 | $9,260.14 | 2026-03-27 | MRF ↗ |
| Ira Davenport Memorial Hospital OutpatientFacility | FIDELIS | Managed Medicaid_Aliessa and CHP | $333.00 | $46,300.71 | $9,260.14 | 2026-03-27 | MRF ↗ |
| OROVILLE HOSPITAL Outpatient | Anthem BlueCross | Commercial | $357.00 | $1,323.00 | $662.00 | 2025-10-29 | MRF ↗ |
| Ira Davenport Memorial Hospital OutpatientFacility | Empire | All Products MD | $359.84 | $46,300.71 | $9,260.14 | 2026-03-27 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.