37284 — Revsc Evasc Tpvt St Sf 1st
Cite this view
HANK Price Transparency. (n.d.). Revsc evasc tpvt st sf 1st (CPT 37284) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/37284?code_type=CPT
“Revsc evasc tpvt st sf 1st (CPT 37284) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/37284?code_type=CPT. Accessed .
“Revsc evasc tpvt st sf 1st (CPT 37284) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/37284?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $14,282–$31,080 (25th–75th percentile) across 645 hospitals · 1,821 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 37284 — 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 the surgeon's fee are estimated 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 645 hospitals. The the surgeon's fee 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. | $20,627 |
| Surgeon (professional fee) Estimate national typical Medicare $462 × 1.22 commercial. | $563 |
| Likely subtotal | $21,190 |
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 |
|---|---|---|---|---|---|---|---|
| MERCY HOSPITAL SOUTH OutpatientFacility | HUMANA MEDICARE ADVANTAGE CONTRACTED [320194] | HB SAMC HUMANA MEDICARE W/SEQ IP 97% OP 100% NEW 010124 | $8.92 | $33,695.89 | $21,902.33 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | GLOBALHEALTH CONTRACTED [320145] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $8.92 | $33,695.89 | $21,902.33 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | HUMANA MEDICARE ADVANTAGE [20194] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $8.92 | $33,695.89 | $21,902.33 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | TRICARE CONTRACTED [320380] | HB SAMC TRICARE - HEALTHNET WEST | $8.92 | $33,695.89 | $21,902.33 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AETNA MEDICARE ADVANTAGE CONTRACTED [320010] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $8.92 | $33,695.89 | $21,902.33 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | BCBS MEDICARE ADVANTAGE CONTRACTED [320047] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $8.92 | $33,695.89 | $21,902.33 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | UNITED HEALTHCARE MEDICARE ADVANTAGE CONTRACTED [320398] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $8.92 | $33,695.89 | $21,902.33 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MEDICARE [20244] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $8.92 | $33,695.89 | $21,902.33 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | ELARA CARING ASPIRE HOSPICE [20433] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $8.92 | $33,695.89 | $21,902.33 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | CROSS TIMBERS HOSPICE [20098] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $8.92 | $33,695.89 | $21,902.33 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | KINDFUL HOSPICE [20434] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $8.92 | $33,695.89 | $21,902.33 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | HALO HCR INC HOSPICE [20432] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $8.92 | $33,695.89 | $21,902.33 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | KINDFUL HOSPICE CONTRACTED [320434] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $8.92 | $33,695.89 | $21,902.33 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | WELLCARE MEDICARE ADVANTAGE CONTRACTED [320421] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $8.92 | $33,695.89 | $21,902.33 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | LONGEVITY HEALTH PLAN MEDICARE CONTRACTED [320225] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $8.92 | $33,695.89 | $21,902.33 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | HUMANA MEDICARE ADVANTAGE CONTRACTED [320194] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $8.92 | $33,695.89 | $21,902.33 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | CHEROKEE NATION HEALTH SERV CONTRACTED [320066] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $8.92 | $33,695.89 | $21,902.33 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | PACE OF THE OZARKS CONTRACTED [320518] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $8.92 | $33,695.89 | $21,902.33 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | QUAL CHOICE CONTRACTED [320325] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $8.92 | $33,695.89 | $21,902.33 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | ELARA CARING ASPIRE HOSPICE CONTRACTED [320433] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $8.92 | $33,695.89 | $21,902.33 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY HOSPICE OKC [20252] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $8.92 | $33,695.89 | $21,902.33 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $8.92 | $33,695.89 | $21,902.33 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AMERICAN HEALTH ADVANTAGE OF MO MCR [10473] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $8.92 | $33,695.89 | $21,902.33 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | GENERIC MEDICARE MANAGED CARE [20137] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $8.92 | $33,695.89 | $21,902.33 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | DEPT OF VETERAN AFFAIRS CONTRACTED [320106] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $8.92 | $33,695.89 | $21,902.33 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | NHC ADVANTAGE MEDICARE CONTRACTED [320282] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $8.92 | $33,695.89 | $21,902.33 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | PROMINENCE HEALTH PLAN MEDICARE ADVANTAGE CONTRACTED [320496] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $8.92 | $33,695.89 | $21,902.33 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MEDICA MEDICARE ADVANTAGE CONTRACTED [320477] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $8.92 | $33,695.89 | $21,902.33 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | HALO HCR INC HOSPICE CONTRACTED [320432] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $8.92 | $33,695.89 | $21,902.33 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | ESSENCE HEALTHCARE MEDICARE CONTRACTED [320122] | HB SAMC ESSENCE MCR 99% 2022 100% 2023 W/O SEQ | $9.09 | $33,695.89 | $21,902.33 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | CIGNA MEDICARE ADVANTAGE CONTRACTED [320072] | HB SAMC CIGNA MANAGED MEDICARE 010122 103% 010123 102% W/SEQ NEW 010122 | $9.10 | $33,695.89 | $21,902.33 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | HEALTHSPRING MEDICARE ADVANTAGE CONTRACTED [320526] | HB SAMC CIGNA MANAGED MEDICARE 010122 103% 010123 102% W/SEQ NEW 010122 | $9.10 | $33,695.89 | $21,902.33 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | WELLCARE MEDICARE ADVANTAGE CONTRACTED [320421] | HB SAMC WELLCARE HARMONY MCR 103% | $9.19 | $33,695.89 | $21,902.33 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | PROVIDER PARTNERS HEALTH PLANS CONTRACTED [320450] | HB SAMC PROVIDER PARTNERS 110% MCR | $9.83 | $33,695.89 | $21,902.33 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | ST JOHNS MERCY REHAB LLC CONTRACTED [320359] | HB SAMC REHAB JV PURCHASED SERVICES AGREEMENT NEW 100322 | $9.83 | $33,695.89 | $21,902.33 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | CENTIVO CONTRACTED [320505] | HB SAMC CENTIVO 165% MEDICARE NEW 110124 | $15.00 | $33,695.89 | $21,902.33 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB JOPL MEDICARE | $34.42 | $34,780.60 | $22,607.39 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | INDIAN HEALTH SERVICE CONTRACTED [320198] | HB JOPL MEDICARE | $34.42 | $34,780.60 | $22,607.39 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | MEDICAID [20240] | HB JOPL OK MEDICAID | $53.48 | $34,780.60 | $22,607.39 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB JOPL OK MEDICAID | $53.48 | $34,780.60 | $22,607.39 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | OKLAHOMA COMPLETE HEALTH MEDICAID CONTRACTED [320485] | HB JOPL OK MEDICAID | $53.48 | $34,780.60 | $22,607.39 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | HUMANA MEDICAID CONTRACTED [320486] | HB JOPL OK MEDICAID | $53.48 | $34,780.60 | $22,607.39 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] | HB JOPL PHCS (MPI) | — | $34,780.60 | $22,607.39 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | OPTUM HEALTH BEHAVIORAL SOLUTIONS [520250] | HB JOPL UHC ALL PAYER | — | $34,780.60 | $22,607.39 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | MULTIPLAN CONTRACTED [320270] | HB JOPL PHCS (MPI) | — | $34,780.60 | $22,607.39 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | USABLE CONTRACTED [320409] | HB JOPL PHCS (MPI) | — | $34,780.60 | $22,607.39 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB JOPL UHC INDIVIDUAL EXCHANGE | — | $34,780.60 | $22,607.39 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | UNITED MEDICAL RESOURCES CONTRACTED [320454] | HB JOPL UHC ALL PAYER | — | $34,780.60 | $22,607.39 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | POINT C CONTRACTED [320238] | HB JOPL S & H FARMS | $64.16 | $34,780.60 | $22,607.39 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB JOPL UHC ALL PAYER | — | $34,780.60 | $22,607.39 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] | HB SPRG JOPL SEKS DEC ASI New 1.1.24 | $67.71 | $34,780.60 | $22,607.39 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $82.07 | $33,695.89 | $21,902.33 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | INDIAN HEALTH SERVICE CONTRACTED [320198] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $82.07 | $33,695.89 | $21,902.33 | 2026-03-12 | MRF ↗ |
| SARATOGA HOSPITAL OutpatientFacility | MVP Commercial | Individual_Student_CIGNA Health Plans | $127.00 | $57,207.73 | $28,603.87 | 2025-12-31 | MRF ↗ |
| SARATOGA HOSPITAL OutpatientFacility | MVP Commercial | Individual_Student_CIGNA Health Plans | $127.00 | $57,207.73 | $28,603.87 | 2025-12-31 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | HUMANA MEDICARE ADVANTAGE CONTRACTED [320194] | HB JOPL HUMANA MCR 97% | $147.94 | $34,780.60 | $22,607.39 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | HUMANA MEDICARE ADVANTAGE [20194] | HB JOPL HUMANA MCR 97% | $147.94 | $34,780.60 | $22,607.39 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | QUAL CHOICE CONTRACTED [320325] | HB JOPL MEDICARE | $152.61 | $34,780.60 | $22,607.39 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | ESSENCE HEALTHCARE MEDICARE CONTRACTED [320122] | HB JOPL MEDICARE | $152.61 | $34,780.60 | $22,607.39 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | MERCY MGD BEHAVIORAL HEALTH CONTRACTED [320259] | HB JOPL MEDICARE | $152.61 | $34,780.60 | $22,607.39 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | HALO HCR INC HOSPICE CONTRACTED [320432] | HB JOPL MEDICARE | $152.61 | $34,780.60 | $22,607.39 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | SUNFLOWER HEALTH PLAN MEDICARE CONTRACTED [320370] | HB JOPL MEDICARE | $152.61 | $34,780.60 | $22,607.39 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | UNITED HEALTHCARE MEDICARE ADVANTAGE CONTRACTED [320398] | HB JOPL MEDICARE | $152.61 | $34,780.60 | $22,607.39 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | MEDICA MEDICARE ADVANTAGE CONTRACTED [320477] | HB JOPL MEDICARE | $152.61 | $34,780.60 | $22,607.39 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | TRICARE CONTRACTED [320380] | HB JOPL TRICARE | $152.61 | $34,780.60 | $22,607.39 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | PACE OF THE OZARKS CONTRACTED [320518] | HB JOPL MEDICARE | $152.61 | $34,780.60 | $22,607.39 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | PROVIDER PARTNERS HEALTH PLANS CONTRACTED [320450] | HB JOPL MEDICARE | $152.61 | $34,780.60 | $22,607.39 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | BCBS MEDICARE ADVANTAGE CONTRACTED [320047] | HB JOPL MEDICARE | $152.61 | $34,780.60 | $22,607.39 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | PROMINENCE HEALTH PLAN MEDICARE ADVANTAGE CONTRACTED [320496] | HB JOPL MEDICARE | $152.61 | $34,780.60 | $22,607.39 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | CROSS TIMBERS HOSPICE [20098] | HB JOPL MEDICARE | $152.61 | $34,780.60 | $22,607.39 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | CHEROKEE NATION HEALTH SERV CONTRACTED [320066] | HB JOPL MEDICARE | $152.61 | $34,780.60 | $22,607.39 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | DEPT OF VETERAN AFFAIRS CONTRACTED [320106] | HB JOPL MEDICARE | $152.61 | $34,780.60 | $22,607.39 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | CHAMPVA [20065] | HB JOPL MEDICARE | $152.61 | $34,780.60 | $22,607.39 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | LONGEVITY HEALTH PLAN MEDICARE CONTRACTED [320225] | HB JOPL MEDICARE | $152.61 | $34,780.60 | $22,607.39 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | AETNA MEDICARE ADVANTAGE CONTRACTED [320010] | HB JOPL MEDICARE | $152.61 | $34,780.60 | $22,607.39 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | KINDFUL HOSPICE [20434] | HB JOPL MEDICARE | $152.61 | $34,780.60 | $22,607.39 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB JOPL MEDICARE | $152.61 | $34,780.60 | $22,607.39 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | HALO HCR INC HOSPICE [20432] | HB JOPL MEDICARE | $152.61 | $34,780.60 | $22,607.39 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | MERCY HOSPICE OKC [20252] | HB JOPL MEDICARE | $152.61 | $34,780.60 | $22,607.39 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | KINDFUL HOSPICE CONTRACTED [320434] | HB JOPL MEDICARE | $152.61 | $34,780.60 | $22,607.39 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | GLOBALHEALTH CONTRACTED [320145] | HB JOPL MEDICARE | $152.61 | $34,780.60 | $22,607.39 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | ELARA CARING ASPIRE HOSPICE [20433] | HB JOPL MEDICARE | $152.61 | $34,780.60 | $22,607.39 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | MEDICARE [20244] | HB JOPL MEDICARE | $152.61 | $34,780.60 | $22,607.39 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | CIGNA MEDICARE ADVANTAGE CONTRACTED [320072] | HB JOPL MEDICARE | $152.61 | $34,780.60 | $22,607.39 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | CENTIVO CONTRACTED [320505] | HB JOPL CENTIVO 165% MEDICARE | $155.57 | $34,780.60 | $22,607.39 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | WELLCARE MEDICARE ADVANTAGE CONTRACTED [320421] | HB JOPL WELLCARE MCR 103% | $157.28 | $34,780.60 | $22,607.39 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | DEVOTED HEALTH MEDICARE CONTRACTED [320500] | HB JOPL DEVOTED HEALTH MEDICARE ADVANTAGE104% W/SEQ | $158.83 | $34,780.60 | $22,607.39 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | NHC ADVANTAGE MEDICARE CONTRACTED [320282] | HB JOPL NHC ADVANTAGE MCR 105% | $160.39 | $34,780.60 | $22,607.39 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | HEALTHSCOPE CONTRACTED [320182] | HB JOPL DEC ORSCHELN MCR 125% | $194.46 | $34,780.60 | $22,607.39 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | HOME STATE MEDICAID CONTRACTED [320189] | HB JOPL HOME STATE | $197.80 | $34,780.60 | $22,607.39 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | HOME STATE MEDICAID [520247] | HB JOPL HOME STATE | $197.80 | $34,780.60 | $22,607.39 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | KANCARE CONTRACTED [320213] | HB JOPL KANCARE UHC MEDCAID | $258.94 | $34,780.60 | $22,607.39 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | KANCARE CONTRACTED [320213] | HB JOPL AETNA BETTER HEALTH (KANCARE) | $258.94 | $34,780.60 | $22,607.39 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | BCBS MEDICAID CONTRACTED [320046] | HB JOPL KANCARE HEALTHY BLUE MEDICAID | $258.94 | $34,780.60 | $22,607.39 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | KANCARE CONTRACTED [320213] | HB JOPL KANCARE HEALTHY BLUE MEDICAID | $258.94 | $34,780.60 | $22,607.39 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | KANCARE [20213] | HB JOPL KANCARE UHC MEDCAID | $258.94 | $34,780.60 | $22,607.39 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | KANCARE [20213] | HB JOPL AETNA BETTER HEALTH (KANCARE) | $258.94 | $34,780.60 | $22,607.39 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | MO MEDICAID BH CARVE OUT [320315] | HB JOPL MO MEDICAID | $292.18 | $34,780.60 | $22,607.39 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | MEDICAID [20240] | HB JOPL MO MEDICAID | $292.18 | $34,780.60 | $22,607.39 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | MEDICAID [20240] | HB SPRG/JOPL ARK MEDICAID | $297.00 | $17,467.00 | $11,353.55 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL OKLAHOMA CITY, INC OutpatientFacility | MEDICAID [20240] | HB OKLC ARK MEDICAID | $297.00 | $50,386.00 | $32,750.90 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | MEDICAID [20240] | HB SPRG/JOPL ARK MEDICAID | $297.00 | $34,780.60 | $22,607.39 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | MEDICAID [20240] | HB SPRG/JOPL ARK MEDICAID | $297.00 | $17,467.00 | $11,353.55 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | SUMMIT COMMUNITY CARE CONTRACTED [320368] | HB FTSM SUMMIT | $297.00 | $21,856.00 | $14,206.40 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | SUMMIT COMMUNITY CARE CONTRACTED [320368] | HB FTSM SUMMIT | $297.00 | $21,856.00 | $14,206.40 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | MEDICAID [20240] | HB FTSM ARK MEDICAID | $297.00 | $21,856.00 | $14,206.40 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | ARKANSAS DEPARTMENT OF HEALTH [20036] | HB ROGR ARKANSAS MEDICAID | $297.00 | $15,983.00 | $10,388.95 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | ARKANSAS DEPARTMENT OF HEALTH [20036] | HB FTSM ARK MEDICAID | $297.00 | $21,856.00 | $14,206.40 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | SUMMIT COMMUNITY CARE CONTRACTED [320368] | HB ROGR SUMMIT | $297.00 | $15,983.00 | $10,388.95 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | MEDICAID [20240] | HB ROGR ARKANSAS MEDICAID | $297.00 | $15,983.00 | $10,388.95 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | SUMMIT COMMUNITY CARE [20368] | HB ROGR ARKANSAS MEDICAID | $297.00 | $15,983.00 | $10,388.95 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | ARKANSAS DEPARTMENT OF HEALTH [20036] | HB FTSM ARK MEDICAID | $297.00 | $21,856.00 | $14,206.40 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | SUMMIT COMMUNITY CARE [20368] | HB FTSM ARK MEDICAID | $297.00 | $21,856.00 | $14,206.40 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | SUMMIT COMMUNITY CARE [20368] | HB FTSM ARK MEDICAID | $297.00 | $21,856.00 | $14,206.40 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | MEDICAID [20240] | HB FTSM ARK MEDICAID | $297.00 | $21,856.00 | $14,206.40 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | CARESOURCE MEDICAID [20460] | HB FTSM CARESOURCE MEDICAID | $302.94 | $21,856.00 | $14,206.40 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | CARESOURCE MEDICAID CONTRACTED [320460] | HB FTSM CARESOURCE MEDICAID | $302.94 | $21,856.00 | $14,206.40 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | CARESOURCE MEDICAID CONTRACTED [320460] | HB ROGR CARESOURCE MEDICAID | $302.94 | $15,983.00 | $10,388.95 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | CARESOURCE MEDICAID [20460] | HB FTSM CARESOURCE MEDICAID | $302.94 | $21,856.00 | $14,206.40 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | CARESOURCE MEDICAID CONTRACTED [320460] | HB FTSM CARESOURCE MEDICAID | $302.94 | $21,856.00 | $14,206.40 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | CARESOURCE MEDICAID [20460] | HB ROGR CARESOURCE MEDICAID | $302.94 | $15,983.00 | $10,388.95 | 2026-03-13 | MRF ↗ |
| Ira Davenport Memorial Hospital OutpatientFacility | FIDELIS | Managed Medicaid_Aliessa and CHP | $333.00 | $73,523.37 | $14,704.67 | 2026-03-27 | MRF ↗ |
| Ira Davenport Memorial Hospital OutpatientFacility | Excellus BCBS | Managed Medicaid | $333.00 | $73,523.37 | $14,704.67 | 2026-03-27 | MRF ↗ |
| Ira Davenport Memorial Hospital OutpatientFacility | Empire | All Products Non MD | $349.00 | $73,523.37 | $14,704.67 | 2026-03-27 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | EMPOWER HEALTHCARE SOLUTIONS MEDICAID CONTRACTED [320118] | HB ROGR PASSE EMPOWER | $377.19 | $15,983.00 | $10,388.95 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | EMPOWER HEALTHCARE SOLUTIONS MEDICAID [20118] | HB FTSM PASSE EMPOWER | $377.19 | $21,856.00 | $14,206.40 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | EMPOWER HEALTHCARE SOLUTIONS MEDICAID CONTRACTED [320118] | HB FTSM PASSE EMPOWER | $377.19 | $21,856.00 | $14,206.40 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | EMPOWER HEALTHCARE SOLUTIONS MEDICAID CONTRACTED [320118] | HB FTSM PASSE EMPOWER | $377.19 | $21,856.00 | $14,206.40 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | EMPOWER HEALTHCARE SOLUTIONS MEDICAID [20118] | HB FTSM PASSE EMPOWER | $377.19 | $21,856.00 | $14,206.40 | 2026-03-13 | MRF ↗ |
| MERCY MEDICAL CTR BothFacility | TUFTS HEALTH PUBLIC PLANS | TUFTS MEDICAID | $392.00 | $49,431.00 | $32,130.15 | 2026-03-31 | MRF ↗ |
| Ira Davenport Memorial Hospital OutpatientFacility | FIDELIS | Essential Plan QHP | $399.60 | $73,523.37 | $14,704.67 | 2026-03-27 | MRF ↗ |
| OROVILLE HOSPITAL Outpatient | Anthem BlueCross | Commercial | $413.00 | $1,528.00 | $764.00 | 2025-10-29 | MRF ↗ |
| Ira Davenport Memorial Hospital OutpatientFacility | Empire | All Products MD | $414.44 | $73,523.37 | $14,704.67 | 2026-03-27 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL OutpatientFacility | United Healthcare | All Payer | $415.00 | $55,046.00 | $38,532.20 | 2026-02-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL OutpatientFacility | United Healthcare | All Payer | $415.00 | $55,046.00 | $38,532.20 | 2026-02-06 | MRF ↗ |
| JACKSON-MADISON COUNTY GENERAL HOSPITAL OutpatientFacility | United Healthcare | All Payer | $415.00 | $55,046.00 | $38,532.20 | 2026-02-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE MILAN HOSPITAL OutpatientFacility | United Healthcare | All Payer | $415.00 | $55,046.00 | $38,532.20 | 2026-02-05 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL OutpatientFacility | United Healthcare | All Payer | $415.00 | $55,046.00 | $38,532.20 | 2026-02-05 | MRF ↗ |
| DYERSBURG REGIONAL MEDICAL CENTER OutpatientFacility | Cigna | HMO/Network/Open Access Plus | $421.41 | $55,046.00 | $38,532.20 | 2026-02-06 | MRF ↗ |
| DYERSBURG REGIONAL MEDICAL CENTER OutpatientFacility | Cigna | IFP/LocalPlus | $421.41 | $55,046.00 | $38,532.20 | 2026-02-06 | MRF ↗ |
| VOLUNTEER COMMUNITY HOSPITAL OutpatientFacility | Cigna | IFP/LocalPlus | $421.41 | $55,046.00 | $38,532.20 | 2026-02-05 | MRF ↗ |
| VOLUNTEER COMMUNITY HOSPITAL OutpatientFacility | Cigna | HMO/Network/Open Access Plus | $421.41 | $55,046.00 | $38,532.20 | 2026-02-05 | MRF ↗ |
| BOSTON MEDICAL CENTER Both | TUFTS CONNCARE/QHP [8020] | BMC HB TUFTS SUBSIDIZED PLANS | $431.24 | $27,462.00 | $12,357.90 | 2026-03-13 | MRF ↗ |
| ARNOT OGDEN MEDICAL CENTER OutpatientFacility | Empire | All Products MD | $436.25 | $73,523.37 | $14,704.67 | 2026-03-27 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | UNITED HEALTHCARE MEDICAID CONTRACTED [320397] | HB JOPL UHC MO MEDICAID | $438.27 | $34,780.60 | $22,607.39 | 2026-03-13 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Aetna Health | Open Choice Ppo | $448.00 | $6,492.50 | $649.25 | 2026-05-14 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Aetna Health | Open Choice Ppo | $448.00 | $6,492.50 | $649.25 | 2026-05-22 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Aetna Health | Open Choice Ppo | $448.00 | $6,492.50 | $649.25 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Dignity/Chw | Ucd Hb Dignity Health Hmo | $448.48 | — | — | 2026-04-01 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Both | CHAMPVA [11001] | All TRICARE / CHAMPVA UM [164] Plans | $453.77 | $22,000.00 | $22,000.00 | 2026-03-26 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | BCBS MEDICAID CONTRACTED [320046] | HB JOPL MO CARE/HEALTHY BLUE | $482.10 | $34,780.60 | $22,607.39 | 2026-03-13 | MRF ↗ |
| OROVILLE HOSPITAL Outpatient | Butte County | Commercial | $532.00 | $1,528.00 | $764.00 | 2025-10-29 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Outpatient | Blue Shield Of California | Promise | $550.00 | $100,390.00 | $100,390.00 | 2026-05-24 | MRF ↗ |
| Ventura County Medical Center - Santa Paula Hospital Outpatient | GOLD COAST MEDI-CAL-ALL PLANS | GOLD COAST MEDI-CAL-ALL PLANS | $560.00 | $19,700.00 | $9,850.00 | 2026-03-23 | MRF ↗ |
| FLAGLER HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $597.41 | $65,550.00 | $36,052.50 | 2026-03-31 | MRF ↗ |
| FLAGLER HOSPITAL OutpatientFacility | WellCare of Florida | Medicare Advantage | $597.41 | $65,550.00 | $36,052.50 | 2026-03-31 | MRF ↗ |
| OROVILLE HOSPITAL Outpatient | Anthem BlueCross | Commercial | $619.00 | $2,292.00 | $1,146.00 | 2025-10-29 | MRF ↗ |
| MERCY HOSPITAL PITTSBURG, INC OutpatientFacility | HEALTH CHOICE CONTRACTED [320166] | HB CTHG MNCK PITS HEALTHCHOICE OSEEGIB URBAN TIER 3 | $657.90 | $6,579.00 | $4,276.35 | 2026-05-15 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both | MEDICAID TN-TENNCARE BLUECARE [3230] | PHTN HB BLUECARE OF TENN MEDICAID - BLOUNT | $659.00 | $46,822.00 | $14,514.82 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both | MEDICAID TN-TENNCARE SELECT [3232] | PHTN HB TENNCARE MEDICAID SELECT - BLOUNT | $659.00 | $46,822.00 | $14,514.82 | 2026-03-01 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL OutpatientFacility | ALOHACARE | ABD - PEDIATRIC | $663.89 | $44,402.00 | $26,641.20 | 2026-02-12 | MRF ↗ |
| PALI MOMI MEDICAL CENTER OutpatientFacility | ALOHACARE | ABD - PEDIATRIC | $663.89 | $44,402.00 | $26,641.20 | 2026-02-12 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL OutpatientFacility | ALOHACARE | ABD - ADULT | $663.89 | $44,402.00 | $26,641.20 | 2026-02-12 | MRF ↗ |
| PALI MOMI MEDICAL CENTER OutpatientFacility | ALOHACARE | ABD - ADULT | $663.89 | $44,402.00 | $26,641.20 | 2026-02-12 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | ARKANSAS TOTAL CARE [20039] | HB ROGR PASSE AR TOTAL CARE | $674.19 | $15,983.00 | $10,388.95 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | ARKANSAS TOTAL CARE CONTRACTED [320039] | HB ROGR PASSE AR TOTAL CARE | $674.19 | $15,983.00 | $10,388.95 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | ARKANSAS TOTAL CARE CONTRACTED [320039] | HB FTSM PASSE AR TOTAL CARE | $674.19 | $21,856.00 | $14,206.40 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | ARKANSAS TOTAL CARE [20039] | HB FTSM PASSE AR TOTAL CARE | $674.19 | $21,856.00 | $14,206.40 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | ARKANSAS TOTAL CARE CONTRACTED [320039] | HB FTSM PASSE AR TOTAL CARE | $674.19 | $21,856.00 | $14,206.40 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | ARKANSAS TOTAL CARE [20039] | HB FTSM PASSE AR TOTAL CARE | $674.19 | $21,856.00 | $14,206.40 | 2026-03-13 | MRF ↗ |
| AVOYELLES HOSPITAL Both | COVENTRY | COVENTRY OP | $678.80 | $99,000.00 | $29,700.00 | 2026-04-29 | MRF ↗ |
| AVOYELLES HOSPITAL Both | COVENTRY | COVENTRY IP | $678.80 | $99,000.00 | $29,700.00 | 2026-04-29 | MRF ↗ |
| AVOYELLES HOSPITAL Both | AETNA | AETNA IP | $678.80 | $99,000.00 | $29,700.00 | 2026-04-29 | MRF ↗ |
| AVOYELLES HOSPITAL Both | AETNA | AETNA OP | $678.80 | $99,000.00 | $29,700.00 | 2026-04-29 | MRF ↗ |
| AVOYELLES HOSPITAL Both | FIRST CHOICE HEALTH | FIRST HEALTH PSYCH | $678.80 | $99,000.00 | $29,700.00 | 2026-04-29 | MRF ↗ |
| AVOYELLES HOSPITAL Both | AMER CONTL INS | AMERICAN CONTINENTAL | $678.80 | $99,000.00 | $29,700.00 | 2026-04-29 | MRF ↗ |
| AVOYELLES HOSPITAL Both | FIRST CHOICE HEALTH | FIRST HEALTH IP | $678.80 | $99,000.00 | $29,700.00 | 2026-04-29 | MRF ↗ |
| AVOYELLES HOSPITAL Both | FIRST CHOICE HEALTH | FIRST HEALTH OP | $678.80 | $99,000.00 | $29,700.00 | 2026-04-29 | MRF ↗ |
| AVOYELLES HOSPITAL Both | COVENTRY | COVENTRY PSYCH | $678.80 | $99,000.00 | $29,700.00 | 2026-04-29 | MRF ↗ |
| AVOYELLES HOSPITAL Both | MERITAN HEALTH | MERITAIN OP | $678.80 | $99,000.00 | $29,700.00 | 2026-04-29 | MRF ↗ |
| ROCKVILLE GENERAL HOSPITAL OutpatientFacility | Aetna Whole Health | Commercial | $733.41 | — | — | 2026-04-01 | MRF ↗ |
| ROCKVILLE GENERAL HOSPITAL OutpatientFacility | Aetna | Commercial | $763.98 | — | — | 2026-04-01 | MRF ↗ |
| CHILDREN'S HEALTHCARE OF ATLANTA AT SCOTTISH RITE Outpatient | AMERIGROUP [102] | AMERIGROUP: MERIDIAN MARK | $764.00 | $31,838.00 | $31,838.00 | 2026-05-14 | MRF ↗ |
| FLAGLER HOSPITAL OutpatientFacility | Aetna | All Products | $788.58 | $65,550.00 | $36,052.50 | 2026-03-31 | MRF ↗ |
| FALMOUTH HOSPITAL Outpatient | Tufts Health | Direct Connector Plans | $793.69 | $54,923.76 | $23,342.60 | 2026-05-14 | MRF ↗ |
| OROVILLE HOSPITAL Outpatient | Butte County | Commercial | $798.00 | $2,292.00 | $1,146.00 | 2025-10-29 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | MultiPlan PHCS | PPO | — | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Amerigroup | CHIP | $800.00 | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Amerigroup | MCD | $800.00 | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | MultiPlan PHCS | PPO | — | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Amerigroup | MCD | $800.00 | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Amerigroup | CHIP | $800.00 | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Amerigroup | CHIP | $800.00 | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | MultiPlan PHCS | PPO | — | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Amerigroup | MCD | $800.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DENTON Outpatient | Superior Health Plan | STARKids | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DENTON Outpatient | Superior Health Plan | CHIP | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY NORTH HILLS Outpatient | Superior Health Plan | STARPLUS | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY NORTH HILLS Outpatient | Superior Health Plan | STARHealth | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY NORTH HILLS Outpatient | Superior Health Plan | STARKids | $948.00 | — | — | 2026-03-01 | 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.