37290 — Pr Revsc Evsc Tpvt Athrc Cplx 1
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PR REVSC EVSC TPVT ATHRC CPLX 1 (CPT 37290) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/37290?code_type=CPT
MLA (9th ed.)
“PR REVSC EVSC TPVT ATHRC CPLX 1 (CPT 37290) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/37290?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“PR REVSC EVSC TPVT ATHRC CPLX 1 (CPT 37290) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/37290?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $17,473–$29,742 (25th–75th percentile) across 657 hospitals · 2,067 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 37290 — 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 |
|---|---|---|---|---|---|---|---|
| MADISON PARISH HOSPITAL Outpatient | Cigna | Commercial | $4.25 | $9.45 | $4.72 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Aetna Medicare | Medicare | $5.10 | $9.45 | $4.72 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Tricare Va | Commercial | $5.10 | $9.45 | $4.72 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Medicare | Medicare | $5.10 | $9.45 | $4.72 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Vantage Medicare | Medicare | $5.10 | $9.45 | $4.72 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Peoples Health | Commercial | $5.10 | $9.45 | $4.72 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Zelis Ppo | Commercial | $5.20 | $9.45 | $4.72 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Dignity Health | Commercial | $5.21 | $9.45 | $4.72 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Three Rivers Provider Network | Commercial | $7.65 | $9.45 | $4.72 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Vantage Commercial | Commercial | $8.51 | $9.45 | $4.72 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Amerihealth | Commercial | $9.45 | $9.45 | $4.72 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Louisana Healthcare Connections | Medicaid | $9.45 | $9.45 | $4.72 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Humana Medicaid | Medicaid | $9.45 | $9.45 | $4.72 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Uhc Medicaid | Medicaid | $9.45 | $9.45 | $4.72 | 2026-05-09 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS [10001] | Blue Cross PPO | $23.40 | $23,403.71 | $7,021.11 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS [10001] | Blue Cross HMO | $23.40 | $23,403.71 | $7,021.11 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $23.40 | $23,403.71 | $7,021.11 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $82.07 | $114,414.37 | $74,369.34 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | INDIAN HEALTH SERVICE CONTRACTED [320198] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $82.07 | $114,414.37 | $74,369.34 | 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 ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | CALIFORNIA HEALTH & WELLNESS MEDI-CAL [1122] | CALIFORNIA HEALTH AND WELLNESS MEDI-CAL (no longer Medi-Cal plan as of 1/1/24) | $269.40 | $95,045.16 | $52,274.84 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | CMS - COUNTY MEDICAL SERVICES [1025] | COUNTY MEDICAL SERVICES | $269.40 | $95,045.16 | $52,274.84 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | SUMMIT COMMUNITY CARE CONTRACTED [320368] | HB ROGR SUMMIT | $297.00 | $21,329.00 | $13,863.85 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | MEDICAID [20240] | HB SPRG/JOPL ARK MEDICAID | $297.00 | $40,736.00 | $26,478.40 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | ARKANSAS DEPARTMENT OF HEALTH [20036] | HB FTSM ARK MEDICAID | $297.00 | $21,542.00 | $14,002.30 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | MEDICAID [20240] | HB SPRG/JOPL ARK MEDICAID | $297.00 | $57,274.00 | $37,228.10 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | MEDICAID [20240] | HB FTSM ARK MEDICAID | $297.00 | $21,542.00 | $14,002.30 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | SUMMIT COMMUNITY CARE [20368] | HB FTSM ARK MEDICAID | $297.00 | $21,542.00 | $14,002.30 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | MEDICAID [20240] | HB SPRG/JOPL ARK MEDICAID | $297.00 | $57,274.00 | $37,228.10 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | ARKANSAS DEPARTMENT OF HEALTH [20036] | HB ROGR ARKANSAS MEDICAID | $297.00 | $21,329.00 | $13,863.85 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | MEDICAID [20240] | HB ROGR ARKANSAS MEDICAID | $297.00 | $21,329.00 | $13,863.85 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL OKLAHOMA CITY, INC OutpatientFacility | MEDICAID [20240] | HB OKLC ARK MEDICAID | $297.00 | $73,722.00 | $47,919.30 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | ARKANSAS DEPARTMENT OF HEALTH [20036] | HB FTSM ARK MEDICAID | $297.00 | $21,542.00 | $14,002.30 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | MEDICAID [20240] | HB FTSM ARK MEDICAID | $297.00 | $21,542.00 | $14,002.30 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | SUMMIT COMMUNITY CARE CONTRACTED [320368] | HB FTSM SUMMIT | $297.00 | $21,542.00 | $14,002.30 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | SUMMIT COMMUNITY CARE [20368] | HB FTSM ARK MEDICAID | $297.00 | $21,542.00 | $14,002.30 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | SUMMIT COMMUNITY CARE [20368] | HB ROGR ARKANSAS MEDICAID | $297.00 | $21,329.00 | $13,863.85 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | SUMMIT COMMUNITY CARE CONTRACTED [320368] | HB FTSM SUMMIT | $297.00 | $21,542.00 | $14,002.30 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | CARESOURCE MEDICAID [20460] | HB FTSM CARESOURCE MEDICAID | $302.94 | $21,542.00 | $14,002.30 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | CARESOURCE MEDICAID CONTRACTED [320460] | HB ROGR CARESOURCE MEDICAID | $302.94 | $21,329.00 | $13,863.85 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | CARESOURCE MEDICAID [20460] | HB ROGR CARESOURCE MEDICAID | $302.94 | $21,329.00 | $13,863.85 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | CARESOURCE MEDICAID [20460] | HB FTSM CARESOURCE MEDICAID | $302.94 | $21,542.00 | $14,002.30 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | CARESOURCE MEDICAID CONTRACTED [320460] | HB FTSM CARESOURCE MEDICAID | $302.94 | $21,542.00 | $14,002.30 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | CARESOURCE MEDICAID CONTRACTED [320460] | HB FTSM CARESOURCE MEDICAID | $302.94 | $21,542.00 | $14,002.30 | 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 ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | EMPOWER HEALTHCARE SOLUTIONS MEDICAID [20118] | HB FTSM PASSE EMPOWER | $377.19 | $21,542.00 | $14,002.30 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | EMPOWER HEALTHCARE SOLUTIONS MEDICAID CONTRACTED [320118] | HB FTSM PASSE EMPOWER | $377.19 | $21,542.00 | $14,002.30 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | EMPOWER HEALTHCARE SOLUTIONS MEDICAID CONTRACTED [320118] | HB FTSM PASSE EMPOWER | $377.19 | $21,542.00 | $14,002.30 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | EMPOWER HEALTHCARE SOLUTIONS MEDICAID [20118] | HB FTSM PASSE EMPOWER | $377.19 | $21,542.00 | $14,002.30 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | EMPOWER HEALTHCARE SOLUTIONS MEDICAID CONTRACTED [320118] | HB ROGR PASSE EMPOWER | $377.19 | $21,329.00 | $13,863.85 | 2026-03-13 | MRF ↗ |
| MERCY MEDICAL CTR BothFacility | TUFTS HEALTH PUBLIC PLANS | TUFTS MEDICAID | $392.00 | $26,363.00 | $17,135.95 | 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 ↗ |
| JACKSON-MADISON COUNTY GENERAL HOSPITAL OutpatientFacility | United Healthcare | All Payer | $415.00 | $47,504.00 | $33,252.80 | 2026-02-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL OutpatientFacility | United Healthcare | All Payer | $415.00 | $47,504.00 | $33,252.80 | 2026-02-05 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL OutpatientFacility | United Healthcare | All Payer | $415.00 | $47,504.00 | $33,252.80 | 2026-02-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL OutpatientFacility | United Healthcare | All Payer | $415.00 | $47,504.00 | $33,252.80 | 2026-02-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE MILAN HOSPITAL OutpatientFacility | United Healthcare | All Payer | $415.00 | $47,504.00 | $33,252.80 | 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 ↗ |
| 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 | 2026-05-14 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Aetna Health | Open Choice Ppo | $448.00 | $6,492.50 | $649.25 | 2026-05-06 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Outpatient | Blue Shield Of California | Promise | $550.00 | $100,390.00 | $100,390.00 | 2026-05-24 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $574.49 | $114,414.37 | $74,369.34 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB SAMC UHC CORE NEW 100121 | — | $114,414.37 | $74,369.34 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | PROMINENCE HEALTH PLAN MEDICARE ADVANTAGE CONTRACTED [320496] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $574.49 | $114,414.37 | $74,369.34 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB SAMC UHC HMO PPO ALL PAYER | — | $114,414.37 | $74,369.34 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | QUAL CHOICE CONTRACTED [320325] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $574.49 | $114,414.37 | $74,369.34 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | ELARA CARING ASPIRE HOSPICE [20433] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $574.49 | $114,414.37 | $74,369.34 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | ELARA CARING ASPIRE HOSPICE CONTRACTED [320433] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $574.49 | $114,414.37 | $74,369.34 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | LONGEVITY HEALTH PLAN MEDICARE CONTRACTED [320225] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $574.49 | $114,414.37 | $74,369.34 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | GENERIC MEDICARE MANAGED CARE [20137] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $574.49 | $114,414.37 | $74,369.34 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB SAMC UHC COMPASS/EXCHANGE | — | $114,414.37 | $74,369.34 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | HUMANA MEDICARE ADVANTAGE CONTRACTED [320194] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $574.49 | $114,414.37 | $74,369.34 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | HALO HCR INC HOSPICE CONTRACTED [320432] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $574.49 | $114,414.37 | $74,369.34 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | CROSS TIMBERS HOSPICE [20098] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $574.49 | $114,414.37 | $74,369.34 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | GLOBALHEALTH CONTRACTED [320145] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $574.49 | $114,414.37 | $74,369.34 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | HUMANA MEDICARE ADVANTAGE CONTRACTED [320194] | HB SAMC HUMANA MEDICARE W/SEQ IP 97% OP 100% NEW 010124 | $574.49 | $114,414.37 | $74,369.34 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MEDICA MEDICARE ADVANTAGE CONTRACTED [320477] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $574.49 | $114,414.37 | $74,369.34 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | UNITED HEALTHCARE MEDICARE ADVANTAGE CONTRACTED [320398] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $574.49 | $114,414.37 | $74,369.34 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | OPTUM HEALTH BEHAVIORAL SOLUTIONS [520250] | HB SAMC UHC HMO PPO ALL PAYER | — | $114,414.37 | $74,369.34 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | UNITED MEDICAL RESOURCES CONTRACTED [320454] | HB SAMC UHC HMO PPO ALL PAYER | — | $114,414.37 | $74,369.34 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | NHC ADVANTAGE MEDICARE CONTRACTED [320282] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $574.49 | $114,414.37 | $74,369.34 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | DEPT OF VETERAN AFFAIRS CONTRACTED [320106] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $574.49 | $114,414.37 | $74,369.34 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | HUMANA MEDICARE ADVANTAGE [20194] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $574.49 | $114,414.37 | $74,369.34 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | BCBS MEDICARE ADVANTAGE CONTRACTED [320047] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $574.49 | $114,414.37 | $74,369.34 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AETNA MEDICARE ADVANTAGE CONTRACTED [320010] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $574.49 | $114,414.37 | $74,369.34 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY HOSPICE OKC [20252] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $574.49 | $114,414.37 | $74,369.34 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | KINDFUL HOSPICE [20434] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $574.49 | $114,414.37 | $74,369.34 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | KINDFUL HOSPICE CONTRACTED [320434] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $574.49 | $114,414.37 | $74,369.34 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | CHEROKEE NATION HEALTH SERV CONTRACTED [320066] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $574.49 | $114,414.37 | $74,369.34 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | PACE OF THE OZARKS CONTRACTED [320518] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $574.49 | $114,414.37 | $74,369.34 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | CIGNA HEALTHCARE CONTRACTED [320071] | HB SAMC CIGNA IFP | — | $114,414.37 | $74,369.34 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MEDICARE [20244] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $574.49 | $114,414.37 | $74,369.34 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | HALO HCR INC HOSPICE [20432] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $574.49 | $114,414.37 | $74,369.34 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | CIGNA HEALTHCARE CONTRACTED [320071] | HB SAMC CIGNA HMO | — | $114,414.37 | $74,369.34 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | WELLCARE MEDICARE ADVANTAGE CONTRACTED [320421] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $574.49 | $114,414.37 | $74,369.34 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | TRICARE CONTRACTED [320380] | HB SAMC TRICARE - HEALTHNET WEST | $574.49 | $114,414.37 | $74,369.34 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AMERICAN HEALTH ADVANTAGE OF MO MCR [10473] | HB SAMC MEDICARE AND 100% MANAGED MEDICARE | $574.49 | $114,414.37 | $74,369.34 | 2026-03-12 | MRF ↗ |
| Ira Davenport Memorial Hospital OutpatientFacility | Empire | All Products Non MD | $581.92 | $73,523.37 | $14,704.67 | 2026-03-27 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | ESSENCE HEALTHCARE MEDICARE CONTRACTED [320122] | HB SAMC ESSENCE MCR 99% 2022 100% 2023 W/O SEQ | $585.62 | $114,414.37 | $74,369.34 | 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 | $585.97 | $114,414.37 | $74,369.34 | 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 | $585.97 | $114,414.37 | $74,369.34 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | WELLCARE MEDICARE ADVANTAGE CONTRACTED [320421] | HB SAMC WELLCARE HARMONY MCR 103% | $592.06 | $114,414.37 | $74,369.34 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY BENEFIT ADMIN [20251] | HB STLO SAMC HERMANN AREA DISTRICT HOSPITAL | $600.00 | $114,414.37 | $74,369.34 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC HERMANN AREA DISTRICT HOSPITAL | $600.00 | $114,414.37 | $74,369.34 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | ST JOHNS MERCY REHAB LLC CONTRACTED [320359] | HB SAMC REHAB JV PURCHASED SERVICES AGREEMENT NEW 100322 | $633.05 | $114,414.37 | $74,369.34 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | PROVIDER PARTNERS HEALTH PLANS CONTRACTED [320450] | HB SAMC PROVIDER PARTNERS 110% MCR | $633.05 | $114,414.37 | $74,369.34 | 2026-03-12 | MRF ↗ |
| HILO BENIOFF MEDICAL CENTER OutpatientFacility | UnitedHealthcare | Medicaid | $644.55 | $63,116.00 | $37,869.60 | 2026-06-15 | MRF ↗ |
| PALI MOMI MEDICAL CENTER OutpatientFacility | ALOHACARE | ABD - ADULT | $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 ↗ |
| STRAUB CLINIC AND HOSPITAL OutpatientFacility | ALOHACARE | ABD - PEDIATRIC | $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 | $21,329.00 | $13,863.85 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | ARKANSAS TOTAL CARE CONTRACTED [320039] | HB FTSM PASSE AR TOTAL CARE | $674.19 | $21,542.00 | $14,002.30 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | ARKANSAS TOTAL CARE [20039] | HB FTSM PASSE AR TOTAL CARE | $674.19 | $21,542.00 | $14,002.30 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | ARKANSAS TOTAL CARE CONTRACTED [320039] | HB FTSM PASSE AR TOTAL CARE | $674.19 | $21,542.00 | $14,002.30 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | ARKANSAS TOTAL CARE [20039] | HB FTSM PASSE AR TOTAL CARE | $674.19 | $21,542.00 | $14,002.30 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | ARKANSAS TOTAL CARE CONTRACTED [320039] | HB ROGR PASSE AR TOTAL CARE | $674.19 | $21,329.00 | $13,863.85 | 2026-03-13 | MRF ↗ |
| MAYO CLINIC HEALTH SYSTEM - WASECA BothFacility | ACUTE REHABILITATION [1140122] | MEDICARE CAH ACUTE REHAB [1335] | $685.01 | $29,241.00 | $25,732.08 | 2026-03-31 | MRF ↗ |
| Ira Davenport Memorial Hospital OutpatientFacility | Empire | All Products MD | $691.03 | $73,523.37 | $14,704.67 | 2026-03-27 | MRF ↗ |
| VOLUNTEER COMMUNITY HOSPITAL OutpatientFacility | Cigna | HMO/Network/Open Access Plus | $704.29 | $47,504.00 | $33,252.80 | 2026-02-05 | MRF ↗ |
| VOLUNTEER COMMUNITY HOSPITAL OutpatientFacility | Cigna | IFP/LocalPlus | $704.29 | $47,504.00 | $33,252.80 | 2026-02-05 | MRF ↗ |
| DYERSBURG REGIONAL MEDICAL CENTER OutpatientFacility | Cigna | HMO/Network/Open Access Plus | $704.29 | $47,504.00 | $33,252.80 | 2026-02-06 | MRF ↗ |
| DYERSBURG REGIONAL MEDICAL CENTER OutpatientFacility | Cigna | IFP/LocalPlus | $704.29 | $47,504.00 | $33,252.80 | 2026-02-06 | MRF ↗ |
| ARNOT OGDEN MEDICAL CENTER OutpatientFacility | Empire | All Products MD | $727.40 | $73,523.37 | $14,704.67 | 2026-03-27 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Dignity/Chw | Ucd Hb Dignity Health Hmo | $748.52 | — | — | 2026-04-01 | MRF ↗ |
| CHILDREN'S HEALTHCARE OF ATLANTA AT SCOTTISH RITE Outpatient | AMERIGROUP [102] | AMERIGROUP: MERIDIAN MARK | $764.00 | $33,848.00 | $33,848.00 | 2026-05-14 | MRF ↗ |
| FALMOUTH HOSPITAL Outpatient | Tufts Health | Direct Connector Plans | $793.69 | $54,923.76 | $23,342.60 | 2026-05-14 | 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 | 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 | 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 | MultiPlan PHCS | PPO | — | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | MultiPlan PHCS | PPO | — | — | — | 2026-03-01 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | VA CCN-ALL PLANS | VA CCN-ALL PLANS | $827.29 | $4,551.00 | $4,551.00 | 2026-02-13 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HUMANA MCR ADV | HUMANA MCR ADV | $827.29 | $4,551.00 | $4,551.00 | 2026-02-13 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | UHC MCR ADV | UHC MCR ADV | $827.29 | $4,551.00 | $4,551.00 | 2026-02-13 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | BEACON HEALTH OPTIONS BEHAV-ALL PLANS | BEACON HEALTH OPTIONS BEHAV-ALL PLANS | $827.29 | $4,551.00 | $4,551.00 | 2026-02-13 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | TRICARE-ALL PLANS | TRICARE-ALL PLANS | $827.29 | $4,551.00 | $4,551.00 | 2026-02-13 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE MCR ADV | HLTH ALLIANCE MCR ADV | $827.29 | $4,551.00 | $4,551.00 | 2026-02-13 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | BC COMM MMAI | BC COMM MMAI | $827.29 | $4,551.00 | $4,551.00 | 2026-02-13 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | AETNA MEDICARE/MMAI | AETNA MEDICARE/MMAI | $827.29 | $4,551.00 | $4,551.00 | 2026-02-13 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | MERIDIAN MMAI-ALL OTHER PLANS | MERIDIAN MMAI-ALL OTHER PLANS | $827.29 | $4,551.00 | $4,551.00 | 2026-02-13 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | MERIDIAN MCAID | MERIDIAN MCAID | $827.29 | $4,551.00 | $4,551.00 | 2026-02-13 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | MOLINA MMAI-ALL OTHER PLANS | MOLINA MMAI-ALL OTHER PLANS | $827.29 | $4,551.00 | $4,551.00 | 2026-02-13 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | WELLCARE MED ADV-ALL PLANS | WELLCARE MED ADV-ALL PLANS | $827.29 | $4,551.00 | $4,551.00 | 2026-02-13 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HUMANA MMAI-ALL OTHER PLANS | HUMANA MMAI-ALL OTHER PLANS | $843.84 | $4,551.00 | $4,551.00 | 2026-02-13 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | BC MED ADV PPO/HMO | BC MED ADV PPO/HMO | $852.11 | $4,551.00 | $4,551.00 | 2026-02-13 | MRF ↗ |
| MEDICAL CITY NORTH HILLS Outpatient | Superior Health Plan | CHIP | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY NORTH HILLS Outpatient | Superior Health Plan | STARKids | $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 | MCDSTAR | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY NORTH HILLS Outpatient | Superior Health Plan | STARPLUS | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | Superior Health Plan | CHIP | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ARLINGTON Outpatient | Superior Health Plan | MCDSTAR | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ARGYLE HOSPITAL Outpatient | Superior Health Plan | STARHealth | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ARGYLE HOSPITAL Outpatient | Superior Health Plan | STARKids | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | Superior Health Plan | MCDSTAR | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | Superior Health Plan | STARKids | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ARLINGTON Outpatient | Superior Health Plan | STARHealth | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ARGYLE HOSPITAL Outpatient | Superior Health Plan | STARPLUS | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Outpatient | Superior Health Plan | MCDSTAR | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ARGYLE HOSPITAL Outpatient | Superior Health Plan | MCDSTAR | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ARLINGTON Outpatient | Superior Health Plan | STARPLUS | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Outpatient | Superior Health Plan | CHIP | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CENTER OF MCKINNEY Outpatient | Superior Health Plan | CHIP | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CENTER OF MCKINNEY Outpatient | Superior Health Plan | STARHealth | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ARLINGTON Outpatient | Superior Health Plan | STARKids | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ARLINGTON Outpatient | Superior Health Plan | CHIP | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Outpatient | Superior Health Plan | STARKids | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Outpatient | Superior Health Plan | MCDSTAR | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Superior Health Plan | MCDSTAR | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Superior Health Plan | CHIP | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DECATUR Outpatient | Superior Health Plan | STARKids | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Superior Health Plan | STARPLUS | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ARGYLE HOSPITAL Outpatient | Superior Health Plan | CHIP | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | Superior Health Plan | STARHealth | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CENTER OF MCKINNEY Outpatient | Superior Health Plan | MCDSTAR | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Outpatient | Superior Health Plan | STARHealth | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DENTON Outpatient | Superior Health Plan | STARHealth | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DENTON Outpatient | Superior Health Plan | MCDSTAR | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Superior Health Plan | STARKids | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DECATUR Outpatient | Superior Health Plan | STARPLUS | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Superior Health Plan | STARHealth | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CENTER OF MCKINNEY Outpatient | Superior Health Plan | STARPLUS | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DENTON Outpatient | Superior Health Plan | STARKids | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DECATUR Outpatient | Superior Health Plan | CHIP | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DECATUR Outpatient | Superior Health Plan | MCDSTAR | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DECATUR Outpatient | Superior Health Plan | STARHealth | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Outpatient | Superior Health Plan | STARPLUS | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CENTER OF MCKINNEY 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 LAS COLINAS Outpatient | Superior Health Plan | STARPLUS | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DENTON Outpatient | Superior Health Plan | STARPLUS | $948.00 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Outpatient | Superior Health Plan | CHIP | $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.