Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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38221 — Hc Bone Marrow Biopsy Ndl/trocar

Per-row negotiated rates, exactly as filed by each hospital. Aggregated views below summarize across hospitals; the bottom table shows the underlying rows.

Typical negotiated price $1,653

Usually $802–$2,508 (25th–75th percentile) across 2,451 hospitals · 8,244 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 38221 — 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.

Pick your insurer to anchor on your plan’s negotiated rate.
Measured
$802 $1,653 typical $2,508

The middle 50% of negotiated facility rates for this procedure, measured across 2,451 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. $1,653
Surgeon (professional fee) Estimate national typical Medicare $58 × 1.22 commercial. $70
Likely subtotal $1,724
Surgical episode (typical) ~$1,724
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
CHI Memorial Hospital - Hixson Outpatient Alliant Health Commercial|All Plans $0.65 $6,167.00 $1,825.44 2026-02-28 MRF ↗
FIELD HEALTH SYSTEM Both United Healthcare Default $0.69 $399.00 $299.25 2025-03-07 MRF ↗
CEDARS-SINAI MEDICAL CENTER Inpatient UHC of California, dba UnitedHealthcare of California and fka PacificCare of California Medicare Advantage $14,916.20 $9,695.53 2025-11-26 MRF ↗
CEDARS-SINAI MEDICAL CENTER Outpatient SCAN Health Plan Medicare Advantage $11,474.00 $7,458.10 2025-11-26 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Security Health Plan (SHP) Medicare Advantage $1.78 $482.00 $457.90 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility UnitedHealth Group of WI Medicare Advantage $1.78 $482.00 $457.90 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Veteran's Administration (VA CCN) VA Network $1.78 $482.00 $457.90 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Anthem BCBS of WI Medicare Advantage $1.83 $482.00 $457.90 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $1.88 $482.00 $457.90 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Point Comfort Underwriters Organizational $1.93 $482.00 $457.90 2026-02-20 MRF ↗
ADVENTIST HEALTH REEDLEY Outpatient DIGNITY MCR ADV OP/PROFEE ONLY DIGNITY MCR ADV OP/PROFEE ONLY $2.00 $176.00 $33.44 2026-01-25 MRF ↗
COMANCHE COUNTY MEDICAL CENTER Outpatient MPI - ALL PLANS MPI - ALL PLANS $2.20 $223.00 $144.95 2026-05-07 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Security Health Plan (SHP) Medicare Advantage $2.31 $482.00 $457.90 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Veteran's Administration (VA CCN) VA Network $2.31 $482.00 $457.90 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Point Comfort Underwriters Organizational $2.36 $482.00 $457.90 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Anthem BCBS of WI Medicare Advantage $2.36 $482.00 $457.90 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Security Health Plan (SHP) Medicare Advantage $2.36 $482.00 $457.90 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Veteran's Administration (VA CCN) VA Network $2.36 $482.00 $457.90 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Anthem BCBS of WI Medicare Advantage $2.41 $482.00 $457.90 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $2.46 $482.00 $457.90 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $2.51 $482.00 $457.90 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Point Comfort Underwriters Organizational $2.60 $482.00 $457.90 2026-02-20 MRF ↗
MERCY HOSPITAL SPRINGFIELD OutpatientFacility KANCARE [20213] HB SPRG AETNA BETTER HEALTH (KANCARE) $4.25 $17.00 $11.05 2026-03-12 MRF ↗
MERCY HOSPITAL SPRINGFIELD OutpatientFacility KANCARE CONTRACTED [320213] HB CTHG KANCARE UHC MEDICAID $4.25 $17.00 $11.05 2026-03-12 MRF ↗
MERCY HOSPITAL SPRINGFIELD OutpatientFacility KANCARE CONTRACTED [320213] HB SPRG AETNA BETTER HEALTH (KANCARE) $4.25 $17.00 $11.05 2026-03-12 MRF ↗
Mercy Orthopedic Hospital Springfield OutpatientFacility KANCARE CONTRACTED [320213] HB SPRG AETNA BETTER HEALTH (KANCARE) $4.25 $17.00 $11.05 2026-03-12 MRF ↗
Mercy Orthopedic Hospital Springfield OutpatientFacility KANCARE CONTRACTED [320213] HB CTHG KANCARE UHC MEDICAID $4.25 $17.00 $11.05 2026-03-12 MRF ↗
MERCY HOSPITAL SPRINGFIELD OutpatientFacility KANCARE [20213] HB CTHG KANCARE UHC MEDICAID $4.25 $17.00 $11.05 2026-03-12 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility KANCARE CONTRACTED [320213] HB JOPL AETNA BETTER HEALTH (KANCARE) $4.25 $17.00 $11.05 2026-03-13 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility KANCARE [20213] HB JOPL AETNA BETTER HEALTH (KANCARE) $4.25 $17.00 $11.05 2026-03-13 MRF ↗
Mercy Orthopedic Hospital Springfield OutpatientFacility KANCARE [20213] HB SPRG AETNA BETTER HEALTH (KANCARE) $4.25 $17.00 $11.05 2026-03-12 MRF ↗
Mercy Orthopedic Hospital Springfield OutpatientFacility KANCARE [20213] HB CTHG KANCARE UHC MEDICAID $4.25 $17.00 $11.05 2026-03-12 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility NOVASYS CONTRACTED [320285] HB JOPL AMBETTER EXCHANGE MO $4.76 $17.00 $11.05 2026-03-13 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility HOME STATE HEALTH PLAN CONTRACTED [320187] HB JOPL AMBETTER EXCHANGE MO $4.76 $17.00 $11.05 2026-03-13 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility SUNFLOWER HEALTH PLAN CONTRACTED [320369] HB JOPL AMBETTER EXCHANGE MO $4.76 $17.00 $11.05 2026-03-13 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility AMBETTER CONTRACTED [320452] HB JOPL AMBETTER EXCHANGE MO $4.76 $17.00 $11.05 2026-03-13 MRF ↗
LAKEVIEW HOSPITAL BothFacility HP MEDICAID REPLACEMENT [950307] HP CARE PMAP [50327] $4.90 $1,983.00 $733.71 2026-03-31 MRF ↗
MERCY HOSPITAL FORT SMITH OutpatientFacility SUMMIT COMMUNITY CARE [20368] HB FTSM ARK MEDICAID $5.00 $212.00 $137.80 2026-03-13 MRF ↗
MERCY HOSPITAL FORT SMITH OutpatientFacility SUMMIT COMMUNITY CARE CONTRACTED [320368] HB FTSM SUMMIT $5.00 $212.00 $137.80 2026-03-13 MRF ↗
MERCY HOSPITAL FORT SMITH OutpatientFacility MEDICAID [20240] HB FTSM ARK MEDICAID $5.00 $212.00 $137.80 2026-03-13 MRF ↗
Mercy Orthopedic Hospital Springfield OutpatientFacility MEDICAID [20240] HB SPRG/JOPL ARK MEDICAID $5.00 $17.00 $11.05 2026-03-12 MRF ↗
Mercy Orthopedic Hospital Springfield OutpatientFacility KANCARE CONTRACTED [320213] HB SPRG AETNA BETTER HEALTH (KANCARE) $5.00 $20.00 $13.00 2026-03-12 MRF ↗
Mercy Orthopedic Hospital Fort Smith OutpatientFacility SUMMIT COMMUNITY CARE CONTRACTED [320368] HB FTSM SUMMIT $5.00 $212.00 $137.80 2026-03-13 MRF ↗
Mercy Orthopedic Hospital Springfield OutpatientFacility KANCARE CONTRACTED [320213] HB CTHG KANCARE UHC MEDICAID $5.00 $20.00 $13.00 2026-03-12 MRF ↗
MERCY HOSPITAL SPRINGFIELD OutpatientFacility KANCARE [20213] HB CTHG KANCARE UHC MEDICAID $5.00 $20.00 $13.00 2026-03-12 MRF ↗
MERCY HOSPITAL FORT SMITH OutpatientFacility ARKANSAS DEPARTMENT OF HEALTH [20036] HB FTSM ARK MEDICAID $5.00 $212.00 $137.80 2026-03-13 MRF ↗
MERCY HOSPITAL SPRINGFIELD OutpatientFacility KANCARE CONTRACTED [320213] HB SPRG AETNA BETTER HEALTH (KANCARE) $5.00 $20.00 $13.00 2026-03-12 MRF ↗
MERCY HOSPITAL SPRINGFIELD OutpatientFacility KANCARE CONTRACTED [320213] HB CTHG KANCARE UHC MEDICAID $5.00 $20.00 $13.00 2026-03-12 MRF ↗
Mercy Orthopedic Hospital Springfield OutpatientFacility KANCARE [20213] HB SPRG AETNA BETTER HEALTH (KANCARE) $5.00 $20.00 $13.00 2026-03-12 MRF ↗
Mercy Orthopedic Hospital Springfield OutpatientFacility KANCARE [20213] HB CTHG KANCARE UHC MEDICAID $5.00 $20.00 $13.00 2026-03-12 MRF ↗
MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility MEDICAID [20240] HB ROGR ARKANSAS MEDICAID $5.00 $181.00 $117.65 2026-03-13 MRF ↗
MERCY HOSPITAL SPRINGFIELD OutpatientFacility KANCARE [20213] HB SPRG AETNA BETTER HEALTH (KANCARE) $5.00 $20.00 $13.00 2026-03-12 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility KANCARE [20213] HB JOPL AETNA BETTER HEALTH (KANCARE) $5.00 $20.00 $13.00 2026-03-13 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility KANCARE CONTRACTED [320213] HB JOPL AETNA BETTER HEALTH (KANCARE) $5.00 $20.00 $13.00 2026-03-13 MRF ↗
MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility SUMMIT COMMUNITY CARE [20368] HB ROGR ARKANSAS MEDICAID $5.00 $181.00 $117.65 2026-03-13 MRF ↗
Mercy Orthopedic Hospital Fort Smith OutpatientFacility SUMMIT COMMUNITY CARE [20368] HB FTSM ARK MEDICAID $5.00 $212.00 $137.80 2026-03-13 MRF ↗
MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility SUMMIT COMMUNITY CARE CONTRACTED [320368] HB ROGR SUMMIT $5.00 $181.00 $117.65 2026-03-13 MRF ↗
Mercy Orthopedic Hospital Fort Smith OutpatientFacility ARKANSAS DEPARTMENT OF HEALTH [20036] HB FTSM ARK MEDICAID $5.00 $212.00 $137.80 2026-03-13 MRF ↗
Mercy Orthopedic Hospital Fort Smith OutpatientFacility MEDICAID [20240] HB FTSM ARK MEDICAID $5.00 $212.00 $137.80 2026-03-13 MRF ↗
MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility ARKANSAS DEPARTMENT OF HEALTH [20036] HB ROGR ARKANSAS MEDICAID $5.00 $181.00 $117.65 2026-03-13 MRF ↗
Mercy Orthopedic Hospital Fort Smith OutpatientFacility CARESOURCE MEDICAID [20460] HB FTSM CARESOURCE MEDICAID $5.10 $212.00 $137.80 2026-03-13 MRF ↗
MERCY HOSPITAL FORT SMITH OutpatientFacility CARESOURCE MEDICAID [20460] HB FTSM CARESOURCE MEDICAID $5.10 $212.00 $137.80 2026-03-13 MRF ↗
MERCY HOSPITAL FORT SMITH OutpatientFacility CARESOURCE MEDICAID CONTRACTED [320460] HB FTSM CARESOURCE MEDICAID $5.10 $212.00 $137.80 2026-03-13 MRF ↗
MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility CARESOURCE MEDICAID CONTRACTED [320460] HB ROGR CARESOURCE MEDICAID $5.10 $181.00 $117.65 2026-03-13 MRF ↗
MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility CARESOURCE MEDICAID [20460] HB ROGR CARESOURCE MEDICAID $5.10 $181.00 $117.65 2026-03-13 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility HUMANA CONTRACTED [320193] HB JOPL HUMANA COMMERCIAL $5.10 $17.00 $11.05 2026-03-13 MRF ↗
Mercy Orthopedic Hospital Fort Smith OutpatientFacility CARESOURCE MEDICAID CONTRACTED [320460] HB FTSM CARESOURCE MEDICAID $5.10 $212.00 $137.80 2026-03-13 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility AMBETTER CONTRACTED [320452] HB JOPL AMBETTER EXCHANGE MO $5.60 $20.00 $13.00 2026-03-13 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility HOME STATE HEALTH PLAN CONTRACTED [320187] HB JOPL AMBETTER EXCHANGE MO $5.60 $20.00 $13.00 2026-03-13 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility SUNFLOWER HEALTH PLAN CONTRACTED [320369] HB JOPL AMBETTER EXCHANGE MO $5.60 $20.00 $13.00 2026-03-13 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility NOVASYS CONTRACTED [320285] HB JOPL AMBETTER EXCHANGE MO $5.60 $20.00 $13.00 2026-03-13 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility HUMANA CONTRACTED [320193] HB JOPL HUMANA COMMERCIAL $6.00 $20.00 $13.00 2026-03-13 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility MEDICA CONTRACTED [320239] HB JOPL/SEKS MEDICA EXCHANGE $6.19 $17.00 $11.05 2026-03-13 MRF ↗
MONMOUTH MEDICAL CENTER OutpatientFacility Clover Managed Medicare $6.29 $3,496.00 $1,646.39 2024-12-31 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield of California Covered California/IFP/PPO $6.32 $4,758.31 $4,758.31 2026-03-18 MRF ↗
Southern California Hospital At Culver City OutpatientFacility Blue Shield of California Covered California/IFP/PPO $6.35 $4,758.31 $4,758.31 2026-03-18 MRF ↗
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility Blue Shield of California Covered California/IFP/PPO $6.35 $4,758.31 $4,758.31 2026-03-18 MRF ↗
MERCY HOSPITAL FORT SMITH OutpatientFacility EMPOWER HEALTHCARE SOLUTIONS MEDICAID CONTRACTED [320118] HB FTSM PASSE EMPOWER $6.35 $212.00 $137.80 2026-03-13 MRF ↗
MERCY HOSPITAL FORT SMITH OutpatientFacility EMPOWER HEALTHCARE SOLUTIONS MEDICAID [20118] HB FTSM PASSE EMPOWER $6.35 $212.00 $137.80 2026-03-13 MRF ↗
Mercy Orthopedic Hospital Fort Smith OutpatientFacility EMPOWER HEALTHCARE SOLUTIONS MEDICAID [20118] HB FTSM PASSE EMPOWER $6.35 $212.00 $137.80 2026-03-13 MRF ↗
Mercy Orthopedic Hospital Fort Smith OutpatientFacility EMPOWER HEALTHCARE SOLUTIONS MEDICAID CONTRACTED [320118] HB FTSM PASSE EMPOWER $6.35 $212.00 $137.80 2026-03-13 MRF ↗
MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility EMPOWER HEALTHCARE SOLUTIONS MEDICAID CONTRACTED [320118] HB ROGR PASSE EMPOWER $6.35 $181.00 $117.65 2026-03-13 MRF ↗
MERCY HOSPITAL SPRINGFIELD OutpatientFacility MEDICA [20239] HB SPRG LEBN MEDICA EXCHANGE $6.72 $17.00 $11.05 2026-03-12 MRF ↗
Mercy Orthopedic Hospital Springfield OutpatientFacility MEDICA CONTRACTED [320239] HB SPRG LEBN MEDICA EXCHANGE $6.72 $17.00 $11.05 2026-03-12 MRF ↗
Mercy Orthopedic Hospital Springfield OutpatientFacility MEDICA [20239] HB SPRG LEBN MEDICA EXCHANGE $6.72 $17.00 $11.05 2026-03-12 MRF ↗
MERCY HOSPITAL SPRINGFIELD OutpatientFacility MEDICA CONTRACTED [320239] HB SPRG LEBN MEDICA EXCHANGE $6.72 $17.00 $11.05 2026-03-12 MRF ↗
MERCY HOSPITAL SPRINGFIELD OutpatientFacility INSURANCE SYSTEM INC CONTRACTED [320465] HB SPRG HEALTH SYSTEMS $6.80 $17.00 $11.05 2026-03-12 MRF ↗
MERCY HOSPITAL SPRINGFIELD OutpatientFacility BENEFIT MANAGEMENT CONTRACTED [320052] HB SPRG DEC OZARK COMMUNITY HOSPITAL $6.80 $17.00 $11.05 2026-03-12 MRF ↗
Mercy Orthopedic Hospital Springfield OutpatientFacility HEALTH SYSTEMS INC CONTRACTED [320174] HB SPRG HEALTH SYSTEMS $6.80 $17.00 $11.05 2026-03-12 MRF ↗
Mercy Orthopedic Hospital Springfield OutpatientFacility BENEFIT MANAGEMENT CONTRACTED [320052] HB SPRG DEC OZARK COMMUNITY HOSPITAL $6.80 $17.00 $11.05 2026-03-12 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility UNITED HEALTHCARE CONTRACTED [320396] HB JOPL UHC ALL PAYER $6.80 $17.00 $11.05 2026-03-13 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility UNITED MEDICAL RESOURCES CONTRACTED [320454] HB JOPL UHC ALL PAYER $6.80 $17.00 $11.05 2026-03-13 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility UNITED HEALTHCARE CONTRACTED [320396] HB JOPL UHC INDIVIDUAL EXCHANGE $6.80 $17.00 $11.05 2026-03-13 MRF ↗
MERCY HOSPITAL SPRINGFIELD OutpatientFacility HEALTH SYSTEMS INC CONTRACTED [320174] HB SPRG HEALTH SYSTEMS $6.80 $17.00 $11.05 2026-03-12 MRF ↗
Mercy Orthopedic Hospital Springfield OutpatientFacility INSURANCE SYSTEM INC CONTRACTED [320465] HB SPRG HEALTH SYSTEMS $6.80 $17.00 $11.05 2026-03-12 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility OPTUM HEALTH BEHAVIORAL SOLUTIONS [520250] HB JOPL UHC ALL PAYER $6.80 $17.00 $11.05 2026-03-13 MRF ↗
Mercy Orthopedic Hospital Springfield OutpatientFacility HOME STATE HEALTH PLAN CONTRACTED [320187] HB SPRG AMBETTER EXCHANGE MO $6.92 $17.00 $11.05 2026-03-12 MRF ↗
Mercy Orthopedic Hospital Springfield OutpatientFacility SUNFLOWER HEALTH PLAN CONTRACTED [320369] HB SPRG AMBETTER EXCHANGE MO $6.92 $17.00 $11.05 2026-03-12 MRF ↗
Mercy Orthopedic Hospital Springfield OutpatientFacility NOVASYS CONTRACTED [320285] HB SPRG AMBETTER EXCHANGE MO $6.92 $17.00 $11.05 2026-03-12 MRF ↗
MERCY HOSPITAL SPRINGFIELD OutpatientFacility AMBETTER CONTRACTED [320452] HB SPRG AMBETTER EXCHANGE MO $6.92 $17.00 $11.05 2026-03-12 MRF ↗
MERCY HOSPITAL SPRINGFIELD OutpatientFacility NOVASYS CONTRACTED [320285] HB SPRG AMBETTER EXCHANGE MO $6.92 $17.00 $11.05 2026-03-12 MRF ↗
MERCY HOSPITAL SPRINGFIELD OutpatientFacility SUNFLOWER HEALTH PLAN CONTRACTED [320369] HB SPRG AMBETTER EXCHANGE MO $6.92 $17.00 $11.05 2026-03-12 MRF ↗
Mercy Orthopedic Hospital Springfield OutpatientFacility AMBETTER CONTRACTED [320452] HB SPRG AMBETTER EXCHANGE MO $6.92 $17.00 $11.05 2026-03-12 MRF ↗
MERCY HOSPITAL SPRINGFIELD OutpatientFacility HOME STATE HEALTH PLAN CONTRACTED [320187] HB SPRG AMBETTER EXCHANGE MO $6.92 $17.00 $11.05 2026-03-12 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield of California HMO $7.24 $4,758.31 $4,758.31 2026-03-18 MRF ↗
Southern California Hospital At Culver City OutpatientFacility Blue Shield of California HMO $7.28 $4,758.31 $4,758.31 2026-03-18 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility MEDICA CONTRACTED [320239] HB JOPL/SEKS MEDICA EXCHANGE $7.28 $20.00 $13.00 2026-03-13 MRF ↗
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility Blue Shield of California HMO $7.28 $4,758.31 $4,758.31 2026-03-18 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility BENEFIT MANAGEMENT CONTRACTED [320052] HB JOPL DEC OZARK COMMUNITY HOSPITAL $7.31 $17.00 $11.05 2026-03-13 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility INSURANCE SYSTEM INC CONTRACTED [320465] HB JOPL MNCK CTHG HEALTH SYSTEMS $7.31 $17.00 $11.05 2026-03-13 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility HEALTH SYSTEMS INC CONTRACTED [320174] HB JOPL MNCK CTHG HEALTH SYSTEMS $7.31 $17.00 $11.05 2026-03-13 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient MASS HEALTH [70001] CHA HB MEDICAID-STANDARD $7.56 $2,932.82 $2,932.82 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient MASS GENERAL BRIGHAM [50021] CHA HB MEDICAID-STANDARD $7.56 $2,932.82 $2,932.82 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient BOSTON MEDICAL CENTER - WELLSENSE [50003] CHA HB MEDICAID-STANDARD $7.56 $2,932.82 $2,932.82 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient OTHER TUFTS HEALTH PUBLIC PLAN [75002] CHA HB MEDICAID-STANDARD $7.56 $2,932.82 $2,932.82 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient FALLON [50006] CHA HB MEDICAID-STANDARD $7.56 $2,932.82 $2,932.82 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient UNITED HEALTH [40002] CHA HB MEDICAID-STANDARD $7.56 $2,932.82 $2,932.82 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient TUFTS TOGETHER W CHA [75001] CHA HB MEDICAID-STANDARD $7.56 $2,932.82 $2,932.82 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient OOS MEDICAID [70002] CHA HB MEDICAID-STANDARD $7.56 $2,932.82 $2,932.82 2026-03-20 MRF ↗
MERCY HOSPITAL SPRINGFIELD OutpatientFacility ADMINISTRATIVE PAYOR CONTRACTED [320005] HB SPRG AMISH $7.65 $17.00 $11.05 2026-03-12 MRF ↗
Mercy Orthopedic Hospital Springfield OutpatientFacility POINT C CONTRACTED [320238] HB SPRG DEC SRC HOLDINGS $7.65 $17.00 $11.05 2026-03-12 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility ADMINISTRATIVE PAYOR CONTRACTED [320005] HB JOPL AMISH $7.65 $17.00 $11.05 2026-03-13 MRF ↗
MERCY HOSPITAL SPRINGFIELD OutpatientFacility ADMINISTRATIVE PAYOR CONTRACTED [320005] HB SPRG MENNONITES $7.65 $17.00 $11.05 2026-03-12 MRF ↗
Mercy Orthopedic Hospital Springfield OutpatientFacility ADMINISTRATIVE PAYOR CONTRACTED [320005] HB SPRG AMISH $7.65 $17.00 $11.05 2026-03-12 MRF ↗
MERCY HOSPITAL SPRINGFIELD OutpatientFacility POINT C CONTRACTED [320238] HB SPRG DEC SRC HOLDINGS $7.65 $17.00 $11.05 2026-03-12 MRF ↗
Mercy Orthopedic Hospital Springfield OutpatientFacility ADMINISTRATIVE PAYOR CONTRACTED [320005] HB SPRG MENNONITES $7.65 $17.00 $11.05 2026-03-12 MRF ↗
MERCY HOSPITAL SPRINGFIELD OutpatientFacility POINT C [20238] HB SPRG DEC SRC HOLDINGS $7.65 $17.00 $11.05 2026-03-12 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility ADMINISTRATIVE PAYOR CONTRACTED [320005] HB SPRG MENNONITES $7.65 $17.00 $11.05 2026-03-13 MRF ↗
Mercy Orthopedic Hospital Springfield OutpatientFacility POINT C [20238] HB SPRG DEC SRC HOLDINGS $7.65 $17.00 $11.05 2026-03-12 MRF ↗
Mercy Orthopedic Hospital Springfield OutpatientFacility POINT C CONTRACTED [320238] HB SPRG MISSOURI STATE UNIVERSITY $7.74 $17.00 $11.05 2026-03-12 MRF ↗
MERCY HOSPITAL SPRINGFIELD OutpatientFacility POINT C CONTRACTED [320238] HB SPRG MISSOURI STATE UNIVERSITY $7.74 $17.00 $11.05 2026-03-12 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield of California EPO/PPO/Out of State $7.88 $4,758.31 $4,758.31 2026-03-18 MRF ↗
Mercy Orthopedic Hospital Springfield OutpatientFacility MEDICA [20239] HB SPRG LEBN MEDICA EXCHANGE $7.90 $20.00 $13.00 2026-03-12 MRF ↗
MERCY HOSPITAL SPRINGFIELD OutpatientFacility MEDICA CONTRACTED [320239] HB SPRG LEBN MEDICA EXCHANGE $7.90 $20.00 $13.00 2026-03-12 MRF ↗
MERCY HOSPITAL SPRINGFIELD OutpatientFacility MEDICA [20239] HB SPRG LEBN MEDICA EXCHANGE $7.90 $20.00 $13.00 2026-03-12 MRF ↗
Mercy Orthopedic Hospital Springfield OutpatientFacility MEDICA CONTRACTED [320239] HB SPRG LEBN MEDICA EXCHANGE $7.90 $20.00 $13.00 2026-03-12 MRF ↗
Southern California Hospital At Culver City OutpatientFacility Blue Shield of California EPO/PPO/Out of State $7.93 $4,758.31 $4,758.31 2026-03-18 MRF ↗
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility Blue Shield of California EPO/PPO/Out of State $7.93 $4,758.31 $4,758.31 2026-03-18 MRF ↗
MERCY HOSPITAL SPRINGFIELD OutpatientFacility INSURANCE SYSTEM INC CONTRACTED [320465] HB SPRG HEALTH SYSTEMS $8.00 $20.00 $13.00 2026-03-12 MRF ↗
MERCY HOSPITAL SPRINGFIELD OutpatientFacility BENEFIT MANAGEMENT CONTRACTED [320052] HB SPRG DEC OZARK COMMUNITY HOSPITAL $8.00 $20.00 $13.00 2026-03-12 MRF ↗
Mercy Orthopedic Hospital Springfield OutpatientFacility HEALTH SYSTEMS INC CONTRACTED [320174] HB SPRG HEALTH SYSTEMS $8.00 $20.00 $13.00 2026-03-12 MRF ↗
Mercy Orthopedic Hospital Springfield OutpatientFacility BENEFIT MANAGEMENT CONTRACTED [320052] HB SPRG DEC OZARK COMMUNITY HOSPITAL $8.00 $20.00 $13.00 2026-03-12 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility UNITED HEALTHCARE CONTRACTED [320396] HB JOPL UHC ALL PAYER $8.00 $20.00 $13.00 2026-03-13 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility UNITED MEDICAL RESOURCES CONTRACTED [320454] HB JOPL UHC ALL PAYER $8.00 $20.00 $13.00 2026-03-13 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility UNITED HEALTHCARE CONTRACTED [320396] HB JOPL UHC INDIVIDUAL EXCHANGE $8.00 $20.00 $13.00 2026-03-13 MRF ↗
Mercy Orthopedic Hospital Springfield OutpatientFacility INSURANCE SYSTEM INC CONTRACTED [320465] HB SPRG HEALTH SYSTEMS $8.00 $20.00 $13.00 2026-03-12 MRF ↗
MERCY HOSPITAL SPRINGFIELD OutpatientFacility HEALTH SYSTEMS INC CONTRACTED [320174] HB SPRG HEALTH SYSTEMS $8.00 $20.00 $13.00 2026-03-12 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility OPTUM HEALTH BEHAVIORAL SOLUTIONS [520250] HB JOPL UHC ALL PAYER $8.00 $20.00 $13.00 2026-03-13 MRF ↗
Mercy Orthopedic Hospital Springfield OutpatientFacility SUNFLOWER HEALTH PLAN CONTRACTED [320369] HB SPRG AMBETTER EXCHANGE MO $8.14 $20.00 $13.00 2026-03-12 MRF ↗
MERCY HOSPITAL SPRINGFIELD OutpatientFacility HOME STATE HEALTH PLAN CONTRACTED [320187] HB SPRG AMBETTER EXCHANGE MO $8.14 $20.00 $13.00 2026-03-12 MRF ↗
Mercy Orthopedic Hospital Springfield OutpatientFacility HOME STATE HEALTH PLAN CONTRACTED [320187] HB SPRG AMBETTER EXCHANGE MO $8.14 $20.00 $13.00 2026-03-12 MRF ↗
MERCY HOSPITAL SPRINGFIELD OutpatientFacility AMBETTER CONTRACTED [320452] HB SPRG AMBETTER EXCHANGE MO $8.14 $20.00 $13.00 2026-03-12 MRF ↗
Mercy Orthopedic Hospital Springfield OutpatientFacility NOVASYS CONTRACTED [320285] HB SPRG AMBETTER EXCHANGE MO $8.14 $20.00 $13.00 2026-03-12 MRF ↗
MERCY HOSPITAL SPRINGFIELD OutpatientFacility SUNFLOWER HEALTH PLAN CONTRACTED [320369] HB SPRG AMBETTER EXCHANGE MO $8.14 $20.00 $13.00 2026-03-12 MRF ↗
Mercy Orthopedic Hospital Springfield OutpatientFacility AMBETTER CONTRACTED [320452] HB SPRG AMBETTER EXCHANGE MO $8.14 $20.00 $13.00 2026-03-12 MRF ↗
MERCY HOSPITAL SPRINGFIELD OutpatientFacility NOVASYS CONTRACTED [320285] HB SPRG AMBETTER EXCHANGE MO $8.14 $20.00 $13.00 2026-03-12 MRF ↗
MERCY HOSPITAL SPRINGFIELD OutpatientFacility POINT C CONTRACTED [320238] HB SPRG DEC CITY OF SPRINGFIELD $8.16 $17.00 $11.05 2026-03-12 MRF ↗
Mercy Orthopedic Hospital Springfield OutpatientFacility POINT C CONTRACTED [320238] HB SPRG DEC CITY OF SPRINGFIELD $8.16 $17.00 $11.05 2026-03-12 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient UNITED HEALTH [40002] CHA HB MEDICARE MANAGED CARE - UHC $8.41 $2,932.82 $2,932.82 2026-03-20 MRF ↗
CAMBRIDGE HEALTH ALLIANCE Outpatient AARP [40001] CHA HB MEDICARE MANAGED CARE - UHC $8.41 $2,932.82 $2,932.82 2026-03-20 MRF ↗
Mercy Orthopedic Hospital Springfield OutpatientFacility MC GENERIC ANTHEM [20456] HB SPRG ANTHEM BLUE ACCESS $8.50 $17.00 $11.05 2026-03-12 MRF ↗
Mercy Orthopedic Hospital Springfield OutpatientFacility MC ANTHEM [20455] HB SPRG ANTHEM ALLIANCE $8.50 $17.00 $11.05 2026-03-12 MRF ↗
Mercy Orthopedic Hospital Springfield OutpatientFacility MC ANTHEM [20455] HB SPRG ANTHEM BLUE ACCESS $8.50 $17.00 $11.05 2026-03-12 MRF ↗
MERCY HOSPITAL SPRINGFIELD OutpatientFacility ADMINISTRATIVE PAYOR CONTRACTED [320005] HB SPRG MSU ATHLETES $8.50 $17.00 $11.05 2026-03-12 MRF ↗
MERCY HOSPITAL SPRINGFIELD OutpatientFacility MEDICAL DESTINATIONS CONTRACTED [320242] HB SPRG MEDICAL DESTINATIONS $8.50 $17.00 $11.05 2026-03-12 MRF ↗
MERCY HOSPITAL SPRINGFIELD OutpatientFacility AETNA [20008] HB SPRG AETNA COMMERCIAL $8.50 $17.00 $11.05 2026-03-12 MRF ↗
Mercy Orthopedic Hospital Springfield OutpatientFacility AETNA [20008] HB SPRG AETNA COMMERCIAL $8.50 $17.00 $11.05 2026-03-12 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility BLUE CROSS AND BLUE SHIELD [20053] HB JOPL ANTHEM ALLIANCE $8.50 $17.00 $11.05 2026-03-13 MRF ↗
Mercy Orthopedic Hospital Springfield OutpatientFacility WORKERS COMP [20426] HB SPRG Cardinals Work Comp $8.50 $17.00 $11.05 2026-03-12 MRF ↗
MERCY HOSPITAL SPRINGFIELD OutpatientFacility AETNA CONTRACTED [320008] HB SPRG AETNA COMMERCIAL $8.50 $17.00 $11.05 2026-03-12 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility POINT C CONTRACTED [320238] HB JOPL MO STATE UNIVERSITY $8.50 $17.00 $11.05 2026-03-13 MRF ↗
MERCY HOSPITAL SPRINGFIELD OutpatientFacility BLUE CROSS AND BLUE SHIELD [20053] HB SPRG ANTHEM ALLIANCE $8.50 $17.00 $11.05 2026-03-12 MRF ↗
Mercy Orthopedic Hospital Springfield OutpatientFacility MERCY BENEFIT ADMIN CONTRACTED [320251] HB SPRG JOPL DEC CLAYCO $8.50 $17.00 $11.05 2026-03-12 MRF ↗
Mercy Orthopedic Hospital Springfield OutpatientFacility ADMINISTRATIVE PAYOR CONTRACTED [320005] HB SPRG MSU ATHLETES $8.50 $17.00 $11.05 2026-03-12 MRF ↗
Mercy Orthopedic Hospital Springfield OutpatientFacility AETNA CONTRACTED [320008] HB SPRG AETNA COMMERCIAL $8.50 $17.00 $11.05 2026-03-12 MRF ↗
MERCY HOSPITAL SPRINGFIELD OutpatientFacility BLUE CROSS AND BLUE SHIELD [20053] HB SPRG ANTHEM BLUE ACCESS $8.50 $17.00 $11.05 2026-03-12 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility MC ANTHEM [20455] HB JOPL ANTHEM BLUE ACCESS $8.50 $17.00 $11.05 2026-03-13 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility MERCY BENEFIT ADMIN CONTRACTED [320251] HB SPRG JOPL DEC CLAYCO $8.50 $17.00 $11.05 2026-03-13 MRF ↗
MERCY HOSPITAL SPRINGFIELD OutpatientFacility MERCY BENEFIT ADMIN CONTRACTED [320251] HB SPRG JOPL DEC CLAYCO $8.50 $17.00 $11.05 2026-03-12 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility BLUE CROSS AND BLUE SHIELD [20053] HB JOPL ANTHEM BLUE ACCESS $8.50 $17.00 $11.05 2026-03-13 MRF ↗
Mercy Orthopedic Hospital Springfield OutpatientFacility BLUE CROSS AND BLUE SHIELD [20053] HB SPRG ANTHEM ALLIANCE $8.50 $17.00 $11.05 2026-03-12 MRF ↗
Mercy Orthopedic Hospital Springfield OutpatientFacility BLUE CROSS AND BLUE SHIELD [20053] HB SPRG ANTHEM BLUE ACCESS $8.50 $17.00 $11.05 2026-03-12 MRF ↗
Mercy Orthopedic Hospital Springfield OutpatientFacility BLUE CROSS AND BLUE SHIELD [20053] HB SPRG ANTHEM PATHWAYS EXCHANGE $8.50 $17.00 $11.05 2026-03-12 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility MC GENERIC ANTHEM [20456] HB JOPL ANTHEM BLUE ACCESS $8.50 $17.00 $11.05 2026-03-13 MRF ↗
MERCY HOSPITAL SPRINGFIELD OutpatientFacility BLUE CROSS AND BLUE SHIELD [20053] HB SPRG ANTHEM PATHWAYS EXCHANGE $8.50 $17.00 $11.05 2026-03-12 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility POINT C CONTRACTED [320238] HB JOPL CITY OF SPRINGFIELD $8.50 $17.00 $11.05 2026-03-13 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility MC ANTHEM [20455] HB JOPL ANTHEM ALLIANCE $8.50 $17.00 $11.05 2026-03-13 MRF ↗
MERCY HOSPITAL SPRINGFIELD OutpatientFacility MC ANTHEM [20455] HB SPRG ANTHEM ALLIANCE $8.50 $17.00 $11.05 2026-03-12 MRF ↗
MERCY HOSPITAL SPRINGFIELD OutpatientFacility MC GENERIC ANTHEM [20456] HB SPRG ANTHEM BLUE ACCESS $8.50 $17.00 $11.05 2026-03-12 MRF ↗
MERCY HOSPITAL SPRINGFIELD OutpatientFacility MC ANTHEM [20455] HB SPRG ANTHEM BLUE ACCESS $8.50 $17.00 $11.05 2026-03-12 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility BLUE CROSS AND BLUE SHIELD [20053] HB JOPL ANTHEM PATHWAYS EXCHANGE $8.50 $17.00 $11.05 2026-03-13 MRF ↗
MERCY HOSPITAL SPRINGFIELD OutpatientFacility WORKERS COMP [20426] HB SPRG Cardinals Work Comp $8.50 $17.00 $11.05 2026-03-12 MRF ↗
Mercy Orthopedic Hospital Springfield OutpatientFacility MEDICAL DESTINATIONS CONTRACTED [320242] HB SPRG MEDICAL DESTINATIONS $8.50 $17.00 $11.05 2026-03-12 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Security Health Plan (SHP) Medicare Advantage $8.57 $2,316.00 $2,200.20 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Veteran's Administration (VA CCN) VA Network $8.57 $2,316.00 $2,200.20 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility UnitedHealth Group of WI Medicare Advantage $8.57 $2,316.00 $2,200.20 2026-02-20 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility INSURANCE SYSTEM INC CONTRACTED [320465] HB JOPL MNCK CTHG HEALTH SYSTEMS $8.60 $20.00 $13.00 2026-03-13 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility BENEFIT MANAGEMENT CONTRACTED [320052] HB JOPL DEC OZARK COMMUNITY HOSPITAL $8.60 $20.00 $13.00 2026-03-13 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility HEALTH SYSTEMS INC CONTRACTED [320174] HB JOPL MNCK CTHG HEALTH SYSTEMS $8.60 $20.00 $13.00 2026-03-13 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Anthem BCBS of WI Medicare Advantage $8.80 $2,316.00 $2,200.20 2026-02-20 MRF ↗

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