49203 — Exc Abd Tum 5 Cm Or Less
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). EXC ABD TUM 5 CM OR LESS (HCPCS 49203) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/49203?code_type=HCPCS
MLA (9th ed.)
“EXC ABD TUM 5 CM OR LESS (HCPCS 49203) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/49203?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“EXC ABD TUM 5 CM OR LESS (HCPCS 49203) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/49203?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,538–$5,781 (25th–75th percentile) across 1,351 hospitals · 1,670 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 49203 — 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 |
|---|---|---|---|---|---|---|---|
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | HEALTHSMART | HEALTHSMART WORKERS COMP | $0.17 | — | — | 2026-05-20 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AETNA | AETNA WORKERS COMPENSATION | $0.20 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | HEALTHSMART | HEALTHSMART WORKERS COMP | $0.22 | — | — | 2026-09-02 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | First Choice Select Health | Managed Medicaid | — | — | — | 2026-09-21 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.49 | — | — | 2026-09-01 | MRF ↗ |
| CHI Memorial Hospital - Hixson Outpatient | Alliant Health | Commercial|All Plans | $0.65 | — | — | 2026-02-28 | MRF ↗ |
| NORTHRIDGE HOSPITAL MEDICAL CENTER Outpatient | Alliant Health | Commercial|All Plans | $0.65 | — | — | 2026-02-28 | MRF ↗ |
| CHI Memorial Hospital - Hixson Outpatient | Alliant Health | Commercial|All Plans | $0.65 | — | — | 2026-02-28 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CARE1ST MEDICARE ADVANTAGE | CARE1ST MEDICARE ADVANTAGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PRINCETON BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| CITIZENS BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| SHELBY BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | AETNA | AETNA WORKERS COMPENSATION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AETNA | AETNA WORKERS COMPENSATION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | MOLINA | MOLINA MANAGED MEDICAID PROGRAM | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SHELBY BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PRINCETON BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE SHIELD PROMISE MEDICARE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | CARE1ST MEDICARE ADVANTAGE | CARE1ST MEDICARE ADVANTAGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE SHIELD PROMISE MEDICARE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| CITIZENS BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| HI-DESERT MEDICAL CENTER OutpatientFacility | MOLINA | MOLINA MANAGED MEDICAID PROGRAM | $1.06 | — | — | 2026-09-02 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AETNA | AETNA WORKERS COMPENSATION | $1.30 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | AETNA | AETNA WORKERS COMPENSATION | $1.30 | — | — | 2026-09-01 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $9.80 | $5,447.00 | — | 2024-12-31 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | SUMMIT COMMUNITY CARE CONTRACTED [320368] | HB FTSM SUMMIT | $22.00 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | SUMMIT COMMUNITY CARE [20368] | HB FTSM ARK MEDICAID | $22.00 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | SUMMIT COMMUNITY CARE [20368] | HB FTSM ARK MEDICAID | $22.00 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | ARKANSAS DEPARTMENT OF HEALTH [20036] | HB FTSM ARK MEDICAID | $22.00 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | MEDICAID [20240] | HB FTSM ARK MEDICAID | $22.00 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | SUMMIT COMMUNITY CARE CONTRACTED [320368] | HB FTSM SUMMIT | $22.00 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | ARKANSAS DEPARTMENT OF HEALTH [20036] | HB FTSM ARK MEDICAID | $22.00 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | MEDICAID [20240] | HB FTSM ARK MEDICAID | $22.00 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | CARESOURCE MEDICAID [20460] | HB FTSM CARESOURCE MEDICAID | $22.44 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | CARESOURCE MEDICAID CONTRACTED [320460] | HB FTSM CARESOURCE MEDICAID | $22.44 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | CARESOURCE MEDICAID CONTRACTED [320460] | HB FTSM CARESOURCE MEDICAID | $22.44 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | CARESOURCE MEDICAID [20460] | HB FTSM CARESOURCE MEDICAID | $22.44 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | INDIAN HEALTH SERVICE [20198] | HB FTSM MEDICARE | $25.82 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | INDIAN HEALTH SERVICE [20198] | HB FTSM MEDICARE | $25.82 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB FTSM MANAGED MEDICARE | $25.82 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | INDIAN HEALTH SERVICE CONTRACTED [320198] | HB FTSM MEDICARE | $25.82 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | INDIAN HEALTH SERVICE CONTRACTED [320198] | HB FTSM MEDICARE | $25.82 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB FTSM MANAGED MEDICARE | $25.82 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | COMMUNITY CARE IPA [1131] | Community Care IPA Medi-Cal Managed Care | $26.13 | $95,302.50 | $52,416.38 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | EMPOWER HEALTHCARE SOLUTIONS MEDICAID CONTRACTED [320118] | HB FTSM PASSE EMPOWER | $27.94 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | EMPOWER HEALTHCARE SOLUTIONS MEDICAID [20118] | HB FTSM PASSE EMPOWER | $27.94 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | EMPOWER HEALTHCARE SOLUTIONS MEDICAID CONTRACTED [320118] | HB FTSM PASSE EMPOWER | $27.94 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | EMPOWER HEALTHCARE SOLUTIONS MEDICAID [20118] | HB FTSM PASSE EMPOWER | $27.94 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB SPRG MEDICARE | $29.20 | $12,538.63 | $8,150.11 | 2026-03-12 | MRF ↗ |
| WAKEMED, RALEIGH CAMPUS Outpatient | Aetna | Narrow Network | — | — | — | 2026-07-15 | MRF ↗ |
| WAKEMED, CARY HOSPITAL Outpatient | Aetna | Preferred | — | — | — | 2026-07-15 | MRF ↗ |
| WAKEMED, RALEIGH CAMPUS Outpatient | Aetna | Preferred | — | — | — | 2026-07-15 | MRF ↗ |
| WAKEMED, CARY HOSPITAL Outpatient | Cigna | Exchange | — | — | — | 2026-07-15 | MRF ↗ |
| WAKEMED, RALEIGH CAMPUS Outpatient | Cigna | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| WAKEMED, CARY HOSPITAL Outpatient | Aetna | Narrow Network | — | — | — | 2026-07-15 | MRF ↗ |
| WAKEMED, RALEIGH CAMPUS Outpatient | Cigna | Exchange | — | — | — | 2026-07-15 | MRF ↗ |
| WAKEMED, CARY HOSPITAL Outpatient | Cigna | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB SPRG MEDICARE | $29.84 | $12,514.63 | $8,134.51 | 2026-06-04 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | BCBS MEDICAID CONTRACTED [320046] | HB SPRG KANCARE HEALTHY BLUE MEDICAID | $30.36 | $12,514.63 | $8,134.51 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | BCBS MEDICAID CONTRACTED [320046] | HB SPRG KANCARE HEALTHY BLUE MEDICAID | $30.36 | $12,538.63 | $8,150.11 | 2026-03-12 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | MEDICAID [20240] | HB FTSM OK MEDICAID | $36.52 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | MEDICAID [20240] | HB FTSM OK MEDICAID | $36.52 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| FRIEND COMMUNITY HEALTHCARE SYSTEM Both | Bcbs Ks | All Commercial Products | $42.80 | $1,389.00 | $833.40 | 2026-09-21 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB SPRG UHC INDIVIDUAL EXCHANGE | $44.70 | $12,514.63 | $8,134.51 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB SPRG UHC OPTIONS PPO | $44.70 | $12,538.63 | $8,150.11 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB SPRG UHC OPTIONS PPO | $44.70 | $12,514.63 | $8,134.51 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB SPRG UHC INDIVIDUAL EXCHANGE | $44.70 | $12,538.63 | $8,150.11 | 2026-03-12 | 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) | $44.70 | $95,302.50 | $52,416.38 | 2026-04-01 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | MEDICAID [20240] | HB SPRG MO MEDICAID | $45.55 | $12,514.63 | $8,134.51 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | MEDICAID [20240] | HB SPRG MO MEDICAID | $45.55 | $12,538.63 | $8,150.11 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | MO MEDICAID BH CARVE OUT [320315] | HB SPRG MO MEDICAID | $45.55 | $12,538.63 | $8,150.11 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | MO MEDICAID BH CARVE OUT [320315] | HB SPRG MO MEDICAID | $45.55 | $12,514.63 | $8,134.51 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | ELARA CARING ASPIRE HOSPICE [20433] | HB SPRG MEDICARE | $47.47 | $12,538.63 | $8,150.11 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | KINDFUL HOSPICE [20434] | HB SPRG MEDICARE | $47.47 | $12,538.63 | $8,150.11 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | HALO HCR INC HOSPICE [20432] | HB SPRG MEDICARE | $47.47 | $12,538.63 | $8,150.11 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | AETNA MEDICARE ADVANTAGE CONTRACTED [320010] | HB SPRG MEDICARE | $47.47 | $12,538.63 | $8,150.11 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | MEDICARE [20244] | HB SPRG MEDICARE | $47.47 | $12,538.63 | $8,150.11 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | BCBS MEDICARE ADVANTAGE CONTRACTED [320047] | HB SPRG MEDICARE | $47.47 | $12,538.63 | $8,150.11 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | CHAMPVA [20065] | HB SPRG MEDICARE | $47.47 | $12,538.63 | $8,150.11 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | PACE OF THE OZARKS CONTRACTED [320518] | HB SPRG MEDICARE | $47.47 | $12,538.63 | $8,150.11 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | CROSS TIMBERS HOSPICE [20098] | HB SPRG MEDICARE | $47.47 | $12,538.63 | $8,150.11 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | MERCY REHAB HOSPITAL CONTRACTED [320260] | HB SPRG MEDICARE | $47.47 | $12,538.63 | $8,150.11 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | INDIAN HEALTH SERVICE [20198] | HB SPRG MEDICARE | $47.47 | $12,538.63 | $8,150.11 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | SUNFLOWER HEALTH PLAN CONTRACTED [320369] | HB SPRG AMBETTER EXCHANGE MO | — | $12,538.63 | $8,150.11 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] | HB SPRG PHCS (MPI) | — | $12,538.63 | $8,150.11 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | MULTIPLAN CONTRACTED [320270] | HB SPRG PHCS (MPI) | — | $12,538.63 | $8,150.11 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | PROMINENCE HEALTH PLAN MEDICARE ADVANTAGE CONTRACTED [320496] | HB SPRG MEDICARE | $47.47 | $12,538.63 | $8,150.11 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | LONGEVITY HEALTH PLAN MEDICARE CONTRACTED [320225] | HB SPRG MEDICARE | $47.47 | $12,538.63 | $8,150.11 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | INDIAN HEALTH SERVICE CONTRACTED [320198] | HB SPRG MEDICARE | $47.47 | $12,538.63 | $8,150.11 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | CIGNA MEDICARE ADVANTAGE CONTRACTED [320072] | HB SPRG MEDICARE | $47.47 | $12,538.63 | $8,150.11 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | DEPT OF VETERAN AFFAIRS CONTRACTED [320106] | HB SPRG MEDICARE | $47.47 | $12,538.63 | $8,150.11 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | AETNA MEDICARE ADVANTAGE [20010] | HB SPRG MEDICARE | $47.47 | $12,538.63 | $8,150.11 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | CENTURION OF MISSOURI [20459] | HB SPRG MEDICARE | $47.47 | $12,538.63 | $8,150.11 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | CHEROKEE NATION HEALTH SERV CONTRACTED [320066] | HB SPRG MEDICARE | $47.47 | $12,538.63 | $8,150.11 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | NOVASYS CONTRACTED [320285] | HB SPRG AMBETTER EXCHANGE MO | — | $12,538.63 | $8,150.11 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | MERCY HOSPICE OKC [20252] | HB SPRG MEDICARE | $47.47 | $12,538.63 | $8,150.11 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | HUMANA MEDICARE ADVANTAGE [20194] | HB SPRG HUMANA MEDICARE 100% | $47.47 | $12,538.63 | $8,150.11 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | GLOBALHEALTH CONTRACTED [320145] | HB SPRG MEDICARE | $47.47 | $12,538.63 | $8,150.11 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | KINDFUL HOSPICE CONTRACTED [320434] | HB SPRG MEDICARE | $47.47 | $12,538.63 | $8,150.11 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | HALO HCR INC HOSPICE CONTRACTED [320432] | HB SPRG MEDICARE | $47.47 | $12,538.63 | $8,150.11 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | ESSENCE HEALTHCARE MEDICARE CONTRACTED [320122] | HB SPRG MEDICARE | $47.47 | $12,538.63 | $8,150.11 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | UNITED HEALTHCARE MEDICARE ADVANTAGE CONTRACTED [320398] | HB SPRG PHCS (MPI) | — | $12,538.63 | $8,150.11 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | MERCY MGD BEHAVIORAL HEALTH CONTRACTED [320259] | HB SPRG MEDICARE | $47.47 | $12,538.63 | $8,150.11 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | HUMANA MEDICARE ADVANTAGE CONTRACTED [320194] | HB SPRG HUMANA MEDICARE 100% | $47.47 | $12,538.63 | $8,150.11 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | HOME STATE HEALTH PLAN CONTRACTED [320187] | HB SPRG AMBETTER EXCHANGE MO | — | $12,538.63 | $8,150.11 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | AMBETTER CONTRACTED [320452] | HB SPRG AMBETTER EXCHANGE MO | — | $12,538.63 | $8,150.11 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | UNITED HEALTHCARE MEDICARE ADVANTAGE CONTRACTED [320398] | HB SPRG UHC MCR 100% | $47.47 | $12,538.63 | $8,150.11 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | MEDICA MEDICARE ADVANTAGE CONTRACTED [320477] | HB SPRG MEDICARE | $47.47 | $12,538.63 | $8,150.11 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB SPRG MEDICARE | $47.47 | $12,538.63 | $8,150.11 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | TRICARE CONTRACTED [320380] | HB SPRG TRICARE | $47.47 | $12,538.63 | $8,150.11 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | QUAL CHOICE CONTRACTED [320325] | HB SPRG MEDICARE | $47.47 | $12,538.63 | $8,150.11 | 2026-03-12 | MRF ↗ |
| HENRY COUNTY MEMORIAL HOSPITAL Outpatient | ENCORE WORKERS COMP-ALL PLANS | ENCORE WORKERS COMP-ALL PLANS | $48.00 | $3,870.20 | $2,709.14 | 2026-04-21 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | ELARA CARING ASPIRE HOSPICE CONTRACTED [320433] | HB FTSM MANAGED MEDICARE | $48.86 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | HALO HCR INC HOSPICE CONTRACTED [320432] | HB FTSM MANAGED MEDICARE | $48.86 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | KINDFUL HOSPICE [20434] | HB FTSM MANAGED MEDICARE | $48.86 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | HALO HCR INC HOSPICE [20432] | HB FTSM MANAGED MEDICARE | $48.86 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | MERCY HOSPICE OKC [20252] | HB FTSM MANAGED MEDICARE | $48.86 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | NHC ADVANTAGE MEDICARE CONTRACTED [320282] | HB FTSM MANAGED MEDICARE | $48.86 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | TRICARE CONTRACTED [320380] | HB FTSM TRICARE | $48.86 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | UNITED BEHAVIORAL HEALTH MEDICARE ADVANTAGE CONTRACTED [320392] | HB FTSM MANAGED MEDICARE | $48.86 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | BCBS MEDICARE ADVANTAGE CONTRACTED [320047] | HB FTSM MANAGED MEDICARE | $48.86 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | PROVIDER PARTNERS HEALTH PLANS CONTRACTED [320450] | HB FTSM MANAGED MEDICARE | $48.86 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | LONGEVITY HEALTH PLAN MEDICARE CONTRACTED [320225] | HB FTSM MANAGED MEDICARE | $48.86 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | CROSS TIMBERS HOSPICE [20098] | HB FTSM MANAGED MEDICARE | $48.86 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | MEDICAL ASSOCIATES HEALTH [20444] | HB FTSM MANAGED MEDICARE | $48.86 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | ELARA CARING ASPIRE HOSPICE [20433] | HB FTSM MANAGED MEDICARE | $48.86 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | ESSENCE HEALTHCARE MEDICARE CONTRACTED [320122] | HB FTSM MANAGED MEDICARE | $48.86 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | DEPT OF VETERAN AFFAIRS CONTRACTED [320106] | HB FTSM MEDICARE | $48.86 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB FTSM MANAGED MEDICARE | $48.86 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | SPINA BIFIDA HLTHCARE BENEFIT [20506] | HB FTSM MANAGED MEDICARE | $48.86 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | MEDICARE [20244] | HB FTSM MEDICARE | $48.86 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | KINDFUL HOSPICE CONTRACTED [320434] | HB FTSM MANAGED MEDICARE | $48.86 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | TRICARE [20380] | HB FTSM TRICARE | $48.86 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | MENTAL HEALTH NETWORK MEDICARE [20250] | HB FTSM MANAGED MEDICARE | $48.86 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | VALIR PACE [20503] | HB FTSM MANAGED MEDICARE | $48.86 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | JORDAN VALLEY SENIOR CARE PACE [20515] | HB FTSM MANAGED MEDICARE | $48.86 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | AMERICAN HEALTH ADVANTAGE OF MO MCR [20264] | HB FTSM MANAGED MEDICARE | $48.86 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | WELLFIRST HEALTH MCR [20443] | HB FTSM MANAGED MEDICARE | $48.86 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | PROMINENCE HEALTH PLAN MEDICARE ADVANTAGE CONTRACTED [320496] | HB FTSM MANAGED MEDICARE | $48.86 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | HUMANA MEDICARE ADVANTAGE CONTRACTED [320194] | HB FTSM MANAGED MEDICARE | $48.86 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | GLOBALHEALTH CONTRACTED [320145] | HB FTSM MANAGED MEDICARE | $48.86 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | UNICARE MEDICARE [20384] | HB FTSM MANAGED MEDICARE | $48.86 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | HALO HCR INC HOSPICE CONTRACTED [320432] | HB FTSM MANAGED MEDICARE | $48.86 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | AETNA MEDICARE ADVANTAGE CONTRACTED [320010] | HB FTSM MANAGED MEDICARE | $48.86 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | HUMANA MEDICARE ADVANTAGE CONTRACTED [320194] | HB FTSM MANAGED MEDICARE | $48.86 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | HUMANA MEDICARE ADVANTAGE CONTRACTED [320194] | HB FTSM HUMANA MCR | $48.86 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | GLOBALHEALTH CONTRACTED [320145] | HB FTSM MANAGED MEDICARE | $48.86 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | MEDICA MEDICARE ADVANTAGE CONTRACTED [320477] | HB FTSM MANAGED MEDICARE | $48.86 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | LONGEVITY HEALTH PLAN MEDICARE CONTRACTED [320225] | HB FTSM MANAGED MEDICARE | $48.86 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | ESSENCE HEALTHCARE MEDICARE CONTRACTED [320122] | HB FTSM MANAGED MEDICARE | $48.86 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | QUAL CHOICE CONTRACTED [320325] | HB FTSM MANAGED MEDICARE | $48.86 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | UNIVERSITY PITTSBURGH MED CTR MEDICARE [20407] | HB FTSM MANAGED MEDICARE | $48.86 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | KINDFUL HOSPICE CONTRACTED [320434] | HB FTSM MANAGED MEDICARE | $48.86 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | TRICARE CONTRACTED [320380] | HB FTSM TRICARE | $48.86 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | HEALTH FIRST HEALTH PLANS MEDICARE [20170] | HB FTSM MANAGED MEDICARE | $48.86 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | CHEROKEE NATION HEALTH SERV CONTRACTED [320066] | HB FTSM MEDICARE | $48.86 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | PACE OF THE OZARKS [20518] | HB FTSM MANAGED MEDICARE | $48.86 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | VALIR PACE [20503] | HB FTSM MANAGED MEDICARE | $48.86 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | WINDSOR MEDICARE [20424] | HB FTSM MANAGED MEDICARE | $48.86 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | JORDAN VALLEY SENIOR CARE PACE [20515] | HB FTSM MANAGED MEDICARE | $48.86 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | SPINA BIFIDA HLTHCARE BENEFIT [20506] | HB FTSM MANAGED MEDICARE | $48.86 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | INDEPENDENT HEALTH [20197] | HB FTSM MANAGED MEDICARE | $48.86 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | AMERICAN HEALTH ADVANTAGE OF MO MCR [20264] | HB FTSM MANAGED MEDICARE | $48.86 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | TRIBUTE HEALTH PLAN MCR [20338] | HB FTSM MANAGED MEDICARE | $48.86 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | PROVIDER PARTNERS HEALTH PLANS CONTRACTED [320450] | HB FTSM MANAGED MEDICARE | $48.86 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | UNIVERSITY PITTSBURGH MED CTR MEDICARE [20407] | HB FTSM MANAGED MEDICARE | $48.86 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | GENERIC MEDICARE MANAGED CARE [20137] | HB FTSM MANAGED MEDICARE | $48.86 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | WELLFIRST HEALTH MCR [20443] | HB FTSM MANAGED MEDICARE | $48.86 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | TRICARE [20380] | HB FTSM TRICARE | $48.86 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | HORIZONS MEDICARE [20190] | HB FTSM MANAGED MEDICARE | $48.86 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | HUMANA MEDICARE ADVANTAGE CONTRACTED [320194] | HB FTSM HUMANA MCR | $48.86 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | CROSS TIMBERS HOSPICE [20098] | HB FTSM MANAGED MEDICARE | $48.86 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | PROMINENCE HEALTH PLAN MEDICARE ADVANTAGE CONTRACTED [320496] | HB FTSM MANAGED MEDICARE | $48.86 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | UNICARE MEDICARE [20384] | HB FTSM MANAGED MEDICARE | $48.86 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | MEDICARE [20244] | HB FTSM MEDICARE | $48.86 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | TRIBUTE HEALTH PLAN MCR [20338] | HB FTSM MANAGED MEDICARE | $48.86 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | PACE OF THE OZARKS [20518] | HB FTSM MANAGED MEDICARE | $48.86 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | HALO HCR INC HOSPICE [20432] | HB FTSM MANAGED MEDICARE | $48.86 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | KINDFUL HOSPICE [20434] | HB FTSM MANAGED MEDICARE | $48.86 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | MERCY HOSPICE OKC [20252] | HB FTSM MANAGED MEDICARE | $48.86 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | AETNA MEDICARE ADVANTAGE CONTRACTED [320010] | HB FTSM MANAGED MEDICARE | $48.86 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | ELARA CARING ASPIRE HOSPICE [20433] | HB FTSM MANAGED MEDICARE | $48.86 | $8,444.68 | $5,489.04 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | NHC ADVANTAGE MEDICARE CONTRACTED [320282] | HB FTSM MANAGED MEDICARE | $48.86 | $8,444.68 | $5,489.04 | 2026-03-13 | 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.