55869 — Pr Lap Surg Rpp Rad Incl Nrv Sparing & Robot Assist W/Bil Pelvic Lymadctmy
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PR Lap Surg Rpp Rad Incl Nrv Sparing & Robot Assist W/Bil Pelvic Lymadctmy (CPT 55869) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/55869?code_type=CPT
MLA (9th ed.)
“PR Lap Surg Rpp Rad Incl Nrv Sparing & Robot Assist W/Bil Pelvic Lymadctmy (CPT 55869) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/55869?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“PR Lap Surg Rpp Rad Incl Nrv Sparing & Robot Assist W/Bil Pelvic Lymadctmy (CPT 55869) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/55869?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $8,519–$16,811 (25th–75th percentile) across 736 hospitals · 865 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 55869 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Estimated complete episode
What the whole episode might cost
Your hospital facility price plus the separately-billed professional fees a complete episode adds. The facility figure is an actual negotiated rate from our data; the surgeon and anesthesia fees are estimated from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$8,519
$11,439 typical
$16,811
The middle 50% of negotiated facility rates for this procedure, measured across 736 hospitals. The surgeon and anesthesia fees are modeled estimates added on top.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $11,439 |
| Surgeon (professional fee) Estimate national typical Medicare $1,329 × 1.22 commercial. | $1,621 |
| Anesthesia Estimate national typical 00865, ~90 min typical. Medicare $266 × 3.14 commercial. | $837 |
| Likely subtotal | $13,897 |
Surgical episode (typical)
~$13,897
Not included in this estimate:
- Rehab, physical therapy, and other post-acute care after discharge (see the recovery plan below)
- Complications, revisions, or readmissions
- Out-of-network provider choices you make yourself (the No Surprises Act only covers providers you can't choose)
The biggest swing: which insurer's rate applies — negotiated prices here run $8,519–$16,811.
Your recovery plan — adjust to what your doctor told you
After your procedure, recovery care is billed separately. We pre-fill the typical plan; change it to your situation.
Recovery cost modeled
~$3,785
With your recovery plan (typical)
~$17,681
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
- Anesthesia (estimate)
- base_units_version: CY2022 file (base units unchanged for CY2026 per CMS) · anesthesia_cf: $20.49754 (National) · cf_rule: CMS-1832-F · multiplier_source: AJMC/Duffy 2016-2017 (PMID 34156223) 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 |
|---|---|---|---|---|---|---|---|
| RIDGEVIEW MEDICAL CENTER Outpatient | SCHA [16032] | SCHA MN CARE [1603202] | $1.43 | $36,852.63 | $18,057.79 | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Outpatient | SCHA [16032] | SCHA [1603201] | $1.43 | $36,852.63 | $18,057.79 | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Outpatient | PRIME WEST MEDICAID [16029] | PRIME WEST HEALTH [1602901] | $1.50 | $36,852.63 | $18,057.79 | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Outpatient | PRIME WEST MEDICAID [16029] | PRIME WEST MN CARE [1602902] | $1.50 | $36,852.63 | $18,057.79 | 2026-01-01 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | MEDICAID [20240] | HB ROGR OKLAHOMA MEDICAID | $8.69 | $37,445.07 | $24,339.30 | 2026-06-08 | MRF ↗ |
| O'connor Hospital BothFacility | CENTRAL CA ALLIANCE [340] | CENTRAL CA ALLIANCE [340001] | $23.77 | $72,947.00 | $51,062.90 | 2026-09-01 | MRF ↗ |
| St. Louise Regional Hospital BothFacility | CENTRAL CA ALLIANCE [340] | CENTRAL CA ALLIANCE [340001] | $23.77 | $72,947.00 | $51,062.90 | 2026-09-01 | MRF ↗ |
| St. Louise Regional Hospital BothFacility | KAISER MEDI-CAL MC [410] | KAISER MEDI-CAL MC [410002] | $23.77 | $72,947.00 | $51,062.90 | 2026-09-01 | MRF ↗ |
| SANTA CLARA VALLEY MEDICAL CENTER BothFacility | CENTRAL CA ALLIANCE [340] | CENTRAL CA ALLIANCE [340001] | $23.77 | $72,947.00 | $51,062.90 | 2026-09-01 | MRF ↗ |
| O'connor Hospital BothFacility | KAISER MEDI-CAL MC [410] | KAISER MEDI-CAL MC [410002] | $23.77 | $72,947.00 | $51,062.90 | 2026-09-01 | MRF ↗ |
| SANTA CLARA VALLEY MEDICAL CENTER BothFacility | KAISER MEDI-CAL MC [410] | KAISER MEDI-CAL MC [410002] | $23.77 | $72,947.00 | $51,062.90 | 2026-09-01 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | ARKANSAS DEPARTMENT OF HEALTH [20036] | HB ROGR ARKANSAS MEDICAID | $35.00 | $37,445.07 | $24,339.30 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | SUMMIT COMMUNITY CARE CONTRACTED [320368] | HB ROGR SUMMIT | $35.00 | $37,445.07 | $24,339.30 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | SUMMIT COMMUNITY CARE [20368] | HB ROGR ARKANSAS MEDICAID | $35.00 | $37,445.07 | $24,339.30 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | MEDICAID [20240] | HB ROGR ARKANSAS MEDICAID | $35.00 | $37,445.07 | $24,339.30 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | CARESOURCE MEDICAID CONTRACTED [320460] | HB ROGR CARESOURCE MEDICAID | $35.70 | $37,445.07 | $24,339.30 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | CARESOURCE MEDICAID [20460] | HB ROGR CARESOURCE MEDICAID | $35.70 | $37,445.07 | $24,339.30 | 2026-06-08 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | MEDICAID [20240] | HB FTSM ARK MEDICAID | $39.60 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | SUMMIT COMMUNITY CARE CONTRACTED [320368] | HB FTSM SUMMIT | $39.60 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | SUMMIT COMMUNITY CARE [20368] | HB FTSM ARK MEDICAID | $39.60 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | SUMMIT COMMUNITY CARE [20368] | HB FTSM ARK MEDICAID | $39.60 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | MEDICAID [20240] | HB FTSM ARK MEDICAID | $39.60 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | ARKANSAS DEPARTMENT OF HEALTH [20036] | HB FTSM ARK MEDICAID | $39.60 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | SUMMIT COMMUNITY CARE CONTRACTED [320368] | HB FTSM SUMMIT | $39.60 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | ARKANSAS DEPARTMENT OF HEALTH [20036] | HB FTSM ARK MEDICAID | $39.60 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | CARESOURCE MEDICAID CONTRACTED [320460] | HB FTSM CARESOURCE MEDICAID | $40.39 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | CARESOURCE MEDICAID [20460] | HB FTSM CARESOURCE MEDICAID | $40.39 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | CARESOURCE MEDICAID [20460] | HB FTSM CARESOURCE MEDICAID | $40.39 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | CARESOURCE MEDICAID CONTRACTED [320460] | HB FTSM CARESOURCE MEDICAID | $40.39 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Selecthealth | Fehbp | — | — | — | 2026-07-31 | MRF ↗ |
| LDS HOSPITAL Outpatient | Intermountain Caregiver Plan | Med Network | — | — | — | 2026-08-01 | MRF ↗ |
| LDS HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | — | — | — | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Outpatient | Intermountain Caregiver Plan | Med Network | — | — | — | 2026-07-31 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Selecthealth | Selectshare | — | — | — | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Selecthealth | Selectvalue | — | — | — | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Outpatient | Intermountain Caregiver Plan | Med Network | — | — | — | 2026-07-17 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Outpatient | Selecthealth | Selectshare | — | — | — | 2026-07-17 | MRF ↗ |
| LDS HOSPITAL Outpatient | Selecthealth | Fehbp | — | — | — | 2026-08-01 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Selecthealth | Selectcare | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL Outpatient | Selecthealth | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| LDS HOSPITAL Outpatient | Selecthealth | Selectcare | — | — | — | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Outpatient | Selecthealth | Selectcare | — | — | — | 2026-07-31 | MRF ↗ |
| LDS HOSPITAL Outpatient | Selecthealth | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Intermountain Caregiver Plan | Med Network | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Selecthealth | Selectshare | — | — | — | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | — | — | — | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL Outpatient | Selecthealth | Selectcare | — | — | — | 2026-08-01 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | — | — | — | 2026-07-15 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Intermountain Caregiver Plan | Med Network | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL Outpatient | Selecthealth | Selectvalue | — | — | — | 2026-08-01 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Selecthealth | Fehbp | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Outpatient | Selecthealth | Selectshare | — | — | — | 2026-07-31 | MRF ↗ |
| LDS HOSPITAL Outpatient | Selecthealth | Selectvalue | — | — | — | 2026-08-01 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | — | — | — | 2026-07-15 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Selecthealth | Selectmed/Chip | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL Outpatient | Selecthealth | Selectshare | — | — | — | 2026-08-01 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Selecthealth | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Outpatient | Selecthealth | Commercial | — | — | — | 2026-07-17 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Selecthealth | Selectcare | — | — | — | 2026-07-31 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Selecthealth | Selectvalue | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL Outpatient | Selecthealth | Fehbp | — | — | — | 2026-08-01 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Selecthealth | Commercial | — | — | — | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Outpatient | Selecthealth | Selectcare | — | — | — | 2026-07-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Outpatient | Selecthealth | Fehbp | — | — | — | 2026-07-31 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Selecthealth | Selectshare | — | — | — | 2026-07-15 | MRF ↗ |
| LDS HOSPITAL Outpatient | Selecthealth | Selectshare | — | — | — | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Outpatient | Selecthealth | Selectvalue | — | — | — | 2026-07-17 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | — | — | — | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Selecthealth | Fehbp | — | — | — | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Intermountain Caregiver Plan | Med Network | — | — | — | 2026-08-01 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Intermountain Caregiver Plan | Med Network | — | — | — | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Selecthealth | Selectcare | — | — | — | 2026-08-01 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Selecthealth | Selectvalue | — | — | — | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | — | — | — | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Outpatient | Selecthealth | Fehbp | — | — | — | 2026-07-17 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Outpatient | Intermountain Caregiver Plan | Share Network | — | — | — | 2026-07-17 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Selecthealth | Selectcare | — | — | — | 2026-07-15 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Selecthealth | Selectvalue | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Outpatient | Selecthealth | Selectvalue | — | — | — | 2026-07-31 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Selecthealth | Selectshare | — | — | — | 2026-07-15 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Selecthealth | Fehbp | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL Outpatient | Intermountain Caregiver Plan | Med Network | — | — | — | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Selecthealth | Selectmed/Chip | — | — | — | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | — | — | — | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Outpatient | Selecthealth | Commercial | — | — | — | 2026-07-31 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | EMPOWER HEALTHCARE SOLUTIONS MEDICAID CONTRACTED [320118] | HB ROGR PASSE EMPOWER | $44.45 | $37,445.07 | $24,339.30 | 2026-06-08 | MRF ↗ |
| St. Louise Regional Hospital BothFacility | BLUE CROSS MEDI-CAL MC [320] | BLUE CROSS MCMC [320001] | $45.01 | $72,947.00 | $51,062.90 | 2026-09-01 | MRF ↗ |
| O'connor Hospital BothFacility | BLUE CROSS MEDI-CAL MC [320] | BLUE CROSS MCMC [320001] | $45.01 | $72,947.00 | $51,062.90 | 2026-09-01 | MRF ↗ |
| SANTA CLARA VALLEY MEDICAL CENTER BothFacility | BLUE CROSS MEDI-CAL MC [320] | BLUE CROSS MCMC [320001] | $45.01 | $72,947.00 | $51,062.90 | 2026-09-01 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | EMPOWER HEALTHCARE SOLUTIONS MEDICAID [20118] | HB FTSM PASSE EMPOWER | $50.29 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | EMPOWER HEALTHCARE SOLUTIONS MEDICAID CONTRACTED [320118] | HB FTSM PASSE EMPOWER | $50.29 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | EMPOWER HEALTHCARE SOLUTIONS MEDICAID [20118] | HB FTSM PASSE EMPOWER | $50.29 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | EMPOWER HEALTHCARE SOLUTIONS MEDICAID CONTRACTED [320118] | HB FTSM PASSE EMPOWER | $50.29 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | INDIAN HEALTH SERVICE [20198] | HB FTSM MEDICARE | $64.29 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | INDIAN HEALTH SERVICE CONTRACTED [320198] | HB FTSM MEDICARE | $64.29 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB FTSM MANAGED MEDICARE | $64.29 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB FTSM MANAGED MEDICARE | $64.29 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | INDIAN HEALTH SERVICE [20198] | HB FTSM MEDICARE | $64.29 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | INDIAN HEALTH SERVICE CONTRACTED [320198] | HB FTSM MEDICARE | $64.29 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | MEDICA ELEVATE | MEDICA ELEVATE | $73.60 | $3,365.00 | $2,187.25 | 2026-08-10 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | ARKANSAS TOTAL CARE [20039] | HB ROGR PASSE AR TOTAL CARE | $79.45 | $37,445.07 | $24,339.30 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | ARKANSAS TOTAL CARE CONTRACTED [320039] | HB ROGR PASSE AR TOTAL CARE | $79.45 | $37,445.07 | $24,339.30 | 2026-06-08 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | MEDICA COMM - ALL OTHER PLANS | MEDICA COMM - ALL OTHER PLANS | $80.00 | $3,365.00 | $2,187.25 | 2026-08-10 | MRF ↗ |
| St. Louise Regional Hospital BothFacility | SANTA CLARA FAMILY HEALTH PLAN MC [205] | SANTA CLARA FAMILY HEALTH PLAN MC [205001] | $82.85 | $72,947.00 | $51,062.90 | 2026-09-01 | MRF ↗ |
| O'connor Hospital BothFacility | SANTA CLARA FAMILY HEALTH PLAN MC [205] | SANTA CLARA FAMILY HEALTH PLAN MC [205001] | $82.85 | $72,947.00 | $51,062.90 | 2026-09-01 | MRF ↗ |
| SANTA CLARA VALLEY MEDICAL CENTER BothFacility | SANTA CLARA FAMILY HEALTH PLAN MC [205] | SANTA CLARA FAMILY HEALTH PLAN MC [205001] | $82.85 | $72,947.00 | $51,062.90 | 2026-09-01 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | ARKANSAS TOTAL CARE CONTRACTED [320039] | HB FTSM PASSE AR TOTAL CARE | $89.89 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | ARKANSAS TOTAL CARE [20039] | HB FTSM PASSE AR TOTAL CARE | $89.89 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | ARKANSAS TOTAL CARE [20039] | HB FTSM PASSE AR TOTAL CARE | $89.89 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | ARKANSAS TOTAL CARE CONTRACTED [320039] | HB FTSM PASSE AR TOTAL CARE | $89.89 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | MEDICAID [20240] | HB FTSM OK MEDICAID | $90.64 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | MEDICAID [20240] | HB FTSM OK MEDICAID | $90.64 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | CHEROKEE NATION HEALTH SERV CONTRACTED [320066] | HB FTSM MEDICARE | $156.71 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | MEDICAL ASSOCIATES HEALTH [20444] | HB FTSM MANAGED MEDICARE | $156.71 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | KINDFUL HOSPICE [20434] | HB FTSM MANAGED MEDICARE | $156.71 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | BCBS MEDICARE ADVANTAGE CONTRACTED [320047] | HB FTSM MANAGED MEDICARE | $156.71 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | DEPT OF VETERAN AFFAIRS CONTRACTED [320106] | HB FTSM MEDICARE | $156.71 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | TRIBUTE HEALTH PLAN MCR [20338] | HB FTSM MANAGED MEDICARE | $156.71 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | HEALTH FIRST HEALTH PLANS MEDICARE [20170] | HB FTSM MANAGED MEDICARE | $156.71 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | INDEPENDENT HEALTH [20197] | HB FTSM MANAGED MEDICARE | $156.71 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | DEPT OF VETERAN AFFAIRS CONTRACTED [320106] | HB FTSM MEDICARE | $156.71 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | WINDSOR MEDICARE [20424] | HB FTSM MANAGED MEDICARE | $156.71 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | ELARA CARING ASPIRE HOSPICE CONTRACTED [320433] | HB FTSM MANAGED MEDICARE | $156.71 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | CROSS TIMBERS HOSPICE [20098] | HB FTSM MANAGED MEDICARE | $156.71 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | MEDICAL ASSOCIATES HEALTH [20444] | HB FTSM MANAGED MEDICARE | $156.71 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | HUMANA MEDICARE ADVANTAGE CONTRACTED [320194] | HB FTSM MANAGED MEDICARE | $156.71 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | ESSENCE HEALTHCARE MEDICARE CONTRACTED [320122] | HB FTSM MANAGED MEDICARE | $156.71 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | UNIVERSITY PITTSBURGH MED CTR MEDICARE [20407] | HB FTSM MANAGED MEDICARE | $156.71 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | HEALTH FIRST HEALTH PLANS MEDICARE [20170] | HB FTSM MANAGED MEDICARE | $156.71 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | PROMINENCE HEALTH PLAN MEDICARE ADVANTAGE CONTRACTED [320496] | HB FTSM MANAGED MEDICARE | $156.71 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | TRICARE CONTRACTED [320380] | HB FTSM TRICARE | $156.71 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | HALO HCR INC HOSPICE CONTRACTED [320432] | HB FTSM MANAGED MEDICARE | $156.71 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | NHC ADVANTAGE MEDICARE CONTRACTED [320282] | HB FTSM MANAGED MEDICARE | $156.71 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | PROVIDER PARTNERS HEALTH PLANS CONTRACTED [320450] | HB FTSM MANAGED MEDICARE | $156.71 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | JORDAN VALLEY SENIOR CARE PACE [20515] | HB FTSM MANAGED MEDICARE | $156.71 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | KINDFUL HOSPICE CONTRACTED [320434] | HB FTSM MANAGED MEDICARE | $156.71 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | HORIZONS MEDICARE [20190] | HB FTSM MANAGED MEDICARE | $156.71 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | BCBS MEDICARE ADVANTAGE CONTRACTED [320047] | HB FTSM MANAGED MEDICARE | $156.71 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | KINDFUL HOSPICE [20434] | HB FTSM MANAGED MEDICARE | $156.71 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | CHEROKEE NATION HEALTH SERV CONTRACTED [320066] | HB FTSM MEDICARE | $156.71 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | PACE OF THE OZARKS [20518] | HB FTSM MANAGED MEDICARE | $156.71 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | HALO HCR INC HOSPICE [20432] | HB FTSM MANAGED MEDICARE | $156.71 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | UNITED BEHAVIORAL HEALTH MEDICARE ADVANTAGE CONTRACTED [320392] | HB FTSM MANAGED MEDICARE | $156.71 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | MENTAL HEALTH NETWORK MEDICARE [20250] | HB FTSM MANAGED MEDICARE | $156.71 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | MEDICARE [20244] | HB FTSM MEDICARE | $156.71 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | AMERICAN HEALTH ADVANTAGE OF MO MCR [20264] | HB FTSM MANAGED MEDICARE | $156.71 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | HALO HCR INC HOSPICE [20432] | HB FTSM MANAGED MEDICARE | $156.71 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | HUMANA MEDICARE ADVANTAGE CONTRACTED [320194] | HB FTSM HUMANA MCR | $156.71 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | WELLFIRST HEALTH MCR [20443] | HB FTSM MANAGED MEDICARE | $156.71 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB FTSM MANAGED MEDICARE | $156.71 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | HORIZONS MEDICARE [20190] | HB FTSM MANAGED MEDICARE | $156.71 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | TRICARE [20380] | HB FTSM TRICARE | $156.71 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | MENTAL HEALTH NETWORK MEDICARE [20250] | HB FTSM MANAGED MEDICARE | $156.71 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | ESSENCE HEALTHCARE MEDICARE CONTRACTED [320122] | HB FTSM MANAGED MEDICARE | $156.71 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | TRICARE [20380] | HB FTSM TRICARE | $156.71 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | PACE OF THE OZARKS [20518] | HB FTSM MANAGED MEDICARE | $156.71 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | SPINA BIFIDA HLTHCARE BENEFIT [20506] | HB FTSM MANAGED MEDICARE | $156.71 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | KINDFUL HOSPICE CONTRACTED [320434] | HB FTSM MANAGED MEDICARE | $156.71 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | PROMINENCE HEALTH PLAN MEDICARE ADVANTAGE CONTRACTED [320496] | HB FTSM MANAGED MEDICARE | $156.71 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | LONGEVITY HEALTH PLAN MEDICARE CONTRACTED [320225] | HB FTSM MANAGED MEDICARE | $156.71 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | HALO HCR INC HOSPICE CONTRACTED [320432] | HB FTSM MANAGED MEDICARE | $156.71 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | CROSS TIMBERS HOSPICE [20098] | HB FTSM MANAGED MEDICARE | $156.71 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | ELARA CARING ASPIRE HOSPICE [20433] | HB FTSM MANAGED MEDICARE | $156.71 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | AETNA MEDICARE ADVANTAGE CONTRACTED [320010] | HB FTSM MANAGED MEDICARE | $156.71 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | LONGEVITY HEALTH PLAN MEDICARE CONTRACTED [320225] | HB FTSM MANAGED MEDICARE | $156.71 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | UNICARE MEDICARE [20384] | HB FTSM MANAGED MEDICARE | $156.71 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | MERCY HOSPICE OKC [20252] | HB FTSM MANAGED MEDICARE | $156.71 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | WINDSOR MEDICARE [20424] | HB FTSM MANAGED MEDICARE | $156.71 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | SPINA BIFIDA HLTHCARE BENEFIT [20506] | HB FTSM MANAGED MEDICARE | $156.71 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | VALIR PACE [20503] | HB FTSM MANAGED MEDICARE | $156.71 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | UNITED BEHAVIORAL HEALTH MEDICARE ADVANTAGE CONTRACTED [320392] | HB FTSM MANAGED MEDICARE | $156.71 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | UNIVERSITY PITTSBURGH MED CTR MEDICARE [20407] | HB FTSM MANAGED MEDICARE | $156.71 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | ELARA CARING ASPIRE HOSPICE [20433] | HB FTSM MANAGED MEDICARE | $156.71 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | AETNA MEDICARE ADVANTAGE CONTRACTED [320010] | HB FTSM MANAGED MEDICARE | $156.71 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | MEDICA MEDICARE ADVANTAGE CONTRACTED [320477] | HB FTSM MANAGED MEDICARE | $156.71 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | GENERIC MEDICARE MANAGED CARE [20137] | HB FTSM MANAGED MEDICARE | $156.71 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | TRIBUTE HEALTH PLAN MCR [20338] | HB FTSM MANAGED MEDICARE | $156.71 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | MEDICA MEDICARE ADVANTAGE CONTRACTED [320477] | HB FTSM MANAGED MEDICARE | $156.71 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | JORDAN VALLEY SENIOR CARE PACE [20515] | HB FTSM MANAGED MEDICARE | $156.71 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | QUAL CHOICE CONTRACTED [320325] | HB FTSM MANAGED MEDICARE | $156.71 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | VALIR PACE [20503] | HB FTSM MANAGED MEDICARE | $156.71 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | HUMANA MEDICARE ADVANTAGE CONTRACTED [320194] | HB FTSM MANAGED MEDICARE | $156.71 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | PROVIDER PARTNERS HEALTH PLANS CONTRACTED [320450] | HB FTSM MANAGED MEDICARE | $156.71 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | MERCY HOSPICE OKC [20252] | HB FTSM MANAGED MEDICARE | $156.71 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | GLOBALHEALTH CONTRACTED [320145] | HB FTSM MANAGED MEDICARE | $156.71 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | HUMANA MEDICARE ADVANTAGE CONTRACTED [320194] | HB FTSM HUMANA MCR | $156.71 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB FTSM MANAGED MEDICARE | $156.71 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | MEDICARE [20244] | HB FTSM MEDICARE | $156.71 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | NHC ADVANTAGE MEDICARE CONTRACTED [320282] | HB FTSM MANAGED MEDICARE | $156.71 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | GENERIC MEDICARE MANAGED CARE [20137] | HB FTSM MANAGED MEDICARE | $156.71 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | TRICARE CONTRACTED [320380] | HB FTSM TRICARE | $156.71 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | UNICARE MEDICARE [20384] | HB FTSM MANAGED MEDICARE | $156.71 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | AMERICAN HEALTH ADVANTAGE OF MO MCR [20264] | HB FTSM MANAGED MEDICARE | $156.71 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | QUAL CHOICE CONTRACTED [320325] | HB FTSM MANAGED MEDICARE | $156.71 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | ELARA CARING ASPIRE HOSPICE CONTRACTED [320433] | HB FTSM MANAGED MEDICARE | $156.71 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | INDEPENDENT HEALTH [20197] | HB FTSM MANAGED MEDICARE | $156.71 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | WELLFIRST HEALTH MCR [20443] | HB FTSM MANAGED MEDICARE | $156.71 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | GLOBALHEALTH CONTRACTED [320145] | HB FTSM MANAGED MEDICARE | $156.71 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | UNITED HEALTHCARE MEDICARE ADVANTAGE CONTRACTED [320398] | HB FTSM UHC MCR 100% | $159.74 | $24,958.12 | $16,222.78 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | UNITED HEALTHCARE MEDICARE ADVANTAGE CONTRACTED [320398] | HB FTSM UHC MCR 100% | $159.74 | $24,958.12 | $16,222.78 | 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.