58300 — Insert Intrauterine Device
Cite this view
HANK Price Transparency. (n.d.). INSERT INTRAUTERINE DEVICE (HCPCS 58300) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/58300?code_type=HCPCS
“INSERT INTRAUTERINE DEVICE (HCPCS 58300) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/58300?code_type=HCPCS. Accessed .
“INSERT INTRAUTERINE DEVICE (HCPCS 58300) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/58300?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $141–$931 (25th–75th percentile) across 2,252 hospitals · 6,010 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 58300 — 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 |
|---|---|---|---|---|---|---|---|
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $0.40 | $151.00 | $113.25 | 2025-03-07 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Cigna | Commercial | — | $1.00 | $0.60 | 2026-05-22 | MRF ↗ |
| CAPE FEAR VALLEY HOKE HOSPITAL Outpatient | Blue Cross Blue Shield Of Nc | Commercial | — | $1.00 | $0.60 | 2026-05-17 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Nc | Commercial | — | $1.00 | $0.60 | 2026-05-22 | MRF ↗ |
| CHI Memorial Hospital - Hixson Outpatient | Alliant Health | Commercial|All Plans | $0.65 | — | — | 2026-02-28 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.68 | $185.00 | $175.75 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.68 | $185.00 | $175.75 | 2026-02-20 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Cigna | Cigna - PPO | $0.71 | $1,418.00 | $1,063.50 | 2026-04-01 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.72 | $185.00 | $175.75 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.74 | $185.00 | $175.75 | 2026-02-20 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Outpatient | CIGNA [16012] | CIGNA [1601203] | — | $13,912.98 | $6,817.36 | 2026-01-01 | MRF ↗ |
| BARTON MEMORIAL HOSPITAL Outpatient | Aetna | Commercial | — | $1.00 | $0.70 | 2026-05-23 | MRF ↗ |
| BARTON MEMORIAL HOSPITAL Outpatient | Blue Shield Of California | Ppo | — | $1.00 | $0.70 | 2026-05-23 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.89 | $185.00 | $175.75 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.89 | $185.00 | $175.75 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.91 | $185.00 | $175.75 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.91 | $185.00 | $175.75 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $0.91 | $185.00 | $175.75 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.94 | $185.00 | $175.75 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.96 | $185.00 | $175.75 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $1.00 | $185.00 | $175.75 | 2026-02-20 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $537.78 | $349.56 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $537.78 | $349.56 | 2025-11-26 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $1.42 | $136.75 | $136.75 | 2026-04-24 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $1.49 | $176.00 | $33.44 | 2026-01-25 | MRF ↗ |
| OTTAWA COUNTY HEALTH CENTER Outpatient | CHOICECARE MCR ADV - ALL PLANS | CHOICECARE MCR ADV - ALL PLANS | $1.49 | $105.00 | $105.00 | 2026-03-09 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $1.90 | $183.05 | $183.05 | 2026-04-24 | MRF ↗ |
| The Burdett Care Center OutpatientFacility | ALBANY COUNTY CORRECTIONAL FACILITY | ALBANY CORRECTIONAL FACILITY | $2.02 | — | $1,258.40 | 2026-03-31 | MRF ↗ |
| The Burdett Care Center OutpatientFacility | BLUE CROSS - NY (EXCELLUS) MEDICAID ADVANTAGE | EMPIRE MEDICAID | $2.14 | — | $1,258.40 | 2026-03-31 | MRF ↗ |
| The Burdett Care Center OutpatientFacility | BLUE CROSS - NY (ANTHEM) MEDICAID ADVANTAGE | EMPIRE MEDICAID | $2.14 | — | $1,258.40 | 2026-03-31 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $2.60 | $249.95 | $249.95 | 2026-04-24 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $2.98 | $165.00 | $165.00 | 2026-02-13 | MRF ↗ |
| CASCADE VALLEY HOSPITAL Both | Humana | Medicare | — | $1,170.00 | $936.00 | 2026-03-26 | MRF ↗ |
| The Burdett Care Center OutpatientFacility | BLUE CROSS - NY (EXCELLUS) MEDICAID ADVANTAGE | EMPIRE MEDICAID ESSENTIAL 1 2 3 4 | $4.55 | — | $1,258.40 | 2026-03-31 | MRF ↗ |
| The Burdett Care Center OutpatientFacility | BLUE CROSS - NY (ANTHEM) MEDICAID ADVANTAGE | EMPIRE MEDICAID ESSENTIAL 1 2 3 4 | $4.55 | — | $1,258.40 | 2026-03-31 | MRF ↗ |
| The Burdett Care Center OutpatientFacility | FIDELIS CARE MEDICAID ADVANTAGE | FIDELIS MEDICAID EPP 1 & 2 QHP | $4.55 | — | $1,258.40 | 2026-03-31 | MRF ↗ |
| The Burdett Care Center OutpatientFacility | FIDELIS CARE MEDICAID ADVANTAGE | FIDELIS MEDICAID ESS PLAN 3 &4 | $4.55 | — | $1,258.40 | 2026-03-31 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | COMMUNITY ELDERCARE [1027] | MEDI-CAL | $5.00 | $5,372.00 | $2,954.60 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | BLUE SHIELD PROMISE [1017] | BLUE SHIELD PROMISE (FKA CARE1ST HEALTHPLAN MEDI-CAL) | $5.00 | $5,372.00 | $2,954.60 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | CAREMORE [2028] | MEDI-CAL | $5.00 | $5,372.00 | $2,954.60 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | VANTAGE [1092] | PROSPECT VANTAGE MEDICAL GROUP MEDI-CAL | $5.00 | $5,372.00 | $2,954.60 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | BLUE CROSS [1013] | MEDI-CAL | $5.00 | $5,372.00 | $2,954.60 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | ALTERNATE MEDI-CAL [2001] | MEDI-CAL | $5.00 | $5,372.00 | $2,954.60 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | BLUE CROSS [1013] | BLUE CROSS MEDI-CAL UNLISTED IPA [10130011] | $5.00 | $5,372.00 | $2,954.60 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | AETNA [1003] | AETNA MEDI-CAL | $5.00 | $5,372.00 | $2,954.60 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | BRAND NEW DAY [1089] | MEDI-CAL | $5.00 | $5,372.00 | $2,954.60 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | XIMED [2016] | MEDI-CAL | $5.00 | $5,372.00 | $2,954.60 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MEDI-CAL [1048] | MEDI-CAL | $5.00 | $5,372.00 | $2,954.60 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MOLINA [1055] | MOLINA MEDI-CAL | $6.30 | $5,372.00 | $2,954.60 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | ALTERNATE MOLINA [1240] | MOLINA MEDI-CAL [12400001] | $6.30 | $5,372.00 | $2,954.60 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MOLINA [1055] | MOLINA MEDI-CAL COMMUNITY CARE [10550015] | $6.30 | $5,372.00 | $2,954.60 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | ALTERNATE MOLINA [1240] | MOLINA MEDI-CAL | $6.30 | $5,372.00 | $2,954.60 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MOLINA [1055] | MOLINA MEDI-CAL [10550002] | $6.30 | $5,372.00 | $2,954.60 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | COMMUNITY HEALTH GROUP [1022] | COMMUNITY HEALTH GROUP (MEDI-CAL) | $6.45 | $5,372.00 | $2,954.60 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | HEALTH NET [1039] | HEALTH NET MEDI-CAL | $6.75 | $5,372.00 | $2,954.60 | 2026-04-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | KAREN ANN QUINLAN [5285] | HMC KAREN ANN QUINLAN | $6.89 | $10,687.94 | $2,071.56 | 2026-01-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | KAREN ANN QUINLAN [5285] | MMC KAREN ANN QUINLAN | $6.89 | $9,917.06 | $1,978.93 | 2026-04-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | KAREN ANN QUINLAN [5285] | NMC KAREN ANN QUINLAN | $6.89 | $12,111.74 | $824.10 | 2026-04-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | KAREN ANN QUINLAN [5285] | HMC KAREN ANN QUINLAN | $6.89 | $12,111.74 | $1,362.30 | 2026-04-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | KAREN ANN QUINLAN [5285] | HMC KAREN ANN QUINLAN | $6.89 | $10,687.94 | $2,071.56 | 2026-01-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | KAREN ANN QUINLAN [5285] | MMC KAREN ANN QUINLAN | $6.89 | $9,916.94 | $1,978.93 | 2026-01-01 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | LA Care Health | Medi-cal | $7.00 | — | — | 2024-10-01 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | Molina | MCD | $7.00 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Physicians Medical Group | MCD | $7.00 | — | — | 2024-10-01 | MRF ↗ |
| Riverside Community Hospital Outpatient | Molina | MCD | $7.17 | — | — | 2026-03-01 | MRF ↗ |
| Riverside Community Hospital Outpatient | LA Care Health | Medi-cal | $7.17 | — | — | 2026-03-01 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | MVP [109] | MVP ESSENTIAL 1&2 | $7.58 | $3,895.06 | $2,531.79 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | FIDELIS CARE NEW YORK [112] | FIDELIS CARE NEW YORK|FIDELIS FHP|FIDELIS CHP | — | $3,895.06 | $2,531.79 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | MVP [109] | MVP OPTION|MVP CHILD HEALTH PLUS|MVP ESSENTIAL 3&4 | $7.58 | $3,895.06 | $2,531.79 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | MVP [109] | MVP EXCHANGE-INDIVIDUAL | $7.58 | $3,895.06 | $2,531.79 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | MULTIPLAN [141] | COMMERCIAL|MULTIPLAN|MULTIPLAN/PHCS GENERIC|CDPHP COMMERCIAL | — | $3,895.06 | $2,531.79 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | MAGNACARE [115] | MAGNACARE | — | $3,895.06 | $2,531.79 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | FIDELIS MEDICARE [176] | FIDELIS MEDICARE|FIDELIS DUAL ADVANTAGE | — | $4,345.36 | $2,824.48 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | MVP [109] | MVP DUAL ACCESS|MVP DUAL ACCESS COMPLETE | — | $4,345.36 | $2,824.48 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | HIGHMARK [114] | HIGHMARK|HIGHMARK INDEMNITY- OUT OF AREA|HIGHMARK HMO BLUE | — | $4,345.36 | $2,824.48 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | EXCELLUS INDEMNITY [127] | BLUE CHOICE|RGHS EMPLOYEE MEDICAL PLAN|EXCELLUS UNITY EMPLOYEE PLAN|RRH CDHP|EMPIRE BLUE CROSS (NYC)|BLUE CROSS & BLUE SHIELD|UNIVERA|EMPIRE PLAN B/C (KINGSTON)|EXCELLUS BCBS RIT|FEDERAL BLUE CROSS & BLUE SHIELD | — | $4,345.36 | $2,824.48 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | MVP [109] | MVP GOLD PPO | — | $4,345.36 | $2,824.48 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | EXCELLUS HMO [104] | BLUE CHOICE OPTION|CHILD HEALTH PLUS|UNIVERA MYHEALTH PLUS|EXCELLUS ESSENTIAL 1&2|EXCELLUS ESSENTIAL 3&4|UNIVERA MYHEALTH|UNIVERA ESSENTIAL 1&2|HEALTHY NY|UNIVERA ESSENTIAL 1&2 | — | $4,345.36 | $2,824.48 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Outpatient | MVP [109] | MVP|CIGNA|GWH CIGNA|NALC CIGNA | — | $4,345.36 | $2,824.48 | 2024-12-30 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Outpatient | MASS GENERAL BRIGHAM [50021] | CHA HB MEDICAID-STANDARD | $7.59 | $2,368.00 | $2,368.00 | 2026-03-20 | MRF ↗ |
| UMASS MEMORIAL HEALTHALLIANCE HOSPITALS Outpatient | FALLON MEDICAID [10904] | All FALLON ACO HA [79] Plans | $7.59 | $30,530.50 | $30,530.50 | 2026-03-26 | MRF ↗ |
| UMASS MEMORIAL HEALTHALLIANCE HOSPITALS Outpatient | FALLON MEDICAID [10904] | All FALLON MCO HA [55] Plans | $7.59 | $30,530.50 | $30,530.50 | 2026-03-26 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Outpatient | TUFTS TOGETHER W CHA [75001] | CHA HB MEDICAID-STANDARD | $7.59 | $2,368.00 | $2,368.00 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Outpatient | UNITED HEALTH [40002] | CHA HB MEDICAID-STANDARD | $7.59 | $2,368.00 | $2,368.00 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Outpatient | OOS MEDICAID [70002] | CHA HB MEDICAID-STANDARD | $7.59 | $2,368.00 | $2,368.00 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Outpatient | BOSTON MEDICAL CENTER - WELLSENSE [50003] | CHA HB MEDICAID-STANDARD | $7.59 | $2,368.00 | $2,368.00 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Outpatient | FALLON [50006] | CHA HB MEDICAID-STANDARD | $7.59 | $2,368.00 | $2,368.00 | 2026-03-20 | MRF ↗ |
| UMASS MEMORIAL HEALTHALLIANCE HOSPITALS Outpatient | MASSHEALTH [20302] | All MASSHEALTH HA [93] Plans | $7.59 | $30,530.50 | $30,530.50 | 2026-03-26 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Outpatient | MASS HEALTH [70001] | CHA HB MEDICAID-STANDARD | $7.59 | $2,368.00 | $2,368.00 | 2026-03-20 | MRF ↗ |
| UMASS MEMORIAL HEALTHALLIANCE HOSPITALS Outpatient | HNE MEDICAID [10905] | All HEALTH NEW ENGLAND/MINUTEMAN MCO HA [223] Plans | $7.59 | $30,530.50 | $30,530.50 | 2026-03-26 | MRF ↗ |
| UMASS MEMORIAL HEALTHALLIANCE HOSPITALS Outpatient | MGB MEDICAID [10906] | All MGB (FORMERLY AHP) ACO HA [197] Plans | $7.59 | $30,530.50 | $30,530.50 | 2026-03-26 | MRF ↗ |
| UMASS MEMORIAL HEALTHALLIANCE HOSPITALS Outpatient | INSTITUTION [10406] | All WORCESTER RECOVERY HA [235] Plans | $7.59 | $30,530.50 | $30,530.50 | 2026-03-26 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Outpatient | OTHER TUFTS HEALTH PUBLIC PLAN [75002] | CHA HB MEDICAID-STANDARD | $7.59 | $2,368.00 | $2,368.00 | 2026-03-20 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | Brand New Day | MCD | $7.70 | — | — | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Brand New Day | MCD | $7.70 | — | — | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Gold Coast Health Plan | MCD | $7.70 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Anthem | Medi-Cal | $7.70 | — | — | 2024-10-01 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Outpatient | AARP [40001] | CHA HB MEDICARE MANAGED CARE - UHC | $7.75 | $2,368.00 | $2,368.00 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Outpatient | UNITED HEALTH [40002] | CHA HB MEDICARE MANAGED CARE - UHC | $7.75 | $2,368.00 | $2,368.00 | 2026-03-20 | MRF ↗ |
| Riverside Community Hospital Outpatient | Brand New Day | MCD | $7.89 | — | — | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Brand New Day | MCD | $7.89 | — | — | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Gold Coast Health Plan | MCD | $7.89 | — | — | 2026-03-01 | MRF ↗ |
| MERCYONE WATERLOO MEDICAL CENTER OutpatientFacility | IOWA TOTAL CARE | IOWA TOTAL CARE MEDICAID | $8.34 | — | $2,776.00 | 2026-03-31 | MRF ↗ |
| MERCYONE WATERLOO MEDICAL CENTER OutpatientFacility | MOLINA MEDICAID | MOLINA MEDICAID | $8.43 | — | $2,776.00 | 2026-03-31 | MRF ↗ |
| MERCYONE WATERLOO MEDICAL CENTER OutpatientFacility | MEDICARE MEDICAL ASSOCIATES HEALTH PLANS | MEDICAL ASSOCIATES MEDICARE ADVANTAGE | $8.44 | — | $359.00 | 2026-03-31 | MRF ↗ |
| The Burdett Care Center OutpatientFacility | BLUE CROSS - NY (ANTHEM) MEDICARE ADVANTAGE | EMPIRE BCBS MEDICARE ADVANTAGE | $8.44 | — | $1,258.40 | 2026-03-31 | MRF ↗ |
| MERCYONE WATERLOO MEDICAL CENTER OutpatientFacility | MEDIGOLD MEDICARE ADVANTAGE | MERCYONE HEALTH PLAN MEDICARE ADVANTAGE | $8.44 | — | $359.00 | 2026-03-31 | MRF ↗ |
| MERCYONE WATERLOO MEDICAL CENTER OutpatientFacility | AETNA MEDICARE ADVANTAGE | AETNA MEDICARE ADVANTAGE | $8.44 | — | $2,776.00 | 2026-03-31 | MRF ↗ |
| MERCYONE WATERLOO MEDICAL CENTER OutpatientFacility | MEDIGOLD MEDICARE ADVANTAGE | MERCYONE HEALTH PLAN MEDICARE ADVANTAGE | $8.44 | — | $2,776.00 | 2026-03-31 | MRF ↗ |
| MERCYONE WATERLOO MEDICAL CENTER OutpatientFacility | MEDICARE MEDICAL ASSOCIATES HEALTH PLANS | MEDICAL ASSOCIATES MEDICARE ADVANTAGE | $8.44 | — | $2,776.00 | 2026-03-31 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | INDIAN HEALTH SERVICE [20198] | HB FTSM MEDICARE | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | GENERIC MEDICARE MANAGED CARE [20137] | HB FTSM MANAGED MEDICARE | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | NHC ADVANTAGE MEDICARE CONTRACTED [320282] | HB FTSM MANAGED MEDICARE | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB FTSM MANAGED MEDICARE | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | TRICARE CONTRACTED [320380] | HB FTSM TRICARE | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | HUMANA MEDICARE ADVANTAGE CONTRACTED [320194] | HB FTSM HUMANA MCR | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | TRIBUTE HEALTH PLAN MCR [20338] | HB FTSM MANAGED MEDICARE | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | GENERIC MEDICARE MANAGED CARE [20137] | HB FTSM MANAGED MEDICARE | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | TRIBUTE HEALTH PLAN MCR [20338] | HB FTSM MANAGED MEDICARE | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | ELARA CARING ASPIRE HOSPICE [20433] | HB FTSM MANAGED MEDICARE | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | AMERICAN HEALTH ADVANTAGE OF MO MCR [20264] | HB FTSM MANAGED MEDICARE | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | LONGEVITY HEALTH PLAN MEDICARE CONTRACTED [320225] | HB FTSM MANAGED MEDICARE | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | BCBS MEDICARE ADVANTAGE CONTRACTED [320047] | HB FTSM MANAGED MEDICARE | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | KINDFUL HOSPICE [20434] | HB FTSM MANAGED MEDICARE | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | AETNA MEDICARE ADVANTAGE CONTRACTED [320010] | HB FTSM MANAGED MEDICARE | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | WELLFIRST HEALTH MCR [20443] | HB FTSM MANAGED MEDICARE | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | CHEROKEE NATION HEALTH SERV CONTRACTED [320066] | HB FTSM MEDICARE | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | KINDFUL HOSPICE CONTRACTED [320434] | HB FTSM MANAGED MEDICARE | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB FTSM MANAGED MEDICARE | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | CROSS TIMBERS HOSPICE [20098] | HB FTSM MANAGED MEDICARE | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | UNICARE MEDICARE [20384] | HB FTSM MANAGED MEDICARE | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | MEDICARE [20244] | HB FTSM MEDICARE | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | PROMINENCE HEALTH PLAN MEDICARE ADVANTAGE CONTRACTED [320496] | HB FTSM MANAGED MEDICARE | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | UNIVERSITY PITTSBURGH MED CTR MEDICARE [20407] | HB FTSM MANAGED MEDICARE | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | AMERICAN HEALTH ADVANTAGE OF MO MCR [20264] | HB FTSM MANAGED MEDICARE | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | GLOBALHEALTH CONTRACTED [320145] | HB FTSM MANAGED MEDICARE | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | HUMANA MEDICARE ADVANTAGE CONTRACTED [320194] | HB FTSM MANAGED MEDICARE | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | SPINA BIFIDA HLTHCARE BENEFIT [20506] | HB FTSM MANAGED MEDICARE | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | INDIAN HEALTH SERVICE CONTRACTED [320198] | HB FTSM MEDICARE | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | MERCY HOSPICE OKC [20252] | HB FTSM MANAGED MEDICARE | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | JORDAN VALLEY SENIOR CARE PACE [20515] | HB FTSM MANAGED MEDICARE | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | WELLFIRST HEALTH MCR [20443] | HB FTSM MANAGED MEDICARE | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB FTSM MANAGED MEDICARE | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | PROVIDER PARTNERS HEALTH PLANS CONTRACTED [320450] | HB FTSM MANAGED MEDICARE | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | WINDSOR MEDICARE [20424] | HB FTSM MANAGED MEDICARE | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | QUAL CHOICE CONTRACTED [320325] | HB FTSM MANAGED MEDICARE | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | ESSENCE HEALTHCARE MEDICARE CONTRACTED [320122] | HB FTSM MANAGED MEDICARE | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | PACE OF THE OZARKS [20518] | HB FTSM MANAGED MEDICARE | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | INDIAN HEALTH SERVICE [20198] | HB FTSM MEDICARE | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | JORDAN VALLEY SENIOR CARE PACE [20515] | HB FTSM MANAGED MEDICARE | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | HALO HCR INC HOSPICE [20432] | HB FTSM MANAGED MEDICARE | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | UNITED HEALTHCARE MEDICARE ADVANTAGE CONTRACTED [320398] | HB FTSM UHC MCR 100% | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | VALIR PACE [20503] | HB FTSM MANAGED MEDICARE | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | HEALTH FIRST HEALTH PLANS MEDICARE [20170] | HB FTSM MANAGED MEDICARE | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | NHC ADVANTAGE MEDICARE CONTRACTED [320282] | HB FTSM MANAGED MEDICARE | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | HORIZONS MEDICARE [20190] | HB FTSM MANAGED MEDICARE | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | MENTAL HEALTH NETWORK MEDICARE [20250] | HB FTSM MANAGED MEDICARE | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | MEDICA MEDICARE ADVANTAGE CONTRACTED [320477] | HB FTSM MANAGED MEDICARE | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | MEDICAL ASSOCIATES HEALTH [20444] | HB FTSM MANAGED MEDICARE | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | TRICARE [20380] | HB FTSM TRICARE | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | UNITED BEHAVIORAL HEALTH MEDICARE ADVANTAGE CONTRACTED [320392] | HB FTSM MANAGED MEDICARE | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | ELARA CARING ASPIRE HOSPICE CONTRACTED [320433] | HB FTSM MANAGED MEDICARE | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | UNIVERSITY PITTSBURGH MED CTR MEDICARE [20407] | HB FTSM MANAGED MEDICARE | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | HALO HCR INC HOSPICE CONTRACTED [320432] | HB FTSM MANAGED MEDICARE | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | MEDICAL ASSOCIATES HEALTH [20444] | HB FTSM MANAGED MEDICARE | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | BCBS MEDICARE ADVANTAGE CONTRACTED [320047] | HB FTSM MANAGED MEDICARE | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | AETNA MEDICARE ADVANTAGE CONTRACTED [320010] | HB FTSM MANAGED MEDICARE | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | HORIZONS MEDICARE [20190] | HB FTSM MANAGED MEDICARE | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | HEALTH FIRST HEALTH PLANS MEDICARE [20170] | HB FTSM MANAGED MEDICARE | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | INDEPENDENT HEALTH [20197] | HB FTSM MANAGED MEDICARE | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | ELARA CARING ASPIRE HOSPICE [20433] | HB FTSM MANAGED MEDICARE | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | CHEROKEE NATION HEALTH SERV CONTRACTED [320066] | HB FTSM MEDICARE | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | CROSS TIMBERS HOSPICE [20098] | HB FTSM MANAGED MEDICARE | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | MEDICARE [20244] | HB FTSM MEDICARE | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | HALO HCR INC HOSPICE CONTRACTED [320432] | HB FTSM MANAGED MEDICARE | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | WINDSOR MEDICARE [20424] | HB FTSM MANAGED MEDICARE | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | KINDFUL HOSPICE [20434] | HB FTSM MANAGED MEDICARE | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | MENTAL HEALTH NETWORK MEDICARE [20250] | HB FTSM MANAGED MEDICARE | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | VALIR PACE [20503] | HB FTSM MANAGED MEDICARE | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | MERCY HOSPICE OKC [20252] | HB FTSM MANAGED MEDICARE | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | DEPT OF VETERAN AFFAIRS CONTRACTED [320106] | HB FTSM MEDICARE | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | SPINA BIFIDA HLTHCARE BENEFIT [20506] | HB FTSM MANAGED MEDICARE | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | INDEPENDENT HEALTH [20197] | HB FTSM MANAGED MEDICARE | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | DEPT OF VETERAN AFFAIRS CONTRACTED [320106] | HB FTSM MEDICARE | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | PACE OF THE OZARKS [20518] | HB FTSM MANAGED MEDICARE | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | HUMANA MEDICARE ADVANTAGE CONTRACTED [320194] | HB FTSM MANAGED MEDICARE | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | INDIAN HEALTH SERVICE CONTRACTED [320198] | HB FTSM MEDICARE | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | PROMINENCE HEALTH PLAN MEDICARE ADVANTAGE CONTRACTED [320496] | HB FTSM MANAGED MEDICARE | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB FTSM MANAGED MEDICARE | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | GLOBALHEALTH CONTRACTED [320145] | HB FTSM MANAGED MEDICARE | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | HUMANA MEDICARE ADVANTAGE CONTRACTED [320194] | HB FTSM HUMANA MCR | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | UNITED HEALTHCARE MEDICARE ADVANTAGE CONTRACTED [320398] | HB FTSM UHC MCR 100% | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | LONGEVITY HEALTH PLAN MEDICARE CONTRACTED [320225] | HB FTSM MANAGED MEDICARE | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | HALO HCR INC HOSPICE [20432] | HB FTSM MANAGED MEDICARE | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | PROVIDER PARTNERS HEALTH PLANS CONTRACTED [320450] | HB FTSM MANAGED MEDICARE | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | MEDICA MEDICARE ADVANTAGE CONTRACTED [320477] | HB FTSM MANAGED MEDICARE | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | QUAL CHOICE CONTRACTED [320325] | HB FTSM MANAGED MEDICARE | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | TRICARE CONTRACTED [320380] | HB FTSM TRICARE | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | TRICARE [20380] | HB FTSM TRICARE | $8.45 | $5,509.33 | $3,581.06 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | KINDFUL HOSPICE CONTRACTED [320434] | HB FTSM MANAGED MEDICARE | $8.45 | $5,509.33 | $3,581.06 | 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.