A2025 — Miro3d Per Cubic Cm
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). MIRO3D PER CUBIC CM (HCPCS A2025) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/A2025?code_type=HCPCS
MLA (9th ed.)
“MIRO3D PER CUBIC CM (HCPCS A2025) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/A2025?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“MIRO3D PER CUBIC CM (HCPCS A2025) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/A2025?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $125–$645 (25th–75th percentile) across 835 hospitals · 881 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS A2025 — 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 this costs at this hospital
The hospital facility charge for this code — an actual negotiated rate from our data. A separate professional fee isn’t separately estimable for this code (see the note below).
What hospitals actually negotiate
Measured
$125
$228 typical
$645
The middle 50% of negotiated facility rates for this procedure, measured across 835 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $228 |
| Likely subtotal | $228 |
Facility charge (no separate professional fee)
$228
Not included in this estimate:
- Rehab, physical therapy, and other post-acute care after discharge
- 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 $125–$645.
- This is a drug/supply code billed by the facility; there is no separate professional fee to estimate — the figure above is the facility charge only.
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
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 |
|---|---|---|---|---|---|---|---|
| JACKSON PURCHASE MEDICAL CENTER Outpatient | Prime Health | Prime Health | — | $0.01 | — | 2026-05-08 | MRF ↗ |
| JACKSON PURCHASE MEDICAL CENTER Outpatient | Cha (Community Health Alliance) | Cha (Community Health Alliance) | — | $0.01 | — | 2026-07-31 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | HEALTHLINK [225] | BJC HB HEALTHLINK SOI BJH | — | $0.01 | $0.01 | 2025-12-15 | MRF ↗ |
| JACKSON PURCHASE MEDICAL CENTER Outpatient | Multiplan | Multiplan | — | $0.01 | — | 2026-07-31 | MRF ↗ |
| JACKSON PURCHASE MEDICAL CENTER Outpatient | Bluegrass Family Health | Baptist Health (Formally Bluegrass) | — | $0.01 | — | 2026-07-31 | MRF ↗ |
| JACKSON PURCHASE MEDICAL CENTER Outpatient | Christian Health Aid | Christian Health | — | $0.01 | — | 2026-07-31 | MRF ↗ |
| JACKSON PURCHASE MEDICAL CENTER Outpatient | Christian Health Aid | Christian Health | — | $0.01 | — | 2026-05-08 | MRF ↗ |
| JACKSON PURCHASE MEDICAL CENTER Outpatient | Centercare Network | Centercare | — | $0.01 | — | 2026-05-08 | MRF ↗ |
| JACKSON PURCHASE MEDICAL CENTER Outpatient | Bcbs Of Tn | Bcbs Of Tn | — | $0.01 | — | 2026-07-31 | MRF ↗ |
| JACKSON PURCHASE MEDICAL CENTER Outpatient | Centercare Network | Centercare | — | $0.01 | — | 2026-07-31 | MRF ↗ |
| JACKSON PURCHASE MEDICAL CENTER Outpatient | Bcbs Of Tn | Bcbs Of Tn | — | $0.01 | — | 2026-05-08 | MRF ↗ |
| JACKSON PURCHASE MEDICAL CENTER OutpatientFacility | — | — | — | $0.01 | — | 2026-07-10 | MRF ↗ |
| JACKSON PURCHASE MEDICAL CENTER Outpatient | Cha (Community Health Alliance) | Cha (Community Health Alliance) | — | $0.01 | — | 2026-05-08 | MRF ↗ |
| JACKSON PURCHASE MEDICAL CENTER Outpatient | Ky Health Cooperative | Ky Health | — | $0.01 | — | 2026-07-31 | MRF ↗ |
| JACKSON PURCHASE MEDICAL CENTER Outpatient | Multiplan | Multiplan | — | $0.01 | — | 2026-05-08 | MRF ↗ |
| JACKSON PURCHASE MEDICAL CENTER Outpatient | Prime Health | Prime Health | — | $0.01 | — | 2026-07-31 | MRF ↗ |
| JACKSON PURCHASE MEDICAL CENTER Outpatient | Ky Health Cooperative | Ky Health | — | $0.01 | — | 2026-05-08 | MRF ↗ |
| JACKSON PURCHASE MEDICAL CENTER Outpatient | Bluegrass Family Health | Baptist Health (Formally Bluegrass) | — | $0.01 | — | 2026-05-08 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | MEDICAID [20240] | HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID | $32.40 | $216.00 | $140.40 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | MEDICAID [20240] | HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID | $32.40 | $216.00 | $140.40 | 2026-06-11 | MRF ↗ |
| CASS COUNTY MEMORIAL HOSPITAL Outpatient | MIDLANDS CHOICE NEW BUS | MIDLANDS CHOICE NEW BUS | $32.40 | $49.84 | $34.89 | 2026-06-01 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | COUNTYCARE HEALTH PLAN MEDICAID CONTRACTED [320523] | HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID | $32.40 | $216.00 | $140.40 | 2026-06-11 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | COUNTYCARE HEALTH PLAN MEDICAID CONTRACTED [320523] | HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID | $32.40 | $216.00 | $140.40 | 2026-03-12 | MRF ↗ |
| ST JOSEPH'S UNIVERSITY MEDICAL CENTER INC OutpatientFacility | United Healthcare Community Plan | Medicaid Managed Care Plan | $32.70 | $184.00 | $184.00 | 2026-04-24 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| ST JOSEPH'S UNIVERSITY MEDICAL CENTER INC OutpatientFacility | United Healthcare Community Plan | Medicaid Managed Care Plan | $33.23 | $187.00 | $187.00 | 2026-04-24 | MRF ↗ |
| OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER Both | United Mco | All Plans | $33.25 | $175.00 | $113.75 | 2026-07-15 | MRF ↗ |
| OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER Both | Wellcare Mco | All Plans | $33.25 | $175.00 | $113.75 | 2026-07-15 | MRF ↗ |
| MERCY HOSPITAL PITTSBURG, INC OutpatientFacility | KANCARE CONTRACTED [320213] | HB PITS AETNA BETTER HEALTH (KANCARE) | $33.25 | $133.00 | $86.45 | 2026-03-15 | MRF ↗ |
| OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER Both | Aetna Better Health Mco | All Plans | $33.25 | $175.00 | $113.75 | 2026-07-15 | MRF ↗ |
| OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER Both | Passport Molina Mco | All Plans | $33.25 | $175.00 | $113.75 | 2026-07-15 | MRF ↗ |
| MERCY HOSPITAL PITTSBURG, INC OutpatientFacility | KANCARE [20213] | HB PITS AETNA BETTER HEALTH (KANCARE) | $33.25 | $133.00 | $86.45 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL PITTSBURG, INC OutpatientFacility | KANCARE [20213] | HB PITS AETNA BETTER HEALTH (KANCARE) | $33.25 | $133.00 | $86.45 | 2026-03-15 | MRF ↗ |
| MERCY HOSPITAL PITTSBURG, INC OutpatientFacility | KANCARE CONTRACTED [320213] | HB PITS AETNA BETTER HEALTH (KANCARE) | $33.25 | $133.00 | $86.45 | 2026-06-09 | MRF ↗ |
| ST JOSEPH'S UNIVERSITY MEDICAL CENTER INC OutpatientFacility | United Healthcare Community Plan | Medicaid Managed Care Plan | $34.12 | $192.00 | $192.00 | 2026-04-24 | MRF ↗ |
| MERCY HOSPITAL PITTSBURG, INC OutpatientFacility | KANCARE [20213] | HB PITS AETNA BETTER HEALTH (KANCARE) | $34.50 | $138.00 | $89.70 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL PITTSBURG, INC OutpatientFacility | KANCARE [20213] | HB PITS AETNA BETTER HEALTH (KANCARE) | $34.50 | $138.00 | $89.70 | 2026-03-15 | MRF ↗ |
| MERCY HOSPITAL PITTSBURG, INC OutpatientFacility | KANCARE CONTRACTED [320213] | HB PITS AETNA BETTER HEALTH (KANCARE) | $34.50 | $138.00 | $89.70 | 2026-03-15 | MRF ↗ |
| MERCY HOSPITAL PITTSBURG, INC OutpatientFacility | KANCARE CONTRACTED [320213] | HB PITS AETNA BETTER HEALTH (KANCARE) | $34.50 | $138.00 | $89.70 | 2026-06-09 | 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 ↗ |
| ST JOSEPH'S UNIVERSITY MEDICAL CENTER INC OutpatientFacility | Wellpoint | Managed Medicaid | $34.76 | $177.00 | $177.00 | 2026-04-24 | MRF ↗ |
| MERCY HOSPITAL PITTSBURG, INC OutpatientFacility | KANCARE CONTRACTED [320213] | HB PITS AETNA BETTER HEALTH (KANCARE) | $35.00 | $140.00 | $91.00 | 2026-03-15 | MRF ↗ |
| MERCY HOSPITAL PITTSBURG, INC OutpatientFacility | KANCARE CONTRACTED [320213] | HB PITS AETNA BETTER HEALTH (KANCARE) | $35.00 | $140.00 | $91.00 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL PITTSBURG, INC OutpatientFacility | KANCARE [20213] | HB PITS AETNA BETTER HEALTH (KANCARE) | $35.00 | $140.00 | $91.00 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL PITTSBURG, INC OutpatientFacility | KANCARE [20213] | HB PITS AETNA BETTER HEALTH (KANCARE) | $35.00 | $140.00 | $91.00 | 2026-03-15 | MRF ↗ |
| MERCY HOSPITAL PITTSBURG, INC OutpatientFacility | KANCARE [20213] | HB PITS AETNA BETTER HEALTH (KANCARE) | $36.00 | $144.00 | $93.60 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL PITTSBURG, INC OutpatientFacility | KANCARE CONTRACTED [320213] | HB PITS AETNA BETTER HEALTH (KANCARE) | $36.00 | $144.00 | $93.60 | 2026-03-15 | MRF ↗ |
| MERCY HOSPITAL PITTSBURG, INC OutpatientFacility | KANCARE [20213] | HB PITS AETNA BETTER HEALTH (KANCARE) | $36.00 | $144.00 | $93.60 | 2026-03-15 | MRF ↗ |
| MERCY HOSPITAL PITTSBURG, INC OutpatientFacility | KANCARE CONTRACTED [320213] | HB PITS AETNA BETTER HEALTH (KANCARE) | $36.00 | $144.00 | $93.60 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB ROGR OK MANAGED MEDICAID | $36.00 | $144.00 | $93.60 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | HUMANA MEDICAID CONTRACTED [320486] | HB ROGR OK MANAGED MEDICAID | $36.00 | $144.00 | $93.60 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | OKLAHOMA COMPLETE HEALTH MEDICAID CONTRACTED [320485] | HB ROGR OK MANAGED MEDICAID | $36.00 | $144.00 | $93.60 | 2026-06-08 | MRF ↗ |
| ST JOSEPH'S UNIVERSITY MEDICAL CENTER INC OutpatientFacility | Wellpoint | Managed Medicaid | $36.14 | $184.00 | $184.00 | 2026-04-24 | MRF ↗ |
| ST JOSEPH'S UNIVERSITY MEDICAL CENTER INC OutpatientFacility | Wellpoint | Managed Medicaid | $36.73 | $187.00 | $187.00 | 2026-04-24 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC HERMANN AREA DISTRICT HOSPITAL | $37.20 | $93.00 | $60.45 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY BENEFIT ADMIN [20251] | HB STLO SAMC HERMANN AREA DISTRICT HOSPITAL | $37.20 | $93.00 | $60.45 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $37.35 | $249.00 | $161.85 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AETNA MEDICAID [20009] | HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $37.35 | $249.00 | $161.85 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | COUNTYCARE HEALTH PLAN MEDICAID CONTRACTED [320523] | HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID | $37.35 | $249.00 | $161.85 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MEDICAID [20240] | HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID | $37.35 | $249.00 | $161.85 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MEDICA CONTRACTED [320239] | HB SAMC MEDICA EXCHANGE NEW 010122 | $37.58 | $144.00 | $93.60 | 2026-06-10 | MRF ↗ |
| ST JOSEPH'S UNIVERSITY MEDICAL CENTER INC OutpatientFacility | Wellpoint | Managed Medicaid | $37.71 | $192.00 | $192.00 | 2026-04-24 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY BENEFIT ADMIN [20251] | HB STLO SAMC HERMANN AREA DISTRICT HOSPITAL | $38.40 | $96.00 | $62.40 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC HERMANN AREA DISTRICT HOSPITAL | $38.40 | $96.00 | $62.40 | 2026-06-10 | MRF ↗ |
| FREDERICK HEALTH HOSPITAL Both | All Payers | All Plans | — | $40.38 | $39.57 | 2025-03-17 | MRF ↗ |
| FREDERICK HEALTH HOSPITAL Both | All Payers | All Plans | — | $40.38 | $39.57 | 2025-08-04 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | QUAL CHOICE CONTRACTED [320325] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $40.45 | $133.00 | $86.45 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | HALO HCR INC HOSPICE CONTRACTED [320432] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $40.45 | $133.00 | $86.45 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | GLOBALHEALTH CONTRACTED [320145] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $40.45 | $133.00 | $86.45 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | KINDFUL HOSPICE [20434] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $40.45 | $133.00 | $86.45 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | MEDICA MEDICARE ADVANTAGE CONTRACTED [320477] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $40.45 | $133.00 | $86.45 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | ACENTRA HEALTH CONTRACTED [320527] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $40.45 | $133.00 | $86.45 | 2026-06-11 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | WELLCARE MEDICARE ADVANTAGE CONTRACTED [320421] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $40.45 | $133.00 | $86.45 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $40.45 | $133.00 | $86.45 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | BCBS MEDICARE ADVANTAGE [20047] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $40.45 | $133.00 | $86.45 | 2026-06-11 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | HEALTHSPRING MEDICARE ADVANTAGE CONTRACTED [320526] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $40.45 | $133.00 | $86.45 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | NHC ADVANTAGE MEDICARE CONTRACTED [320282] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $40.45 | $133.00 | $86.45 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $40.45 | $133.00 | $86.45 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | CHEROKEE NATION HEALTH SERV CONTRACTED [320066] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $40.45 | $133.00 | $86.45 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | UNITED BEHAVIORAL HEALTH MEDICARE ADVANTAGE CONTRACTED [320392] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $40.45 | $133.00 | $86.45 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | HALO HCR INC HOSPICE [20432] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $40.45 | $133.00 | $86.45 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | HUMANA MEDICARE ADVANTAGE [20194] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $40.45 | $133.00 | $86.45 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | DEPT OF VETERAN AFFAIRS CONTRACTED [320106] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $40.45 | $133.00 | $86.45 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | BCBS MEDICARE ADVANTAGE CONTRACTED [320047] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $40.45 | $133.00 | $86.45 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | ELARA CARING ASPIRE HOSPICE [20433] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $40.45 | $133.00 | $86.45 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | CROSS TIMBERS HOSPICE [20098] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $40.45 | $133.00 | $86.45 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | PACE OF THE OZARKS CONTRACTED [320518] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $40.45 | $133.00 | $86.45 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | MEDICARE [20244] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $40.45 | $133.00 | $86.45 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | MERCY HOSPICE OKC [20252] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $40.45 | $133.00 | $86.45 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | PROMINENCE HEALTH PLAN MEDICARE ADVANTAGE CONTRACTED [320496] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $40.45 | $133.00 | $86.45 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | ACENTRA HEALTH CONTRACTED [320527] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $40.45 | $133.00 | $86.45 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | ELARA CARING ASPIRE HOSPICE CONTRACTED [320433] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $40.45 | $133.00 | $86.45 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | CHEROKEE NATION HEALTH SERV CONTRACTED [320066] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $40.45 | $133.00 | $86.45 | 2026-06-11 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | LONGEVITY HEALTH PLAN MEDICARE CONTRACTED [320225] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $40.45 | $133.00 | $86.45 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | BCBS MEDICARE ADVANTAGE CONTRACTED [320047] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $40.45 | $133.00 | $86.45 | 2026-06-11 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | UNITED BEHAVIORAL HEALTH MEDICARE ADVANTAGE CONTRACTED [320392] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $40.45 | $133.00 | $86.45 | 2026-06-11 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | NHC ADVANTAGE MEDICARE CONTRACTED [320282] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $40.45 | $133.00 | $86.45 | 2026-06-11 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | MEDICA MEDICARE ADVANTAGE CONTRACTED [320477] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $40.45 | $133.00 | $86.45 | 2026-06-11 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | BCBS MEDICARE ADVANTAGE [20047] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $40.45 | $133.00 | $86.45 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | HOME STATE HEALTH PLAN MEDICARE CONTRACTED [320188] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $40.45 | $133.00 | $86.45 | 2026-06-11 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | HOME STATE HEALTH PLAN MEDICARE CONTRACTED [320188] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $40.45 | $133.00 | $86.45 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | HUMANA MEDICARE ADVANTAGE CONTRACTED [320194] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $40.45 | $133.00 | $86.45 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | LONGEVITY HEALTH PLAN MEDICARE CONTRACTED [320225] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $40.45 | $133.00 | $86.45 | 2026-06-11 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | PACE OF THE OZARKS CONTRACTED [320518] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $40.45 | $133.00 | $86.45 | 2026-06-11 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | INDIAN HEALTH SERVICE CONTRACTED [320198] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $40.45 | $133.00 | $86.45 | 2026-06-11 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | MERCY HOSPICE OKC [20252] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $40.45 | $133.00 | $86.45 | 2026-06-11 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | ELARA CARING ASPIRE HOSPICE [20433] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $40.45 | $133.00 | $86.45 | 2026-06-11 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | MEDICARE [20244] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $40.45 | $133.00 | $86.45 | 2026-06-11 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | HUMANA MEDICARE ADVANTAGE CONTRACTED [320194] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $40.45 | $133.00 | $86.45 | 2026-06-11 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | GLOBALHEALTH CONTRACTED [320145] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $40.45 | $133.00 | $86.45 | 2026-06-11 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | KINDFUL HOSPICE CONTRACTED [320434] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $40.45 | $133.00 | $86.45 | 2026-06-11 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $40.45 | $133.00 | $86.45 | 2026-06-11 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | KINDFUL HOSPICE CONTRACTED [320434] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $40.45 | $133.00 | $86.45 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | CROSS TIMBERS HOSPICE [20098] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $40.45 | $133.00 | $86.45 | 2026-06-11 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | HUMANA MEDICARE ADVANTAGE [20194] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $40.45 | $133.00 | $86.45 | 2026-06-11 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | HALO HCR INC HOSPICE [20432] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $40.45 | $133.00 | $86.45 | 2026-06-11 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | HALO HCR INC HOSPICE CONTRACTED [320432] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $40.45 | $133.00 | $86.45 | 2026-06-11 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | WELLCARE MEDICARE ADVANTAGE CONTRACTED [320421] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $40.45 | $133.00 | $86.45 | 2026-06-11 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | QUAL CHOICE CONTRACTED [320325] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $40.45 | $133.00 | $86.45 | 2026-06-11 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | HEALTHSPRING MEDICARE ADVANTAGE CONTRACTED [320526] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $40.45 | $133.00 | $86.45 | 2026-06-11 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | DEPT OF VETERAN AFFAIRS CONTRACTED [320106] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $40.45 | $133.00 | $86.45 | 2026-06-11 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $40.45 | $133.00 | $86.45 | 2026-06-11 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | ELARA CARING ASPIRE HOSPICE CONTRACTED [320433] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $40.45 | $133.00 | $86.45 | 2026-06-11 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | INDIAN HEALTH SERVICE CONTRACTED [320198] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $40.45 | $133.00 | $86.45 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | PROMINENCE HEALTH PLAN MEDICARE ADVANTAGE CONTRACTED [320496] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $40.45 | $133.00 | $86.45 | 2026-06-11 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | KINDFUL HOSPICE [20434] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $40.45 | $133.00 | $86.45 | 2026-06-11 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | UNITED HEALTHCARE MEDICARE ADVANTAGE CONTRACTED [320398] | HB PCMH UHC MEDICARE W/O SEQ | $41.23 | $133.00 | $86.45 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | UNITED HEALTHCARE MEDICARE ADVANTAGE CONTRACTED [320398] | HB PCMH UHC MEDICARE W/O SEQ | $41.23 | $133.00 | $86.45 | 2026-06-11 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | ESSENCE HEALTHCARE MEDICARE CONTRACTED [320122] | HB PCMH ESSENCE 100% MEDICARE W/O SEQ NEW 010125 | $41.23 | $133.00 | $86.45 | 2026-06-11 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | ESSENCE HEALTHCARE MEDICARE CONTRACTED [320122] | HB PCMH ESSENCE 100% MEDICARE W/O SEQ NEW 010125 | $41.23 | $133.00 | $86.45 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | EDISON HEALTH SOLUTIONS CONTRACTED [320502] | HB STLO SAMC SHINE SOLAR DEC NEW 110320 | $41.85 | $93.00 | $60.45 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AITHER HEALTH [20449] | HB STLO SAMC SHINE SOLAR DEC NEW 110320 | $41.85 | $93.00 | $60.45 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | EDISON HEALTH SOLUTIONS CONTRACTED [320502] | HB STLO SAMC WOODARD DEC NEW 040124 | $41.85 | $93.00 | $60.45 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | HEALTHLINK CONTRACTED [320179] | HB STLO SAMC DEC SAPAUGH MOTORS NEW 01.01.25 | $41.85 | $93.00 | $60.45 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC DEC QUICK TRIP | $41.85 | $93.00 | $60.45 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB STLO SAMC LACLEDE CHAIN DEC NEW 07.01.25 | $41.85 | $93.00 | $60.45 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AUXIANT CONTRACTED [320462] | HB STLO SAMC DEC HYDROMAT | $41.85 | $93.00 | $60.45 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | YUZU HEALTH CONTRACTED [320521] | HB STLO SAMC LEVEL HEALTH DEC | $41.85 | $93.00 | $60.45 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AUXIANT CONTRACTED [320462] | HB STLO SAMC FCB BANKS DEC | $41.85 | $93.00 | $60.45 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] | HB STLO SAMC DEC SHOW ME BENEFIT CONSORTIUM NEW 070121 | $41.85 | $93.00 | $60.45 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC DEC EBA - EMPLOYER BENEFIT ALLIANCE NEW 070121 | $41.85 | $93.00 | $60.45 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] | HB STLO SAMC ASI DEC NEW 010124 | $41.85 | $93.00 | $60.45 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | CIGNA HEALTHCARE CONTRACTED [320071] | HB STLO WASH JEFN SAMC CIGNA BEHAVIORAL HEALTH | $41.85 | $93.00 | $60.45 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AUXIANT CONTRACTED [320462] | HB STLO SAMC CITY OF JACKSON DEC NEW 010125 | $41.85 | $93.00 | $60.45 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC DEC TOWN AND COUNTRY SUPERMARKETS-NEW 7.1.24 | $41.85 | $93.00 | $60.45 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY BENEFIT ADMIN [20251] | HB STLO SAMC SCHAEFER AUTOBODY DEC NEW 030121 | $41.85 | $93.00 | $60.45 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | REFLECT HEALTH CONTRACTED [320492] | HB STLO SAMC WW WOOD DEC | $41.85 | $93.00 | $60.45 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AUXIANT CONTRACTED [320462] | HB STLO SAMC BUCHHEIT DEC NEW 070122 | $41.85 | $93.00 | $60.45 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC DEC SHOW ME BENEFIT CONSORTIUM NEW 070121 | $41.85 | $93.00 | $60.45 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB STLO SAMC SCHAEFER AUTOBODY DEC NEW 030121 | $41.85 | $93.00 | $60.45 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB STLO SAMC WOODARD DEC NEW 040124 | $41.85 | $93.00 | $60.45 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC CITY OF JACKSON DEC NEW 010125 | $41.85 | $93.00 | $60.45 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB STLO SAMC SHINE SOLAR DEC NEW 110320 | $41.85 | $93.00 | $60.45 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC BARTEL COMMUNICATION DEC NEW 010125 | $41.85 | $93.00 | $60.45 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC DEC SAPAUGH MOTORS NEW 01.01.25 | $41.85 | $93.00 | $60.45 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC CLAYCO DEC | $41.85 | $93.00 | $60.45 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY BENEFIT ADMIN [20251] | HB STLO SAMC DEC EBA - EMPLOYER BENEFIT ALLIANCE NEW 070121 | $41.85 | $93.00 | $60.45 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC TALL TREE DEC NEW 040125 | $41.85 | $93.00 | $60.45 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY BENEFIT ADMIN [20251] | HB STLO SAMC CLAYCO DEC | $41.85 | $93.00 | $60.45 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | IMAGINE 360 CONTRACTED [320494] | HB STLO SAMC DEC ROBINSON CONTRUCTION NEW 1.1.25 | $41.85 | $93.00 | $60.45 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC SCHAEFER AUTOBODY DEC NEW 030121 | $41.85 | $93.00 | $60.45 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | EBMS CONTRACTED [320493] | HB STLO SAMC CRADER DISTRIBUTING DEC NEW 090125 | $41.85 | $93.00 | $60.45 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | YUZU HEALTH CONTRACTED [320521] | HB STLO SAMC SCHAEFER AUTOBODY DEC NEW 030121 | $41.85 | $93.00 | $60.45 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY BENEFIT ADMIN [20251] | HB STLO SAMC DEC SHOW ME BENEFIT CONSORTIUM NEW 070121 | $41.85 | $93.00 | $60.45 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC EASTER SEALS DEC NEW 010125 | $41.85 | $93.00 | $60.45 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | AETNA MEDICAID [20009] | HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $42.00 | $280.00 | $182.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MEDICAID [20240] | HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID | $42.00 | $280.00 | $182.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | COUNTYCARE HEALTH PLAN MEDICAID CONTRACTED [320523] | HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID | $42.00 | $280.00 | $182.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $42.00 | $280.00 | $182.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERCY BENEFIT ADMIN [20251] | HB STLO SAMC HERMANN AREA DISTRICT HOSPITAL | $42.00 | $105.00 | $68.25 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC HERMANN AREA DISTRICT HOSPITAL | $42.00 | $105.00 | $68.25 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $42.00 | $280.00 | $182.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MEDICAID [20240] | HB STLO CAPE IL MEDICAID | $42.00 | $280.00 | $182.00 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | AETNA MEDICAID [20009] | HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $42.00 | $280.00 | $182.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | COUNTYCARE HEALTH PLAN MEDICAID CONTRACTED [320523] | HB STLO CAPE IL MEDICAID | $42.00 | $280.00 | $182.00 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MEDICAID [20240] | HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID | $42.00 | $280.00 | $182.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | AETNA MEDICARE ADVANTAGE CONTRACTED [320010] | HB PCMH AETNA/COVENTRY MEDICARE 102% W/O SEQ | $42.05 | $133.00 | $86.45 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | AETNA MEDICARE ADVANTAGE CONTRACTED [320010] | HB PCMH AETNA/COVENTRY MEDICARE 102% W/O SEQ | $42.05 | $133.00 | $86.45 | 2026-06-11 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | DEVOTED HEALTH MEDICARE CONTRACTED [320500] | HB PCMH DEVOTED HEALTH MEDICARE ADVANTAGE 104% W/SEQ | $42.07 | $133.00 | $86.45 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | DEVOTED HEALTH MEDICARE CONTRACTED [320500] | HB PCMH DEVOTED HEALTH MEDICARE ADVANTAGE 104% W/SEQ | $42.07 | $133.00 | $86.45 | 2026-06-11 | MRF ↗ |
| HIGH POINT REGIONAL HEALTH SYSTEM OutpatientFacility | Amerihealth | Medicaid Managed Care | $42.20 | $291.00 | $145.50 | 2025-10-08 | MRF ↗ |
| HIGH POINT REGIONAL HEALTH SYSTEM OutpatientFacility | Carolina Complete | Medicaid Managed Care | $42.20 | $291.00 | $145.50 | 2025-10-08 | MRF ↗ |
| HIGH POINT REGIONAL HEALTH SYSTEM OutpatientFacility | Partners | Medicaid Tailored Plan | $42.20 | $291.00 | $145.50 | 2025-10-08 | MRF ↗ |
| HIGH POINT REGIONAL HEALTH SYSTEM OutpatientFacility | Healthy Blue | Medicaid Managed Care | $42.20 | $291.00 | $145.50 | 2025-10-08 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MEDICA CONTRACTED [320239] | HB STLO MEDICA EXCHANGE | $42.28 | $162.00 | $105.30 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MEDICA CONTRACTED [320239] | HB JEFN MEDICA EXCHANGE | $42.28 | $162.00 | $105.30 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MEDICA CONTRACTED [320239] | HB WASH MEDICA EXCHANGE | $42.28 | $162.00 | $105.30 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | QUAL CHOICE CONTRACTED [320325] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $42.57 | $140.00 | $91.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | WELLCARE MEDICARE ADVANTAGE CONTRACTED [320421] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $42.57 | $140.00 | $91.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | MEDICARE [20244] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $42.57 | $140.00 | $91.00 | 2026-06-11 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | MEDICA MEDICARE ADVANTAGE CONTRACTED [320477] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $42.57 | $140.00 | $91.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | HALO HCR INC HOSPICE CONTRACTED [320432] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $42.57 | $140.00 | $91.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | PACE OF THE OZARKS CONTRACTED [320518] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $42.57 | $140.00 | $91.00 | 2026-06-11 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $42.57 | $140.00 | $91.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | NHC ADVANTAGE MEDICARE CONTRACTED [320282] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $42.57 | $140.00 | $91.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | MERCY HOSPICE OKC [20252] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $42.57 | $140.00 | $91.00 | 2026-06-11 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | KINDFUL HOSPICE CONTRACTED [320434] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $42.57 | $140.00 | $91.00 | 2026-06-11 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | KINDFUL HOSPICE CONTRACTED [320434] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $42.57 | $140.00 | $91.00 | 2026-03-12 | 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.