Price Transparency Hospital negotiated rates

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

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L0472 — Tlso, Triplanar Control, Hyperextension, Rigid Anterior And Lateral Frame Extends From Symphysis Pubis To Sternal Notch With Two Anterior Components (one Pubic And One Sternal), Posterior And Lateral

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

Typical negotiated price $582

Usually $485–$922 (25th–75th percentile) across 1,213 hospitals · 2,871 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS L0472 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.

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).

Pick your insurer to anchor on your plan’s negotiated rate.
Measured
$485 $582 typical $922

The middle 50% of negotiated facility rates for this procedure, measured across 1,213 hospitals.

What you’ll likely be billed

Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. $582
Likely subtotal $582
Facility charge (no separate professional fee) $582
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
TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient None $1,165.98 $582.99 2024-12-15 MRF ↗
TEXAS HEALTH HOSPITAL MANSFIELD Inpatient None $1,165.98 $582.99 2024-12-15 MRF ↗
CEDARS-SINAI MEDICAL CENTER Outpatient UHC of California, dba UnitedHealthcare of California and fka PacificCare of California Medicare Advantage $2,124.78 $1,381.11 2025-11-26 MRF ↗
CEDARS-SINAI MEDICAL CENTER Outpatient SCAN Health Plan Medicare Advantage $2,124.78 $1,381.11 2025-11-26 MRF ↗
OCEAN MEDICAL CENTER OutpatientFacility Clover Managed Medicare $1.22 $677.00 2024-12-31 MRF ↗
BAYSHORE MEDICAL CENTER OutpatientFacility CLOVER MEDICARE ADVANTAGE $1.25 $693.00 2025-12-31 MRF ↗
Centra Specialty Hospital BothFacility None $421.00 $138.93 2026-01-01 MRF ↗
OCEAN MEDICAL CENTER OutpatientFacility Clover Managed Medicare $1.53 $849.00 2024-12-31 MRF ↗
MONMOUTH MEDICAL CENTER OutpatientFacility Clover Managed Medicare $1.53 $849.00 2024-12-31 MRF ↗
BAYSHORE MEDICAL CENTER OutpatientFacility CLOVER MEDICARE ADVANTAGE $1.58 $877.00 2025-12-31 MRF ↗
CEDARS-SINAI MEDICAL CENTER Outpatient Blue Cross of California, dba Anthem Blue Cross and its Affiliates HMO $2,124.78 $1,381.11 2025-11-26 MRF ↗
CEDARS-SINAI MEDICAL CENTER Outpatient Blue Cross of California, dba Anthem Blue Cross and its Affiliates HMO, City of LA, Vivity $2,124.78 $1,381.11 2025-11-26 MRF ↗
CEDARS-SINAI MEDICAL CENTER Outpatient Blue Cross of California, dba Anthem Blue Cross and its Affiliates HMO, Non-City of LA, Vivity $2,124.78 $1,381.11 2025-11-26 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Security Health Plan (SHP) Medicare Advantage $3.24 $876.00 $832.20 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility UnitedHealth Group of WI Medicare Advantage $3.24 $876.00 $832.20 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Veteran's Administration (VA CCN) VA Network $3.24 $876.00 $832.20 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Anthem BCBS of WI Medicare Advantage $3.33 $876.00 $832.20 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $3.42 $876.00 $832.20 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Point Comfort Underwriters Organizational $3.50 $876.00 $832.20 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Veteran's Administration (VA CCN) VA Network $4.20 $876.00 $832.20 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Security Health Plan (SHP) Medicare Advantage $4.20 $876.00 $832.20 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Veteran's Administration (VA CCN) VA Network $4.29 $876.00 $832.20 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Anthem BCBS of WI Medicare Advantage $4.29 $876.00 $832.20 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Security Health Plan (SHP) Medicare Advantage $4.29 $876.00 $832.20 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Point Comfort Underwriters Organizational $4.29 $876.00 $832.20 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Anthem BCBS of WI Medicare Advantage $4.38 $876.00 $832.20 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $4.47 $876.00 $832.20 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $4.56 $876.00 $832.20 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Point Comfort Underwriters Organizational $4.73 $876.00 $832.20 2026-02-20 MRF ↗
Southern California Hospital At Culver City OutpatientFacility Blue Shield of California Covered California/IFP/PPO $10.55 2026-03-18 MRF ↗
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility Blue Shield of California Covered California/IFP/PPO $10.55 2026-03-18 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield of California Covered California/IFP/PPO $10.55 2026-03-18 MRF ↗
Southern California Hospital At Culver City OutpatientFacility Blue Shield of California HMO $12.09 2026-03-18 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield of California HMO $12.09 2026-03-18 MRF ↗
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility Blue Shield of California HMO $12.09 2026-03-18 MRF ↗
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility Blue Shield of California EPO/PPO/Out of State $13.17 2026-03-18 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield of California EPO/PPO/Out of State $13.17 2026-03-18 MRF ↗
Southern California Hospital At Culver City OutpatientFacility Blue Shield of California EPO/PPO/Out of State $13.17 2026-03-18 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility MOLINA HEALTHCARE MEDICAID [20265] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $17.16 $264.00 $171.60 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility MERIDIAN MEDICAID CONTRACTED [320430] HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% $17.16 $264.00 $171.60 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility MERIDIAN MEDICAID CONTRACTED [320430] HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% $17.16 $264.00 $171.60 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $17.16 $264.00 $171.60 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $17.16 $264.00 $171.60 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility MOLINA HEALTHCARE MEDICAID [20265] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $17.16 $264.00 $171.60 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $17.88 $275.00 $178.75 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility MOLINA HEALTHCARE MEDICAID [20265] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $17.88 $275.00 $178.75 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility MOLINA HEALTHCARE MEDICAID [20265] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $17.88 $275.00 $178.75 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility MERIDIAN MEDICAID CONTRACTED [320430] HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% $17.88 $275.00 $178.75 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility MERIDIAN MEDICAID CONTRACTED [320430] HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% $17.88 $275.00 $178.75 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $17.88 $275.00 $178.75 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $19.18 $295.00 $191.75 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $19.18 $295.00 $191.75 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility MERIDIAN MEDICAID CONTRACTED [320430] HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% $19.18 $295.00 $191.75 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility MOLINA HEALTHCARE MEDICAID [20265] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $19.18 $295.00 $191.75 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility MERIDIAN MEDICAID CONTRACTED [320430] HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% $19.18 $295.00 $191.75 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility MOLINA HEALTHCARE MEDICAID [20265] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $19.18 $295.00 $191.75 2026-03-12 MRF ↗
LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility Blue Shield of California Commercial/IFP $26.35 2026-03-18 MRF ↗
Shepherd Center Outpatient Bcbs Hmo $28.47 2026-05-06 MRF ↗
Shepherd Center Outpatient Bcbs Ppo $28.47 2026-05-06 MRF ↗
COASTAL CAROLINA HOSPITAL Outpatient BCBS-SC BCBSSCBlueChoice $28.70 2024-12-08 MRF ↗
COASTAL CAROLINA HOSPITAL Outpatient BCBS-SC BCBSSCPreferredBlue $30.90 2024-12-08 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 ↗
EAST COOPER MEDICAL CENTER Outpatient BCBS-SC BCBSSCBlueChoice $34.60 $3,401.00 $2,550.75 2024-12-08 MRF ↗
EAST COOPER MEDICAL CENTER Outpatient BCBS-SC BCBSSCPreferredBlue $34.60 $3,401.00 $2,550.75 2024-12-08 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility AETNA MEDICAID CONTRACTED [320009] HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 $39.60 $264.00 $171.60 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility MEDICAID [20240] HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID $39.60 $264.00 $171.60 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility AETNA MEDICAID CONTRACTED [320009] HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 $39.60 $264.00 $171.60 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility MEDICAID [20240] HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID $39.60 $264.00 $171.60 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility AETNA MEDICAID [20009] HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 $39.60 $264.00 $171.60 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility AETNA MEDICAID [20009] HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 $39.60 $264.00 $171.60 2026-03-12 MRF ↗
GLENDALE MEM HOSPITAL & HLTH CENTER Outpatient SCAN Medicare|All Plans $40.00 $2,155.00 $702.53 2026-02-28 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility AETNA MEDICAID CONTRACTED [320009] HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 $41.25 $275.00 $178.75 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility MEDICAID [20240] HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID $41.25 $275.00 $178.75 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility MEDICAID [20240] HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID $41.25 $275.00 $178.75 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility AETNA MEDICAID CONTRACTED [320009] HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 $41.25 $275.00 $178.75 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility AETNA MEDICAID [20009] HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 $41.25 $275.00 $178.75 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility AETNA MEDICAID [20009] HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 $41.25 $275.00 $178.75 2026-03-12 MRF ↗
HEYWOOD HOSPITAL - Outpatient Fallon MedicarePlusCentralHMO $42.04 2025-04-16 MRF ↗
HEYWOOD HOSPITAL - Outpatient BCBS-MA PPA 2025-04-16 MRF ↗
HEYWOOD HOSPITAL - Outpatient BCBS-MA Indemnity 2025-04-16 MRF ↗
HEYWOOD HOSPITAL - Outpatient BCBS-MA Indemnity 2025-04-16 MRF ↗
HEYWOOD HOSPITAL - Outpatient Cigna Commercial 2025-04-16 MRF ↗
HEYWOOD HOSPITAL - Outpatient United Healthcare CommercialAllPlans 2025-04-16 MRF ↗
HEYWOOD HOSPITAL - Outpatient Cigna Commercial 2025-04-16 MRF ↗
HEYWOOD HOSPITAL - Outpatient Aetna Commercial 2025-04-16 MRF ↗
HEYWOOD HOSPITAL - Outpatient Fallon MedicarePlusCentralHMO $42.04 2025-04-16 MRF ↗
HEYWOOD HOSPITAL - Outpatient Fallon MedicarePlusHMO $42.04 2025-04-16 MRF ↗
HEYWOOD HOSPITAL - Outpatient BCBS-MA HMO 2025-04-16 MRF ↗
HEYWOOD HOSPITAL - Outpatient Harvard Pilgrim Health Care CommercialAllPlans 2025-04-16 MRF ↗
HEYWOOD HOSPITAL - Outpatient BCBS-MA PPA 2025-04-16 MRF ↗
HEYWOOD HOSPITAL - Outpatient Aetna Commercial 2025-04-16 MRF ↗
HEYWOOD HOSPITAL - Outpatient BCBS-MA HMO 2025-04-16 MRF ↗
HEYWOOD HOSPITAL - Outpatient Harvard Pilgrim Health Care CommercialAllPlans 2025-04-16 MRF ↗
HEYWOOD HOSPITAL - Outpatient Fallon MedicarePlusHMO $42.04 2025-04-16 MRF ↗
HEYWOOD HOSPITAL - Outpatient United Healthcare CommercialAllPlans 2025-04-16 MRF ↗
RICHLAND HOSPITAL OutpatientFacility Dean Health Plan DHI/DHP Products and ASO Managed Care $42.74 $312.00 $249.60 2026-04-24 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility AETNA MEDICAID CONTRACTED [320009] HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 $44.25 $295.00 $191.75 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility MEDICAID [20240] HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID $44.25 $295.00 $191.75 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility MEDICAID [20240] HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID $44.25 $295.00 $191.75 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility AETNA MEDICAID CONTRACTED [320009] HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 $44.25 $295.00 $191.75 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility AETNA MEDICAID [20009] HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 $44.25 $295.00 $191.75 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility AETNA MEDICAID [20009] HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 $44.25 $295.00 $191.75 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility MOLINA HEALTHCARE MEDICAID [20265] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $44.72 $688.00 $447.20 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $44.72 $688.00 $447.20 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility MERIDIAN MEDICAID CONTRACTED [320430] HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% $44.72 $688.00 $447.20 2026-03-12 MRF ↗
EAST COOPER MEDICAL CENTER Outpatient BCBS-SC BCBSSCState $50.00 $3,401.00 $2,550.75 2024-12-08 MRF ↗
COASTAL CAROLINA HOSPITAL Outpatient BCBS-SC BCBSSCState $50.00 2024-12-08 MRF ↗
HILTON HEAD REGIONAL MEDICAL CENTER Outpatient BCBS-SC BCBSSCState $50.00 2024-12-08 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility TRICARE CONTRACTED [320380] HB LINC TRICARE - HEALTHNET WEST $56.50 $264.00 $171.60 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility TRICARE CONTRACTED [320380] HB LINC TRICARE - HEALTHNET WEST $56.50 $264.00 $171.60 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility ESSENCE HEALTHCARE MEDICARE CONTRACTED [320122] HB LINC ESSENCE MEDICARE 100% W/SEQ $56.97 $264.00 $171.60 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility ESSENCE HEALTHCARE MEDICARE CONTRACTED [320122] HB LINC ESSENCE MEDICARE 100% W/SEQ $56.97 $264.00 $171.60 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility AETNA MEDICARE ADVANTAGE CONTRACTED [320010] HB LINC AETNA/COVENTRY MCR W/O SEQ $58.08 $264.00 $171.60 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility AETNA MEDICARE ADVANTAGE CONTRACTED [320010] HB LINC AETNA/COVENTRY MCR W/O SEQ $58.08 $264.00 $171.60 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility UNITED HEALTHCARE MEDICARE ADVANTAGE CONTRACTED [320398] HB LINC UHC MCR W/O SEQ $58.08 $264.00 $171.60 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility UNITED HEALTHCARE MEDICARE ADVANTAGE CONTRACTED [320398] HB LINC UHC MCR W/O SEQ $58.08 $264.00 $171.60 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility WELLCARE MEDICARE ADVANTAGE CONTRACTED [320421] HB LINC WELLCARE HARMONY MCR 103% W/SEQ $58.69 $264.00 $171.60 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility WELLCARE MEDICARE ADVANTAGE CONTRACTED [320421] HB LINC WELLCARE HARMONY MCR 103% W/SEQ $58.69 $264.00 $171.60 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility TRICARE CONTRACTED [320380] HB LINC TRICARE - HEALTHNET WEST $58.86 $275.00 $178.75 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility TRICARE CONTRACTED [320380] HB LINC TRICARE - HEALTHNET WEST $58.86 $275.00 $178.75 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility DEVOTED HEALTH MEDICARE CONTRACTED [320500] HB LINC DEVOTED HEALTH MEDICARE ADVANTAGE 104% W/SEQ $59.27 $264.00 $171.60 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility DEVOTED HEALTH MEDICARE CONTRACTED [320500] HB LINC DEVOTED HEALTH MEDICARE ADVANTAGE 104% W/SEQ $59.27 $264.00 $171.60 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility ESSENCE HEALTHCARE MEDICARE CONTRACTED [320122] HB LINC ESSENCE MEDICARE 100% W/SEQ $59.35 $275.00 $178.75 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility ESSENCE HEALTHCARE MEDICARE CONTRACTED [320122] HB LINC ESSENCE MEDICARE 100% W/SEQ $59.35 $275.00 $178.75 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility AETNA MEDICARE ADVANTAGE CONTRACTED [320010] HB LINC AETNA/COVENTRY MCR W/O SEQ $60.50 $275.00 $178.75 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility UNITED HEALTHCARE MEDICARE ADVANTAGE CONTRACTED [320398] HB LINC UHC MCR W/O SEQ $60.50 $275.00 $178.75 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility UNITED HEALTHCARE MEDICARE ADVANTAGE CONTRACTED [320398] HB LINC UHC MCR W/O SEQ $60.50 $275.00 $178.75 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility AETNA MEDICARE ADVANTAGE CONTRACTED [320010] HB LINC AETNA/COVENTRY MCR W/O SEQ $60.50 $275.00 $178.75 2026-03-12 MRF ↗
WESTERLY HOSPITAL Outpatient Great West Network All Plans $60.52 $673.90 $242.60 2026-01-01 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility WELLCARE MEDICARE ADVANTAGE CONTRACTED [320421] HB LINC WELLCARE HARMONY MCR 103% W/SEQ $61.13 $275.00 $178.75 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility WELLCARE MEDICARE ADVANTAGE CONTRACTED [320421] HB LINC WELLCARE HARMONY MCR 103% W/SEQ $61.13 $275.00 $178.75 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility DEVOTED HEALTH MEDICARE CONTRACTED [320500] HB LINC DEVOTED HEALTH MEDICARE ADVANTAGE 104% W/SEQ $61.74 $275.00 $178.75 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility DEVOTED HEALTH MEDICARE CONTRACTED [320500] HB LINC DEVOTED HEALTH MEDICARE ADVANTAGE 104% W/SEQ $61.74 $275.00 $178.75 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility PROVIDER PARTNERS HEALTH PLANS CONTRACTED [320450] HB LINC PROVIDER PARTNERS 110% MCR NEW 010121 $61.78 $264.00 $171.60 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility PROVIDER PARTNERS HEALTH PLANS CONTRACTED [320450] HB LINC PROVIDER PARTNERS 110% MCR NEW 010121 $61.78 $264.00 $171.60 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility MEDICARE [20244] HB LINC MEDICARE/MANAGED MCR W/SEQ 98.1% $62.15 $264.00 $171.60 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility WELLCARE MEDICARE ADVANTAGE CONTRACTED [320421] HB LINC MEDICARE/MANAGED MCR W/SEQ 98.1% $62.15 $264.00 $171.60 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility KINDFUL HOSPICE [20434] HB LINC MEDICARE/MANAGED MCR W/SEQ 98.1% $62.15 $264.00 $171.60 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility ELARA CARING ASPIRE HOSPICE [20433] HB LINC MEDICARE/MANAGED MCR W/SEQ 98.1% $62.15 $264.00 $171.60 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility HALO HCR INC HOSPICE CONTRACTED [320432] HB LINC MEDICARE/MANAGED MCR W/SEQ 98.1% $62.15 $264.00 $171.60 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility BCBS MEDICARE ADVANTAGE CONTRACTED [320047] HB LINC MEDICARE/MANAGED MCR W/SEQ 98.1% $62.15 $264.00 $171.60 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility KINDFUL HOSPICE [20434] HB LINC MEDICARE/MANAGED MCR W/SEQ 98.1% $62.15 $264.00 $171.60 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility CHEROKEE NATION HEALTH SERV CONTRACTED [320066] HB LINC MEDICARE/MANAGED MCR W/SEQ 98.1% $62.15 $264.00 $171.60 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility MEDICA MEDICARE ADVANTAGE CONTRACTED [320477] HB LINC MEDICARE/MANAGED MCR W/SEQ 98.1% $62.15 $264.00 $171.60 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility MERCY HOSPICE OKC [20252] HB LINC MEDICARE/MANAGED MCR W/SEQ 98.1% $62.15 $264.00 $171.60 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility UNITED BEHAVIORAL HEALTH MEDICARE ADVANTAGE CONTRACTED [320392] HB LINC MEDICARE/MANAGED MCR W/SEQ 98.1% $62.15 $264.00 $171.60 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility QUAL CHOICE CONTRACTED [320325] HB LINC MEDICARE/MANAGED MCR W/SEQ 98.1% $62.15 $264.00 $171.60 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility DEPT OF VETERAN AFFAIRS CONTRACTED [320106] HB LINC MEDICARE/MANAGED MCR W/SEQ 98.1% $62.15 $264.00 $171.60 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility WELLCARE MEDICARE ADVANTAGE CONTRACTED [320421] HB LINC MEDICARE/MANAGED MCR W/SEQ 98.1% $62.15 $264.00 $171.60 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility PROMINENCE HEALTH PLAN MEDICARE ADVANTAGE CONTRACTED [320496] HB LINC MEDICARE/MANAGED MCR W/SEQ 98.1% $62.15 $264.00 $171.60 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility CHEROKEE NATION HEALTH SERV CONTRACTED [320066] HB LINC MEDICARE/MANAGED MCR W/SEQ 98.1% $62.15 $264.00 $171.60 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility BLUE CROSS AND BLUE SHIELD [20053] HB LINC MEDICARE/MANAGED MCR W/SEQ 98.1% $62.15 $264.00 $171.60 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility HUMANA MEDICARE ADVANTAGE [20194] HB LINC MEDICARE/MANAGED MCR W/SEQ 98.1% $62.15 $264.00 $171.60 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility DEPT OF VETERAN AFFAIRS CONTRACTED [320106] HB LINC MEDICARE/MANAGED MCR W/SEQ 98.1% $62.15 $264.00 $171.60 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility PACE OF THE OZARKS CONTRACTED [320518] HB LINC MEDICARE/MANAGED MCR W/SEQ 98.1% $62.15 $264.00 $171.60 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility LONGEVITY HEALTH PLAN MEDICARE CONTRACTED [320225] HB LINC MEDICARE/MANAGED MCR W/SEQ 98.1% $62.15 $264.00 $171.60 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility ELARA CARING ASPIRE HOSPICE CONTRACTED [320433] HB LINC MEDICARE/MANAGED MCR W/SEQ 98.1% $62.15 $264.00 $171.60 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility UNITED BEHAVIORAL HEALTH MEDICARE ADVANTAGE CONTRACTED [320392] HB LINC MEDICARE/MANAGED MCR W/SEQ 98.1% $62.15 $264.00 $171.60 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility CROSS TIMBERS HOSPICE [20098] HB LINC MEDICARE/MANAGED MCR W/SEQ 98.1% $62.15 $264.00 $171.60 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility PACE OF THE OZARKS CONTRACTED [320518] HB LINC MEDICARE/MANAGED MCR W/SEQ 98.1% $62.15 $264.00 $171.60 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility HUMANA MEDICARE ADVANTAGE [20194] HB LINC MEDICARE/MANAGED MCR W/SEQ 98.1% $62.15 $264.00 $171.60 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility UNITED HEALTHCARE CONTRACTED [320396] HB LINC MEDICARE/MANAGED MCR W/SEQ 98.1% $62.15 $264.00 $171.60 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility BLUE CROSS AND BLUE SHIELD [20053] HB LINC MEDICARE/MANAGED MCR W/SEQ 98.1% $62.15 $264.00 $171.60 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility PROMINENCE HEALTH PLAN MEDICARE ADVANTAGE CONTRACTED [320496] HB LINC MEDICARE/MANAGED MCR W/SEQ 98.1% $62.15 $264.00 $171.60 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility INDIAN HEALTH SERVICE CONTRACTED [320198] HB LINC MEDICARE/MANAGED MCR W/SEQ 98.1% $62.15 $264.00 $171.60 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility KINDFUL HOSPICE CONTRACTED [320434] HB LINC MEDICARE/MANAGED MCR W/SEQ 98.1% $62.15 $264.00 $171.60 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility NHC ADVANTAGE MEDICARE CONTRACTED [320282] HB LINC MEDICARE/MANAGED MCR W/SEQ 98.1% $62.15 $264.00 $171.60 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility CROSS TIMBERS HOSPICE [20098] HB LINC MEDICARE/MANAGED MCR W/SEQ 98.1% $62.15 $264.00 $171.60 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility HALO HCR INC HOSPICE CONTRACTED [320432] HB LINC MEDICARE/MANAGED MCR W/SEQ 98.1% $62.15 $264.00 $171.60 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility KINDFUL HOSPICE CONTRACTED [320434] HB LINC MEDICARE/MANAGED MCR W/SEQ 98.1% $62.15 $264.00 $171.60 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility MEDICARE [20244] HB LINC MEDICARE/MANAGED MCR W/SEQ 98.1% $62.15 $264.00 $171.60 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility MEDICA MEDICARE ADVANTAGE CONTRACTED [320477] HB LINC MEDICARE/MANAGED MCR W/SEQ 98.1% $62.15 $264.00 $171.60 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility INDIAN HEALTH SERVICE CONTRACTED [320198] HB LINC MEDICARE/MANAGED MCR W/SEQ 98.1% $62.15 $264.00 $171.60 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility QUAL CHOICE CONTRACTED [320325] HB LINC MEDICARE/MANAGED MCR W/SEQ 98.1% $62.15 $264.00 $171.60 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility UNITED HEALTHCARE CONTRACTED [320396] HB LINC MEDICARE/MANAGED MCR W/SEQ 98.1% $62.15 $264.00 $171.60 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility LONGEVITY HEALTH PLAN MEDICARE CONTRACTED [320225] HB LINC MEDICARE/MANAGED MCR W/SEQ 98.1% $62.15 $264.00 $171.60 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility HUMANA MEDICARE ADVANTAGE CONTRACTED [320194] HB LINC MEDICARE/MANAGED MCR W/SEQ 98.1% $62.15 $264.00 $171.60 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility HUMANA MEDICARE ADVANTAGE CONTRACTED [320194] HB LINC MEDICARE/MANAGED MCR W/SEQ 98.1% $62.15 $264.00 $171.60 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility ELARA CARING ASPIRE HOSPICE [20433] HB LINC MEDICARE/MANAGED MCR W/SEQ 98.1% $62.15 $264.00 $171.60 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility AMERICAN HEALTH ADVANTAGE OF MO MCR [10473] HB LINC MEDICARE/MANAGED MCR W/SEQ 98.1% $62.15 $264.00 $171.60 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility GLOBALHEALTH CONTRACTED [320145] HB LINC MEDICARE/MANAGED MCR W/SEQ 98.1% $62.15 $264.00 $171.60 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility GLOBALHEALTH CONTRACTED [320145] HB LINC MEDICARE/MANAGED MCR W/SEQ 98.1% $62.15 $264.00 $171.60 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility ELARA CARING ASPIRE HOSPICE CONTRACTED [320433] HB LINC MEDICARE/MANAGED MCR W/SEQ 98.1% $62.15 $264.00 $171.60 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility AMERICAN HEALTH ADVANTAGE OF MO MCR [10473] HB LINC MEDICARE/MANAGED MCR W/SEQ 98.1% $62.15 $264.00 $171.60 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility HALO HCR INC HOSPICE [20432] HB LINC MEDICARE/MANAGED MCR W/SEQ 98.1% $62.15 $264.00 $171.60 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility NHC ADVANTAGE MEDICARE CONTRACTED [320282] HB LINC MEDICARE/MANAGED MCR W/SEQ 98.1% $62.15 $264.00 $171.60 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility HALO HCR INC HOSPICE [20432] HB LINC MEDICARE/MANAGED MCR W/SEQ 98.1% $62.15 $264.00 $171.60 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility MERCY HOSPICE OKC [20252] HB LINC MEDICARE/MANAGED MCR W/SEQ 98.1% $62.15 $264.00 $171.60 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility BCBS MEDICARE ADVANTAGE CONTRACTED [320047] HB LINC MEDICARE/MANAGED MCR W/SEQ 98.1% $62.15 $264.00 $171.60 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility TRICARE CONTRACTED [320380] HB LINC TRICARE - HEALTHNET WEST $63.14 $295.00 $191.75 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility TRICARE CONTRACTED [320380] HB LINC TRICARE - HEALTHNET WEST $63.14 $295.00 $191.75 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility ESSENCE HEALTHCARE MEDICARE CONTRACTED [320122] HB LINC ESSENCE MEDICARE 100% W/SEQ $63.66 $295.00 $191.75 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility ESSENCE HEALTHCARE MEDICARE CONTRACTED [320122] HB LINC ESSENCE MEDICARE 100% W/SEQ $63.66 $295.00 $191.75 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility PROVIDER PARTNERS HEALTH PLANS CONTRACTED [320450] HB LINC PROVIDER PARTNERS 110% MCR NEW 010121 $64.35 $275.00 $178.75 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility PROVIDER PARTNERS HEALTH PLANS CONTRACTED [320450] HB LINC PROVIDER PARTNERS 110% MCR NEW 010121 $64.35 $275.00 $178.75 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility HALO HCR INC HOSPICE [20432] HB LINC MEDICARE/MANAGED MCR W/SEQ 98.1% $64.74 $275.00 $178.75 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility KINDFUL HOSPICE [20434] HB LINC MEDICARE/MANAGED MCR W/SEQ 98.1% $64.74 $275.00 $178.75 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility ELARA CARING ASPIRE HOSPICE [20433] HB LINC MEDICARE/MANAGED MCR W/SEQ 98.1% $64.74 $275.00 $178.75 2026-03-12 MRF ↗
MERCY HOSPITAL LINCOLN OutpatientFacility MEDICARE [20244] HB LINC MEDICARE/MANAGED MCR W/SEQ 98.1% $64.74 $275.00 $178.75 2026-03-12 MRF ↗

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