Price Transparencybeta 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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L0627 — Lo Sag Ri An/pos Pnl Pre Cst

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 $511

Usually $397–$784 (25th–75th percentile) across 1,469 hospitals · 2,816 payers.

“Negotiated” is the hospital’s negotiated facility rate for this HCPCS L0627 — 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
$397 $511 typical $784

The middle 50% of negotiated facility rates for this procedure, measured across 1,469 hospitals.

What you’ll likely be billed

Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. $511
Likely subtotal $511
Facility charge (no separate professional fee) $511

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 $397–$784.

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
PIEDMONT MEDICAL CENTER OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS PREFERRED BLUE PPO $0.29 — — 2026-09-01 MRF ↗
PIEDMONT MEDICAL CENTER OutpatientFacility BLUE CROSS/BLUE SHIELD BLUECHOICE HEALTHPLAN OF SC $0.29 — — 2026-09-01 MRF ↗
PIEDMONT MEDICAL CENTER OutpatientFacility BLUE CROSS/BLUE SHIELD BLUECHOICE HEALTHPLAN STATE EMPLOYEE $0.60 — — 2026-09-01 MRF ↗
PIEDMONT MEDICAL CENTER OutpatientFacility BLUE CROSS/BLUE SHIELD BLUECHOICE HEALTHPLAN OF SC $1.00 — — 2026-09-01 MRF ↗
CEDARS-SINAI MEDICAL CENTER Inpatient SCAN Health Plan Medicare Advantage — $1,756.85 $1,141.95 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Inpatient Health Net of California, Inc. HMO — $3,081.90 $2,527.16 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Both SCAN Medicare Advantage — $3,081.90 $2,527.16 2025-11-26 MRF ↗
PIEDMONT MEDICAL CENTER OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS PREFERRED BLUE PPO $1.00 — — 2026-09-01 MRF ↗
PIEDMONT MEDICAL CENTER OutpatientFacility BLUE CROSS/BLUE SHIELD BLUECHOICE HEALTHPLAN STATE EMPLOYEE $1.00 — — 2026-09-01 MRF ↗
CEDARS-SINAI MEDICAL CENTER Inpatient UHC of California, dba UnitedHealthcare of California and fka PacificCare of California Medicare Advantage — $1,756.85 $1,141.95 2025-11-26 MRF ↗
PIEDMONT MEDICAL CENTER OutpatientFacility BLUE CROSS/BLUE SHIELD BLUE CROSS STATE $1.00 — — 2026-09-01 MRF ↗
OCEAN MEDICAL CENTER OutpatientFacility Clover Managed Medicare $1.08 $601.00 — 2024-12-31 MRF ↗
RARITAN BAY MEDICAL CENTER OutpatientFacility Clover Managed Medicare $1.08 $601.00 — 2024-12-31 MRF ↗
BAYSHORE MEDICAL CENTER OutpatientFacility CLOVER MEDICARE ADVANTAGE $1.11 $615.00 — 2025-12-31 MRF ↗
DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility Security Health Plan (SHP) Medicare Advantage $1.63 $441.03 $418.98 2026-02-20 MRF ↗
DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility UnitedHealth Group of WI Medicare Advantage $1.63 $441.03 $418.98 2026-02-20 MRF ↗
DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility Veteran's Administration (VA CCN) VA Network $1.63 $441.03 $418.98 2026-02-20 MRF ↗
DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility Anthem BCBS of WI Medicare Advantage $1.68 $441.03 $418.98 2026-02-20 MRF ↗
DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $1.72 $441.03 $418.98 2026-02-20 MRF ↗
DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility Point Comfort Underwriters Organizational $1.76 $441.03 $418.98 2026-02-20 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility MERIDIAN MEDICAID CONTRACTED [320430] HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% $1.95 $30.00 $19.50 2026-06-10 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility MOLINA HEALTHCARE MEDICAID [20265] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $1.95 $30.00 $19.50 2026-06-10 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $1.95 $30.00 $19.50 2026-06-10 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility MOLINA HEALTHCARE MEDICAID CONTRACTED [3202651] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $1.95 $30.00 $19.50 2026-06-10 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Veteran's Administration (VA CCN) VA Network $2.16 $441.03 $418.98 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Security Health Plan (SHP) Medicare Advantage $2.16 $441.03 $418.98 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Anthem BCBS of WI Medicare Advantage $2.21 $441.03 $418.98 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $2.29 $441.03 $418.98 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Point Comfort Underwriters Organizational $2.38 $441.03 $418.98 2026-02-20 MRF ↗
CEDARS-SINAI MEDICAL CENTER Outpatient Blue Cross of California, dba Anthem Blue Cross and its Affiliates HMO, Non-City of LA, Vivity — $1,756.85 $1,141.95 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 — $1,756.85 $1,141.95 2025-11-26 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility COUNTYCARE HEALTH PLAN MEDICAID CONTRACTED [320523] HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID $4.50 $30.00 $19.50 2026-06-10 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility MEDICAID [20240] HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID $4.50 $30.00 $19.50 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 $4.50 $30.00 $19.50 2026-06-10 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility AETNA MEDICAID [20009] HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 $4.50 $30.00 $19.50 2026-06-10 MRF ↗
GRADY MEMORIAL HOSPITAL Outpatient Ambetter Marketplace $5.77 $39.00 $39.00 2026-07-15 MRF ↗
GRADY MEMORIAL HOSPITAL Outpatient Ambetter Marketplace $5.77 $39.00 $39.00 2026-07-18 MRF ↗
GRADY MEMORIAL HOSPITAL Outpatient Caresource Commercial $5.82 $39.00 $39.00 2026-07-18 MRF ↗
GRADY MEMORIAL HOSPITAL Outpatient Peach State Medicaid $5.82 $39.00 $39.00 2026-07-18 MRF ↗
GRADY MEMORIAL HOSPITAL Outpatient Caresource Commercial $5.82 $39.00 $39.00 2026-07-15 MRF ↗
GRADY MEMORIAL HOSPITAL Outpatient Peach State Medicaid $5.82 $39.00 $39.00 2026-07-15 MRF ↗
MCKAY-DEE HOSPITAL Inpatient Donor Connect Other $5.99 $599.40 $449.55 2026-07-31 MRF ↗
GRADY MEMORIAL HOSPITAL Outpatient Amerigroup Medicaid $6.34 $39.00 $39.00 2026-07-15 MRF ↗
GRADY MEMORIAL HOSPITAL Outpatient Amerigroup Medicaid $6.34 $39.00 $39.00 2026-07-18 MRF ↗
INTERMOUNTAIN MEDICAL CENTER Inpatient Donor Connect Other $7.19 $599.40 $449.55 2026-07-17 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Inpatient Kaiser Foundation Hospitals HMO — $3,081.90 $2,527.16 2025-11-26 MRF ↗
LDS HOSPITAL Inpatient Donor Connect Other $7.79 $599.40 $449.55 2026-08-01 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility MEDICA CONTRACTED [320239] HB SAMC MEDICA EXCHANGE NEW 010122 $7.83 $30.00 $19.50 2026-06-10 MRF ↗
INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient Donor Connect Other $8.39 $599.40 $449.55 2026-08-01 MRF ↗
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility Blue Shield of California Covered California/IFP/PPO $8.40 — — 2026-03-18 MRF ↗
Southern California Hospital At Culver City OutpatientFacility Blue Shield of California Covered California/IFP/PPO $8.40 — — 2026-03-18 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield of California Covered California/IFP/PPO $8.40 — — 2026-03-18 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield of California HMO $9.62 — — 2026-03-18 MRF ↗
Southern California Hospital At Culver City OutpatientFacility Blue Shield of California HMO $9.62 — — 2026-03-18 MRF ↗
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility Blue Shield of California HMO $9.62 — — 2026-03-18 MRF ↗
LOGAN REGIONAL HOSPITAL Inpatient Donor Connect Other $9.78 $465.80 $349.35 2026-08-01 MRF ↗
PALMDALE REGIONAL MEDICAL CENTER Both Health Net Medicaid $9.90 $165.00 $66.00 2026-05-14 MRF ↗
PALMDALE REGIONAL MEDICAL CENTER Both Health Net Medicaid $9.90 $165.00 $66.00 2026-05-23 MRF ↗
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility Blue Shield of California EPO/PPO/Out of State $10.48 — — 2026-03-18 MRF ↗
Southern California Hospital At Culver City OutpatientFacility Blue Shield of California EPO/PPO/Out of State $10.48 — — 2026-03-18 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield of California EPO/PPO/Out of State $10.48 — — 2026-03-18 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility KANCARE CONTRACTED [320213] HB JOPL AETNA BETTER HEALTH (KANCARE) $10.75 $43.00 $27.95 2026-06-09 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility KANCARE [20213] HB JOPL AETNA BETTER HEALTH (KANCARE) $10.75 $43.00 $27.95 2026-06-09 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility MERCY BENEFIT ADMIN [20251] HB STLO SAMC HERMANN AREA DISTRICT HOSPITAL $12.00 $30.00 $19.50 2026-06-10 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility MERCY BENEFIT ADMIN CONTRACTED [320251] HB STLO SAMC HERMANN AREA DISTRICT HOSPITAL $12.00 $30.00 $19.50 2026-06-10 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility HUMANA CONTRACTED [320193] HB JOPL HUMANA COMMERCIAL $12.90 $43.00 $27.95 2026-06-09 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility HEALTHLINK CONTRACTED [320179] HB STLO SAMC DEC SAPAUGH MOTORS NEW 01.01.25 $13.50 $30.00 $19.50 2026-06-10 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility AUXIANT CONTRACTED [320462] HB STLO SAMC CITY OF JACKSON DEC NEW 010125 $13.50 $30.00 $19.50 2026-06-10 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility AUXIANT CONTRACTED [320462] HB STLO SAMC BUCHHEIT DEC NEW 070122 $13.50 $30.00 $19.50 2026-06-10 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility AITHER HEALTH [20449] HB STLO SAMC SHINE SOLAR DEC NEW 110320 $13.50 $30.00 $19.50 2026-06-10 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility MERCY BENEFIT ADMIN CONTRACTED [320251] HB STLO SAMC SCHAEFER AUTOBODY DEC NEW 030121 $13.50 $30.00 $19.50 2026-06-10 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility YUZU HEALTH CONTRACTED [320521] HB STLO SAMC SCHAEFER AUTOBODY DEC NEW 030121 $13.50 $30.00 $19.50 2026-06-10 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility AITHER HEALTH CONTRACTED [320449] HB STLO SAMC SHINE SOLAR DEC NEW 110320 $13.50 $30.00 $19.50 2026-06-10 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility MERCY BENEFIT ADMIN [20251] HB STLO SAMC CLAYCO DEC $13.50 $30.00 $19.50 2026-06-10 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility MERCY BENEFIT ADMIN CONTRACTED [320251] HB STLO SAMC BARTEL COMMUNICATION DEC NEW 010125 $13.50 $30.00 $19.50 2026-06-10 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility AUXIANT CONTRACTED [320462] HB STLO SAMC FCB BANKS DEC $13.50 $30.00 $19.50 2026-06-10 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility CIGNA HEALTHCARE CONTRACTED [320071] HB STLO WASH JEFN SAMC CIGNA BEHAVIORAL HEALTH $13.50 $30.00 $19.50 2026-06-10 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility MERCY BENEFIT ADMIN [20251] HB STLO SAMC DEC SHOW ME BENEFIT CONSORTIUM NEW 070121 $13.50 $30.00 $19.50 2026-06-10 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility MERCY BENEFIT ADMIN CONTRACTED [320251] HB STLO SAMC DEC SHOW ME BENEFIT CONSORTIUM NEW 070121 $13.50 $30.00 $19.50 2026-06-10 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility AITHER HEALTH CONTRACTED [320449] HB STLO SAMC WOODARD DEC NEW 040124 $13.50 $30.00 $19.50 2026-06-10 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility AUXIANT CONTRACTED [320462] HB STLO SAMC DEC HYDROMAT $13.50 $30.00 $19.50 2026-06-10 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] HB STLO SAMC ASI DEC NEW 010124 $13.50 $30.00 $19.50 2026-06-10 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility REFLECT HEALTH CONTRACTED [320492] HB STLO SAMC WW WOOD DEC $13.50 $30.00 $19.50 2026-06-10 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility MERCY BENEFIT ADMIN CONTRACTED [320251] HB STLO SAMC DEC EBA - EMPLOYER BENEFIT ALLIANCE NEW 070121 $13.50 $30.00 $19.50 2026-06-10 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility MERCY BENEFIT ADMIN CONTRACTED [320251] HB STLO SAMC EASTER SEALS DEC NEW 010125 $13.50 $30.00 $19.50 2026-06-10 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility MERCY BENEFIT ADMIN CONTRACTED [320251] HB STLO SAMC TALL TREE DEC NEW 040125 $13.50 $30.00 $19.50 2026-06-10 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility MERCY BENEFIT ADMIN [20251] HB STLO SAMC SCHAEFER AUTOBODY DEC NEW 030121 $13.50 $30.00 $19.50 2026-06-10 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility AITHER HEALTH CONTRACTED [320449] HB STLO SAMC LACLEDE CHAIN DEC NEW 07.01.25 $13.50 $30.00 $19.50 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 $13.50 $30.00 $19.50 2026-06-10 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility MERCY BENEFIT ADMIN CONTRACTED [320251] HB STLO SAMC CITY OF JACKSON DEC NEW 010125 $13.50 $30.00 $19.50 2026-06-10 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility MERCY BENEFIT ADMIN [20251] HB STLO SAMC DEC EBA - EMPLOYER BENEFIT ALLIANCE NEW 070121 $13.50 $30.00 $19.50 2026-06-10 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility IMAGINE 360 CONTRACTED [320494] HB STLO SAMC DEC ROBINSON CONTRUCTION NEW 1.1.25 $13.50 $30.00 $19.50 2026-06-10 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] HB STLO SAMC DEC SHOW ME BENEFIT CONSORTIUM NEW 070121 $13.50 $30.00 $19.50 2026-06-10 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility EDISON HEALTH SOLUTIONS CONTRACTED [320502] HB STLO SAMC WOODARD DEC NEW 040124 $13.50 $30.00 $19.50 2026-06-10 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility EDISON HEALTH SOLUTIONS CONTRACTED [320502] HB STLO SAMC SHINE SOLAR DEC NEW 110320 $13.50 $30.00 $19.50 2026-06-10 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility MERCY BENEFIT ADMIN CONTRACTED [320251] HB STLO SAMC DEC QUICK TRIP $13.50 $30.00 $19.50 2026-06-10 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility YUZU HEALTH CONTRACTED [320521] HB STLO SAMC LEVEL HEALTH DEC $13.50 $30.00 $19.50 2026-06-10 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility AITHER HEALTH CONTRACTED [320449] HB STLO SAMC SCHAEFER AUTOBODY DEC NEW 030121 $13.50 $30.00 $19.50 2026-06-10 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility MERCY BENEFIT ADMIN CONTRACTED [320251] HB STLO SAMC DEC SAPAUGH MOTORS NEW 01.01.25 $13.50 $30.00 $19.50 2026-06-10 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility EBMS CONTRACTED [320493] HB STLO SAMC CRADER DISTRIBUTING DEC NEW 090125 $13.50 $30.00 $19.50 2026-06-10 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility MERCY BENEFIT ADMIN CONTRACTED [320251] HB STLO SAMC CLAYCO DEC $13.50 $30.00 $19.50 2026-06-10 MRF ↗
GRADY MEMORIAL HOSPITAL Outpatient Aetna Medicare $13.65 $39.00 $39.00 2026-07-18 MRF ↗
GRADY MEMORIAL HOSPITAL Outpatient Aetna Medicare $13.65 $39.00 $39.00 2026-07-15 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility BLUE CROSS AND BLUE SHIELD [20053] HB STLO WASH JEFN LINC SAMC CAPE STOD PCMH BCBS ASCENSION $14.25 $30.00 $19.50 2026-06-10 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility SUNFLOWER HEALTH PLAN CONTRACTED [320369] HB SAMC CENTENE/AMBETTER EXCHANGE $15.00 $30.00 $19.50 2026-06-10 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility NOVASYS CONTRACTED [320285] HB SAMC CENTENE/AMBETTER EXCHANGE $15.00 $30.00 $19.50 2026-06-10 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility HOME STATE HEALTH PLAN CONTRACTED [320187] HB SAMC CENTENE/AMBETTER EXCHANGE $15.00 $30.00 $19.50 2026-06-10 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility BLUE CROSS AND BLUE SHIELD [20053] HB SAMC ANTHEM BLUE PREFERRED EFF 011520 $15.00 $30.00 $19.50 2026-06-10 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility HEALTHLINK CONTRACTED [320179] HB SAMC HEALTHLINK HMO $15.00 $30.00 $19.50 2026-06-10 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility HEALTHLINK CONTRACTED [320179] HB SAMC HEALTHLINK PPO $15.00 $30.00 $19.50 2026-06-10 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility AETNA CONTRACTED [320008] HB SAMC AETNA COMMERCIAL NEW 070123 $15.00 $30.00 $19.50 2026-06-10 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility BLUE CROSS AND BLUE SHIELD [20053] HB SAMC ANTHEM ACCESS CHOICE $15.00 $30.00 $19.50 2026-06-10 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility BLUE CROSS AND BLUE SHIELD [20053] HB SAMC ANTHEM PATHWAY/EXCHANGE EFF 011520 $15.00 $30.00 $19.50 2026-06-10 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility AMBETTER CONTRACTED [320452] HB SAMC CENTENE/AMBETTER EXCHANGE $15.00 $30.00 $19.50 2026-06-10 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility AMBETTER [20452] HB SAMC CENTENE/AMBETTER EXCHANGE $15.00 $30.00 $19.50 2026-06-10 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility MC ANTHEM [20455] HB SAMC ANTHEM ACCESS CHOICE $15.00 $30.00 $19.50 2026-06-10 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility HEALTHLINK CONTRACTED [320179] HB SAMC DEC EMCAP EBSO $15.00 $30.00 $19.50 2026-06-10 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility POINT C CONTRACTED [320238] HB JOPL/CTHG DEC JOPLIN SUPPLY CO $15.05 $43.00 $27.95 2026-06-09 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility UNITED HEALTHCARE CONTRACTED [320396] HB SAMC UHC HMO PPO ALL PAYER $15.30 $30.00 $19.50 2026-06-10 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility OPTUM HEALTH BEHAVIORAL SOLUTIONS [520250] HB SAMC UHC HMO PPO ALL PAYER $15.30 $30.00 $19.50 2026-06-10 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility UNITED MEDICAL RESOURCES CONTRACTED [320454] HB SAMC UHC HMO PPO ALL PAYER $15.30 $30.00 $19.50 2026-06-10 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility UNITED HEALTHCARE CONTRACTED [320396] HB SAMC UHC CORE NEW 100121 $15.30 $30.00 $19.50 2026-06-10 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility MC ANTHEM [20455] HB SAMC ANTHEM BLUE ACCESS $15.30 $30.00 $19.50 2026-06-10 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility UNITED HEALTHCARE CONTRACTED [320396] HB SAMC UHC COMPASS/EXCHANGE $15.30 $30.00 $19.50 2026-06-10 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility BLUE CROSS AND BLUE SHIELD [20053] HB SAMC ANTHEM BLUE ACCESS $15.30 $30.00 $19.50 2026-06-10 MRF ↗
LAFOLLETTE MEDICAL CENTER Inpatient Cigna Cigna All $15.49 $3,296.20 $1,087.75 2026-07-15 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility MEDICA CONTRACTED [320239] HB JOPL/SEKS MEDICA EXCHANGE $15.65 $43.00 $27.95 2026-06-09 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility AETNA [20008] HB JOPL AETNA COMMERCIAL $15.91 $43.00 $27.95 2026-06-09 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility AETNA CONTRACTED [320008] HB JOPL AETNA COMMERCIAL $15.91 $43.00 $27.95 2026-06-09 MRF ↗
GRADY MEMORIAL HOSPITAL Outpatient Cigna Local Plus $16.96 $39.00 $39.00 2026-07-18 MRF ↗
GRADY MEMORIAL HOSPITAL Outpatient Cigna Local Plus $16.96 $39.00 $39.00 2026-07-15 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility SUNFLOWER HEALTH PLAN CONTRACTED [320369] HB JOPL AMBETTER EXCHANGE MO $17.20 $43.00 $27.95 2026-06-09 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility HOME STATE HEALTH PLAN CONTRACTED [320187] HB JOPL AMBETTER EXCHANGE MO $17.20 $43.00 $27.95 2026-06-09 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility AMBETTER CONTRACTED [320452] HB JOPL AMBETTER EXCHANGE MO $17.20 $43.00 $27.95 2026-06-09 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility NOVASYS CONTRACTED [320285] HB JOPL AMBETTER EXCHANGE MO $17.20 $43.00 $27.95 2026-06-09 MRF ↗
GRADY MEMORIAL HOSPITAL Outpatient Aetna Commercial $17.36 $39.00 $39.00 2026-07-18 MRF ↗
GRADY MEMORIAL HOSPITAL Outpatient Aetna Commercial $17.36 $39.00 $39.00 2026-07-15 MRF ↗
INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL Inpatient Donor Connect Other $17.38 $599.40 $449.55 2026-08-01 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility HEALTH CHOICES CONTRACTED [320448] HB STLO WASH JEFN LINC SAMC HEALTH CHOICE NEW 010121 $18.00 $30.00 $19.50 2026-06-10 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility MEDICAL ASSOCIATES HEALTH CONTRACTED [320444] HB STLO WASH JEFN LINC SAMC HEALTH CHOICE NEW 010121 $18.00 $30.00 $19.50 2026-06-10 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility HEALTH CHOICES [20448] HB STLO WASH JEFN LINC SAMC HEALTH CHOICE NEW 010121 $18.00 $30.00 $19.50 2026-06-10 MRF ↗
BUFFALO HOSPITAL Outpatient Ucare Pmap (A B C D E G N O S U R H) Ucare Pmap (Abdmnorsuv) $18.33 $91.10 $51.02 2026-07-15 MRF ↗
ALLINA HEALTH FARIBAULT MEDICAL CENTER Outpatient Ucare Pmap (A B C D E G N O S U R H) Ucare Pmap (Abdmnorsuv) $18.33 $91.10 $51.02 2026-07-31 MRF ↗
CAMBRIDGE MEDICAL CENTER Outpatient Ucare Pmap (A B C D E G N O S U R H) Ucare Pmap (Abdmnorsuv) $18.33 $91.10 $51.02 2026-07-15 MRF ↗
UNITED MEDICAL CENTER Outpatient Ucare Pmap (A B C D E G N O S U R H) Ucare Pmap (Abdmnorsuv) $18.33 $91.10 $43.73 2026-07-15 MRF ↗
OWATONNA HOSPITAL Outpatient Ucare Pmap (A B C D E G N O S U R H) Ucare Pmap (Abdmnorsuv) $18.33 $91.10 $51.02 2026-07-31 MRF ↗
RIVER FALLS AREA HOSPITAL Outpatient Ucare Pmap (A B C D E G N O S U R H) Ucare Pmap (Abdmnorsuv) $18.33 $91.10 $51.02 2026-07-15 MRF ↗
ST FRANCIS REGIONAL MEDICAL CENTER Outpatient Ucare Pmap (A B C D E G N O S U R H) Ucare Pmap (Abdmnorsuv) $18.33 $91.10 $51.02 2026-07-15 MRF ↗
ABBOTT NORTHWESTERN HOSPITAL Outpatient Ucare Pmap (A B C D E G N O S U R H) Ucare Pmap (Abdmnorsuv) $18.33 $91.10 $43.73 2026-07-15 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility HEALTH SYSTEMS INC CONTRACTED [320174] HB JOPL MNCK CTHG HEALTH SYSTEMS $18.49 $43.00 $27.95 2026-06-09 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility BENEFIT MANAGEMENT CONTRACTED [320052] HB JOPL DEC OZARK COMMUNITY HOSPITAL $18.49 $43.00 $27.95 2026-06-09 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility INSURANCE SYSTEM INC CONTRACTED [320465] HB JOPL MNCK CTHG HEALTH SYSTEMS $18.49 $43.00 $27.95 2026-06-09 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility ADMINISTRATIVE PAYOR CONTRACTED [320005] HB JOPL AMISH $19.35 $43.00 $27.95 2026-06-09 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility BLUE CROSS AND BLUE SHIELD [20053] HB JOPL ANTHEM BLUE ACCESS $19.35 $43.00 $27.95 2026-06-09 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility MC ANTHEM [20455] HB JOPL ANTHEM BLUE ACCESS $19.35 $43.00 $27.95 2026-06-09 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility ADMINISTRATIVE PAYOR CONTRACTED [320005] HB SPRG MENNONITES $19.35 $43.00 $27.95 2026-06-09 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility MC ANTHEM [20455] HB JOPL ANTHEM ALLIANCE $19.35 $43.00 $27.95 2026-06-09 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility MC GENERIC ANTHEM [20456] HB JOPL ANTHEM BLUE ACCESS $19.35 $43.00 $27.95 2026-06-09 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility BLUE CROSS AND BLUE SHIELD [20053] HB JOPL ANTHEM ALLIANCE $19.35 $43.00 $27.95 2026-06-09 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility BLUE CROSS AND BLUE SHIELD [20053] HB JOPL ANTHEM PATHWAYS EXCHANGE $19.35 $43.00 $27.95 2026-06-09 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility FEDERAL MEDICAL CENTER CONTRACTED [320127] HB STLO WASH JEFN SAMC NETWORK AFFILIATION AGREEMENT $19.50 $30.00 $19.50 2026-06-10 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility POINT C CONTRACTED [320238] HB STLO WASH JEFN SAMC NETWORK AFFILIATION AGREEMENT $19.50 $30.00 $19.50 2026-06-10 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility INSURANCE SYSTEM INC CONTRACTED [320465] HB STLO WASH JEFN SAMC NETWORK AFFILIATION AGREEMENT $19.50 $30.00 $19.50 2026-06-10 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility TRI STATE HEALTHCARE COALITION CONTRACTED [320379] HB STLO WASH JEFN SAMC NETWORK AFFILIATION AGREEMENT $19.50 $30.00 $19.50 2026-06-10 MRF ↗
CONCORD HOSPITAL Outpatient Medicaid Medicaid Nhhf $20.03 $218.00 $65.40 2026-07-15 MRF ↗
UNITED MEDICAL CENTER Outpatient Medica Pmap (Um) Medica Pmap (Um) $20.22 $91.10 $43.73 2026-07-15 MRF ↗
ABBOTT NORTHWESTERN HOSPITAL Outpatient Medica Health System Medica Pmap (A) $20.22 $91.10 $43.73 2026-07-15 MRF ↗
ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility VACCN United Veterans Affairs $20.50 $291.00 $189.15 2025-01-01 MRF ↗
ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility VACCN United Veterans Affairs $20.50 $291.00 $189.15 2025-01-01 MRF ↗
LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility Blue Shield of California Commercial/IFP $20.97 — — 2026-03-18 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] HB SAMC PHCS PRIMARY $21.00 $30.00 $19.50 2026-06-10 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility MERCY MGD BEHAVIORAL HEALTH CONTRACTED [320259] HB SAMC PHCS PRIMARY $21.00 $30.00 $19.50 2026-06-10 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility FIRST HEALTH CONTRACTED [320128] HB SAMC PHCS PRIMARY $21.00 $30.00 $19.50 2026-06-10 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility MULTIPLAN CONTRACTED [320270] HB SAMC PHCS PRIMARY $21.00 $30.00 $19.50 2026-06-10 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility FIRST HEALTH CONTRACTED [320128] HB STLO WASH JEFN SAMC FIRST HEALTH / NETWORK ACCESS $21.30 $30.00 $19.50 2026-06-10 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] HB SPRG JOPL SEKS DEC SHOW-ME CONSORTIUM $21.50 $43.00 $27.95 2026-06-09 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility POINT C CONTRACTED [320238] HB JOPL MO STATE UNIVERSITY $21.50 $43.00 $27.95 2026-06-09 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] HB SPRG JOPL SEKS DEC ASI New 1.1.24 $21.50 $43.00 $27.95 2026-06-09 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility POINT C CONTRACTED [320238] HB JOPL CITY OF SPRINGFIELD $21.50 $43.00 $27.95 2026-06-09 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility 90 DEGREE BENEFITS CONTRACTED [320436] HB SPRG JOPL SEKS DEC SHOW-ME CONSORTIUM $21.50 $43.00 $27.95 2026-06-09 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility MERCY BENEFIT ADMIN CONTRACTED [320251] HB SPRG JOPL DEC CLAYCO $21.50 $43.00 $27.95 2026-06-09 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility MERCY BENEFIT ADMIN CONTRACTED [320251] HB SPRG JOPL SEKS DEC SHOW-ME CONSORTIUM $21.50 $43.00 $27.95 2026-06-09 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility FIRST HEALTH CONTRACTED [320128] HB SAMC HUMANA CHOICE CARE $21.60 $30.00 $19.50 2026-06-10 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility HUMANA CONTRACTED [320193] HB SAMC HUMANA CHOICE CARE $21.60 $30.00 $19.50 2026-06-10 MRF ↗
CONCORD HOSPITAL Outpatient Medicaid Medicaid-Trad $21.80 $218.00 $65.40 2026-07-15 MRF ↗
CONCORD HOSPITAL Outpatient Medicaid-Amerihealth Medicaid-Amerihealth $22.02 $218.00 $65.40 2026-07-15 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility WORKERS COMP [20426] HB STLO SAMC CAPE STOD GENERIC WORK COMP CONTRACT $22.50 $30.00 $19.50 2026-06-10 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility MULTIPLAN CONTRACTED [320270] HB SAMC MULTIPLAN COMPLEMENTARY $22.50 $30.00 $19.50 2026-06-10 MRF ↗
GRADY MEMORIAL HOSPITAL Outpatient Uhc Exchange/Marketplace $22.62 $39.00 $39.00 2026-07-18 MRF ↗
GRADY MEMORIAL HOSPITAL Outpatient Uhc Exchange/Marketplace $22.62 $39.00 $39.00 2026-07-15 MRF ↗
GRADY MEMORIAL HOSPITAL Outpatient Cigna Ifp $22.85 $39.00 $39.00 2026-07-18 MRF ↗
GRADY MEMORIAL HOSPITAL Outpatient Cigna Ifp $22.85 $39.00 $39.00 2026-07-15 MRF ↗
GRADY MEMORIAL HOSPITAL Outpatient Cigna Commercial $23.07 $39.00 $39.00 2026-07-18 MRF ↗
GRADY MEMORIAL HOSPITAL Outpatient Cigna Commercial $23.07 $39.00 $39.00 2026-07-15 MRF ↗
GRADY MEMORIAL HOSPITAL Inpatient Usp Naphcare Commercial $23.40 $39.00 $39.00 2026-07-15 MRF ↗
GRADY MEMORIAL HOSPITAL Inpatient Usp Naphcare Commercial $23.40 $39.00 $39.00 2026-07-18 MRF ↗
ALBANY MEDICAL CENTER HOSPITAL Both Blue Cross Epo/Ppo/Hmo/Indemnity $23.78 — — 2026-07-18 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility WORKERS COMP [20426] HB STLO WASH JEFN LINC SAMC PCMH CAPE STOD OHA NETWORK WORK COMP $24.00 $30.00 $19.50 2026-06-10 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility WORKERS COMP [20426] HB STLO WC ST LOUIS CARDINALS $24.00 $30.00 $19.50 2026-06-10 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility YUZU HEALTH CONTRACTED [320521] HB SPRG JOPL DEC QUALITY COLLISION GROUP (QCG) SCHAEFER AUTOBODY $24.51 $43.00 $27.95 2026-06-09 MRF ↗

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