L0640 — Lumbar-sacral Orthosis, Sagittal-coronal Control, Rigid Shell(s)/panel(s), Posterior Extends From Sacrococcygeal Junction To T-9 Vertebra, Anterior Extends From Symphysis Pubis To Xyphoid, Produces In
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, anterior extends from symphysis pubis to xyphoid, produces in (HCPCS L0640) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/L0640?code_type=HCPCS
MLA (9th ed.)
“Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, anterior extends from symphysis pubis to xyphoid, produces in (HCPCS L0640) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/L0640?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, anterior extends from symphysis pubis to xyphoid, produces in (HCPCS L0640) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/L0640?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,238–$1,941 (25th–75th percentile) across 1,269 hospitals · 1,975 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS L0640 — 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
$1,238
$1,331 typical
$1,941
The middle 50% of negotiated facility rates for this procedure, measured across 1,269 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $1,331 |
| Likely subtotal | $1,331 |
Facility charge (no separate professional fee)
$1,331
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 $1,238–$1,941.
- 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 |
|---|---|---|---|---|---|---|---|
| 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 ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS STATE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $2.74 | $1,522.00 | — | 2024-12-31 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $2.74 | $1,522.00 | — | 2024-12-31 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $2.81 | $1,559.00 | — | 2025-12-31 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $21.38 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $21.38 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $21.38 | — | — | 2026-03-18 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Epo/Ppo/Hmo/Indemnity | $24.39 | — | — | 2026-07-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $24.50 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $24.50 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $24.50 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $26.68 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $26.68 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $26.68 | — | — | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | MERCY INTERFACILITY [20513] | HB FTSM Inter-Facility CCR New 6.1.25 | $27.75 | $126.00 | $81.90 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | MERCY INTERFACILITY [20513] | HB FTSM Inter-Facility CCR New 6.1.25 | $27.75 | $126.00 | $81.90 | 2026-03-13 | 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 ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | OKLAHOMA COMPLETE HEALTH MEDICAID CONTRACTED [320485] | HB FTSM OK MANAGED MEDICAID | $31.50 | $126.00 | $81.90 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | OKLAHOMA COMPLETE HEALTH MEDICAID CONTRACTED [320485] | HB FTSM OK MANAGED MEDICAID | $31.50 | $126.00 | $81.90 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | HUMANA MEDICAID CONTRACTED [320486] | HB FTSM OK MANAGED MEDICAID | $31.50 | $126.00 | $81.90 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | HUMANA MEDICAID CONTRACTED [320486] | HB FTSM OK MANAGED MEDICAID | $31.50 | $126.00 | $81.90 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB FTSM OK MANAGED MEDICAID | $31.50 | $126.00 | $81.90 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB FTSM OK MANAGED MEDICAID | $31.50 | $126.00 | $81.90 | 2026-03-13 | 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 | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER 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 ↗ |
| UNIVERSITY MEDICAL CENTER OutpatientFacility | JW Marriott | All Plans | $51.94 | — | — | 2026-07-01 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $53.39 | — | — | 2026-03-18 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Wellpoint | NJ Family Care | $55.42 | — | — | 2026-03-04 | MRF ↗ |
| MAPLE GROVE HOSPITAL BothFacility | MEDICAID [1087] | MGH MEDICAID MN | $60.14 | $3,140.00 | $1,654.78 | 2026-09-25 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL BothFacility | MEDICAID [1087] | NMH MEDICAID MN | $60.14 | $3,140.00 | $1,654.78 | 2026-04-30 | MRF ↗ |
| MAPLE GROVE HOSPITAL Both | MEDICAID [1087] | MGH MEDICAID MN | $60.14 | $3,140.00 | $1,654.78 | 2026-04-30 | MRF ↗ |
| MAPLE GROVE HOSPITAL BothFacility | MEDICAID [1087] | NMH MEDICAID MN | $60.14 | $3,140.00 | $1,654.78 | 2026-09-25 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB FTSM DEC WOODARD | $63.00 | $126.00 | $81.90 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB FTSM DEC SHOW ME | $63.00 | $126.00 | $81.90 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB FTSM DEC BARTEL | $63.00 | $126.00 | $81.90 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | EDISON HEALTH SOLUTIONS CONTRACTED [320502] | HB FTSM DEC WOODARD | $63.00 | $126.00 | $81.90 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB FTSM DEC SCHAEFER QCG | $63.00 | $126.00 | $81.90 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB FTSM DEC TOWN AND COUNTRY | $63.00 | $126.00 | $81.90 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | 90 DEGREE BENEFITS CONTRACTED [320436] | HB FTSM DEC SHOW ME | $63.00 | $126.00 | $81.90 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB FTSM DEC LACLEDE - NEW 07.01.25 | $63.00 | $126.00 | $81.90 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB FTSM DEC WOODARD | $63.00 | $126.00 | $81.90 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] | HB FTSM ROGR DEC ASI | $63.00 | $126.00 | $81.90 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB FTSM DEC TALL TREE | $63.00 | $126.00 | $81.90 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | MUNICIPAL HEALTH PLAN CONTRACTED [320271] | HB FTSM MUNICIPAL HEALTH | $63.00 | $126.00 | $81.90 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | EDISON HEALTH SOLUTIONS CONTRACTED [320502] | HB FTSM DEC WOODARD | $63.00 | $126.00 | $81.90 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | 90 DEGREE BENEFITS CONTRACTED [320436] | HB FTSM DEC SHOW ME | $63.00 | $126.00 | $81.90 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB FTSM DEC LACLEDE - NEW 07.01.25 | $63.00 | $126.00 | $81.90 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | MUNICIPAL HEALTH PLAN CONTRACTED [320271] | HB FTSM MUNICIPAL HEALTH | $63.00 | $126.00 | $81.90 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB FTSM DEC TALL TREE | $63.00 | $126.00 | $81.90 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] | HB FTSM ROGR DEC ASI | $63.00 | $126.00 | $81.90 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB FTSM DEC BARTEL | $63.00 | $126.00 | $81.90 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB FTSM DEC TOWN AND COUNTRY | $63.00 | $126.00 | $81.90 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB FTSM DEC SCHAEFER QCG | $63.00 | $126.00 | $81.90 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB FTSM DEC SHOW ME | $63.00 | $126.00 | $81.90 | 2026-03-13 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Ppo | $69.56 | — | — | 2026-05-06 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Ppo | $69.56 | — | — | 2026-09-21 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Hmo | $69.56 | — | — | 2026-09-21 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Hmo | $69.56 | — | — | 2026-05-06 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Shop - Exchange - Dhp | $73.73 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem - Indemnity/Federal Employee Program | $73.73 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Hmo/Pos; Individual Non Qhp On Or Off Exch; Shop Off Exch - Dhp | $73.73 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Ppo - Dhp | $73.73 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Indiv Qhp - Exchange - Dhp | $73.73 | — | — | 2026-07-18 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | QUAL CHOICE CONTRACTED [320324] | HB FTSM,WLDAR,OZKAR,PRSAR, BNVAR QUAL CHOICE | $75.60 | $126.00 | $81.90 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | NOVASYS CONTRACTED [320285] | HB FTSM NOVASYS | $75.60 | $126.00 | $81.90 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | EBMS CONTRACTED [320493] | HB FTSM CRADER | $75.60 | $126.00 | $81.90 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB FTSM ROGR CAH DEC SAPAUGH | $75.60 | $126.00 | $81.90 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | IMAGINE 360 CONTRACTED [320494] | HB FTSM ROGR DEC ROBINSON CONSTRUCTION | $75.60 | $126.00 | $81.90 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | REFLECT HEALTH CONTRACTED [320492] | HB FTSM DEC WWWood Products | $75.60 | $126.00 | $81.90 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | AUXIANT CONTRACTED [320462] | HB FTSM ROGR DEC CITY OF JACKSON | $75.60 | $126.00 | $81.90 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | AUXIANT CONTRACTED [320462] | HB FTSM ROGR CAH DEC BUCHHEIT | $75.60 | $126.00 | $81.90 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | AUXIANT CONTRACTED [320462] | HB FTSM ROGR CAH DEC BUCHHEIT | $75.60 | $126.00 | $81.90 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | QUAL CHOICE CONTRACTED [320324] | HB FTSM,WLDAR,OZKAR,PRSAR, BNVAR QUAL CHOICE | $75.60 | $126.00 | $81.90 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB FTSM DEC QUIKTRIP CO | $75.60 | $126.00 | $81.90 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | HEALTHLINK CONTRACTED [320179] | HB FTSM ROGR CAH DEC SAPAUGH | $75.60 | $126.00 | $81.90 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | HEALTHLINK CONTRACTED [320179] | HB FTSM ROGR CAH DEC SAPAUGH | $75.60 | $126.00 | $81.90 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB FTSM DEC QUIKTRIP CO | $75.60 | $126.00 | $81.90 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB FTSM DEC HERMAN | $75.60 | $126.00 | $81.90 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB FTSM DEC HERMAN | $75.60 | $126.00 | $81.90 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | EBMS CONTRACTED [320493] | HB FTSM CRADER | $75.60 | $126.00 | $81.90 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | AUXIANT CONTRACTED [320462] | HB FTSM ROGR DEC CITY OF JACKSON | $75.60 | $126.00 | $81.90 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB FTSM ROGR DEC EASTER SEALS | $75.60 | $126.00 | $81.90 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | NOVASYS CONTRACTED [320285] | HB FTSM NOVASYS | $75.60 | $126.00 | $81.90 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | IMAGINE 360 CONTRACTED [320494] | HB FTSM ROGR DEC ROBINSON CONSTRUCTION | $75.60 | $126.00 | $81.90 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | REFLECT HEALTH CONTRACTED [320492] | HB FTSM DEC WWWood Products | $75.60 | $126.00 | $81.90 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB FTSM ROGR DEC EASTER SEALS | $75.60 | $126.00 | $81.90 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB FTSM ROGR CAH DEC SAPAUGH | $75.60 | $126.00 | $81.90 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | HEALTHLINK CONTRACTED [320179] | HB FTSM NET AFFILIATION | $81.90 | $126.00 | $81.90 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | WORKERS COMP [20426] | HB FTSM WORK COMP AETNA/COVENTRY | $81.90 | $126.00 | $81.90 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | PREFERRED HEALTH PLAN CONTRACTED [320522] | HB FTSM NET AFFILIATION | $81.90 | $126.00 | $81.90 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | INSURANCE SYSTEM INC CONTRACTED [320465] | HB FTSM NET AFFILIATION | $81.90 | $126.00 | $81.90 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | PERSONIFY HEALTH CONTRACTED [320051] | HB FTSM NET AFFILIATION | $81.90 | $126.00 | $81.90 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | PERSONIFY HEALTH CONTRACTED [320051] | HB FTSM NET AFFILIATION | $81.90 | $126.00 | $81.90 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | HEALTHLINK CONTRACTED [320179] | HB FTSM NET AFFILIATION | $81.90 | $126.00 | $81.90 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | INSURANCE SYSTEM INC CONTRACTED [320465] | HB FTSM NET AFFILIATION | $81.90 | $126.00 | $81.90 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | AUXIANT CONTRACTED [320462] | HB FTSM NET AFFILIATION | $81.90 | $126.00 | $81.90 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | AUXIANT CONTRACTED [320462] | HB FTSM NET AFFILIATION | $81.90 | $126.00 | $81.90 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | PREFERRED HEALTH PLAN CONTRACTED [320522] | HB FTSM NET AFFILIATION | $81.90 | $126.00 | $81.90 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | WORKERS COMP [20426] | HB FTSM WORK COMP AETNA/COVENTRY | $81.90 | $126.00 | $81.90 | 2026-03-13 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Brighton Health Plan | All Products | $82.15 | $1,522.00 | — | 2024-12-31 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | EMPLOYERS HEALTH COALITION CONTRACTED [320116] | HB FTSM EHC NON EXCLUSIVE | $88.20 | $126.00 | $81.90 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | EMPLOYERS HEALTH COALITION CONTRACTED [320116] | HB FTSM EHC NON EXCLUSIVE | $88.20 | $126.00 | $81.90 | 2026-03-13 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Mclaren Health Plan | McLarenAdvantagePPO | — | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Mclaren Health Plan | McLarenMgdMCaid | — | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Hap | HAPMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Hap | MidwestMgdMCaid | — | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Community Care | CommunityCareComm | — | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Humana | HumanaMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Wellcare | CenteneHNWellcareMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Point Comfort Underwriters | PointComfortUnderwriters | — | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Hap | HAPHPICigna | — | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Wellcare | MeridianMgdMCaid | — | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Humana | HumanaCommercial | — | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Aetna | AetnaMgdMCaid | — | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Corvel | CorvelWC | — | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | BCBS-MI | BCBSMIBCNMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Aetna | AetnaMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Priority Health | PriorityHealthCommercial | — | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | United Healthcare | UnitedCommunityPlanMgdMCaid | — | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Oscar Health | OscarHealthPlanHIX | — | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Amerihealth | BlueCrossCompleteMgdMCaid | — | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Enlyte/Genex/Coventry | CoventryAKAGenexWC | — | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Priority Health | PriorityHealthSBDHMOPPO | — | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Priority Health | PriorityHealthMgdMCaid | — | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Molina Healthcare Of Texas (Claims Only) | MolinaMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Prime Health Services | PrimeHealthServicesMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | American Health Plan | AmericanHealthPlanMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Longevity Health Plan | LongevityHealthPlan | — | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Multiplan | MultiplanWC | — | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Priority Health | PriorityHealthSEMIPartnersNet | — | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Molina Healthcare Of Texas (Claims Only) | MolinaHIX | — | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Employers Choice Network | EmployersChoiceNetworkWC | — | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Molina Healthcare Of Texas (Claims Only) | MolinaMgdMCaid | — | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Centene | CenteneHNWellcareMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Mclaren Health Plan | McLarenMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Provider Partners Health Plan | ProviderPartnersHealthPlanMedicareAdvantage | — | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Mclaren Health Plan | McLarenCommercial | — | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Prime Health Services | PrimeHealthServicesWC | — | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Amerihealth | AmerihealthCaritasMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Aetna | AetnaExistingBusiness | — | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Centene | AmbetterHIX | — | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | AllyAlign Health | AllyAlignHealthMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | BCBS-MI | BCBSMICommercial | — | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Priority Health | PriorityHealthMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Commonwealth Care Alliance | CommonwealthCareAllianceMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | United Healthcare | UnitedMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Zing Health | ZingHealthMedicareNonNarrow | — | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Naphcare Inc. | NaphCare | — | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Priority Health | PriorityHealthCigna | — | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | BCBS-MI | BCBSMIMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Americas Choice Provider Network | AmericasChoiceProviderNetworkWC | — | — | — | 2025-01-31 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | HUMANA CONTRACTED [320193] | HB FTSM HUMANA | $94.50 | $126.00 | $81.90 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | HUMANA CONTRACTED [320193] | HB FTSM HUMANA | $94.50 | $126.00 | $81.90 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | PPO PLUS CONTRACTED [320310] | HB FTSM PPO PLUS | $94.50 | $126.00 | $81.90 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | PPO PLUS CONTRACTED [320310] | HB FTSM PPO PLUS | $94.50 | $126.00 | $81.90 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | FIRST HEALTH CONTRACTED [320128] | HB FTSM FIRST HEALTH_CCN | $97.40 | $126.00 | $81.90 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | FIRST HEALTH CONTRACTED [320128] | HB FTSM FIRST HEALTH_CCN | $97.40 | $126.00 | $81.90 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | AETNA CONTRACTED [320008] | HB FTSM COVENTRY/AETNA | $100.80 | $126.00 | $81.90 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] | HB FTSM PHCS | $100.80 | $126.00 | $81.90 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | AETNA [20008] | HB FTSM COVENTRY/AETNA | $100.80 | $126.00 | $81.90 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | AETNA CONTRACTED [320008] | HB FTSM COVENTRY/AETNA | $100.80 | $126.00 | $81.90 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | AETNA [20008] | HB FTSM COVENTRY/AETNA | $100.80 | $126.00 | $81.90 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | PRIVATE HEALTH CARE SYSTEMS [20320] | HB FTSM PHCS | $100.80 | $126.00 | $81.90 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | PRIVATE HEALTH CARE SYSTEMS [20320] | HB FTSM PHCS | $100.80 | $126.00 | $81.90 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] | HB FTSM PHCS | $100.80 | $126.00 | $81.90 | 2026-03-13 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Wellcare | CenteneHNWellcareMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Priority Health | PriorityHealthSEMIPartnersNet | — | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Hap | MidwestMgdMCaid | — | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Hap | HAPHMO | $104.79 | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Hap | HAPMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Wellcare | MeridianMgdMCaid | — | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Hap | HAPHPICigna | — | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Priority Health | PriorityHealthCommercial | — | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | United Healthcare | HealthSmartMgdWC | — | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | American Health Plan | AmericanHealthPlanMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Priority Health | PriorityHealthMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Prime Health Services | PrimeHealthServicesWC | — | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Aetna | AetnaMgdMCaid | — | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Priority Health | PriorityHealthSBDHMOPPO | — | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Employers Choice Network | EmployersChoiceNetworkWC | — | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Priority Health | PriorityHealthCigna | — | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | United Healthcare | UnitedCommunityPlanMgdMCaid | — | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Prime Health Services | PrimeHealthServicesMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Multiplan | MultiplanWC | — | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | United Healthcare | UnitedMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Zing Health | ZingHealthMedicareNonNarrow | — | — | — | 2025-01-31 | 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.