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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PX-100001592 — L&d Level Iv, 18-24 Hrs

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

Typical negotiated price $2,557

Usually $1,630–$3,753 (25th–75th percentile) across 17 hospitals · 115 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CDM PX-100001592 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.

Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.

Hospital rates (per row)

Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.

Hospital Payer Plan Negotiated rate Gross Cash Observed Source
Mercy Orthopedic Hospital Fort Smith OutpatientFacility SUMMIT COMMUNITY CARE [20368] HB FTSM ARK MEDICAID $12.80 $3,830.00 $2,489.50 2026-03-13 MRF ↗
MERCY HOSPITAL FORT SMITH OutpatientFacility SUMMIT COMMUNITY CARE [20368] HB FTSM ARK MEDICAID $12.80 $3,830.00 $2,489.50 2026-03-13 MRF ↗
MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility SUMMIT COMMUNITY CARE [20368] HB ROGR ARKANSAS MEDICAID $12.80 $4,089.00 $2,657.85 2026-03-13 MRF ↗
MERCY HOSPITAL FORT SMITH OutpatientFacility SUMMIT COMMUNITY CARE CONTRACTED [320368] HB FTSM SUMMIT $12.80 $3,830.00 $2,489.50 2026-03-13 MRF ↗
Mercy Orthopedic Hospital Fort Smith OutpatientFacility MEDICAID [20240] HB FTSM ARK MEDICAID $12.80 $3,830.00 $2,489.50 2026-03-13 MRF ↗
MERCY HOSPITAL FORT SMITH OutpatientFacility ARKANSAS DEPARTMENT OF HEALTH [20036] HB FTSM ARK MEDICAID $12.80 $3,830.00 $2,489.50 2026-03-13 MRF ↗
Mercy Orthopedic Hospital Fort Smith OutpatientFacility SUMMIT COMMUNITY CARE CONTRACTED [320368] HB FTSM SUMMIT $12.80 $3,830.00 $2,489.50 2026-03-13 MRF ↗
MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility SUMMIT COMMUNITY CARE CONTRACTED [320368] HB ROGR SUMMIT $12.80 $4,089.00 $2,657.85 2026-03-13 MRF ↗
Mercy Orthopedic Hospital Springfield OutpatientFacility MEDICAID [20240] HB SPRG/JOPL ARK MEDICAID $12.80 $7,342.00 $4,772.30 2026-03-12 MRF ↗
MERCY HOSPITAL OKLAHOMA CITY, INC OutpatientFacility MEDICAID [20240] HB OKLC ARK MEDICAID $12.80 $4,939.00 $3,210.35 2026-03-12 MRF ↗
Mercy Orthopedic Hospital Fort Smith OutpatientFacility ARKANSAS DEPARTMENT OF HEALTH [20036] HB FTSM ARK MEDICAID $12.80 $3,830.00 $2,489.50 2026-03-13 MRF ↗
MERCY HOSPITAL SPRINGFIELD OutpatientFacility MEDICAID [20240] HB SPRG/JOPL ARK MEDICAID $12.80 $7,342.00 $4,772.30 2026-03-12 MRF ↗
MERCY HOSPITAL AURORA OutpatientFacility MEDICAID [20240] HB AURA ARKANSAS MEDICAID $12.80 $8,332.00 $5,415.80 2026-03-13 MRF ↗
MERCY HOSPITAL FORT SMITH OutpatientFacility MEDICAID [20240] HB FTSM ARK MEDICAID $12.80 $3,830.00 $2,489.50 2026-03-13 MRF ↗
MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility ARKANSAS DEPARTMENT OF HEALTH [20036] HB ROGR ARKANSAS MEDICAID $12.80 $4,089.00 $2,657.85 2026-03-13 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility MEDICAID [20240] HB SPRG/JOPL ARK MEDICAID $12.80 $6,303.00 $4,096.95 2026-03-13 MRF ↗
MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility CARESOURCE MEDICAID [20460] HB ROGR CARESOURCE MEDICAID $13.05 $4,089.00 $2,657.85 2026-03-13 MRF ↗
MERCY HOSPITAL FORT SMITH OutpatientFacility CARESOURCE MEDICAID [20460] HB FTSM CARESOURCE MEDICAID $13.05 $3,830.00 $2,489.50 2026-03-13 MRF ↗
Mercy Orthopedic Hospital Fort Smith OutpatientFacility CARESOURCE MEDICAID CONTRACTED [320460] HB FTSM CARESOURCE MEDICAID $13.05 $3,830.00 $2,489.50 2026-03-13 MRF ↗
Mercy Orthopedic Hospital Fort Smith OutpatientFacility CARESOURCE MEDICAID [20460] HB FTSM CARESOURCE MEDICAID $13.05 $3,830.00 $2,489.50 2026-03-13 MRF ↗
MERCY HOSPITAL FORT SMITH OutpatientFacility CARESOURCE MEDICAID CONTRACTED [320460] HB FTSM CARESOURCE MEDICAID $13.05 $3,830.00 $2,489.50 2026-03-13 MRF ↗
MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility CARESOURCE MEDICAID CONTRACTED [320460] HB ROGR CARESOURCE MEDICAID $13.05 $4,089.00 $2,657.85 2026-03-13 MRF ↗
MERCY HOSPITAL FORT SMITH OutpatientFacility EMPOWER HEALTHCARE SOLUTIONS MEDICAID CONTRACTED [320118] HB FTSM PASSE EMPOWER $16.25 $3,830.00 $2,489.50 2026-03-13 MRF ↗
MERCY HOSPITAL FORT SMITH OutpatientFacility EMPOWER HEALTHCARE SOLUTIONS MEDICAID [20118] HB FTSM PASSE EMPOWER $16.25 $3,830.00 $2,489.50 2026-03-13 MRF ↗
Mercy Orthopedic Hospital Fort Smith OutpatientFacility EMPOWER HEALTHCARE SOLUTIONS MEDICAID CONTRACTED [320118] HB FTSM PASSE EMPOWER $16.25 $3,830.00 $2,489.50 2026-03-13 MRF ↗
Mercy Orthopedic Hospital Fort Smith OutpatientFacility EMPOWER HEALTHCARE SOLUTIONS MEDICAID [20118] HB FTSM PASSE EMPOWER $16.25 $3,830.00 $2,489.50 2026-03-13 MRF ↗
MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility EMPOWER HEALTHCARE SOLUTIONS MEDICAID CONTRACTED [320118] HB ROGR PASSE EMPOWER $16.25 $4,089.00 $2,657.85 2026-03-13 MRF ↗
Mercy Orthopedic Hospital Fort Smith OutpatientFacility ARKANSAS TOTAL CARE [20039] HB FTSM PASSE AR TOTAL CARE $29.05 $3,830.00 $2,489.50 2026-03-13 MRF ↗
MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility ARKANSAS TOTAL CARE CONTRACTED [320039] HB ROGR PASSE AR TOTAL CARE $29.05 $4,089.00 $2,657.85 2026-03-13 MRF ↗
MERCY HOSPITAL FORT SMITH OutpatientFacility ARKANSAS TOTAL CARE CONTRACTED [320039] HB FTSM PASSE AR TOTAL CARE $29.05 $3,830.00 $2,489.50 2026-03-13 MRF ↗
MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility ARKANSAS TOTAL CARE [20039] HB ROGR PASSE AR TOTAL CARE $29.05 $4,089.00 $2,657.85 2026-03-13 MRF ↗
Mercy Orthopedic Hospital Fort Smith OutpatientFacility ARKANSAS TOTAL CARE CONTRACTED [320039] HB FTSM PASSE AR TOTAL CARE $29.05 $3,830.00 $2,489.50 2026-03-13 MRF ↗
MERCY HOSPITAL FORT SMITH OutpatientFacility ARKANSAS TOTAL CARE [20039] HB FTSM PASSE AR TOTAL CARE $29.05 $3,830.00 $2,489.50 2026-03-13 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility MERIDIAN MEDICAID CONTRACTED [320430] HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% $197.08 $3,032.00 $1,970.80 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 $197.08 $3,032.00 $1,970.80 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility MOLINA HEALTHCARE MEDICAID [20265] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $197.08 $3,032.00 $1,970.80 2026-03-12 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility AETNA MEDICAID CONTRACTED [320009] HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 $246.35 $3,790.00 $2,463.50 2026-03-12 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility MERIDIAN MEDICAID CONTRACTED [320430] HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% $246.35 $3,790.00 $2,463.50 2026-03-12 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility MOLINA HEALTHCARE MEDICAID [20265] HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $246.35 $3,790.00 $2,463.50 2026-03-12 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $246.35 $3,790.00 $2,463.50 2026-03-12 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility MERIDIAN MEDICAID CONTRACTED [320430] HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% $251.16 $3,864.00 $2,511.60 2026-03-12 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility MOLINA HEALTHCARE MEDICAID [20265] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $251.16 $3,864.00 $2,511.60 2026-03-12 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $251.16 $3,864.00 $2,511.60 2026-03-12 MRF ↗
MERCY HOSPITAL WASHINGTON OutpatientFacility MERIDIAN MEDICAID CONTRACTED [320430] HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% $258.70 $3,980.00 $2,587.00 2026-03-12 MRF ↗
MERCY HOSPITAL WASHINGTON OutpatientFacility MOLINA HEALTHCARE MEDICAID [20265] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $258.70 $3,980.00 $2,587.00 2026-03-12 MRF ↗
MERCY HOSPITAL WASHINGTON OutpatientFacility MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $258.70 $3,980.00 $2,587.00 2026-03-12 MRF ↗
MERCY HOSPITAL PITTSBURG, INC OutpatientFacility HEALTH CHOICE CONTRACTED [320166] HB CTHG MNCK PITS HEALTHCHOICE OSEEGIB URBAN TIER 3 $319.60 $3,196.00 $2,077.40 2026-05-15 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility MOLINA HEALTHCARE MEDICAID [20265] HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $430.76 $6,627.00 $4,307.55 2026-03-18 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility MERIDIAN MEDICAID CONTRACTED [320430] HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% $430.76 $6,627.00 $4,307.55 2026-03-18 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $430.76 $6,627.00 $4,307.55 2026-03-18 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility AETNA MEDICAID CONTRACTED [320009] HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 $430.76 $6,627.00 $4,307.55 2026-03-18 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility MEDICAID [20240] HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID $454.80 $3,032.00 $1,970.80 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility AETNA MEDICAID [20009] HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 $454.80 $3,032.00 $1,970.80 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility AETNA MEDICAID CONTRACTED [320009] HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 $454.80 $3,032.00 $1,970.80 2026-03-12 MRF ↗
Mercy Orthopedic Hospital Springfield OutpatientFacility BLUE CROSS AND BLUE SHIELD [20053] HB SPRG ANTHEM PATHWAYS EXCHANGE $493.00 $7,342.00 $4,772.30 2026-03-12 MRF ↗
MERCY HOSPITAL SPRINGFIELD OutpatientFacility BLUE CROSS AND BLUE SHIELD [20053] HB SPRG ANTHEM PATHWAYS EXCHANGE $493.00 $7,342.00 $4,772.30 2026-03-12 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility BLUE CROSS AND BLUE SHIELD [20053] HB JOPL ANTHEM PATHWAYS EXCHANGE $521.00 $6,303.00 $4,096.95 2026-03-13 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility MEDICAID [20240] HB STLO CAPE IL MEDICAID $568.50 $3,790.00 $2,463.50 2026-03-12 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility AETNA MEDICAID CONTRACTED [320009] HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 $579.60 $3,864.00 $2,511.60 2026-03-12 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility MEDICAID [20240] HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID $579.60 $3,864.00 $2,511.60 2026-03-12 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility AETNA MEDICAID [20009] HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 $579.60 $3,864.00 $2,511.60 2026-03-12 MRF ↗
MERCY HOSPITAL WASHINGTON OutpatientFacility MEDICAID [20240] HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID $597.00 $3,980.00 $2,587.00 2026-03-12 MRF ↗
MERCY HOSPITAL WASHINGTON OutpatientFacility AETNA MEDICAID CONTRACTED [320009] HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 $597.00 $3,980.00 $2,587.00 2026-03-12 MRF ↗
MERCY HOSPITAL WASHINGTON OutpatientFacility AETNA MEDICAID [20009] HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 $597.00 $3,980.00 $2,587.00 2026-03-12 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility HEALTH CHOICE CONTRACTED [320166] HB JOPL HEALTHCHOICE-OSEEGIB $630.30 $6,303.00 $4,096.95 2026-03-13 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility BLUE CROSS AND BLUE SHIELD [20053] HB JOPL ANTHEM ALLIANCE $636.00 $6,303.00 $4,096.95 2026-03-13 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility MC ANTHEM [20455] HB JOPL ANTHEM ALLIANCE $636.00 $6,303.00 $4,096.95 2026-03-13 MRF ↗
MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility MERCY INTERFACILITY [20513] HB ROGR Inter-Facility CCR New 6.1.25 $744.20 $4,089.00 $2,657.85 2026-03-13 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility MEDICA CONTRACTED [320239] HB SAMC MEDICA EXCHANGE NEW 010122 $791.35 $3,032.00 $1,970.80 2026-03-12 MRF ↗
Mercy Orthopedic Hospital Springfield OutpatientFacility BLUE CROSS AND BLUE SHIELD [20053] HB SPRG ANTHEM ALLIANCE $796.00 $7,342.00 $4,772.30 2026-03-12 MRF ↗
Mercy Orthopedic Hospital Springfield OutpatientFacility MC ANTHEM [20455] HB SPRG ANTHEM ALLIANCE $796.00 $7,342.00 $4,772.30 2026-03-12 MRF ↗
MERCY HOSPITAL SPRINGFIELD OutpatientFacility MC ANTHEM [20455] HB SPRG ANTHEM ALLIANCE $796.00 $7,342.00 $4,772.30 2026-03-12 MRF ↗
MERCY HOSPITAL SPRINGFIELD OutpatientFacility BLUE CROSS AND BLUE SHIELD [20053] HB SPRG ANTHEM ALLIANCE $796.00 $7,342.00 $4,772.30 2026-03-12 MRF ↗
MERCY HOSPITAL PITTSBURG, INC OutpatientFacility KANCARE CONTRACTED [320213] HB PITS AETNA BETTER HEALTH (KANCARE) $799.00 $3,196.00 $2,077.40 2026-05-15 MRF ↗
MERCY HOSPITAL PITTSBURG, INC OutpatientFacility KANCARE [20213] HB PITS AETNA BETTER HEALTH (KANCARE) $799.00 $3,196.00 $2,077.40 2026-05-15 MRF ↗
MERCY HOSPITAL LEBANON OutpatientFacility BLUE CROSS AND BLUE SHIELD [20053] HB LEBN ANTHEM PATHWAYS EXCHANGE $823.00 $4,117.00 $2,676.05 2026-03-13 MRF ↗
Mercy Orthopedic Hospital Fort Smith OutpatientFacility MERCY INTERFACILITY [20513] HB FTSM Inter-Facility CCR New 6.1.25 $843.37 $3,830.00 $2,489.50 2026-03-13 MRF ↗
MERCY HOSPITAL FORT SMITH OutpatientFacility MERCY INTERFACILITY [20513] HB FTSM Inter-Facility CCR New 6.1.25 $843.37 $3,830.00 $2,489.50 2026-03-13 MRF ↗
MERCY HOSPITAL WASHINGTON OutpatientFacility BLUE CROSS AND BLUE SHIELD [20053] HB WASH ANTHEM BLUE PREFERRED EFF 011520 $844.00 $3,980.00 $2,587.00 2026-03-12 MRF ↗
MERCY HOSPITAL LEBANON OutpatientFacility BLUE CROSS AND BLUE SHIELD [20053] HB LEBN ANTHEM BLUE PREFERRED $854.00 $4,117.00 $2,676.05 2026-03-13 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility BLUE CROSS AND BLUE SHIELD [20053] HB JOPL ANTHEM BLUE ACCESS $861.00 $6,303.00 $4,096.95 2026-03-13 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility MC GENERIC ANTHEM [20456] HB JOPL ANTHEM BLUE ACCESS $861.00 $6,303.00 $4,096.95 2026-03-13 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility MC ANTHEM [20455] HB JOPL ANTHEM BLUE ACCESS $861.00 $6,303.00 $4,096.95 2026-03-13 MRF ↗
MERCY HOSPITAL LEBANON OutpatientFacility BLUE CROSS AND BLUE SHIELD [20053] HB LEBN ANTHEM TRADITIONAL $880.00 $4,117.00 $2,676.05 2026-03-13 MRF ↗
MERCY HOSPITAL WASHINGTON OutpatientFacility BLUE CROSS AND BLUE SHIELD [20053] HB WASH ANTHEM PATHWAY/EXCHANGE EFF 011520 $897.00 $3,980.00 $2,587.00 2026-03-12 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility BLUE CROSS AND BLUE SHIELD [20053] HB STLO ANTHEM PATHWAY/EXCHANGE EFF 011520 $897.00 $3,790.00 $2,463.50 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility BLUE CROSS AND BLUE SHIELD [20053] HB SAMC ANTHEM PATHWAY/EXCHANGE EFF 011520 $897.00 $3,032.00 $1,970.80 2026-03-12 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility BLUE CROSS AND BLUE SHIELD [20053] HB JEFN ANTHEM PATHWAY/EXCHANGE EFF 011520 $897.00 $3,864.00 $2,511.60 2026-03-12 MRF ↗
Mercy Orthopedic Hospital Springfield OutpatientFacility BLUE CROSS AND BLUE SHIELD [20053] HB SPRG ANTHEM BLUE ACCESS $908.00 $7,342.00 $4,772.30 2026-03-12 MRF ↗
Mercy Orthopedic Hospital Springfield OutpatientFacility MC GENERIC ANTHEM [20456] HB SPRG ANTHEM BLUE ACCESS $908.00 $7,342.00 $4,772.30 2026-03-12 MRF ↗
Mercy Orthopedic Hospital Springfield OutpatientFacility MC ANTHEM [20455] HB SPRG ANTHEM BLUE ACCESS $908.00 $7,342.00 $4,772.30 2026-03-12 MRF ↗
MERCY HOSPITAL SPRINGFIELD OutpatientFacility MC GENERIC ANTHEM [20456] HB SPRG ANTHEM BLUE ACCESS $908.00 $7,342.00 $4,772.30 2026-03-12 MRF ↗
MERCY HOSPITAL SPRINGFIELD OutpatientFacility MC ANTHEM [20455] HB SPRG ANTHEM BLUE ACCESS $908.00 $7,342.00 $4,772.30 2026-03-12 MRF ↗
MERCY HOSPITAL SPRINGFIELD OutpatientFacility BLUE CROSS AND BLUE SHIELD [20053] HB SPRG ANTHEM BLUE ACCESS $908.00 $7,342.00 $4,772.30 2026-03-12 MRF ↗
Mercy Orthopedic Hospital Fort Smith OutpatientFacility OKLAHOMA COMPLETE HEALTH MEDICAID CONTRACTED [320485] HB FTSM OK MANAGED MEDICAID $957.50 $3,830.00 $2,489.50 2026-03-13 MRF ↗
Mercy Orthopedic Hospital Fort Smith OutpatientFacility MERCY BENEFIT ADMIN CONTRACTED [320251] HB FTSM DEC TALL TREE $957.50 $3,830.00 $2,489.50 2026-03-13 MRF ↗
MERCY HOSPITAL FORT SMITH OutpatientFacility AITHER HEALTH CONTRACTED [320449] HB FTSM DEC LACLEDE - NEW 07.01.25 $957.50 $3,830.00 $2,489.50 2026-03-13 MRF ↗
MERCY HOSPITAL FORT SMITH OutpatientFacility AITHER HEALTH CONTRACTED [320449] HB FTSM DEC WOODARD $957.50 $3,830.00 $2,489.50 2026-03-13 MRF ↗
Mercy Orthopedic Hospital Fort Smith OutpatientFacility MERCY BENEFIT ADMIN CONTRACTED [320251] HB FTSM DEC SCHAEFER QCG $957.50 $3,830.00 $2,489.50 2026-03-13 MRF ↗
Mercy Orthopedic Hospital Fort Smith OutpatientFacility HUMANA MEDICAID CONTRACTED [320486] HB FTSM OK MANAGED MEDICAID $957.50 $3,830.00 $2,489.50 2026-03-13 MRF ↗
Mercy Orthopedic Hospital Fort Smith OutpatientFacility EDISON HEALTH SOLUTIONS CONTRACTED [320502] HB FTSM DEC WOODARD $957.50 $3,830.00 $2,489.50 2026-03-13 MRF ↗
MERCY HOSPITAL FORT SMITH OutpatientFacility MERCY BENEFIT ADMIN CONTRACTED [320251] HB FTSM DEC SCHAEFER QCG $957.50 $3,830.00 $2,489.50 2026-03-13 MRF ↗
Mercy Orthopedic Hospital Fort Smith OutpatientFacility AETNA MEDICAID CONTRACTED [320009] HB FTSM OK MANAGED MEDICAID $957.50 $3,830.00 $2,489.50 2026-03-13 MRF ↗
MERCY HOSPITAL FORT SMITH OutpatientFacility MERCY BENEFIT ADMIN CONTRACTED [320251] HB FTSM DEC BARTEL $957.50 $3,830.00 $2,489.50 2026-03-13 MRF ↗
MERCY HOSPITAL FORT SMITH OutpatientFacility MERCY BENEFIT ADMIN CONTRACTED [320251] HB FTSM DEC TALL TREE $957.50 $3,830.00 $2,489.50 2026-03-13 MRF ↗
Mercy Orthopedic Hospital Fort Smith OutpatientFacility AITHER HEALTH CONTRACTED [320449] HB FTSM DEC WOODARD $957.50 $3,830.00 $2,489.50 2026-03-13 MRF ↗
MERCY HOSPITAL FORT SMITH OutpatientFacility OKLAHOMA COMPLETE HEALTH MEDICAID CONTRACTED [320485] HB FTSM OK MANAGED MEDICAID $957.50 $3,830.00 $2,489.50 2026-03-13 MRF ↗
Mercy Orthopedic Hospital Fort Smith OutpatientFacility AITHER HEALTH CONTRACTED [320449] HB FTSM DEC LACLEDE - NEW 07.01.25 $957.50 $3,830.00 $2,489.50 2026-03-13 MRF ↗
MERCY HOSPITAL FORT SMITH OutpatientFacility HUMANA MEDICAID CONTRACTED [320486] HB FTSM OK MANAGED MEDICAID $957.50 $3,830.00 $2,489.50 2026-03-13 MRF ↗
Mercy Orthopedic Hospital Fort Smith OutpatientFacility MERCY BENEFIT ADMIN CONTRACTED [320251] HB FTSM DEC BARTEL $957.50 $3,830.00 $2,489.50 2026-03-13 MRF ↗
MERCY HOSPITAL FORT SMITH OutpatientFacility AETNA MEDICAID CONTRACTED [320009] HB FTSM OK MANAGED MEDICAID $957.50 $3,830.00 $2,489.50 2026-03-13 MRF ↗
MERCY HOSPITAL FORT SMITH OutpatientFacility EDISON HEALTH SOLUTIONS CONTRACTED [320502] HB FTSM DEC WOODARD $957.50 $3,830.00 $2,489.50 2026-03-13 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility BLUE CROSS AND BLUE SHIELD [20053] HB JEFN ANTHEM BLUE PREFERRED EFF 011520 $969.00 $3,864.00 $2,511.60 2026-03-12 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility MEDICA CONTRACTED [320239] HB STLO MEDICA EXCHANGE $989.19 $3,790.00 $2,463.50 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility COUNTYCARE HEALTH PLAN MEDICAID CONTRACTED [320523] HB STLO CAPE IL MEDICAID $994.05 $6,627.00 $4,307.55 2026-03-18 MRF ↗
MERCY HOSPITAL SOUTHEAST OutpatientFacility MEDICAID [20240] HB STLO CAPE IL MEDICAID $994.05 $6,627.00 $4,307.55 2026-03-18 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility BLUE CROSS AND BLUE SHIELD [20053] HB STLO ANTHEM BLUE PREFERRED EFF 011520 $1,003.00 $3,790.00 $2,463.50 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility BLUE CROSS AND BLUE SHIELD [20053] HB SAMC ANTHEM BLUE PREFERRED EFF 011520 $1,003.00 $3,032.00 $1,970.80 2026-03-12 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility MEDICA CONTRACTED [320239] HB JEFN MEDICA EXCHANGE $1,008.50 $3,864.00 $2,511.60 2026-03-12 MRF ↗
MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility OKLAHOMA COMPLETE HEALTH MEDICAID CONTRACTED [320485] HB ROGR OK MANAGED MEDICAID $1,022.25 $4,089.00 $2,657.85 2026-03-13 MRF ↗
MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility MERCY BENEFIT ADMIN CONTRACTED [320251] HB ROGR DEC SCHAEFER QCG $1,022.25 $4,089.00 $2,657.85 2026-03-13 MRF ↗
MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility HUMANA MEDICAID CONTRACTED [320486] HB ROGR OK MANAGED MEDICAID $1,022.25 $4,089.00 $2,657.85 2026-03-13 MRF ↗
MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility AITHER HEALTH CONTRACTED [320449] HB ROGR DEC WOODARD $1,022.25 $4,089.00 $2,657.85 2026-03-13 MRF ↗
MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility AITHER HEALTH CONTRACTED [320449] HB ROGR DEC LACLEDE - NEW 07.01.25 $1,022.25 $4,089.00 $2,657.85 2026-03-13 MRF ↗
MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility YUZU HEALTH CONTRACTED [320521] HB ROGR DEC LEVEL HEALTH - NEW 01.01.26 $1,022.25 $4,089.00 $2,657.85 2026-03-13 MRF ↗
MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility AETNA MEDICAID CONTRACTED [320009] HB ROGR OK MANAGED MEDICAID $1,022.25 $4,089.00 $2,657.85 2026-03-13 MRF ↗
MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility MERCY BENEFIT ADMIN CONTRACTED [320251] HB ROGR DEC BARTEL $1,022.25 $4,089.00 $2,657.85 2026-03-13 MRF ↗
MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility EDISON HEALTH SOLUTIONS CONTRACTED [320502] HB ROGR DEC WOODARD $1,022.25 $4,089.00 $2,657.85 2026-03-13 MRF ↗
MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility MERCY BENEFIT ADMIN CONTRACTED [320251] HB ROGR DEC TALL TREE $1,022.25 $4,089.00 $2,657.85 2026-03-13 MRF ↗
MERCY HOSPITAL LEBANON OutpatientFacility KANCARE CONTRACTED [320213] HB LEBN AETNA BETTER HEALTH (KANCARE) $1,029.25 $4,117.00 $2,676.05 2026-03-13 MRF ↗
MERCY HOSPITAL LEBANON OutpatientFacility KANCARE [20213] HB LEBN AETNA BETTER HEALTH (KANCARE) $1,029.25 $4,117.00 $2,676.05 2026-03-13 MRF ↗
MERCY HOSPITAL LEBANON OutpatientFacility MC ANTHEM [20455] HB LEBN ANTHEM BLUE ACCESS/ACCESS CHOICE $1,034.00 $4,117.00 $2,676.05 2026-03-13 MRF ↗
MERCY HOSPITAL LEBANON OutpatientFacility MC GENERIC ANTHEM [20456] HB LEBN ANTHEM BLUE ACCESS/ACCESS CHOICE $1,034.00 $4,117.00 $2,676.05 2026-03-13 MRF ↗
MERCY HOSPITAL LEBANON OutpatientFacility BLUE CROSS AND BLUE SHIELD [20053] HB LEBN ANTHEM BLUE ACCESS/ACCESS CHOICE $1,034.00 $4,117.00 $2,676.05 2026-03-13 MRF ↗
MERCY HOSPITAL WASHINGTON OutpatientFacility MEDICA CONTRACTED [320239] HB WASH MEDICA EXCHANGE $1,038.78 $3,980.00 $2,587.00 2026-03-12 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility AETNA CONTRACTED [320008] HB WASH JEFN AETNA COMMERCIAL NEW 070123 $1,048.00 $3,864.00 $2,511.60 2026-03-12 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility AETNA CONTRACTED [320008] HB STLO AETNA COMMERCIAL NEW 070123 $1,048.00 $3,790.00 $2,463.50 2026-03-12 MRF ↗
MERCY HOSPITAL WASHINGTON OutpatientFacility AETNA CONTRACTED [320008] HB WASH JEFN AETNA COMMERCIAL NEW 070123 $1,048.00 $3,980.00 $2,587.00 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility AETNA CONTRACTED [320008] HB SAMC AETNA COMMERCIAL NEW 070123 $1,048.00 $3,032.00 $1,970.80 2026-03-12 MRF ↗
MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility BLUE CROSS AND BLUE SHIELD [20053] HB ROGR BCBS EXCHANGE $1,063.14 $4,089.00 $2,657.85 2026-03-13 MRF ↗
MERCY HOSPITAL ARDMORE, INC OutpatientFacility MEDICA CONTRACTED [320239] HB ARDM MEDICA EXCHANGE $1,090.02 $2,846.00 $1,849.90 2026-03-12 MRF ↗
MERCY HOSPITAL ARDMORE, INC OutpatientFacility HEALTHCARE HIGHWAYS PLUS CONTRACTED [320175] HB ADA, ARDM, OKLC HEALTHCARE HWY CHICKSAW NATION $1,109.94 $2,846.00 $1,849.90 2026-03-12 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility MC ANTHEM [20455] HB JEFN ANTHEM BLUE ACCESS CHOICE $1,111.00 $3,864.00 $2,511.60 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility MC ANTHEM [20455] HB SAMC ANTHEM ACCESS CHOICE $1,111.00 $3,032.00 $1,970.80 2026-03-12 MRF ↗
MERCY HOSPITAL WASHINGTON OutpatientFacility BLUE CROSS AND BLUE SHIELD [20053] HB WASH ANTHEM ACCESS CHOICE PPO $1,111.00 $3,980.00 $2,587.00 2026-03-12 MRF ↗
MERCY HOSPITAL WASHINGTON OutpatientFacility MC ANTHEM [20455] HB WASH ANTHEM ACCESS CHOICE PPO $1,111.00 $3,980.00 $2,587.00 2026-03-12 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility BLUE CROSS AND BLUE SHIELD [20053] HB STLO ANTHEM ACCESS CHOICE PPO $1,111.00 $3,790.00 $2,463.50 2026-03-12 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility MC ANTHEM [20455] HB STLO ANTHEM ACCESS CHOICE PPO $1,111.00 $3,790.00 $2,463.50 2026-03-12 MRF ↗
MERCY HOSPITAL JEFFERSON OutpatientFacility BLUE CROSS AND BLUE SHIELD [20053] HB JEFN ANTHEM BLUE ACCESS CHOICE $1,111.00 $3,864.00 $2,511.60 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility BLUE CROSS AND BLUE SHIELD [20053] HB SAMC ANTHEM ACCESS CHOICE $1,111.00 $3,032.00 $1,970.80 2026-03-12 MRF ↗
Mercy Orthopedic Hospital Fort Smith OutpatientFacility BLUE CROSS AND BLUE SHIELD [20053] HB FTSM BCBS EXCHANGE $1,149.00 $3,830.00 $2,489.50 2026-03-13 MRF ↗
MERCY HOSPITAL FORT SMITH OutpatientFacility BLUE CROSS AND BLUE SHIELD [20053] HB FTSM BCBS EXCHANGE $1,149.00 $3,830.00 $2,489.50 2026-03-13 MRF ↗
MERCY HOSPITAL PITTSBURG, INC OutpatientFacility MEDICA CONTRACTED [320239] HB PITS MEDICA EXCHANGE $1,163.34 $3,196.00 $2,077.40 2026-05-15 MRF ↗
MERCY HOSPITAL LEBANON OutpatientFacility MC ANTHEM [20455] HB LEBN ANTHEM ALLIANCE $1,182.00 $4,117.00 $2,676.05 2026-03-13 MRF ↗
MERCY HOSPITAL LEBANON OutpatientFacility BLUE CROSS AND BLUE SHIELD [20053] HB LEBN ANTHEM ALLIANCE $1,182.00 $4,117.00 $2,676.05 2026-03-13 MRF ↗
MERCY HOSPITAL ARDMORE, INC OutpatientFacility WEBTPA CONTRACTED [320417] HB OKLC HEART HOSPITAL EMPLOYER $1,195.32 $2,846.00 $1,849.90 2026-03-12 MRF ↗
MERCY HOSPITAL LEBANON OutpatientFacility NOVASYS CONTRACTED [320285] HB LEBN AMBETTER EXCHANGE MO $1,235.10 $4,117.00 $2,676.05 2026-03-13 MRF ↗
MERCY HOSPITAL LEBANON OutpatientFacility SUNFLOWER HEALTH PLAN CONTRACTED [320369] HB LEBN AMBETTER EXCHANGE MO $1,235.10 $4,117.00 $2,676.05 2026-03-13 MRF ↗
MERCY HOSPITAL LEBANON OutpatientFacility AMBETTER CONTRACTED [320452] HB LEBN AMBETTER EXCHANGE MO $1,235.10 $4,117.00 $2,676.05 2026-03-13 MRF ↗
MERCY HOSPITAL LEBANON OutpatientFacility HOME STATE HEALTH PLAN CONTRACTED [320187] HB LEBN AMBETTER EXCHANGE MO $1,235.10 $4,117.00 $2,676.05 2026-03-13 MRF ↗
MERCY HOSPITAL ARDMORE, INC OutpatientFacility AETNA CONTRACTED [320008] HB ARDM AETNA NBD $1,249.39 $2,846.00 $1,849.90 2026-03-12 MRF ↗
MERCY HOSPITAL ARDMORE, INC OutpatientFacility OSMA HEALTH CONTRACTED [320292] HB ARDM OSMA HEALTH $1,280.70 $2,846.00 $1,849.90 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility AUXIANT CONTRACTED [320462] HB STLO SAMC DEC HYDROMAT $1,303.76 $3,032.00 $1,970.80 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility HEALTHLINK CONTRACTED [320179] HB STLO SAMC DEC SAPAUGH MOTORS NEW 01.01.25 $1,303.76 $3,032.00 $1,970.80 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility AITHER HEALTH CONTRACTED [320449] HB STLO SAMC WOODARD DEC NEW 040124 $1,303.76 $3,032.00 $1,970.80 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility MERCY BENEFIT ADMIN CONTRACTED [320251] HB STLO SAMC DEC SAPAUGH MOTORS NEW 01.01.25 $1,303.76 $3,032.00 $1,970.80 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility AITHER HEALTH CONTRACTED [320449] HB STLO SAMC SHINE SOLAR DEC NEW 110320 $1,303.76 $3,032.00 $1,970.80 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility AITHER HEALTH CONTRACTED [320449] HB STLO SAMC SCHAEFER AUTOBODY DEC NEW 030121 $1,303.76 $3,032.00 $1,970.80 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility AITHER HEALTH CONTRACTED [320449] HB STLO SAMC LACLEDE CHAIN DEC NEW 07.01.25 $1,303.76 $3,032.00 $1,970.80 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility MERCY BENEFIT ADMIN CONTRACTED [320251] HB STLO SAMC DEC EBA - EMPLOYER BENEFIT ALLIANCE NEW 070121 $1,303.76 $3,032.00 $1,970.80 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility EDISON HEALTH SOLUTIONS CONTRACTED [320502] HB STLO SAMC WOODARD DEC NEW 040124 $1,303.76 $3,032.00 $1,970.80 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility EDISON HEALTH SOLUTIONS CONTRACTED [320502] HB STLO SAMC SHINE SOLAR DEC NEW 110320 $1,303.76 $3,032.00 $1,970.80 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility AUXIANT CONTRACTED [320462] HB STLO SAMC BUCHHEIT DEC NEW 070122 $1,303.76 $3,032.00 $1,970.80 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility YUZU HEALTH CONTRACTED [320521] HB STLO SAMC LEVEL HEALTH DEC $1,303.76 $3,032.00 $1,970.80 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility MERCY BENEFIT ADMIN CONTRACTED [320251] HB STLO SAMC DEC SHOW ME BENEFIT CONSORTIUM NEW 070121 $1,303.76 $3,032.00 $1,970.80 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility MERCY BENEFIT ADMIN CONTRACTED [320251] HB STLO SAMC DEC TOWN AND COUNTRY SUPERMARKETS-NEW 7.1.24 $1,303.76 $3,032.00 $1,970.80 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility IMAGINE 360 CONTRACTED [320494] HB STLO SAMC DEC ROBINSON CONTRUCTION NEW 1.1.25 $1,303.76 $3,032.00 $1,970.80 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility MERCY BENEFIT ADMIN [20251] HB STLO SAMC DEC SHOW ME BENEFIT CONSORTIUM NEW 070121 $1,303.76 $3,032.00 $1,970.80 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility MERCY BENEFIT ADMIN CONTRACTED [320251] HB STLO SAMC BARTEL COMMUNICATION DEC NEW 010125 $1,303.76 $3,032.00 $1,970.80 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility AITHER HEALTH [20449] HB STLO SAMC SHINE SOLAR DEC NEW 110320 $1,303.76 $3,032.00 $1,970.80 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility MERCY BENEFIT ADMIN CONTRACTED [320251] HB STLO SAMC CITY OF JACKSON DEC NEW 010125 $1,303.76 $3,032.00 $1,970.80 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility MERCY BENEFIT ADMIN [20251] HB STLO SAMC CLAYCO DEC $1,303.76 $3,032.00 $1,970.80 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility MERCY BENEFIT ADMIN [20251] HB STLO SAMC DEC EBA - EMPLOYER BENEFIT ALLIANCE NEW 070121 $1,303.76 $3,032.00 $1,970.80 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility MERCY BENEFIT ADMIN CONTRACTED [320251] HB STLO SAMC DEC QUICK TRIP $1,303.76 $3,032.00 $1,970.80 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility EBMS CONTRACTED [320493] HB STLO SAMC CRADER DISTRIBUTING DEC NEW 090125 $1,303.76 $3,032.00 $1,970.80 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility MERCY BENEFIT ADMIN [20251] HB STLO SAMC SCHAEFER AUTOBODY DEC NEW 030121 $1,303.76 $3,032.00 $1,970.80 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility MERCY BENEFIT ADMIN CONTRACTED [320251] HB STLO SAMC CLAYCO DEC $1,303.76 $3,032.00 $1,970.80 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] HB STLO SAMC DEC SHOW ME BENEFIT CONSORTIUM NEW 070121 $1,303.76 $3,032.00 $1,970.80 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility REFLECT HEALTH CONTRACTED [320492] HB STLO SAMC WW WOOD DEC $1,303.76 $3,032.00 $1,970.80 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility MERCY BENEFIT ADMIN CONTRACTED [320251] HB STLO SAMC TALL TREE DEC NEW 040125 $1,303.76 $3,032.00 $1,970.80 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility AUXIANT CONTRACTED [320462] HB STLO SAMC CITY OF JACKSON DEC NEW 010125 $1,303.76 $3,032.00 $1,970.80 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility MERCY BENEFIT ADMIN CONTRACTED [320251] HB STLO SAMC EASTER SEALS DEC NEW 010125 $1,303.76 $3,032.00 $1,970.80 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility MERCY BENEFIT ADMIN CONTRACTED [320251] HB STLO SAMC SCHAEFER AUTOBODY DEC NEW 030121 $1,303.76 $3,032.00 $1,970.80 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility AUXIANT CONTRACTED [320462] HB STLO SAMC FCB BANKS DEC $1,303.76 $3,032.00 $1,970.80 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] HB STLO SAMC ASI DEC NEW 010124 $1,303.76 $3,032.00 $1,970.80 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility MERCY BENEFIT ADMIN CONTRACTED [320251] HB STLO SAMC HERMANN AREA DISTRICT HOSPITAL $1,364.40 $3,032.00 $1,970.80 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility MERCY BENEFIT ADMIN [20251] HB STLO SAMC HERMANN AREA DISTRICT HOSPITAL $1,364.40 $3,032.00 $1,970.80 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility CIGNA HEALTHCARE CONTRACTED [320071] HB STLO WASH JEFN SAMC CIGNA BEHAVIORAL HEALTH $1,364.40 $3,032.00 $1,970.80 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility BLUE CROSS AND BLUE SHIELD [20053] HB STLO WASH JEFN LINC SAMC CAPE STOD PCMH BCBS ASCENSION $1,440.20 $3,032.00 $1,970.80 2026-03-12 MRF ↗
MERCY HOSPITAL SOUTH OutpatientFacility MC ANTHEM [20455] HB SAMC ANTHEM BLUE ACCESS $1,488.00 $3,032.00 $1,970.80 2026-03-12 MRF ↗

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