PX-400065401 — Vad Impella 5.5 Smartassistcath Upgrded Touhy
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Vad Impella 5.5 Smartassistcath Upgrded Touhy (CDM PX-400065401) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/PX-400065401?code_type=CDM
MLA (9th ed.)
“Vad Impella 5.5 Smartassistcath Upgrded Touhy (CDM PX-400065401) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/PX-400065401?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“Vad Impella 5.5 Smartassistcath Upgrded Touhy (CDM PX-400065401) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/PX-400065401?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $11,856–$89,913 (25th–75th percentile) across 2 hospitals · 43 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM PX-400065401 — 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 HOSPITAL SOUTHEAST OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $1,061.97 | $16,338.00 | $10,619.70 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $1,061.97 | $16,338.00 | $10,619.70 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $1,061.97 | $16,338.00 | $10,619.70 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $1,061.97 | $16,338.00 | $10,619.70 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | COUNTYCARE HEALTH PLAN MEDICAID CONTRACTED [320523] | HB STLO CAPE IL MEDICAID | $2,450.70 | $16,338.00 | $10,619.70 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MEDICAID [20240] | HB STLO CAPE IL MEDICAID | $2,450.70 | $16,338.00 | $10,619.70 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB STLO WASH JEFN LINC SAMC CAPE STOD PCMH BCBS ASCENSION | $7,760.55 | $16,338.00 | $10,619.70 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | FIRST HEALTH CONTRACTED [320128] | HB CAPE AETNA COMMERCIAL / FIRST HEALTH | $10,456.32 | $16,338.00 | $10,619.70 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | AETNA CONTRACTED [320008] | HB CAPE AETNA COMMERCIAL / FIRST HEALTH | $10,456.32 | $16,338.00 | $10,619.70 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | HEALTH ALLIANCE CONTRACTED [320164] | HB CAPE STOD HEALTH ALLIANCE MEDICAL PLAN COMMERCIAL (HAMP) | $10,619.70 | $16,338.00 | $10,619.70 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB CAPE STOD SAPAUGH AUTO DEC 010125 | $11,109.84 | $16,338.00 | $10,619.70 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB CAPE STOD TALL TREE DEC NEW 11.01.25 | $11,109.84 | $16,338.00 | $10,619.70 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB CAPE STOD HERMANN DEC 010125 | $11,109.84 | $16,338.00 | $10,619.70 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MERCY BENEFIT ADMIN [20251] | HB CAPE STOD QCG QUALITY COLLISION GROUPER DEC NEW 110125 | $11,109.84 | $16,338.00 | $10,619.70 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | YUZU HEALTH CONTRACTED [320521] | HB CAPE STOD LEVEL HEALTH DEC NEW 01.01.26 | $11,109.84 | $16,338.00 | $10,619.70 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB CAPE STOD QCG QUALITY COLLISION GROUPER DEC NEW 110125 | $11,109.84 | $16,338.00 | $10,619.70 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | YUZU HEALTH CONTRACTED [320521] | HB CAPE STOD QCG QUALITY COLLISION GROUPER DEC NEW 110125 | $11,109.84 | $16,338.00 | $10,619.70 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB CAPE STOD BARTEL DEC NEW 11.01.25 | $11,109.84 | $16,338.00 | $10,619.70 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB CAPE STOD LACLEDE CHAIN DEC NEW 11.01.25 | $11,109.84 | $16,338.00 | $10,619.70 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB CAPE STOD WOODARD DEC NEW 110125 | $11,109.84 | $16,338.00 | $10,619.70 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | HEALTHLINK CONTRACTED [320179] | HB CAPE STOD SAPAUGH AUTO DEC 010125 | $11,109.84 | $16,338.00 | $10,619.70 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | EDISON HEALTH SOLUTIONS CONTRACTED [320502] | HB CAPE STOD WOODARD DEC NEW 110125 | $11,109.84 | $16,338.00 | $10,619.70 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB CAPE STOD QCG QUALITY COLLISION GROUPER DEC NEW 110125 | $11,109.84 | $16,338.00 | $10,619.70 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB CAPE STOD EASTER SEALS DEC NEW 010125 | $11,109.84 | $16,338.00 | $10,619.70 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | HEALTHLINK CONTRACTED [320179] | HB CAPE HEALTHLINK STATE OF ILLINOIS | $11,436.60 | $16,338.00 | $10,619.70 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | HEALTHLINK CONTRACTED [320179] | HB CAPE HEALTHLINK HMO | $11,436.60 | $16,338.00 | $10,619.70 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | CIGNA HEALTHCARE CONTRACTED [320071] | HB CAPE CIGNA COMMERCIAL | $11,436.60 | $16,338.00 | $10,619.70 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $11,459.50 | $176,300.00 | $114,595.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $11,459.50 | $176,300.00 | $114,595.00 | 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 | $11,459.50 | $176,300.00 | $114,595.00 | 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 | $11,459.50 | $176,300.00 | $114,595.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | WORKERS COMP [20426] | HB STLO SAMC CAPE STOD GENERIC WORK COMP CONTRACT | $12,253.50 | $16,338.00 | $10,619.70 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | HEALTHLINK CONTRACTED [320179] | HB CAPE HEALTHLINK PPO/WC | $12,743.64 | $16,338.00 | $10,619.70 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MULTIPLAN CONTRACTED [320270] | HB CAPE MULTIPLAN/PHCS | $13,070.40 | $16,338.00 | $10,619.70 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | WORKERS COMP [20426] | HB STLO WASH JEFN LINC SAMC PCMH CAPE STOD OHA NETWORK WORK COMP | $13,070.40 | $16,338.00 | $10,619.70 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] | HB CAPE MULTIPLAN/PHCS | $13,070.40 | $16,338.00 | $10,619.70 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | HUMANA CONTRACTED [320193] | HB CAPE HUMANA COMMERCIAL | $13,887.30 | $16,338.00 | $10,619.70 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB CAPE ANTHEM TRAD | $15,521.10 | $16,338.00 | $10,619.70 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AETNA MEDICAID [20009] | HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $26,445.00 | $176,300.00 | $114,595.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MEDICAID [20240] | HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID | $26,445.00 | $176,300.00 | $114,595.00 | 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 | $26,445.00 | $176,300.00 | $114,595.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | COUNTYCARE HEALTH PLAN MEDICAID CONTRACTED [320523] | HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID | $26,445.00 | $176,300.00 | $114,595.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MEDICA CONTRACTED [320239] | HB SAMC MEDICA EXCHANGE NEW 010122 | $46,014.30 | $176,300.00 | $114,595.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | SUNFLOWER HEALTH PLAN CONTRACTED [320369] | HB SAMC CENTENE/AMBETTER EXCHANGE | $47,601.00 | $176,300.00 | $114,595.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | NOVASYS CONTRACTED [320285] | HB SAMC CENTENE/AMBETTER EXCHANGE | $47,601.00 | $176,300.00 | $114,595.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AMBETTER [20452] | HB SAMC CENTENE/AMBETTER EXCHANGE | $47,601.00 | $176,300.00 | $114,595.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AMBETTER CONTRACTED [320452] | HB SAMC CENTENE/AMBETTER EXCHANGE | $47,601.00 | $176,300.00 | $114,595.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | HOME STATE HEALTH PLAN CONTRACTED [320187] | HB SAMC CENTENE/AMBETTER EXCHANGE | $47,601.00 | $176,300.00 | $114,595.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AETNA CONTRACTED [320008] | HB SAMC AETNA COMMERCIAL NEW 070123 | $61,705.00 | $176,300.00 | $114,595.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB SAMC ANTHEM PATHWAY/EXCHANGE EFF 011520 | $68,757.00 | $176,300.00 | $114,595.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY BENEFIT ADMIN [20251] | HB STLO SAMC SCHAEFER AUTOBODY DEC NEW 030121 | $75,809.00 | $176,300.00 | $114,595.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB STLO SAMC SHINE SOLAR DEC NEW 110320 | $75,809.00 | $176,300.00 | $114,595.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB STLO SAMC SCHAEFER AUTOBODY DEC NEW 030121 | $75,809.00 | $176,300.00 | $114,595.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB STLO SAMC LACLEDE CHAIN DEC NEW 07.01.25 | $75,809.00 | $176,300.00 | $114,595.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB STLO SAMC WOODARD DEC NEW 040124 | $75,809.00 | $176,300.00 | $114,595.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | HEALTHLINK CONTRACTED [320179] | HB STLO SAMC DEC SAPAUGH MOTORS NEW 01.01.25 | $75,809.00 | $176,300.00 | $114,595.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AUXIANT CONTRACTED [320462] | HB STLO SAMC FCB BANKS DEC | $75,809.00 | $176,300.00 | $114,595.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AUXIANT CONTRACTED [320462] | HB STLO SAMC DEC HYDROMAT | $75,809.00 | $176,300.00 | $114,595.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AUXIANT CONTRACTED [320462] | HB STLO SAMC BUCHHEIT DEC NEW 070122 | $75,809.00 | $176,300.00 | $114,595.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AUXIANT CONTRACTED [320462] | HB STLO SAMC CITY OF JACKSON DEC NEW 010125 | $75,809.00 | $176,300.00 | $114,595.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] | HB STLO SAMC ASI DEC NEW 010124 | $75,809.00 | $176,300.00 | $114,595.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] | HB STLO SAMC DEC SHOW ME BENEFIT CONSORTIUM NEW 070121 | $75,809.00 | $176,300.00 | $114,595.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | REFLECT HEALTH CONTRACTED [320492] | HB STLO SAMC WW WOOD DEC | $75,809.00 | $176,300.00 | $114,595.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | EBMS CONTRACTED [320493] | HB STLO SAMC CRADER DISTRIBUTING DEC NEW 090125 | $75,809.00 | $176,300.00 | $114,595.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | IMAGINE 360 CONTRACTED [320494] | HB STLO SAMC DEC ROBINSON CONTRUCTION NEW 1.1.25 | $75,809.00 | $176,300.00 | $114,595.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | EDISON HEALTH SOLUTIONS CONTRACTED [320502] | HB STLO SAMC SHINE SOLAR DEC NEW 110320 | $75,809.00 | $176,300.00 | $114,595.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | EDISON HEALTH SOLUTIONS CONTRACTED [320502] | HB STLO SAMC WOODARD DEC NEW 040124 | $75,809.00 | $176,300.00 | $114,595.00 | 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 | $75,809.00 | $176,300.00 | $114,595.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC DEC SHOW ME BENEFIT CONSORTIUM NEW 070121 | $75,809.00 | $176,300.00 | $114,595.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC SCHAEFER AUTOBODY DEC NEW 030121 | $75,809.00 | $176,300.00 | $114,595.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC CLAYCO DEC | $75,809.00 | $176,300.00 | $114,595.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC DEC QUICK TRIP | $75,809.00 | $176,300.00 | $114,595.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC DEC EBA - EMPLOYER BENEFIT ALLIANCE NEW 070121 | $75,809.00 | $176,300.00 | $114,595.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC BARTEL COMMUNICATION DEC NEW 010125 | $75,809.00 | $176,300.00 | $114,595.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC CITY OF JACKSON DEC NEW 010125 | $75,809.00 | $176,300.00 | $114,595.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC DEC SAPAUGH MOTORS NEW 01.01.25 | $75,809.00 | $176,300.00 | $114,595.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC TALL TREE DEC NEW 040125 | $75,809.00 | $176,300.00 | $114,595.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC EASTER SEALS DEC NEW 010125 | $75,809.00 | $176,300.00 | $114,595.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | YUZU HEALTH CONTRACTED [320521] | HB STLO SAMC LEVEL HEALTH DEC | $75,809.00 | $176,300.00 | $114,595.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | YUZU HEALTH CONTRACTED [320521] | HB STLO SAMC SCHAEFER AUTOBODY DEC NEW 030121 | $75,809.00 | $176,300.00 | $114,595.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY BENEFIT ADMIN [20251] | HB STLO SAMC CLAYCO DEC | $75,809.00 | $176,300.00 | $114,595.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY BENEFIT ADMIN [20251] | HB STLO SAMC DEC SHOW ME BENEFIT CONSORTIUM NEW 070121 | $75,809.00 | $176,300.00 | $114,595.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY BENEFIT ADMIN [20251] | HB STLO SAMC DEC EBA - EMPLOYER BENEFIT ALLIANCE NEW 070121 | $75,809.00 | $176,300.00 | $114,595.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AITHER HEALTH [20449] | HB STLO SAMC SHINE SOLAR DEC NEW 110320 | $75,809.00 | $176,300.00 | $114,595.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY BENEFIT ADMIN [20251] | HB STLO SAMC HERMANN AREA DISTRICT HOSPITAL | $79,335.00 | $176,300.00 | $114,595.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC HERMANN AREA DISTRICT HOSPITAL | $79,335.00 | $176,300.00 | $114,595.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | CIGNA HEALTHCARE CONTRACTED [320071] | HB STLO WASH JEFN SAMC CIGNA BEHAVIORAL HEALTH | $79,335.00 | $176,300.00 | $114,595.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB SAMC ANTHEM BLUE PREFERRED EFF 011520 | $81,098.00 | $176,300.00 | $114,595.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB STLO WASH JEFN LINC SAMC CAPE STOD PCMH BCBS ASCENSION | $83,742.50 | $176,300.00 | $114,595.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB SAMC ANTHEM ACCESS CHOICE | $88,150.00 | $176,300.00 | $114,595.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MC ANTHEM [20455] | HB SAMC ANTHEM ACCESS CHOICE | $88,150.00 | $176,300.00 | $114,595.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | UNITED MEDICAL RESOURCES CONTRACTED [320454] | HB SAMC UHC HMO PPO ALL PAYER | $89,913.00 | $176,300.00 | $114,595.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | OPTUM HEALTH BEHAVIORAL SOLUTIONS [520250] | HB SAMC UHC HMO PPO ALL PAYER | $89,913.00 | $176,300.00 | $114,595.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB SAMC ANTHEM BLUE ACCESS | $89,913.00 | $176,300.00 | $114,595.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB SAMC UHC CORE NEW 100121 | $89,913.00 | $176,300.00 | $114,595.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MC ANTHEM [20455] | HB SAMC ANTHEM BLUE ACCESS | $89,913.00 | $176,300.00 | $114,595.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB SAMC UHC HMO PPO ALL PAYER | $89,913.00 | $176,300.00 | $114,595.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB SAMC UHC COMPASS/EXCHANGE | $89,913.00 | $176,300.00 | $114,595.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | HEALTHLINK CONTRACTED [320179] | HB SAMC HEALTHLINK HMO | $96,965.00 | $176,300.00 | $114,595.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | HEALTH CHOICES CONTRACTED [320448] | HB STLO WASH JEFN LINC SAMC HEALTH CHOICE NEW 010121 | $105,780.00 | $176,300.00 | $114,595.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | HEALTH CHOICES [20448] | HB STLO WASH JEFN LINC SAMC HEALTH CHOICE NEW 010121 | $105,780.00 | $176,300.00 | $114,595.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MEDICAL ASSOCIATES HEALTH CONTRACTED [320444] | HB STLO WASH JEFN LINC SAMC HEALTH CHOICE NEW 010121 | $105,780.00 | $176,300.00 | $114,595.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | INSURANCE SYSTEM INC CONTRACTED [320465] | HB STLO WASH JEFN SAMC NETWORK AFFILIATION AGREEMENT | $114,595.00 | $176,300.00 | $114,595.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | TRI STATE HEALTHCARE COALITION CONTRACTED [320379] | HB STLO WASH JEFN SAMC NETWORK AFFILIATION AGREEMENT | $114,595.00 | $176,300.00 | $114,595.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | FEDERAL MEDICAL CENTER CONTRACTED [320127] | HB STLO WASH JEFN SAMC NETWORK AFFILIATION AGREEMENT | $114,595.00 | $176,300.00 | $114,595.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | POINT C CONTRACTED [320238] | HB STLO WASH JEFN SAMC NETWORK AFFILIATION AGREEMENT | $114,595.00 | $176,300.00 | $114,595.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | HEALTHLINK CONTRACTED [320179] | HB SAMC HEALTHLINK PPO | $119,884.00 | $176,300.00 | $114,595.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | HEALTHLINK CONTRACTED [320179] | HB SAMC DEC EMCAP EBSO | $123,410.00 | $176,300.00 | $114,595.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | FIRST HEALTH CONTRACTED [320128] | HB SAMC PHCS PRIMARY | $123,410.00 | $176,300.00 | $114,595.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] | HB SAMC PHCS PRIMARY | $123,410.00 | $176,300.00 | $114,595.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MULTIPLAN CONTRACTED [320270] | HB SAMC PHCS PRIMARY | $123,410.00 | $176,300.00 | $114,595.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | CIGNA HEALTHCARE CONTRACTED [320071] | HB SAMC CIGNA IFP | $123,410.00 | $176,300.00 | $114,595.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | CIGNA HEALTHCARE CONTRACTED [320071] | HB SAMC CIGNA HMO | $123,410.00 | $176,300.00 | $114,595.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY MGD BEHAVIORAL HEALTH CONTRACTED [320259] | HB SAMC PHCS PRIMARY | $123,410.00 | $176,300.00 | $114,595.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | FIRST HEALTH CONTRACTED [320128] | HB STLO WASH JEFN SAMC FIRST HEALTH / NETWORK ACCESS | $125,173.00 | $176,300.00 | $114,595.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | HUMANA CONTRACTED [320193] | HB SAMC HUMANA CHOICE CARE | $126,936.00 | $176,300.00 | $114,595.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | FIRST HEALTH CONTRACTED [320128] | HB SAMC HUMANA CHOICE CARE | $126,936.00 | $176,300.00 | $114,595.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | WORKERS COMP [20426] | HB STLO SAMC CAPE STOD GENERIC WORK COMP CONTRACT | $132,225.00 | $176,300.00 | $114,595.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MULTIPLAN CONTRACTED [320270] | HB SAMC MULTIPLAN COMPLEMENTARY | $132,225.00 | $176,300.00 | $114,595.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | WORKERS COMP [20426] | HB STLO WASH JEFN LINC SAMC PCMH CAPE STOD OHA NETWORK WORK COMP | $141,040.00 | $176,300.00 | $114,595.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | WORKERS COMP [20426] | HB STLO WC ST LOUIS CARDINALS | $141,040.00 | $176,300.00 | $114,595.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB SAMC ANTHEM TRADITIONAL NEW BUILD EFF 090121 | $158,670.00 | $176,300.00 | $114,595.00 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY MANAGED BH MEDICARE CONTRACTED [320499] | HB STLO WASH JEFF LINC SAMC PCMH MERCY MNGD BEHAVIORAL HEALTH MEDICARE | $176,300.00 | $176,300.00 | $114,595.00 | 2026-06-10 | MRF ↗ |