PX-500001029 — Or Level 6 Initial 30 Minutes
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Or Level 6 Initial 30 Minutes (CDM PX-500001029) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/PX-500001029?code_type=CDM
MLA (9th ed.)
“Or Level 6 Initial 30 Minutes (CDM PX-500001029) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/PX-500001029?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“Or Level 6 Initial 30 Minutes (CDM PX-500001029) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/PX-500001029?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2,178–$5,472 (25th–75th percentile) across 29 hospitals · 162 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM PX-500001029 — 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 | AETNA MEDICAID CONTRACTED [320009] | HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $252.33 | $3,882.00 | $2,523.30 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $252.33 | $3,882.00 | $2,523.30 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $252.33 | $3,882.00 | $2,523.30 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $252.33 | $3,882.00 | $2,523.30 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL WALDRON OutpatientFacility | SUMMIT COMMUNITY CARE CONTRACTED [320368] | HB WLDAR SUMMIT | $297.00 | $5,212.00 | $3,387.80 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | SUMMIT COMMUNITY CARE [20368] | HB ROGR ARKANSAS MEDICAID | $297.00 | $7,965.00 | $5,177.25 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | SUMMIT COMMUNITY CARE CONTRACTED [320368] | HB ROGR SUMMIT | $297.00 | $7,965.00 | $5,177.25 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | MEDICAID [20240] | HB SPRG/JOPL ARK MEDICAID | $297.00 | $9,615.00 | $6,249.75 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PARIS OutpatientFacility | SUMMIT COMMUNITY CARE CONTRACTED [320368] | HB PRSAR SUMMIT | $297.00 | $5,212.00 | $3,387.80 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL OZARK OutpatientFacility | SUMMIT COMMUNITY CARE CONTRACTED [320368] | HB OZKAR SUMMIT | $297.00 | $5,212.00 | $3,387.80 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | ARKANSAS DEPARTMENT OF HEALTH [20036] | HB ROGR ARKANSAS MEDICAID | $297.00 | $7,965.00 | $5,177.25 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL PARIS OutpatientFacility | SUMMIT COMMUNITY CARE [20368] | HB PRSAR ARK MEDICAID | $297.00 | $5,212.00 | $3,387.80 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL PARIS OutpatientFacility | MEDICAID [20240] | HB PRSAR ARK MEDICAID | $297.00 | $5,212.00 | $3,387.80 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL - CASSVILLE OutpatientFacility | MEDICAID [20240] | HB CASV Arkansas Medicaid | $297.00 | $7,214.00 | $4,689.10 | 2026-06-10 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | ARKANSAS DEPARTMENT OF HEALTH [20036] | HB FTSM ARK MEDICAID | $297.00 | $5,037.00 | $3,274.05 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | MEDICAID [20240] | HB FTSM ARK MEDICAID | $297.00 | $5,037.00 | $3,274.05 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL BERRYVILLE OutpatientFacility | MEDICAID [20240] | HB BRYV Ark Medicaid | $297.00 | $5,785.00 | $3,760.25 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL OZARK OutpatientFacility | MEDICAID [20240] | HB OZKAR ARK MEDICAID | $297.00 | $5,212.00 | $3,387.80 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL BERRYVILLE OutpatientFacility | SUMMIT COMMUNITY CARE CONTRACTED [320368] | HB BRYV SUMMIT | $297.00 | $5,785.00 | $3,760.25 | 2026-06-04 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | SUMMIT COMMUNITY CARE [20368] | HB FTSM ARK MEDICAID | $297.00 | $5,037.00 | $3,274.05 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL BOONEVILLE OutpatientFacility | MEDICAID [20240] | HB BNVAR ARK MEDICAID | $297.00 | $5,212.00 | $3,387.80 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL BOONEVILLE OutpatientFacility | SUMMIT COMMUNITY CARE CONTRACTED [320368] | HB BNVAR SUMMIT | $297.00 | $5,212.00 | $3,387.80 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | SUMMIT COMMUNITY CARE CONTRACTED [320368] | HB FTSM SUMMIT | $297.00 | $5,037.00 | $3,274.05 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL OZARK OutpatientFacility | SUMMIT COMMUNITY CARE [20368] | HB OZKAR ARK MEDICAID | $297.00 | $5,212.00 | $3,387.80 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | MEDICAID [20240] | HB FTSM ARK MEDICAID | $297.00 | $5,037.00 | $3,274.05 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL WALDRON OutpatientFacility | MEDICAID [20240] | HB WLDAR ARK MEDICAID | $297.00 | $5,212.00 | $3,387.80 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL BERRYVILLE OutpatientFacility | SUMMIT COMMUNITY CARE [20368] | HB BRYV Ark Medicaid | $297.00 | $5,785.00 | $3,760.25 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | SUMMIT COMMUNITY CARE [20368] | HB FTSM ARK MEDICAID | $297.00 | $5,037.00 | $3,274.05 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL AURORA OutpatientFacility | MEDICAID [20240] | HB AURA ARKANSAS MEDICAID | $297.00 | $7,214.00 | $4,689.10 | 2026-06-10 | MRF ↗ |
| MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS OutpatientFacility | MEDICAID [20240] | HB SEKS ARK MEDICAID | $297.00 | $13,708.00 | $8,910.20 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL BOONEVILLE OutpatientFacility | SUMMIT COMMUNITY CARE [20368] | HB BNVAR ARK MEDICAID | $297.00 | $5,212.00 | $3,387.80 | 2026-03-14 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | SUMMIT COMMUNITY CARE CONTRACTED [320368] | HB FTSM SUMMIT | $297.00 | $5,037.00 | $3,274.05 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | MEDICAID [20240] | HB SPRG/JOPL ARK MEDICAID | $297.00 | $6,149.00 | $3,996.85 | 2026-06-09 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | MEDICAID [20240] | HB SPRG/JOPL ARK MEDICAID | $297.00 | $9,615.00 | $6,249.75 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | MEDICAID [20240] | HB ROGR ARKANSAS MEDICAID | $297.00 | $7,965.00 | $5,177.25 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | ARKANSAS DEPARTMENT OF HEALTH [20036] | HB FTSM ARK MEDICAID | $297.00 | $5,037.00 | $3,274.05 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL BERRYVILLE OutpatientFacility | CARESOURCE MEDICAID CONTRACTED [320460] | HB BRYV CARESOURCE MEDICAID | $302.94 | $5,785.00 | $3,760.25 | 2026-06-04 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | CARESOURCE MEDICAID CONTRACTED [320460] | HB FTSM CARESOURCE MEDICAID | $302.94 | $5,037.00 | $3,274.05 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL BERRYVILLE OutpatientFacility | CARESOURCE MEDICAID [20460] | HB BRYV CARESOURCE MEDICAID | $302.94 | $5,785.00 | $3,760.25 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL OZARK OutpatientFacility | CARESOURCE MEDICAID [20460] | HB OZKAR CARESOURCE MEDICAID | $302.94 | $5,212.00 | $3,387.80 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL WALDRON OutpatientFacility | CARESOURCE MEDICAID [20460] | HB WLDAR CARESOURCE MEDICAID | $302.94 | $5,212.00 | $3,387.80 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL BOONEVILLE OutpatientFacility | CARESOURCE MEDICAID [20460] | HB BNVAR CARESOURCE MEDICAID | $302.94 | $5,212.00 | $3,387.80 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL BOONEVILLE OutpatientFacility | CARESOURCE MEDICAID CONTRACTED [320460] | HB BNVAR CARESOURCE MEDICAID | $302.94 | $5,212.00 | $3,387.80 | 2026-03-14 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | CARESOURCE MEDICAID [20460] | HB FTSM CARESOURCE MEDICAID | $302.94 | $5,037.00 | $3,274.05 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | CARESOURCE MEDICAID CONTRACTED [320460] | HB ROGR CARESOURCE MEDICAID | $302.94 | $7,965.00 | $5,177.25 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL WALDRON OutpatientFacility | CARESOURCE MEDICAID CONTRACTED [320460] | HB WLDAR CARESOURCE MEDICAID | $302.94 | $5,212.00 | $3,387.80 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL PARIS OutpatientFacility | CARESOURCE MEDICAID [20460] | HB PRSAR CARESOURCE MEDICAID | $302.94 | $5,212.00 | $3,387.80 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL PARIS OutpatientFacility | CARESOURCE MEDICAID CONTRACTED [320460] | HB PRSAR CARESOURCE MEDICAID | $302.94 | $5,212.00 | $3,387.80 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | CARESOURCE MEDICAID CONTRACTED [320460] | HB FTSM CARESOURCE MEDICAID | $302.94 | $5,037.00 | $3,274.05 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | CARESOURCE MEDICAID [20460] | HB FTSM CARESOURCE MEDICAID | $302.94 | $5,037.00 | $3,274.05 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL OZARK OutpatientFacility | CARESOURCE MEDICAID CONTRACTED [320460] | HB OZKAR CARESOURCE MEDICAID | $302.94 | $5,212.00 | $3,387.80 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | CARESOURCE MEDICAID [20460] | HB ROGR CARESOURCE MEDICAID | $302.94 | $7,965.00 | $5,177.25 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $342.55 | $5,270.00 | $3,425.50 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | FIRST HEALTH CONTRACTED [320128] | HB STLO WASH JEFN PHCS PRIMARY | — | $5,270.00 | $3,425.50 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] | HB STLO WASH JEFN PHCS PRIMARY | — | $5,270.00 | $3,425.50 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MULTIPLAN CONTRACTED [320270] | HB STLO WASH JEFN PHCS PRIMARY | — | $5,270.00 | $3,425.50 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MERCY MGD BEHAVIORAL HEALTH CONTRACTED [320259] | HB STLO WASH JEFN PHCS PRIMARY | — | $5,270.00 | $3,425.50 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $342.55 | $5,270.00 | $3,425.50 | 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 | $342.55 | $5,270.00 | $3,425.50 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $346.65 | $5,333.00 | $3,466.45 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] | HB SAMC PHCS PRIMARY | — | $5,333.00 | $3,466.45 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $346.65 | $5,333.00 | $3,466.45 | 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 | $346.65 | $5,333.00 | $3,466.45 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | FIRST HEALTH CONTRACTED [320128] | HB SAMC PHCS PRIMARY | — | $5,333.00 | $3,466.45 | 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 | $346.65 | $5,333.00 | $3,466.45 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MULTIPLAN CONTRACTED [320270] | HB SAMC PHCS PRIMARY | — | $5,333.00 | $3,466.45 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY MGD BEHAVIORAL HEALTH CONTRACTED [320259] | HB SAMC PHCS PRIMARY | — | $5,333.00 | $3,466.45 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL OZARK OutpatientFacility | EMPOWER HEALTHCARE SOLUTIONS MEDICAID CONTRACTED [320118] | HB OZKAR PASSE EMPOWER | $377.19 | $5,212.00 | $3,387.80 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | EMPOWER HEALTHCARE SOLUTIONS MEDICAID CONTRACTED [320118] | HB ROGR PASSE EMPOWER | $377.19 | $7,965.00 | $5,177.25 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL BERRYVILLE OutpatientFacility | EMPOWER HEALTHCARE SOLUTIONS MEDICAID CONTRACTED [320118] | HB BRYV PASSE EMPOWER | $377.19 | $5,785.00 | $3,760.25 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | EMPOWER HEALTHCARE SOLUTIONS MEDICAID [20118] | HB FTSM PASSE EMPOWER | $377.19 | $5,037.00 | $3,274.05 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL WALDRON OutpatientFacility | EMPOWER HEALTHCARE SOLUTIONS MEDICAID CONTRACTED [320118] | HB WLDAR PASSE EMPOWER | $377.19 | $5,212.00 | $3,387.80 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL BERRYVILLE OutpatientFacility | EMPOWER HEALTHCARE SOLUTIONS MEDICAID [20118] | HB BRYV PASSE EMPOWER | $377.19 | $5,785.00 | $3,760.25 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL BOONEVILLE OutpatientFacility | EMPOWER HEALTHCARE SOLUTIONS MEDICAID CONTRACTED [320118] | HB BNVAR PASSE EMPOWER | $377.19 | $5,212.00 | $3,387.80 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | EMPOWER HEALTHCARE SOLUTIONS MEDICAID CONTRACTED [320118] | HB FTSM PASSE EMPOWER | $377.19 | $5,037.00 | $3,274.05 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL WALDRON OutpatientFacility | EMPOWER HEALTHCARE SOLUTIONS MEDICAID [20118] | HB WLDAR PASSE EMPOWER | $377.19 | $5,212.00 | $3,387.80 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL OZARK OutpatientFacility | EMPOWER HEALTHCARE SOLUTIONS MEDICAID [20118] | HB OZKAR PASSE EMPOWER | $377.19 | $5,212.00 | $3,387.80 | 2026-03-14 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | EMPOWER HEALTHCARE SOLUTIONS MEDICAID CONTRACTED [320118] | HB FTSM PASSE EMPOWER | $377.19 | $5,037.00 | $3,274.05 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | EMPOWER HEALTHCARE SOLUTIONS MEDICAID [20118] | HB FTSM PASSE EMPOWER | $377.19 | $5,037.00 | $3,274.05 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL BOONEVILLE OutpatientFacility | EMPOWER HEALTHCARE SOLUTIONS MEDICAID [20118] | HB BNVAR PASSE EMPOWER | $377.19 | $5,212.00 | $3,387.80 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL PARIS OutpatientFacility | EMPOWER HEALTHCARE SOLUTIONS MEDICAID CONTRACTED [320118] | HB PRSAR PASSE EMPOWER | $377.19 | $5,212.00 | $3,387.80 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL PARIS OutpatientFacility | EMPOWER HEALTHCARE SOLUTIONS MEDICAID [20118] | HB PRSAR PASSE EMPOWER | $377.19 | $5,212.00 | $3,387.80 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $406.25 | $6,250.00 | $4,062.50 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $406.25 | $6,250.00 | $4,062.50 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | FIRST HEALTH CONTRACTED [320128] | HB STLO WASH JEFN PHCS PRIMARY | — | $6,250.00 | $4,062.50 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] | HB STLO WASH JEFN PHCS PRIMARY | — | $6,250.00 | $4,062.50 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $406.25 | $6,250.00 | $4,062.50 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERCY MGD BEHAVIORAL HEALTH CONTRACTED [320259] | HB STLO WASH JEFN PHCS PRIMARY | — | $6,250.00 | $4,062.50 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [3202651] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $406.25 | $6,250.00 | $4,062.50 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $406.25 | $6,250.00 | $4,062.50 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MULTIPLAN CONTRACTED [320270] | HB STLO WASH JEFN PHCS PRIMARY | — | $6,250.00 | $4,062.50 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $418.47 | $6,438.00 | $4,184.70 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $418.47 | $6,438.00 | $4,184.70 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $418.47 | $6,438.00 | $4,184.70 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] | HB STLO WASH JEFN PHCS PRIMARY | — | $7,009.00 | $4,555.85 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | FIRST HEALTH CONTRACTED [320128] | HB STLO WASH JEFN PHCS PRIMARY | — | $7,009.00 | $4,555.85 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MULTIPLAN CONTRACTED [320270] | HB STLO WASH JEFN PHCS PRIMARY | — | $7,009.00 | $4,555.85 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [3202651] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $455.59 | $7,009.00 | $4,555.85 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $455.59 | $7,009.00 | $4,555.85 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $455.59 | $7,009.00 | $4,555.85 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MERCY MGD BEHAVIORAL HEALTH CONTRACTED [320259] | HB STLO WASH JEFN PHCS PRIMARY | — | $7,009.00 | $4,555.85 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $455.59 | $7,009.00 | $4,555.85 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | COUNTYCARE HEALTH PLAN MEDICAID CONTRACTED [320523] | HB STLO CAPE IL MEDICAID | $582.30 | $3,882.00 | $2,523.30 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MEDICAID [20240] | HB STLO CAPE IL MEDICAID | $582.30 | $3,882.00 | $2,523.30 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | HEALTH CHOICE CONTRACTED [320166] | HB JOPL HEALTHCHOICE-OSEEGIB | $614.90 | $6,149.00 | $3,996.85 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL BERRYVILLE OutpatientFacility | ARKANSAS TOTAL CARE CONTRACTED [320039] | HB BRYV PASSE AR TOTAL CARE | $674.19 | $5,785.00 | $3,760.25 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL BOONEVILLE OutpatientFacility | ARKANSAS TOTAL CARE CONTRACTED [320039] | HB BNVAR PASSE AR TOTAL CARE | $674.19 | $5,212.00 | $3,387.80 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL PARIS OutpatientFacility | ARKANSAS TOTAL CARE [20039] | HB PRSAR PASSE AR TOTAL CARE | $674.19 | $5,212.00 | $3,387.80 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | ARKANSAS TOTAL CARE CONTRACTED [320039] | HB FTSM PASSE AR TOTAL CARE | $674.19 | $5,037.00 | $3,274.05 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | ARKANSAS TOTAL CARE [20039] | HB ROGR PASSE AR TOTAL CARE | $674.19 | $7,965.00 | $5,177.25 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL BOONEVILLE OutpatientFacility | ARKANSAS TOTAL CARE [20039] | HB BNVAR PASSE AR TOTAL CARE | $674.19 | $5,212.00 | $3,387.80 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL PARIS OutpatientFacility | ARKANSAS TOTAL CARE CONTRACTED [320039] | HB PRSAR PASSE AR TOTAL CARE | $674.19 | $5,212.00 | $3,387.80 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL OZARK OutpatientFacility | ARKANSAS TOTAL CARE CONTRACTED [320039] | HB OZKAR PASSE AR TOTAL CARE | $674.19 | $5,212.00 | $3,387.80 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | ARKANSAS TOTAL CARE [20039] | HB FTSM PASSE AR TOTAL CARE | $674.19 | $5,037.00 | $3,274.05 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | ARKANSAS TOTAL CARE [20039] | HB FTSM PASSE AR TOTAL CARE | $674.19 | $5,037.00 | $3,274.05 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL WALDRON OutpatientFacility | ARKANSAS TOTAL CARE CONTRACTED [320039] | HB WLDAR PASSE AR TOTAL CARE | $674.19 | $5,212.00 | $3,387.80 | 2026-03-14 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | ARKANSAS TOTAL CARE CONTRACTED [320039] | HB FTSM PASSE AR TOTAL CARE | $674.19 | $5,037.00 | $3,274.05 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | ARKANSAS TOTAL CARE CONTRACTED [320039] | HB ROGR PASSE AR TOTAL CARE | $674.19 | $7,965.00 | $5,177.25 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MC GENERIC ANTHEM [20456] | HB CAPE ANTHEM BLUE PREFERRED/ALLIANCE | $702.64 | $3,882.00 | $2,523.30 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MC ANTHEM [20455] | HB CAPE ANTHEM BLUE PREFERRED/ALLIANCE | $702.64 | $3,882.00 | $2,523.30 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL PITTSBURG, INC OutpatientFacility | HEALTH CHOICE CONTRACTED [320166] | HB CTHG MNCK PITS HEALTHCHOICE OSEEGIB URBAN TIER 3 | $746.50 | $7,465.00 | $4,852.25 | 2026-03-15 | MRF ↗ |
| MERCY HOSPITAL PITTSBURG, INC OutpatientFacility | HEALTH CHOICE CONTRACTED [320166] | HB CTHG MNCK PITS HEALTHCHOICE OSEEGIB URBAN TIER 3 | $746.50 | $7,465.00 | $4,852.25 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $790.50 | $5,270.00 | $3,425.50 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | AETNA MEDICAID [20009] | HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $790.50 | $5,270.00 | $3,425.50 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MEDICAID [20240] | HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID | $790.50 | $5,270.00 | $3,425.50 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AETNA MEDICAID [20009] | HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $799.95 | $5,333.00 | $3,466.45 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MEDICAID [20240] | HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID | $799.95 | $5,333.00 | $3,466.45 | 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 | $799.95 | $5,333.00 | $3,466.45 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | COUNTYCARE HEALTH PLAN MEDICAID CONTRACTED [320523] | HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID | $799.95 | $5,333.00 | $3,466.45 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL LEBANON OutpatientFacility | KANCARE [20213] | HB LEBN AETNA BETTER HEALTH (KANCARE) | $868.75 | $3,475.00 | $2,258.75 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL LEBANON OutpatientFacility | KANCARE CONTRACTED [320213] | HB LEBN AETNA BETTER HEALTH (KANCARE) | $868.75 | $3,475.00 | $2,258.75 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | COUNTYCARE HEALTH PLAN MEDICAID CONTRACTED [320523] | HB STLO CAPE IL MEDICAID | $937.50 | $6,250.00 | $4,062.50 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MEDICAID [20240] | HB STLO CAPE IL MEDICAID | $937.50 | $6,250.00 | $4,062.50 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $965.70 | $6,438.00 | $4,184.70 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | AETNA MEDICAID [20009] | HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $965.70 | $6,438.00 | $4,184.70 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MEDICAID [20240] | HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID | $965.70 | $6,438.00 | $4,184.70 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | COUNTYCARE HEALTH PLAN MEDICAID CONTRACTED [320523] | HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID | $1,050.60 | $7,004.00 | $4,552.60 | 2026-06-11 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | MEDICAID [20240] | HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID | $1,050.60 | $7,004.00 | $4,552.60 | 2026-06-11 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | MEDICAID [20240] | HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID | $1,050.60 | $7,004.00 | $4,552.60 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | COUNTYCARE HEALTH PLAN MEDICAID CONTRACTED [320523] | HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID | $1,050.60 | $7,004.00 | $4,552.60 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MEDICAID [20240] | HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID | $1,051.35 | $7,009.00 | $4,555.85 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | AETNA MEDICAID [20009] | HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $1,051.35 | $7,009.00 | $4,555.85 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | COUNTYCARE HEALTH PLAN MEDICAID CONTRACTED [320523] | HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID | $1,051.35 | $7,009.00 | $4,555.85 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $1,051.35 | $7,009.00 | $4,555.85 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL ARDMORE, INC OutpatientFacility | HEALTHCARE HIGHWAYS PLUS CONTRACTED [320175] | HB ADA, ARDM, OKLC HEALTHCARE HWY CHICKSAW NATION | — | $5,466.00 | $3,552.90 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | MERCY INTERFACILITY [20513] | HB FTSM Inter-Facility CCR New 6.1.25 | $1,109.15 | $5,037.00 | $3,274.05 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | MERCY INTERFACILITY [20513] | HB FTSM Inter-Facility CCR New 6.1.25 | $1,109.15 | $5,037.00 | $3,274.05 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL ADA OutpatientFacility | HEALTHCARE HIGHWAYS PLUS CONTRACTED [320175] | HB ADA, ARDM, OKLC HEALTHCARE HWY CHICKSAW NATION | — | $5,703.00 | $3,706.95 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ADA OutpatientFacility | GLOBALHEALTH CONTRACTED [320144] | HB ADA GLOBALHEALTH | — | $5,703.00 | $3,706.95 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB FTSM DEC LACLEDE - NEW 07.01.25 | $1,259.25 | $5,037.00 | $3,274.05 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | OKLAHOMA COMPLETE HEALTH MEDICAID CONTRACTED [320485] | HB FTSM OK MANAGED MEDICAID | $1,259.25 | $5,037.00 | $3,274.05 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB FTSM DEC WOODARD | $1,259.25 | $5,037.00 | $3,274.05 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | EDISON HEALTH SOLUTIONS CONTRACTED [320502] | HB FTSM DEC WOODARD | $1,259.25 | $5,037.00 | $3,274.05 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB FTSM DEC LACLEDE - NEW 07.01.25 | $1,259.25 | $5,037.00 | $3,274.05 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | HUMANA MEDICAID CONTRACTED [320486] | HB FTSM OK MANAGED MEDICAID | $1,259.25 | $5,037.00 | $3,274.05 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB FTSM OK MANAGED MEDICAID | $1,259.25 | $5,037.00 | $3,274.05 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB FTSM DEC SCHAEFER QCG | $1,259.25 | $5,037.00 | $3,274.05 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB FTSM DEC SCHAEFER QCG | $1,259.25 | $5,037.00 | $3,274.05 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB FTSM DEC TALL TREE | $1,259.25 | $5,037.00 | $3,274.05 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | OKLAHOMA COMPLETE HEALTH MEDICAID CONTRACTED [320485] | HB FTSM OK MANAGED MEDICAID | $1,259.25 | $5,037.00 | $3,274.05 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB FTSM DEC WOODARD | $1,259.25 | $5,037.00 | $3,274.05 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | HUMANA MEDICAID CONTRACTED [320486] | HB FTSM OK MANAGED MEDICAID | $1,259.25 | $5,037.00 | $3,274.05 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB FTSM DEC BARTEL | $1,259.25 | $5,037.00 | $3,274.05 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB FTSM DEC BARTEL | $1,259.25 | $5,037.00 | $3,274.05 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB FTSM OK MANAGED MEDICAID | $1,259.25 | $5,037.00 | $3,274.05 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | EDISON HEALTH SOLUTIONS CONTRACTED [320502] | HB FTSM DEC WOODARD | $1,259.25 | $5,037.00 | $3,274.05 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB FTSM DEC TALL TREE | $1,259.25 | $5,037.00 | $3,274.05 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL WALDRON OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB WLDAR OK MANAGED MEDICAID | $1,303.00 | $5,212.00 | $3,387.80 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL WALDRON OutpatientFacility | OKLAHOMA COMPLETE HEALTH MEDICAID CONTRACTED [320485] | HB WLDAR OK MANAGED MEDICAID | $1,303.00 | $5,212.00 | $3,387.80 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL WALDRON OutpatientFacility | HUMANA MEDICAID CONTRACTED [320486] | HB WLDAR OK MANAGED MEDICAID | $1,303.00 | $5,212.00 | $3,387.80 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL BOONEVILLE OutpatientFacility | HUMANA MEDICAID CONTRACTED [320486] | HB BNVAR OK MANAGED MEDICAID | $1,303.00 | $5,212.00 | $3,387.80 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL BOONEVILLE OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB BNVAR OK MANAGED MEDICAID | $1,303.00 | $5,212.00 | $3,387.80 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL BOONEVILLE OutpatientFacility | OKLAHOMA COMPLETE HEALTH MEDICAID CONTRACTED [320485] | HB BNVAR OK MANAGED MEDICAID | $1,303.00 | $5,212.00 | $3,387.80 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MEDICA CONTRACTED [320239] | HB WASH MEDICA EXCHANGE | $1,375.47 | $5,270.00 | $3,425.50 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | TRICARE CONTRACTED [320380] | HB LINC TRICARE - HEALTHNET WEST | $1,377.85 | $6,438.00 | $4,184.70 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PARIS OutpatientFacility | MEDICARE [20244] | HB PRSAR MEDICARE | $1,380.66 | $5,212.00 | $3,387.80 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL PARIS OutpatientFacility | MERCY HOSPICE OKC [20252] | HB PRSAR MANAGED MCR | $1,380.66 | $5,212.00 | $3,387.80 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL PARIS OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB PRSAR MANAGED MCR | $1,380.66 | $5,212.00 | $3,387.80 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL PARIS OutpatientFacility | CROSS TIMBERS HOSPICE [20098] | HB PRSAR MANAGED MCR | $1,380.66 | $5,212.00 | $3,387.80 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL PARIS OutpatientFacility | HALO HCR INC HOSPICE [20432] | HB PRSAR MANAGED MCR | $1,380.66 | $5,212.00 | $3,387.80 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL PARIS OutpatientFacility | LONGEVITY HEALTH PLAN MEDICARE CONTRACTED [320225] | HB PRSAR MANAGED MCR | $1,380.66 | $5,212.00 | $3,387.80 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL PARIS OutpatientFacility | INDIAN HEALTH SERVICE CONTRACTED [320198] | HB PRSAR MANAGED MCR | $1,380.66 | $5,212.00 | $3,387.80 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL PARIS OutpatientFacility | PROMINENCE HEALTH PLAN MEDICARE ADVANTAGE CONTRACTED [320496] | HB PRSAR MANAGED MCR | $1,380.66 | $5,212.00 | $3,387.80 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL PARIS OutpatientFacility | KINDFUL HOSPICE [20434] | HB PRSAR MANAGED MCR | $1,380.66 | $5,212.00 | $3,387.80 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL PARIS OutpatientFacility | HUMANA MEDICARE ADVANTAGE CONTRACTED [320194] | HB PRSAR MANAGED MCR | $1,380.66 | $5,212.00 | $3,387.80 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL PARIS OutpatientFacility | BCBS MEDICARE ADVANTAGE CONTRACTED [320047] | HB PRSAR MANAGED MCR | $1,380.66 | $5,212.00 | $3,387.80 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL PARIS OutpatientFacility | GLOBALHEALTH CONTRACTED [320145] | HB PRSAR MANAGED MCR | $1,380.66 | $5,212.00 | $3,387.80 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL PARIS OutpatientFacility | ELARA CARING ASPIRE HOSPICE [20433] | HB PRSAR MANAGED MCR | $1,380.66 | $5,212.00 | $3,387.80 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL PARIS OutpatientFacility | CHEROKEE NATION HEALTH SERV CONTRACTED [320066] | HB PRSAR MANAGED MCR | $1,380.66 | $5,212.00 | $3,387.80 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL PARIS OutpatientFacility | KINDFUL HOSPICE CONTRACTED [320434] | HB PRSAR MANAGED MCR | $1,380.66 | $5,212.00 | $3,387.80 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL PARIS OutpatientFacility | AMERICAN HEALTH ADVANTAGE OF MO MCR [20264] | HB PRSAR MANAGED MCR | $1,380.66 | $5,212.00 | $3,387.80 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL PARIS OutpatientFacility | INDIAN HEALTH SERVICE [20198] | HB PRSAR MANAGED MCR | $1,380.66 | $5,212.00 | $3,387.80 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL PARIS OutpatientFacility | QUAL CHOICE CONTRACTED [320325] | HB PRSAR MANAGED MCR | $1,380.66 | $5,212.00 | $3,387.80 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL PARIS OutpatientFacility | UNITED HEALTHCARE MEDICARE ADVANTAGE CONTRACTED [320398] | HB PRSAR UHC MCR | $1,380.66 | $5,212.00 | $3,387.80 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL PARIS OutpatientFacility | UNITED BEHAVIORAL HEALTH MEDICARE ADVANTAGE CONTRACTED [320392] | HB PRSAR MANAGED MCR | $1,380.66 | $5,212.00 | $3,387.80 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL PARIS OutpatientFacility | SPINA BIFIDA HLTHCARE BENEFIT [20506] | HB PRSAR MANAGED MCR | $1,380.66 | $5,212.00 | $3,387.80 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL PARIS OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB PRSAR MANAGED MCR | $1,380.66 | $5,212.00 | $3,387.80 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL PARIS OutpatientFacility | PACE OF THE OZARKS [20518] | HB PRSAR MANAGED MCR | $1,380.66 | $5,212.00 | $3,387.80 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL PARIS OutpatientFacility | NHC ADVANTAGE MEDICARE CONTRACTED [320282] | HB PRSAR MANAGED MCR | $1,380.66 | $5,212.00 | $3,387.80 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL PARIS OutpatientFacility | PROVIDER PARTNERS HEALTH PLANS CONTRACTED [320450] | HB PRSAR MANAGED MCR | $1,380.66 | $5,212.00 | $3,387.80 | 2026-06-08 | 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.