PX-500001095 — Gi Colonoscopy W/3 Procedures
Cite this view
HANK Price Transparency. (n.d.). GI Colonoscopy W/3 Procedures (CDM PX-500001095) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/PX-500001095?code_type=CDM
“GI Colonoscopy W/3 Procedures (CDM PX-500001095) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/PX-500001095?code_type=CDM. Accessed .
“GI Colonoscopy W/3 Procedures (CDM PX-500001095) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/PX-500001095?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $927–$2,470 (25th–75th percentile) across 26 hospitals · 122 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM PX-500001095 — 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 SOUTH OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $188.44 | $2,899.00 | $1,884.35 | 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 | $188.44 | $2,899.00 | $1,884.35 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $188.44 | $2,899.00 | $1,884.35 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] | HB SAMC PHCS PRIMARY | — | $2,899.00 | $1,884.35 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MULTIPLAN CONTRACTED [320270] | HB SAMC PHCS PRIMARY | — | $2,899.00 | $1,884.35 | 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 | $188.44 | $2,899.00 | $1,884.35 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | FIRST HEALTH CONTRACTED [320128] | HB SAMC PHCS PRIMARY | — | $2,899.00 | $1,884.35 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY MGD BEHAVIORAL HEALTH CONTRACTED [320259] | HB SAMC PHCS PRIMARY | — | $2,899.00 | $1,884.35 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $240.70 | $3,703.00 | $2,406.95 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $240.70 | $3,703.00 | $2,406.95 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $240.70 | $3,703.00 | $2,406.95 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $240.70 | $3,703.00 | $2,406.95 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $273.39 | $4,206.00 | $2,733.90 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | FIRST HEALTH CONTRACTED [320128] | HB STLO WASH JEFN PHCS PRIMARY | — | $4,206.00 | $2,733.90 | 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 | $273.39 | $4,206.00 | $2,733.90 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] | HB STLO WASH JEFN PHCS PRIMARY | — | $4,206.00 | $2,733.90 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $273.39 | $4,206.00 | $2,733.90 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MERCY MGD BEHAVIORAL HEALTH CONTRACTED [320259] | HB STLO WASH JEFN PHCS PRIMARY | — | $4,206.00 | $2,733.90 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MULTIPLAN CONTRACTED [320270] | HB STLO WASH JEFN PHCS PRIMARY | — | $4,206.00 | $2,733.90 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ARDMORE, INC OutpatientFacility | HEALTHCARE HIGHWAYS PLUS CONTRACTED [320175] | HB ADA, ARDM, OKLC HEALTHCARE HWY CHICKSAW NATION | — | $1,558.00 | $1,012.70 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $302.84 | $4,659.00 | $3,028.35 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $302.84 | $4,659.00 | $3,028.35 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $302.84 | $4,659.00 | $3,028.35 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | HEALTH CHOICE CONTRACTED [320166] | HB JOPL HEALTHCHOICE-OSEEGIB | $308.70 | $3,087.00 | $2,006.55 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] | HB STLO WASH JEFN PHCS PRIMARY | — | $5,059.00 | $3,288.35 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [3202651] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $328.84 | $5,059.00 | $3,288.35 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $328.84 | $5,059.00 | $3,288.35 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | FIRST HEALTH CONTRACTED [320128] | HB STLO WASH JEFN PHCS PRIMARY | — | $5,059.00 | $3,288.35 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MULTIPLAN CONTRACTED [320270] | HB STLO WASH JEFN PHCS PRIMARY | — | $5,059.00 | $3,288.35 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $328.84 | $5,059.00 | $3,288.35 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERCY MGD BEHAVIORAL HEALTH CONTRACTED [320259] | HB STLO WASH JEFN PHCS PRIMARY | — | $5,059.00 | $3,288.35 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $328.84 | $5,059.00 | $3,288.35 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $328.84 | $5,059.00 | $3,288.35 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | FIRST HEALTH CONTRACTED [320128] | HB STLO WASH JEFN PHCS PRIMARY | — | $5,258.00 | $3,417.70 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] | HB STLO WASH JEFN PHCS PRIMARY | — | $5,258.00 | $3,417.70 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MULTIPLAN CONTRACTED [320270] | HB STLO WASH JEFN PHCS PRIMARY | — | $5,258.00 | $3,417.70 | 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 | $341.77 | $5,258.00 | $3,417.70 | 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 | $341.77 | $5,258.00 | $3,417.70 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $341.77 | $5,258.00 | $3,417.70 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MERCY MGD BEHAVIORAL HEALTH CONTRACTED [320259] | HB STLO WASH JEFN PHCS PRIMARY | — | $5,258.00 | $3,417.70 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $341.77 | $5,258.00 | $3,417.70 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | HUMANA CONTRACTED [320193] | HB HMH MANAGED MEDICARE 100% W/SEQ | $393.92 | $1,434.00 | $932.10 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | LONGEVITY HEALTH PLAN MEDICARE CONTRACTED [320225] | HB HMH MANAGED MEDICARE 100% W/SEQ | $393.92 | $1,434.00 | $932.10 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | MERCY HOSPICE OKC [20252] | HB HMH MANAGED MEDICARE 100% W/SEQ | $393.92 | $1,434.00 | $932.10 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | HEALTH FIRST HEALTH PLANS MEDICARE [20170] | HB HMH MANAGED MEDICARE 100% W/SEQ | $393.92 | $1,434.00 | $932.10 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | CHEROKEE NATION HEALTH SERV CONTRACTED [320066] | HB HMH MANAGED MEDICARE 100% W/SEQ | $393.92 | $1,434.00 | $932.10 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | CROSS TIMBERS HOSPICE [20098] | HB HMH MANAGED MEDICARE 100% W/SEQ | $393.92 | $1,434.00 | $932.10 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | KINDFUL HOSPICE CONTRACTED [320434] | HB HMH MANAGED MEDICARE 100% W/SEQ | $393.92 | $1,434.00 | $932.10 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | PROMINENCE HEALTH PLAN MEDICARE ADVANTAGE CONTRACTED [320496] | HB HMH MANAGED MEDICARE 100% W/SEQ | $393.92 | $1,434.00 | $932.10 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | DEPT OF VETERAN AFFAIRS CONTRACTED [320106] | HB HMH MANAGED MEDICARE 100% W/SEQ | $393.92 | $1,434.00 | $932.10 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | HALO HCR INC HOSPICE CONTRACTED [320432] | HB HMH MANAGED MEDICARE 100% W/SEQ | $393.92 | $1,434.00 | $932.10 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | MEDICARE [20244] | HB HMH MEDICARE | $393.92 | $1,434.00 | $932.10 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | TRICARE CONTRACTED [320380] | HB HMH MANAGED MEDICARE 100% W/SEQ | $393.92 | $1,434.00 | $932.10 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | MEDICA MEDICARE ADVANTAGE [20477] | HB HMH MEDICA MEDICARE W/SEQ NEW 031523 | $393.92 | $1,434.00 | $932.10 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | MEDICAL ASSOCIATES HEALTH [20444] | HB HMH MANAGED MEDICARE 100% W/SEQ | $393.92 | $1,434.00 | $932.10 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB HMH MANAGED MEDICARE 100% W/SEQ | $393.92 | $1,434.00 | $932.10 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | HALO HCR INC HOSPICE [20432] | HB HMH MANAGED MEDICARE 100% W/SEQ | $393.92 | $1,434.00 | $932.10 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | AETNA MEDICARE ADVANTAGE CONTRACTED [320010] | HB HMH MANAGED MEDICARE 100% W/SEQ | $393.92 | $1,434.00 | $932.10 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | WELLCARE MEDICARE ADVANTAGE CONTRACTED [320421] | HB HMH MANAGED MEDICARE 100% W/SEQ | $393.92 | $1,434.00 | $932.10 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | ELARA CARING ASPIRE HOSPICE [20433] | HB HMH MANAGED MEDICARE 100% W/SEQ | $393.92 | $1,434.00 | $932.10 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | WINDSOR MEDICARE [20424] | HB HMH MANAGED MEDICARE 100% W/SEQ | $393.92 | $1,434.00 | $932.10 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | ARKANSAS COMMUNITY CARE MEDICARE [20035] | HB HMH MANAGED MEDICARE 100% W/SEQ | $393.92 | $1,434.00 | $932.10 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | HORIZONS MEDICARE [20190] | HB HMH MANAGED MEDICARE 100% W/SEQ | $393.92 | $1,434.00 | $932.10 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | ELARA CARING ASPIRE HOSPICE CONTRACTED [320433] | HB HMH MANAGED MEDICARE 100% W/SEQ | $393.92 | $1,434.00 | $932.10 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | BCBS MEDICARE ADVANTAGE CONTRACTED [320047] | HB HMH MANAGED MEDICARE 100% W/SEQ | $393.92 | $1,434.00 | $932.10 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | TRIBUTE HEALTH PLAN MCR CONTRACTED [320338] | HB HMH MANAGED MEDICARE 100% W/SEQ | $393.92 | $1,434.00 | $932.10 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | HUMANA MEDICARE ADVANTAGE CONTRACTED [320194] | HB HMH MANAGED MEDICARE 100% W/SEQ | $393.92 | $1,434.00 | $932.10 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | MEDICA MEDICARE ADVANTAGE CONTRACTED [320477] | HB HMH MEDICA MEDICARE W/SEQ NEW 031523 | $393.92 | $1,434.00 | $932.10 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | QUAL CHOICE CONTRACTED [320325] | HB HMH MANAGED MEDICARE 100% W/SEQ | $393.92 | $1,434.00 | $932.10 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | ESSENCE HEALTHCARE MEDICARE CONTRACTED [320122] | HB HMH MANAGED MEDICARE 100% W/SEQ | $393.92 | $1,434.00 | $932.10 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | PROVIDER PARTNERS HEALTH PLANS CONTRACTED [320450] | HB HMH MANAGED MEDICARE 100% W/SEQ | $393.92 | $1,434.00 | $932.10 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | KINDFUL HOSPICE [20434] | HB HMH MANAGED MEDICARE 100% W/SEQ | $393.92 | $1,434.00 | $932.10 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | NHC ADVANTAGE MEDICARE CONTRACTED [320282] | HB HMH MANAGED MEDICARE 100% W/SEQ | $393.92 | $1,434.00 | $932.10 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | INDIAN HEALTH SERVICE CONTRACTED [320198] | HB HMH MANAGED MEDICARE 100% W/SEQ | $393.92 | $1,434.00 | $932.10 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | TRICARE [20380] | HB HMH TRICARE | $393.92 | $1,434.00 | $932.10 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | BCBS MEDICARE ADVANTAGE [20047] | HB HMH MANAGED MEDICARE 100% W/SEQ | $393.92 | $1,434.00 | $932.10 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | MENTAL HEALTH NETWORK MEDICARE [20250] | HB HMH MANAGED MEDICARE 100% W/SEQ | $393.92 | $1,434.00 | $932.10 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | INDEPENDENT HEALTH [20197] | HB HMH MANAGED MEDICARE 100% W/SEQ | $393.92 | $1,434.00 | $932.10 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | GLOBALHEALTH CONTRACTED [320145] | HB HMH GLOBALHEALTH MCR 102% W/SEQ | $401.81 | $1,434.00 | $932.10 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | HEALTHSPRING MEDICARE ADVANTAGE CONTRACTED [320526] | HB HMH CIGNA MCR 103% | $405.68 | $1,434.00 | $932.10 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | CIGNA MEDICARE ADVANTAGE CONTRACTED [320072] | HB HMH CIGNA MCR 103% | $405.68 | $1,434.00 | $932.10 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB HMH BCBS OF OK NATIVEBLUE MCR 103% (NO SEQ) | $413.57 | $1,434.00 | $932.10 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | DEVOTED HEALTH MEDICARE CONTRACTED [320500] | HB HMH DEVOTED HEALTH MCR 104% W/O SEQ | $417.58 | $1,434.00 | $932.10 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | SUNFLOWER HEALTH PLAN CONTRACTED [320369] | HB HMH AMBETTER EXCHANGE MEDICARE | $430.20 | $1,434.00 | $932.10 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | NOVASYS CONTRACTED [320285] | HB HMH AMBETTER EXCHANGE MEDICARE | $430.20 | $1,434.00 | $932.10 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | AMBETTER CONTRACTED [320452] | HB HMH AMBETTER EXCHANGE MEDICARE | $430.20 | $1,434.00 | $932.10 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | HOME STATE HEALTH PLAN CONTRACTED [320187] | HB HMH AMBETTER EXCHANGE MEDICARE | $430.20 | $1,434.00 | $932.10 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AETNA MEDICAID [20009] | HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $434.85 | $2,899.00 | $1,884.35 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | COUNTYCARE HEALTH PLAN MEDICAID CONTRACTED [320523] | HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID | $434.85 | $2,899.00 | $1,884.35 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MEDICAID [20240] | HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID | $434.85 | $2,899.00 | $1,884.35 | 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 | $434.85 | $2,899.00 | $1,884.35 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL PITTSBURG, INC OutpatientFacility | HEALTH CHOICE CONTRACTED [320166] | HB CTHG MNCK PITS HEALTHCHOICE OSEEGIB URBAN TIER 3 | $460.10 | $4,601.00 | $2,990.65 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL PITTSBURG, INC OutpatientFacility | HEALTH CHOICE CONTRACTED [320166] | HB CTHG MNCK PITS HEALTHCHOICE OSEEGIB URBAN TIER 3 | $460.10 | $4,601.00 | $2,990.65 | 2026-03-15 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | UNITED HEALTHCARE MEDICARE ADVANTAGE CONTRACTED [320398] | HB HMH UHC MEDICARE NEW 040122 W/SEQ 98.1% | $464.19 | $1,434.00 | $932.10 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL ARDMORE, INC OutpatientFacility | HOME STATE HEALTH PLAN CONTRACTED [320187] | HB ARDM AMBETTER EXCHANGE MEDICARE | $467.40 | $1,558.00 | $1,012.70 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ARDMORE, INC OutpatientFacility | AMBETTER CONTRACTED [320452] | HB ARDM AMBETTER EXCHANGE MEDICARE | $467.40 | $1,558.00 | $1,012.70 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ARDMORE, INC OutpatientFacility | NOVASYS CONTRACTED [320285] | HB ARDM AMBETTER EXCHANGE MEDICARE | $467.40 | $1,558.00 | $1,012.70 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ARDMORE, INC OutpatientFacility | SUNFLOWER HEALTH PLAN CONTRACTED [320369] | HB ARDM AMBETTER EXCHANGE MEDICARE | $467.40 | $1,558.00 | $1,012.70 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL MARIETTA OutpatientFacility | UNITED HEALTHCARE MEDICARE ADVANTAGE CONTRACTED [320398] | HB LHCP UHC MEDICARE NEW 040122 W/SEQ 98.1% | $487.56 | $1,434.00 | $1,434.00 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL MARIETTA OutpatientFacility | UNITED HEALTHCARE MEDICARE ADVANTAGE CONTRACTED [320398] | HB LHCP UHC MEDICARE NEW 040122 W/SEQ 98.1% | $487.56 | $1,434.00 | $1,434.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL MARIETTA OutpatientFacility | TRICARE CONTRACTED [320380] | HB LHCP TRICARE | $490.70 | $1,434.00 | $1,434.00 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL MARIETTA OutpatientFacility | TRICARE CONTRACTED [320380] | HB LHCP TRICARE | $490.70 | $1,434.00 | $1,434.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL STODDARD OutpatientFacility | COUNTYCARE HEALTH PLAN MEDICAID CONTRACTED [320523] | HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID | $529.20 | $3,528.00 | $2,293.20 | 2026-03-23 | MRF ↗ |
| MERCY HOSPITAL STODDARD OutpatientFacility | MEDICAID [20240] | HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID | $529.20 | $3,528.00 | $2,293.20 | 2026-03-23 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB HMH BLUE CROSS PREFERRED | $530.58 | $1,434.00 | $932.10 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB HMH BLUE LINCS | $530.58 | $1,434.00 | $932.10 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | COMMUNITY CARE CONTRACTED [320080] | HB HMH COMMUNITY CARE STATE 150% MCR W/O SEQ NEW 010123 | $537.75 | $1,434.00 | $932.10 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | MERCY INTERFACILITY [20513] | HB ROGR Inter-Facility CCR New 6.1.25 | $542.91 | $2,983.00 | $1,938.95 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | HUMANA CONTRACTED [320193] | HB ROGR HUMANA | — | $2,983.00 | $1,938.95 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB HMH BLUE CROSS ADVANTAGE PPO | $544.92 | $1,434.00 | $932.10 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | MEDICA CONTRACTED [320239] | HB HMH MEDICA EXCHANGE 136% MCR NO SEQ | $546.07 | $1,434.00 | $932.10 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | MEDICA MEDICARE ADVANTAGE CONTRACTED [320477] | HB HMH MEDICA EXCHANGE 136% MCR NO SEQ | $546.07 | $1,434.00 | $932.10 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MEDICAID [20240] | HB STLO CAPE IL MEDICAID | $555.45 | $3,703.00 | $2,406.95 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | COUNTYCARE HEALTH PLAN MEDICAID CONTRACTED [320523] | HB STLO CAPE IL MEDICAID | $555.45 | $3,703.00 | $2,406.95 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | MC GENERIC ANTHEM [20456] | HB HMH BLUE CHOICE PPO | $587.94 | $1,434.00 | $932.10 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB HMH BLUE CHOICE PPO | $587.94 | $1,434.00 | $932.10 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | MC ANTHEM [20455] | HB HMH BLUE CHOICE PPO | $587.94 | $1,434.00 | $932.10 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL ARDMORE, INC OutpatientFacility | MEDICA CONTRACTED [320239] | HB ARDM MEDICA EXCHANGE | $596.71 | $1,558.00 | $1,012.70 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB HMH BLUE TRADITIONAL | $602.28 | $1,434.00 | $932.10 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL MARIETTA OutpatientFacility | WEBTPA CONTRACTED [320417] | HB OKLC HEART HOSPITAL EMPLOYER | $602.28 | $1,434.00 | $1,434.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL MARIETTA OutpatientFacility | WEBTPA CONTRACTED [320417] | HB OKLC HEART HOSPITAL EMPLOYER | $602.28 | $1,434.00 | $1,434.00 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | WEBTPA CONTRACTED [320417] | HB OKLC HEART HOSPITAL EMPLOYER | $602.28 | $1,434.00 | $932.10 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL ARDMORE, INC OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB ARDM UHC EXCHANGE | $602.95 | $1,558.00 | $1,012.70 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL MARIETTA OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB LHCP BCBS ADVANTAGE | $616.62 | $1,434.00 | $1,434.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL MARIETTA OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB LHCP BCBS TRADITIONAL | $616.62 | $1,434.00 | $1,434.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL MARIETTA OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB LHCP BCBS ADVANTAGE | $616.62 | $1,434.00 | $1,434.00 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL MARIETTA OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB LHCP BCBS TRADITIONAL | $616.62 | $1,434.00 | $1,434.00 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL ADA OutpatientFacility | HEALTHCARE HIGHWAYS PLUS CONTRACTED [320175] | HB ADA, ARDM, OKLC HEALTHCARE HWY CHICKSAW NATION | — | $3,095.00 | $2,011.75 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ADA OutpatientFacility | GLOBALHEALTH CONTRACTED [320144] | HB ADA GLOBALHEALTH | — | $3,095.00 | $2,011.75 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | AETNA MEDICAID [20009] | HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $630.90 | $4,206.00 | $2,733.90 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MEDICAID [20240] | HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID | $630.90 | $4,206.00 | $2,733.90 | 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 | $630.90 | $4,206.00 | $2,733.90 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL MARIETTA OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB LHCP BCBS PREFERRED | $630.96 | $1,434.00 | $1,434.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL MARIETTA OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB LHCP BCBS BLUELINCS HMO | $630.96 | $1,434.00 | $1,434.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL MARIETTA OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB LHCP BCBS BLUELINCS HMO | $630.96 | $1,434.00 | $1,434.00 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL MARIETTA OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB LHCP BCBS PREFERRED | $630.96 | $1,434.00 | $1,434.00 | 2026-06-12 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | MERCY INTERFACILITY [20513] | HB FTSM Inter-Facility CCR New 6.1.25 | $644.75 | $2,928.00 | $1,903.20 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | MERCY INTERFACILITY [20513] | HB FTSM Inter-Facility CCR New 6.1.25 | $644.75 | $2,928.00 | $1,903.20 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | KANCARE [20213] | HB SPRG AETNA BETTER HEALTH (KANCARE) | $652.75 | $2,611.00 | $1,697.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | KANCARE [20213] | HB CTHG KANCARE UHC MEDICAID | $652.75 | $2,611.00 | $1,697.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | KANCARE CONTRACTED [320213] | HB SPRG AETNA BETTER HEALTH (KANCARE) | $652.75 | $2,611.00 | $1,697.15 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | KANCARE [20213] | HB CTHG KANCARE UHC MEDICAID | $652.75 | $2,611.00 | $1,697.15 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | KANCARE CONTRACTED [320213] | HB CTHG KANCARE UHC MEDICAID | $652.75 | $2,611.00 | $1,697.15 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | KANCARE CONTRACTED [320213] | HB CTHG KANCARE UHC MEDICAID | $652.75 | $2,611.00 | $1,697.15 | 2026-06-04 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | KANCARE [20213] | HB SPRG AETNA BETTER HEALTH (KANCARE) | $652.75 | $2,611.00 | $1,697.15 | 2026-06-04 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | KANCARE CONTRACTED [320213] | HB SPRG AETNA BETTER HEALTH (KANCARE) | $652.75 | $2,611.00 | $1,697.15 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ARDMORE, INC OutpatientFacility | WEBTPA CONTRACTED [320417] | HB OKLC HEART HOSPITAL EMPLOYER | $654.36 | $1,558.00 | $1,012.70 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL MARIETTA OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB LHCP BCBS CHOICE PPO | $659.64 | $1,434.00 | $1,434.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL MARIETTA OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB LHCP BCBS CHOICE PPO | $659.64 | $1,434.00 | $1,434.00 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | CENTIVO CONTRACTED [320505] | HB HMH CENTIVO MCR 165% | $662.51 | $1,434.00 | $932.10 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB CAPE ANTHEM BLUE PREFERRED/ALLIANCE | $670.24 | $3,703.00 | $2,406.95 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MC ANTHEM [20455] | HB CAPE ANTHEM BLUE PREFERRED/ALLIANCE | $670.24 | $3,703.00 | $2,406.95 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MC GENERIC ANTHEM [20456] | HB CAPE ANTHEM BLUE PREFERRED/ALLIANCE | $670.24 | $3,703.00 | $2,406.95 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL ARDMORE, INC OutpatientFacility | AETNA CONTRACTED [320008] | HB ARDM AETNA NBD | $683.96 | $1,558.00 | $1,012.70 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL STODDARD OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB STOD ANTHEM BLUE PREFERRED/ALLIANCE | $687.96 | $3,528.00 | $2,293.20 | 2026-03-23 | MRF ↗ |
| MERCY HOSPITAL STODDARD OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB STOD ANTHEM BLUE ACCESS | $687.96 | $3,528.00 | $2,293.20 | 2026-03-23 | MRF ↗ |
| MERCY HOSPITAL STODDARD OutpatientFacility | MC GENERIC ANTHEM [20456] | HB STOD ANTHEM BLUE PREFERRED/ALLIANCE | $687.96 | $3,528.00 | $2,293.20 | 2026-03-23 | MRF ↗ |
| MERCY HOSPITAL STODDARD OutpatientFacility | MC ANTHEM [20455] | HB STOD ANTHEM BLUE PREFERRED/ALLIANCE | $687.96 | $3,528.00 | $2,293.20 | 2026-03-23 | MRF ↗ |
| MERCY HOSPITAL STODDARD OutpatientFacility | MC ANTHEM [20455] | HB STOD ANTHEM BLUE ACCESS | $687.96 | $3,528.00 | $2,293.20 | 2026-03-23 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $698.85 | $4,659.00 | $3,028.35 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MEDICAID [20240] | HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID | $698.85 | $4,659.00 | $3,028.35 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | AETNA MEDICAID [20009] | HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $698.85 | $4,659.00 | $3,028.35 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ARDMORE, INC OutpatientFacility | OSMA HEALTH CONTRACTED [320292] | HB ARDM OSMA HEALTH | $701.10 | $1,558.00 | $1,012.70 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL CARTHAGE OutpatientFacility | KANCARE [20213] | HB CTHG KANCARE UHC MEDICAID | $708.50 | $2,834.00 | $1,842.10 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL CARTHAGE OutpatientFacility | KANCARE [20213] | HB CTHG AETNA BETTER HEALTH (KANCARE) | $708.50 | $2,834.00 | $1,842.10 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL CARTHAGE OutpatientFacility | KANCARE CONTRACTED [320213] | HB CTHG KANCARE UHC MEDICAID | $708.50 | $2,834.00 | $1,842.10 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL CARTHAGE OutpatientFacility | KANCARE CONTRACTED [320213] | HB CTHG AETNA BETTER HEALTH (KANCARE) | $708.50 | $2,834.00 | $1,842.10 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL COLUMBUS OutpatientFacility | KANCARE [20213] | HB MNCK UHC KS MEDICAID | $729.75 | $2,919.00 | $1,897.35 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL COLUMBUS OutpatientFacility | KANCARE CONTRACTED [320213] | HB MNCK UHC KS MEDICAID | $729.75 | $2,919.00 | $1,897.35 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB FTSM DEC SCHAEFER QCG | $732.00 | $2,928.00 | $1,903.20 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | OKLAHOMA COMPLETE HEALTH MEDICAID CONTRACTED [320485] | HB FTSM OK MANAGED MEDICAID | $732.00 | $2,928.00 | $1,903.20 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | HUMANA MEDICAID CONTRACTED [320486] | HB FTSM OK MANAGED MEDICAID | $732.00 | $2,928.00 | $1,903.20 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB FTSM DEC TALL TREE | $732.00 | $2,928.00 | $1,903.20 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB FTSM DEC WOODARD | $732.00 | $2,928.00 | $1,903.20 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB FTSM DEC BARTEL | $732.00 | $2,928.00 | $1,903.20 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB FTSM DEC LACLEDE - NEW 07.01.25 | $732.00 | $2,928.00 | $1,903.20 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB FTSM OK MANAGED MEDICAID | $732.00 | $2,928.00 | $1,903.20 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | EDISON HEALTH SOLUTIONS CONTRACTED [320502] | HB FTSM DEC WOODARD | $732.00 | $2,928.00 | $1,903.20 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB FTSM DEC SCHAEFER QCG | $732.00 | $2,928.00 | $1,903.20 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | OKLAHOMA COMPLETE HEALTH MEDICAID CONTRACTED [320485] | HB FTSM OK MANAGED MEDICAID | $732.00 | $2,928.00 | $1,903.20 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB FTSM OK MANAGED MEDICAID | $732.00 | $2,928.00 | $1,903.20 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB FTSM DEC WOODARD | $732.00 | $2,928.00 | $1,903.20 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB FTSM DEC BARTEL | $732.00 | $2,928.00 | $1,903.20 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | HUMANA MEDICAID CONTRACTED [320486] | HB FTSM OK MANAGED MEDICAID | $732.00 | $2,928.00 | $1,903.20 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB FTSM DEC LACLEDE - NEW 07.01.25 | $732.00 | $2,928.00 | $1,903.20 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB FTSM DEC TALL TREE | $732.00 | $2,928.00 | $1,903.20 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | EDISON HEALTH SOLUTIONS CONTRACTED [320502] | HB FTSM DEC WOODARD | $732.00 | $2,928.00 | $1,903.20 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB ROGR DEC WOODARD | $745.75 | $2,983.00 | $1,938.95 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB ROGR DEC LACLEDE - NEW 07.01.25 | $745.75 | $2,983.00 | $1,938.95 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | OKLAHOMA COMPLETE HEALTH MEDICAID CONTRACTED [320485] | HB ROGR OK MANAGED MEDICAID | $745.75 | $2,983.00 | $1,938.95 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | HUMANA MEDICAID CONTRACTED [320486] | HB ROGR OK MANAGED MEDICAID | $745.75 | $2,983.00 | $1,938.95 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | EDISON HEALTH SOLUTIONS CONTRACTED [320502] | HB ROGR DEC WOODARD | $745.75 | $2,983.00 | $1,938.95 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB ROGR DEC TALL TREE | $745.75 | $2,983.00 | $1,938.95 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB ROGR DEC SCHAEFER QCG | $745.75 | $2,983.00 | $1,938.95 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | YUZU HEALTH CONTRACTED [320521] | HB ROGR DEC LEVEL HEALTH - NEW 01.01.26 | $745.75 | $2,983.00 | $1,938.95 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB ROGR DEC BARTEL | $745.75 | $2,983.00 | $1,938.95 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB ROGR OK MANAGED MEDICAID | $745.75 | $2,983.00 | $1,938.95 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MEDICA CONTRACTED [320239] | HB SAMC MEDICA EXCHANGE NEW 010122 | $756.64 | $2,899.00 | $1,884.35 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MEDICAID [20240] | HB STLO CAPE IL MEDICAID | $758.85 | $5,059.00 | $3,288.35 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | COUNTYCARE HEALTH PLAN MEDICAID CONTRACTED [320523] | HB STLO CAPE IL MEDICAID | $758.85 | $5,059.00 | $3,288.35 | 2026-06-04 | MRF ↗ |
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