PX-500001096 — Gi Colonoscopy W/4 Procedures
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). GI Colonoscopy W/4 Procedures (CDM PX-500001096) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/PX-500001096?code_type=CDM
MLA (9th ed.)
“GI Colonoscopy W/4 Procedures (CDM PX-500001096) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/PX-500001096?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“GI Colonoscopy W/4 Procedures (CDM PX-500001096) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/PX-500001096?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,068–$2,660 (25th–75th percentile) across 29 hospitals · 130 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM PX-500001096 — 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 COLUMBUS OutpatientFacility | CENTIVO CONTRACTED [320505] | HB MNCK CENTIVO 165% MEDICARE | $35.67 | $3,497.00 | $2,273.05 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MULTIPLAN CONTRACTED [320270] | HB SAMC PHCS PRIMARY | — | $3,314.00 | $2,154.10 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | FIRST HEALTH CONTRACTED [320128] | HB SAMC PHCS PRIMARY | — | $3,314.00 | $2,154.10 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $215.41 | $3,314.00 | $2,154.10 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $215.41 | $3,314.00 | $2,154.10 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] | HB SAMC PHCS PRIMARY | — | $3,314.00 | $2,154.10 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY MGD BEHAVIORAL HEALTH CONTRACTED [320259] | HB SAMC PHCS PRIMARY | — | $3,314.00 | $2,154.10 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $215.41 | $3,314.00 | $2,154.10 | 2026-03-12 | 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 | 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 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 | 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 WASHINGTON OutpatientFacility | MULTIPLAN CONTRACTED [320270] | HB STLO WASH JEFN PHCS PRIMARY | — | $4,359.00 | $2,833.35 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MERCY MGD BEHAVIORAL HEALTH CONTRACTED [320259] | HB STLO WASH JEFN PHCS PRIMARY | — | $4,359.00 | $2,833.35 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $283.34 | $4,359.00 | $2,833.35 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $283.34 | $4,359.00 | $2,833.35 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | FIRST HEALTH CONTRACTED [320128] | HB STLO WASH JEFN PHCS PRIMARY | — | $4,359.00 | $2,833.35 | 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 | $283.34 | $4,359.00 | $2,833.35 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] | HB STLO WASH JEFN PHCS PRIMARY | — | $4,359.00 | $2,833.35 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | HEALTH CHOICE CONTRACTED [320166] | HB JOPL HEALTHCHOICE-OSEEGIB | $339.90 | $3,399.00 | $2,209.35 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL ARDMORE, INC OutpatientFacility | HEALTHCARE HIGHWAYS PLUS CONTRACTED [320175] | HB ADA, ARDM, OKLC HEALTHCARE HWY CHICKSAW NATION | — | $1,780.00 | $1,157.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $356.59 | $5,486.00 | $3,565.90 | 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 | $356.59 | $5,486.00 | $3,565.90 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $356.59 | $5,486.00 | $3,565.90 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $356.59 | $5,486.00 | $3,565.90 | 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 | $356.59 | $5,486.00 | $3,565.90 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $356.59 | $5,486.00 | $3,565.90 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MERCY MGD BEHAVIORAL HEALTH CONTRACTED [320259] | HB STLO WASH JEFN PHCS PRIMARY | — | $5,943.00 | $3,862.95 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] | HB STLO WASH JEFN PHCS PRIMARY | — | $5,943.00 | $3,862.95 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $386.30 | $5,943.00 | $3,862.95 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MULTIPLAN CONTRACTED [320270] | HB STLO WASH JEFN PHCS PRIMARY | — | $5,943.00 | $3,862.95 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $386.30 | $5,943.00 | $3,862.95 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | FIRST HEALTH CONTRACTED [320128] | HB STLO WASH JEFN PHCS PRIMARY | — | $5,943.00 | $3,862.95 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $386.30 | $5,943.00 | $3,862.95 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERCY MGD BEHAVIORAL HEALTH CONTRACTED [320259] | HB STLO WASH JEFN PHCS PRIMARY | — | $5,956.00 | $3,871.40 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $387.14 | $5,956.00 | $3,871.40 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $387.14 | $5,956.00 | $3,871.40 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $387.14 | $5,956.00 | $3,871.40 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | FIRST HEALTH CONTRACTED [320128] | HB STLO WASH JEFN PHCS PRIMARY | — | $5,956.00 | $3,871.40 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MULTIPLAN CONTRACTED [320270] | HB STLO WASH JEFN PHCS PRIMARY | — | $5,956.00 | $3,871.40 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] | HB STLO WASH JEFN PHCS PRIMARY | — | $5,956.00 | $3,871.40 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $387.14 | $5,956.00 | $3,871.40 | 2026-03-12 | 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 | 2026-05-15 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | MEDICA MEDICARE ADVANTAGE CONTRACTED [320477] | HB HMH MEDICA MEDICARE W/SEQ NEW 031523 | $464.52 | $1,691.00 | $1,099.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | MEDICA MEDICARE ADVANTAGE [20477] | HB HMH MEDICA MEDICARE W/SEQ NEW 031523 | $464.52 | $1,691.00 | $1,099.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | MEDICARE [20244] | HB HMH MEDICARE | $464.52 | $1,691.00 | $1,099.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MEDICAID [20240] | HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID | $497.10 | $3,314.00 | $2,154.10 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AETNA MEDICAID [20009] | HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $497.10 | $3,314.00 | $2,154.10 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $497.10 | $3,314.00 | $2,154.10 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | SUNFLOWER HEALTH PLAN CONTRACTED [320369] | HB HMH AMBETTER EXCHANGE MEDICARE | $507.30 | $1,691.00 | $1,099.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | NOVASYS CONTRACTED [320285] | HB HMH AMBETTER EXCHANGE MEDICARE | $507.30 | $1,691.00 | $1,099.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | HOME STATE HEALTH PLAN CONTRACTED [320187] | HB HMH AMBETTER EXCHANGE MEDICARE | $507.30 | $1,691.00 | $1,099.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | AMBETTER CONTRACTED [320452] | HB HMH AMBETTER EXCHANGE MEDICARE | $507.30 | $1,691.00 | $1,099.15 | 2026-03-12 | 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 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 ARDMORE, INC OutpatientFacility | SUNFLOWER HEALTH PLAN CONTRACTED [320369] | HB ARDM AMBETTER EXCHANGE MEDICARE | $534.00 | $1,780.00 | $1,157.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ARDMORE, INC OutpatientFacility | NOVASYS CONTRACTED [320285] | HB ARDM AMBETTER EXCHANGE MEDICARE | $534.00 | $1,780.00 | $1,157.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ARDMORE, INC OutpatientFacility | HOME STATE HEALTH PLAN CONTRACTED [320187] | HB ARDM AMBETTER EXCHANGE MEDICARE | $534.00 | $1,780.00 | $1,157.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ARDMORE, INC OutpatientFacility | AMBETTER CONTRACTED [320452] | HB ARDM AMBETTER EXCHANGE MEDICARE | $534.00 | $1,780.00 | $1,157.00 | 2026-03-12 | MRF ↗ |
| GOVE COUNTY MEDICAL CENTER OutpatientFacility | MERCY HOSPICE OKC [20252] | HB LHCP MANAGED MEDICARE 100% | $547.38 | $1,691.00 | $1,691.00 | 2026-03-12 | MRF ↗ |
| GOVE COUNTY MEDICAL CENTER OutpatientFacility | KINDFUL HOSPICE [20434] | HB LHCP MANAGED MEDICARE 100% | $547.38 | $1,691.00 | $1,691.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | QUAL CHOICE CONTRACTED [320325] | HB HMH MANAGED MEDICARE 100% W/SEQ | $547.38 | $1,691.00 | $1,099.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | PROVIDER PARTNERS HEALTH PLANS CONTRACTED [320450] | HB HMH MANAGED MEDICARE 100% W/SEQ | $547.38 | $1,691.00 | $1,099.15 | 2026-03-12 | MRF ↗ |
| GOVE COUNTY MEDICAL CENTER OutpatientFacility | AETNA MEDICARE ADVANTAGE CONTRACTED [320010] | HB LHCP MANAGED MEDICARE 100% | $547.38 | $1,691.00 | $1,691.00 | 2026-03-12 | MRF ↗ |
| GOVE COUNTY MEDICAL CENTER OutpatientFacility | BCBS MEDICARE ADVANTAGE CONTRACTED [320047] | HB LHCP MANAGED MEDICARE 100% | $547.38 | $1,691.00 | $1,691.00 | 2026-03-12 | MRF ↗ |
| GOVE COUNTY MEDICAL CENTER OutpatientFacility | ELARA CARING ASPIRE HOSPICE [20433] | HB LHCP MANAGED MEDICARE 100% | $547.38 | $1,691.00 | $1,691.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | ELARA CARING ASPIRE HOSPICE CONTRACTED [320433] | HB HMH MANAGED MEDICARE 100% W/SEQ | $547.38 | $1,691.00 | $1,099.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | WINDSOR MEDICARE [20424] | HB HMH MANAGED MEDICARE 100% W/SEQ | $547.38 | $1,691.00 | $1,099.15 | 2026-03-12 | MRF ↗ |
| GOVE COUNTY MEDICAL CENTER OutpatientFacility | ELARA CARING ASPIRE HOSPICE CONTRACTED [320433] | HB LHCP MANAGED MEDICARE 100% | $547.38 | $1,691.00 | $1,691.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | PROMINENCE HEALTH PLAN MEDICARE ADVANTAGE CONTRACTED [320496] | HB HMH MANAGED MEDICARE 100% W/SEQ | $547.38 | $1,691.00 | $1,099.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | AETNA MEDICARE ADVANTAGE CONTRACTED [320010] | HB HMH MANAGED MEDICARE 100% W/SEQ | $547.38 | $1,691.00 | $1,099.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | TRICARE [20380] | HB HMH TRICARE | $547.38 | $1,691.00 | $1,099.15 | 2026-03-12 | MRF ↗ |
| GOVE COUNTY MEDICAL CENTER OutpatientFacility | ELARA CARING ASPIRE HOSPICE [20433] | HB LHCP MANAGED MEDICARE 100% | $547.38 | $1,691.00 | $1,691.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | ARKANSAS COMMUNITY CARE MEDICARE [20035] | HB HMH MANAGED MEDICARE 100% W/SEQ | $547.38 | $1,691.00 | $1,099.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | NHC ADVANTAGE MEDICARE CONTRACTED [320282] | HB HMH MANAGED MEDICARE 100% W/SEQ | $547.38 | $1,691.00 | $1,099.15 | 2026-03-12 | MRF ↗ |
| GOVE COUNTY MEDICAL CENTER OutpatientFacility | HORIZONS MEDICARE [20190] | HB LHCP MANAGED MEDICARE 100% | $547.38 | $1,691.00 | $1,691.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB HMH MANAGED MEDICARE 100% W/SEQ | $547.38 | $1,691.00 | $1,099.15 | 2026-03-12 | MRF ↗ |
| GOVE COUNTY MEDICAL CENTER OutpatientFacility | HALO HCR INC HOSPICE [20432] | HB LHCP MANAGED MEDICARE 100% | $547.38 | $1,691.00 | $1,691.00 | 2026-03-12 | MRF ↗ |
| GOVE COUNTY MEDICAL CENTER OutpatientFacility | HEALTH FIRST HEALTH PLANS MEDICARE [20170] | HB LHCP MANAGED MEDICARE 100% | $547.38 | $1,691.00 | $1,691.00 | 2026-03-12 | MRF ↗ |
| GOVE COUNTY MEDICAL CENTER OutpatientFacility | KINDFUL HOSPICE CONTRACTED [320434] | HB LHCP MANAGED MEDICARE 100% | $547.38 | $1,691.00 | $1,691.00 | 2026-03-12 | MRF ↗ |
| GOVE COUNTY MEDICAL CENTER OutpatientFacility | HUMANA MEDICARE ADVANTAGE CONTRACTED [320194] | HB LHCP MANAGED MEDICARE 100% | $547.38 | $1,691.00 | $1,691.00 | 2026-03-12 | MRF ↗ |
| GOVE COUNTY MEDICAL CENTER OutpatientFacility | AETNA MEDICARE ADVANTAGE CONTRACTED [320010] | HB LHCP MANAGED MEDICARE 100% | $547.38 | $1,691.00 | $1,691.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | TRIBUTE HEALTH PLAN MCR CONTRACTED [320338] | HB HMH MANAGED MEDICARE 100% W/SEQ | $547.38 | $1,691.00 | $1,099.15 | 2026-03-12 | MRF ↗ |
| GOVE COUNTY MEDICAL CENTER OutpatientFacility | ELARA CARING ASPIRE HOSPICE CONTRACTED [320433] | HB LHCP MANAGED MEDICARE 100% | $547.38 | $1,691.00 | $1,691.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | MERCY HOSPICE OKC [20252] | HB HMH MANAGED MEDICARE 100% W/SEQ | $547.38 | $1,691.00 | $1,099.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | HEALTH FIRST HEALTH PLANS MEDICARE [20170] | HB HMH MANAGED MEDICARE 100% W/SEQ | $547.38 | $1,691.00 | $1,099.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | TRICARE CONTRACTED [320380] | HB HMH MANAGED MEDICARE 100% W/SEQ | $547.38 | $1,691.00 | $1,099.15 | 2026-03-12 | MRF ↗ |
| GOVE COUNTY MEDICAL CENTER OutpatientFacility | HALO HCR INC HOSPICE CONTRACTED [320432] | HB LHCP MANAGED MEDICARE 100% | $547.38 | $1,691.00 | $1,691.00 | 2026-03-12 | MRF ↗ |
| GOVE COUNTY MEDICAL CENTER OutpatientFacility | WELLCARE MEDICARE ADVANTAGE CONTRACTED [320421] | HB LHCP MANAGED MEDICARE 100% | $547.38 | $1,691.00 | $1,691.00 | 2026-03-12 | MRF ↗ |
| GOVE COUNTY MEDICAL CENTER OutpatientFacility | WINDSOR MEDICARE [20424] | HB LHCP MANAGED MEDICARE 100% | $547.38 | $1,691.00 | $1,691.00 | 2026-03-12 | MRF ↗ |
| GOVE COUNTY MEDICAL CENTER OutpatientFacility | WELLCARE MEDICARE ADVANTAGE CONTRACTED [320421] | HB LHCP MANAGED MEDICARE 100% | $547.38 | $1,691.00 | $1,691.00 | 2026-03-12 | MRF ↗ |
| GOVE COUNTY MEDICAL CENTER OutpatientFacility | INDIAN HEALTH SERVICE CONTRACTED [320198] | HB LHCP MANAGED MEDICARE 100% | $547.38 | $1,691.00 | $1,691.00 | 2026-03-12 | MRF ↗ |
| GOVE COUNTY MEDICAL CENTER OutpatientFacility | KINDFUL HOSPICE CONTRACTED [320434] | HB LHCP MANAGED MEDICARE 100% | $547.38 | $1,691.00 | $1,691.00 | 2026-03-12 | MRF ↗ |
| GOVE COUNTY MEDICAL CENTER OutpatientFacility | MENTAL HEALTH NETWORK MEDICARE [20250] | HB LHCP MANAGED MEDICARE 100% | $547.38 | $1,691.00 | $1,691.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | UNITED HEALTHCARE MEDICARE ADVANTAGE CONTRACTED [320398] | HB HMH UHC MEDICARE NEW 040122 W/SEQ 98.1% | $547.38 | $1,691.00 | $1,099.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | ESSENCE HEALTHCARE MEDICARE CONTRACTED [320122] | HB HMH MANAGED MEDICARE 100% W/SEQ | $547.38 | $1,691.00 | $1,099.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | HORIZONS MEDICARE [20190] | HB HMH MANAGED MEDICARE 100% W/SEQ | $547.38 | $1,691.00 | $1,099.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | KINDFUL HOSPICE CONTRACTED [320434] | HB HMH MANAGED MEDICARE 100% W/SEQ | $547.38 | $1,691.00 | $1,099.15 | 2026-03-12 | MRF ↗ |
| GOVE COUNTY MEDICAL CENTER OutpatientFacility | HALO HCR INC HOSPICE CONTRACTED [320432] | HB LHCP MANAGED MEDICARE 100% | $547.38 | $1,691.00 | $1,691.00 | 2026-03-12 | MRF ↗ |
| GOVE COUNTY MEDICAL CENTER OutpatientFacility | HUMANA MEDICARE ADVANTAGE CONTRACTED [320194] | HB LHCP MANAGED MEDICARE 100% | $547.38 | $1,691.00 | $1,691.00 | 2026-03-12 | MRF ↗ |
| GOVE COUNTY MEDICAL CENTER OutpatientFacility | KINDFUL HOSPICE [20434] | HB LHCP MANAGED MEDICARE 100% | $547.38 | $1,691.00 | $1,691.00 | 2026-03-12 | MRF ↗ |
| GOVE COUNTY MEDICAL CENTER OutpatientFacility | INDIAN HEALTH SERVICE CONTRACTED [320198] | HB LHCP MANAGED MEDICARE 100% | $547.38 | $1,691.00 | $1,691.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | ELARA CARING ASPIRE HOSPICE [20433] | HB HMH MANAGED MEDICARE 100% W/SEQ | $547.38 | $1,691.00 | $1,099.15 | 2026-03-12 | MRF ↗ |
| GOVE COUNTY MEDICAL CENTER OutpatientFacility | INDEPENDENT HEALTH [20197] | HB LHCP MANAGED MEDICARE 100% | $547.38 | $1,691.00 | $1,691.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | HALO HCR INC HOSPICE CONTRACTED [320432] | HB HMH MANAGED MEDICARE 100% W/SEQ | $547.38 | $1,691.00 | $1,099.15 | 2026-03-12 | MRF ↗ |
| GOVE COUNTY MEDICAL CENTER OutpatientFacility | BCBS MEDICARE ADVANTAGE CONTRACTED [320047] | HB LHCP MANAGED MEDICARE 100% | $547.38 | $1,691.00 | $1,691.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | KINDFUL HOSPICE [20434] | HB HMH MANAGED MEDICARE 100% W/SEQ | $547.38 | $1,691.00 | $1,099.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | HALO HCR INC HOSPICE [20432] | HB HMH MANAGED MEDICARE 100% W/SEQ | $547.38 | $1,691.00 | $1,099.15 | 2026-03-12 | MRF ↗ |
| GOVE COUNTY MEDICAL CENTER OutpatientFacility | CROSS TIMBERS HOSPICE [20098] | HB LHCP MANAGED MEDICARE 100% | $547.38 | $1,691.00 | $1,691.00 | 2026-03-12 | MRF ↗ |
| GOVE COUNTY MEDICAL CENTER OutpatientFacility | MERCY HOSPICE OKC [20252] | HB LHCP MANAGED MEDICARE 100% | $547.38 | $1,691.00 | $1,691.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | CHEROKEE NATION HEALTH SERV CONTRACTED [320066] | HB HMH MANAGED MEDICARE 100% W/SEQ | $547.38 | $1,691.00 | $1,099.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | MEDICAL ASSOCIATES HEALTH [20444] | HB HMH MANAGED MEDICARE 100% W/SEQ | $547.38 | $1,691.00 | $1,099.15 | 2026-03-12 | MRF ↗ |
| GOVE COUNTY MEDICAL CENTER OutpatientFacility | INDEPENDENT HEALTH [20197] | HB LHCP MANAGED MEDICARE 100% | $547.38 | $1,691.00 | $1,691.00 | 2026-03-12 | MRF ↗ |
| GOVE COUNTY MEDICAL CENTER OutpatientFacility | HEALTH FIRST HEALTH PLANS MEDICARE [20170] | HB LHCP MANAGED MEDICARE 100% | $547.38 | $1,691.00 | $1,691.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | INDIAN HEALTH SERVICE CONTRACTED [320198] | HB HMH MANAGED MEDICARE 100% W/SEQ | $547.38 | $1,691.00 | $1,099.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | HUMANA CONTRACTED [320193] | HB HMH MANAGED MEDICARE 100% W/SEQ | $547.38 | $1,691.00 | $1,099.15 | 2026-03-12 | MRF ↗ |
| GOVE COUNTY MEDICAL CENTER OutpatientFacility | MEDICAL ASSOCIATES HEALTH [20444] | HB LHCP MANAGED MEDICARE 100% | $547.38 | $1,691.00 | $1,691.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | WELLCARE MEDICARE ADVANTAGE CONTRACTED [320421] | HB HMH MANAGED MEDICARE 100% W/SEQ | $547.38 | $1,691.00 | $1,099.15 | 2026-03-12 | MRF ↗ |
| GOVE COUNTY MEDICAL CENTER OutpatientFacility | MENTAL HEALTH NETWORK MEDICARE [20250] | HB LHCP MANAGED MEDICARE 100% | $547.38 | $1,691.00 | $1,691.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | INDEPENDENT HEALTH [20197] | HB HMH MANAGED MEDICARE 100% W/SEQ | $547.38 | $1,691.00 | $1,099.15 | 2026-03-12 | MRF ↗ |
| GOVE COUNTY MEDICAL CENTER OutpatientFacility | HORIZONS MEDICARE [20190] | HB LHCP MANAGED MEDICARE 100% | $547.38 | $1,691.00 | $1,691.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | DEPT OF VETERAN AFFAIRS CONTRACTED [320106] | HB HMH MANAGED MEDICARE 100% W/SEQ | $547.38 | $1,691.00 | $1,099.15 | 2026-03-12 | MRF ↗ |
| GOVE COUNTY MEDICAL CENTER OutpatientFacility | MEDICAL ASSOCIATES HEALTH [20444] | HB LHCP MANAGED MEDICARE 100% | $547.38 | $1,691.00 | $1,691.00 | 2026-03-12 | MRF ↗ |
| GOVE COUNTY MEDICAL CENTER OutpatientFacility | HALO HCR INC HOSPICE [20432] | HB LHCP MANAGED MEDICARE 100% | $547.38 | $1,691.00 | $1,691.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | MENTAL HEALTH NETWORK MEDICARE [20250] | HB HMH MANAGED MEDICARE 100% W/SEQ | $547.38 | $1,691.00 | $1,099.15 | 2026-03-12 | MRF ↗ |
| GOVE COUNTY MEDICAL CENTER OutpatientFacility | CROSS TIMBERS HOSPICE [20098] | HB LHCP MANAGED MEDICARE 100% | $547.38 | $1,691.00 | $1,691.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | HUMANA MEDICARE ADVANTAGE CONTRACTED [320194] | HB HMH MANAGED MEDICARE 100% W/SEQ | $547.38 | $1,691.00 | $1,099.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | LONGEVITY HEALTH PLAN MEDICARE CONTRACTED [320225] | HB HMH MANAGED MEDICARE 100% W/SEQ | $547.38 | $1,691.00 | $1,099.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | BCBS MEDICARE ADVANTAGE CONTRACTED [320047] | HB HMH MANAGED MEDICARE 100% W/SEQ | $547.38 | $1,691.00 | $1,099.15 | 2026-03-12 | MRF ↗ |
| GOVE COUNTY MEDICAL CENTER OutpatientFacility | WINDSOR MEDICARE [20424] | HB LHCP MANAGED MEDICARE 100% | $547.38 | $1,691.00 | $1,691.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | CROSS TIMBERS HOSPICE [20098] | HB HMH MANAGED MEDICARE 100% W/SEQ | $547.38 | $1,691.00 | $1,099.15 | 2026-03-12 | 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 | BLUE CROSS AND BLUE SHIELD [20053] | HB HMH BCBS OF OK NATIVEBLUE MCR 103% (NO SEQ) | $558.03 | $1,691.00 | $1,099.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | GLOBALHEALTH CONTRACTED [320145] | HB HMH GLOBALHEALTH MCR 102% W/SEQ | $558.37 | $1,691.00 | $1,099.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | CIGNA MEDICARE ADVANTAGE CONTRACTED [320072] | HB HMH CIGNA MCR 103% | $563.78 | $1,691.00 | $1,099.15 | 2026-03-12 | MRF ↗ |
| GOVE COUNTY MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE MEDICARE ADVANTAGE CONTRACTED [320398] | HB LHCP UHC MEDICARE NEW 040122 W/SEQ 98.1% | $574.94 | $1,691.00 | $1,691.00 | 2026-03-12 | MRF ↗ |
| GOVE COUNTY MEDICAL CENTER OutpatientFacility | MEDICA MEDICARE ADVANTAGE CONTRACTED [320477] | HB LHCP MEDICA MEDICARE NEW 031523 | $574.94 | $1,691.00 | $1,691.00 | 2026-03-12 | MRF ↗ |
| GOVE COUNTY MEDICAL CENTER OutpatientFacility | MEDICA MEDICARE ADVANTAGE CONTRACTED [320477] | HB LHCP MEDICA MEDICARE NEW 031523 | $574.94 | $1,691.00 | $1,691.00 | 2026-03-12 | MRF ↗ |
| GOVE COUNTY MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE MEDICARE ADVANTAGE CONTRACTED [320398] | HB LHCP UHC MEDICARE NEW 040122 W/SEQ 98.1% | $574.94 | $1,691.00 | $1,691.00 | 2026-03-12 | MRF ↗ |
| GOVE COUNTY MEDICAL CENTER OutpatientFacility | MEDICA MEDICARE ADVANTAGE [20477] | HB LHCP MEDICA MEDICARE NEW 031523 | $574.94 | $1,691.00 | $1,691.00 | 2026-03-12 | MRF ↗ |
| GOVE COUNTY MEDICAL CENTER OutpatientFacility | MEDICA MEDICARE ADVANTAGE [20477] | HB LHCP MEDICA MEDICARE NEW 031523 | $574.94 | $1,691.00 | $1,691.00 | 2026-03-12 | MRF ↗ |
| GOVE COUNTY MEDICAL CENTER OutpatientFacility | TRICARE CONTRACTED [320380] | HB LHCP TRICARE | $578.64 | $1,691.00 | $1,691.00 | 2026-03-12 | MRF ↗ |
| GOVE COUNTY MEDICAL CENTER OutpatientFacility | TRICARE CONTRACTED [320380] | HB LHCP TRICARE | $578.64 | $1,691.00 | $1,691.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL OKLAHOMA CITY, INC OutpatientFacility | HEALTHCARE HIGHWAYS PLUS CONTRACTED [320175] | HB ADA, ARDM, OKLC HEALTHCARE HWY CHICKSAW NATION | — | $4,067.00 | $2,643.55 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL OKLAHOMA CITY, INC OutpatientFacility | AETNA MEDICARE ADVANTAGE CONTRACTED [320010] | HB OKLC AETNA MCR | $585.65 | $4,067.00 | $2,643.55 | 2026-03-12 | MRF ↗ |
| GOVE COUNTY MEDICAL CENTER OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB LHCP BCBS OF OK NATIVEBLUE MCR 103% | $591.85 | $1,691.00 | $1,691.00 | 2026-03-12 | MRF ↗ |
| GOVE COUNTY MEDICAL CENTER OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB LHCP BCBS OF OK NATIVEBLUE MCR 103% | $591.85 | $1,691.00 | $1,691.00 | 2026-03-12 | MRF ↗ |
| GOVE COUNTY MEDICAL CENTER OutpatientFacility | CIGNA MEDICARE ADVANTAGE CONTRACTED [320072] | HB LHCP CIGNA MCR 103% | $598.61 | $1,691.00 | $1,691.00 | 2026-03-12 | MRF ↗ |
| GOVE COUNTY MEDICAL CENTER OutpatientFacility | CIGNA MEDICARE ADVANTAGE CONTRACTED [320072] | HB LHCP CIGNA MCR 103% | $598.61 | $1,691.00 | $1,691.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB HMH BLUE CROSS PREFERRED | $625.67 | $1,691.00 | $1,099.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB HMH BLUE LINCS | $625.67 | $1,691.00 | $1,099.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | COMMUNITY CARE CONTRACTED [320080] | HB HMH COMMUNITY CARE STATE 150% MCR W/O SEQ NEW 010123 | $634.13 | $1,691.00 | $1,099.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | MERCY INTERFACILITY [20513] | HB ROGR Inter-Facility CCR New 6.1.25 | $642.28 | $3,529.00 | $2,293.85 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | HUMANA CONTRACTED [320193] | HB ROGR HUMANA | — | $3,529.00 | $2,293.85 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | MEDICA CONTRACTED [320239] | HB HMH MEDICA EXCHANGE 136% MCR NO SEQ | $642.58 | $1,691.00 | $1,099.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB HMH BLUE CROSS ADVANTAGE PPO | $642.58 | $1,691.00 | $1,099.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | MEDICA MEDICARE ADVANTAGE CONTRACTED [320477] | HB HMH MEDICA EXCHANGE 136% MCR NO SEQ | $642.58 | $1,691.00 | $1,099.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | AETNA MEDICAID [20009] | HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $653.85 | $4,359.00 | $2,833.35 | 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 | $653.85 | $4,359.00 | $2,833.35 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MEDICAID [20240] | HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID | $653.85 | $4,359.00 | $2,833.35 | 2026-03-12 | 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 | MEDICA CONTRACTED [320239] | HB ARDM MEDICA EXCHANGE | $681.74 | $1,780.00 | $1,157.00 | 2026-03-12 | 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 | 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 | MC ANTHEM [20455] | HB STOD ANTHEM BLUE ACCESS | $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 GENERIC ANTHEM [20456] | HB STOD ANTHEM BLUE PREFERRED/ALLIANCE | $687.96 | $3,528.00 | $2,293.20 | 2026-03-23 | MRF ↗ |
| MERCY HOSPITAL ARDMORE, INC OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB ARDM UHC EXCHANGE | $688.86 | $1,780.00 | $1,157.00 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | MERCY INTERFACILITY [20513] | HB FTSM Inter-Facility CCR New 6.1.25 | $689.67 | $3,132.00 | $2,035.80 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | MERCY INTERFACILITY [20513] | HB FTSM Inter-Facility CCR New 6.1.25 | $689.67 | $3,132.00 | $2,035.80 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | MC GENERIC ANTHEM [20456] | HB HMH BLUE CHOICE PPO | $693.31 | $1,691.00 | $1,099.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | MC ANTHEM [20455] | HB HMH BLUE CHOICE PPO | $693.31 | $1,691.00 | $1,099.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB HMH BLUE CHOICE PPO | $693.31 | $1,691.00 | $1,099.15 | 2026-03-12 | MRF ↗ |
| GOVE COUNTY MEDICAL CENTER OutpatientFacility | WEBTPA CONTRACTED [320417] | HB OKLC HEART HOSPITAL EMPLOYER | $710.22 | $1,691.00 | $1,691.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB HMH BLUE TRADITIONAL | $710.22 | $1,691.00 | $1,099.15 | 2026-03-12 | MRF ↗ |
| GOVE COUNTY MEDICAL CENTER OutpatientFacility | WEBTPA CONTRACTED [320417] | HB OKLC HEART HOSPITAL EMPLOYER | $710.22 | $1,691.00 | $1,691.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | WEBTPA CONTRACTED [320417] | HB OKLC HEART HOSPITAL EMPLOYER | $710.22 | $1,691.00 | $1,099.15 | 2026-03-12 | MRF ↗ |
| GOVE COUNTY MEDICAL CENTER OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB LHCP BCBS ADVANTAGE | $727.13 | $1,691.00 | $1,691.00 | 2026-03-12 | MRF ↗ |
| GOVE COUNTY MEDICAL CENTER OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB LHCP BCBS TRADITIONAL | $727.13 | $1,691.00 | $1,691.00 | 2026-03-12 | MRF ↗ |
| GOVE COUNTY MEDICAL CENTER OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB LHCP BCBS TRADITIONAL | $727.13 | $1,691.00 | $1,691.00 | 2026-03-12 | MRF ↗ |
| GOVE COUNTY MEDICAL CENTER OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB LHCP BCBS ADVANTAGE | $727.13 | $1,691.00 | $1,691.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | KANCARE [20213] | HB CTHG KANCARE UHC MEDICAID | $743.00 | $2,972.00 | $1,931.80 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | KANCARE [20213] | HB SPRG AETNA BETTER HEALTH (KANCARE) | $743.00 | $2,972.00 | $1,931.80 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | KANCARE CONTRACTED [320213] | HB CTHG KANCARE UHC MEDICAID | $743.00 | $2,972.00 | $1,931.80 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | KANCARE CONTRACTED [320213] | HB CTHG KANCARE UHC MEDICAID | $743.00 | $2,972.00 | $1,931.80 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | KANCARE CONTRACTED [320213] | HB SPRG AETNA BETTER HEALTH (KANCARE) | $743.00 | $2,972.00 | $1,931.80 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | KANCARE [20213] | HB CTHG KANCARE UHC MEDICAID | $743.00 | $2,972.00 | $1,931.80 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | KANCARE CONTRACTED [320213] | HB SPRG AETNA BETTER HEALTH (KANCARE) | $743.00 | $2,972.00 | $1,931.80 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | KANCARE [20213] | HB SPRG AETNA BETTER HEALTH (KANCARE) | $743.00 | $2,972.00 | $1,931.80 | 2026-03-12 | MRF ↗ |
| GOVE COUNTY MEDICAL CENTER OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB LHCP BCBS PREFERRED | $744.04 | $1,691.00 | $1,691.00 | 2026-03-12 | MRF ↗ |
| GOVE COUNTY MEDICAL CENTER OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB LHCP BCBS BLUELINCS HMO | $744.04 | $1,691.00 | $1,691.00 | 2026-03-12 | MRF ↗ |
| GOVE COUNTY MEDICAL CENTER OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB LHCP BCBS PREFERRED | $744.04 | $1,691.00 | $1,691.00 | 2026-03-12 | MRF ↗ |
| GOVE COUNTY MEDICAL CENTER OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB LHCP BCBS BLUELINCS HMO | $744.04 | $1,691.00 | $1,691.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ARDMORE, INC OutpatientFacility | WEBTPA CONTRACTED [320417] | HB OKLC HEART HOSPITAL EMPLOYER | $747.60 | $1,780.00 | $1,157.00 | 2026-03-12 | MRF ↗ |
| GOVE COUNTY MEDICAL CENTER OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB LHCP BCBS CHOICE PPO | $777.86 | $1,691.00 | $1,691.00 | 2026-03-12 | MRF ↗ |
| GOVE COUNTY MEDICAL CENTER OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB LHCP BCBS CHOICE PPO | $777.86 | $1,691.00 | $1,691.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ARDMORE, INC OutpatientFacility | AETNA CONTRACTED [320008] | HB ARDM AETNA NBD | $781.42 | $1,780.00 | $1,157.00 | 2026-03-12 | 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.