PX-500001137 — Gi Upper Endoscopy W/3 Procedures
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). GI Upper Endoscopy W/3 Procedures (CDM PX-500001137) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/PX-500001137?code_type=CDM
MLA (9th ed.)
“GI Upper Endoscopy W/3 Procedures (CDM PX-500001137) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/PX-500001137?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“GI Upper Endoscopy W/3 Procedures (CDM PX-500001137) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/PX-500001137?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $818–$2,169 (25th–75th percentile) across 26 hospitals · 122 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM PX-500001137 — 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 CONTRACTED [3202651] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $135.66 | $2,087.00 | $1,356.55 | 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 | $135.66 | $2,087.00 | $1,356.55 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $135.66 | $2,087.00 | $1,356.55 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MULTIPLAN CONTRACTED [320270] | HB SAMC PHCS PRIMARY | — | $2,087.00 | $1,356.55 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | FIRST HEALTH CONTRACTED [320128] | HB SAMC PHCS PRIMARY | — | $2,087.00 | $1,356.55 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $135.66 | $2,087.00 | $1,356.55 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] | HB SAMC PHCS PRIMARY | — | $2,087.00 | $1,356.55 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY MGD BEHAVIORAL HEALTH CONTRACTED [320259] | HB SAMC PHCS PRIMARY | — | $2,087.00 | $1,356.55 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $155.42 | $2,391.00 | $1,554.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MULTIPLAN CONTRACTED [320270] | HB STLO WASH JEFN PHCS PRIMARY | — | $2,391.00 | $1,554.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $155.42 | $2,391.00 | $1,554.15 | 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 | $155.42 | $2,391.00 | $1,554.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] | HB STLO WASH JEFN PHCS PRIMARY | — | $2,391.00 | $1,554.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MERCY MGD BEHAVIORAL HEALTH CONTRACTED [320259] | HB STLO WASH JEFN PHCS PRIMARY | — | $2,391.00 | $1,554.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | FIRST HEALTH CONTRACTED [320128] | HB STLO WASH JEFN PHCS PRIMARY | — | $2,391.00 | $1,554.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [3202651] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $190.00 | $2,923.00 | $1,899.95 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MULTIPLAN CONTRACTED [320270] | HB STLO WASH JEFN PHCS PRIMARY | — | $2,923.00 | $1,899.95 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] | HB STLO WASH JEFN PHCS PRIMARY | — | $2,923.00 | $1,899.95 | 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 | $190.00 | $2,923.00 | $1,899.95 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $190.00 | $2,923.00 | $1,899.95 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | FIRST HEALTH CONTRACTED [320128] | HB STLO WASH JEFN PHCS PRIMARY | — | $2,923.00 | $1,899.95 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MERCY MGD BEHAVIORAL HEALTH CONTRACTED [320259] | HB STLO WASH JEFN PHCS PRIMARY | — | $2,923.00 | $1,899.95 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $190.00 | $2,923.00 | $1,899.95 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $194.16 | $2,987.00 | $1,941.55 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MULTIPLAN CONTRACTED [320270] | HB STLO WASH JEFN PHCS PRIMARY | — | $2,987.00 | $1,941.55 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERCY MGD BEHAVIORAL HEALTH CONTRACTED [320259] | HB STLO WASH JEFN PHCS PRIMARY | — | $2,987.00 | $1,941.55 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] | HB STLO WASH JEFN PHCS PRIMARY | — | $2,987.00 | $1,941.55 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $194.16 | $2,987.00 | $1,941.55 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $194.16 | $2,987.00 | $1,941.55 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $194.16 | $2,987.00 | $1,941.55 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [3202651] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $194.16 | $2,987.00 | $1,941.55 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | FIRST HEALTH CONTRACTED [320128] | HB STLO WASH JEFN PHCS PRIMARY | — | $2,987.00 | $1,941.55 | 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 | $203.06 | $3,124.00 | $2,030.60 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $203.06 | $3,124.00 | $2,030.60 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $203.06 | $3,124.00 | $2,030.60 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ARDMORE, INC OutpatientFacility | HEALTHCARE HIGHWAYS PLUS CONTRACTED [320175] | HB ADA, ARDM, OKLC HEALTHCARE HWY CHICKSAW NATION | — | $1,258.00 | $817.70 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $256.62 | $3,948.00 | $2,566.20 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $256.62 | $3,948.00 | $2,566.20 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $256.62 | $3,948.00 | $2,566.20 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $256.62 | $3,948.00 | $2,566.20 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | HEALTH CHOICE CONTRACTED [320166] | HB JOPL HEALTHCHOICE-OSEEGIB | $270.30 | $2,703.00 | $1,756.95 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL ADA OutpatientFacility | GLOBALHEALTH CONTRACTED [320144] | HB ADA GLOBALHEALTH | — | $1,478.00 | $960.70 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ADA OutpatientFacility | HEALTHCARE HIGHWAYS PLUS CONTRACTED [320175] | HB ADA, ARDM, OKLC HEALTHCARE HWY CHICKSAW NATION | — | $1,478.00 | $960.70 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AETNA MEDICAID [20009] | HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $313.05 | $2,087.00 | $1,356.55 | 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 | $313.05 | $2,087.00 | $1,356.55 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MEDICAID [20240] | HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID | $313.05 | $2,087.00 | $1,356.55 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | COUNTYCARE HEALTH PLAN MEDICAID CONTRACTED [320523] | HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID | $313.05 | $2,087.00 | $1,356.55 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $358.65 | $2,391.00 | $1,554.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MEDICAID [20240] | HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID | $358.65 | $2,391.00 | $1,554.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | AETNA MEDICAID [20009] | HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $358.65 | $2,391.00 | $1,554.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ARDMORE, INC OutpatientFacility | HOME STATE HEALTH PLAN CONTRACTED [320187] | HB ARDM AMBETTER EXCHANGE MEDICARE | $377.40 | $1,258.00 | $817.70 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ARDMORE, INC OutpatientFacility | AMBETTER CONTRACTED [320452] | HB ARDM AMBETTER EXCHANGE MEDICARE | $377.40 | $1,258.00 | $817.70 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ARDMORE, INC OutpatientFacility | NOVASYS CONTRACTED [320285] | HB ARDM AMBETTER EXCHANGE MEDICARE | $377.40 | $1,258.00 | $817.70 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ARDMORE, INC OutpatientFacility | SUNFLOWER HEALTH PLAN CONTRACTED [320369] | HB ARDM AMBETTER EXCHANGE MEDICARE | $377.40 | $1,258.00 | $817.70 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PITTSBURG, INC OutpatientFacility | HEALTH CHOICE CONTRACTED [320166] | HB CTHG MNCK PITS HEALTHCHOICE OSEEGIB URBAN TIER 3 | $412.30 | $4,123.00 | $2,679.95 | 2026-03-15 | MRF ↗ |
| MERCY HOSPITAL PITTSBURG, INC OutpatientFacility | HEALTH CHOICE CONTRACTED [320166] | HB CTHG MNCK PITS HEALTHCHOICE OSEEGIB URBAN TIER 3 | $412.30 | $4,123.00 | $2,679.95 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $438.45 | $2,923.00 | $1,899.95 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | AETNA MEDICAID [20009] | HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $438.45 | $2,923.00 | $1,899.95 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MEDICAID [20240] | HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID | $438.45 | $2,923.00 | $1,899.95 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | COUNTYCARE HEALTH PLAN MEDICAID CONTRACTED [320523] | HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID | $438.45 | $2,923.00 | $1,899.95 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL ADA OutpatientFacility | NOVASYS CONTRACTED [320285] | HB ADA AMBETTER EXCHANGE MEDICARE | $443.40 | $1,478.00 | $960.70 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ADA OutpatientFacility | HOME STATE HEALTH PLAN CONTRACTED [320187] | HB ADA AMBETTER EXCHANGE MEDICARE | $443.40 | $1,478.00 | $960.70 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ADA OutpatientFacility | SUNFLOWER HEALTH PLAN CONTRACTED [320369] | HB ADA AMBETTER EXCHANGE MEDICARE | $443.40 | $1,478.00 | $960.70 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ADA OutpatientFacility | AMBETTER CONTRACTED [320452] | HB ADA AMBETTER EXCHANGE MEDICARE | $443.40 | $1,478.00 | $960.70 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | COUNTYCARE HEALTH PLAN MEDICAID CONTRACTED [320523] | HB STLO CAPE IL MEDICAID | $448.05 | $2,987.00 | $1,941.55 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MEDICAID [20240] | HB STLO CAPE IL MEDICAID | $448.05 | $2,987.00 | $1,941.55 | 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 | $468.60 | $3,124.00 | $2,030.60 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | AETNA MEDICAID [20009] | HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $468.60 | $3,124.00 | $2,030.60 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MEDICAID [20240] | HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID | $468.60 | $3,124.00 | $2,030.60 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | HUMANA CONTRACTED [320193] | HB ROGR HUMANA | — | $2,594.00 | $1,686.10 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | MERCY INTERFACILITY [20513] | HB ROGR Inter-Facility CCR New 6.1.25 | $472.11 | $2,594.00 | $1,686.10 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL ARDMORE, INC OutpatientFacility | MEDICA CONTRACTED [320239] | HB ARDM MEDICA EXCHANGE | $481.81 | $1,258.00 | $817.70 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ARDMORE, INC OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB ARDM UHC EXCHANGE | $486.85 | $1,258.00 | $817.70 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL STODDARD OutpatientFacility | MEDICAID [20240] | HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID | $496.35 | $3,309.00 | $2,150.85 | 2026-03-23 | MRF ↗ |
| MERCY HOSPITAL STODDARD OutpatientFacility | COUNTYCARE HEALTH PLAN MEDICAID CONTRACTED [320523] | HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID | $496.35 | $3,309.00 | $2,150.85 | 2026-03-23 | MRF ↗ |
| MERCY HOSPITAL ARDMORE, INC OutpatientFacility | WEBTPA CONTRACTED [320417] | HB OKLC HEART HOSPITAL EMPLOYER | $528.36 | $1,258.00 | $817.70 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MEDICA CONTRACTED [320239] | HB SAMC MEDICA EXCHANGE NEW 010122 | $544.71 | $2,087.00 | $1,356.55 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | KINDFUL HOSPICE [20434] | HB HMH MANAGED MEDICARE 100% W/SEQ | $552.15 | $2,010.00 | $1,306.50 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | ELARA CARING ASPIRE HOSPICE [20433] | HB HMH MANAGED MEDICARE 100% W/SEQ | $552.15 | $2,010.00 | $1,306.50 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB HMH MANAGED MEDICARE 100% W/SEQ | $552.15 | $2,010.00 | $1,306.50 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | AETNA MEDICARE ADVANTAGE CONTRACTED [320010] | HB HMH MANAGED MEDICARE 100% W/SEQ | $552.15 | $2,010.00 | $1,306.50 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | WELLCARE MEDICARE ADVANTAGE CONTRACTED [320421] | HB HMH MANAGED MEDICARE 100% W/SEQ | $552.15 | $2,010.00 | $1,306.50 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | BCBS MEDICARE ADVANTAGE CONTRACTED [320047] | HB HMH MANAGED MEDICARE 100% W/SEQ | $552.15 | $2,010.00 | $1,306.50 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | CHEROKEE NATION HEALTH SERV CONTRACTED [320066] | HB HMH MANAGED MEDICARE 100% W/SEQ | $552.15 | $2,010.00 | $1,306.50 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | KINDFUL HOSPICE CONTRACTED [320434] | HB HMH MANAGED MEDICARE 100% W/SEQ | $552.15 | $2,010.00 | $1,306.50 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | MERCY HOSPICE OKC [20252] | HB HMH MANAGED MEDICARE 100% W/SEQ | $552.15 | $2,010.00 | $1,306.50 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | CROSS TIMBERS HOSPICE [20098] | HB HMH MANAGED MEDICARE 100% W/SEQ | $552.15 | $2,010.00 | $1,306.50 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | HUMANA MEDICARE ADVANTAGE CONTRACTED [320194] | HB HMH MANAGED MEDICARE 100% W/SEQ | $552.15 | $2,010.00 | $1,306.50 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | PROMINENCE HEALTH PLAN MEDICARE ADVANTAGE CONTRACTED [320496] | HB HMH MANAGED MEDICARE 100% W/SEQ | $552.15 | $2,010.00 | $1,306.50 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | TRICARE CONTRACTED [320380] | HB HMH MANAGED MEDICARE 100% W/SEQ | $552.15 | $2,010.00 | $1,306.50 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | HALO HCR INC HOSPICE [20432] | HB HMH MANAGED MEDICARE 100% W/SEQ | $552.15 | $2,010.00 | $1,306.50 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | INDEPENDENT HEALTH [20197] | HB HMH MANAGED MEDICARE 100% W/SEQ | $552.15 | $2,010.00 | $1,306.50 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | HORIZONS MEDICARE [20190] | HB HMH MANAGED MEDICARE 100% W/SEQ | $552.15 | $2,010.00 | $1,306.50 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | WINDSOR MEDICARE [20424] | HB HMH MANAGED MEDICARE 100% W/SEQ | $552.15 | $2,010.00 | $1,306.50 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | ARKANSAS COMMUNITY CARE MEDICARE [20035] | HB HMH MANAGED MEDICARE 100% W/SEQ | $552.15 | $2,010.00 | $1,306.50 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | INDIAN HEALTH SERVICE CONTRACTED [320198] | HB HMH MANAGED MEDICARE 100% W/SEQ | $552.15 | $2,010.00 | $1,306.50 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | MEDICA MEDICARE ADVANTAGE [20477] | HB HMH MEDICA MEDICARE W/SEQ NEW 031523 | $552.15 | $2,010.00 | $1,306.50 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | DEPT OF VETERAN AFFAIRS CONTRACTED [320106] | HB HMH MANAGED MEDICARE 100% W/SEQ | $552.15 | $2,010.00 | $1,306.50 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | MEDICAL ASSOCIATES HEALTH [20444] | HB HMH MANAGED MEDICARE 100% W/SEQ | $552.15 | $2,010.00 | $1,306.50 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | TRIBUTE HEALTH PLAN MCR CONTRACTED [320338] | HB HMH MANAGED MEDICARE 100% W/SEQ | $552.15 | $2,010.00 | $1,306.50 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | BCBS MEDICARE ADVANTAGE [20047] | HB HMH MANAGED MEDICARE 100% W/SEQ | $552.15 | $2,010.00 | $1,306.50 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | HUMANA CONTRACTED [320193] | HB HMH MANAGED MEDICARE 100% W/SEQ | $552.15 | $2,010.00 | $1,306.50 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | ELARA CARING ASPIRE HOSPICE CONTRACTED [320433] | HB HMH MANAGED MEDICARE 100% W/SEQ | $552.15 | $2,010.00 | $1,306.50 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | HEALTH FIRST HEALTH PLANS MEDICARE [20170] | HB HMH MANAGED MEDICARE 100% W/SEQ | $552.15 | $2,010.00 | $1,306.50 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | ESSENCE HEALTHCARE MEDICARE CONTRACTED [320122] | HB HMH MANAGED MEDICARE 100% W/SEQ | $552.15 | $2,010.00 | $1,306.50 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | QUAL CHOICE CONTRACTED [320325] | HB HMH MANAGED MEDICARE 100% W/SEQ | $552.15 | $2,010.00 | $1,306.50 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | HALO HCR INC HOSPICE CONTRACTED [320432] | HB HMH MANAGED MEDICARE 100% W/SEQ | $552.15 | $2,010.00 | $1,306.50 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | PROVIDER PARTNERS HEALTH PLANS CONTRACTED [320450] | HB HMH MANAGED MEDICARE 100% W/SEQ | $552.15 | $2,010.00 | $1,306.50 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | MEDICA MEDICARE ADVANTAGE CONTRACTED [320477] | HB HMH MEDICA MEDICARE W/SEQ NEW 031523 | $552.15 | $2,010.00 | $1,306.50 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | TRICARE [20380] | HB HMH TRICARE | $552.15 | $2,010.00 | $1,306.50 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | MEDICARE [20244] | HB HMH MEDICARE | $552.15 | $2,010.00 | $1,306.50 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | NHC ADVANTAGE MEDICARE CONTRACTED [320282] | HB HMH MANAGED MEDICARE 100% W/SEQ | $552.15 | $2,010.00 | $1,306.50 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | MENTAL HEALTH NETWORK MEDICARE [20250] | HB HMH MANAGED MEDICARE 100% W/SEQ | $552.15 | $2,010.00 | $1,306.50 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | LONGEVITY HEALTH PLAN MEDICARE CONTRACTED [320225] | HB HMH MANAGED MEDICARE 100% W/SEQ | $552.15 | $2,010.00 | $1,306.50 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL ARDMORE, INC OutpatientFacility | AETNA CONTRACTED [320008] | HB ARDM AETNA NBD | $552.26 | $1,258.00 | $817.70 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | GLOBALHEALTH CONTRACTED [320145] | HB HMH GLOBALHEALTH MCR 102% W/SEQ | $563.20 | $2,010.00 | $1,306.50 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL ARDMORE, INC OutpatientFacility | OSMA HEALTH CONTRACTED [320292] | HB ARDM OSMA HEALTH | $566.10 | $1,258.00 | $817.70 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | CIGNA MEDICARE ADVANTAGE CONTRACTED [320072] | HB HMH CIGNA MCR 103% | $568.63 | $2,010.00 | $1,306.50 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | HEALTHSPRING MEDICARE ADVANTAGE CONTRACTED [320526] | HB HMH CIGNA MCR 103% | $568.63 | $2,010.00 | $1,306.50 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL CARTHAGE OutpatientFacility | KANCARE CONTRACTED [320213] | HB CTHG KANCARE UHC MEDICAID | $577.25 | $2,309.00 | $1,500.85 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL CARTHAGE OutpatientFacility | KANCARE [20213] | HB CTHG KANCARE UHC MEDICAID | $577.25 | $2,309.00 | $1,500.85 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL CARTHAGE OutpatientFacility | KANCARE CONTRACTED [320213] | HB CTHG AETNA BETTER HEALTH (KANCARE) | $577.25 | $2,309.00 | $1,500.85 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL CARTHAGE OutpatientFacility | KANCARE [20213] | HB CTHG AETNA BETTER HEALTH (KANCARE) | $577.25 | $2,309.00 | $1,500.85 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB HMH BCBS OF OK NATIVEBLUE MCR 103% (NO SEQ) | $579.68 | $2,010.00 | $1,306.50 | 2026-06-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | KANCARE CONTRACTED [320213] | HB CTHG KANCARE UHC MEDICAID | $581.00 | $2,324.00 | $1,510.60 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | KANCARE [20213] | HB CTHG KANCARE UHC MEDICAID | $581.00 | $2,324.00 | $1,510.60 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | KANCARE [20213] | HB SPRG AETNA BETTER HEALTH (KANCARE) | $581.00 | $2,324.00 | $1,510.60 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | KANCARE [20213] | HB CTHG KANCARE UHC MEDICAID | $581.00 | $2,324.00 | $1,510.60 | 2026-06-04 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | KANCARE CONTRACTED [320213] | HB SPRG AETNA BETTER HEALTH (KANCARE) | $581.00 | $2,324.00 | $1,510.60 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | KANCARE CONTRACTED [320213] | HB SPRG AETNA BETTER HEALTH (KANCARE) | $581.00 | $2,324.00 | $1,510.60 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | KANCARE CONTRACTED [320213] | HB CTHG KANCARE UHC MEDICAID | $581.00 | $2,324.00 | $1,510.60 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | KANCARE [20213] | HB SPRG AETNA BETTER HEALTH (KANCARE) | $581.00 | $2,324.00 | $1,510.60 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | DEVOTED HEALTH MEDICARE CONTRACTED [320500] | HB HMH DEVOTED HEALTH MCR 104% W/O SEQ | $585.31 | $2,010.00 | $1,306.50 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | COUNTYCARE HEALTH PLAN MEDICAID CONTRACTED [320523] | HB STLO CAPE IL MEDICAID | $592.20 | $3,948.00 | $2,566.20 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MEDICAID [20240] | HB STLO CAPE IL MEDICAID | $592.20 | $3,948.00 | $2,566.20 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | AMBETTER CONTRACTED [320452] | HB HMH AMBETTER EXCHANGE MEDICARE | $603.00 | $2,010.00 | $1,306.50 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | SUNFLOWER HEALTH PLAN CONTRACTED [320369] | HB HMH AMBETTER EXCHANGE MEDICARE | $603.00 | $2,010.00 | $1,306.50 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | NOVASYS CONTRACTED [320285] | HB HMH AMBETTER EXCHANGE MEDICARE | $603.00 | $2,010.00 | $1,306.50 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | HOME STATE HEALTH PLAN CONTRACTED [320187] | HB HMH AMBETTER EXCHANGE MEDICARE | $603.00 | $2,010.00 | $1,306.50 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AETNA MEDICARE ADVANTAGE CONTRACTED [320010] | HB SAMC AETNA AND COVENTRY MANAGED MEDICARE | $617.75 | $2,087.00 | $1,356.55 | 2026-06-10 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | MERCY INTERFACILITY [20513] | HB FTSM Inter-Facility CCR New 6.1.25 | $619.42 | $2,813.00 | $1,828.45 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | MERCY INTERFACILITY [20513] | HB FTSM Inter-Facility CCR New 6.1.25 | $619.42 | $2,813.00 | $1,828.45 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL ADA OutpatientFacility | WEBTPA CONTRACTED [320417] | HB OKLC HEART HOSPITAL EMPLOYER | $620.76 | $1,478.00 | $960.70 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MEDICA CONTRACTED [320239] | HB WASH MEDICA EXCHANGE | $624.05 | $2,391.00 | $1,554.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL CARTHAGE OutpatientFacility | PROVIDER PARTNERS HEALTH PLANS CONTRACTED [320450] | HB CTHG MANAGED MEDICARE | $634.28 | $2,309.00 | $1,500.85 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL CARTHAGE OutpatientFacility | PROMINENCE HEALTH PLAN MEDICARE ADVANTAGE CONTRACTED [320496] | HB CTHG MANAGED MEDICARE | $634.28 | $2,309.00 | $1,500.85 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL CARTHAGE OutpatientFacility | MEDICA MEDICARE ADVANTAGE CONTRACTED [320477] | HB CTHG MANAGED MEDICARE | $634.28 | $2,309.00 | $1,500.85 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL CARTHAGE OutpatientFacility | CHEROKEE NATION HEALTH SERV CONTRACTED [320066] | HB CTHG MANAGED MEDICARE | $634.28 | $2,309.00 | $1,500.85 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL CARTHAGE OutpatientFacility | MEDICARE [20244] | HB CTHG MEDICARE | $634.28 | $2,309.00 | $1,500.85 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL CARTHAGE OutpatientFacility | QUAL CHOICE CONTRACTED [320325] | HB CTHG MANAGED MEDICARE | $634.28 | $2,309.00 | $1,500.85 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL CARTHAGE OutpatientFacility | CIGNA MEDICARE ADVANTAGE CONTRACTED [320072] | HB CTHG MANAGED MEDICARE | $634.28 | $2,309.00 | $1,500.85 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL CARTHAGE OutpatientFacility | MERCY MGD BEHAVIORAL HEALTH CONTRACTED [320259] | HB CTHG MANAGED MEDICARE | $634.28 | $2,309.00 | $1,500.85 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL CARTHAGE OutpatientFacility | HALO HCR INC HOSPICE CONTRACTED [320432] | HB CTHG MANAGED MEDICARE | $634.28 | $2,309.00 | $1,500.85 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL CARTHAGE OutpatientFacility | KINDFUL HOSPICE CONTRACTED [320434] | HB CTHG MANAGED MEDICARE | $634.28 | $2,309.00 | $1,500.85 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL CARTHAGE OutpatientFacility | DEPT OF VETERAN AFFAIRS CONTRACTED [320106] | HB CTHG MEDICARE | $634.28 | $2,309.00 | $1,500.85 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL CARTHAGE OutpatientFacility | ESSENCE HEALTHCARE MEDICARE CONTRACTED [320122] | HB CTHG MEDICARE | $634.28 | $2,309.00 | $1,500.85 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL CARTHAGE OutpatientFacility | GLOBALHEALTH CONTRACTED [320145] | HB CTHG MANAGED MEDICARE | $634.28 | $2,309.00 | $1,500.85 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL CARTHAGE OutpatientFacility | CROSS TIMBERS HOSPICE [20098] | HB CTHG MANAGED MEDICARE | $634.28 | $2,309.00 | $1,500.85 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL CARTHAGE OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB CTHG MANAGED MEDICARE | $634.28 | $2,309.00 | $1,500.85 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL CARTHAGE OutpatientFacility | BCBS MEDICARE ADVANTAGE CONTRACTED [320047] | HB CTHG MEDICARE | $634.28 | $2,309.00 | $1,500.85 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL CARTHAGE OutpatientFacility | HUMANA MEDICARE ADVANTAGE CONTRACTED [320194] | HB CTHG MANAGED MEDICARE | $634.28 | $2,309.00 | $1,500.85 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL CARTHAGE OutpatientFacility | LONGEVITY HEALTH PLAN MEDICARE CONTRACTED [320225] | HB CTHG MANAGED MEDICARE | $634.28 | $2,309.00 | $1,500.85 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL CARTHAGE OutpatientFacility | INDIAN HEALTH SERVICE CONTRACTED [320198] | HB CTHG MANAGED MEDICARE | $634.28 | $2,309.00 | $1,500.85 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL CARTHAGE OutpatientFacility | AETNA MEDICARE ADVANTAGE CONTRACTED [320010] | HB CTHG MANAGED MEDICARE | $634.28 | $2,309.00 | $1,500.85 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL CARTHAGE OutpatientFacility | MERCY HOSPICE OKC [20252] | HB CTHG MANAGED MEDICARE | $634.28 | $2,309.00 | $1,500.85 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL CARTHAGE OutpatientFacility | KINDFUL HOSPICE [20434] | HB CTHG MANAGED MEDICARE | $634.28 | $2,309.00 | $1,500.85 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL CARTHAGE OutpatientFacility | ELARA CARING ASPIRE HOSPICE [20433] | HB CTHG MANAGED MEDICARE | $634.28 | $2,309.00 | $1,500.85 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL CARTHAGE OutpatientFacility | MEDICAL ASSOCIATES HEALTH CONTRACTED [320444] | HB CTHG MANAGED MEDICARE | $634.28 | $2,309.00 | $1,500.85 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL CARTHAGE OutpatientFacility | PACE OF THE OZARKS CONTRACTED [320518] | HB CTHG MANAGED MEDICARE | $634.28 | $2,309.00 | $1,500.85 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL CARTHAGE OutpatientFacility | HALO HCR INC HOSPICE [20432] | HB CTHG MANAGED MEDICARE | $634.28 | $2,309.00 | $1,500.85 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL CARTHAGE OutpatientFacility | AETNA MEDICARE ADVANTAGE CONTRACTED [320010] | HB CTHG MEDICARE | $634.28 | $2,309.00 | $1,500.85 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL CARTHAGE OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB CTHG MEDICARE | $634.28 | $2,309.00 | $1,500.85 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL CARTHAGE OutpatientFacility | UNITED HEALTHCARE MEDICARE ADVANTAGE CONTRACTED [320398] | HB CTHG UHC MEDICARE ADVANTAGE | $634.28 | $2,309.00 | $1,500.85 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL CARTHAGE OutpatientFacility | TRICARE CONTRACTED [320380] | HB CTHG TRICARE | $636.66 | $2,309.00 | $1,500.85 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL STODDARD OutpatientFacility | MC ANTHEM [20455] | HB STOD ANTHEM BLUE ACCESS | $645.26 | $3,309.00 | $2,150.85 | 2026-03-23 | MRF ↗ |
| MERCY HOSPITAL STODDARD OutpatientFacility | MC ANTHEM [20455] | HB STOD ANTHEM BLUE PREFERRED/ALLIANCE | $645.26 | $3,309.00 | $2,150.85 | 2026-03-23 | MRF ↗ |
| MERCY HOSPITAL STODDARD OutpatientFacility | MC GENERIC ANTHEM [20456] | HB STOD ANTHEM BLUE PREFERRED/ALLIANCE | $645.26 | $3,309.00 | $2,150.85 | 2026-03-23 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB ROGR DEC WOODARD | $648.50 | $2,594.00 | $1,686.10 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | OKLAHOMA COMPLETE HEALTH MEDICAID CONTRACTED [320485] | HB ROGR OK MANAGED MEDICAID | $648.50 | $2,594.00 | $1,686.10 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB ROGR DEC LACLEDE - NEW 07.01.25 | $648.50 | $2,594.00 | $1,686.10 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | HUMANA MEDICAID CONTRACTED [320486] | HB ROGR OK MANAGED MEDICAID | $648.50 | $2,594.00 | $1,686.10 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB ROGR DEC BARTEL | $648.50 | $2,594.00 | $1,686.10 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | EDISON HEALTH SOLUTIONS CONTRACTED [320502] | HB ROGR DEC WOODARD | $648.50 | $2,594.00 | $1,686.10 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB ROGR OK MANAGED MEDICAID | $648.50 | $2,594.00 | $1,686.10 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB ROGR DEC SCHAEFER QCG | $648.50 | $2,594.00 | $1,686.10 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | YUZU HEALTH CONTRACTED [320521] | HB ROGR DEC LEVEL HEALTH - NEW 01.01.26 | $648.50 | $2,594.00 | $1,686.10 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB ROGR DEC TALL TREE | $648.50 | $2,594.00 | $1,686.10 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | UNITED HEALTHCARE MEDICARE ADVANTAGE CONTRACTED [320398] | HB HMH UHC MEDICARE NEW 040122 W/SEQ 98.1% | $650.64 | $2,010.00 | $1,306.50 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL ADA OutpatientFacility | OSMA HEALTH CONTRACTED [320292] | HB ADA OSMA | $665.10 | $1,478.00 | $960.70 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | TRICARE CONTRACTED [320380] | HB LINC TRICARE - HEALTHNET WEST | $668.60 | $3,124.00 | $2,030.60 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL BOONEVILLE OutpatientFacility | OKLAHOMA COMPLETE HEALTH MEDICAID CONTRACTED [320485] | HB BNVAR OK MANAGED MEDICAID | $669.75 | $2,679.00 | $1,741.35 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL BOONEVILLE OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB BNVAR OK MANAGED MEDICAID | $669.75 | $2,679.00 | $1,741.35 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL WALDRON OutpatientFacility | OKLAHOMA COMPLETE HEALTH MEDICAID CONTRACTED [320485] | HB WLDAR OK MANAGED MEDICAID | $669.75 | $2,679.00 | $1,741.35 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL BOONEVILLE OutpatientFacility | HUMANA MEDICAID CONTRACTED [320486] | HB BNVAR OK MANAGED MEDICAID | $669.75 | $2,679.00 | $1,741.35 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL WALDRON OutpatientFacility | HUMANA MEDICAID CONTRACTED [320486] | HB WLDAR OK MANAGED MEDICAID | $669.75 | $2,679.00 | $1,741.35 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL WALDRON OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB WLDAR OK MANAGED MEDICAID | $669.75 | $2,679.00 | $1,741.35 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | ESSENCE HEALTHCARE MEDICARE CONTRACTED [320122] | HB LINC ESSENCE MEDICARE 100% W/SEQ | $674.16 | $3,124.00 | $2,030.60 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB ROGR BCBS EXCHANGE | $674.44 | $2,594.00 | $1,686.10 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | KANCARE CONTRACTED [320213] | HB JOPL AETNA BETTER HEALTH (KANCARE) | $675.75 | $2,703.00 | $1,756.95 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | KANCARE [20213] | HB JOPL AETNA BETTER HEALTH (KANCARE) | $675.75 | $2,703.00 | $1,756.95 | 2026-06-09 | MRF ↗ |
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