PX-500001138 — Gi Upper Endoscopy W/4 Procedures
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). GI Upper Endoscopy W/4 Procedures (CDM PX-500001138) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/PX-500001138?code_type=CDM
MLA (9th ed.)
“GI Upper Endoscopy W/4 Procedures (CDM PX-500001138) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/PX-500001138?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“GI Upper Endoscopy W/4 Procedures (CDM PX-500001138) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/PX-500001138?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $890–$2,316 (25th–75th percentile) across 26 hospitals · 122 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM PX-500001138 — 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 | PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] | HB SAMC PHCS PRIMARY | — | $2,456.00 | $1,596.40 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | FIRST HEALTH CONTRACTED [320128] | HB SAMC PHCS PRIMARY | — | $2,456.00 | $1,596.40 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $159.64 | $2,456.00 | $1,596.40 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MULTIPLAN CONTRACTED [320270] | HB SAMC PHCS PRIMARY | — | $2,456.00 | $1,596.40 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY MGD BEHAVIORAL HEALTH CONTRACTED [320259] | HB SAMC PHCS PRIMARY | — | $2,456.00 | $1,596.40 | 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 | $159.64 | $2,456.00 | $1,596.40 | 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 | $159.64 | $2,456.00 | $1,596.40 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $159.64 | $2,456.00 | $1,596.40 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MULTIPLAN CONTRACTED [320270] | HB STLO WASH JEFN PHCS PRIMARY | — | $2,664.00 | $1,731.60 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $173.16 | $2,664.00 | $1,731.60 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $173.16 | $2,664.00 | $1,731.60 | 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 | $173.16 | $2,664.00 | $1,731.60 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MERCY MGD BEHAVIORAL HEALTH CONTRACTED [320259] | HB STLO WASH JEFN PHCS PRIMARY | — | $2,664.00 | $1,731.60 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | FIRST HEALTH CONTRACTED [320128] | HB STLO WASH JEFN PHCS PRIMARY | — | $2,664.00 | $1,731.60 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] | HB STLO WASH JEFN PHCS PRIMARY | — | $2,664.00 | $1,731.60 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | FIRST HEALTH CONTRACTED [320128] | HB STLO WASH JEFN PHCS PRIMARY | — | $3,257.00 | $2,117.05 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] | HB STLO WASH JEFN PHCS PRIMARY | — | $3,257.00 | $2,117.05 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MERCY MGD BEHAVIORAL HEALTH CONTRACTED [320259] | HB STLO WASH JEFN PHCS PRIMARY | — | $3,257.00 | $2,117.05 | 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 | $211.71 | $3,257.00 | $2,117.05 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $211.71 | $3,257.00 | $2,117.05 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MULTIPLAN CONTRACTED [320270] | HB STLO WASH JEFN PHCS PRIMARY | — | $3,257.00 | $2,117.05 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $211.71 | $3,257.00 | $2,117.05 | 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 | $211.71 | $3,257.00 | $2,117.05 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [3202651] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $216.32 | $3,328.00 | $2,163.20 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $216.32 | $3,328.00 | $2,163.20 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MULTIPLAN CONTRACTED [320270] | HB STLO WASH JEFN PHCS PRIMARY | — | $3,328.00 | $2,163.20 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $216.32 | $3,328.00 | $2,163.20 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERCY MGD BEHAVIORAL HEALTH CONTRACTED [320259] | HB STLO WASH JEFN PHCS PRIMARY | — | $3,328.00 | $2,163.20 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] | HB STLO WASH JEFN PHCS PRIMARY | — | $3,328.00 | $2,163.20 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $216.32 | $3,328.00 | $2,163.20 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $216.32 | $3,328.00 | $2,163.20 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | FIRST HEALTH CONTRACTED [320128] | HB STLO WASH JEFN PHCS PRIMARY | — | $3,328.00 | $2,163.20 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $226.20 | $3,480.00 | $2,262.00 | 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 | $226.20 | $3,480.00 | $2,262.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $226.20 | $3,480.00 | $2,262.00 | 2026-03-12 | 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 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 ARDMORE, INC OutpatientFacility | HEALTHCARE HIGHWAYS PLUS CONTRACTED [320175] | HB ADA, ARDM, OKLC HEALTHCARE HWY CHICKSAW NATION | — | $1,414.00 | $919.10 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | HEALTH CHOICE CONTRACTED [320166] | HB JOPL HEALTHCHOICE-OSEEGIB | $298.90 | $2,989.00 | $1,942.85 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL ADA OutpatientFacility | GLOBALHEALTH CONTRACTED [320144] | HB ADA GLOBALHEALTH | — | $1,562.00 | $1,015.30 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ADA OutpatientFacility | HEALTHCARE HIGHWAYS PLUS CONTRACTED [320175] | HB ADA, ARDM, OKLC HEALTHCARE HWY CHICKSAW NATION | — | $1,562.00 | $1,015.30 | 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 | $368.40 | $2,456.00 | $1,596.40 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MEDICAID [20240] | HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID | $368.40 | $2,456.00 | $1,596.40 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | COUNTYCARE HEALTH PLAN MEDICAID CONTRACTED [320523] | HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID | $368.40 | $2,456.00 | $1,596.40 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AETNA MEDICAID [20009] | HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $368.40 | $2,456.00 | $1,596.40 | 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 | $399.60 | $2,664.00 | $1,731.60 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | AETNA MEDICAID [20009] | HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $399.60 | $2,664.00 | $1,731.60 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MEDICAID [20240] | HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID | $399.60 | $2,664.00 | $1,731.60 | 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 | 2026-06-09 | 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 ARDMORE, INC OutpatientFacility | AMBETTER CONTRACTED [320452] | HB ARDM AMBETTER EXCHANGE MEDICARE | $424.20 | $1,414.00 | $919.10 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ARDMORE, INC OutpatientFacility | SUNFLOWER HEALTH PLAN CONTRACTED [320369] | HB ARDM AMBETTER EXCHANGE MEDICARE | $424.20 | $1,414.00 | $919.10 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ARDMORE, INC OutpatientFacility | HOME STATE HEALTH PLAN CONTRACTED [320187] | HB ARDM AMBETTER EXCHANGE MEDICARE | $424.20 | $1,414.00 | $919.10 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ARDMORE, INC OutpatientFacility | NOVASYS CONTRACTED [320285] | HB ARDM AMBETTER EXCHANGE MEDICARE | $424.20 | $1,414.00 | $919.10 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ADA OutpatientFacility | HOME STATE HEALTH PLAN CONTRACTED [320187] | HB ADA AMBETTER EXCHANGE MEDICARE | $468.60 | $1,562.00 | $1,015.30 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ADA OutpatientFacility | AMBETTER CONTRACTED [320452] | HB ADA AMBETTER EXCHANGE MEDICARE | $468.60 | $1,562.00 | $1,015.30 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ADA OutpatientFacility | NOVASYS CONTRACTED [320285] | HB ADA AMBETTER EXCHANGE MEDICARE | $468.60 | $1,562.00 | $1,015.30 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ADA OutpatientFacility | SUNFLOWER HEALTH PLAN CONTRACTED [320369] | HB ADA AMBETTER EXCHANGE MEDICARE | $468.60 | $1,562.00 | $1,015.30 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MEDICAID [20240] | HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID | $488.55 | $3,257.00 | $2,117.05 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $488.55 | $3,257.00 | $2,117.05 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | COUNTYCARE HEALTH PLAN MEDICAID CONTRACTED [320523] | HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID | $488.55 | $3,257.00 | $2,117.05 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | AETNA MEDICAID [20009] | HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $488.55 | $3,257.00 | $2,117.05 | 2026-06-10 | 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 ST LOUIS OutpatientFacility | COUNTYCARE HEALTH PLAN MEDICAID CONTRACTED [320523] | HB STLO CAPE IL MEDICAID | $499.20 | $3,328.00 | $2,163.20 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MEDICAID [20240] | HB STLO CAPE IL MEDICAID | $499.20 | $3,328.00 | $2,163.20 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | AETNA MEDICAID [20009] | HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $522.00 | $3,480.00 | $2,262.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MEDICAID [20240] | HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID | $522.00 | $3,480.00 | $2,262.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $522.00 | $3,480.00 | $2,262.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ARDMORE, INC OutpatientFacility | MEDICA CONTRACTED [320239] | HB ARDM MEDICA EXCHANGE | $541.56 | $1,414.00 | $919.10 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | MERCY INTERFACILITY [20513] | HB ROGR Inter-Facility CCR New 6.1.25 | $542.00 | $2,978.00 | $1,935.70 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | HUMANA CONTRACTED [320193] | HB ROGR HUMANA | — | $2,978.00 | $1,935.70 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL ARDMORE, INC OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB ARDM UHC EXCHANGE | $547.22 | $1,414.00 | $919.10 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | TRICARE [20380] | HB HMH TRICARE | $587.03 | $2,137.00 | $1,389.05 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | PROMINENCE HEALTH PLAN MEDICARE ADVANTAGE CONTRACTED [320496] | HB HMH MANAGED MEDICARE 100% W/SEQ | $587.03 | $2,137.00 | $1,389.05 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | QUAL CHOICE CONTRACTED [320325] | HB HMH MANAGED MEDICARE 100% W/SEQ | $587.03 | $2,137.00 | $1,389.05 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | LONGEVITY HEALTH PLAN MEDICARE CONTRACTED [320225] | HB HMH MANAGED MEDICARE 100% W/SEQ | $587.03 | $2,137.00 | $1,389.05 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | CHEROKEE NATION HEALTH SERV CONTRACTED [320066] | HB HMH MANAGED MEDICARE 100% W/SEQ | $587.03 | $2,137.00 | $1,389.05 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | AETNA MEDICARE ADVANTAGE CONTRACTED [320010] | HB HMH MANAGED MEDICARE 100% W/SEQ | $587.03 | $2,137.00 | $1,389.05 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | BCBS MEDICARE ADVANTAGE CONTRACTED [320047] | HB HMH MANAGED MEDICARE 100% W/SEQ | $587.03 | $2,137.00 | $1,389.05 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | DEPT OF VETERAN AFFAIRS CONTRACTED [320106] | HB HMH MANAGED MEDICARE 100% W/SEQ | $587.03 | $2,137.00 | $1,389.05 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | HALO HCR INC HOSPICE [20432] | HB HMH MANAGED MEDICARE 100% W/SEQ | $587.03 | $2,137.00 | $1,389.05 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | KINDFUL HOSPICE [20434] | HB HMH MANAGED MEDICARE 100% W/SEQ | $587.03 | $2,137.00 | $1,389.05 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | ELARA CARING ASPIRE HOSPICE CONTRACTED [320433] | HB HMH MANAGED MEDICARE 100% W/SEQ | $587.03 | $2,137.00 | $1,389.05 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | ARKANSAS COMMUNITY CARE MEDICARE [20035] | HB HMH MANAGED MEDICARE 100% W/SEQ | $587.03 | $2,137.00 | $1,389.05 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | MENTAL HEALTH NETWORK MEDICARE [20250] | HB HMH MANAGED MEDICARE 100% W/SEQ | $587.03 | $2,137.00 | $1,389.05 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | HORIZONS MEDICARE [20190] | HB HMH MANAGED MEDICARE 100% W/SEQ | $587.03 | $2,137.00 | $1,389.05 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | HUMANA MEDICARE ADVANTAGE CONTRACTED [320194] | HB HMH MANAGED MEDICARE 100% W/SEQ | $587.03 | $2,137.00 | $1,389.05 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | HUMANA CONTRACTED [320193] | HB HMH MANAGED MEDICARE 100% W/SEQ | $587.03 | $2,137.00 | $1,389.05 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | PROVIDER PARTNERS HEALTH PLANS CONTRACTED [320450] | HB HMH MANAGED MEDICARE 100% W/SEQ | $587.03 | $2,137.00 | $1,389.05 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | INDEPENDENT HEALTH [20197] | HB HMH MANAGED MEDICARE 100% W/SEQ | $587.03 | $2,137.00 | $1,389.05 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | MEDICARE [20244] | HB HMH MEDICARE | $587.03 | $2,137.00 | $1,389.05 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | WINDSOR MEDICARE [20424] | HB HMH MANAGED MEDICARE 100% W/SEQ | $587.03 | $2,137.00 | $1,389.05 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | ELARA CARING ASPIRE HOSPICE [20433] | HB HMH MANAGED MEDICARE 100% W/SEQ | $587.03 | $2,137.00 | $1,389.05 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | MEDICA MEDICARE ADVANTAGE [20477] | HB HMH MEDICA MEDICARE W/SEQ NEW 031523 | $587.03 | $2,137.00 | $1,389.05 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | INDIAN HEALTH SERVICE CONTRACTED [320198] | HB HMH MANAGED MEDICARE 100% W/SEQ | $587.03 | $2,137.00 | $1,389.05 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | MEDICAL ASSOCIATES HEALTH [20444] | HB HMH MANAGED MEDICARE 100% W/SEQ | $587.03 | $2,137.00 | $1,389.05 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | BCBS MEDICARE ADVANTAGE [20047] | HB HMH MANAGED MEDICARE 100% W/SEQ | $587.03 | $2,137.00 | $1,389.05 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | TRIBUTE HEALTH PLAN MCR CONTRACTED [320338] | HB HMH MANAGED MEDICARE 100% W/SEQ | $587.03 | $2,137.00 | $1,389.05 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | MERCY HOSPICE OKC [20252] | HB HMH MANAGED MEDICARE 100% W/SEQ | $587.03 | $2,137.00 | $1,389.05 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | KINDFUL HOSPICE CONTRACTED [320434] | HB HMH MANAGED MEDICARE 100% W/SEQ | $587.03 | $2,137.00 | $1,389.05 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | HALO HCR INC HOSPICE CONTRACTED [320432] | HB HMH MANAGED MEDICARE 100% W/SEQ | $587.03 | $2,137.00 | $1,389.05 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | TRICARE CONTRACTED [320380] | HB HMH MANAGED MEDICARE 100% W/SEQ | $587.03 | $2,137.00 | $1,389.05 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | ESSENCE HEALTHCARE MEDICARE CONTRACTED [320122] | HB HMH MANAGED MEDICARE 100% W/SEQ | $587.03 | $2,137.00 | $1,389.05 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | HEALTH FIRST HEALTH PLANS MEDICARE [20170] | HB HMH MANAGED MEDICARE 100% W/SEQ | $587.03 | $2,137.00 | $1,389.05 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | WELLCARE MEDICARE ADVANTAGE CONTRACTED [320421] | HB HMH MANAGED MEDICARE 100% W/SEQ | $587.03 | $2,137.00 | $1,389.05 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | MEDICA MEDICARE ADVANTAGE CONTRACTED [320477] | HB HMH MEDICA MEDICARE W/SEQ NEW 031523 | $587.03 | $2,137.00 | $1,389.05 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB HMH MANAGED MEDICARE 100% W/SEQ | $587.03 | $2,137.00 | $1,389.05 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | CROSS TIMBERS HOSPICE [20098] | HB HMH MANAGED MEDICARE 100% W/SEQ | $587.03 | $2,137.00 | $1,389.05 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | NHC ADVANTAGE MEDICARE CONTRACTED [320282] | HB HMH MANAGED MEDICARE 100% W/SEQ | $587.03 | $2,137.00 | $1,389.05 | 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 ARDMORE, INC OutpatientFacility | WEBTPA CONTRACTED [320417] | HB OKLC HEART HOSPITAL EMPLOYER | $593.88 | $1,414.00 | $919.10 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL CARTHAGE OutpatientFacility | KANCARE [20213] | HB CTHG AETNA BETTER HEALTH (KANCARE) | $594.00 | $2,376.00 | $1,544.40 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL CARTHAGE OutpatientFacility | KANCARE CONTRACTED [320213] | HB CTHG KANCARE UHC MEDICAID | $594.00 | $2,376.00 | $1,544.40 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL CARTHAGE OutpatientFacility | KANCARE CONTRACTED [320213] | HB CTHG AETNA BETTER HEALTH (KANCARE) | $594.00 | $2,376.00 | $1,544.40 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL CARTHAGE OutpatientFacility | KANCARE [20213] | HB CTHG KANCARE UHC MEDICAID | $594.00 | $2,376.00 | $1,544.40 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | GLOBALHEALTH CONTRACTED [320145] | HB HMH GLOBALHEALTH MCR 102% W/SEQ | $598.79 | $2,137.00 | $1,389.05 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | CIGNA MEDICARE ADVANTAGE CONTRACTED [320072] | HB HMH CIGNA MCR 103% | $604.56 | $2,137.00 | $1,389.05 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | HEALTHSPRING MEDICARE ADVANTAGE CONTRACTED [320526] | HB HMH CIGNA MCR 103% | $604.56 | $2,137.00 | $1,389.05 | 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) | $616.31 | $2,137.00 | $1,389.05 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL ARDMORE, INC OutpatientFacility | AETNA CONTRACTED [320008] | HB ARDM AETNA NBD | $620.75 | $1,414.00 | $919.10 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | DEVOTED HEALTH MEDICARE CONTRACTED [320500] | HB HMH DEVOTED HEALTH MCR 104% W/O SEQ | $622.29 | $2,137.00 | $1,389.05 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL ARDMORE, INC OutpatientFacility | OSMA HEALTH CONTRACTED [320292] | HB ARDM OSMA HEALTH | $636.30 | $1,414.00 | $919.10 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MEDICA CONTRACTED [320239] | HB SAMC MEDICA EXCHANGE NEW 010122 | $641.02 | $2,456.00 | $1,596.40 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | NOVASYS CONTRACTED [320285] | HB HMH AMBETTER EXCHANGE MEDICARE | $641.10 | $2,137.00 | $1,389.05 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | HOME STATE HEALTH PLAN CONTRACTED [320187] | HB HMH AMBETTER EXCHANGE MEDICARE | $641.10 | $2,137.00 | $1,389.05 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | AMBETTER CONTRACTED [320452] | HB HMH AMBETTER EXCHANGE MEDICARE | $641.10 | $2,137.00 | $1,389.05 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL HEALDTON, INC. OutpatientFacility | SUNFLOWER HEALTH PLAN CONTRACTED [320369] | HB HMH AMBETTER EXCHANGE MEDICARE | $641.10 | $2,137.00 | $1,389.05 | 2026-06-12 | 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 STODDARD OutpatientFacility | MC ANTHEM [20455] | HB STOD ANTHEM BLUE ACCESS | $645.26 | $3,309.00 | $2,150.85 | 2026-03-23 | MRF ↗ |
| MERCY HOSPITAL CARTHAGE OutpatientFacility | BCBS MEDICARE ADVANTAGE CONTRACTED [320047] | HB CTHG MEDICARE | $652.69 | $2,376.00 | $1,544.40 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL CARTHAGE OutpatientFacility | KINDFUL HOSPICE [20434] | HB CTHG MANAGED MEDICARE | $652.69 | $2,376.00 | $1,544.40 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL CARTHAGE OutpatientFacility | CHEROKEE NATION HEALTH SERV CONTRACTED [320066] | HB CTHG MANAGED MEDICARE | $652.69 | $2,376.00 | $1,544.40 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL CARTHAGE OutpatientFacility | AETNA MEDICARE ADVANTAGE CONTRACTED [320010] | HB CTHG MANAGED MEDICARE | $652.69 | $2,376.00 | $1,544.40 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL CARTHAGE OutpatientFacility | CIGNA MEDICARE ADVANTAGE CONTRACTED [320072] | HB CTHG MANAGED MEDICARE | $652.69 | $2,376.00 | $1,544.40 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL CARTHAGE OutpatientFacility | DEPT OF VETERAN AFFAIRS CONTRACTED [320106] | HB CTHG MEDICARE | $652.69 | $2,376.00 | $1,544.40 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL CARTHAGE OutpatientFacility | HALO HCR INC HOSPICE [20432] | HB CTHG MANAGED MEDICARE | $652.69 | $2,376.00 | $1,544.40 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL CARTHAGE OutpatientFacility | AETNA MEDICARE ADVANTAGE CONTRACTED [320010] | HB CTHG MEDICARE | $652.69 | $2,376.00 | $1,544.40 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL CARTHAGE OutpatientFacility | PACE OF THE OZARKS CONTRACTED [320518] | HB CTHG MANAGED MEDICARE | $652.69 | $2,376.00 | $1,544.40 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL CARTHAGE OutpatientFacility | INDIAN HEALTH SERVICE CONTRACTED [320198] | HB CTHG MANAGED MEDICARE | $652.69 | $2,376.00 | $1,544.40 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL CARTHAGE OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB CTHG MANAGED MEDICARE | $652.69 | $2,376.00 | $1,544.40 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL CARTHAGE OutpatientFacility | CROSS TIMBERS HOSPICE [20098] | HB CTHG MANAGED MEDICARE | $652.69 | $2,376.00 | $1,544.40 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL CARTHAGE OutpatientFacility | KINDFUL HOSPICE CONTRACTED [320434] | HB CTHG MANAGED MEDICARE | $652.69 | $2,376.00 | $1,544.40 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL CARTHAGE OutpatientFacility | HUMANA MEDICARE ADVANTAGE CONTRACTED [320194] | HB CTHG MANAGED MEDICARE | $652.69 | $2,376.00 | $1,544.40 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL CARTHAGE OutpatientFacility | HALO HCR INC HOSPICE CONTRACTED [320432] | HB CTHG MANAGED MEDICARE | $652.69 | $2,376.00 | $1,544.40 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL CARTHAGE OutpatientFacility | MEDICA MEDICARE ADVANTAGE CONTRACTED [320477] | HB CTHG MANAGED MEDICARE | $652.69 | $2,376.00 | $1,544.40 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL CARTHAGE OutpatientFacility | UNITED HEALTHCARE MEDICARE ADVANTAGE CONTRACTED [320398] | HB CTHG UHC MEDICARE ADVANTAGE | $652.69 | $2,376.00 | $1,544.40 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL CARTHAGE OutpatientFacility | MEDICAL ASSOCIATES HEALTH CONTRACTED [320444] | HB CTHG MANAGED MEDICARE | $652.69 | $2,376.00 | $1,544.40 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL CARTHAGE OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB CTHG MEDICARE | $652.69 | $2,376.00 | $1,544.40 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL CARTHAGE OutpatientFacility | PROVIDER PARTNERS HEALTH PLANS CONTRACTED [320450] | HB CTHG MANAGED MEDICARE | $652.69 | $2,376.00 | $1,544.40 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL CARTHAGE OutpatientFacility | MEDICARE [20244] | HB CTHG MEDICARE | $652.69 | $2,376.00 | $1,544.40 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL CARTHAGE OutpatientFacility | MERCY HOSPICE OKC [20252] | HB CTHG MANAGED MEDICARE | $652.69 | $2,376.00 | $1,544.40 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL CARTHAGE OutpatientFacility | GLOBALHEALTH CONTRACTED [320145] | HB CTHG MANAGED MEDICARE | $652.69 | $2,376.00 | $1,544.40 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL CARTHAGE OutpatientFacility | ELARA CARING ASPIRE HOSPICE [20433] | HB CTHG MANAGED MEDICARE | $652.69 | $2,376.00 | $1,544.40 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL CARTHAGE OutpatientFacility | LONGEVITY HEALTH PLAN MEDICARE CONTRACTED [320225] | HB CTHG MANAGED MEDICARE | $652.69 | $2,376.00 | $1,544.40 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL CARTHAGE OutpatientFacility | PROMINENCE HEALTH PLAN MEDICARE ADVANTAGE CONTRACTED [320496] | HB CTHG MANAGED MEDICARE | $652.69 | $2,376.00 | $1,544.40 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL CARTHAGE OutpatientFacility | ESSENCE HEALTHCARE MEDICARE CONTRACTED [320122] | HB CTHG MEDICARE | $652.69 | $2,376.00 | $1,544.40 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL CARTHAGE OutpatientFacility | MERCY MGD BEHAVIORAL HEALTH CONTRACTED [320259] | HB CTHG MANAGED MEDICARE | $652.69 | $2,376.00 | $1,544.40 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL CARTHAGE OutpatientFacility | QUAL CHOICE CONTRACTED [320325] | HB CTHG MANAGED MEDICARE | $652.69 | $2,376.00 | $1,544.40 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL CARTHAGE OutpatientFacility | TRICARE CONTRACTED [320380] | HB CTHG TRICARE | $655.13 | $2,376.00 | $1,544.40 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL ADA OutpatientFacility | WEBTPA CONTRACTED [320417] | HB OKLC HEART HOSPITAL EMPLOYER | $656.04 | $1,562.00 | $1,015.30 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | MERCY INTERFACILITY [20513] | HB FTSM Inter-Facility CCR New 6.1.25 | $656.42 | $2,981.00 | $1,937.65 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | MERCY INTERFACILITY [20513] | HB FTSM Inter-Facility CCR New 6.1.25 | $656.42 | $2,981.00 | $1,937.65 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | KANCARE CONTRACTED [320213] | HB SPRG AETNA BETTER HEALTH (KANCARE) | $678.50 | $2,714.00 | $1,764.10 | 2026-06-04 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | KANCARE CONTRACTED [320213] | HB CTHG KANCARE UHC MEDICAID | $678.50 | $2,714.00 | $1,764.10 | 2026-06-04 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | KANCARE [20213] | HB CTHG KANCARE UHC MEDICAID | $678.50 | $2,714.00 | $1,764.10 | 2026-06-04 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | KANCARE [20213] | HB SPRG AETNA BETTER HEALTH (KANCARE) | $678.50 | $2,714.00 | $1,764.10 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | KANCARE [20213] | HB CTHG KANCARE UHC MEDICAID | $678.50 | $2,714.00 | $1,764.10 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | KANCARE CONTRACTED [320213] | HB SPRG AETNA BETTER HEALTH (KANCARE) | $678.50 | $2,714.00 | $1,764.10 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | KANCARE [20213] | HB SPRG AETNA BETTER HEALTH (KANCARE) | $678.50 | $2,714.00 | $1,764.10 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | KANCARE CONTRACTED [320213] | HB CTHG KANCARE UHC MEDICAID | $678.50 | $2,714.00 | $1,764.10 | 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% | $691.75 | $2,137.00 | $1,389.05 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MEDICA CONTRACTED [320239] | HB WASH MEDICA EXCHANGE | $695.30 | $2,664.00 | $1,731.60 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL CARTHAGE OutpatientFacility | WELLCARE MEDICARE ADVANTAGE CONTRACTED [320421] | HB CTHG WELLCARE MEDICARE | $696.17 | $2,376.00 | $1,544.40 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL ADA OutpatientFacility | OSMA HEALTH CONTRACTED [320292] | HB ADA OSMA | $702.90 | $1,562.00 | $1,015.30 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL CARTHAGE OutpatientFacility | DEVOTED HEALTH MEDICARE CONTRACTED [320500] | HB CTHG DEVOTED HEALTH MEDICARE ADVANTAGE 104% W/SEQ | $703.06 | $2,376.00 | $1,544.40 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL WALDRON OutpatientFacility | OKLAHOMA COMPLETE HEALTH MEDICAID CONTRACTED [320485] | HB WLDAR OK MANAGED MEDICAID | $709.75 | $2,839.00 | $1,845.35 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL WALDRON OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB WLDAR OK MANAGED MEDICAID | $709.75 | $2,839.00 | $1,845.35 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL BOONEVILLE OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB BNVAR OK MANAGED MEDICAID | $709.75 | $2,839.00 | $1,845.35 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL BOONEVILLE OutpatientFacility | HUMANA MEDICAID CONTRACTED [320486] | HB BNVAR OK MANAGED MEDICAID | $709.75 | $2,839.00 | $1,845.35 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL BOONEVILLE OutpatientFacility | OKLAHOMA COMPLETE HEALTH MEDICAID CONTRACTED [320485] | HB BNVAR OK MANAGED MEDICAID | $709.75 | $2,839.00 | $1,845.35 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL WALDRON OutpatientFacility | HUMANA MEDICAID CONTRACTED [320486] | HB WLDAR OK MANAGED MEDICAID | $709.75 | $2,839.00 | $1,845.35 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL CARTHAGE OutpatientFacility | HUMANA CONTRACTED [320193] | HB CTHG HUMANA PPO | $712.80 | $2,376.00 | $1,544.40 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MC ANTHEM [20455] | HB CAPE ANTHEM BLUE PREFERRED/ALLIANCE | $714.59 | $3,948.00 | $2,566.20 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MC GENERIC ANTHEM [20456] | HB CAPE ANTHEM BLUE PREFERRED/ALLIANCE | $714.59 | $3,948.00 | $2,566.20 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB CAPE ANTHEM BLUE PREFERRED/ALLIANCE | $714.59 | $3,948.00 | $2,566.20 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL ADA OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB ADA UHC EXCHANGE | $718.52 | $1,562.00 | $1,015.30 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL MARIETTA OutpatientFacility | UNITED HEALTHCARE MEDICARE ADVANTAGE CONTRACTED [320398] | HB LHCP UHC MEDICARE NEW 040122 W/SEQ 98.1% | $726.58 | $2,137.00 | $2,137.00 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL MARIETTA OutpatientFacility | UNITED HEALTHCARE MEDICARE ADVANTAGE CONTRACTED [320398] | HB LHCP UHC MEDICARE NEW 040122 W/SEQ 98.1% | $726.58 | $2,137.00 | $2,137.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AETNA MEDICARE ADVANTAGE CONTRACTED [320010] | HB SAMC AETNA AND COVENTRY MANAGED MEDICARE | $726.98 | $2,456.00 | $1,596.40 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL ADA OutpatientFacility | MEDICA CONTRACTED [320239] | HB ADA MEDICA EXCHANGE | $727.89 | $1,562.00 | $1,015.30 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL MARIETTA OutpatientFacility | TRICARE CONTRACTED [320380] | HB LHCP TRICARE | $731.26 | $2,137.00 | $2,137.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL MARIETTA OutpatientFacility | TRICARE CONTRACTED [320380] | HB LHCP TRICARE | $731.26 | $2,137.00 | $2,137.00 | 2026-06-12 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB ROGR DEC LACLEDE - NEW 07.01.25 | $744.50 | $2,978.00 | $1,935.70 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | OKLAHOMA COMPLETE HEALTH MEDICAID CONTRACTED [320485] | HB ROGR OK MANAGED MEDICAID | $744.50 | $2,978.00 | $1,935.70 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB ROGR DEC WOODARD | $744.50 | $2,978.00 | $1,935.70 | 2026-06-08 | MRF ↗ |
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