PX-500001176 — Litho Level 3 Initial 30 Minutes
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Litho Level 3 Initial 30 Minutes (CDM PX-500001176) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/PX-500001176?code_type=CDM
MLA (9th ed.)
“Litho Level 3 Initial 30 Minutes (CDM PX-500001176) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/PX-500001176?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“Litho Level 3 Initial 30 Minutes (CDM PX-500001176) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/PX-500001176?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2,681–$6,508 (25th–75th percentile) across 21 hospitals · 155 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM PX-500001176 — 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 | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $340.99 | $5,246.00 | $3,409.90 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $340.99 | $5,246.00 | $3,409.90 | 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 | $340.99 | $5,246.00 | $3,409.90 | 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 | $340.99 | $5,246.00 | $3,409.90 | 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 | $440.77 | $6,781.00 | $4,407.65 | 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 | $440.77 | $6,781.00 | $4,407.65 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $440.77 | $6,781.00 | $4,407.65 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $440.77 | $6,781.00 | $4,407.65 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $473.27 | $7,281.00 | $4,732.65 | 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 | $473.27 | $7,281.00 | $4,732.65 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $473.27 | $7,281.00 | $4,732.65 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $512.59 | $7,886.00 | $5,125.90 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $512.59 | $7,886.00 | $5,125.90 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $512.59 | $7,886.00 | $5,125.90 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $512.59 | $7,886.00 | $5,125.90 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [3202651] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $512.59 | $7,886.00 | $5,125.90 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $556.60 | $8,563.00 | $5,565.95 | 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 | $556.60 | $8,563.00 | $5,565.95 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $556.60 | $8,563.00 | $5,565.95 | 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 | $786.90 | $5,246.00 | $3,409.90 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AETNA MEDICAID [20009] | HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $786.90 | $5,246.00 | $3,409.90 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | COUNTYCARE HEALTH PLAN MEDICAID CONTRACTED [320523] | HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID | $786.90 | $5,246.00 | $3,409.90 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MEDICAID [20240] | HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID | $786.90 | $5,246.00 | $3,409.90 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | MEDICAID [20240] | HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID | $876.30 | $5,842.00 | $3,797.30 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | MEDICAID [20240] | HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID | $876.30 | $5,842.00 | $3,797.30 | 2026-06-11 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | COUNTYCARE HEALTH PLAN MEDICAID CONTRACTED [320523] | HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID | $876.30 | $5,842.00 | $3,797.30 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | COUNTYCARE HEALTH PLAN MEDICAID CONTRACTED [320523] | HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID | $876.30 | $5,842.00 | $3,797.30 | 2026-06-11 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | HEALTH CHOICE CONTRACTED [320166] | HB JOPL HEALTHCHOICE-OSEEGIB | $953.60 | $9,536.00 | $6,198.40 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | HUMANA CONTRACTED [320193] | HB ROGR HUMANA | — | $5,301.00 | $3,445.65 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | MERCY INTERFACILITY [20513] | HB ROGR Inter-Facility CCR New 6.1.25 | $964.78 | $5,301.00 | $3,445.65 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MEDICAID [20240] | HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID | $1,017.15 | $6,781.00 | $4,407.65 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $1,017.15 | $6,781.00 | $4,407.65 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | AETNA MEDICAID [20009] | HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $1,017.15 | $6,781.00 | $4,407.65 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | COUNTYCARE HEALTH PLAN MEDICAID CONTRACTED [320523] | HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID | $1,017.15 | $6,781.00 | $4,407.65 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $1,069.25 | $16,450.00 | $10,692.50 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $1,069.25 | $16,450.00 | $10,692.50 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $1,069.25 | $16,450.00 | $10,692.50 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $1,069.25 | $16,450.00 | $10,692.50 | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | AETNA MEDICAID [20009] | HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $1,092.15 | $7,281.00 | $4,732.65 | 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 | $1,092.15 | $7,281.00 | $4,732.65 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MEDICAID [20240] | HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID | $1,092.15 | $7,281.00 | $4,732.65 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | COUNTYCARE HEALTH PLAN MEDICAID CONTRACTED [320523] | HB STLO CAPE IL MEDICAID | $1,182.90 | $7,886.00 | $5,125.90 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MEDICAID [20240] | HB STLO CAPE IL MEDICAID | $1,182.90 | $7,886.00 | $5,125.90 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL PITTSBURG, INC OutpatientFacility | HEALTH CHOICE CONTRACTED [320166] | HB CTHG MNCK PITS HEALTHCHOICE OSEEGIB URBAN TIER 3 | $1,265.50 | $12,655.00 | $8,225.75 | 2026-03-15 | MRF ↗ |
| MERCY HOSPITAL PITTSBURG, INC OutpatientFacility | HEALTH CHOICE CONTRACTED [320166] | HB CTHG MNCK PITS HEALTHCHOICE OSEEGIB URBAN TIER 3 | $1,265.50 | $12,655.00 | $8,225.75 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MEDICAID [20240] | HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID | $1,284.45 | $8,563.00 | $5,565.95 | 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 | $1,284.45 | $8,563.00 | $5,565.95 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | AETNA MEDICAID [20009] | HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $1,284.45 | $8,563.00 | $5,565.95 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB ROGR DEC BARTEL | $1,325.25 | $5,301.00 | $3,445.65 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB ROGR DEC SCHAEFER QCG | $1,325.25 | $5,301.00 | $3,445.65 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | YUZU HEALTH CONTRACTED [320521] | HB ROGR DEC LEVEL HEALTH - NEW 01.01.26 | $1,325.25 | $5,301.00 | $3,445.65 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB ROGR DEC WOODARD | $1,325.25 | $5,301.00 | $3,445.65 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB ROGR OK MANAGED MEDICAID | $1,325.25 | $5,301.00 | $3,445.65 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB ROGR DEC TALL TREE | $1,325.25 | $5,301.00 | $3,445.65 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB ROGR DEC LACLEDE - NEW 07.01.25 | $1,325.25 | $5,301.00 | $3,445.65 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | HUMANA MEDICAID CONTRACTED [320486] | HB ROGR OK MANAGED MEDICAID | $1,325.25 | $5,301.00 | $3,445.65 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | OKLAHOMA COMPLETE HEALTH MEDICAID CONTRACTED [320485] | HB ROGR OK MANAGED MEDICAID | $1,325.25 | $5,301.00 | $3,445.65 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | EDISON HEALTH SOLUTIONS CONTRACTED [320502] | HB ROGR DEC WOODARD | $1,325.25 | $5,301.00 | $3,445.65 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MEDICA CONTRACTED [320239] | HB SAMC MEDICA EXCHANGE NEW 010122 | $1,369.21 | $5,246.00 | $3,409.90 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB ROGR BCBS EXCHANGE | $1,378.26 | $5,301.00 | $3,445.65 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AETNA MEDICARE ADVANTAGE CONTRACTED [320010] | HB SAMC AETNA AND COVENTRY MANAGED MEDICARE | $1,552.82 | $5,246.00 | $3,409.90 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | MEDICA CONTRACTED [320239] | HB JEFN MEDICA EXCHANGE | $1,769.84 | $6,781.00 | $4,407.65 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | WELLCARE MEDICARE ADVANTAGE CONTRACTED [320421] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $1,776.55 | $5,842.00 | $3,797.30 | 2026-06-11 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | MEDICARE [20244] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $1,776.55 | $5,842.00 | $3,797.30 | 2026-06-11 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | ELARA CARING ASPIRE HOSPICE CONTRACTED [320433] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $1,776.55 | $5,842.00 | $3,797.30 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | MERCY HOSPICE OKC [20252] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $1,776.55 | $5,842.00 | $3,797.30 | 2026-06-11 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | BCBS MEDICARE ADVANTAGE CONTRACTED [320047] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $1,776.55 | $5,842.00 | $3,797.30 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | HALO HCR INC HOSPICE [20432] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $1,776.55 | $5,842.00 | $3,797.30 | 2026-06-11 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | QUAL CHOICE CONTRACTED [320325] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $1,776.55 | $5,842.00 | $3,797.30 | 2026-06-11 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | KINDFUL HOSPICE [20434] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $1,776.55 | $5,842.00 | $3,797.30 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | ELARA CARING ASPIRE HOSPICE [20433] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $1,776.55 | $5,842.00 | $3,797.30 | 2026-06-11 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | ELARA CARING ASPIRE HOSPICE [20433] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $1,776.55 | $5,842.00 | $3,797.30 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | UNITED BEHAVIORAL HEALTH MEDICARE ADVANTAGE CONTRACTED [320392] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $1,776.55 | $5,842.00 | $3,797.30 | 2026-06-11 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | MEDICARE [20244] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $1,776.55 | $5,842.00 | $3,797.30 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | NHC ADVANTAGE MEDICARE CONTRACTED [320282] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $1,776.55 | $5,842.00 | $3,797.30 | 2026-06-11 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | CHEROKEE NATION HEALTH SERV CONTRACTED [320066] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $1,776.55 | $5,842.00 | $3,797.30 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $1,776.55 | $5,842.00 | $3,797.30 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | PACE OF THE OZARKS CONTRACTED [320518] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $1,776.55 | $5,842.00 | $3,797.30 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | PROMINENCE HEALTH PLAN MEDICARE ADVANTAGE CONTRACTED [320496] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $1,776.55 | $5,842.00 | $3,797.30 | 2026-06-11 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | INDIAN HEALTH SERVICE CONTRACTED [320198] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $1,776.55 | $5,842.00 | $3,797.30 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | LONGEVITY HEALTH PLAN MEDICARE CONTRACTED [320225] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $1,776.55 | $5,842.00 | $3,797.30 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | PACE OF THE OZARKS CONTRACTED [320518] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $1,776.55 | $5,842.00 | $3,797.30 | 2026-06-11 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | CROSS TIMBERS HOSPICE [20098] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $1,776.55 | $5,842.00 | $3,797.30 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | CHEROKEE NATION HEALTH SERV CONTRACTED [320066] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $1,776.55 | $5,842.00 | $3,797.30 | 2026-06-11 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | KINDFUL HOSPICE CONTRACTED [320434] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $1,776.55 | $5,842.00 | $3,797.30 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | HALO HCR INC HOSPICE CONTRACTED [320432] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $1,776.55 | $5,842.00 | $3,797.30 | 2026-06-11 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | GLOBALHEALTH CONTRACTED [320145] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $1,776.55 | $5,842.00 | $3,797.30 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | ELARA CARING ASPIRE HOSPICE CONTRACTED [320433] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $1,776.55 | $5,842.00 | $3,797.30 | 2026-06-11 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $1,776.55 | $5,842.00 | $3,797.30 | 2026-06-11 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | WELLCARE MEDICARE ADVANTAGE CONTRACTED [320421] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $1,776.55 | $5,842.00 | $3,797.30 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | MEDICA MEDICARE ADVANTAGE CONTRACTED [320477] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $1,776.55 | $5,842.00 | $3,797.30 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | DEPT OF VETERAN AFFAIRS CONTRACTED [320106] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $1,776.55 | $5,842.00 | $3,797.30 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | MEDICA MEDICARE ADVANTAGE CONTRACTED [320477] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $1,776.55 | $5,842.00 | $3,797.30 | 2026-06-11 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | BCBS MEDICARE ADVANTAGE [20047] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $1,776.55 | $5,842.00 | $3,797.30 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | KINDFUL HOSPICE CONTRACTED [320434] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $1,776.55 | $5,842.00 | $3,797.30 | 2026-06-11 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | HUMANA MEDICARE ADVANTAGE [20194] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $1,776.55 | $5,842.00 | $3,797.30 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | DEPT OF VETERAN AFFAIRS CONTRACTED [320106] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $1,776.55 | $5,842.00 | $3,797.30 | 2026-06-11 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | QUAL CHOICE CONTRACTED [320325] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $1,776.55 | $5,842.00 | $3,797.30 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | HOME STATE HEALTH PLAN MEDICARE CONTRACTED [320188] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $1,776.55 | $5,842.00 | $3,797.30 | 2026-06-11 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | BCBS MEDICARE ADVANTAGE CONTRACTED [320047] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $1,776.55 | $5,842.00 | $3,797.30 | 2026-06-11 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $1,776.55 | $5,842.00 | $3,797.30 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | HALO HCR INC HOSPICE CONTRACTED [320432] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $1,776.55 | $5,842.00 | $3,797.30 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | HEALTHSPRING MEDICARE ADVANTAGE CONTRACTED [320526] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $1,776.55 | $5,842.00 | $3,797.30 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | ACENTRA HEALTH CONTRACTED [320527] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $1,776.55 | $5,842.00 | $3,797.30 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $1,776.55 | $5,842.00 | $3,797.30 | 2026-06-11 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | HUMANA MEDICARE ADVANTAGE CONTRACTED [320194] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $1,776.55 | $5,842.00 | $3,797.30 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | UNITED BEHAVIORAL HEALTH MEDICARE ADVANTAGE CONTRACTED [320392] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $1,776.55 | $5,842.00 | $3,797.30 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | HOME STATE HEALTH PLAN MEDICARE CONTRACTED [320188] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $1,776.55 | $5,842.00 | $3,797.30 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | BCBS MEDICARE ADVANTAGE [20047] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $1,776.55 | $5,842.00 | $3,797.30 | 2026-06-11 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | PROMINENCE HEALTH PLAN MEDICARE ADVANTAGE CONTRACTED [320496] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $1,776.55 | $5,842.00 | $3,797.30 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | GLOBALHEALTH CONTRACTED [320145] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $1,776.55 | $5,842.00 | $3,797.30 | 2026-06-11 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | HUMANA MEDICARE ADVANTAGE CONTRACTED [320194] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $1,776.55 | $5,842.00 | $3,797.30 | 2026-06-11 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | INDIAN HEALTH SERVICE CONTRACTED [320198] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $1,776.55 | $5,842.00 | $3,797.30 | 2026-06-11 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | NHC ADVANTAGE MEDICARE CONTRACTED [320282] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $1,776.55 | $5,842.00 | $3,797.30 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | LONGEVITY HEALTH PLAN MEDICARE CONTRACTED [320225] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $1,776.55 | $5,842.00 | $3,797.30 | 2026-06-11 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | MERCY HOSPICE OKC [20252] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $1,776.55 | $5,842.00 | $3,797.30 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | KINDFUL HOSPICE [20434] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $1,776.55 | $5,842.00 | $3,797.30 | 2026-06-11 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | HALO HCR INC HOSPICE [20432] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $1,776.55 | $5,842.00 | $3,797.30 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | ACENTRA HEALTH CONTRACTED [320527] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $1,776.55 | $5,842.00 | $3,797.30 | 2026-06-11 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | CROSS TIMBERS HOSPICE [20098] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $1,776.55 | $5,842.00 | $3,797.30 | 2026-06-11 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | HUMANA MEDICARE ADVANTAGE [20194] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $1,776.55 | $5,842.00 | $3,797.30 | 2026-06-11 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | HEALTHSPRING MEDICARE ADVANTAGE CONTRACTED [320526] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $1,776.55 | $5,842.00 | $3,797.30 | 2026-06-11 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | MERCY INTERFACILITY [20513] | HB FTSM Inter-Facility CCR New 6.1.25 | $1,782.30 | $8,094.00 | $5,261.10 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | MERCY INTERFACILITY [20513] | HB FTSM Inter-Facility CCR New 6.1.25 | $1,782.30 | $8,094.00 | $5,261.10 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | ESSENCE HEALTHCARE MEDICARE CONTRACTED [320122] | HB PCMH ESSENCE 100% MEDICARE W/O SEQ NEW 010125 | $1,811.02 | $5,842.00 | $3,797.30 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | UNITED HEALTHCARE MEDICARE ADVANTAGE CONTRACTED [320398] | HB PCMH UHC MEDICARE W/O SEQ | $1,811.02 | $5,842.00 | $3,797.30 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | UNITED HEALTHCARE MEDICARE ADVANTAGE CONTRACTED [320398] | HB PCMH UHC MEDICARE W/O SEQ | $1,811.02 | $5,842.00 | $3,797.30 | 2026-06-11 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | ESSENCE HEALTHCARE MEDICARE CONTRACTED [320122] | HB PCMH ESSENCE 100% MEDICARE W/O SEQ NEW 010125 | $1,811.02 | $5,842.00 | $3,797.30 | 2026-06-11 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | TRICARE NON-CONTRACTED [420380] | HB PCMH TRICARE | $1,813.71 | $5,672.00 | $3,686.80 | 2025-06-16 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | TRICARE CONTRACTED [320380] | HB PCMH TRICARE | $1,813.71 | $5,672.00 | $3,686.80 | 2025-06-16 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | TRICARE CONTRACTED [320380] | HB LINC TRICARE - HEALTHNET WEST | $1,832.64 | $8,563.00 | $5,565.95 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | MC AETNA [3558] | HB PCMH AETNA/COVENTRY MEDICARE 102% W/O SEQ | $1,836.03 | $5,672.00 | $3,686.80 | 2025-06-16 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | AETNA [37] | HB PCMH AETNA/COVENTRY MEDICARE 102% W/O SEQ | $1,836.03 | $5,672.00 | $3,686.80 | 2025-06-16 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | UNITED HEALTHCARE MEDICARE ADVANTAGE CONTRACTED [320398] | HB PCMH UHC MEDICARE W/O SEQ | $1,836.03 | $5,672.00 | $3,686.80 | 2025-06-16 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | AETNA MEDICARE ADVANTAGE CONTRACTED [320010] | HB PCMH AETNA/COVENTRY MEDICARE 102% W/O SEQ | $1,836.03 | $5,672.00 | $3,686.80 | 2025-06-16 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | MC GENERIC AETNA [3557] | HB PCMH AETNA/COVENTRY MEDICARE 102% W/O SEQ | $1,836.03 | $5,672.00 | $3,686.80 | 2025-06-16 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | COVENTRY [390] | HB PCMH AETNA/COVENTRY MEDICARE 102% W/O SEQ | $1,836.03 | $5,672.00 | $3,686.80 | 2025-06-16 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | UNITED HEALTHCARE MEDICARE ADVANTAGE NON-CONTRACTED [420398] | HB PCMH UHC MEDICARE W/O SEQ | $1,836.03 | $5,672.00 | $3,686.80 | 2025-06-16 | MRF ↗ |
| MERCY HOSPITAL JEFFERSON OutpatientFacility | AETNA MEDICARE ADVANTAGE CONTRACTED [320010] | HB JEFN AETNA/COVENTRY MGD MEDICARE | $1,844.43 | $6,781.00 | $4,407.65 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | AETNA MEDICARE ADVANTAGE CONTRACTED [320010] | HB PCMH AETNA/COVENTRY MEDICARE 102% W/O SEQ | $1,847.24 | $5,842.00 | $3,797.30 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | AETNA MEDICARE ADVANTAGE CONTRACTED [320010] | HB PCMH AETNA/COVENTRY MEDICARE 102% W/O SEQ | $1,847.24 | $5,842.00 | $3,797.30 | 2026-06-11 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | DEVOTED HEALTH MEDICARE CONTRACTED [320500] | HB PCMH DEVOTED HEALTH MEDICARE ADVANTAGE 104% W/SEQ | $1,847.82 | $5,842.00 | $3,797.30 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | DEVOTED HEALTH MEDICARE CONTRACTED [320500] | HB PCMH DEVOTED HEALTH MEDICARE ADVANTAGE 104% W/SEQ | $1,847.82 | $5,842.00 | $3,797.30 | 2026-06-11 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | ESSENCE HEALTHCARE MEDICARE CONTRACTED [320122] | HB LINC ESSENCE MEDICARE 100% W/SEQ | $1,847.90 | $8,563.00 | $5,565.95 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | KANCARE CONTRACTED [320213] | HB SPRG AETNA BETTER HEALTH (KANCARE) | $1,867.00 | $7,468.00 | $4,854.20 | 2026-06-04 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | KANCARE CONTRACTED [320213] | HB CTHG KANCARE UHC MEDICAID | $1,867.00 | $7,468.00 | $4,854.20 | 2026-06-04 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | KANCARE [20213] | HB SPRG AETNA BETTER HEALTH (KANCARE) | $1,867.00 | $7,468.00 | $4,854.20 | 2026-06-04 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | KANCARE [20213] | HB CTHG KANCARE UHC MEDICAID | $1,867.00 | $7,468.00 | $4,854.20 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | KANCARE CONTRACTED [320213] | HB CTHG KANCARE UHC MEDICAID | $1,867.00 | $7,468.00 | $4,854.20 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | KANCARE CONTRACTED [320213] | HB SPRG AETNA BETTER HEALTH (KANCARE) | $1,867.00 | $7,468.00 | $4,854.20 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | KANCARE [20213] | HB SPRG AETNA BETTER HEALTH (KANCARE) | $1,867.00 | $7,468.00 | $4,854.20 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | KANCARE [20213] | HB CTHG KANCARE UHC MEDICAID | $1,867.00 | $7,468.00 | $4,854.20 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | DEPT OF VETERAN AFFAIRS CONTRACTED [320106] | HB PCMH UHC VA 100% MCR | $1,871.76 | $5,672.00 | $3,686.80 | 2025-06-16 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | AETNA MEDICARE ADVANTAGE CONTRACTED [320010] | HB LINC AETNA/COVENTRY MCR W/O SEQ | $1,883.86 | $8,563.00 | $5,565.95 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | UNITED HEALTHCARE MEDICARE ADVANTAGE CONTRACTED [320398] | HB LINC UHC MCR W/O SEQ | $1,883.86 | $8,563.00 | $5,565.95 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MEDICA CONTRACTED [320239] | HB WASH MEDICA EXCHANGE | $1,900.34 | $7,281.00 | $4,732.65 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | WELLCARE MEDICARE ADVANTAGE CONTRACTED [320421] | HB LINC WELLCARE HARMONY MCR 103% W/SEQ | $1,903.55 | $8,563.00 | $5,565.95 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | DEVOTED HEALTH MEDICARE CONTRACTED [320500] | HB LINC DEVOTED HEALTH MEDICARE ADVANTAGE 104% W/SEQ | $1,922.39 | $8,563.00 | $5,565.95 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ADA OutpatientFacility | GLOBALHEALTH CONTRACTED [320144] | HB ADA GLOBALHEALTH | — | $9,616.00 | $6,250.40 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ADA OutpatientFacility | HEALTHCARE HIGHWAYS PLUS CONTRACTED [320175] | HB ADA, ARDM, OKLC HEALTHCARE HWY CHICKSAW NATION | — | $9,616.00 | $6,250.40 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | PRIORITY HEALTH MEDICARE NON-CONTRACTED [420319] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $2,003.35 | $5,672.00 | $3,686.80 | 2025-06-16 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | MEDICARE ALT PAYER [520244] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $2,003.35 | $5,672.00 | $3,686.80 | 2025-06-16 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | UNITED BEHAVIORAL HEALTH MEDICARE ADVANTAGE NON-CONTRACTED [420392] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $2,003.35 | $5,672.00 | $3,686.80 | 2025-06-16 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | CENTURION OF MISSOURI NON-CONTRACTED [4204591] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $2,003.35 | $5,672.00 | $3,686.80 | 2025-06-16 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | MEDICAL ASSOCIATES HEALTH NON-CONTRACTED [420444] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $2,003.35 | $5,672.00 | $3,686.80 | 2025-06-16 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | CHAMPVA NON-CONTRACTED [420065] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $2,003.35 | $5,672.00 | $3,686.80 | 2025-06-16 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | AMERICAN HEALTH ADVANTAGE OF OK MEDICARE NON-CONTRACTED [420019] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $2,003.35 | $5,672.00 | $3,686.80 | 2025-06-16 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | AETNA MEDICAID NON-CONTRACTED [420009] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $2,003.35 | $5,672.00 | $3,686.80 | 2025-06-16 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | GLOBALHEALTH MEDICARE NON-CONTRACTED [420145] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $2,003.35 | $5,672.00 | $3,686.80 | 2025-06-16 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | DEPT OF VETERAN AFFAIRS NON-CONTRACTED [420106] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $2,003.35 | $5,672.00 | $3,686.80 | 2025-06-16 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | CORIZON NON-CONTRACTED [420091] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $2,003.35 | $5,672.00 | $3,686.80 | 2025-06-16 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | HORIZONS MEDICARE NON-CONTRACTED [420190] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $2,003.35 | $5,672.00 | $3,686.80 | 2025-06-16 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | LONGEVITY HEALTH PLAN MEDICARE NON-CONTRACTED [420225] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $2,003.35 | $5,672.00 | $3,686.80 | 2025-06-16 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | SPINA BIFIDA HLTHCARE BENEFIT NON-CONTRACTED [420506] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $2,003.35 | $5,672.00 | $3,686.80 | 2025-06-16 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | TRIBUTE HEALTH PLAN MCR NON-CONTRACTED [420338] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $2,003.35 | $5,672.00 | $3,686.80 | 2025-06-16 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | MENTAL HEALTH NETWORK MEDICARE NON-CONTRACTED [420250] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $2,003.35 | $5,672.00 | $3,686.80 | 2025-06-16 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | HEALTH FIRST HEALTH PLANS MEDICARE NON-CONTRACTED [420170] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $2,003.35 | $5,672.00 | $3,686.80 | 2025-06-16 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | TRICARE NON-CONTRACTED [420380] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $2,003.35 | $5,672.00 | $3,686.80 | 2025-06-16 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | INDIAN HEALTH SERVICE NON-CONTRACTED [420198] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $2,003.35 | $5,672.00 | $3,686.80 | 2025-06-16 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | CHEROKEE NATION HEALTH SERV NON-CONTRACTED [420066] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $2,003.35 | $5,672.00 | $3,686.80 | 2025-06-16 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | UNITED HEALTHCARE NON-CONTRACTED [420396] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $2,003.35 | $5,672.00 | $3,686.80 | 2025-06-16 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | CLEAR SPRING HEALTH CARE MEDICARE NON-CONTRACTED [420504] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $2,003.35 | $5,672.00 | $3,686.80 | 2025-06-16 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | COX HEALTH MEDICARE ADVANTAGE NON-CONTRACTED [420481] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $2,003.35 | $5,672.00 | $3,686.80 | 2025-06-16 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | VALIR PACE NON-CONTRACTED [420503] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $2,003.35 | $5,672.00 | $3,686.80 | 2025-06-16 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | WINDSOR MEDICARE NON-CONTRACTED [420424] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $2,003.35 | $5,672.00 | $3,686.80 | 2025-06-16 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | NHC ADVANTAGE MEDICARE CONTRACTED [320282] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $2,003.35 | $5,672.00 | $3,686.80 | 2025-06-16 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $2,003.35 | $5,672.00 | $3,686.80 | 2025-06-16 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | CHEROKEE NATION HEALTH SERV CONTRACTED [320066] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $2,003.35 | $5,672.00 | $3,686.80 | 2025-06-16 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | DEPT OF VETERAN AFFAIRS CONTRACTED [320106] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $2,003.35 | $5,672.00 | $3,686.80 | 2025-06-16 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | BCBS MEDICARE ADVANTAGE CONTRACTED [320047] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $2,003.35 | $5,672.00 | $3,686.80 | 2025-06-16 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | UNITED BEHAVIORAL HEALTH MEDICARE ADVANTAGE CONTRACTED [320392] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $2,003.35 | $5,672.00 | $3,686.80 | 2025-06-16 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | PROMINENCE HEALTH PLAN MEDICARE ADVANTAGE CONTRACTED [320496] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $2,003.35 | $5,672.00 | $3,686.80 | 2025-06-16 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | HUMANA MEDICARE ADVANTAGE [20194] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $2,003.35 | $5,672.00 | $3,686.80 | 2025-06-16 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | MEDICARE [20244] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $2,003.35 | $5,672.00 | $3,686.80 | 2025-06-16 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | HOME STATE HEALTH PLAN MEDICARE CONTRACTED [320188] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $2,003.35 | $5,672.00 | $3,686.80 | 2025-06-16 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | GLOBALHEALTH CONTRACTED [320145] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $2,003.35 | $5,672.00 | $3,686.80 | 2025-06-16 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | AMERICAN HEALTH ADVANTAGE OF MO MCR NON-CONTRACTED [420264] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $2,003.35 | $5,672.00 | $3,686.80 | 2025-06-16 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | QUAL CHOICE NON-CONTRACTED [420325] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $2,003.35 | $5,672.00 | $3,686.80 | 2025-06-16 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | HUMANA MEDICARE ADVANTAGE CONTRACTED [320194] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $2,003.35 | $5,672.00 | $3,686.80 | 2025-06-16 | MRF ↗ |
| MERCY HOSPITAL PERRY OutpatientFacility | QUAL CHOICE CONTRACTED [320325] | HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% | $2,003.35 | $5,672.00 | $3,686.80 | 2025-06-16 | 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.