SUP-11500A25 — Vlv Aortic Inspiris 25mm 11500a25
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). VLV AORTIC INSPIRIS 25MM 11500A25 (CDM SUP-11500A25) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/SUP-11500A25?code_type=CDM
MLA (9th ed.)
“VLV AORTIC INSPIRIS 25MM 11500A25 (CDM SUP-11500A25) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/SUP-11500A25?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“VLV AORTIC INSPIRIS 25MM 11500A25 (CDM SUP-11500A25) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/SUP-11500A25?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $8,875–$25,278 (25th–75th percentile) across 41 hospitals · 172 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM SUP-11500A25 — 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 |
|---|---|---|---|---|---|---|---|
| BOSTON MEDICAL CENTER Both | TUFTS CONNCARE/QHP [8020] | BMC HB TUFTS SUBSIDIZED PLANS | $431.24 | $20,646.08 | $9,290.74 | 2026-03-13 | MRF ↗ |
| COMMUNITY HOSPITAL Both | FRANCISCAN ACO [236] | Indiana Medicaid | $524.16 | $22,654.80 | $13,592.88 | 2026-04-01 | MRF ↗ |
| COMMUNITY HOSPITAL Both | MEDICAID PRESUMPTIVE [250] | Indiana Medicaid | $524.16 | $22,654.80 | $13,592.88 | 2026-04-01 | MRF ↗ |
| COMMUNITY HOSPITAL Both | CARESOURCE HOOSIER HEALTHWISE [233] | Indiana Medicaid | $524.16 | $22,654.80 | $13,592.88 | 2026-04-01 | MRF ↗ |
| COMMUNITY HOSPITAL Both | MEDICAID MDWISE ST MARG BHS [224] | Indiana Medicaid | $524.16 | $22,654.80 | $13,592.88 | 2026-04-01 | MRF ↗ |
| COMMUNITY HOSPITAL Both | MEDICAID MDWISE CARE SELECT [221] | Indiana Medicaid | $524.16 | $22,654.80 | $13,592.88 | 2026-04-01 | MRF ↗ |
| COMMUNITY HOSPITAL Both | MEDICAID PATHWAYS [270] | Indiana Medicaid | $524.16 | $22,654.80 | $13,592.88 | 2026-04-01 | MRF ↗ |
| COMMUNITY HOSPITAL Both | MEDICAID [200] | Indiana Medicaid | $524.16 | $22,654.80 | $13,592.88 | 2026-04-01 | MRF ↗ |
| COMMUNITY HOSPITAL Both | MEDICAID CENPATICO BHS [211] | Indiana Medicaid | $524.16 | $22,654.80 | $13,592.88 | 2026-04-01 | MRF ↗ |
| COMMUNITY HOSPITAL Both | MEDICAID MDWISE STC BHS [222] | Indiana Medicaid | $524.16 | $22,654.80 | $13,592.88 | 2026-04-01 | MRF ↗ |
| COMMUNITY HOSPITAL Both | MEDICAID MANAGED HEALTH [210] | Indiana Medicaid | $524.16 | $22,654.80 | $13,592.88 | 2026-04-01 | MRF ↗ |
| COMMUNITY HOSPITAL Both | MEDICAID MDWISE HOOSIER BHS [223] | Indiana Medicaid | $524.16 | $22,654.80 | $13,592.88 | 2026-04-01 | MRF ↗ |
| COMMUNITY HOSPITAL Both | CARETAKER HIP [232] | Indiana Medicaid | $524.16 | $22,654.80 | $13,592.88 | 2026-04-01 | MRF ↗ |
| COMMUNITY HOSPITAL Both | MEDICAID ANTHEM MAGELLAN HLT [212] | Indiana Medicaid | $524.16 | $22,654.80 | $13,592.88 | 2026-04-01 | MRF ↗ |
| COMMUNITY HOSPITAL Both | MEDICAID ADVANTAGED HEALTH [201] | Indiana Medicaid | $524.16 | $22,654.80 | $13,592.88 | 2026-04-01 | MRF ↗ |
| COMMUNITY HOSPITAL Both | MEDICAID MD WISE HIP STC BHS [231] | Indiana Medicaid | $524.16 | $22,654.80 | $13,592.88 | 2026-04-01 | MRF ↗ |
| COMMUNITY HOSPITAL Both | MEDICAID MDWISE [220] | Indiana Medicaid | $524.16 | $22,654.80 | $13,592.88 | 2026-04-01 | MRF ↗ |
| COMMUNITY HOSPITAL Both | MEDICAID HIP [230] | Indiana Medicaid | $524.16 | $22,654.80 | $13,592.88 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $996.45 | $15,330.00 | $9,964.50 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $996.45 | $15,330.00 | $9,964.50 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $996.45 | $15,330.00 | $9,964.50 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $1,120.99 | $17,246.00 | $11,209.90 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $1,120.99 | $17,246.00 | $11,209.90 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $1,120.99 | $17,246.00 | $11,209.90 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $1,120.99 | $17,246.00 | $11,209.90 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | HEALTH CHOICE CONTRACTED [320166] | HB JOPL HEALTHCHOICE-OSEEGIB | $2,218.80 | $22,188.00 | $14,422.20 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MEDICAID [20240] | HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID | $2,299.50 | $15,330.00 | $9,964.50 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AETNA MEDICAID [20009] | HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $2,299.50 | $15,330.00 | $9,964.50 | 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 | $2,299.50 | $15,330.00 | $9,964.50 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MEDICAID [20240] | HB STLO CAPE IL MEDICAID | $2,586.90 | $17,246.00 | $11,209.90 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | MERCY INTERFACILITY [20513] | HB ROGR Inter-Facility CCR New 6.1.25 | $2,790.06 | $15,330.00 | $9,964.50 | 2026-03-13 | MRF ↗ |
| COLISEUM MEDICAL CENTERS, LLC, DBA Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $3,102.62 | $45,360.00 | $13,608.00 | 2026-04-01 | MRF ↗ |
| COLISEUM MEDICAL CENTERS, LLC, DBA Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $3,102.62 | $45,360.00 | $13,608.00 | 2026-04-01 | MRF ↗ |
| COLISEUM MEDICAL CENTERS, LLC, DBA Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $3,102.62 | $45,360.00 | $13,608.00 | 2026-04-01 | MRF ↗ |
| COLISEUM MEDICAL CENTERS, LLC, DBA Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $3,102.62 | $45,360.00 | $13,608.00 | 2026-04-01 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | MERCY INTERFACILITY [20513] | HB FTSM Inter-Facility CCR New 6.1.25 | $3,375.67 | $15,330.00 | $9,964.50 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | MERCY INTERFACILITY [20513] | HB FTSM Inter-Facility CCR New 6.1.25 | $3,375.67 | $15,330.00 | $9,964.50 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | HUMANA MEDICAID CONTRACTED [320486] | HB ROGR OK MANAGED MEDICAID | $3,832.50 | $15,330.00 | $9,964.50 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | HUMANA MEDICAID CONTRACTED [320486] | HB FTSM OK MANAGED MEDICAID | $3,832.50 | $15,330.00 | $9,964.50 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | OKLAHOMA COMPLETE HEALTH MEDICAID CONTRACTED [320485] | HB ROGR OK MANAGED MEDICAID | $3,832.50 | $15,330.00 | $9,964.50 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | OKLAHOMA COMPLETE HEALTH MEDICAID CONTRACTED [320485] | HB FTSM OK MANAGED MEDICAID | $3,832.50 | $15,330.00 | $9,964.50 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | HUMANA MEDICAID CONTRACTED [320486] | HB FTSM OK MANAGED MEDICAID | $3,832.50 | $15,330.00 | $9,964.50 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB ROGR OK MANAGED MEDICAID | $3,832.50 | $15,330.00 | $9,964.50 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB FTSM OK MANAGED MEDICAID | $3,832.50 | $15,330.00 | $9,964.50 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | OKLAHOMA COMPLETE HEALTH MEDICAID CONTRACTED [320485] | HB FTSM OK MANAGED MEDICAID | $3,832.50 | $15,330.00 | $9,964.50 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB FTSM OK MANAGED MEDICAID | $3,832.50 | $15,330.00 | $9,964.50 | 2026-03-13 | MRF ↗ |
| PIEDMONT HENRY HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $3,846.53 | $45,360.00 | $13,608.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT HENRY HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $3,846.53 | $45,360.00 | $13,608.00 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MEDICA CONTRACTED [320239] | HB SAMC MEDICA EXCHANGE NEW 010122 | $4,001.13 | $15,330.00 | $9,964.50 | 2026-03-12 | MRF ↗ |
| PIEDMONT HENRY HOSPITAL Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $4,037.04 | $45,360.00 | $13,608.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT HENRY HOSPITAL Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $4,037.04 | $45,360.00 | $13,608.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT HENRY HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $4,041.58 | $45,360.00 | $13,608.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT HENRY HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $4,041.58 | $45,360.00 | $13,608.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT WALTON HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $4,068.79 | $45,360.00 | $13,608.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT MACON NORTH HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $4,173.12 | $45,360.00 | $13,608.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT MACON NORTH HOSPITAL Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $4,173.12 | $45,360.00 | $13,608.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT FAYETTE HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $4,177.66 | $45,360.00 | $13,608.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT FAYETTE HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $4,177.66 | $45,360.00 | $13,608.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $4,272.91 | $45,360.00 | $13,608.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT WALTON HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $4,272.91 | $45,360.00 | $13,608.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWNAN HOSPITAL, INC Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $4,272.91 | $45,360.00 | $13,608.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT WALTON HOSPITAL Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $4,272.91 | $45,360.00 | $13,608.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT FAYETTE HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $4,386.31 | $45,360.00 | $13,608.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT FAYETTE HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $4,386.31 | $45,360.00 | $13,608.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT FAYETTE HOSPITAL Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $4,386.31 | $45,360.00 | $13,608.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT FAYETTE HOSPITAL Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $4,386.31 | $45,360.00 | $13,608.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $4,431.67 | $45,360.00 | $13,608.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $4,431.67 | $45,360.00 | $13,608.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $4,486.10 | $45,360.00 | $13,608.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $4,486.10 | $45,360.00 | $13,608.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWNAN HOSPITAL, INC Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $4,486.10 | $45,360.00 | $13,608.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWNAN HOSPITAL, INC Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $4,486.10 | $45,360.00 | $13,608.00 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MEDICA CONTRACTED [320239] | HB STLO MEDICA EXCHANGE | $4,501.21 | $17,246.00 | $11,209.90 | 2026-03-12 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $4,653.94 | $45,360.00 | $13,608.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $4,653.94 | $45,360.00 | $13,608.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $4,653.94 | $45,360.00 | $13,608.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $4,653.94 | $45,360.00 | $13,608.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT ATHENS REGIONAL MEDICAL CENTER Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $4,826.30 | $45,360.00 | $13,608.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT MOUNTAINSIDE HOSPITAL INC Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $4,926.10 | $45,360.00 | $13,608.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT ATHENS REGIONAL MEDICAL CENTER Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $5,066.71 | $45,360.00 | $13,608.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT ATHENS REGIONAL MEDICAL CENTER Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $5,071.25 | $45,360.00 | $13,608.00 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | KANCARE [20213] | HB CTHG KANCARE UHC MEDICAID | $5,135.50 | $20,542.00 | $13,352.30 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | KANCARE CONTRACTED [320213] | HB CTHG KANCARE UHC MEDICAID | $5,135.50 | $20,542.00 | $13,352.30 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | KANCARE CONTRACTED [320213] | HB SPRG AETNA BETTER HEALTH (KANCARE) | $5,135.50 | $20,542.00 | $13,352.30 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | KANCARE [20213] | HB SPRG AETNA BETTER HEALTH (KANCARE) | $5,135.50 | $20,542.00 | $13,352.30 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | KANCARE [20213] | HB SPRG AETNA BETTER HEALTH (KANCARE) | $5,135.50 | $20,542.00 | $13,352.30 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | KANCARE CONTRACTED [320213] | HB CTHG KANCARE UHC MEDICAID | $5,135.50 | $20,542.00 | $13,352.30 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | KANCARE CONTRACTED [320213] | HB SPRG AETNA BETTER HEALTH (KANCARE) | $5,135.50 | $20,542.00 | $13,352.30 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | KANCARE [20213] | HB CTHG KANCARE UHC MEDICAID | $5,135.50 | $20,542.00 | $13,352.30 | 2026-03-12 | MRF ↗ |
| PIEDMONT HOSPITAL, INC Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $5,175.58 | $45,360.00 | $13,608.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT MOUNTAINSIDE HOSPITAL INC Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $5,175.58 | $45,360.00 | $13,608.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT MOUNTAINSIDE HOSPITAL INC Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $5,175.58 | $45,360.00 | $13,608.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $5,275.37 | $45,360.00 | $13,608.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $5,343.41 | $45,360.00 | $13,608.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $5,343.41 | $45,360.00 | $13,608.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $5,343.41 | $45,360.00 | $13,608.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $5,343.41 | $45,360.00 | $13,608.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $5,375.16 | $45,360.00 | $13,608.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $5,375.16 | $45,360.00 | $13,608.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT HOSPITAL, INC Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $5,434.13 | $45,360.00 | $13,608.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT HOSPITAL, INC Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $5,434.13 | $45,360.00 | $13,608.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT ROCKDALE HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $5,461.34 | $45,360.00 | $13,608.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT ROCKDALE HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $5,461.34 | $45,360.00 | $13,608.00 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | KANCARE [20213] | HB JOPL AETNA BETTER HEALTH (KANCARE) | $5,547.00 | $22,188.00 | $14,422.20 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | KANCARE CONTRACTED [320213] | HB JOPL AETNA BETTER HEALTH (KANCARE) | $5,547.00 | $22,188.00 | $14,422.20 | 2026-03-13 | MRF ↗ |
| PIEDMONT ROCKDALE HOSPITAL Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $5,570.21 | $45,360.00 | $13,608.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT ROCKDALE HOSPITAL Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $5,570.21 | $45,360.00 | $13,608.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT ROCKDALE HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $5,570.21 | $45,360.00 | $13,608.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT ROCKDALE HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $5,570.21 | $45,360.00 | $13,608.00 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY BENEFIT ADMIN [20251] | HB STLO SAMC HERMANN AREA DISTRICT HOSPITAL | $6,132.00 | $15,330.00 | $9,964.50 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC HERMANN AREA DISTRICT HOSPITAL | $6,132.00 | $15,330.00 | $9,964.50 | 2026-03-12 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $6,559.06 | $45,360.00 | $13,608.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $6,559.06 | $45,360.00 | $13,608.00 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | HUMANA CONTRACTED [320193] | HB JOPL HUMANA COMMERCIAL | $6,656.40 | $22,188.00 | $14,422.20 | 2026-03-13 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $6,686.06 | $45,360.00 | $13,608.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $6,686.06 | $45,360.00 | $13,608.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $6,686.06 | $45,360.00 | $13,608.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $6,686.06 | $45,360.00 | $13,608.00 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERCY BENEFIT ADMIN [20251] | HB STLO SAMC HERMANN AREA DISTRICT HOSPITAL | $6,898.40 | $17,246.00 | $11,209.90 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC HERMANN AREA DISTRICT HOSPITAL | $6,898.40 | $17,246.00 | $11,209.90 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY BENEFIT ADMIN [20251] | HB STLO SAMC SCHAEFER AUTOBODY DEC NEW 030121 | $6,898.50 | $15,330.00 | $9,964.50 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] | HB STLO SAMC ASI DEC NEW 010124 | $6,898.50 | $15,330.00 | $9,964.50 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB STLO SAMC SCHAEFER AUTOBODY DEC NEW 030121 | $6,898.50 | $15,330.00 | $9,964.50 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | HEALTHLINK CONTRACTED [320179] | HB STLO SAMC DEC SAPAUGH MOTORS NEW 01.01.25 | $6,898.50 | $15,330.00 | $9,964.50 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC CITY OF JACKSON DEC NEW 010125 | $6,898.50 | $15,330.00 | $9,964.50 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY BENEFIT ADMIN [20251] | HB STLO SAMC CLAYCO DEC | $6,898.50 | $15,330.00 | $9,964.50 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY BENEFIT ADMIN [20251] | HB STLO SAMC DEC SHOW ME BENEFIT CONSORTIUM NEW 070121 | $6,898.50 | $15,330.00 | $9,964.50 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB STLO SAMC SHINE SOLAR DEC NEW 110320 | $6,898.50 | $15,330.00 | $9,964.50 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB STLO SAMC LACLEDE CHAIN DEC NEW 07.01.25 | $6,898.50 | $15,330.00 | $9,964.50 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY BENEFIT ADMIN [20251] | HB STLO SAMC DEC EBA - EMPLOYER BENEFIT ALLIANCE NEW 070121 | $6,898.50 | $15,330.00 | $9,964.50 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC EASTER SEALS DEC NEW 010125 | $6,898.50 | $15,330.00 | $9,964.50 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC TALL TREE DEC NEW 040125 | $6,898.50 | $15,330.00 | $9,964.50 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC SCHAEFER AUTOBODY DEC NEW 030121 | $6,898.50 | $15,330.00 | $9,964.50 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | CIGNA HEALTHCARE CONTRACTED [320071] | HB STLO WASH JEFN SAMC CIGNA BEHAVIORAL HEALTH | $6,898.50 | $15,330.00 | $9,964.50 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC DEC EBA - EMPLOYER BENEFIT ALLIANCE NEW 070121 | $6,898.50 | $15,330.00 | $9,964.50 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC DEC SAPAUGH MOTORS NEW 01.01.25 | $6,898.50 | $15,330.00 | $9,964.50 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AUXIANT CONTRACTED [320462] | HB STLO SAMC FCB BANKS DEC | $6,898.50 | $15,330.00 | $9,964.50 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AUXIANT CONTRACTED [320462] | HB STLO SAMC DEC HYDROMAT | $6,898.50 | $15,330.00 | $9,964.50 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AITHER HEALTH [20449] | HB STLO SAMC SHINE SOLAR DEC NEW 110320 | $6,898.50 | $15,330.00 | $9,964.50 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC DEC QUICK TRIP | $6,898.50 | $15,330.00 | $9,964.50 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AUXIANT CONTRACTED [320462] | HB STLO SAMC CITY OF JACKSON DEC NEW 010125 | $6,898.50 | $15,330.00 | $9,964.50 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AUXIANT CONTRACTED [320462] | HB STLO SAMC BUCHHEIT DEC NEW 070122 | $6,898.50 | $15,330.00 | $9,964.50 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | REFLECT HEALTH CONTRACTED [320492] | HB STLO SAMC WW WOOD DEC | $6,898.50 | $15,330.00 | $9,964.50 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC DEC TOWN AND COUNTRY SUPERMARKETS-NEW 7.1.24 | $6,898.50 | $15,330.00 | $9,964.50 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC CLAYCO DEC | $6,898.50 | $15,330.00 | $9,964.50 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | IMAGINE 360 CONTRACTED [320494] | HB STLO SAMC DEC ROBINSON CONTRUCTION NEW 1.1.25 | $6,898.50 | $15,330.00 | $9,964.50 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | EDISON HEALTH SOLUTIONS CONTRACTED [320502] | HB STLO SAMC WOODARD DEC NEW 040124 | $6,898.50 | $15,330.00 | $9,964.50 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | EDISON HEALTH SOLUTIONS CONTRACTED [320502] | HB STLO SAMC SHINE SOLAR DEC NEW 110320 | $6,898.50 | $15,330.00 | $9,964.50 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | YUZU HEALTH CONTRACTED [320521] | HB STLO SAMC LEVEL HEALTH DEC | $6,898.50 | $15,330.00 | $9,964.50 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB STLO SAMC WOODARD DEC NEW 040124 | $6,898.50 | $15,330.00 | $9,964.50 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] | HB STLO SAMC DEC SHOW ME BENEFIT CONSORTIUM NEW 070121 | $6,898.50 | $15,330.00 | $9,964.50 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | EBMS CONTRACTED [320493] | HB STLO SAMC CRADER DISTRIBUTING DEC NEW 090125 | $6,898.50 | $15,330.00 | $9,964.50 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC BARTEL COMMUNICATION DEC NEW 010125 | $6,898.50 | $15,330.00 | $9,964.50 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC DEC SHOW ME BENEFIT CONSORTIUM NEW 070121 | $6,898.50 | $15,330.00 | $9,964.50 | 2026-03-12 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $7,139.66 | $45,360.00 | $13,608.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $7,139.66 | $45,360.00 | $13,608.00 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB STLO WASH JEFN LINC SAMC CAPE STOD PCMH BCBS ASCENSION | $7,281.75 | $15,330.00 | $9,964.50 | 2026-03-12 | MRF ↗ |
| UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $7,316.57 | $45,360.00 | $13,608.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS BLUE SHIELD EXCHANGE SOUTH CAROLINA [11104] | BCBS South Carolina Exchange | $7,348.32 | $45,360.00 | $13,608.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS BLUE SHIELD EXCHANGE SOUTH CAROLINA [11104] | BCBS South Carolina Exchange | $7,348.32 | $45,360.00 | $13,608.00 | 2026-04-01 | MRF ↗ |
| BOSTON MEDICAL CENTER Both | WELLSENSE HEALTH MEDICAID NEW HAMPSHIRE [1108] | BMC HB WELLSENSE HEALTH MEDICAID NEW HAMPSHIRE | $7,432.59 | $20,646.08 | $9,290.74 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB FTSM DEC BARTEL | $7,665.00 | $15,330.00 | $9,964.50 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | HEALTHLINK CONTRACTED [320179] | HB SAMC HEALTHLINK PPO | $7,665.00 | $15,330.00 | $9,964.50 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | CIGNA HEALTHCARE CONTRACTED [320071] | HB SAMC CIGNA IFP | $7,665.00 | $15,330.00 | $9,964.50 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AMBETTER CONTRACTED [320452] | HB SAMC CENTENE/AMBETTER EXCHANGE | $7,665.00 | $15,330.00 | $9,964.50 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | HOME STATE HEALTH PLAN CONTRACTED [320187] | HB SAMC CENTENE/AMBETTER EXCHANGE | $7,665.00 | $15,330.00 | $9,964.50 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB FTSM DEC TALL TREE | $7,665.00 | $15,330.00 | $9,964.50 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | HEALTHLINK CONTRACTED [320179] | HB SAMC HEALTHLINK HMO | $7,665.00 | $15,330.00 | $9,964.50 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB FTSM DEC WOODARD | $7,665.00 | $15,330.00 | $9,964.50 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | HEALTHLINK CONTRACTED [320179] | HB SAMC DEC EMCAP EBSO | $7,665.00 | $15,330.00 | $9,964.50 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | 90 DEGREE BENEFITS CONTRACTED [320436] | HB FTSM DEC SHOW ME | $7,665.00 | $15,330.00 | $9,964.50 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | OPTUM HEALTH BEHAVIORAL SOLUTIONS [520250] | HB SAMC UHC HMO PPO ALL PAYER | $7,665.00 | $15,330.00 | $9,964.50 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | EDISON HEALTH SOLUTIONS CONTRACTED [320502] | HB FTSM DEC WOODARD | $7,665.00 | $15,330.00 | $9,964.50 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | UNITED MEDICAL RESOURCES CONTRACTED [320454] | HB FTSM,WLDAR,OZKAR,PRSAR,BNVR UHC | $7,665.00 | $15,330.00 | $9,964.50 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB FTSM DEC LACLEDE - NEW 07.01.25 | $7,665.00 | $15,330.00 | $9,964.50 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | CIGNA HEALTHCARE CONTRACTED [320071] | HB SAMC CIGNA HMO | $7,665.00 | $15,330.00 | $9,964.50 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB FTSM DEC TALL TREE | $7,665.00 | $15,330.00 | $9,964.50 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | OPTUM HEALTH BEHAVIORAL SOLUTIONS [520250] | HB FTSM,WLDAR,OZKAR,PRSAR,BNVR UHC | $7,665.00 | $15,330.00 | $9,964.50 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB FTSM,WLDAR,OZKAR,PRSAR,BNVR UHC | $7,665.00 | $15,330.00 | $9,964.50 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | CIGNA HEALTHCARE CONTRACTED [320071] | HB FTSM CIGNA | $7,665.00 | $15,330.00 | $9,964.50 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | UNITED MEDICAL RESOURCES CONTRACTED [320454] | HB FTSM,WLDAR,OZKAR,PRSAR,BNVR UHC | $7,665.00 | $15,330.00 | $9,964.50 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB SAMC UHC HMO PPO ALL PAYER | $7,665.00 | $15,330.00 | $9,964.50 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | MUNICIPAL HEALTH PLAN CONTRACTED [320271] | HB FTSM MUNICIPAL HEALTH | $7,665.00 | $15,330.00 | $9,964.50 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AMBETTER [20452] | HB SAMC CENTENE/AMBETTER EXCHANGE | $7,665.00 | $15,330.00 | $9,964.50 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB SAMC UHC CORE NEW 100121 | $7,665.00 | $15,330.00 | $9,964.50 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB SAMC ANTHEM ACCESS CHOICE | $7,665.00 | $15,330.00 | $9,964.50 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB FTSM DEC LACLEDE - NEW 07.01.25 | $7,665.00 | $15,330.00 | $9,964.50 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB FTSM DEC WOODARD | $7,665.00 | $15,330.00 | $9,964.50 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | UNITED HEALTHCARE [20396] | HB FTSM,WLDAR,OZKAR,PRSAR,BNVR UHC | $7,665.00 | $15,330.00 | $9,964.50 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | UNITED HEALTHCARE [20396] | HB ROGR UHC | $7,665.00 | $15,330.00 | $9,964.50 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | NOVASYS CONTRACTED [320285] | HB SAMC CENTENE/AMBETTER EXCHANGE | $7,665.00 | $15,330.00 | $9,964.50 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB FTSM DEC TOWN AND COUNTRY | $7,665.00 | $15,330.00 | $9,964.50 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB SAMC ANTHEM PATHWAY/EXCHANGE EFF 011520 | $7,665.00 | $15,330.00 | $9,964.50 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | MUNICIPAL HEALTH PLAN CONTRACTED [320271] | HB FTSM MUNICIPAL HEALTH | $7,665.00 | $15,330.00 | $9,964.50 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB FTSM DEC SHOW ME | $7,665.00 | $15,330.00 | $9,964.50 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | EDISON HEALTH SOLUTIONS CONTRACTED [320502] | HB FTSM DEC WOODARD | $7,665.00 | $15,330.00 | $9,964.50 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | CIGNA HEALTHCARE CONTRACTED [320071] | HB FTSM CIGNA | $7,665.00 | $15,330.00 | $9,964.50 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | OPTUM HEALTH BEHAVIORAL SOLUTIONS [520250] | HB FTSM,WLDAR,OZKAR,PRSAR,BNVR UHC | $7,665.00 | $15,330.00 | $9,964.50 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB FTSM DEC BARTEL | $7,665.00 | $15,330.00 | $9,964.50 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] | HB FTSM ROGR DEC ASI | $7,665.00 | $15,330.00 | $9,964.50 | 2026-03-13 | 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.