SUP-193.403 — Spacer Spinal 45x22x7mm Rise-l Nonsterile
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). SPACER SPINAL 45X22X7MM RISE-L NONSTERILE (CDM SUP-193.403) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/SUP-193.403?code_type=CDM
MLA (9th ed.)
“SPACER SPINAL 45X22X7MM RISE-L NONSTERILE (CDM SUP-193.403) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/SUP-193.403?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“SPACER SPINAL 45X22X7MM RISE-L NONSTERILE (CDM SUP-193.403) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/SUP-193.403?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $9,975–$24,721 (25th–75th percentile) across 20 hospitals · 52 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM SUP-193.403 — 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 |
|---|---|---|---|---|---|---|---|
| COLISEUM MEDICAL CENTERS, LLC, DBA Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $2,348.51 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| COLISEUM MEDICAL CENTERS, LLC, DBA Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $2,348.51 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| COLISEUM MEDICAL CENTERS, LLC, DBA Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $2,348.51 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| COLISEUM MEDICAL CENTERS, LLC, DBA Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $2,348.51 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT HENRY HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $2,911.61 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT HENRY HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $2,911.61 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT HENRY HOSPITAL Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $3,055.82 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT HENRY HOSPITAL Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $3,055.82 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT HENRY HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $3,059.25 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT HENRY HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $3,059.25 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT WALTON HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $3,079.85 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT MACON NORTH HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $3,158.82 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT MACON NORTH HOSPITAL Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $3,158.82 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT FAYETTE HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $3,162.25 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT FAYETTE HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $3,162.25 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT WALTON HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $3,234.36 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $3,234.36 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT WALTON HOSPITAL Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $3,234.36 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWNAN HOSPITAL, INC Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $3,234.36 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT FAYETTE HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $3,320.19 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT FAYETTE HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $3,320.19 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT FAYETTE HOSPITAL Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $3,320.19 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT FAYETTE HOSPITAL Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $3,320.19 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $3,354.53 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $3,354.53 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $3,395.73 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWNAN HOSPITAL, INC Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $3,395.73 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $3,395.73 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWNAN HOSPITAL, INC Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $3,395.73 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $3,522.77 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $3,522.77 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $3,522.77 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $3,522.77 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT ATHENS REGIONAL MEDICAL CENTER Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $3,653.24 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT MOUNTAINSIDE HOSPITAL INC Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $3,728.78 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT ATHENS REGIONAL MEDICAL CENTER Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $3,835.22 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT ATHENS REGIONAL MEDICAL CENTER Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $3,838.65 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT MOUNTAINSIDE HOSPITAL INC Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $3,917.62 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT HOSPITAL, INC Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $3,917.62 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT MOUNTAINSIDE HOSPITAL INC Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $3,917.62 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $3,993.16 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $4,044.66 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $4,044.66 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $4,044.66 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $4,044.66 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $4,068.70 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $4,068.70 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT HOSPITAL, INC Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $4,113.33 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT HOSPITAL, INC Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $4,113.33 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT ROCKDALE HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $4,133.93 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT ROCKDALE HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $4,133.93 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT ROCKDALE HOSPITAL Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $4,216.34 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT ROCKDALE HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $4,216.34 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT ROCKDALE HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $4,216.34 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT ROCKDALE HOSPITAL Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $4,216.34 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $4,964.84 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $4,964.84 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $5,060.98 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $5,060.98 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $5,060.98 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $5,060.98 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS OutpatientFacility | MEDICA CONTRACTED [320239] | HB JOPL/SEKS MEDICA EXCHANGE | $5,187.00 | $14,250.00 | $9,262.50 | 2026-03-18 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $5,404.33 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $5,404.33 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $5,538.24 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS BLUE SHIELD EXCHANGE SOUTH CAROLINA [11104] | BCBS South Carolina Exchange | $5,562.27 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS BLUE SHIELD EXCHANGE SOUTH CAROLINA [11104] | BCBS South Carolina Exchange | $5,562.27 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS OutpatientFacility | UNITED MEDICAL RESOURCES CONTRACTED [320454] | HB SEKS UHC | $5,700.00 | $14,250.00 | $9,262.50 | 2026-03-18 | MRF ↗ |
| MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS OutpatientFacility | OPTUM HEALTH BEHAVIORAL SOLUTIONS [520250] | HB SEKS UHC | $5,700.00 | $14,250.00 | $9,262.50 | 2026-03-18 | MRF ↗ |
| MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB SEKS UHC EXCHANGE | $5,700.00 | $14,250.00 | $9,262.50 | 2026-03-18 | MRF ↗ |
| MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB SEKS UHC | $5,700.00 | $14,250.00 | $9,262.50 | 2026-03-18 | MRF ↗ |
| PIEDMONT MACON NORTH HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $5,809.48 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $5,816.35 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $5,816.35 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| COLISEUM MEDICAL CENTERS, LLC, DBA Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $6,008.63 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| COLISEUM MEDICAL CENTERS, LLC, DBA Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $6,008.63 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS OutpatientFacility | FIRST HEALTH CONTRACTED [320128] | HB SEKS AETNA COMMERCIAL/FIRSTHEALTH | $6,042.00 | $14,250.00 | $9,262.50 | 2026-03-18 | MRF ↗ |
| MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS OutpatientFacility | AETNA CONTRACTED [320008] | HB SEKS AETNA COMMERCIAL/FIRSTHEALTH | $6,042.00 | $14,250.00 | $9,262.50 | 2026-03-18 | MRF ↗ |
| COLISEUM MEDICAL CENTERS, LLC, DBA Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $6,132.23 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT MACON NORTH HOSPITAL Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $6,132.23 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| COLISEUM MEDICAL CENTERS, LLC, DBA Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $6,132.23 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT EASTSIDE MEDICAL CENTER Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $6,695.33 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT EASTSIDE MEDICAL CENTER Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $6,695.33 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT EASTSIDE MEDICAL CENTER Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $6,695.33 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT EASTSIDE MEDICAL CENTER Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $6,695.33 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $6,832.67 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT EASTSIDE MEDICAL CENTER Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $6,832.67 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $6,832.67 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT EASTSIDE MEDICAL CENTER Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $6,832.67 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS OutpatientFacility | SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] | HB SPRG JOPL SEKS DEC ASI New 1.1.24 | $7,125.00 | $14,250.00 | $9,262.50 | 2026-03-18 | MRF ↗ |
| MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS OutpatientFacility | POINT C CONTRACTED [320238] | HB SEKS MISSOURI STATE UNIVERSITY | $7,125.00 | $14,250.00 | $9,262.50 | 2026-03-18 | MRF ↗ |
| MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS OutpatientFacility | POINT C CONTRACTED [320238] | HB SEKS DEC CITY OF SPRINGFIELD | $7,125.00 | $14,250.00 | $9,262.50 | 2026-03-18 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $8,072.16 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $8,072.16 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $8,072.16 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $8,072.16 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $8,072.16 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $8,072.16 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT ATHENS REGIONAL MEDICAL CENTER Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $8,075.59 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB SPRG JOPL SEKS DEC TOWN AND COUNTRY SUPERMARKETS- NEW | $8,550.00 | $14,250.00 | $9,262.50 | 2026-03-18 | MRF ↗ |
| Duke Health Raleigh Hospital Outpatient | UHC | UHC HMO | — | $27,000.00 | $7,290.00 | 2025-03-27 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Inpatient | UHC | UHC HMO | — | $27,000.00 | $7,290.00 | 2025-03-14 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | UHC | UHC HMO | — | $27,000.00 | $7,290.00 | 2025-03-27 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Outpatient | UHC | UHC HMO | — | $27,000.00 | $7,290.00 | 2025-03-14 | MRF ↗ |
| Duke Health Raleigh Hospital Outpatient | UHC | UHC PPO | — | $27,000.00 | $7,290.00 | 2025-03-27 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Outpatient | AETNA | AETNA WHOLE HEALTH SELF INSURED | — | $27,000.00 | $7,290.00 | 2025-03-14 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Inpatient | VA MEDICAID | VA MEDICAID | — | $27,000.00 | $7,290.00 | 2025-03-14 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | AETNA | AETNA PPO | — | $27,000.00 | $7,290.00 | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | DUKE PLUS | DUKE PLUS | $8,640.00 | $27,000.00 | $7,290.00 | 2025-03-27 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Inpatient | TROY | TROY MEDICARE ADVANTAGE | — | $27,000.00 | $7,290.00 | 2025-03-14 | MRF ↗ |
| Duke Health Raleigh Hospital Outpatient | AETNA | AETNA WHOLE HEALTH SELF INSURED | — | $27,000.00 | $7,290.00 | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | TROY | TROY MEDICARE ADVANTAGE | — | $27,000.00 | $7,290.00 | 2025-03-27 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Inpatient | CIGNA | CIGNA MEDICARE ADVANTAGE | — | $27,000.00 | $7,290.00 | 2025-03-14 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | VA MEDICAID | VA MEDICAID | — | $27,000.00 | $7,290.00 | 2025-03-27 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Inpatient | ALIGNMENT HEALTH | ALIGNMENT HEALTH MEDICARE ADVANTAGE | — | $27,000.00 | $7,290.00 | 2025-03-14 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | CIGNA | CIGNA MEDICARE ADVANTAGE | — | $27,000.00 | $7,290.00 | 2025-03-27 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Inpatient | AETNA | AETNA PPO | — | $27,000.00 | $7,290.00 | 2025-03-14 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Inpatient | DUKE PLUS | DUKE PLUS | $8,640.00 | $27,000.00 | $7,290.00 | 2025-03-14 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | ALIGNMENT HEALTH | ALIGNMENT HEALTH MEDICARE ADVANTAGE | — | $27,000.00 | $7,290.00 | 2025-03-27 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Outpatient | UHC | UHC PPO | — | $27,000.00 | $7,290.00 | 2025-03-14 | MRF ↗ |
| MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS OutpatientFacility | MC GENERIC ANTHEM [20456] | HB SEKS BLUE CROSS CHOICE | $8,763.75 | $14,250.00 | $9,262.50 | 2026-03-18 | MRF ↗ |
| MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS OutpatientFacility | MC ANTHEM [20455] | HB SEKS BLUE CROSS CHOICE | $8,763.75 | $14,250.00 | $9,262.50 | 2026-03-18 | MRF ↗ |
| MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB SEKS BLUE CROSS CHOICE | $8,763.75 | $14,250.00 | $9,262.50 | 2026-03-18 | MRF ↗ |
| PIEDMONT EASTSIDE MEDICAL CENTER Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $8,913.37 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT EASTSIDE MEDICAL CENTER Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $8,913.37 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS OutpatientFacility | HEALTH SYSTEMS INC CONTRACTED [320174] | HB SEKS DEC HEALTH SYSTEMS NEW 080120 | $9,262.50 | $14,250.00 | $9,262.50 | 2026-03-18 | MRF ↗ |
| MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS OutpatientFacility | BENEFIT MANAGEMENT CONTRACTED [320052] | HB SEKS DEC OZARKS COMMUNITY HOSPITAL NEW 080120 | $9,262.50 | $14,250.00 | $9,262.50 | 2026-03-18 | MRF ↗ |
| MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS OutpatientFacility | POINT C CONTRACTED [320238] | HB SEKS DEC S&H FARM SUPPLY NEW 080120 | $9,262.50 | $14,250.00 | $9,262.50 | 2026-03-18 | MRF ↗ |
| MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS OutpatientFacility | HEALTHSCOPE CONTRACTED [320182] | HB SEKS DEC LIBERTY UTILITIES NEW 080120 | $9,262.50 | $14,250.00 | $9,262.50 | 2026-03-18 | MRF ↗ |
| MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS OutpatientFacility | UNITED MEDICAL RESOURCES CONTRACTED [320454] | HB SEKS DEC LIBERTY UTILITIES NEW 080120 | $9,262.50 | $14,250.00 | $9,262.50 | 2026-03-18 | MRF ↗ |
| MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS OutpatientFacility | POINT C CONTRACTED [320238] | HB SEKS DEC JOPLIN SUPPLY NEW 080120 | $9,262.50 | $14,250.00 | $9,262.50 | 2026-03-18 | MRF ↗ |
| MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS OutpatientFacility | INSURANCE SYSTEM INC CONTRACTED [320465] | HB SEKS DEC HEALTH SYSTEMS NEW 080120 | $9,262.50 | $14,250.00 | $9,262.50 | 2026-03-18 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | CIGNA GEORGIA CIGNA CONNECT [11107] | Cigna Connect | $9,270.45 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | CIGNA GEORGIA CIGNA CONNECT [11107] | Cigna Connect | $9,270.45 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | CIGNA GEORGIA CIGNA CONNECT [11107] | Cigna Connect | $9,270.45 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $9,349.42 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $9,349.42 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT ROCKDALE HOSPITAL Both | CIGNA GEORGIA CIGNA CONNECT [11107] | Cigna Connect | $9,819.81 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | CIGNA GEORGIA CIGNA CONNECT [11107] | Cigna Connect | $9,819.81 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | CIGNA GEORGIA CIGNA CONNECT [11107] | Cigna Connect | $9,819.81 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT EASTSIDE MEDICAL CENTER Both | CIGNA GEORGIA CIGNA CONNECT [11107] | Cigna Connect | $9,819.81 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT EASTSIDE MEDICAL CENTER Both | CIGNA GEORGIA CIGNA CONNECT [11107] | Cigna Connect | $9,819.81 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT HOSPITAL, INC Both | CIGNA GEORGIA CIGNA CONNECT [11107] | Cigna Connect | $9,819.81 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT HENRY HOSPITAL Both | CIGNA GEORGIA CIGNA CONNECT [11107] | Cigna Connect | $9,819.81 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | CIGNA GEORGIA CIGNA CONNECT [11107] | Cigna Connect | $9,819.81 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT ROCKDALE HOSPITAL Both | CIGNA GEORGIA CIGNA CONNECT [11107] | Cigna Connect | $9,819.81 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | CIGNA GEORGIA CIGNA CONNECT [11107] | Cigna Connect | $9,819.81 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT HENRY HOSPITAL Both | CIGNA GEORGIA CIGNA CONNECT [11107] | Cigna Connect | $9,819.81 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT FAYETTE HOSPITAL Both | CIGNA GEORGIA CIGNA CONNECT [11107] | Cigna Connect | $9,819.81 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWNAN HOSPITAL, INC Both | CIGNA GEORGIA CIGNA CONNECT [11107] | Cigna Connect | $9,819.81 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | CIGNA GEORGIA CIGNA CONNECT [11107] | Cigna Connect | $9,819.81 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT FAYETTE HOSPITAL Both | CIGNA GEORGIA CIGNA CONNECT [11107] | Cigna Connect | $9,819.81 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT ATHENS REGIONAL MEDICAL CENTER Both | CIGNA GEORGIA CIGNA CONNECT [11107] | Cigna Connect | $9,819.81 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $9,826.68 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $9,826.68 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $9,826.68 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS OutpatientFacility | CIGNA HEALTHCARE CONTRACTED [320071] | HB SEKS/JOPL CIGNA PPO | $9,975.00 | $14,250.00 | $9,262.50 | 2026-03-18 | MRF ↗ |
| MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS OutpatientFacility | EBMS CONTRACTED [320493] | HB SEKS DEC CRADER DISTRIBUTION | $9,975.00 | $14,250.00 | $9,262.50 | 2026-03-18 | MRF ↗ |
| MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS OutpatientFacility | IMAGINE 360 CONTRACTED [320494] | HB SEKS DEC ROBINSON CONSTRUCTION NEW 1.1.25 | $9,975.00 | $14,250.00 | $9,262.50 | 2026-03-18 | MRF ↗ |
| MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS OutpatientFacility | AUXIANT CONTRACTED [320462] | HB SEKS DEC BUCHHEIT | $9,975.00 | $14,250.00 | $9,262.50 | 2026-03-18 | MRF ↗ |
| MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS OutpatientFacility | REFLECT HEALTH CONTRACTED [320492] | HB SEKS DEC DEC WW WOOD PRODUCTS NEW 1.1.26 | $9,975.00 | $14,250.00 | $9,262.50 | 2026-03-18 | MRF ↗ |
| MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS OutpatientFacility | AUXIANT CONTRACTED [320462] | HB SEKS DEC CITY OF JACKSON NEW 1.1.25 | $9,975.00 | $14,250.00 | $9,262.50 | 2026-03-18 | MRF ↗ |
| MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS OutpatientFacility | YUZU HEALTH CONTRACTED [320521] | HB SEKS DEC QUALITY COLLISION GROUP (QCG) SCHAEFER AUTOBODY | $9,975.00 | $14,250.00 | $9,262.50 | 2026-03-18 | MRF ↗ |
| MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB SEKS DEC SAPAUGH MOTORS NEW 1.1.25 | $9,975.00 | $14,250.00 | $9,262.50 | 2026-03-18 | MRF ↗ |
| MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS OutpatientFacility | AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] | HB JOPL SEKS AMERICAN HEALTHCARE ALLIANCE | $9,975.00 | $14,250.00 | $9,262.50 | 2026-03-18 | MRF ↗ |
| MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB SEKS DEC EASTER SEALS | $9,975.00 | $14,250.00 | $9,262.50 | 2026-03-18 | MRF ↗ |
| MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS OutpatientFacility | CIGNA HEALTHCARE CONTRACTED [320071] | HB SEKS/JOPL CIGNA HMO | $9,975.00 | $14,250.00 | $9,262.50 | 2026-03-18 | MRF ↗ |
| MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB SEKS DEC BARTEL COMMUNICATIONS NEW 1.1.25 | $9,975.00 | $14,250.00 | $9,262.50 | 2026-03-18 | MRF ↗ |
| MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB SEKS DEC TALL TREE NEW 4.1.25 | $9,975.00 | $14,250.00 | $9,262.50 | 2026-03-18 | MRF ↗ |
| MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB SEKS DEC LACLEDE CHAIN | $9,975.00 | $14,250.00 | $9,262.50 | 2026-03-18 | MRF ↗ |
| MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS OutpatientFacility | EDISON HEALTH SOLUTIONS CONTRACTED [320502] | HB SEKS WOODARD DEC NEW 040124 | $9,975.00 | $14,250.00 | $9,262.50 | 2026-03-18 | MRF ↗ |
| MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB SEKS EC QUICKTRIP | $9,975.00 | $14,250.00 | $9,262.50 | 2026-03-18 | MRF ↗ |
| MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB SEKS DEC QUALITY COLLISION GROUP (QCG) SCHAEFER AUTOBODY | $9,975.00 | $14,250.00 | $9,262.50 | 2026-03-18 | MRF ↗ |
| MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB SEKS WOODARD DEC NEW 040124 | $9,975.00 | $14,250.00 | $9,262.50 | 2026-03-18 | MRF ↗ |
| MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS OutpatientFacility | AUXIANT CONTRACTED [320462] | HB SEKS Network Affiliation | $10,687.50 | $14,250.00 | $9,262.50 | 2026-03-18 | MRF ↗ |
| MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS OutpatientFacility | PREFERRED HEALTH PLAN CONTRACTED [320522] | HB SEKS Network Affiliation | $10,687.50 | $14,250.00 | $9,262.50 | 2026-03-18 | MRF ↗ |
| MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS OutpatientFacility | POINT C CONTRACTED [320238] | HB SEKS SCURLOCK INDUSTRIES | $10,687.50 | $14,250.00 | $9,262.50 | 2026-03-18 | MRF ↗ |
| MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS OutpatientFacility | FEDERAL MEDICAL CENTER CONTRACTED [320127] | HB SEKS Network Affiliation | $10,687.50 | $14,250.00 | $9,262.50 | 2026-03-18 | MRF ↗ |
| MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS OutpatientFacility | POINT C CONTRACTED [320238] | HB SEKS Network Affiliation | $10,687.50 | $14,250.00 | $9,262.50 | 2026-03-18 | MRF ↗ |
| MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS OutpatientFacility | HEALTHLINK CONTRACTED [320179] | HB SEKS Network Affiliation | $10,687.50 | $14,250.00 | $9,262.50 | 2026-03-18 | MRF ↗ |
| MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS OutpatientFacility | HEALTHSCOPE CONTRACTED [320182] | HB SEKS Network Affiliation | $10,687.50 | $14,250.00 | $9,262.50 | 2026-03-18 | MRF ↗ |
| MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS OutpatientFacility | POINT C CONTRACTED [320238] | HB SEKS DEC TRAILINER | $10,687.50 | $14,250.00 | $9,262.50 | 2026-03-18 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS [10001] | Blue Cross South Carolina | $10,746.86 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS [10001] | Blue Cross South Carolina | $10,746.86 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | CIGNA [10200] | Cigna Local Plus | $10,815.53 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | CIGNA [10200] | Cigna Local Plus | $10,815.53 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | CIGNA [10200] | Cigna Local Plus | $10,815.53 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross HMO | $11,011.23 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB SEKS BLUE CROSS CAP | $11,115.00 | $14,250.00 | $9,262.50 | 2026-03-18 | MRF ↗ |
| MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS OutpatientFacility | COMPCARE OF THE OZARKS CONTRACTED [320437] | HB SEKS COMP CARE OF THE OZARKS | $11,257.50 | $14,250.00 | $9,262.50 | 2026-03-18 | MRF ↗ |
| MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS OutpatientFacility | WORKERS COMP [20426] | HB JOPL SEKS PITS CTHG MNCK OHA WORKERS COMP NEW 3.15.25 | $11,400.00 | $14,250.00 | $9,262.50 | 2026-03-18 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $11,440.42 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS [10001] | Blue Cross HMO | $11,440.42 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| COLISEUM MEDICAL CENTERS, LLC, DBA Both | BLUE CROSS [10001] | Blue Cross PPO | $11,440.42 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| COLISEUM MEDICAL CENTERS, LLC, DBA Both | BLUE CROSS [10001] | Blue Cross HMO | $11,440.42 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS [10001] | Blue Cross HMO | $11,440.42 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| COLISEUM MEDICAL CENTERS, LLC, DBA Both | BLUE CROSS [10001] | Blue Cross PPO | $11,440.42 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS [10001] | Blue Cross PPO | $11,440.42 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| COLISEUM MEDICAL CENTERS, LLC, DBA Both | BLUE CROSS [10001] | Blue Cross HMO | $11,440.42 | $34,335.00 | $10,300.50 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | CIGNA [10200] | Cigna Open Access | $11,502.23 | $34,335.00 | $10,300.50 | 2026-04-01 | 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.