SUP-472620 — Allograft Flexhd Dermis 12x20cm 472620
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). ALLOGRAFT FLEXHD DERMIS 12X20CM 472620 (CDM SUP-472620) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/SUP-472620?code_type=CDM
MLA (9th ed.)
“ALLOGRAFT FLEXHD DERMIS 12X20CM 472620 (CDM SUP-472620) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/SUP-472620?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“ALLOGRAFT FLEXHD DERMIS 12X20CM 472620 (CDM SUP-472620) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/SUP-472620?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $7,197–$13,363 (25th–75th percentile) across 6 hospitals · 97 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM SUP-472620 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| MERCY HOSPITAL SOUTH OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [3202651] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $1,039.61 | $15,994.00 | $10,396.10 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $1,039.61 | $15,994.00 | $10,396.10 | 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 | $1,039.61 | $15,994.00 | $10,396.10 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $1,039.61 | $15,994.00 | $10,396.10 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AETNA MEDICAID [20009] | HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $2,399.10 | $15,994.00 | $10,396.10 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | COUNTYCARE HEALTH PLAN MEDICAID CONTRACTED [320523] | HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID | $2,399.10 | $15,994.00 | $10,396.10 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $2,399.10 | $15,994.00 | $10,396.10 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MEDICAID [20240] | HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID | $2,399.10 | $15,994.00 | $10,396.10 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MEDICA CONTRACTED [320239] | HB SAMC MEDICA EXCHANGE NEW 010122 | $4,174.43 | $15,994.00 | $10,396.10 | 2026-06-10 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | MERCY INTERFACILITY [20513] | HB FTSM Inter-Facility CCR New 6.1.25 | $4,526.87 | $20,558.00 | $13,362.70 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | MERCY INTERFACILITY [20513] | HB FTSM Inter-Facility CCR New 6.1.25 | $4,526.87 | $20,558.00 | $13,362.70 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB FTSM OK MANAGED MEDICAID | $5,139.50 | $20,558.00 | $13,362.70 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | HUMANA MEDICAID CONTRACTED [320486] | HB FTSM OK MANAGED MEDICAID | $5,139.50 | $20,558.00 | $13,362.70 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL BOONEVILLE OutpatientFacility | HUMANA MEDICAID CONTRACTED [320486] | HB BNVAR OK MANAGED MEDICAID | $5,139.50 | $20,558.00 | $13,362.70 | 2026-03-14 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | HUMANA MEDICAID CONTRACTED [320486] | HB FTSM OK MANAGED MEDICAID | $5,139.50 | $20,558.00 | $13,362.70 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | OKLAHOMA COMPLETE HEALTH MEDICAID CONTRACTED [320485] | HB FTSM OK MANAGED MEDICAID | $5,139.50 | $20,558.00 | $13,362.70 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB FTSM OK MANAGED MEDICAID | $5,139.50 | $20,558.00 | $13,362.70 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL BOONEVILLE OutpatientFacility | OKLAHOMA COMPLETE HEALTH MEDICAID CONTRACTED [320485] | HB BNVAR OK MANAGED MEDICAID | $5,139.50 | $20,558.00 | $13,362.70 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL BOONEVILLE OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB BNVAR OK MANAGED MEDICAID | $5,139.50 | $20,558.00 | $13,362.70 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | OKLAHOMA COMPLETE HEALTH MEDICAID CONTRACTED [320485] | HB FTSM OK MANAGED MEDICAID | $5,139.50 | $20,558.00 | $13,362.70 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL BOONEVILLE OutpatientFacility | CROSS TIMBERS HOSPICE [20098] | HB BNVAR MANAGED MEDICARE | $6,050.22 | $20,558.00 | $13,362.70 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL BOONEVILLE OutpatientFacility | ELARA CARING ASPIRE HOSPICE CONTRACTED [320433] | HB BNVAR MANAGED MEDICARE | $6,050.22 | $20,558.00 | $13,362.70 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL BOONEVILLE OutpatientFacility | PROMINENCE HEALTH PLAN MEDICARE ADVANTAGE CONTRACTED [320496] | HB BNVAR MANAGED MEDICARE | $6,050.22 | $20,558.00 | $13,362.70 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL BOONEVILLE OutpatientFacility | UNITED BEHAVIORAL HEALTH MEDICARE ADVANTAGE CONTRACTED [320392] | HB BNVAR MANAGED MEDICARE | $6,050.22 | $20,558.00 | $13,362.70 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL BOONEVILLE OutpatientFacility | DEPT OF VETERAN AFFAIRS CONTRACTED [320106] | HB BNVAR MANAGED MEDICARE | $6,050.22 | $20,558.00 | $13,362.70 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL BOONEVILLE OutpatientFacility | CHEROKEE NATION HEALTH SERV CONTRACTED [320066] | HB BNVAR MANAGED MEDICARE | $6,050.22 | $20,558.00 | $13,362.70 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL BOONEVILLE OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB BNVAR MANAGED MEDICARE | $6,050.22 | $20,558.00 | $13,362.70 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL BOONEVILLE OutpatientFacility | BCBS MEDICARE ADVANTAGE CONTRACTED [320047] | HB BNVAR MANAGED MEDICARE | $6,050.22 | $20,558.00 | $13,362.70 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL BOONEVILLE OutpatientFacility | ELARA CARING ASPIRE HOSPICE [20433] | HB BNVAR MANAGED MEDICARE | $6,050.22 | $20,558.00 | $13,362.70 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL BOONEVILLE OutpatientFacility | PROVIDER PARTNERS HEALTH PLANS CONTRACTED [320450] | HB BNVAR MANAGED MEDICARE | $6,050.22 | $20,558.00 | $13,362.70 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL BOONEVILLE OutpatientFacility | JORDAN VALLEY SENIOR CARE PACE [20515] | HB BNVAR MANAGED MEDICARE | $6,050.22 | $20,558.00 | $13,362.70 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL BOONEVILLE OutpatientFacility | SPINA BIFIDA HLTHCARE BENEFIT [20506] | HB BNVAR MANAGED MEDICARE | $6,050.22 | $20,558.00 | $13,362.70 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL BOONEVILLE OutpatientFacility | VALIR PACE [20503] | HB BNVAR MANAGED MEDICARE | $6,050.22 | $20,558.00 | $13,362.70 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL BOONEVILLE OutpatientFacility | PACE OF THE OZARKS [20518] | HB BNVAR MANAGED MEDICARE | $6,050.22 | $20,558.00 | $13,362.70 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL BOONEVILLE OutpatientFacility | WINDSOR MEDICARE [20424] | HB BNVAR MANAGED MEDICARE | $6,050.22 | $20,558.00 | $13,362.70 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL BOONEVILLE OutpatientFacility | MEDICA MEDICARE ADVANTAGE CONTRACTED [320477] | HB BNVAR MANAGED MEDICARE | $6,050.22 | $20,558.00 | $13,362.70 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL BOONEVILLE OutpatientFacility | INDEPENDENT HEALTH [20197] | HB BNVAR MANAGED MEDICARE | $6,050.22 | $20,558.00 | $13,362.70 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL BOONEVILLE OutpatientFacility | AETNA MEDICARE ADVANTAGE CONTRACTED [320010] | HB BNVAR MANAGED MEDICARE | $6,050.22 | $20,558.00 | $13,362.70 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL BOONEVILLE OutpatientFacility | ARKANSAS COMMUNITY CARE MEDICARE [20035] | HB BNVAR MANAGED MEDICARE | $6,050.22 | $20,558.00 | $13,362.70 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL BOONEVILLE OutpatientFacility | INDIAN HEALTH SERVICE [20198] | HB BNVAR MANAGED MEDICARE | $6,050.22 | $20,558.00 | $13,362.70 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL BOONEVILLE OutpatientFacility | WELLFIRST HEALTH MCR [20443] | HB BNVAR MANAGED MEDICARE | $6,050.22 | $20,558.00 | $13,362.70 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL BOONEVILLE OutpatientFacility | AMERICAN HEALTH ADVANTAGE OF MO MCR [20264] | HB BNVAR MANAGED MEDICARE | $6,050.22 | $20,558.00 | $13,362.70 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL BOONEVILLE OutpatientFacility | UNICARE MEDICARE [20384] | HB BNVAR MANAGED MEDICARE | $6,050.22 | $20,558.00 | $13,362.70 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL BOONEVILLE OutpatientFacility | UNIVERSITY PITTSBURGH MED CTR MEDICARE [20407] | HB BNVAR MANAGED MEDICARE | $6,050.22 | $20,558.00 | $13,362.70 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL BOONEVILLE OutpatientFacility | KINDFUL HOSPICE [20434] | HB BNVAR MANAGED MEDICARE | $6,050.22 | $20,558.00 | $13,362.70 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL BOONEVILLE OutpatientFacility | HALO HCR INC HOSPICE [20432] | HB BNVAR MANAGED MEDICARE | $6,050.22 | $20,558.00 | $13,362.70 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL BOONEVILLE OutpatientFacility | MERCY HOSPICE OKC [20252] | HB BNVAR MANAGED MEDICARE | $6,050.22 | $20,558.00 | $13,362.70 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL BOONEVILLE OutpatientFacility | MEDICARE [20244] | HB BNVAR MEDICARE | $6,050.22 | $20,558.00 | $13,362.70 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL BOONEVILLE OutpatientFacility | MENTAL HEALTH NETWORK MEDICARE [20250] | HB BNVAR MANAGED MEDICARE | $6,050.22 | $20,558.00 | $13,362.70 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL BOONEVILLE OutpatientFacility | QUAL CHOICE CONTRACTED [320325] | HB BNVAR MANAGED MEDICARE | $6,050.22 | $20,558.00 | $13,362.70 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL BOONEVILLE OutpatientFacility | UNITED HEALTHCARE MEDICARE ADVANTAGE CONTRACTED [320398] | HB BNVAR MANAGED MEDICARE | $6,050.22 | $20,558.00 | $13,362.70 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL BOONEVILLE OutpatientFacility | HALO HCR INC HOSPICE CONTRACTED [320432] | HB BNVAR MANAGED MEDICARE | $6,050.22 | $20,558.00 | $13,362.70 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL BOONEVILLE OutpatientFacility | KINDFUL HOSPICE CONTRACTED [320434] | HB BNVAR MANAGED MEDICARE | $6,050.22 | $20,558.00 | $13,362.70 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL BOONEVILLE OutpatientFacility | ESSENCE HEALTHCARE MEDICARE CONTRACTED [320122] | HB BNVAR MANAGED MEDICARE | $6,050.22 | $20,558.00 | $13,362.70 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL BOONEVILLE OutpatientFacility | GLOBALHEALTH CONTRACTED [320145] | HB BNVAR MANAGED MEDICARE | $6,050.22 | $20,558.00 | $13,362.70 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL BOONEVILLE OutpatientFacility | HUMANA MEDICARE ADVANTAGE CONTRACTED [320194] | HB BNVAR HUMANA MCR | $6,050.22 | $20,558.00 | $13,362.70 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL BOONEVILLE OutpatientFacility | HUMANA MEDICARE ADVANTAGE CONTRACTED [320194] | HB BNVAR MANAGED MEDICARE | $6,050.22 | $20,558.00 | $13,362.70 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL BOONEVILLE OutpatientFacility | INDIAN HEALTH SERVICE CONTRACTED [320198] | HB BNVAR MANAGED MEDICARE | $6,050.22 | $20,558.00 | $13,362.70 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL BOONEVILLE OutpatientFacility | LONGEVITY HEALTH PLAN MEDICARE CONTRACTED [320225] | HB BNVAR MANAGED MEDICARE | $6,050.22 | $20,558.00 | $13,362.70 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL BOONEVILLE OutpatientFacility | HORIZONS MEDICARE [20190] | HB BNVAR MANAGED MEDICARE | $6,050.22 | $20,558.00 | $13,362.70 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL BOONEVILLE OutpatientFacility | HEALTH FIRST HEALTH PLANS MEDICARE [20170] | HB BNVAR MANAGED MEDICARE | $6,050.22 | $20,558.00 | $13,362.70 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL BOONEVILLE OutpatientFacility | MEDICAL ASSOCIATES HEALTH [20444] | HB BNVAR MANAGED MEDICARE | $6,050.22 | $20,558.00 | $13,362.70 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL BOONEVILLE OutpatientFacility | NHC ADVANTAGE MEDICARE CONTRACTED [320282] | HB BNVAR MANAGED MEDICARE | $6,050.22 | $20,558.00 | $13,362.70 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL BOONEVILLE OutpatientFacility | TRICARE [20380] | HB BNVAR TRICARE | $6,073.35 | $20,558.00 | $13,362.70 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL BOONEVILLE OutpatientFacility | TRICARE CONTRACTED [320380] | HB BNVAR TRICARE | $6,073.35 | $20,558.00 | $13,362.70 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL BOONEVILLE OutpatientFacility | WELLCARE MEDICARE ADVANTAGE CONTRACTED [320421] | HB BNVAR NOVASYS MCR 103% | $6,231.13 | $20,558.00 | $13,362.70 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL BOONEVILLE OutpatientFacility | DEVOTED HEALTH MEDICARE CONTRACTED [320500] | HB BNVAR DEVOTED HEALTH MCR | $6,292.80 | $20,558.00 | $13,362.70 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL BOONEVILLE OutpatientFacility | HEALTHSPRING MEDICARE ADVANTAGE CONTRACTED [320526] | HB BNVAR HEALTHSPRING 105% MCR | $6,352.42 | $20,558.00 | $13,362.70 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL BOONEVILLE OutpatientFacility | CIGNA MEDICARE ADVANTAGE CONTRACTED [320072] | HB BNVAR HEALTHSPRING 105% MCR | $6,352.42 | $20,558.00 | $13,362.70 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC HERMANN AREA DISTRICT HOSPITAL | $6,397.60 | $15,994.00 | $10,396.10 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY BENEFIT ADMIN [20251] | HB STLO SAMC HERMANN AREA DISTRICT HOSPITAL | $6,397.60 | $15,994.00 | $10,396.10 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC SCHAEFER AUTOBODY DEC NEW 030121 | $7,197.30 | $15,994.00 | $10,396.10 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB STLO SAMC WOODARD DEC NEW 040124 | $7,197.30 | $15,994.00 | $10,396.10 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB STLO SAMC SCHAEFER AUTOBODY DEC NEW 030121 | $7,197.30 | $15,994.00 | $10,396.10 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB STLO SAMC LACLEDE CHAIN DEC NEW 07.01.25 | $7,197.30 | $15,994.00 | $10,396.10 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB STLO SAMC SHINE SOLAR DEC NEW 110320 | $7,197.30 | $15,994.00 | $10,396.10 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | HEALTHLINK CONTRACTED [320179] | HB STLO SAMC DEC SAPAUGH MOTORS NEW 01.01.25 | $7,197.30 | $15,994.00 | $10,396.10 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AUXIANT CONTRACTED [320462] | HB STLO SAMC DEC HYDROMAT | $7,197.30 | $15,994.00 | $10,396.10 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AUXIANT CONTRACTED [320462] | HB STLO SAMC CITY OF JACKSON DEC NEW 010125 | $7,197.30 | $15,994.00 | $10,396.10 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AUXIANT CONTRACTED [320462] | HB STLO SAMC FCB BANKS DEC | $7,197.30 | $15,994.00 | $10,396.10 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AUXIANT CONTRACTED [320462] | HB STLO SAMC BUCHHEIT DEC NEW 070122 | $7,197.30 | $15,994.00 | $10,396.10 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] | HB STLO SAMC DEC SHOW ME BENEFIT CONSORTIUM NEW 070121 | $7,197.30 | $15,994.00 | $10,396.10 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] | HB STLO SAMC ASI DEC NEW 010124 | $7,197.30 | $15,994.00 | $10,396.10 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | REFLECT HEALTH CONTRACTED [320492] | HB STLO SAMC WW WOOD DEC | $7,197.30 | $15,994.00 | $10,396.10 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | EBMS CONTRACTED [320493] | HB STLO SAMC CRADER DISTRIBUTING DEC NEW 090125 | $7,197.30 | $15,994.00 | $10,396.10 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | IMAGINE 360 CONTRACTED [320494] | HB STLO SAMC DEC ROBINSON CONTRUCTION NEW 1.1.25 | $7,197.30 | $15,994.00 | $10,396.10 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | EDISON HEALTH SOLUTIONS CONTRACTED [320502] | HB STLO SAMC WOODARD DEC NEW 040124 | $7,197.30 | $15,994.00 | $10,396.10 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | EDISON HEALTH SOLUTIONS CONTRACTED [320502] | HB STLO SAMC SHINE SOLAR DEC NEW 110320 | $7,197.30 | $15,994.00 | $10,396.10 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC EASTER SEALS DEC NEW 010125 | $7,197.30 | $15,994.00 | $10,396.10 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC DEC QUICK TRIP | $7,197.30 | $15,994.00 | $10,396.10 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC CLAYCO DEC | $7,197.30 | $15,994.00 | $10,396.10 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC CITY OF JACKSON DEC NEW 010125 | $7,197.30 | $15,994.00 | $10,396.10 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC BARTEL COMMUNICATION DEC NEW 010125 | $7,197.30 | $15,994.00 | $10,396.10 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC DEC SAPAUGH MOTORS NEW 01.01.25 | $7,197.30 | $15,994.00 | $10,396.10 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC TALL TREE DEC NEW 040125 | $7,197.30 | $15,994.00 | $10,396.10 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC DEC TOWN AND COUNTRY SUPERMARKETS-NEW 7.1.24 | $7,197.30 | $15,994.00 | $10,396.10 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC DEC EBA - EMPLOYER BENEFIT ALLIANCE NEW 070121 | $7,197.30 | $15,994.00 | $10,396.10 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC DEC SHOW ME BENEFIT CONSORTIUM NEW 070121 | $7,197.30 | $15,994.00 | $10,396.10 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | YUZU HEALTH CONTRACTED [320521] | HB STLO SAMC LEVEL HEALTH DEC | $7,197.30 | $15,994.00 | $10,396.10 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | YUZU HEALTH CONTRACTED [320521] | HB STLO SAMC SCHAEFER AUTOBODY DEC NEW 030121 | $7,197.30 | $15,994.00 | $10,396.10 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | CIGNA HEALTHCARE CONTRACTED [320071] | HB STLO WASH JEFN SAMC CIGNA BEHAVIORAL HEALTH | $7,197.30 | $15,994.00 | $10,396.10 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY BENEFIT ADMIN [20251] | HB STLO SAMC DEC EBA - EMPLOYER BENEFIT ALLIANCE NEW 070121 | $7,197.30 | $15,994.00 | $10,396.10 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY BENEFIT ADMIN [20251] | HB STLO SAMC SCHAEFER AUTOBODY DEC NEW 030121 | $7,197.30 | $15,994.00 | $10,396.10 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY BENEFIT ADMIN [20251] | HB STLO SAMC CLAYCO DEC | $7,197.30 | $15,994.00 | $10,396.10 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY BENEFIT ADMIN [20251] | HB STLO SAMC DEC SHOW ME BENEFIT CONSORTIUM NEW 070121 | $7,197.30 | $15,994.00 | $10,396.10 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AITHER HEALTH [20449] | HB STLO SAMC SHINE SOLAR DEC NEW 110320 | $7,197.30 | $15,994.00 | $10,396.10 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB STLO WASH JEFN LINC SAMC CAPE STOD PCMH BCBS ASCENSION | $7,597.15 | $15,994.00 | $10,396.10 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | SUNFLOWER HEALTH PLAN CONTRACTED [320369] | HB SAMC CENTENE/AMBETTER EXCHANGE | $7,997.00 | $15,994.00 | $10,396.10 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MC ANTHEM [20455] | HB SAMC ANTHEM ACCESS CHOICE | $7,997.00 | $15,994.00 | $10,396.10 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | UNITED MEDICAL RESOURCES CONTRACTED [320454] | HB SAMC UHC HMO PPO ALL PAYER | $7,997.00 | $15,994.00 | $10,396.10 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AMBETTER CONTRACTED [320452] | HB SAMC CENTENE/AMBETTER EXCHANGE | $7,997.00 | $15,994.00 | $10,396.10 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | HOME STATE HEALTH PLAN CONTRACTED [320187] | HB SAMC CENTENE/AMBETTER EXCHANGE | $7,997.00 | $15,994.00 | $10,396.10 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | HEALTHLINK CONTRACTED [320179] | HB SAMC HEALTHLINK PPO | $7,997.00 | $15,994.00 | $10,396.10 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | HEALTHLINK CONTRACTED [320179] | HB SAMC DEC EMCAP EBSO | $7,997.00 | $15,994.00 | $10,396.10 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | HEALTHLINK CONTRACTED [320179] | HB SAMC HEALTHLINK HMO | $7,997.00 | $15,994.00 | $10,396.10 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB SAMC UHC COMPASS/EXCHANGE | $7,997.00 | $15,994.00 | $10,396.10 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AMBETTER [20452] | HB SAMC CENTENE/AMBETTER EXCHANGE | $7,997.00 | $15,994.00 | $10,396.10 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | NOVASYS CONTRACTED [320285] | HB SAMC CENTENE/AMBETTER EXCHANGE | $7,997.00 | $15,994.00 | $10,396.10 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB SAMC ANTHEM ACCESS CHOICE | $7,997.00 | $15,994.00 | $10,396.10 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB SAMC ANTHEM BLUE PREFERRED EFF 011520 | $7,997.00 | $15,994.00 | $10,396.10 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB SAMC ANTHEM PATHWAY/EXCHANGE EFF 011520 | $7,997.00 | $15,994.00 | $10,396.10 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | CIGNA HEALTHCARE CONTRACTED [320071] | HB SAMC CIGNA HMO | $7,997.00 | $15,994.00 | $10,396.10 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB SAMC UHC HMO PPO ALL PAYER | $7,997.00 | $15,994.00 | $10,396.10 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | OPTUM HEALTH BEHAVIORAL SOLUTIONS [520250] | HB SAMC UHC HMO PPO ALL PAYER | $7,997.00 | $15,994.00 | $10,396.10 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | CIGNA HEALTHCARE CONTRACTED [320071] | HB SAMC CIGNA IFP | $7,997.00 | $15,994.00 | $10,396.10 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AETNA CONTRACTED [320008] | HB SAMC AETNA COMMERCIAL NEW 070123 | $7,997.00 | $15,994.00 | $10,396.10 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB SAMC UHC CORE NEW 100121 | $7,997.00 | $15,994.00 | $10,396.10 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MC ANTHEM [20455] | HB SAMC ANTHEM BLUE ACCESS | $8,156.94 | $15,994.00 | $10,396.10 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB SAMC ANTHEM BLUE ACCESS | $8,156.94 | $15,994.00 | $10,396.10 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL BOONEVILLE OutpatientFacility | AMBETTER CONTRACTED [320452] | HB BNVAR NOVASYS AMBETTER EXCHANGE | $8,346.55 | $20,558.00 | $13,362.70 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL BOONEVILLE OutpatientFacility | NOVASYS CONTRACTED [320285] | HB BNVAR NOVASYS AMBETTER EXCHANGE | $8,346.55 | $20,558.00 | $13,362.70 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL BOONEVILLE OutpatientFacility | HOME STATE HEALTH PLAN CONTRACTED [320187] | HB BNVAR NOVASYS AMBETTER EXCHANGE | $8,346.55 | $20,558.00 | $13,362.70 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL BOONEVILLE OutpatientFacility | SUNFLOWER HEALTH PLAN CONTRACTED [320369] | HB BNVAR NOVASYS AMBETTER EXCHANGE | $8,346.55 | $20,558.00 | $13,362.70 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | HEALTH CHOICES CONTRACTED [320448] | HB STLO WASH JEFN LINC SAMC HEALTH CHOICE NEW 010121 | $9,596.40 | $15,994.00 | $10,396.10 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MEDICAL ASSOCIATES HEALTH CONTRACTED [320444] | HB STLO WASH JEFN LINC SAMC HEALTH CHOICE NEW 010121 | $9,596.40 | $15,994.00 | $10,396.10 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | HEALTH CHOICES [20448] | HB STLO WASH JEFN LINC SAMC HEALTH CHOICE NEW 010121 | $9,596.40 | $15,994.00 | $10,396.10 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL BOONEVILLE OutpatientFacility | MERCY INTERFACILITY [20513] | HB BNVAR Inter-Facility CCR New 6.1.25 | $10,032.30 | $20,558.00 | $13,362.70 | 2026-03-14 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | UNITED HEALTHCARE [20396] | HB FTSM,WLDAR,OZKAR,PRSAR,BNVR UHC | $10,279.00 | $20,558.00 | $13,362.70 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB FTSM DEC SHOW ME | $10,279.00 | $20,558.00 | $13,362.70 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | 90 DEGREE BENEFITS CONTRACTED [320436] | HB FTSM DEC SHOW ME | $10,279.00 | $20,558.00 | $13,362.70 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB FTSM DEC WOODARD | $10,279.00 | $20,558.00 | $13,362.70 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | UNITED MEDICAL RESOURCES CONTRACTED [320454] | HB FTSM,WLDAR,OZKAR,PRSAR,BNVR UHC | $10,279.00 | $20,558.00 | $13,362.70 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL BOONEVILLE OutpatientFacility | UNITED MEDICAL RESOURCES CONTRACTED [320454] | HB FTSM,WLDAR,OZKAR,PRSAR,BNVR UHC | $10,279.00 | $20,558.00 | $13,362.70 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] | HB FTSM ROGR DEC ASI | $10,279.00 | $20,558.00 | $13,362.70 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL BOONEVILLE OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB FTSM,WLDAR,OZKAR,PRSAR,BNVR UHC | $10,279.00 | $20,558.00 | $13,362.70 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL BOONEVILLE OutpatientFacility | QUAL CHOICE CONTRACTED [320324] | HB FTSM,WLDAR,OZKAR,PRSAR, BNVAR QUAL CHOICE | $10,279.00 | $20,558.00 | $13,362.70 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL BOONEVILLE OutpatientFacility | UNITED HEALTHCARE [20396] | HB FTSM,WLDAR,OZKAR,PRSAR,BNVR UHC | $10,279.00 | $20,558.00 | $13,362.70 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | OPTUM HEALTH BEHAVIORAL SOLUTIONS [520250] | HB FTSM,WLDAR,OZKAR,PRSAR,BNVR UHC | $10,279.00 | $20,558.00 | $13,362.70 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | EDISON HEALTH SOLUTIONS CONTRACTED [320502] | HB FTSM DEC WOODARD | $10,279.00 | $20,558.00 | $13,362.70 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB FTSM DEC SCHAEFER QCG | $10,279.00 | $20,558.00 | $13,362.70 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB FTSM DEC SHOW ME | $10,279.00 | $20,558.00 | $13,362.70 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB FTSM DEC TOWN AND COUNTRY | $10,279.00 | $20,558.00 | $13,362.70 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL BOONEVILLE OutpatientFacility | OPTUM HEALTH BEHAVIORAL SOLUTIONS [520250] | HB FTSM,WLDAR,OZKAR,PRSAR,BNVR UHC | $10,279.00 | $20,558.00 | $13,362.70 | 2026-03-14 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB FTSM DEC BARTEL | $10,279.00 | $20,558.00 | $13,362.70 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB FTSM DEC TALL TREE | $10,279.00 | $20,558.00 | $13,362.70 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | MUNICIPAL HEALTH PLAN CONTRACTED [320271] | HB FTSM MUNICIPAL HEALTH | $10,279.00 | $20,558.00 | $13,362.70 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | UNITED HEALTHCARE [20396] | HB FTSM,WLDAR,OZKAR,PRSAR,BNVR UHC | $10,279.00 | $20,558.00 | $13,362.70 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | QUAL CHOICE CONTRACTED [320324] | HB FTSM,WLDAR,OZKAR,PRSAR, BNVAR QUAL CHOICE | $10,279.00 | $20,558.00 | $13,362.70 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB FTSM DEC LACLEDE - NEW 07.01.25 | $10,279.00 | $20,558.00 | $13,362.70 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB FTSM,WLDAR,OZKAR,PRSAR,BNVR UHC | $10,279.00 | $20,558.00 | $13,362.70 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | CIGNA HEALTHCARE CONTRACTED [320071] | HB FTSM CIGNA | $10,279.00 | $20,558.00 | $13,362.70 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB FTSM DEC TOWN AND COUNTRY | $10,279.00 | $20,558.00 | $13,362.70 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB FTSM DEC SCHAEFER QCG | $10,279.00 | $20,558.00 | $13,362.70 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | QUAL CHOICE CONTRACTED [320324] | HB FTSM,WLDAR,OZKAR,PRSAR, BNVAR QUAL CHOICE | $10,279.00 | $20,558.00 | $13,362.70 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | MUNICIPAL HEALTH PLAN CONTRACTED [320271] | HB FTSM MUNICIPAL HEALTH | $10,279.00 | $20,558.00 | $13,362.70 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB FTSM DEC BARTEL | $10,279.00 | $20,558.00 | $13,362.70 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | EDISON HEALTH SOLUTIONS CONTRACTED [320502] | HB FTSM DEC WOODARD | $10,279.00 | $20,558.00 | $13,362.70 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | CIGNA HEALTHCARE CONTRACTED [320071] | HB FTSM CIGNA | $10,279.00 | $20,558.00 | $13,362.70 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | UNITED MEDICAL RESOURCES CONTRACTED [320454] | HB FTSM,WLDAR,OZKAR,PRSAR,BNVR UHC | $10,279.00 | $20,558.00 | $13,362.70 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB FTSM DEC LACLEDE - NEW 07.01.25 | $10,279.00 | $20,558.00 | $13,362.70 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB FTSM DEC WOODARD | $10,279.00 | $20,558.00 | $13,362.70 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | 90 DEGREE BENEFITS CONTRACTED [320436] | HB FTSM DEC SHOW ME | $10,279.00 | $20,558.00 | $13,362.70 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB FTSM,WLDAR,OZKAR,PRSAR,BNVR UHC | $10,279.00 | $20,558.00 | $13,362.70 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] | HB FTSM ROGR DEC ASI | $10,279.00 | $20,558.00 | $13,362.70 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | OPTUM HEALTH BEHAVIORAL SOLUTIONS [520250] | HB FTSM,WLDAR,OZKAR,PRSAR,BNVR UHC | $10,279.00 | $20,558.00 | $13,362.70 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB FTSM DEC TALL TREE | $10,279.00 | $20,558.00 | $13,362.70 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | POINT C CONTRACTED [320238] | HB STLO WASH JEFN SAMC NETWORK AFFILIATION AGREEMENT | $10,396.10 | $15,994.00 | $10,396.10 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | INSURANCE SYSTEM INC CONTRACTED [320465] | HB STLO WASH JEFN SAMC NETWORK AFFILIATION AGREEMENT | $10,396.10 | $15,994.00 | $10,396.10 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | FEDERAL MEDICAL CENTER CONTRACTED [320127] | HB STLO WASH JEFN SAMC NETWORK AFFILIATION AGREEMENT | $10,396.10 | $15,994.00 | $10,396.10 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | TRI STATE HEALTHCARE COALITION CONTRACTED [320379] | HB STLO WASH JEFN SAMC NETWORK AFFILIATION AGREEMENT | $10,396.10 | $15,994.00 | $10,396.10 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | AETNA [20008] | HB FTSM COVENTRY/AETNA | $10,895.74 | $20,558.00 | $13,362.70 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | AETNA CONTRACTED [320008] | HB FTSM COVENTRY/AETNA | $10,895.74 | $20,558.00 | $13,362.70 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | AETNA [20008] | HB FTSM COVENTRY/AETNA | $10,895.74 | $20,558.00 | $13,362.70 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | FIRST HEALTH CONTRACTED [320128] | HB FTSM FIRST HEALTH_CCN | $10,895.74 | $20,558.00 | $13,362.70 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | AETNA CONTRACTED [320008] | HB FTSM COVENTRY/AETNA | $10,895.74 | $20,558.00 | $13,362.70 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL FORT SMITH OutpatientFacility | FIRST HEALTH CONTRACTED [320128] | HB FTSM FIRST HEALTH_CCN | $10,895.74 | $20,558.00 | $13,362.70 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY MGD BEHAVIORAL HEALTH CONTRACTED [320259] | HB SAMC PHCS PRIMARY | $11,195.80 | $15,994.00 | $10,396.10 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] | HB SAMC PHCS PRIMARY | $11,195.80 | $15,994.00 | $10,396.10 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MULTIPLAN CONTRACTED [320270] | HB SAMC PHCS PRIMARY | $11,195.80 | $15,994.00 | $10,396.10 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | FIRST HEALTH CONTRACTED [320128] | HB SAMC PHCS PRIMARY | $11,195.80 | $15,994.00 | $10,396.10 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | FIRST HEALTH CONTRACTED [320128] | HB STLO WASH JEFN SAMC FIRST HEALTH / NETWORK ACCESS | $11,355.74 | $15,994.00 | $10,396.10 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | FIRST HEALTH CONTRACTED [320128] | HB SAMC HUMANA CHOICE CARE | $11,515.68 | $15,994.00 | $10,396.10 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | HUMANA CONTRACTED [320193] | HB SAMC HUMANA CHOICE CARE | $11,515.68 | $15,994.00 | $10,396.10 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MULTIPLAN CONTRACTED [320270] | HB SAMC MULTIPLAN COMPLEMENTARY | $11,995.50 | $15,994.00 | $10,396.10 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | WORKERS COMP [20426] | HB STLO SAMC CAPE STOD GENERIC WORK COMP CONTRACT | $11,995.50 | $15,994.00 | $10,396.10 | 2026-06-10 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | REFLECT HEALTH CONTRACTED [320492] | HB FTSM DEC WWWood Products | $12,334.80 | $20,558.00 | $13,362.70 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | EBMS CONTRACTED [320493] | HB FTSM CRADER | $12,334.80 | $20,558.00 | $13,362.70 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | IMAGINE 360 CONTRACTED [320494] | HB FTSM ROGR DEC ROBINSON CONSTRUCTION | $12,334.80 | $20,558.00 | $13,362.70 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB FTSM DEC QUIKTRIP CO | $12,334.80 | $20,558.00 | $13,362.70 | 2026-03-13 | MRF ↗ |
| Mercy Orthopedic Hospital Fort Smith OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB FTSM ROGR DEC EASTER SEALS | $12,334.80 | $20,558.00 | $13,362.70 | 2026-03-13 | MRF ↗ |
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