Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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SUP-CEB231410A — Stent Xcldr Iliac Branch Ceb231410a

Per-row negotiated rates, exactly as filed by each hospital. Aggregated views below summarize across hospitals; the bottom table shows the underlying rows.

Typical negotiated price $19,750

Usually $12,477–$37,732 (25th–75th percentile) across 31 hospitals · 109 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CDM SUP-CEB231410A — 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 WASHINGTON OutpatientFacility MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $1,547.07 $23,801.00 $15,470.65 2026-03-12 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility AETNA MEDICAID CONTRACTED [320009] HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 $1,547.07 $23,801.00 $15,470.65 2026-06-04 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility MOLINA HEALTHCARE MEDICAID CONTRACTED [3202651] HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $1,547.07 $23,801.00 $15,470.65 2026-06-04 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility MOLINA HEALTHCARE MEDICAID [20265] HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $1,547.07 $23,801.00 $15,470.65 2026-06-04 MRF ↗
MERCY HOSPITAL WASHINGTON OutpatientFacility MOLINA HEALTHCARE MEDICAID [20265] HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $1,547.07 $23,801.00 $15,470.65 2026-03-12 MRF ↗
MERCY HOSPITAL WASHINGTON OutpatientFacility MERIDIAN MEDICAID CONTRACTED [320430] HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% $1,547.07 $23,801.00 $15,470.65 2026-03-12 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility MERIDIAN MEDICAID CONTRACTED [320430] HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% $1,547.07 $23,801.00 $15,470.65 2026-06-04 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 $1,547.07 $23,801.00 $15,470.65 2026-06-04 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility HEALTH CHOICE CONTRACTED [320166] HB JOPL HEALTHCHOICE-OSEEGIB $3,062.10 $30,621.00 $19,903.65 2026-06-09 MRF ↗
MERCY HOSPITAL WASHINGTON OutpatientFacility MEDICAID [20240] HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID $3,570.15 $23,801.00 $15,470.65 2026-03-12 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility COUNTYCARE HEALTH PLAN MEDICAID CONTRACTED [320523] HB STLO CAPE IL MEDICAID $3,570.15 $23,801.00 $15,470.65 2026-06-04 MRF ↗
MERCY HOSPITAL WASHINGTON OutpatientFacility AETNA MEDICAID [20009] HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 $3,570.15 $23,801.00 $15,470.65 2026-03-12 MRF ↗
MERCY HOSPITAL WASHINGTON OutpatientFacility AETNA MEDICAID CONTRACTED [320009] HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 $3,570.15 $23,801.00 $15,470.65 2026-03-12 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility MEDICAID [20240] HB STLO CAPE IL MEDICAID $3,570.15 $23,801.00 $15,470.65 2026-06-04 MRF ↗
MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility MERCY INTERFACILITY [20513] HB ROGR Inter-Facility CCR New 6.1.25 $3,850.39 $21,156.00 $13,751.40 2026-06-08 MRF ↗
COLISEUM MEDICAL CENTERS, LLC, DBA Both CARESOURCE MEDICAID [20104] Caresource Medicaid $4,288.68 $62,700.00 $18,810.00 2026-07-01 MRF ↗
COLISEUM MEDICAL CENTERS, LLC, DBA Both PEACH STATE MEDICAID [20101] Peach State Medicaid $4,288.68 $62,700.00 $18,810.00 2026-07-01 MRF ↗
Mercy Orthopedic Hospital Fort Smith OutpatientFacility MERCY INTERFACILITY [20513] HB FTSM Inter-Facility CCR New 6.1.25 $4,658.55 $21,156.00 $13,751.40 2026-03-13 MRF ↗
MERCY HOSPITAL FORT SMITH OutpatientFacility MERCY INTERFACILITY [20513] HB FTSM Inter-Facility CCR New 6.1.25 $4,658.55 $21,156.00 $13,751.40 2026-03-13 MRF ↗
MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility AETNA MEDICAID CONTRACTED [320009] HB ROGR OK MANAGED MEDICAID $5,289.00 $21,156.00 $13,751.40 2026-06-08 MRF ↗
MERCY HOSPITAL FORT SMITH OutpatientFacility AETNA MEDICAID CONTRACTED [320009] HB FTSM OK MANAGED MEDICAID $5,289.00 $21,156.00 $13,751.40 2026-03-13 MRF ↗
Mercy Orthopedic Hospital Fort Smith OutpatientFacility HUMANA MEDICAID CONTRACTED [320486] HB FTSM OK MANAGED MEDICAID $5,289.00 $21,156.00 $13,751.40 2026-03-13 MRF ↗
Mercy Orthopedic Hospital Fort Smith OutpatientFacility OKLAHOMA COMPLETE HEALTH MEDICAID CONTRACTED [320485] HB FTSM OK MANAGED MEDICAID $5,289.00 $21,156.00 $13,751.40 2026-03-13 MRF ↗
MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility OKLAHOMA COMPLETE HEALTH MEDICAID CONTRACTED [320485] HB ROGR OK MANAGED MEDICAID $5,289.00 $21,156.00 $13,751.40 2026-06-08 MRF ↗
MERCY HOSPITAL FORT SMITH OutpatientFacility OKLAHOMA COMPLETE HEALTH MEDICAID CONTRACTED [320485] HB FTSM OK MANAGED MEDICAID $5,289.00 $21,156.00 $13,751.40 2026-03-13 MRF ↗
MERCY HOSPITAL FORT SMITH OutpatientFacility HUMANA MEDICAID CONTRACTED [320486] HB FTSM OK MANAGED MEDICAID $5,289.00 $21,156.00 $13,751.40 2026-03-13 MRF ↗
Mercy Orthopedic Hospital Fort Smith OutpatientFacility AETNA MEDICAID CONTRACTED [320009] HB FTSM OK MANAGED MEDICAID $5,289.00 $21,156.00 $13,751.40 2026-03-13 MRF ↗
MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility HUMANA MEDICAID CONTRACTED [320486] HB ROGR OK MANAGED MEDICAID $5,289.00 $21,156.00 $13,751.40 2026-06-08 MRF ↗
PIEDMONT HENRY HOSPITAL Both AMERIGROUP MEDICAID [20100] Amerigroup $5,316.96 $62,700.00 $18,810.00 2026-04-01 MRF ↗
PIEDMONT HENRY HOSPITAL Both AMERIGROUP MEDICAID [20100] Amerigroup $5,316.96 $62,700.00 $18,810.00 2026-04-01 MRF ↗
PIEDMONT HENRY HOSPITAL Both CARESOURCE MEDICAID [20104] Caresource Medicaid $5,580.30 $62,700.00 $18,810.00 2026-04-01 MRF ↗
PIEDMONT HENRY HOSPITAL Both CARESOURCE MEDICAID [20104] Caresource Medicaid $5,580.30 $62,700.00 $18,810.00 2026-04-01 MRF ↗
PIEDMONT HENRY HOSPITAL Both PEACH STATE MEDICAID [20101] Peach State Medicaid $5,586.57 $62,700.00 $18,810.00 2026-04-01 MRF ↗
PIEDMONT HENRY HOSPITAL Both PEACH STATE MEDICAID [20101] Peach State Medicaid $5,586.57 $62,700.00 $18,810.00 2026-04-01 MRF ↗
PIEDMONT WALTON HOSPITAL Both AMERIGROUP MEDICAID [20100] Amerigroup $5,624.19 $62,700.00 $18,810.00 2026-07-01 MRF ↗
PIEDMONT MACON NORTH HOSPITAL Both CARESOURCE MEDICAID [20104] Caresource Medicaid $5,768.40 $62,700.00 $18,810.00 2026-04-01 MRF ↗
PIEDMONT MACON NORTH HOSPITAL Both PEACH STATE MEDICAID [20101] Peach State Medicaid $5,768.40 $62,700.00 $18,810.00 2026-04-01 MRF ↗
PIEDMONT FAYETTE HOSPITAL Both AMERIGROUP MEDICAID [20100] Amerigroup $5,774.67 $62,700.00 $18,810.00 2026-04-01 MRF ↗
PIEDMONT FAYETTE HOSPITAL Both AMERIGROUP MEDICAID [20100] Amerigroup $5,774.67 $62,700.00 $18,810.00 2026-04-01 MRF ↗
PIEDMONT WALTON HOSPITAL Both CARESOURCE MEDICAID [20104] Caresource Medicaid $5,906.34 $62,700.00 $18,810.00 2026-07-01 MRF ↗
PIEDMONT NEWTON HOSPITAL Both AMERIGROUP MEDICAID [20100] Amerigroup $5,906.34 $62,700.00 $18,810.00 2026-07-01 MRF ↗
PIEDMONT WALTON HOSPITAL Both PEACH STATE MEDICAID [20101] Peach State Medicaid $5,906.34 $62,700.00 $18,810.00 2026-07-01 MRF ↗
PIEDMONT FAYETTE HOSPITAL Both CARESOURCE MEDICAID [20104] Caresource Medicaid $6,063.09 $62,700.00 $18,810.00 2026-04-01 MRF ↗
PIEDMONT FAYETTE HOSPITAL Both PEACH STATE MEDICAID [20101] Peach State Medicaid $6,063.09 $62,700.00 $18,810.00 2026-04-01 MRF ↗
PIEDMONT FAYETTE HOSPITAL Both CARESOURCE MEDICAID [20104] Caresource Medicaid $6,063.09 $62,700.00 $18,810.00 2026-04-01 MRF ↗
PIEDMONT FAYETTE HOSPITAL Both PEACH STATE MEDICAID [20101] Peach State Medicaid $6,063.09 $62,700.00 $18,810.00 2026-04-01 MRF ↗
PIEDMONT NEWTON HOSPITAL Both AMERIGROUP MEDICAID [20100] Amerigroup $6,125.79 $62,700.00 $18,810.00 2026-04-01 MRF ↗
PIEDMONT NEWTON HOSPITAL Both AMERIGROUP MEDICAID [20100] Amerigroup $6,125.79 $62,700.00 $18,810.00 2026-04-01 MRF ↗
PIEDMONT NEWTON HOSPITAL Both CARESOURCE MEDICAID [20104] Caresource Medicaid $6,201.03 $62,700.00 $18,810.00 2026-07-01 MRF ↗
PIEDMONT NEWTON HOSPITAL Both PEACH STATE MEDICAID [20101] Peach State Medicaid $6,201.03 $62,700.00 $18,810.00 2026-07-01 MRF ↗
MERCY HOSPITAL WASHINGTON OutpatientFacility MEDICA CONTRACTED [320239] HB WASH MEDICA EXCHANGE $6,212.06 $23,801.00 $15,470.65 2026-03-12 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility MEDICA CONTRACTED [320239] HB STLO MEDICA EXCHANGE $6,212.06 $23,801.00 $15,470.65 2026-06-04 MRF ↗
PIEDMONT NEWTON HOSPITAL Both CARESOURCE MEDICAID [20104] Caresource Medicaid $6,433.02 $62,700.00 $18,810.00 2026-04-01 MRF ↗
PIEDMONT NEWTON HOSPITAL Both PEACH STATE MEDICAID [20101] Peach State Medicaid $6,433.02 $62,700.00 $18,810.00 2026-04-01 MRF ↗
PIEDMONT NEWTON HOSPITAL Both CARESOURCE MEDICAID [20104] Caresource Medicaid $6,433.02 $62,700.00 $18,810.00 2026-04-01 MRF ↗
PIEDMONT NEWTON HOSPITAL Both PEACH STATE MEDICAID [20101] Peach State Medicaid $6,433.02 $62,700.00 $18,810.00 2026-04-01 MRF ↗
PIEDMONT ATHENS REGIONAL MEDICAL CENTER Both AMERIGROUP MEDICAID [20100] Amerigroup $6,671.28 $62,700.00 $18,810.00 2026-04-01 MRF ↗
PIEDMONT MOUNTAINSIDE HOSPITAL INC Both AMERIGROUP MEDICAID [20100] Amerigroup $6,809.22 $62,700.00 $18,810.00 2026-04-01 MRF ↗
PIEDMONT ATHENS REGIONAL MEDICAL CENTER Both CARESOURCE MEDICAID [20104] Caresource Medicaid $7,003.59 $62,700.00 $18,810.00 2026-04-01 MRF ↗
PIEDMONT ATHENS REGIONAL MEDICAL CENTER Both PEACH STATE MEDICAID [20101] Peach State Medicaid $7,009.86 $62,700.00 $18,810.00 2026-04-01 MRF ↗
Mercy Orthopedic Hospital Springfield OutpatientFacility KANCARE CONTRACTED [320213] HB CTHG KANCARE UHC MEDICAID $7,087.25 $28,349.00 $18,426.85 2026-06-04 MRF ↗
Mercy Orthopedic Hospital Springfield OutpatientFacility KANCARE CONTRACTED [320213] HB SPRG AETNA BETTER HEALTH (KANCARE) $7,087.25 $28,349.00 $18,426.85 2026-06-04 MRF ↗
MERCY HOSPITAL SPRINGFIELD OutpatientFacility KANCARE [20213] HB SPRG AETNA BETTER HEALTH (KANCARE) $7,087.25 $28,349.00 $18,426.85 2026-03-12 MRF ↗
MERCY HOSPITAL SPRINGFIELD OutpatientFacility KANCARE CONTRACTED [320213] HB SPRG AETNA BETTER HEALTH (KANCARE) $7,087.25 $28,349.00 $18,426.85 2026-03-12 MRF ↗
MERCY HOSPITAL SPRINGFIELD OutpatientFacility KANCARE [20213] HB CTHG KANCARE UHC MEDICAID $7,087.25 $28,349.00 $18,426.85 2026-03-12 MRF ↗
MERCY HOSPITAL SPRINGFIELD OutpatientFacility KANCARE CONTRACTED [320213] HB CTHG KANCARE UHC MEDICAID $7,087.25 $28,349.00 $18,426.85 2026-03-12 MRF ↗
Mercy Orthopedic Hospital Springfield OutpatientFacility KANCARE [20213] HB SPRG AETNA BETTER HEALTH (KANCARE) $7,087.25 $28,349.00 $18,426.85 2026-06-04 MRF ↗
Mercy Orthopedic Hospital Springfield OutpatientFacility KANCARE [20213] HB CTHG KANCARE UHC MEDICAID $7,087.25 $28,349.00 $18,426.85 2026-06-04 MRF ↗
PIEDMONT MOUNTAINSIDE HOSPITAL INC Both PEACH STATE MEDICAID [20101] Peach State Medicaid $7,154.07 $62,700.00 $18,810.00 2026-04-01 MRF ↗
PIEDMONT HOSPITAL, INC Both AMERIGROUP MEDICAID [20100] Amerigroup $7,154.07 $62,700.00 $18,810.00 2026-04-01 MRF ↗
PIEDMONT MOUNTAINSIDE HOSPITAL INC Both CARESOURCE MEDICAID [20104] Caresource Medicaid $7,154.07 $62,700.00 $18,810.00 2026-04-01 MRF ↗
PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both CARESOURCE MEDICAID [20104] Caresource Medicaid $7,292.01 $62,700.00 $18,810.00 2026-04-01 MRF ↗
PIEDMONT CARTERSVILLE MEDICAL CENTER Both CARESOURCE MEDICAID [20104] Caresource Medicaid $7,386.06 $62,700.00 $18,810.00 2026-04-01 MRF ↗
PIEDMONT CARTERSVILLE MEDICAL CENTER Both PEACH STATE MEDICAID [20101] Peach State Medicaid $7,386.06 $62,700.00 $18,810.00 2026-04-01 MRF ↗
PIEDMONT CARTERSVILLE MEDICAL CENTER Both PEACH STATE MEDICAID [20101] Peach State Medicaid $7,386.06 $62,700.00 $18,810.00 2026-04-01 MRF ↗
PIEDMONT CARTERSVILLE MEDICAL CENTER Both CARESOURCE MEDICAID [20104] Caresource Medicaid $7,386.06 $62,700.00 $18,810.00 2026-04-01 MRF ↗
PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both AMERIGROUP MEDICAID [20100] Amerigroup $7,429.95 $62,700.00 $18,810.00 2026-04-01 MRF ↗
PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both PEACH STATE MEDICAID [20101] Peach State Medicaid $7,429.95 $62,700.00 $18,810.00 2026-04-01 MRF ↗
PIEDMONT HOSPITAL, INC Both PEACH STATE MEDICAID [20101] Peach State Medicaid $7,511.46 $62,700.00 $18,810.00 2026-04-01 MRF ↗
PIEDMONT HOSPITAL, INC Both CARESOURCE MEDICAID [20104] Caresource Medicaid $7,511.46 $62,700.00 $18,810.00 2026-04-01 MRF ↗
PIEDMONT ROCKDALE HOSPITAL Both AMERIGROUP MEDICAID [20100] Amerigroup $7,549.08 $62,700.00 $18,810.00 2026-04-01 MRF ↗
PIEDMONT ROCKDALE HOSPITAL Both AMERIGROUP MEDICAID [20100] Amerigroup $7,549.08 $62,700.00 $18,810.00 2026-04-01 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility KANCARE [20213] HB JOPL AETNA BETTER HEALTH (KANCARE) $7,655.25 $30,621.00 $19,903.65 2026-06-09 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility KANCARE CONTRACTED [320213] HB JOPL AETNA BETTER HEALTH (KANCARE) $7,655.25 $30,621.00 $19,903.65 2026-06-09 MRF ↗
PIEDMONT ROCKDALE HOSPITAL Both CARESOURCE MEDICAID [20104] Caresource Medicaid $7,699.56 $62,700.00 $18,810.00 2026-04-01 MRF ↗
PIEDMONT ROCKDALE HOSPITAL Both PEACH STATE MEDICAID [20101] Peach State Medicaid $7,699.56 $62,700.00 $18,810.00 2026-04-01 MRF ↗
PIEDMONT ROCKDALE HOSPITAL Both CARESOURCE MEDICAID [20104] Caresource Medicaid $7,699.56 $62,700.00 $18,810.00 2026-04-01 MRF ↗
PIEDMONT ROCKDALE HOSPITAL Both PEACH STATE MEDICAID [20101] Peach State Medicaid $7,699.56 $62,700.00 $18,810.00 2026-04-01 MRF ↗
PIEDMONT COLUMBUS REGIONAL MIDTOWN Both CARESOURCE MEDICAID [20104] Caresource Medicaid $9,066.42 $62,700.00 $18,810.00 2026-04-01 MRF ↗
PIEDMONT COLUMBUS REGIONAL MIDTOWN Both CARESOURCE MEDICAID [20104] Caresource Medicaid $9,066.42 $62,700.00 $18,810.00 2026-04-01 MRF ↗
MERCY HOSPITAL JOPLIN OutpatientFacility HUMANA CONTRACTED [320193] HB JOPL HUMANA COMMERCIAL $9,186.30 $30,621.00 $19,903.65 2026-06-09 MRF ↗
PIEDMONT COLUMBUS REGIONAL MIDTOWN Both AMERIGROUP MEDICAID [20100] Amerigroup $9,241.98 $62,700.00 $18,810.00 2026-04-01 MRF ↗
PIEDMONT COLUMBUS REGIONAL MIDTOWN Both PEACH STATE MEDICAID [20101] Peach State Medicaid $9,241.98 $62,700.00 $18,810.00 2026-04-01 MRF ↗
PIEDMONT COLUMBUS REGIONAL MIDTOWN Both PEACH STATE MEDICAID [20101] Peach State Medicaid $9,241.98 $62,700.00 $18,810.00 2026-04-01 MRF ↗
PIEDMONT COLUMBUS REGIONAL MIDTOWN Both AMERIGROUP MEDICAID [20100] Amerigroup $9,241.98 $62,700.00 $18,810.00 2026-04-01 MRF ↗
MERCY HOSPITAL WASHINGTON OutpatientFacility MERCY BENEFIT ADMIN CONTRACTED [320251] HB WASH & JEFN HERMANN AREA DISTRICT HOSPITAL $9,520.40 $23,801.00 $15,470.65 2026-03-12 MRF ↗
MERCY HOSPITAL WASHINGTON OutpatientFacility MERCY BENEFIT ADMIN [20251] HB WASH & JEFN HERMANN AREA DISTRICT HOSPITAL $9,520.40 $23,801.00 $15,470.65 2026-03-12 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility MERCY BENEFIT ADMIN [20251] HB STLO SAMC HERMANN AREA DISTRICT HOSPITAL $9,520.40 $23,801.00 $15,470.65 2026-06-04 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility MERCY BENEFIT ADMIN CONTRACTED [320251] HB STLO SAMC HERMANN AREA DISTRICT HOSPITAL $9,520.40 $23,801.00 $15,470.65 2026-06-04 MRF ↗
PIEDMONT CARTERSVILLE MEDICAL CENTER Both AMERIGROUP MEDICAID [20100] Amerigroup $9,868.98 $62,700.00 $18,810.00 2026-04-01 MRF ↗
PIEDMONT CARTERSVILLE MEDICAL CENTER Both AMERIGROUP MEDICAID [20100] Amerigroup $9,868.98 $62,700.00 $18,810.00 2026-04-01 MRF ↗
UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER Both AMERIGROUP MEDICAID [20100] Amerigroup $10,113.51 $62,700.00 $18,810.00 2026-07-01 MRF ↗
PIEDMONT AUGUSTA HOSPITAL Both BLUE CROSS BLUE SHIELD EXCHANGE SOUTH CAROLINA [11104] BCBS South Carolina Exchange $10,157.40 $62,700.00 $18,810.00 2026-04-01 MRF ↗
PIEDMONT AUGUSTA HOSPITAL Both BLUE CROSS BLUE SHIELD EXCHANGE SOUTH CAROLINA [11104] BCBS South Carolina Exchange $10,157.40 $62,700.00 $18,810.00 2026-07-01 MRF ↗
MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility CIGNA HEALTHCARE CONTRACTED [320071] HB ROGR CIGNA $10,578.00 $21,156.00 $13,751.40 2026-06-08 MRF ↗
Mercy Orthopedic Hospital Fort Smith OutpatientFacility UNITED HEALTHCARE [20396] HB FTSM,WLDAR,OZKAR,PRSAR,BNVR UHC $10,578.00 $21,156.00 $13,751.40 2026-03-13 MRF ↗
Mercy Orthopedic Hospital Fort Smith OutpatientFacility QUAL CHOICE CONTRACTED [320324] HB FTSM,WLDAR,OZKAR,PRSAR, BNVAR QUAL CHOICE $10,578.00 $21,156.00 $13,751.40 2026-03-13 MRF ↗
Mercy Orthopedic Hospital Fort Smith OutpatientFacility MERCY BENEFIT ADMIN CONTRACTED [320251] HB FTSM DEC SCHAEFER QCG $10,578.00 $21,156.00 $13,751.40 2026-03-13 MRF ↗
Mercy Orthopedic Hospital Fort Smith OutpatientFacility MERCY BENEFIT ADMIN CONTRACTED [320251] HB FTSM DEC TALL TREE $10,578.00 $21,156.00 $13,751.40 2026-03-13 MRF ↗
Mercy Orthopedic Hospital Fort Smith OutpatientFacility UNITED HEALTHCARE CONTRACTED [320396] HB FTSM,WLDAR,OZKAR,PRSAR,BNVR UHC $10,578.00 $21,156.00 $13,751.40 2026-03-13 MRF ↗
Mercy Orthopedic Hospital Fort Smith OutpatientFacility EDISON HEALTH SOLUTIONS CONTRACTED [320502] HB FTSM DEC WOODARD $10,578.00 $21,156.00 $13,751.40 2026-03-13 MRF ↗
Mercy Orthopedic Hospital Fort Smith OutpatientFacility AITHER HEALTH CONTRACTED [320449] HB FTSM DEC WOODARD $10,578.00 $21,156.00 $13,751.40 2026-03-13 MRF ↗
Mercy Orthopedic Hospital Fort Smith OutpatientFacility 90 DEGREE BENEFITS CONTRACTED [320436] HB FTSM DEC SHOW ME $10,578.00 $21,156.00 $13,751.40 2026-03-13 MRF ↗
Mercy Orthopedic Hospital Fort Smith OutpatientFacility MERCY BENEFIT ADMIN CONTRACTED [320251] HB FTSM DEC BARTEL $10,578.00 $21,156.00 $13,751.40 2026-03-13 MRF ↗
Mercy Orthopedic Hospital Fort Smith OutpatientFacility AITHER HEALTH CONTRACTED [320449] HB FTSM DEC LACLEDE - NEW 07.01.25 $10,578.00 $21,156.00 $13,751.40 2026-03-13 MRF ↗
Mercy Orthopedic Hospital Fort Smith OutpatientFacility MERCY BENEFIT ADMIN CONTRACTED [320251] HB FTSM DEC SHOW ME $10,578.00 $21,156.00 $13,751.40 2026-03-13 MRF ↗
Mercy Orthopedic Hospital Fort Smith OutpatientFacility UNITED MEDICAL RESOURCES CONTRACTED [320454] HB FTSM,WLDAR,OZKAR,PRSAR,BNVR UHC $10,578.00 $21,156.00 $13,751.40 2026-03-13 MRF ↗
Mercy Orthopedic Hospital Fort Smith OutpatientFacility OPTUM HEALTH BEHAVIORAL SOLUTIONS [520250] HB FTSM,WLDAR,OZKAR,PRSAR,BNVR UHC $10,578.00 $21,156.00 $13,751.40 2026-03-13 MRF ↗
Mercy Orthopedic Hospital Fort Smith OutpatientFacility SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] HB FTSM ROGR DEC ASI $10,578.00 $21,156.00 $13,751.40 2026-03-13 MRF ↗
Mercy Orthopedic Hospital Fort Smith OutpatientFacility CIGNA HEALTHCARE CONTRACTED [320071] HB FTSM CIGNA $10,578.00 $21,156.00 $13,751.40 2026-03-13 MRF ↗
Mercy Orthopedic Hospital Fort Smith OutpatientFacility MERCY BENEFIT ADMIN CONTRACTED [320251] HB FTSM DEC TOWN AND COUNTRY $10,578.00 $21,156.00 $13,751.40 2026-03-13 MRF ↗
Mercy Orthopedic Hospital Fort Smith OutpatientFacility MUNICIPAL HEALTH PLAN CONTRACTED [320271] HB FTSM MUNICIPAL HEALTH $10,578.00 $21,156.00 $13,751.40 2026-03-13 MRF ↗
MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility QUAL CHOICE CONTRACTED [320324] HB ROGR BRYV QUAL CHOICE $10,578.00 $21,156.00 $13,751.40 2026-06-08 MRF ↗
MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility MUNICIPAL HEALTH PLAN CONTRACTED [320271] HB ROGR MUNICIPAL HEALTH BENEFIT FUND $10,578.00 $21,156.00 $13,751.40 2026-06-08 MRF ↗
MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility MERCY BENEFIT ADMIN CONTRACTED [320251] HB ROGR DEC SCHAEFER QCG $10,578.00 $21,156.00 $13,751.40 2026-06-08 MRF ↗
MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility YUZU HEALTH CONTRACTED [320521] HB ROGR DEC LEVEL HEALTH - NEW 01.01.26 $10,578.00 $21,156.00 $13,751.40 2026-06-08 MRF ↗
MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility UNITED HEALTHCARE [20396] HB ROGR UHC $10,578.00 $21,156.00 $13,751.40 2026-06-08 MRF ↗
MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility EDISON HEALTH SOLUTIONS CONTRACTED [320502] HB ROGR DEC WOODARD $10,578.00 $21,156.00 $13,751.40 2026-06-08 MRF ↗
MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] HB FTSM ROGR DEC ASI $10,578.00 $21,156.00 $13,751.40 2026-06-08 MRF ↗
MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility MERCY BENEFIT ADMIN CONTRACTED [320251] HB ROGR DEC TALL TREE $10,578.00 $21,156.00 $13,751.40 2026-06-08 MRF ↗
MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility AITHER HEALTH CONTRACTED [320449] HB ROGR DEC WOODARD $10,578.00 $21,156.00 $13,751.40 2026-06-08 MRF ↗
MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility AITHER HEALTH CONTRACTED [320449] HB ROGR DEC LACLEDE - NEW 07.01.25 $10,578.00 $21,156.00 $13,751.40 2026-06-08 MRF ↗
MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility UNITED MEDICAL RESOURCES CONTRACTED [320454] HB ROGR UHC $10,578.00 $21,156.00 $13,751.40 2026-06-08 MRF ↗
MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility MERCY BENEFIT ADMIN CONTRACTED [320251] HB ROGR DEC SHOW ME $10,578.00 $21,156.00 $13,751.40 2026-06-08 MRF ↗
MERCY HOSPITAL FORT SMITH OutpatientFacility UNITED HEALTHCARE [20396] HB FTSM,WLDAR,OZKAR,PRSAR,BNVR UHC $10,578.00 $21,156.00 $13,751.40 2026-03-13 MRF ↗
MERCY HOSPITAL FORT SMITH OutpatientFacility QUAL CHOICE CONTRACTED [320324] HB FTSM,WLDAR,OZKAR,PRSAR, BNVAR QUAL CHOICE $10,578.00 $21,156.00 $13,751.40 2026-03-13 MRF ↗
MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility UNITED HEALTHCARE CONTRACTED [320396] HB ROGR UHC $10,578.00 $21,156.00 $13,751.40 2026-06-08 MRF ↗
MERCY HOSPITAL FORT SMITH OutpatientFacility MERCY BENEFIT ADMIN CONTRACTED [320251] HB FTSM DEC SCHAEFER QCG $10,578.00 $21,156.00 $13,751.40 2026-03-13 MRF ↗
MERCY HOSPITAL FORT SMITH OutpatientFacility MERCY BENEFIT ADMIN CONTRACTED [320251] HB FTSM DEC SHOW ME $10,578.00 $21,156.00 $13,751.40 2026-03-13 MRF ↗
MERCY HOSPITAL FORT SMITH OutpatientFacility MERCY BENEFIT ADMIN CONTRACTED [320251] HB FTSM DEC TOWN AND COUNTRY $10,578.00 $21,156.00 $13,751.40 2026-03-13 MRF ↗
MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility 90 DEGREE BENEFITS CONTRACTED [320436] HB ROGR DEC SHOW ME $10,578.00 $21,156.00 $13,751.40 2026-06-08 MRF ↗
MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility MERCY BENEFIT ADMIN CONTRACTED [320251] HB ROGR DEC TOWN AND COIUNTRY $10,578.00 $21,156.00 $13,751.40 2026-06-08 MRF ↗
MERCY HOSPITAL FORT SMITH OutpatientFacility AITHER HEALTH CONTRACTED [320449] HB FTSM DEC LACLEDE - NEW 07.01.25 $10,578.00 $21,156.00 $13,751.40 2026-03-13 MRF ↗
MERCY HOSPITAL FORT SMITH OutpatientFacility OPTUM HEALTH BEHAVIORAL SOLUTIONS [520250] HB FTSM,WLDAR,OZKAR,PRSAR,BNVR UHC $10,578.00 $21,156.00 $13,751.40 2026-03-13 MRF ↗
MERCY HOSPITAL FORT SMITH OutpatientFacility AITHER HEALTH CONTRACTED [320449] HB FTSM DEC WOODARD $10,578.00 $21,156.00 $13,751.40 2026-03-13 MRF ↗
MERCY HOSPITAL FORT SMITH OutpatientFacility EDISON HEALTH SOLUTIONS CONTRACTED [320502] HB FTSM DEC WOODARD $10,578.00 $21,156.00 $13,751.40 2026-03-13 MRF ↗
MERCY HOSPITAL FORT SMITH OutpatientFacility 90 DEGREE BENEFITS CONTRACTED [320436] HB FTSM DEC SHOW ME $10,578.00 $21,156.00 $13,751.40 2026-03-13 MRF ↗
MERCY HOSPITAL FORT SMITH OutpatientFacility CIGNA HEALTHCARE CONTRACTED [320071] HB FTSM CIGNA $10,578.00 $21,156.00 $13,751.40 2026-03-13 MRF ↗
MERCY HOSPITAL FORT SMITH OutpatientFacility MERCY BENEFIT ADMIN CONTRACTED [320251] HB FTSM DEC TALL TREE $10,578.00 $21,156.00 $13,751.40 2026-03-13 MRF ↗
MERCY HOSPITAL FORT SMITH OutpatientFacility MUNICIPAL HEALTH PLAN CONTRACTED [320271] HB FTSM MUNICIPAL HEALTH $10,578.00 $21,156.00 $13,751.40 2026-03-13 MRF ↗
MERCY HOSPITAL FORT SMITH OutpatientFacility SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] HB FTSM ROGR DEC ASI $10,578.00 $21,156.00 $13,751.40 2026-03-13 MRF ↗
MERCY HOSPITAL FORT SMITH OutpatientFacility UNITED HEALTHCARE CONTRACTED [320396] HB FTSM,WLDAR,OZKAR,PRSAR,BNVR UHC $10,578.00 $21,156.00 $13,751.40 2026-03-13 MRF ↗
MERCY HOSPITAL FORT SMITH OutpatientFacility MERCY BENEFIT ADMIN CONTRACTED [320251] HB FTSM DEC BARTEL $10,578.00 $21,156.00 $13,751.40 2026-03-13 MRF ↗
MERCY HOSPITAL FORT SMITH OutpatientFacility UNITED MEDICAL RESOURCES CONTRACTED [320454] HB FTSM,WLDAR,OZKAR,PRSAR,BNVR UHC $10,578.00 $21,156.00 $13,751.40 2026-03-13 MRF ↗
MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility MERCY BENEFIT ADMIN CONTRACTED [320251] HB ROGR DEC BARTEL $10,578.00 $21,156.00 $13,751.40 2026-06-08 MRF ↗
PIEDMONT MACON NORTH HOSPITAL Both AMERIGROUP MEDICAID [20100] Amerigroup $10,608.84 $62,700.00 $18,810.00 2026-04-01 MRF ↗
UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER Both CARESOURCE MEDICAID [20104] Caresource Medicaid $10,621.38 $62,700.00 $18,810.00 2026-07-01 MRF ↗
UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER Both PEACH STATE MEDICAID [20101] Peach State Medicaid $10,621.38 $62,700.00 $18,810.00 2026-07-01 MRF ↗
MERCY HOSPITAL WASHINGTON OutpatientFacility HOME STATE HEALTH PLAN CONTRACTED [320187] HB STLO WASH JEFN CENTENE EXCHANGE/AMBETTER EFF 090118 $10,710.45 $23,801.00 $15,470.65 2026-03-12 MRF ↗
MERCY HOSPITAL WASHINGTON OutpatientFacility HEALTHLINK CONTRACTED [320179] HB WASH HEALTHLINK PPO/WC $10,710.45 $23,801.00 $15,470.65 2026-03-12 MRF ↗
MERCY HOSPITAL WASHINGTON OutpatientFacility AMBETTER CONTRACTED [320452] HB STLO WASH JEFN CENTENE EXCHANGE/AMBETTER EFF 090118 $10,710.45 $23,801.00 $15,470.65 2026-03-12 MRF ↗
MERCY HOSPITAL WASHINGTON OutpatientFacility HEALTHLINK CONTRACTED [320179] HB WASH JEFN SAPAUGH MOTORS DEC NEW 1.1.25 $10,710.45 $23,801.00 $15,470.65 2026-03-12 MRF ↗
MERCY HOSPITAL WASHINGTON OutpatientFacility AUXIANT CONTRACTED [320462] HB WASH JEFN DEC HYDROMAT $10,710.45 $23,801.00 $15,470.65 2026-03-12 MRF ↗
MERCY HOSPITAL WASHINGTON OutpatientFacility MERCY BENEFIT ADMIN CONTRACTED [320251] HB WASH JEFN SAPAUGH MOTORS DEC NEW 1.1.25 $10,710.45 $23,801.00 $15,470.65 2026-03-12 MRF ↗
MERCY HOSPITAL WASHINGTON OutpatientFacility AITHER HEALTH CONTRACTED [320449] HB WASH JEFN WOODARD DEC NEW 040124 $10,710.45 $23,801.00 $15,470.65 2026-03-12 MRF ↗
MERCY HOSPITAL WASHINGTON OutpatientFacility HEALTHLINK CONTRACTED [320179] HB WASH HEALTHLINK HMO $10,710.45 $23,801.00 $15,470.65 2026-03-12 MRF ↗
MERCY HOSPITAL WASHINGTON OutpatientFacility UNITED MEDICAL RESOURCES CONTRACTED [320454] HB WASH UHC HMO PPO ALL PAYER $10,710.45 $23,801.00 $15,470.65 2026-03-12 MRF ↗
MERCY HOSPITAL WASHINGTON OutpatientFacility AITHER HEALTH CONTRACTED [320449] HB WASH JEFN SHINE SOLAR DEC NEW 110320 $10,710.45 $23,801.00 $15,470.65 2026-03-12 MRF ↗
MERCY HOSPITAL WASHINGTON OutpatientFacility HEALTHLINK CONTRACTED [320179] HB WASH DEC EMCAP EBSO $10,710.45 $23,801.00 $15,470.65 2026-03-12 MRF ↗
MERCY HOSPITAL WASHINGTON OutpatientFacility AUXIANT CONTRACTED [320462] HB WASH JEFN CITY OF JACKSON DEC NEW 010125 $10,710.45 $23,801.00 $15,470.65 2026-03-12 MRF ↗
MERCY HOSPITAL WASHINGTON OutpatientFacility MERCY BENEFIT ADMIN CONTRACTED [320251] HB WASH JEFN CITY OF JACKSON DEC NEW 010125 $10,710.45 $23,801.00 $15,470.65 2026-03-12 MRF ↗
MERCY HOSPITAL WASHINGTON OutpatientFacility UNITED HEALTHCARE CONTRACTED [320396] HB WASH UHC COMPASS/EXCHANGE $10,710.45 $23,801.00 $15,470.65 2026-03-12 MRF ↗
MERCY HOSPITAL WASHINGTON OutpatientFacility UNITED HEALTHCARE CONTRACTED [320396] HB WASH UHC HMO PPO ALL PAYER $10,710.45 $23,801.00 $15,470.65 2026-03-12 MRF ↗
MERCY HOSPITAL WASHINGTON OutpatientFacility UNITED HEALTHCARE CONTRACTED [320396] HB WASH UHC CORE NEW 100121 $10,710.45 $23,801.00 $15,470.65 2026-03-12 MRF ↗
MERCY HOSPITAL WASHINGTON OutpatientFacility NOVASYS CONTRACTED [320285] HB STLO WASH JEFN CENTENE EXCHANGE/AMBETTER EFF 090118 $10,710.45 $23,801.00 $15,470.65 2026-03-12 MRF ↗
MERCY HOSPITAL WASHINGTON OutpatientFacility SUNFLOWER HEALTH PLAN CONTRACTED [320369] HB STLO WASH JEFN CENTENE EXCHANGE/AMBETTER EFF 090118 $10,710.45 $23,801.00 $15,470.65 2026-03-12 MRF ↗
MERCY HOSPITAL WASHINGTON OutpatientFacility AITHER HEALTH CONTRACTED [320449] HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25 $10,710.45 $23,801.00 $15,470.65 2026-03-12 MRF ↗
MERCY HOSPITAL WASHINGTON OutpatientFacility AITHER HEALTH CONTRACTED [320449] HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121 $10,710.45 $23,801.00 $15,470.65 2026-03-12 MRF ↗
MERCY HOSPITAL WASHINGTON OutpatientFacility SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] HB WASH JEFN ASI DEC NEW 010124 $10,710.45 $23,801.00 $15,470.65 2026-03-12 MRF ↗
MERCY HOSPITAL WASHINGTON OutpatientFacility MERCY BENEFIT ADMIN CONTRACTED [320251] HB WASH JEFN EASTER SEALS DEC NEW 010125 $10,710.45 $23,801.00 $15,470.65 2026-03-12 MRF ↗
MERCY HOSPITAL WASHINGTON OutpatientFacility YUZU HEALTH CONTRACTED [320521] HB WASH JEFN LEVEL HEALTH DEC $10,710.45 $23,801.00 $15,470.65 2026-03-12 MRF ↗
MERCY HOSPITAL WASHINGTON OutpatientFacility MERCY BENEFIT ADMIN CONTRACTED [320251] HB WASH JEFN DEC CLAYCO $10,710.45 $23,801.00 $15,470.65 2026-03-12 MRF ↗
MERCY HOSPITAL WASHINGTON OutpatientFacility CIGNA HEALTHCARE CONTRACTED [320071] HB STLO WASH JEFN SAMC CIGNA BEHAVIORAL HEALTH $10,710.45 $23,801.00 $15,470.65 2026-03-12 MRF ↗
MERCY HOSPITAL WASHINGTON OutpatientFacility EDISON HEALTH SOLUTIONS CONTRACTED [320502] HB WASH JEFN SHINE SOLAR DEC NEW 110320 $10,710.45 $23,801.00 $15,470.65 2026-03-12 MRF ↗
MERCY HOSPITAL WASHINGTON OutpatientFacility MERCY BENEFIT ADMIN CONTRACTED [320251] HB WASH JEFN TALL TREE DEC NEW 040125 $10,710.45 $23,801.00 $15,470.65 2026-03-12 MRF ↗
MERCY HOSPITAL WASHINGTON OutpatientFacility MERCY BENEFIT ADMIN CONTRACTED [320251] HB WASH JEFN BARTEL COMMUNICATION DEC NEW 010125 $10,710.45 $23,801.00 $15,470.65 2026-03-12 MRF ↗
MERCY HOSPITAL WASHINGTON OutpatientFacility MC ANTHEM [20455] HB WASH ANTHEM ACCESS CHOICE PPO $10,710.45 $23,801.00 $15,470.65 2026-03-12 MRF ↗
MERCY HOSPITAL WASHINGTON OutpatientFacility AITHER HEALTH [20449] HB WASH JEFN SHINE SOLAR DEC NEW 110320 $10,710.45 $23,801.00 $15,470.65 2026-03-12 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility MERCY BENEFIT ADMIN CONTRACTED [320251] HB STLO SAMC DEC QUICK TRIP $10,710.45 $23,801.00 $15,470.65 2026-06-04 MRF ↗
MERCY HOSPITAL WASHINGTON OutpatientFacility SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] HB WASH JEFN DEC SHOW ME BENEFIT CONSORTIUM NEW 070121 $10,710.45 $23,801.00 $15,470.65 2026-03-12 MRF ↗
MERCY HOSPITAL WASHINGTON OutpatientFacility MERCY BENEFIT ADMIN CONTRACTED [320251] HB WASH JEFN DEC SHOW ME BENEFIT CONSORTIUM NEW 070121 $10,710.45 $23,801.00 $15,470.65 2026-03-12 MRF ↗
MERCY HOSPITAL WASHINGTON OutpatientFacility BLUE CROSS AND BLUE SHIELD [20053] HB WASH ANTHEM PATHWAY/EXCHANGE EFF 011520 $10,710.45 $23,801.00 $15,470.65 2026-03-12 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility HEALTHLINK CONTRACTED [320179] HB STLO HEALTHLINK PPO/WC $10,710.45 $23,801.00 $15,470.65 2026-06-04 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility HEALTHLINK CONTRACTED [320179] HB STLO DEC EMCAP EBSO $10,710.45 $23,801.00 $15,470.65 2026-06-04 MRF ↗
MERCY HOSPITAL WASHINGTON OutpatientFacility MERCY BENEFIT ADMIN CONTRACTED [320251] HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121 $10,710.45 $23,801.00 $15,470.65 2026-03-12 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility HEALTHLINK CONTRACTED [320179] HB STLO HEALTHLINK HMO $10,710.45 $23,801.00 $15,470.65 2026-06-04 MRF ↗
MERCY HOSPITAL WASHINGTON OutpatientFacility MERCY BENEFIT ADMIN CONTRACTED [320251] HB WASH JEFN DEC TOWN AND COUNTRY SUPERMARKETS-NEW 7.1.24 $10,710.45 $23,801.00 $15,470.65 2026-03-12 MRF ↗
MERCY HOSPITAL WASHINGTON OutpatientFacility MERCY BENEFIT ADMIN CONTRACTED [320251] HB WASH JEFN DEC EBA - EMPLOYER BENEFIT ALLIANCE NEW 070121 $10,710.45 $23,801.00 $15,470.65 2026-03-12 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility HEALTHLINK CONTRACTED [320179] HB STLO SAMC DEC SAPAUGH MOTORS NEW 01.01.25 $10,710.45 $23,801.00 $15,470.65 2026-06-04 MRF ↗
MERCY HOSPITAL ST LOUIS OutpatientFacility BLUE CROSS AND BLUE SHIELD [20053] HB STLO ANTHEM ACCESS CHOICE PPO $10,710.45 $23,801.00 $15,470.65 2026-06-04 MRF ↗

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