SUP-CXT231412 — Graft Endovascular 12cm 14.5mm 23mm Excluder Trunk
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). GRAFT ENDOVASCULAR 12CM 14.5MM 23MM EXCLUDER TRUNK (CDM SUP-CXT231412) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/SUP-CXT231412?code_type=CDM
MLA (9th ed.)
“GRAFT ENDOVASCULAR 12CM 14.5MM 23MM EXCLUDER TRUNK (CDM SUP-CXT231412) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/SUP-CXT231412?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“GRAFT ENDOVASCULAR 12CM 14.5MM 23MM EXCLUDER TRUNK (CDM SUP-CXT231412) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/SUP-CXT231412?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $16,601–$42,095 (25th–75th percentile) across 26 hospitals · 119 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM SUP-CXT231412 — 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 ST LOUIS OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $1,660.10 | $25,540.00 | $16,601.00 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [3202651] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $1,660.10 | $25,540.00 | $16,601.00 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $1,660.10 | $25,540.00 | $16,601.00 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $1,660.10 | $25,540.00 | $16,601.00 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $1,660.10 | $25,540.00 | $16,601.00 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MEDICAID [20240] | HB STLO CAPE IL MEDICAID | $3,831.00 | $25,540.00 | $16,601.00 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | COUNTYCARE HEALTH PLAN MEDICAID CONTRACTED [320523] | HB STLO CAPE IL MEDICAID | $3,831.00 | $25,540.00 | $16,601.00 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | MERCY INTERFACILITY [20513] | HB ROGR Inter-Facility CCR New 6.1.25 | $4,131.76 | $22,702.00 | $14,756.30 | 2026-06-08 | MRF ↗ |
| COLISEUM MEDICAL CENTERS, LLC, DBA Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $4,868.43 | $71,175.90 | $21,352.77 | 2026-07-01 | MRF ↗ |
| COLISEUM MEDICAL CENTERS, LLC, DBA Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $4,868.43 | $71,175.90 | $21,352.77 | 2026-07-01 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | HUMANA MEDICAID CONTRACTED [320486] | HB ROGR OK MANAGED MEDICAID | $5,675.50 | $22,702.00 | $14,756.30 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | OKLAHOMA COMPLETE HEALTH MEDICAID CONTRACTED [320485] | HB ROGR OK MANAGED MEDICAID | $5,675.50 | $22,702.00 | $14,756.30 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB ROGR OK MANAGED MEDICAID | $5,675.50 | $22,702.00 | $14,756.30 | 2026-06-08 | MRF ↗ |
| PIEDMONT HENRY HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $6,035.72 | $71,175.90 | $21,352.77 | 2026-04-01 | MRF ↗ |
| PIEDMONT HENRY HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $6,035.72 | $71,175.90 | $21,352.77 | 2026-04-01 | MRF ↗ |
| PIEDMONT HENRY HOSPITAL Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $6,334.66 | $71,175.90 | $21,352.77 | 2026-04-01 | MRF ↗ |
| PIEDMONT HENRY HOSPITAL Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $6,334.66 | $71,175.90 | $21,352.77 | 2026-04-01 | MRF ↗ |
| PIEDMONT HENRY HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $6,341.77 | $71,175.90 | $21,352.77 | 2026-04-01 | MRF ↗ |
| PIEDMONT HENRY HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $6,341.77 | $71,175.90 | $21,352.77 | 2026-04-01 | MRF ↗ |
| PIEDMONT WALTON HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $6,384.48 | $71,175.90 | $21,352.77 | 2026-07-01 | MRF ↗ |
| PIEDMONT MACON NORTH HOSPITAL Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $6,548.18 | $71,175.90 | $21,352.77 | 2026-04-01 | MRF ↗ |
| PIEDMONT MACON NORTH HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $6,548.18 | $71,175.90 | $21,352.77 | 2026-04-01 | MRF ↗ |
| PIEDMONT FAYETTE HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $6,555.30 | $71,175.90 | $21,352.77 | 2026-04-01 | MRF ↗ |
| PIEDMONT FAYETTE HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $6,555.30 | $71,175.90 | $21,352.77 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MEDICA CONTRACTED [320239] | HB STLO MEDICA EXCHANGE | $6,665.94 | $25,540.00 | $16,601.00 | 2026-06-04 | MRF ↗ |
| PIEDMONT WALTON HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $6,704.77 | $71,175.90 | $21,352.77 | 2026-07-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $6,704.77 | $71,175.90 | $21,352.77 | 2026-07-01 | MRF ↗ |
| PIEDMONT WALTON HOSPITAL Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $6,704.77 | $71,175.90 | $21,352.77 | 2026-07-01 | MRF ↗ |
| PIEDMONT FAYETTE HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $6,882.71 | $71,175.90 | $21,352.77 | 2026-04-01 | MRF ↗ |
| PIEDMONT FAYETTE HOSPITAL Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $6,882.71 | $71,175.90 | $21,352.77 | 2026-04-01 | MRF ↗ |
| PIEDMONT FAYETTE HOSPITAL Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $6,882.71 | $71,175.90 | $21,352.77 | 2026-04-01 | MRF ↗ |
| PIEDMONT FAYETTE HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $6,882.71 | $71,175.90 | $21,352.77 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $6,953.89 | $71,175.90 | $21,352.77 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $6,953.89 | $71,175.90 | $21,352.77 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $7,039.30 | $71,175.90 | $21,352.77 | 2026-07-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $7,039.30 | $71,175.90 | $21,352.77 | 2026-07-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $7,302.65 | $71,175.90 | $21,352.77 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $7,302.65 | $71,175.90 | $21,352.77 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $7,302.65 | $71,175.90 | $21,352.77 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $7,302.65 | $71,175.90 | $21,352.77 | 2026-04-01 | MRF ↗ |
| PIEDMONT ATHENS REGIONAL MEDICAL CENTER Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $7,573.12 | $71,175.90 | $21,352.77 | 2026-04-01 | MRF ↗ |
| PIEDMONT MOUNTAINSIDE HOSPITAL INC Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $7,729.70 | $71,175.90 | $21,352.77 | 2026-04-01 | MRF ↗ |
| PIEDMONT ATHENS REGIONAL MEDICAL CENTER Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $7,950.35 | $71,175.90 | $21,352.77 | 2026-04-01 | MRF ↗ |
| PIEDMONT ATHENS REGIONAL MEDICAL CENTER Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $7,957.47 | $71,175.90 | $21,352.77 | 2026-04-01 | MRF ↗ |
| PIEDMONT MOUNTAINSIDE HOSPITAL INC Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $8,121.17 | $71,175.90 | $21,352.77 | 2026-04-01 | MRF ↗ |
| PIEDMONT HOSPITAL, INC Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $8,121.17 | $71,175.90 | $21,352.77 | 2026-04-01 | MRF ↗ |
| PIEDMONT MOUNTAINSIDE HOSPITAL INC Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $8,121.17 | $71,175.90 | $21,352.77 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $8,277.76 | $71,175.90 | $21,352.77 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $8,384.52 | $71,175.90 | $21,352.77 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $8,384.52 | $71,175.90 | $21,352.77 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $8,384.52 | $71,175.90 | $21,352.77 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $8,384.52 | $71,175.90 | $21,352.77 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $8,434.34 | $71,175.90 | $21,352.77 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $8,434.34 | $71,175.90 | $21,352.77 | 2026-04-01 | MRF ↗ |
| PIEDMONT HOSPITAL, INC Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $8,526.87 | $71,175.90 | $21,352.77 | 2026-04-01 | MRF ↗ |
| PIEDMONT HOSPITAL, INC Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $8,526.87 | $71,175.90 | $21,352.77 | 2026-04-01 | MRF ↗ |
| PIEDMONT ROCKDALE HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $8,569.58 | $71,175.90 | $21,352.77 | 2026-04-01 | MRF ↗ |
| PIEDMONT ROCKDALE HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $8,569.58 | $71,175.90 | $21,352.77 | 2026-04-01 | MRF ↗ |
| PIEDMONT ROCKDALE HOSPITAL Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $8,740.40 | $71,175.90 | $21,352.77 | 2026-04-01 | MRF ↗ |
| PIEDMONT ROCKDALE HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $8,740.40 | $71,175.90 | $21,352.77 | 2026-04-01 | MRF ↗ |
| PIEDMONT ROCKDALE HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $8,740.40 | $71,175.90 | $21,352.77 | 2026-04-01 | MRF ↗ |
| PIEDMONT ROCKDALE HOSPITAL Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $8,740.40 | $71,175.90 | $21,352.77 | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF KANSAS HOSPITAL Both | WPPA [503200056] | WPPA | $9,402.36 | $50,496.00 | $10,099.20 | 2026-04-08 | MRF ↗ |
| UNIVERSITY OF KANSAS HOSPITAL Both | MERITAIN HEALTH [503200039] | WPPA | $9,402.36 | $50,496.00 | $10,099.20 | 2026-04-08 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERCY BENEFIT ADMIN [20251] | HB STLO SAMC HERMANN AREA DISTRICT HOSPITAL | $10,216.00 | $25,540.00 | $16,601.00 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC HERMANN AREA DISTRICT HOSPITAL | $10,216.00 | $25,540.00 | $16,601.00 | 2026-06-04 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $10,292.04 | $71,175.90 | $21,352.77 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $10,292.04 | $71,175.90 | $21,352.77 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $10,491.33 | $71,175.90 | $21,352.77 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $10,491.33 | $71,175.90 | $21,352.77 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $10,491.33 | $71,175.90 | $21,352.77 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $10,491.33 | $71,175.90 | $21,352.77 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $11,203.09 | $71,175.90 | $21,352.77 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $11,203.09 | $71,175.90 | $21,352.77 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB ROGR DEC LACLEDE - NEW 07.01.25 | $11,351.00 | $22,702.00 | $14,756.30 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB ROGR DEC WOODARD | $11,351.00 | $22,702.00 | $14,756.30 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] | HB FTSM ROGR DEC ASI | $11,351.00 | $22,702.00 | $14,756.30 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB ROGR DEC TOWN AND COIUNTRY | $11,351.00 | $22,702.00 | $14,756.30 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | CIGNA HEALTHCARE CONTRACTED [320071] | HB ROGR CIGNA | $11,351.00 | $22,702.00 | $14,756.30 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB ROGR UHC | $11,351.00 | $22,702.00 | $14,756.30 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | MUNICIPAL HEALTH PLAN CONTRACTED [320271] | HB ROGR MUNICIPAL HEALTH BENEFIT FUND | $11,351.00 | $22,702.00 | $14,756.30 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB ROGR DEC SHOW ME | $11,351.00 | $22,702.00 | $14,756.30 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB ROGR DEC SCHAEFER QCG | $11,351.00 | $22,702.00 | $14,756.30 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | UNITED HEALTHCARE [20396] | HB ROGR UHC | $11,351.00 | $22,702.00 | $14,756.30 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | EDISON HEALTH SOLUTIONS CONTRACTED [320502] | HB ROGR DEC WOODARD | $11,351.00 | $22,702.00 | $14,756.30 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | 90 DEGREE BENEFITS CONTRACTED [320436] | HB ROGR DEC SHOW ME | $11,351.00 | $22,702.00 | $14,756.30 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB ROGR DEC BARTEL | $11,351.00 | $22,702.00 | $14,756.30 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | QUAL CHOICE CONTRACTED [320324] | HB ROGR BRYV QUAL CHOICE | $11,351.00 | $22,702.00 | $14,756.30 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB ROGR DEC TALL TREE | $11,351.00 | $22,702.00 | $14,756.30 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | YUZU HEALTH CONTRACTED [320521] | HB ROGR DEC LEVEL HEALTH - NEW 01.01.26 | $11,351.00 | $22,702.00 | $14,756.30 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | UNITED MEDICAL RESOURCES CONTRACTED [320454] | HB ROGR UHC | $11,351.00 | $22,702.00 | $14,756.30 | 2026-06-08 | MRF ↗ |
| UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $11,480.67 | $71,175.90 | $21,352.77 | 2026-07-01 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MC ANTHEM [20455] | HB STLO ANTHEM BLUE ACCESS PPO | $11,493.00 | $25,540.00 | $16,601.00 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | AETNA CONTRACTED [320008] | HB STLO AETNA COMMERCIAL NEW 070123 | $11,493.00 | $25,540.00 | $16,601.00 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC EASTER SEALS DEC NEW 010125 | $11,493.00 | $25,540.00 | $16,601.00 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC CLAYCO DEC | $11,493.00 | $25,540.00 | $16,601.00 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB STLO UHC HMO PPO ALL PAYER | $11,493.00 | $25,540.00 | $16,601.00 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC DEC SAPAUGH MOTORS NEW 01.01.25 | $11,493.00 | $25,540.00 | $16,601.00 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC DEC SHOW ME BENEFIT CONSORTIUM NEW 070121 | $11,493.00 | $25,540.00 | $16,601.00 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC TALL TREE DEC NEW 040125 | $11,493.00 | $25,540.00 | $16,601.00 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC CITY OF JACKSON DEC NEW 010125 | $11,493.00 | $25,540.00 | $16,601.00 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB STLO ANTHEM ACCESS CHOICE PPO | $11,493.00 | $25,540.00 | $16,601.00 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC SCHAEFER AUTOBODY DEC NEW 030121 | $11,493.00 | $25,540.00 | $16,601.00 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERCY BENEFIT ADMIN [20251] | HB STLO SAMC CLAYCO DEC | $11,493.00 | $25,540.00 | $16,601.00 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | EDISON HEALTH SOLUTIONS CONTRACTED [320502] | HB STLO SAMC WOODARD DEC NEW 040124 | $11,493.00 | $25,540.00 | $16,601.00 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB STLO ANTHEM PATHWAY/EXCHANGE EFF 011520 | $11,493.00 | $25,540.00 | $16,601.00 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB STLO ANTHEM BLUE PREFERRED EFF 011520 | $11,493.00 | $25,540.00 | $16,601.00 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | EDISON HEALTH SOLUTIONS CONTRACTED [320502] | HB STLO SAMC SHINE SOLAR DEC NEW 110320 | $11,493.00 | $25,540.00 | $16,601.00 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB STLO SAMC WOODARD DEC NEW 040124 | $11,493.00 | $25,540.00 | $16,601.00 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB STLO ANTHEM BLUE ACCESS PPO | $11,493.00 | $25,540.00 | $16,601.00 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | OPTUM HEALTH BEHAVIORAL SOLUTIONS [520250] | HB STLO UHC HMO PPO ALL PAYER | $11,493.00 | $25,540.00 | $16,601.00 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | IMAGINE 360 CONTRACTED [320494] | HB STLO SAMC DEC ROBINSON CONTRUCTION NEW 1.1.25 | $11,493.00 | $25,540.00 | $16,601.00 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC BARTEL COMMUNICATION DEC NEW 010125 | $11,493.00 | $25,540.00 | $16,601.00 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] | HB STLO SAMC DEC SHOW ME BENEFIT CONSORTIUM NEW 070121 | $11,493.00 | $25,540.00 | $16,601.00 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | REFLECT HEALTH CONTRACTED [320492] | HB STLO SAMC WW WOOD DEC | $11,493.00 | $25,540.00 | $16,601.00 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC DEC QUICK TRIP | $11,493.00 | $25,540.00 | $16,601.00 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC DEC EBA - EMPLOYER BENEFIT ALLIANCE NEW 070121 | $11,493.00 | $25,540.00 | $16,601.00 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC DEC TOWN AND COUNTRY SUPERMARKETS-NEW 7.1.24 | $11,493.00 | $25,540.00 | $16,601.00 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | AUXIANT CONTRACTED [320462] | HB STLO SAMC DEC HYDROMAT | $11,493.00 | $25,540.00 | $16,601.00 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | AUXIANT CONTRACTED [320462] | HB STLO SAMC FCB BANKS DEC | $11,493.00 | $25,540.00 | $16,601.00 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | EBMS CONTRACTED [320493] | HB STLO SAMC CRADER DISTRIBUTING DEC NEW 090125 | $11,493.00 | $25,540.00 | $16,601.00 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | HEALTHLINK CONTRACTED [320179] | HB STLO SAMC DEC SAPAUGH MOTORS NEW 01.01.25 | $11,493.00 | $25,540.00 | $16,601.00 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | HOME STATE HEALTH PLAN CONTRACTED [320187] | HB STLO WASH JEFN CENTENE EXCHANGE/AMBETTER EFF 090118 | $11,493.00 | $25,540.00 | $16,601.00 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | HEALTHLINK CONTRACTED [320179] | HB STLO DEC EMCAP EBSO | $11,493.00 | $25,540.00 | $16,601.00 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | YUZU HEALTH CONTRACTED [320521] | HB STLO SAMC LEVEL HEALTH DEC | $11,493.00 | $25,540.00 | $16,601.00 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | YUZU HEALTH CONTRACTED [320521] | HB STLO SAMC SCHAEFER AUTOBODY DEC NEW 030121 | $11,493.00 | $25,540.00 | $16,601.00 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB STLO SAMC LACLEDE CHAIN DEC NEW 07.01.25 | $11,493.00 | $25,540.00 | $16,601.00 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB STLO SAMC SCHAEFER AUTOBODY DEC NEW 030121 | $11,493.00 | $25,540.00 | $16,601.00 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB STLO SAMC SHINE SOLAR DEC NEW 110320 | $11,493.00 | $25,540.00 | $16,601.00 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB STLO UHC CORE NEW 100121 | $11,493.00 | $25,540.00 | $16,601.00 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | SUNFLOWER HEALTH PLAN CONTRACTED [320369] | HB STLO WASH JEFN CENTENE EXCHANGE/AMBETTER EFF 090118 | $11,493.00 | $25,540.00 | $16,601.00 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB STLO UHC COMPASS/EXCHANGE | $11,493.00 | $25,540.00 | $16,601.00 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | HEALTHLINK CONTRACTED [320179] | HB STLO HEALTHLINK HMO | $11,493.00 | $25,540.00 | $16,601.00 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | NOVASYS CONTRACTED [320285] | HB STLO WASH JEFN CENTENE EXCHANGE/AMBETTER EFF 090118 | $11,493.00 | $25,540.00 | $16,601.00 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERCY BENEFIT ADMIN [20251] | HB STLO SAMC DEC EBA - EMPLOYER BENEFIT ALLIANCE NEW 070121 | $11,493.00 | $25,540.00 | $16,601.00 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | CIGNA HEALTHCARE CONTRACTED [320071] | HB STLO CIGNA PPO | $11,493.00 | $25,540.00 | $16,601.00 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | CIGNA HEALTHCARE CONTRACTED [320071] | HB STLO CIGNA HMO | $11,493.00 | $25,540.00 | $16,601.00 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | AMBETTER CONTRACTED [320452] | HB STLO WASH JEFN CENTENE EXCHANGE/AMBETTER EFF 090118 | $11,493.00 | $25,540.00 | $16,601.00 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERCY BENEFIT ADMIN [20251] | HB STLO SAMC DEC SHOW ME BENEFIT CONSORTIUM NEW 070121 | $11,493.00 | $25,540.00 | $16,601.00 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | UNITED MEDICAL RESOURCES CONTRACTED [320454] | HB STLO UHC HMO PPO ALL PAYER | $11,493.00 | $25,540.00 | $16,601.00 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] | HB STLO SAMC ASI DEC NEW 010124 | $11,493.00 | $25,540.00 | $16,601.00 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MC ANTHEM [20455] | HB STLO ANTHEM ACCESS CHOICE PPO | $11,493.00 | $25,540.00 | $16,601.00 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | AITHER HEALTH [20449] | HB STLO SAMC SHINE SOLAR DEC NEW 110320 | $11,493.00 | $25,540.00 | $16,601.00 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | AUXIANT CONTRACTED [320462] | HB STLO SAMC BUCHHEIT DEC NEW 070122 | $11,493.00 | $25,540.00 | $16,601.00 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | AMBETTER [20452] | HB STLO WASH JEFN CENTENE EXCHANGE/AMBETTER EFF 090118 | $11,493.00 | $25,540.00 | $16,601.00 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | AUXIANT CONTRACTED [320462] | HB STLO SAMC CITY OF JACKSON DEC NEW 010125 | $11,493.00 | $25,540.00 | $16,601.00 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERCY BENEFIT ADMIN [20251] | HB STLO SAMC SCHAEFER AUTOBODY DEC NEW 030121 | $11,493.00 | $25,540.00 | $16,601.00 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | CIGNA HEALTHCARE CONTRACTED [320071] | HB STLO WASH JEFN SAMC CIGNA BEHAVIORAL HEALTH | $11,493.00 | $25,540.00 | $16,601.00 | 2026-06-04 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | HEALTHLINK CONTRACTED [320179] | HB STLO HEALTHLINK PPO/WC | $11,493.00 | $25,540.00 | $16,601.00 | 2026-06-04 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS BLUE SHIELD EXCHANGE SOUTH CAROLINA [11104] | BCBS South Carolina Exchange | $11,530.50 | $71,175.90 | $21,352.77 | 2026-07-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS BLUE SHIELD EXCHANGE SOUTH CAROLINA [11104] | BCBS South Carolina Exchange | $11,530.50 | $71,175.90 | $21,352.77 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | AETNA CONTRACTED [320008] | HB ROGR COVENTRY/AETNA | $12,032.06 | $22,702.00 | $14,756.30 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | FIRST HEALTH CONTRACTED [320128] | HB ROGR FIRST HEALTH/AETNA | $12,032.06 | $22,702.00 | $14,756.30 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | AETNA [20008] | HB ROGR COVENTRY/AETNA | $12,032.06 | $22,702.00 | $14,756.30 | 2026-06-08 | MRF ↗ |
| PIEDMONT MACON NORTH HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $12,042.96 | $71,175.90 | $21,352.77 | 2026-04-01 | MRF ↗ |
| UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $12,057.20 | $71,175.90 | $21,352.77 | 2026-07-01 | MRF ↗ |
| UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $12,057.20 | $71,175.90 | $21,352.77 | 2026-07-01 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB STLO WASH JEFN LINC SAMC CAPE STOD PCMH BCBS ASCENSION | $12,131.50 | $25,540.00 | $16,601.00 | 2026-06-04 | MRF ↗ |
| COLISEUM MEDICAL CENTERS, LLC, DBA Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $12,455.78 | $71,175.90 | $21,352.77 | 2026-07-01 | MRF ↗ |
| UNIVERSITY OF KANSAS HOSPITAL Both | ALT MERITAIN HEALTH [503999911] | Aetna/Coventry National Products | $12,624.00 | $50,496.00 | $10,099.20 | 2026-04-08 | MRF ↗ |
| UNIVERSITY OF KANSAS HOSPITAL Both | CORESOURCE [503200089] | Aetna/Coventry Local Products | $12,624.00 | $50,496.00 | $10,099.20 | 2026-04-08 | MRF ↗ |
| UNIVERSITY OF KANSAS HEALTH SYSTEM OLATHE HOSPITAL Both | ALT CENPATICO KS MCAID BEHAVIORAL [503201518] | Cenpatico - Sunflower BH (KS Medicaid) | $12,624.00 | $50,496.00 | $10,099.20 | 2026-04-08 | MRF ↗ |
| UNIVERSITY OF KANSAS HOSPITAL Both | MERITAIN HEALTH [503200039] | Aetna/Coventry Local Products | $12,624.00 | $50,496.00 | $10,099.20 | 2026-04-08 | MRF ↗ |
| UNIVERSITY OF KANSAS HOSPITAL Both | COVENTRY [503200022] | Aetna/Coventry Local Products | $12,624.00 | $50,496.00 | $10,099.20 | 2026-04-08 | MRF ↗ |
| UNIVERSITY OF KANSAS HOSPITAL Both | MERITAIN HEALTH [503200039] | Aetna/Coventry National Products | $12,624.00 | $50,496.00 | $10,099.20 | 2026-04-08 | MRF ↗ |
| UNIVERSITY OF KANSAS HOSPITAL Both | AHA-HEALTHCARE PREFERRED [503200050] | Aetna/Coventry First Health | $12,624.00 | $50,496.00 | $10,099.20 | 2026-04-08 | MRF ↗ |
| UNIVERSITY OF KANSAS HOSPITAL Both | FIRST HEALTH [5032000110] | Aetna/Coventry First Health | $12,624.00 | $50,496.00 | $10,099.20 | 2026-04-08 | MRF ↗ |
| UNIVERSITY OF KANSAS HOSPITAL Both | AETNA [503200004] | Aetna/Coventry National Products | $12,624.00 | $50,496.00 | $10,099.20 | 2026-04-08 | MRF ↗ |
| UNIVERSITY OF KANSAS HOSPITAL Both | ALT CENPATICO KS MCAID BEHAVIORAL [503201518] | Cenpatico - Sunflower BH (KS Medicaid) | $12,624.00 | $50,496.00 | $10,099.20 | 2026-04-08 | MRF ↗ |
| UNIVERSITY OF KANSAS HOSPITAL Both | AETNA [503200004] | Aetna/Coventry Local Products | $12,624.00 | $50,496.00 | $10,099.20 | 2026-04-08 | MRF ↗ |
| UNIVERSITY OF KANSAS HOSPITAL Both | COVENTRY [503200022] | Aetna/Coventry National Products | $12,624.00 | $50,496.00 | $10,099.20 | 2026-04-08 | MRF ↗ |
| COLISEUM MEDICAL CENTERS, LLC, DBA Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $12,712.02 | $71,175.90 | $21,352.77 | 2026-07-01 | MRF ↗ |
| PIEDMONT MACON NORTH HOSPITAL Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $12,712.02 | $71,175.90 | $21,352.77 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | AUXIANT CONTRACTED [320462] | HB FTSM ROGR DEC CITY OF JACKSON | $13,621.20 | $22,702.00 | $14,756.30 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | AUXIANT CONTRACTED [320462] | HB FTSM ROGR DEC BUCHHEIT | $13,621.20 | $22,702.00 | $14,756.30 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | REFLECT HEALTH CONTRACTED [320492] | HB ROGR DEC WWWood Products | $13,621.20 | $22,702.00 | $14,756.30 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | IMAGINE 360 CONTRACTED [320494] | HB FTSM ROGR DEC ROBINSON CONSTRUCTION | $13,621.20 | $22,702.00 | $14,756.30 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB ROGR DEC QUIKTRIP CO | $13,621.20 | $22,702.00 | $14,756.30 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB FTSM ROGR DEC EASTER SEALS | $13,621.20 | $22,702.00 | $14,756.30 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | NOVASYS CONTRACTED [320285] | HB ROGR NOVASYS | $13,621.20 | $22,702.00 | $14,756.30 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | EBMS CONTRACTED [320493] | HB ROGR CRADER | $13,621.20 | $22,702.00 | $14,756.30 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | HEALTHLINK CONTRACTED [320179] | HB FTSM ROGR CAH DEC SAPAUGH | $13,621.20 | $22,702.00 | $14,756.30 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB ROGR DEC HERMAN | $13,621.20 | $22,702.00 | $14,756.30 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | HEALTH CHOICE CONTRACTED [320166] | HB ROGR OKLAHOMA STATE AND EDUCATION EMPLOYEES | $13,621.20 | $22,702.00 | $14,756.30 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | EBMS [20493] | HB ROGR CRADER | $13,621.20 | $22,702.00 | $14,756.30 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB FTSM ROGR DEC CITY OF JACKSON | $13,621.20 | $22,702.00 | $14,756.30 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB FTSM ROGR CAH DEC SAPAUGH | $13,621.20 | $22,702.00 | $14,756.30 | 2026-06-08 | MRF ↗ |
| UNIVERSITY OF KANSAS HEALTH SYSTEM OLATHE HOSPITAL Both | HOME STATE HEALTH PLAN [503201507] | Medicaid MO Home State Health Plan | $13,633.92 | $50,496.00 | $10,099.20 | 2026-04-08 | MRF ↗ |
| UNIVERSITY OF KANSAS HOSPITAL Both | HOME STATE HEALTH PLAN [503201507] | Medicaid MO Home State Health Plan | $13,633.92 | $50,496.00 | $10,099.20 | 2026-04-08 | MRF ↗ |
| UNIVERSITY OF KANSAS HOSPITAL Both | WORKERS COMP [503999901] | UHC | $13,684.42 | $50,496.00 | $10,099.20 | 2026-04-08 | MRF ↗ |
| UNIVERSITY OF KANSAS HOSPITAL Both | GEHA [503200036] | UHC | $13,684.42 | $50,496.00 | $10,099.20 | 2026-04-08 | MRF ↗ |
| UNIVERSITY OF KANSAS HOSPITAL Both | UHC [50310103] | UHC | $13,684.42 | $50,496.00 | $10,099.20 | 2026-04-08 | MRF ↗ |
| UNIVERSITY OF KANSAS HOSPITAL Both | MEDICA [503200074] | UHC | $13,684.42 | $50,496.00 | $10,099.20 | 2026-04-08 | MRF ↗ |
| PIEDMONT EASTSIDE MEDICAL CENTER Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $13,879.30 | $71,175.90 | $21,352.77 | 2026-04-01 | MRF ↗ |
| PIEDMONT EASTSIDE MEDICAL CENTER Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $13,879.30 | $71,175.90 | $21,352.77 | 2026-04-01 | MRF ↗ |
| PIEDMONT EASTSIDE MEDICAL CENTER Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $13,879.30 | $71,175.90 | $21,352.77 | 2026-04-01 | MRF ↗ |
| PIEDMONT EASTSIDE MEDICAL CENTER Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $13,879.30 | $71,175.90 | $21,352.77 | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF KANSAS HOSPITAL Both | BCBS MEDICAID OOS [503999920] | Medicaid MO Healthy Blue MO | $14,042.94 | $50,496.00 | $10,099.20 | 2026-04-08 | MRF ↗ |
| UNIVERSITY OF KANSAS HEALTH SYSTEM OLATHE HOSPITAL Both | BCBS MEDICAID OOS [503999920] | Medicaid MO Healthy Blue MO | $14,042.94 | $50,496.00 | $10,099.20 | 2026-04-08 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $14,164.00 | $71,175.90 | $21,352.77 | 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.