SUP-CXT321414 — Graft Vasc Excluder 18fr 32x14mmx14cm Conform Aaa Trunk Cxt321414
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). GRAFT VASC EXCLUDER 18FR 32X14MMX14CM CONFORM AAA TRUNK CXT321414 (CDM SUP-CXT321414) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/SUP-CXT321414?code_type=CDM
MLA (9th ed.)
“GRAFT VASC EXCLUDER 18FR 32X14MMX14CM CONFORM AAA TRUNK CXT321414 (CDM SUP-CXT321414) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/SUP-CXT321414?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“GRAFT VASC EXCLUDER 18FR 32X14MMX14CM CONFORM AAA TRUNK CXT321414 (CDM SUP-CXT321414) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/SUP-CXT321414?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $11,932–$42,095 (25th–75th percentile) across 9 hospitals · 117 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM SUP-CXT321414 — 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 | $1,532.05 | $23,570.00 | $15,320.50 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $1,532.05 | $23,570.00 | $15,320.50 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $1,532.05 | $23,570.00 | $15,320.50 | 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 | $1,532.05 | $23,570.00 | $15,320.50 | 2026-06-10 | 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 | 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 | 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 | 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 WASHINGTON OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $1,723.54 | $26,516.00 | $17,235.40 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $1,723.54 | $26,516.00 | $17,235.40 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $1,723.54 | $26,516.00 | $17,235.40 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | HEALTH CHOICE CONTRACTED [320166] | HB JOPL HEALTHCHOICE-OSEEGIB | $3,411.50 | $34,115.00 | $22,174.75 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $3,535.50 | $23,570.00 | $15,320.50 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AETNA MEDICAID [20009] | HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $3,535.50 | $23,570.00 | $15,320.50 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MEDICAID [20240] | HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID | $3,535.50 | $23,570.00 | $15,320.50 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | COUNTYCARE HEALTH PLAN MEDICAID CONTRACTED [320523] | HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID | $3,535.50 | $23,570.00 | $15,320.50 | 2026-06-10 | 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 WASHINGTON OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $3,977.40 | $26,516.00 | $17,235.40 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MEDICAID [20240] | HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID | $3,977.40 | $26,516.00 | $17,235.40 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | AETNA MEDICAID [20009] | HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $3,977.40 | $26,516.00 | $17,235.40 | 2026-03-12 | 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 ↗ |
| 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 | AETNA MEDICAID CONTRACTED [320009] | 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 SOUTH OutpatientFacility | MEDICA CONTRACTED [320239] | HB SAMC MEDICA EXCHANGE NEW 010122 | $6,151.77 | $23,570.00 | $15,320.50 | 2026-06-10 | 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 ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MEDICA CONTRACTED [320239] | HB WASH MEDICA EXCHANGE | $6,920.68 | $26,516.00 | $17,235.40 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | KANCARE CONTRACTED [320213] | HB JOPL AETNA BETTER HEALTH (KANCARE) | $8,528.75 | $34,115.00 | $22,174.75 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | KANCARE [20213] | HB JOPL AETNA BETTER HEALTH (KANCARE) | $8,528.75 | $34,115.00 | $22,174.75 | 2026-06-09 | 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 SOUTH OutpatientFacility | MERCY BENEFIT ADMIN [20251] | HB STLO SAMC HERMANN AREA DISTRICT HOSPITAL | $9,428.00 | $23,570.00 | $15,320.50 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC HERMANN AREA DISTRICT HOSPITAL | $9,428.00 | $23,570.00 | $15,320.50 | 2026-06-10 | 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 ↗ |
| 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 JOPLIN OutpatientFacility | HUMANA CONTRACTED [320193] | HB JOPL HUMANA COMMERCIAL | $10,234.50 | $34,115.00 | $22,174.75 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MERCY BENEFIT ADMIN [20251] | HB WASH & JEFN HERMANN AREA DISTRICT HOSPITAL | $10,606.40 | $26,516.00 | $17,235.40 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB WASH & JEFN HERMANN AREA DISTRICT HOSPITAL | $10,606.40 | $26,516.00 | $17,235.40 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AUXIANT CONTRACTED [320462] | HB STLO SAMC CITY OF JACKSON DEC NEW 010125 | $10,606.50 | $23,570.00 | $15,320.50 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | EDISON HEALTH SOLUTIONS CONTRACTED [320502] | HB STLO SAMC SHINE SOLAR DEC NEW 110320 | $10,606.50 | $23,570.00 | $15,320.50 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC DEC EBA - EMPLOYER BENEFIT ALLIANCE NEW 070121 | $10,606.50 | $23,570.00 | $15,320.50 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC SCHAEFER AUTOBODY DEC NEW 030121 | $10,606.50 | $23,570.00 | $15,320.50 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC DEC QUICK TRIP | $10,606.50 | $23,570.00 | $15,320.50 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | HEALTHLINK CONTRACTED [320179] | HB STLO SAMC DEC SAPAUGH MOTORS NEW 01.01.25 | $10,606.50 | $23,570.00 | $15,320.50 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC TALL TREE DEC NEW 040125 | $10,606.50 | $23,570.00 | $15,320.50 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC DEC SHOW ME BENEFIT CONSORTIUM NEW 070121 | $10,606.50 | $23,570.00 | $15,320.50 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC CITY OF JACKSON DEC NEW 010125 | $10,606.50 | $23,570.00 | $15,320.50 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AUXIANT CONTRACTED [320462] | HB STLO SAMC BUCHHEIT DEC NEW 070122 | $10,606.50 | $23,570.00 | $15,320.50 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | REFLECT HEALTH CONTRACTED [320492] | HB STLO SAMC WW WOOD DEC | $10,606.50 | $23,570.00 | $15,320.50 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | EDISON HEALTH SOLUTIONS CONTRACTED [320502] | HB STLO SAMC WOODARD DEC NEW 040124 | $10,606.50 | $23,570.00 | $15,320.50 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB STLO SAMC WOODARD DEC NEW 040124 | $10,606.50 | $23,570.00 | $15,320.50 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB STLO SAMC SCHAEFER AUTOBODY DEC NEW 030121 | $10,606.50 | $23,570.00 | $15,320.50 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | YUZU HEALTH CONTRACTED [320521] | HB STLO SAMC LEVEL HEALTH DEC | $10,606.50 | $23,570.00 | $15,320.50 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] | HB STLO SAMC ASI DEC NEW 010124 | $10,606.50 | $23,570.00 | $15,320.50 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | EBMS CONTRACTED [320493] | HB STLO SAMC CRADER DISTRIBUTING DEC NEW 090125 | $10,606.50 | $23,570.00 | $15,320.50 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] | HB STLO SAMC DEC SHOW ME BENEFIT CONSORTIUM NEW 070121 | $10,606.50 | $23,570.00 | $15,320.50 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | CIGNA HEALTHCARE CONTRACTED [320071] | HB STLO WASH JEFN SAMC CIGNA BEHAVIORAL HEALTH | $10,606.50 | $23,570.00 | $15,320.50 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY BENEFIT ADMIN [20251] | HB STLO SAMC CLAYCO DEC | $10,606.50 | $23,570.00 | $15,320.50 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC CLAYCO DEC | $10,606.50 | $23,570.00 | $15,320.50 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC EASTER SEALS DEC NEW 010125 | $10,606.50 | $23,570.00 | $15,320.50 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC BARTEL COMMUNICATION DEC NEW 010125 | $10,606.50 | $23,570.00 | $15,320.50 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AUXIANT CONTRACTED [320462] | HB STLO SAMC DEC HYDROMAT | $10,606.50 | $23,570.00 | $15,320.50 | 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 | $10,606.50 | $23,570.00 | $15,320.50 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AUXIANT CONTRACTED [320462] | HB STLO SAMC FCB BANKS DEC | $10,606.50 | $23,570.00 | $15,320.50 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY BENEFIT ADMIN [20251] | HB STLO SAMC DEC EBA - EMPLOYER BENEFIT ALLIANCE NEW 070121 | $10,606.50 | $23,570.00 | $15,320.50 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AITHER HEALTH [20449] | HB STLO SAMC SHINE SOLAR DEC NEW 110320 | $10,606.50 | $23,570.00 | $15,320.50 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB STLO SAMC SHINE SOLAR DEC NEW 110320 | $10,606.50 | $23,570.00 | $15,320.50 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | YUZU HEALTH CONTRACTED [320521] | HB STLO SAMC SCHAEFER AUTOBODY DEC NEW 030121 | $10,606.50 | $23,570.00 | $15,320.50 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC DEC SAPAUGH MOTORS NEW 01.01.25 | $10,606.50 | $23,570.00 | $15,320.50 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY BENEFIT ADMIN [20251] | HB STLO SAMC DEC SHOW ME BENEFIT CONSORTIUM NEW 070121 | $10,606.50 | $23,570.00 | $15,320.50 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB STLO SAMC LACLEDE CHAIN DEC NEW 07.01.25 | $10,606.50 | $23,570.00 | $15,320.50 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MERCY BENEFIT ADMIN [20251] | HB STLO SAMC SCHAEFER AUTOBODY DEC NEW 030121 | $10,606.50 | $23,570.00 | $15,320.50 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | IMAGINE 360 CONTRACTED [320494] | HB STLO SAMC DEC ROBINSON CONTRUCTION NEW 1.1.25 | $10,606.50 | $23,570.00 | $15,320.50 | 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 | $11,195.75 | $23,570.00 | $15,320.50 | 2026-06-10 | 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 ↗ |
| 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 | 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 | 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 | 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 BARTEL | $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 | 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 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 | 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 TALL TREE | $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 | 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 | 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 | 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 TOWN AND COIUNTRY | $11,351.00 | $22,702.00 | $14,756.30 | 2026-06-08 | 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 | 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 | 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 | 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 | 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 | 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 | 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 | 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 | 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 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 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 | 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 | 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 | 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 | 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 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 | 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 | 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 | 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 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 | 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 ACCESS CHOICE PPO | $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 | 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 | 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 | 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 | 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 | 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 | 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 | 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 | 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 [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 | 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 | 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 | 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 | 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 | 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 | 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 | 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 BUCHHEIT DEC NEW 070122 | $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 | 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 | 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 | 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 | 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 | 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 | 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 | 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 | 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 PPO/WC | $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 | 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 | 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 | 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 SOUTH OutpatientFacility | OPTUM HEALTH BEHAVIORAL SOLUTIONS [520250] | HB SAMC UHC HMO PPO ALL PAYER | $11,785.00 | $23,570.00 | $15,320.50 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB SAMC ANTHEM BLUE PREFERRED EFF 011520 | $11,785.00 | $23,570.00 | $15,320.50 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | NOVASYS CONTRACTED [320285] | HB SAMC CENTENE/AMBETTER EXCHANGE | $11,785.00 | $23,570.00 | $15,320.50 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB SAMC ANTHEM ACCESS CHOICE | $11,785.00 | $23,570.00 | $15,320.50 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | SUNFLOWER HEALTH PLAN CONTRACTED [320369] | HB SAMC CENTENE/AMBETTER EXCHANGE | $11,785.00 | $23,570.00 | $15,320.50 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | HOME STATE HEALTH PLAN CONTRACTED [320187] | HB SAMC CENTENE/AMBETTER EXCHANGE | $11,785.00 | $23,570.00 | $15,320.50 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | UNITED MEDICAL RESOURCES CONTRACTED [320454] | HB SAMC UHC HMO PPO ALL PAYER | $11,785.00 | $23,570.00 | $15,320.50 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AMBETTER CONTRACTED [320452] | HB SAMC CENTENE/AMBETTER EXCHANGE | $11,785.00 | $23,570.00 | $15,320.50 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB SAMC ANTHEM PATHWAY/EXCHANGE EFF 011520 | $11,785.00 | $23,570.00 | $15,320.50 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | CIGNA HEALTHCARE CONTRACTED [320071] | HB SAMC CIGNA HMO | $11,785.00 | $23,570.00 | $15,320.50 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | CIGNA HEALTHCARE CONTRACTED [320071] | HB SAMC CIGNA IFP | $11,785.00 | $23,570.00 | $15,320.50 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | MC ANTHEM [20455] | HB SAMC ANTHEM ACCESS CHOICE | $11,785.00 | $23,570.00 | $15,320.50 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AETNA CONTRACTED [320008] | HB SAMC AETNA COMMERCIAL NEW 070123 | $11,785.00 | $23,570.00 | $15,320.50 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB SAMC UHC CORE NEW 100121 | $11,785.00 | $23,570.00 | $15,320.50 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | HEALTHLINK CONTRACTED [320179] | HB SAMC HEALTHLINK HMO | $11,785.00 | $23,570.00 | $15,320.50 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | HEALTHLINK CONTRACTED [320179] | HB SAMC DEC EMCAP EBSO | $11,785.00 | $23,570.00 | $15,320.50 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | HEALTHLINK CONTRACTED [320179] | HB SAMC HEALTHLINK PPO | $11,785.00 | $23,570.00 | $15,320.50 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | AMBETTER [20452] | HB SAMC CENTENE/AMBETTER EXCHANGE | $11,785.00 | $23,570.00 | $15,320.50 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB SAMC UHC HMO PPO ALL PAYER | $11,785.00 | $23,570.00 | $15,320.50 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL SOUTH OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB SAMC UHC COMPASS/EXCHANGE | $11,785.00 | $23,570.00 | $15,320.50 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | AMBETTER [20452] | HB STLO WASH JEFN CENTENE EXCHANGE/AMBETTER EFF 090118 | $11,932.20 | $26,516.00 | $17,235.40 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | AITHER HEALTH [20449] | HB WASH JEFN SHINE SOLAR DEC NEW 110320 | $11,932.20 | $26,516.00 | $17,235.40 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MERCY BENEFIT ADMIN [20251] | HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121 | $11,932.20 | $26,516.00 | $17,235.40 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MERCY BENEFIT ADMIN [20251] | HB WASH JEFN DEC CLAYCO | $11,932.20 | $26,516.00 | $17,235.40 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MERCY BENEFIT ADMIN [20251] | HB WASH JEFN DEC SHOW ME BENEFIT CONSORTIUM NEW 070121 | $11,932.20 | $26,516.00 | $17,235.40 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | CIGNA HEALTHCARE CONTRACTED [320071] | HB WASH CIGNA HMO | $11,932.20 | $26,516.00 | $17,235.40 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | CIGNA HEALTHCARE CONTRACTED [320071] | HB WASH CIGNA PPO | $11,932.20 | $26,516.00 | $17,235.40 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | CIGNA HEALTHCARE CONTRACTED [320071] | HB STLO WASH JEFN SAMC CIGNA BEHAVIORAL HEALTH | $11,932.20 | $26,516.00 | $17,235.40 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MERCY BENEFIT ADMIN [20251] | HB WASH JEFN DEC EBA - EMPLOYER BENEFIT ALLIANCE NEW 070121 | $11,932.20 | $26,516.00 | $17,235.40 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121 | $11,932.20 | $26,516.00 | $17,235.40 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB WASH JEFN DEC TOWN AND COUNTRY SUPERMARKETS-NEW 7.1.24 | $11,932.20 | $26,516.00 | $17,235.40 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB WASH JEFN DEC CLAYCO | $11,932.20 | $26,516.00 | $17,235.40 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB WASH JEFN DEC EBA - EMPLOYER BENEFIT ALLIANCE NEW 070121 | $11,932.20 | $26,516.00 | $17,235.40 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB WASH JEFN CITY OF JACKSON DEC NEW 010125 | $11,932.20 | $26,516.00 | $17,235.40 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB WASH JEFN DEC SHOW ME BENEFIT CONSORTIUM NEW 070121 | $11,932.20 | $26,516.00 | $17,235.40 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB WASH JEFN DEC QUICK TRIP | $11,932.20 | $26,516.00 | $17,235.40 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB WASH JEFN SAPAUGH MOTORS DEC NEW 1.1.25 | $11,932.20 | $26,516.00 | $17,235.40 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB WASH JEFN EASTER SEALS DEC NEW 010125 | $11,932.20 | $26,516.00 | $17,235.40 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB WASH JEFN BARTEL COMMUNICATION DEC NEW 010125 | $11,932.20 | $26,516.00 | $17,235.40 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB WASH ANTHEM ACCESS CHOICE PPO | $11,932.20 | $26,516.00 | $17,235.40 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB WASH ANTHEM BLUE ACCESS PPO | $11,932.20 | $26,516.00 | $17,235.40 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB WASH ANTHEM PATHWAY/EXCHANGE EFF 011520 | $11,932.20 | $26,516.00 | $17,235.40 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB WASH JEFN TALL TREE DEC NEW 040125 | $11,932.20 | $26,516.00 | $17,235.40 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MC ANTHEM [20455] | HB WASH ANTHEM ACCESS CHOICE PPO | $11,932.20 | $26,516.00 | $17,235.40 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | OPTUM HEALTH BEHAVIORAL SOLUTIONS [520250] | HB WASH UHC HMO PPO ALL PAYER | $11,932.20 | $26,516.00 | $17,235.40 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | IMAGINE 360 CONTRACTED [320494] | HB WASH JEFN DEC ROBINSON CONSTRUCTION NEW 1.1.25 | $11,932.20 | $26,516.00 | $17,235.40 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | EDISON HEALTH SOLUTIONS CONTRACTED [320502] | HB WASH JEFN SHINE SOLAR DEC NEW 110320 | $11,932.20 | $26,516.00 | $17,235.40 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | REFLECT HEALTH CONTRACTED [320492] | HB WASH JEFN WW WOOD DEC | $11,932.20 | $26,516.00 | $17,235.40 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] | HB WASH JEFN DEC SHOW ME BENEFIT CONSORTIUM NEW 070121 | $11,932.20 | $26,516.00 | $17,235.40 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | EBMS CONTRACTED [320493] | HB WASH JEFN CRADER DISTRIBUTING DEC NEW 090125 | $11,932.20 | $26,516.00 | $17,235.40 | 2026-03-12 | MRF ↗ |
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