SUP-DCELL217M — Allograft Dermacell 16x20cm Dcell217m
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). ALLOGRAFT DERMACELL 16X20CM DCELL217M (CDM SUP-DCELL217M) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/SUP-DCELL217M?code_type=CDM
MLA (9th ed.)
“ALLOGRAFT DERMACELL 16X20CM DCELL217M (CDM SUP-DCELL217M) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/SUP-DCELL217M?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“ALLOGRAFT DERMACELL 16X20CM DCELL217M (CDM SUP-DCELL217M) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/SUP-DCELL217M?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $11,632–$34,768 (25th–75th percentile) across 5 hospitals · 73 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM SUP-DCELL217M — 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 JOPLIN OutpatientFacility | HEALTH CHOICE CONTRACTED [320166] | HB JOPL HEALTHCHOICE-OSEEGIB | $2,848.10 | $28,481.00 | $18,512.65 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | MERCY INTERFACILITY [20513] | HB ROGR Inter-Facility CCR New 6.1.25 | $3,528.43 | $19,387.00 | $12,601.55 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | HUMANA MEDICAID CONTRACTED [320486] | HB ROGR OK MANAGED MEDICAID | $4,846.75 | $19,387.00 | $12,601.55 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | OKLAHOMA COMPLETE HEALTH MEDICAID CONTRACTED [320485] | HB ROGR OK MANAGED MEDICAID | $4,846.75 | $19,387.00 | $12,601.55 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB ROGR OK MANAGED MEDICAID | $4,846.75 | $19,387.00 | $12,601.55 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | KANCARE [20213] | HB JOPL AETNA BETTER HEALTH (KANCARE) | $7,120.25 | $28,481.00 | $18,512.65 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | KANCARE CONTRACTED [320213] | HB JOPL AETNA BETTER HEALTH (KANCARE) | $7,120.25 | $28,481.00 | $18,512.65 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | HUMANA CONTRACTED [320193] | HB JOPL HUMANA COMMERCIAL | $8,544.30 | $28,481.00 | $18,512.65 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB ROGR DEC SHOW ME | $9,693.50 | $19,387.00 | $12,601.55 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | MUNICIPAL HEALTH PLAN CONTRACTED [320271] | HB ROGR MUNICIPAL HEALTH BENEFIT FUND | $9,693.50 | $19,387.00 | $12,601.55 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | CIGNA HEALTHCARE CONTRACTED [320071] | HB ROGR CIGNA | $9,693.50 | $19,387.00 | $12,601.55 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | EDISON HEALTH SOLUTIONS CONTRACTED [320502] | HB ROGR DEC WOODARD | $9,693.50 | $19,387.00 | $12,601.55 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB ROGR DEC TALL TREE | $9,693.50 | $19,387.00 | $12,601.55 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | YUZU HEALTH CONTRACTED [320521] | HB ROGR DEC LEVEL HEALTH - NEW 01.01.26 | $9,693.50 | $19,387.00 | $12,601.55 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB ROGR DEC TOWN AND COIUNTRY | $9,693.50 | $19,387.00 | $12,601.55 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB ROGR DEC SCHAEFER QCG | $9,693.50 | $19,387.00 | $12,601.55 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB ROGR DEC BARTEL | $9,693.50 | $19,387.00 | $12,601.55 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | UNITED HEALTHCARE [20396] | HB ROGR UHC | $9,693.50 | $19,387.00 | $12,601.55 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB ROGR UHC | $9,693.50 | $19,387.00 | $12,601.55 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | 90 DEGREE BENEFITS CONTRACTED [320436] | HB ROGR DEC SHOW ME | $9,693.50 | $19,387.00 | $12,601.55 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB ROGR DEC WOODARD | $9,693.50 | $19,387.00 | $12,601.55 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB ROGR DEC LACLEDE - NEW 07.01.25 | $9,693.50 | $19,387.00 | $12,601.55 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | UNITED MEDICAL RESOURCES CONTRACTED [320454] | HB ROGR UHC | $9,693.50 | $19,387.00 | $12,601.55 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] | HB FTSM ROGR DEC ASI | $9,693.50 | $19,387.00 | $12,601.55 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | QUAL CHOICE CONTRACTED [320324] | HB ROGR BRYV QUAL CHOICE | $9,693.50 | $19,387.00 | $12,601.55 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | POINT C CONTRACTED [320238] | HB JOPL/CTHG DEC JOPLIN SUPPLY CO | $9,968.35 | $28,481.00 | $18,512.65 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | AETNA [20008] | HB ROGR COVENTRY/AETNA | $10,275.11 | $19,387.00 | $12,601.55 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | AETNA CONTRACTED [320008] | HB ROGR COVENTRY/AETNA | $10,275.11 | $19,387.00 | $12,601.55 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | FIRST HEALTH CONTRACTED [320128] | HB ROGR FIRST HEALTH/AETNA | $10,275.11 | $19,387.00 | $12,601.55 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | MEDICA CONTRACTED [320239] | HB JOPL/SEKS MEDICA EXCHANGE | $10,367.08 | $28,481.00 | $18,512.65 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | AETNA CONTRACTED [320008] | HB JOPL AETNA COMMERCIAL | $10,537.97 | $28,481.00 | $18,512.65 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | AETNA [20008] | HB JOPL AETNA COMMERCIAL | $10,537.97 | $28,481.00 | $18,512.65 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | SUNFLOWER HEALTH PLAN CONTRACTED [320369] | HB JOPL AMBETTER EXCHANGE MO | $11,392.40 | $28,481.00 | $18,512.65 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB JOPL UHC INDIVIDUAL EXCHANGE | $11,392.40 | $28,481.00 | $18,512.65 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | HOME STATE HEALTH PLAN CONTRACTED [320187] | HB JOPL AMBETTER EXCHANGE MO | $11,392.40 | $28,481.00 | $18,512.65 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | AMBETTER CONTRACTED [320452] | HB JOPL AMBETTER EXCHANGE MO | $11,392.40 | $28,481.00 | $18,512.65 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | NOVASYS CONTRACTED [320285] | HB JOPL AMBETTER EXCHANGE MO | $11,392.40 | $28,481.00 | $18,512.65 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | NOVASYS CONTRACTED [320285] | HB ROGR NOVASYS | $11,632.20 | $19,387.00 | $12,601.55 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | EBMS [20493] | HB ROGR CRADER | $11,632.20 | $19,387.00 | $12,601.55 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | AUXIANT CONTRACTED [320462] | HB FTSM ROGR DEC CITY OF JACKSON | $11,632.20 | $19,387.00 | $12,601.55 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | AUXIANT CONTRACTED [320462] | HB FTSM ROGR DEC BUCHHEIT | $11,632.20 | $19,387.00 | $12,601.55 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | HEALTHLINK CONTRACTED [320179] | HB FTSM ROGR CAH DEC SAPAUGH | $11,632.20 | $19,387.00 | $12,601.55 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | HEALTH CHOICE CONTRACTED [320166] | HB ROGR OKLAHOMA STATE AND EDUCATION EMPLOYEES | $11,632.20 | $19,387.00 | $12,601.55 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB ROGR DEC HERMAN | $11,632.20 | $19,387.00 | $12,601.55 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB ROGR DEC QUIKTRIP CO | $11,632.20 | $19,387.00 | $12,601.55 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB FTSM ROGR DEC EASTER SEALS | $11,632.20 | $19,387.00 | $12,601.55 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB FTSM ROGR DEC CITY OF JACKSON | $11,632.20 | $19,387.00 | $12,601.55 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB FTSM ROGR CAH DEC SAPAUGH | $11,632.20 | $19,387.00 | $12,601.55 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | IMAGINE 360 CONTRACTED [320494] | HB FTSM ROGR DEC ROBINSON CONSTRUCTION | $11,632.20 | $19,387.00 | $12,601.55 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | EBMS CONTRACTED [320493] | HB ROGR CRADER | $11,632.20 | $19,387.00 | $12,601.55 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | REFLECT HEALTH CONTRACTED [320492] | HB ROGR DEC WWWood Products | $11,632.20 | $19,387.00 | $12,601.55 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | OPTUM HEALTH BEHAVIORAL SOLUTIONS [520250] | HB JOPL UHC ALL PAYER | $11,677.21 | $28,481.00 | $18,512.65 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB JOPL UHC ALL PAYER | $11,677.21 | $28,481.00 | $18,512.65 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | UNITED MEDICAL RESOURCES CONTRACTED [320454] | HB JOPL UHC ALL PAYER | $11,677.21 | $28,481.00 | $18,512.65 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | INSURANCE SYSTEM INC CONTRACTED [320465] | HB JOPL MNCK CTHG HEALTH SYSTEMS | $12,246.83 | $28,481.00 | $18,512.65 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | BENEFIT MANAGEMENT CONTRACTED [320052] | HB JOPL DEC OZARK COMMUNITY HOSPITAL | $12,246.83 | $28,481.00 | $18,512.65 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | HEALTH SYSTEMS INC CONTRACTED [320174] | HB JOPL MNCK CTHG HEALTH SYSTEMS | $12,246.83 | $28,481.00 | $18,512.65 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | POINT C CONTRACTED [320238] | HB ROGR NETWORK AFFILIATION | $12,601.55 | $19,387.00 | $12,601.55 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | HEALTHLINK CONTRACTED [320179] | HB ROGR NETWORK AFFILIATION | $12,601.55 | $19,387.00 | $12,601.55 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | TRI STATE HEALTHCARE COALITION CONTRACTED [320379] | HB ROGR NETWORK AFFILIATION | $12,601.55 | $19,387.00 | $12,601.55 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | PERSONIFY HEALTH CONTRACTED [320051] | HB ROGR NETWORK AFFILIATION | $12,601.55 | $19,387.00 | $12,601.55 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | AUXIANT CONTRACTED [320462] | HB ROGR NETWORK AFFILIATION | $12,601.55 | $19,387.00 | $12,601.55 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | FEDERAL MEDICAL CENTER CONTRACTED [320127] | HB ROGR NETWORK AFFILIATION | $12,601.55 | $19,387.00 | $12,601.55 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | BENEFIT MANAGEMENT CONTRACTED [320052] | HB ROGR NETWORK AFFILIATION | $12,601.55 | $19,387.00 | $12,601.55 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | WORKERS COMP [20426] | HB ROGR WORK COMP AETNA/COVENTRY | $12,601.55 | $19,387.00 | $12,601.55 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | PREFERRED HEALTH PLAN CONTRACTED [320522] | HB ROGR NETWORK AFFILIATION | $12,601.55 | $19,387.00 | $12,601.55 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | INSURANCE SYSTEM INC CONTRACTED [320465] | HB ROGR NETWORK AFFILIATION | $12,601.55 | $19,387.00 | $12,601.55 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | ADMINISTRATIVE PAYOR CONTRACTED [320005] | HB JOPL AMISH | $12,816.45 | $28,481.00 | $18,512.65 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB JOPL ANTHEM BLUE ACCESS | $12,816.45 | $28,481.00 | $18,512.65 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB JOPL ANTHEM ALLIANCE | $12,816.45 | $28,481.00 | $18,512.65 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | ADMINISTRATIVE PAYOR CONTRACTED [320005] | HB SPRG MENNONITES | $12,816.45 | $28,481.00 | $18,512.65 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | MC GENERIC ANTHEM [20456] | HB JOPL ANTHEM BLUE ACCESS | $12,816.45 | $28,481.00 | $18,512.65 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | MC ANTHEM [20455] | HB JOPL ANTHEM BLUE ACCESS | $12,816.45 | $28,481.00 | $18,512.65 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | MC ANTHEM [20455] | HB JOPL ANTHEM ALLIANCE | $12,816.45 | $28,481.00 | $18,512.65 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB JOPL ANTHEM PATHWAYS EXCHANGE | $12,816.45 | $28,481.00 | $18,512.65 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | EMPLOYERS HEALTH COALITION CONTRACTED [320116] | HB ROGR EHC PPO | $13,570.90 | $19,387.00 | $12,601.55 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | PRIVATE HEALTH CARE SYSTEMS [20320] | HB ROGR PRIVATE HEALTH CARE SYSTEMS | $13,570.90 | $19,387.00 | $12,601.55 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] | HB ROGR PRIVATE HEALTH CARE SYSTEMS | $13,570.90 | $19,387.00 | $12,601.55 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | POINT C CONTRACTED [320238] | HB JOPL CITY OF SPRINGFIELD | $14,240.50 | $28,481.00 | $18,512.65 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB SPRG JOPL DEC CLAYCO | $14,240.50 | $28,481.00 | $18,512.65 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB SPRG JOPL SEKS DEC SHOW-ME CONSORTIUM | $14,240.50 | $28,481.00 | $18,512.65 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | POINT C CONTRACTED [320238] | HB JOPL MO STATE UNIVERSITY | $14,240.50 | $28,481.00 | $18,512.65 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | 90 DEGREE BENEFITS CONTRACTED [320436] | HB SPRG JOPL SEKS DEC SHOW-ME CONSORTIUM | $14,240.50 | $28,481.00 | $18,512.65 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] | HB SPRG JOPL SEKS DEC ASI New 1.1.24 | $14,240.50 | $28,481.00 | $18,512.65 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] | HB SPRG JOPL SEKS DEC SHOW-ME CONSORTIUM | $14,240.50 | $28,481.00 | $18,512.65 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | PPO PLUS CONTRACTED [320310] | HB ROGR PPO PLUS | $14,540.25 | $19,387.00 | $12,601.55 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | HUMANA CONTRACTED [320193] | HB ROGR HUMANA | $14,540.25 | $19,387.00 | $12,601.55 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | HEALTHSCOPE CONTRACTED [320182] | HB ROGR EMPIRE DISTRICT | $15,509.60 | $19,387.00 | $12,601.55 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB SPRG JOPL DEC QUALITY COLLISION GROUP (QCG) SCHAEFER AUTOBODY | $16,234.17 | $28,481.00 | $18,512.65 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | POINT C CONTRACTED [320238] | HB JOPL S & H FARMS | $16,234.17 | $28,481.00 | $18,512.65 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | YUZU HEALTH CONTRACTED [320521] | HB SPRG JOPL DEC QUALITY COLLISION GROUP (QCG) SCHAEFER AUTOBODY | $16,234.17 | $28,481.00 | $18,512.65 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | MULTIPLAN CONTRACTED [320270] | HB ROGR MULTI PLAN | $16,478.95 | $19,387.00 | $12,601.55 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | MULTIPLAN [20270] | HB ROGR MULTI PLAN | $16,478.95 | $19,387.00 | $12,601.55 | 2026-06-08 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB DEC SPRG JOPL SAPAUGH MOTORS NEW 1.1.25 | $17,088.60 | $28,481.00 | $18,512.65 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | YUZU HEALTH CONTRACTED [320521] | HB SPRG JOPL DEC LEVEL HEALTH NEW 1.1.26 | $17,088.60 | $28,481.00 | $18,512.65 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB SPRG JOPL DEC BARTEL COMMUNICATIONS NEW 1.1.25 | $17,088.60 | $28,481.00 | $18,512.65 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB SPRG JOPL DEC TALL TREE NEW 4.1.25 | $17,088.60 | $28,481.00 | $18,512.65 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB SPRG JOPL DEC CITY OF JACKSON | $17,088.60 | $28,481.00 | $18,512.65 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB SPRG JOPL DEC EASTER SEALS | $17,088.60 | $28,481.00 | $18,512.65 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB SPRG JOPL SEKS DEC TOWN AND COUNTRY SUPERMARKETS- NEW | $17,088.60 | $28,481.00 | $18,512.65 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB SPRG JOPL DEC QUICKTRIP | $17,088.60 | $28,481.00 | $18,512.65 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB SPRG JOPL DEC LACLEDE CHAIN NEW 7.1.25 | $17,088.60 | $28,481.00 | $18,512.65 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB SPRG JOPL WOODARD DEC NEW 040124 | $17,088.60 | $28,481.00 | $18,512.65 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | HEALTHLINK CONTRACTED [320179] | HB SPRG JOPL HEALTHLINK HMO | $17,088.60 | $28,481.00 | $18,512.65 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | HEALTHLINK CONTRACTED [320179] | HB DEC SPRG JOPL SAPAUGH MOTORS NEW 1.1.25 | $17,088.60 | $28,481.00 | $18,512.65 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | IMAGINE 360 CONTRACTED [320494] | HB SPRG JOPL DEC ROBINSON CONSTRUCTION NEW 1.1.25 | $17,088.60 | $28,481.00 | $18,512.65 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | AUXIANT CONTRACTED [320462] | HB SPRG JOPL DEC CITY OF JACKSON | $17,088.60 | $28,481.00 | $18,512.65 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | AUXIANT CONTRACTED [320462] | HB SPRG JOPL DEC BUCHHEIT | $17,088.60 | $28,481.00 | $18,512.65 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | EDISON HEALTH SOLUTIONS CONTRACTED [320502] | HB SPRG JOPL WOODARD DEC NEW 040124 | $17,088.60 | $28,481.00 | $18,512.65 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | REFLECT HEALTH CONTRACTED [320492] | HB SPRG JOPL DEC WW WOOD PRODUCTS NEW 1.1.26 | $17,088.60 | $28,481.00 | $18,512.65 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | EBMS CONTRACTED [320493] | HB SPRG JOPL DEC CRADER DISTRIBUTION | $17,088.60 | $28,481.00 | $18,512.65 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | HEALTHLINK CONTRACTED [320179] | HB JOPL NETWORK AFFLIATION | $18,512.65 | $28,481.00 | $18,512.65 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | PREFERRED HEALTH PLAN CONTRACTED [320522] | HB JOPL NETWORK AFFLIATION | $18,512.65 | $28,481.00 | $18,512.65 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | AUXIANT CONTRACTED [320462] | HB SPRG JOPL DEC HYDROMAT DEUTSCHE | $18,512.65 | $28,481.00 | $18,512.65 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | HEALTHLINK CONTRACTED [320179] | HB SPRG JOPL HEALTHLINK PPO | $18,512.65 | $28,481.00 | $18,512.65 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | AUXIANT CONTRACTED [320462] | HB SPRG JOPL DEC FCB BANKS | $18,512.65 | $28,481.00 | $18,512.65 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | INDIAN HEALTH SERVICE CONTRACTED [320198] | HB JOPL BEARSKIN HEALTH AND WELLNESS | $18,512.65 | $28,481.00 | $18,512.65 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | UNITED MEDICAL RESOURCES CONTRACTED [320454] | HB JOPL LIBERTY UTILITIES | $18,797.46 | $28,481.00 | $18,512.65 | 2026-06-09 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Inpatient | TROY | TROY MEDICARE ADVANTAGE | — | $59,432.64 | $16,046.81 | 2025-03-14 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Outpatient | UHC | UHC HMO | — | $59,432.64 | $16,046.81 | 2025-03-14 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Inpatient | CIGNA | CIGNA MEDICARE ADVANTAGE | — | $59,432.64 | $16,046.81 | 2025-03-14 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Inpatient | AETNA | AETNA PPO | — | $59,432.64 | $16,046.81 | 2025-03-14 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Inpatient | AETNA | AETNA WHOLE HEALTH SELF INSURED | — | $59,432.64 | $16,046.81 | 2025-03-14 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Outpatient | UHC | UHC PPO | — | $59,432.64 | $16,046.81 | 2025-03-14 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Inpatient | VA MEDICAID | VA MEDICAID | — | $59,432.64 | $16,046.81 | 2025-03-14 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | VA MEDICAID | VA MEDICAID | — | $59,432.64 | $16,046.81 | 2025-03-27 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Inpatient | UHC | UHC HMO | — | $59,432.64 | $16,046.81 | 2025-03-14 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Inpatient | DUKE PLUS | DUKE PLUS | $19,018.44 | $59,432.64 | $16,046.81 | 2025-03-14 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | DUKE PLUS | DUKE PLUS | $19,018.44 | $59,432.64 | $16,046.81 | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | CIGNA | CIGNA MEDICARE ADVANTAGE | — | $59,432.64 | $16,046.81 | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | AETNA | AETNA WHOLE HEALTH SELF INSURED | — | $59,432.64 | $16,046.81 | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | UHC | UHC HMO | — | $59,432.64 | $16,046.81 | 2025-03-27 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Inpatient | ALIGNMENT HEALTH | ALIGNMENT HEALTH MEDICARE ADVANTAGE | — | $59,432.64 | $16,046.81 | 2025-03-14 | MRF ↗ |
| Duke Health Raleigh Hospital Outpatient | UHC | UHC HMO | — | $59,432.64 | $16,046.81 | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | AETNA | AETNA PPO | — | $59,432.64 | $16,046.81 | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Outpatient | UHC | UHC PPO | — | $59,432.64 | $16,046.81 | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | TROY | TROY MEDICARE ADVANTAGE | — | $59,432.64 | $16,046.81 | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | ALIGNMENT HEALTH | ALIGNMENT HEALTH MEDICARE ADVANTAGE | — | $59,432.64 | $16,046.81 | 2025-03-27 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | FIRST HEALTH CONTRACTED [320128] | HB JOPL AETNA FIRST HEALTH-NETWORK ACCESS | $19,594.93 | $28,481.00 | $18,512.65 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | CIGNA HEALTHCARE CONTRACTED [320071] | HB SEKS/JOPL CIGNA PPO | $19,936.70 | $28,481.00 | $18,512.65 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] | HB JOPL SEKS AMERICAN HEALTHCARE ALLIANCE | $19,936.70 | $28,481.00 | $18,512.65 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | CIGNA HEALTHCARE CONTRACTED [320071] | HB SEKS/JOPL CIGNA HMO | $19,936.70 | $28,481.00 | $18,512.65 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB JOPL BLUE PREFERRED | $20,762.65 | $28,481.00 | $18,512.65 | 2026-06-09 | MRF ↗ |
| UW HEALTH BothFacility | Blue Cross Blue Shield HMOI | HMO Plans | $22,781.70 | $171,291.00 | $27,406.56 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | WORKERS COMP [20426] | HB SPRG JOPL MERCY EMPLOYEE WORK COMP MO | $22,784.80 | $28,481.00 | $18,512.65 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | POINT C CONTRACTED [320238] | HB JOPL SCURLOCK INDUSTRIES | $22,784.80 | $28,481.00 | $18,512.65 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | POINT C CONTRACTED [320238] | HB JOPL TRAILINER | $22,784.80 | $28,481.00 | $18,512.65 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | POINT C CONTRACTED [320238] | HB JOPL SRC | $22,784.80 | $28,481.00 | $18,512.65 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | WORKERS COMP [20426] | HB JOPL SEKS PITS CTHG MNCK OHA WORKERS COMP NEW 3.15.25 | $22,784.80 | $28,481.00 | $18,512.65 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | WORKERS COMP [20426] | HB JOPL GENERIC WORK COMP | $22,784.80 | $28,481.00 | $18,512.65 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | POINT C [20238] | HB JOPL SRC | $22,784.80 | $28,481.00 | $18,512.65 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] | HB JOPL PHCS (MPI) | $23,069.61 | $28,481.00 | $18,512.65 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | USABLE CONTRACTED [320409] | HB JOPL PHCS (MPI) | $23,069.61 | $28,481.00 | $18,512.65 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | MULTIPLAN CONTRACTED [320270] | HB JOPL PHCS (MPI) | $23,069.61 | $28,481.00 | $18,512.65 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | WORKERS COMP [20426] | HB JOPL CORVEL WORK COMP | $24,208.85 | $28,481.00 | $18,512.65 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | USA MANAGED CARE ORG CONTRACTED [320429] | HB JOPL USA MANAGED CARE ORGANIZATION | $25,063.28 | $28,481.00 | $18,512.65 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | PPO PLUS CONTRACTED [320310] | HB JOPL ARKANSAS MANAGED CARE ORGANIZATION | $25,632.90 | $28,481.00 | $18,512.65 | 2026-06-09 | MRF ↗ |
| MERCY HOSPITAL JOPLIN OutpatientFacility | WORKERS COMP [20426] | HB JOPL ALIGN NETWORK WORK COMP | $28,481.00 | $28,481.00 | $18,512.65 | 2026-06-09 | MRF ↗ |
| UW HEALTH OutpatientFacility | Aetna Medicare Advantage | Aetna HMO, PPO | $32,545.29 | $171,291.00 | $27,406.56 | 2026-04-01 | MRF ↗ |
| UW HEALTH BothFacility | Quartz Fully Insured | Quartz | $38,197.89 | $171,291.00 | $27,406.56 | 2026-04-01 | MRF ↗ |
| UW HEALTH BothFacility | Blue Cross Blue Shield Choice | PPO | $44,604.18 | $171,291.00 | $27,406.56 | 2026-04-01 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | HUMANA | HUMANA CHOICECARE NETWORK PPO | $50,517.74 | $59,432.64 | $16,046.81 | 2025-03-27 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Inpatient | HUMANA | HUMANA CHOICECARE NETWORK PPO | $50,517.74 | $59,432.64 | $16,046.81 | 2025-03-14 | MRF ↗ |
| UW HEALTH BothFacility | Blue Cross Blue Shield | Broad PPO Plans | $54,470.54 | $171,291.00 | $27,406.56 | 2026-04-01 | MRF ↗ |
| UW HEALTH BothFacility | HFN | HFN Platinum | $55,840.87 | $171,291.00 | $27,406.56 | 2026-04-01 | MRF ↗ |
| UW HEALTH BothFacility | ECOH | ECOH One Medical Home | $55,840.87 | $171,291.00 | $27,406.56 | 2026-04-01 | MRF ↗ |
| UW HEALTH BothFacility | ECOH | ECOH 1 | $55,840.87 | $171,291.00 | $27,406.56 | 2026-04-01 | MRF ↗ |
| UW HEALTH BothFacility | Alliance Premier Network | Premier | $60,088.88 | $171,291.00 | $27,406.56 | 2026-04-01 | MRF ↗ |
| UW HEALTH BothFacility | Quartz ASO | Quartz | $60,123.14 | $171,291.00 | $27,406.56 | 2026-04-01 | MRF ↗ |
| UW HEALTH BothFacility | ECOH | ECOH 2 | $66,632.20 | $171,291.00 | $27,406.56 | 2026-04-01 | MRF ↗ |
| UW HEALTH BothFacility | ECOH | ECOH Two Medical Home | $66,632.20 | $171,291.00 | $27,406.56 | 2026-04-01 | MRF ↗ |
| UW HEALTH OutpatientFacility | Aspirus Health Plan of Wisconsin Medicare Adv | Aspirus HMO | $68,516.40 | $171,291.00 | $27,406.56 | 2026-04-01 | MRF ↗ |
| UW HEALTH OutpatientFacility | Devoted Health Medicare Adv | HMO/POS/PPO | $68,516.40 | $171,291.00 | $27,406.56 | 2026-04-01 | MRF ↗ |
| UW HEALTH BothFacility | The Alliance | Alliance | $77,355.02 | $171,291.00 | $27,406.56 | 2026-04-01 | MRF ↗ |
| UW HEALTH BothFacility | Aetna | Aetna commerical plans | $79,479.02 | $171,291.00 | $27,406.56 | 2026-04-01 | MRF ↗ |
| UW HEALTH BothFacility | Cigna | PPO/OAP/EPO | $83,076.14 | $171,291.00 | $27,406.56 | 2026-04-01 | MRF ↗ |
| UW HEALTH BothFacility | United Healthcare | United Healthcare | $84,617.75 | $171,291.00 | $27,406.56 | 2026-04-01 | MRF ↗ |
| UW HEALTH BothFacility | WPS PPO | Statewide/Healthy U | $85,131.63 | $171,291.00 | $27,406.56 | 2026-04-01 | MRF ↗ |
| UW HEALTH OutpatientFacility | United Healthcare Medicare Adv | United Healthcare | $85,645.50 | $171,291.00 | $27,406.56 | 2026-04-01 | MRF ↗ |
| UW HEALTH BothFacility | ECOH | ECOH 3 | $86,673.25 | $171,291.00 | $27,406.56 | 2026-04-01 | MRF ↗ |
| UW HEALTH BothFacility | HFN | CHC/HFN 11535 | $86,673.25 | $171,291.00 | $27,406.56 | 2026-04-01 | MRF ↗ |
| UW HEALTH BothFacility | Beloit Healt System | PPO | $99,348.78 | $171,291.00 | $27,406.56 | 2026-04-01 | MRF ↗ |
| UW HEALTH BothFacility | MercyCare | HMO/POS/EPO/PPO | $102,774.60 | $171,291.00 | $27,406.56 | 2026-04-01 | MRF ↗ |
| UW HEALTH OutpatientFacility | Quatz Senior Preferred Medicare | Quartz | $102,774.60 | $171,291.00 | $27,406.56 | 2026-04-01 | MRF ↗ |
| UW HEALTH BothFacility | First Health/Coventry | PPO | $108,255.91 | $171,291.00 | $27,406.56 | 2026-04-01 | MRF ↗ |
| UW HEALTH OutpatientFacility | Community Care Medicare Adv | Community Care | $111,339.15 | $171,291.00 | $27,406.56 | 2026-04-01 | MRF ↗ |
| UW HEALTH BothFacility | HealthSmart | PPO | $128,468.25 | $171,291.00 | $27,406.56 | 2026-04-01 | MRF ↗ |
| UW HEALTH BothFacility | Health Payment Systems | PPO | $128,468.25 | $171,291.00 | $27,406.56 | 2026-04-01 | MRF ↗ |
| UW HEALTH BothFacility | Sheboygan Employers Health Network | PPO | $137,032.80 | $171,291.00 | $27,406.56 | 2026-04-01 | MRF ↗ |
| UW HEALTH BothFacility | Multiplan | Multiplan | $153,134.15 | $171,291.00 | $27,406.56 | 2026-04-01 | MRF ↗ |