SUP-EVOLUTR-34-US — Valve Aortic Evolut R 34mm Sterile
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). VALVE AORTIC EVOLUT R 34MM STERILE (CDM SUP-EVOLUTR-34-US) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/SUP-EVOLUTR-34-US?code_type=CDM
MLA (9th ed.)
“VALVE AORTIC EVOLUT R 34MM STERILE (CDM SUP-EVOLUTR-34-US) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/SUP-EVOLUTR-34-US?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“VALVE AORTIC EVOLUT R 34MM STERILE (CDM SUP-EVOLUTR-34-US) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/SUP-EVOLUTR-34-US?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $34,788–$105,300 (25th–75th percentile) across 36 hospitals · 157 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM SUP-EVOLUTR-34-US — 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 |
|---|---|---|---|---|---|---|---|
| BOSTON MEDICAL CENTER Both | TUFTS CONNCARE/QHP [8020] | BMC HB TUFTS SUBSIDIZED PLANS | $431.24 | $68,064.00 | $30,628.80 | 2026-03-13 | MRF ↗ |
| COMMUNITY HOSPITAL Both | MEDICAID PRESUMPTIVE [250] | Indiana Medicaid | $524.16 | $75,600.00 | $45,360.00 | 2026-04-01 | MRF ↗ |
| ST CATHERINE HOSPITAL INC Both | MEDICAID PATHWAYS [270] | Indiana Medicaid | $524.16 | $75,600.00 | $45,360.00 | 2026-04-01 | MRF ↗ |
| COMMUNITY HOSPITAL Both | MEDICAID CENPATICO BHS [211] | Indiana Medicaid | $524.16 | $75,600.00 | $45,360.00 | 2026-04-01 | MRF ↗ |
| COMMUNITY HOSPITAL Both | MEDICAID MDWISE ST MARG BHS [224] | Indiana Medicaid | $524.16 | $75,600.00 | $45,360.00 | 2026-04-01 | MRF ↗ |
| ST CATHERINE HOSPITAL INC Both | MEDICAID MDWISE [220] | Indiana Medicaid | $524.16 | $75,600.00 | $45,360.00 | 2026-04-01 | MRF ↗ |
| COMMUNITY HOSPITAL Both | MEDICAID MANAGED HEALTH [210] | Indiana Medicaid | $524.16 | $75,600.00 | $45,360.00 | 2026-04-01 | MRF ↗ |
| ST CATHERINE HOSPITAL INC Both | MEDICAID ANTHEM MAGELLAN HLT [212] | Indiana Medicaid | $524.16 | $75,600.00 | $45,360.00 | 2026-04-01 | MRF ↗ |
| COMMUNITY HOSPITAL Both | MEDICAID HIP [230] | Indiana Medicaid | $524.16 | $75,600.00 | $45,360.00 | 2026-04-01 | MRF ↗ |
| ST CATHERINE HOSPITAL INC Both | CARETAKER HIP [232] | Indiana Medicaid | $524.16 | $75,600.00 | $45,360.00 | 2026-04-01 | MRF ↗ |
| COMMUNITY HOSPITAL Both | CARETAKER HIP [232] | Indiana Medicaid | $524.16 | $75,600.00 | $45,360.00 | 2026-04-01 | MRF ↗ |
| COMMUNITY HOSPITAL Both | MEDICAID MD WISE HIP STC BHS [231] | Indiana Medicaid | $524.16 | $75,600.00 | $45,360.00 | 2026-04-01 | MRF ↗ |
| ST CATHERINE HOSPITAL INC Both | MEDICAID MANAGED HEALTH [210] | Indiana Medicaid | $524.16 | $75,600.00 | $45,360.00 | 2026-04-01 | MRF ↗ |
| ST CATHERINE HOSPITAL INC Both | MEDICAID MDWISE HOOSIER BHS [223] | Indiana Medicaid | $524.16 | $75,600.00 | $45,360.00 | 2026-04-01 | MRF ↗ |
| COMMUNITY HOSPITAL Both | MEDICAID MDWISE CARE SELECT [221] | Indiana Medicaid | $524.16 | $75,600.00 | $45,360.00 | 2026-04-01 | MRF ↗ |
| ST CATHERINE HOSPITAL INC Both | MEDICAID [200] | Indiana Medicaid | $524.16 | $75,600.00 | $45,360.00 | 2026-04-01 | MRF ↗ |
| ST CATHERINE HOSPITAL INC Both | MEDICAID ADVANTAGED HEALTH [201] | Indiana Medicaid | $524.16 | $75,600.00 | $45,360.00 | 2026-04-01 | MRF ↗ |
| ST CATHERINE HOSPITAL INC Both | FRANCISCAN ACO [236] | Indiana Medicaid | $524.16 | $75,600.00 | $45,360.00 | 2026-04-01 | MRF ↗ |
| COMMUNITY HOSPITAL Both | MEDICAID [200] | Indiana Medicaid | $524.16 | $75,600.00 | $45,360.00 | 2026-04-01 | MRF ↗ |
| COMMUNITY HOSPITAL Both | MEDICAID ADVANTAGED HEALTH [201] | Indiana Medicaid | $524.16 | $75,600.00 | $45,360.00 | 2026-04-01 | MRF ↗ |
| ST CATHERINE HOSPITAL INC Both | MEDICAID MDWISE CARE SELECT [221] | Indiana Medicaid | $524.16 | $75,600.00 | $45,360.00 | 2026-04-01 | MRF ↗ |
| ST CATHERINE HOSPITAL INC Both | MEDICAID MDWISE STC BHS [222] | Indiana Medicaid | $524.16 | $75,600.00 | $45,360.00 | 2026-04-01 | MRF ↗ |
| ST CATHERINE HOSPITAL INC Both | CARESOURCE HOOSIER HEALTHWISE [233] | Indiana Medicaid | $524.16 | $75,600.00 | $45,360.00 | 2026-04-01 | MRF ↗ |
| COMMUNITY HOSPITAL Both | CARESOURCE HOOSIER HEALTHWISE [233] | Indiana Medicaid | $524.16 | $75,600.00 | $45,360.00 | 2026-04-01 | MRF ↗ |
| COMMUNITY HOSPITAL Both | MEDICAID MDWISE [220] | Indiana Medicaid | $524.16 | $75,600.00 | $45,360.00 | 2026-04-01 | MRF ↗ |
| ST CATHERINE HOSPITAL INC Both | MEDICAID PRESUMPTIVE [250] | Indiana Medicaid | $524.16 | $75,600.00 | $45,360.00 | 2026-04-01 | MRF ↗ |
| ST CATHERINE HOSPITAL INC Both | MEDICAID MDWISE ST MARG BHS [224] | Indiana Medicaid | $524.16 | $75,600.00 | $45,360.00 | 2026-04-01 | MRF ↗ |
| ST CATHERINE HOSPITAL INC Both | MEDICAID HIP [230] | Indiana Medicaid | $524.16 | $75,600.00 | $45,360.00 | 2026-04-01 | MRF ↗ |
| COMMUNITY HOSPITAL Both | MEDICAID ANTHEM MAGELLAN HLT [212] | Indiana Medicaid | $524.16 | $75,600.00 | $45,360.00 | 2026-04-01 | MRF ↗ |
| ST CATHERINE HOSPITAL INC Both | MEDICAID MD WISE HIP STC BHS [231] | Indiana Medicaid | $524.16 | $75,600.00 | $45,360.00 | 2026-04-01 | MRF ↗ |
| COMMUNITY HOSPITAL Both | MEDICAID MDWISE HOOSIER BHS [223] | Indiana Medicaid | $524.16 | $75,600.00 | $45,360.00 | 2026-04-01 | MRF ↗ |
| COMMUNITY HOSPITAL Both | MEDICAID PATHWAYS [270] | Indiana Medicaid | $524.16 | $75,600.00 | $45,360.00 | 2026-04-01 | MRF ↗ |
| COMMUNITY HOSPITAL Both | MEDICAID MDWISE STC BHS [222] | Indiana Medicaid | $524.16 | $75,600.00 | $45,360.00 | 2026-04-01 | MRF ↗ |
| COMMUNITY HOSPITAL Both | FRANCISCAN ACO [236] | Indiana Medicaid | $524.16 | $75,600.00 | $45,360.00 | 2026-04-01 | MRF ↗ |
| ST CATHERINE HOSPITAL INC Both | MEDICAID CENPATICO BHS [211] | Indiana Medicaid | $524.16 | $75,600.00 | $45,360.00 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $4,387.50 | $67,500.00 | $43,875.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $4,387.50 | $67,500.00 | $43,875.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $4,387.50 | $67,500.00 | $43,875.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $4,387.50 | $67,500.00 | $43,875.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MEDICAID [20240] | HB STLO CAPE IL MEDICAID | $10,125.00 | $67,500.00 | $43,875.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | MERCY INTERFACILITY [20513] | HB ROGR Inter-Facility CCR New 6.1.25 | $10,920.00 | $60,000.00 | $39,000.00 | 2026-03-13 | MRF ↗ |
| COLISEUM MEDICAL CENTERS, LLC, DBA Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $11,696.40 | $171,000.00 | $51,300.00 | 2026-04-01 | MRF ↗ |
| COLISEUM MEDICAL CENTERS, LLC, DBA Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $11,696.40 | $171,000.00 | $51,300.00 | 2026-04-01 | MRF ↗ |
| COLISEUM MEDICAL CENTERS, LLC, DBA Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $11,696.40 | $171,000.00 | $51,300.00 | 2026-04-01 | MRF ↗ |
| COLISEUM MEDICAL CENTERS, LLC, DBA Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $11,696.40 | $171,000.00 | $51,300.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT HENRY HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $14,500.80 | $171,000.00 | $51,300.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT HENRY HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $14,500.80 | $171,000.00 | $51,300.00 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB ROGR OK MANAGED MEDICAID | $15,000.00 | $60,000.00 | $39,000.00 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | HUMANA MEDICAID CONTRACTED [320486] | HB ROGR OK MANAGED MEDICAID | $15,000.00 | $60,000.00 | $39,000.00 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | OKLAHOMA COMPLETE HEALTH MEDICAID CONTRACTED [320485] | HB ROGR OK MANAGED MEDICAID | $15,000.00 | $60,000.00 | $39,000.00 | 2026-03-13 | MRF ↗ |
| PIEDMONT HENRY HOSPITAL Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $15,219.00 | $171,000.00 | $51,300.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT HENRY HOSPITAL Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $15,219.00 | $171,000.00 | $51,300.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT HENRY HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $15,236.10 | $171,000.00 | $51,300.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT HENRY HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $15,236.10 | $171,000.00 | $51,300.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT WALTON HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $15,338.70 | $171,000.00 | $51,300.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT MACON NORTH HOSPITAL Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $15,732.00 | $171,000.00 | $51,300.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT MACON NORTH HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $15,732.00 | $171,000.00 | $51,300.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT FAYETTE HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $15,749.10 | $171,000.00 | $51,300.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT FAYETTE HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $15,749.10 | $171,000.00 | $51,300.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT WALTON HOSPITAL Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $16,108.20 | $171,000.00 | $51,300.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWNAN HOSPITAL, INC Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $16,108.20 | $171,000.00 | $51,300.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $16,108.20 | $171,000.00 | $51,300.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT WALTON HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $16,108.20 | $171,000.00 | $51,300.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT FAYETTE HOSPITAL Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $16,535.70 | $171,000.00 | $51,300.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT FAYETTE HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $16,535.70 | $171,000.00 | $51,300.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT FAYETTE HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $16,535.70 | $171,000.00 | $51,300.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT FAYETTE HOSPITAL Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $16,535.70 | $171,000.00 | $51,300.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $16,706.70 | $171,000.00 | $51,300.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $16,706.70 | $171,000.00 | $51,300.00 | 2026-04-01 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | KANCARE [20213] | HB SPRG AETNA BETTER HEALTH (KANCARE) | $16,725.00 | $66,900.00 | $43,485.00 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | KANCARE [20213] | HB CTHG KANCARE UHC MEDICAID | $16,725.00 | $66,900.00 | $43,485.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | KANCARE CONTRACTED [320213] | HB SPRG AETNA BETTER HEALTH (KANCARE) | $16,725.00 | $66,900.00 | $43,485.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | KANCARE [20213] | HB CTHG KANCARE UHC MEDICAID | $16,725.00 | $66,900.00 | $43,485.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | KANCARE CONTRACTED [320213] | HB CTHG KANCARE UHC MEDICAID | $16,725.00 | $66,900.00 | $43,485.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | KANCARE [20213] | HB SPRG AETNA BETTER HEALTH (KANCARE) | $16,725.00 | $66,900.00 | $43,485.00 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | KANCARE CONTRACTED [320213] | HB SPRG AETNA BETTER HEALTH (KANCARE) | $16,725.00 | $66,900.00 | $43,485.00 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | KANCARE CONTRACTED [320213] | HB CTHG KANCARE UHC MEDICAID | $16,725.00 | $66,900.00 | $43,485.00 | 2026-03-12 | MRF ↗ |
| PIEDMONT NEWNAN HOSPITAL, INC Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $16,911.90 | $171,000.00 | $51,300.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWNAN HOSPITAL, INC Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $16,911.90 | $171,000.00 | $51,300.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $16,911.90 | $171,000.00 | $51,300.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $16,911.90 | $171,000.00 | $51,300.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $17,544.60 | $171,000.00 | $51,300.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $17,544.60 | $171,000.00 | $51,300.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $17,544.60 | $171,000.00 | $51,300.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT NEWTON HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $17,544.60 | $171,000.00 | $51,300.00 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MEDICA CONTRACTED [320239] | HB STLO MEDICA EXCHANGE | $17,617.50 | $67,500.00 | $43,875.00 | 2026-03-12 | MRF ↗ |
| PIEDMONT ATHENS REGIONAL MEDICAL CENTER Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $18,194.40 | $171,000.00 | $51,300.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT MOUNTAINSIDE HOSPITAL INC Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $18,570.60 | $171,000.00 | $51,300.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT ATHENS REGIONAL MEDICAL CENTER Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $19,100.70 | $171,000.00 | $51,300.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT ATHENS REGIONAL MEDICAL CENTER Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $19,117.80 | $171,000.00 | $51,300.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT HOSPITAL, INC Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $19,511.10 | $171,000.00 | $51,300.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT MOUNTAINSIDE HOSPITAL INC Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $19,511.10 | $171,000.00 | $51,300.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT MOUNTAINSIDE HOSPITAL INC Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $19,511.10 | $171,000.00 | $51,300.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $19,887.30 | $171,000.00 | $51,300.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $20,143.80 | $171,000.00 | $51,300.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $20,143.80 | $171,000.00 | $51,300.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $20,143.80 | $171,000.00 | $51,300.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $20,143.80 | $171,000.00 | $51,300.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $20,263.50 | $171,000.00 | $51,300.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $20,263.50 | $171,000.00 | $51,300.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT HOSPITAL, INC Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $20,485.80 | $171,000.00 | $51,300.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT HOSPITAL, INC Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $20,485.80 | $171,000.00 | $51,300.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT ROCKDALE HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $20,588.40 | $171,000.00 | $51,300.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT ROCKDALE HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $20,588.40 | $171,000.00 | $51,300.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT ROCKDALE HOSPITAL Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $20,998.80 | $171,000.00 | $51,300.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT ROCKDALE HOSPITAL Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $20,998.80 | $171,000.00 | $51,300.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT ROCKDALE HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $20,998.80 | $171,000.00 | $51,300.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT ROCKDALE HOSPITAL Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $20,998.80 | $171,000.00 | $51,300.00 | 2026-04-01 | MRF ↗ |
| BOSTON MEDICAL CENTER Both | WELLSENSE HEALTH MEDICAID NEW HAMPSHIRE [1108] | BMC HB WELLSENSE HEALTH MEDICAID NEW HAMPSHIRE | $24,503.04 | $68,064.00 | $30,628.80 | 2026-03-13 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $24,726.60 | $171,000.00 | $51,300.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $24,726.60 | $171,000.00 | $51,300.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $25,205.40 | $171,000.00 | $51,300.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $25,205.40 | $171,000.00 | $51,300.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $25,205.40 | $171,000.00 | $51,300.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $25,205.40 | $171,000.00 | $51,300.00 | 2026-04-01 | MRF ↗ |
| ST BERNARD PARISH HOSPITAL Inpatient | None | — | — | $82,500.00 | $26,400.00 | 2026-04-01 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | MEDICA [20239] | HB SPRG LEBN MEDICA EXCHANGE | $26,425.50 | $66,900.00 | $43,485.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | MEDICA [20239] | HB SPRG LEBN MEDICA EXCHANGE | $26,425.50 | $66,900.00 | $43,485.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | MEDICA CONTRACTED [320239] | HB SPRG LEBN MEDICA EXCHANGE | $26,425.50 | $66,900.00 | $43,485.00 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | MEDICA CONTRACTED [320239] | HB SPRG LEBN MEDICA EXCHANGE | $26,425.50 | $66,900.00 | $43,485.00 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | INSURANCE SYSTEM INC CONTRACTED [320465] | HB SPRG HEALTH SYSTEMS | $26,760.00 | $66,900.00 | $43,485.00 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | BENEFIT MANAGEMENT CONTRACTED [320052] | HB SPRG DEC OZARK COMMUNITY HOSPITAL | $26,760.00 | $66,900.00 | $43,485.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | BENEFIT MANAGEMENT CONTRACTED [320052] | HB SPRG DEC OZARK COMMUNITY HOSPITAL | $26,760.00 | $66,900.00 | $43,485.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | HEALTH SYSTEMS INC CONTRACTED [320174] | HB SPRG HEALTH SYSTEMS | $26,760.00 | $66,900.00 | $43,485.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | INSURANCE SYSTEM INC CONTRACTED [320465] | HB SPRG HEALTH SYSTEMS | $26,760.00 | $66,900.00 | $43,485.00 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | HEALTH SYSTEMS INC CONTRACTED [320174] | HB SPRG HEALTH SYSTEMS | $26,760.00 | $66,900.00 | $43,485.00 | 2026-03-12 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $26,915.40 | $171,000.00 | $51,300.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $26,915.40 | $171,000.00 | $51,300.00 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERCY BENEFIT ADMIN [20251] | HB STLO SAMC HERMANN AREA DISTRICT HOSPITAL | $27,000.00 | $67,500.00 | $43,875.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC HERMANN AREA DISTRICT HOSPITAL | $27,000.00 | $67,500.00 | $43,875.00 | 2026-03-12 | MRF ↗ |
| BOSTON MEDICAL CENTER Both | UPHAMS CORNER ESP [1213] | BMC HB UPHAMS - ELDER SERVICE PLAN | $27,225.60 | $68,064.00 | $30,628.80 | 2026-03-13 | MRF ↗ |
| UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $27,582.30 | $171,000.00 | $51,300.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS BLUE SHIELD EXCHANGE SOUTH CAROLINA [11104] | BCBS South Carolina Exchange | $27,702.00 | $171,000.00 | $51,300.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Both | BLUE CROSS BLUE SHIELD EXCHANGE SOUTH CAROLINA [11104] | BCBS South Carolina Exchange | $27,702.00 | $171,000.00 | $51,300.00 | 2026-04-01 | MRF ↗ |
| ST CHARLES PARISH HOSPITAL Inpatient | None | — | — | $90,000.00 | $24,300.00 | 2026-04-01 | MRF ↗ |
| PIEDMONT MACON NORTH HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $28,933.20 | $171,000.00 | $51,300.00 | 2026-04-01 | MRF ↗ |
| UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER Both | CARESOURCE MEDICAID [20104] | Caresource Medicaid | $28,967.40 | $171,000.00 | $51,300.00 | 2026-04-01 | MRF ↗ |
| UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER Both | PEACH STATE MEDICAID [20101] | Peach State Medicaid | $28,967.40 | $171,000.00 | $51,300.00 | 2026-04-01 | MRF ↗ |
| UMASS MEMORIAL HEALTHALLIANCE HOSPITALS Both | WORKERS COMPENSATION [20501] | All WORKERS COMP HA [42] Plans | $29,089.95 | $88,500.00 | $88,500.00 | 2026-03-26 | MRF ↗ |
| BOSTON MEDICAL CENTER Both | ZZZBU EMPLOYEE WORK COMP [5004] | BMC HB WORKERS COMP | $29,179.04 | $68,064.00 | $30,628.80 | 2026-03-13 | MRF ↗ |
| BOSTON MEDICAL CENTER Both | WORKERS COMP [5002] | BMC HB WORKERS COMP | $29,179.04 | $68,064.00 | $30,628.80 | 2026-03-13 | MRF ↗ |
| BOSTON MEDICAL CENTER Both | ZZZCITY OF BOSTON WORK COMP [5003] | BMC HB WORKERS COMP | $29,179.04 | $68,064.00 | $30,628.80 | 2026-03-13 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Both | MEDICAID [20301] | All MEDICAID OF NEW HAMPSHIRE UM [163] Plans | $29,205.00 | $88,500.00 | $88,500.00 | 2026-03-26 | MRF ↗ |
| COLISEUM MEDICAL CENTERS, LLC, DBA Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $29,925.00 | $171,000.00 | $51,300.00 | 2026-04-01 | MRF ↗ |
| COLISEUM MEDICAL CENTERS, LLC, DBA Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $29,925.00 | $171,000.00 | $51,300.00 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | EDISON HEALTH SOLUTIONS CONTRACTED [320502] | HB ROGR DEC WOODARD | $30,000.00 | $60,000.00 | $39,000.00 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] | HB FTSM ROGR DEC ASI | $30,000.00 | $60,000.00 | $39,000.00 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB ROGR DEC SCHAEFER QCG | $30,000.00 | $60,000.00 | $39,000.00 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB ROGR DEC LACLEDE - NEW 07.01.25 | $30,000.00 | $60,000.00 | $39,000.00 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | 90 DEGREE BENEFITS CONTRACTED [320436] | HB ROGR DEC SHOW ME | $30,000.00 | $60,000.00 | $39,000.00 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB ROGR UHC | $30,000.00 | $60,000.00 | $39,000.00 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB ROGR DEC BARTEL | $30,000.00 | $60,000.00 | $39,000.00 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | YUZU HEALTH CONTRACTED [320521] | HB ROGR DEC LEVEL HEALTH - NEW 01.01.26 | $30,000.00 | $60,000.00 | $39,000.00 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | UNITED HEALTHCARE [20396] | HB ROGR UHC | $30,000.00 | $60,000.00 | $39,000.00 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB ROGR DEC SHOW ME | $30,000.00 | $60,000.00 | $39,000.00 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB ROGR DEC TOWN AND COIUNTRY | $30,000.00 | $60,000.00 | $39,000.00 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB ROGR DEC TALL TREE | $30,000.00 | $60,000.00 | $39,000.00 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | UNITED MEDICAL RESOURCES CONTRACTED [320454] | HB ROGR UHC | $30,000.00 | $60,000.00 | $39,000.00 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | QUAL CHOICE CONTRACTED [320324] | HB ROGR BRYV QUAL CHOICE | $30,000.00 | $60,000.00 | $39,000.00 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | AITHER HEALTH CONTRACTED [320449] | HB ROGR DEC WOODARD | $30,000.00 | $60,000.00 | $39,000.00 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | CIGNA HEALTHCARE CONTRACTED [320071] | HB ROGR CIGNA | $30,000.00 | $60,000.00 | $39,000.00 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | MUNICIPAL HEALTH PLAN CONTRACTED [320271] | HB ROGR MUNICIPAL HEALTH BENEFIT FUND | $30,000.00 | $60,000.00 | $39,000.00 | 2026-03-13 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Both | UHC MEDICAID [11130] | All UHC RHODY PARTNERS [271] Plans | $30,001.50 | $88,500.00 | $88,500.00 | 2026-03-26 | MRF ↗ |
| UMASS MEMORIAL HEALTHALLIANCE HOSPITALS Both | UHC MEDICAID [11130] | All UHC RHODY PARTNERS [271] Plans | $30,001.50 | $88,500.00 | $88,500.00 | 2026-03-26 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | MC ANTHEM [20455] | HB SPRG ANTHEM ALLIANCE | $30,105.00 | $66,900.00 | $43,485.00 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | POINT C [20238] | HB SPRG DEC SRC HOLDINGS | $30,105.00 | $66,900.00 | $43,485.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | EVOLUTIONS HEALTH CARE CONTRACTED [320124] | HB SPRG EVOLUTIONS | $30,105.00 | $66,900.00 | $43,485.00 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | MC GENERIC ANTHEM [20456] | HB SPRG ANTHEM BLUE ACCESS | $30,105.00 | $66,900.00 | $43,485.00 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | ADMINISTRATIVE PAYOR CONTRACTED [320005] | HB SPRG AMISH | $30,105.00 | $66,900.00 | $43,485.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | MC ANTHEM [20455] | HB SPRG ANTHEM BLUE ACCESS | $30,105.00 | $66,900.00 | $43,485.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | MC GENERIC ANTHEM [20456] | HB SPRG ANTHEM BLUE ACCESS | $30,105.00 | $66,900.00 | $43,485.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | MC ANTHEM [20455] | HB SPRG ANTHEM ALLIANCE | $30,105.00 | $66,900.00 | $43,485.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | NOVASYS CONTRACTED [320285] | HB SPRG AMBETTER EXCHANGE MO | $30,105.00 | $66,900.00 | $43,485.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | SUNFLOWER HEALTH PLAN CONTRACTED [320369] | HB SPRG AMBETTER EXCHANGE MO | $30,105.00 | $66,900.00 | $43,485.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | HUMANA CONTRACTED [320193] | HB SPRG HUMANA | $30,105.00 | $66,900.00 | $43,485.00 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | ADMINISTRATIVE PAYOR CONTRACTED [320005] | HB SPRG MENNONITES | $30,105.00 | $66,900.00 | $43,485.00 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB SPRG ANTHEM BLUE ACCESS | $30,105.00 | $66,900.00 | $43,485.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | ADMINISTRATIVE PAYOR CONTRACTED [320005] | HB SPRG AMISH | $30,105.00 | $66,900.00 | $43,485.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | HOME STATE HEALTH PLAN CONTRACTED [320187] | HB SPRG AMBETTER EXCHANGE MO | $30,105.00 | $66,900.00 | $43,485.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | POINT C CONTRACTED [320238] | HB SPRG DEC SRC HOLDINGS | $30,105.00 | $66,900.00 | $43,485.00 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB SPRG ANTHEM PATHWAYS EXCHANGE | $30,105.00 | $66,900.00 | $43,485.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | ADMINISTRATIVE PAYOR CONTRACTED [320005] | HB SPRG MENNONITES | $30,105.00 | $66,900.00 | $43,485.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | AMBETTER CONTRACTED [320452] | HB SPRG AMBETTER EXCHANGE MO | $30,105.00 | $66,900.00 | $43,485.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | POINT C [20238] | HB SPRG DEC SRC HOLDINGS | $30,105.00 | $66,900.00 | $43,485.00 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB SPRG ANTHEM ALLIANCE | $30,105.00 | $66,900.00 | $43,485.00 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | POINT C CONTRACTED [320238] | HB SPRG DEC SRC HOLDINGS | $30,105.00 | $66,900.00 | $43,485.00 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | HUMANA CONTRACTED [320193] | HB SPRG HUMANA | $30,105.00 | $66,900.00 | $43,485.00 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | NOVASYS CONTRACTED [320285] | HB SPRG AMBETTER EXCHANGE MO | $30,105.00 | $66,900.00 | $43,485.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB SPRG ANTHEM PATHWAYS EXCHANGE | $30,105.00 | $66,900.00 | $43,485.00 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | HOME STATE HEALTH PLAN CONTRACTED [320187] | HB SPRG AMBETTER EXCHANGE MO | $30,105.00 | $66,900.00 | $43,485.00 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | EVOLUTIONS HEALTH CARE CONTRACTED [320124] | HB SPRG EVOLUTIONS | $30,105.00 | $66,900.00 | $43,485.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB SPRG ANTHEM ALLIANCE | $30,105.00 | $66,900.00 | $43,485.00 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | AMBETTER CONTRACTED [320452] | HB SPRG AMBETTER EXCHANGE MO | $30,105.00 | $66,900.00 | $43,485.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD OutpatientFacility | BLUE CROSS AND BLUE SHIELD [20053] | HB SPRG ANTHEM BLUE ACCESS | $30,105.00 | $66,900.00 | $43,485.00 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | MC ANTHEM [20455] | HB SPRG ANTHEM BLUE ACCESS | $30,105.00 | $66,900.00 | $43,485.00 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield OutpatientFacility | SUNFLOWER HEALTH PLAN CONTRACTED [320369] | HB SPRG AMBETTER EXCHANGE MO | $30,105.00 | $66,900.00 | $43,485.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC SCHAEFER AUTOBODY DEC NEW 030121 | $30,375.00 | $67,500.00 | $43,875.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC DEC SHOW ME BENEFIT CONSORTIUM NEW 070121 | $30,375.00 | $67,500.00 | $43,875.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC BARTEL COMMUNICATION DEC NEW 010125 | $30,375.00 | $67,500.00 | $43,875.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERCY BENEFIT ADMIN CONTRACTED [320251] | HB STLO SAMC CITY OF JACKSON DEC NEW 010125 | $30,375.00 | $67,500.00 | $43,875.00 | 2026-03-12 | 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.