'841-4 — Extensive Third Degree Burns With Skin Graft
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT (OTHER '841-4) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/'841-4?code_type=OTHER
MLA (9th ed.)
“EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT (OTHER '841-4) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/'841-4?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT (OTHER '841-4) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/'841-4?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $129,327–$191,095 (25th–75th percentile) across 14 hospitals · 25 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER '841-4 — 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 |
|---|---|---|---|---|---|---|---|
| SAMARITAN HOSPITAL OF TROY, NEW YORK InpatientFacility | UHC | HARD CHIP | $111,743.85 | — | — | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK InpatientFacility | Albany Correctional Facility | Medicaid | $111,743.85 | — | — | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK InpatientFacility | Fidelis | MMC HARP CHP EPP 3_4 MLTC | $111,743.85 | — | — | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK InpatientFacility | CDPHP | Medicaid | $111,743.85 | — | — | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK InpatientFacility | MVP | Essential Plan Products | $115,096.17 | — | — | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK InpatientFacility | MVP | Medicaid | $115,096.17 | — | — | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK InpatientFacility | MVP | NY State Government | $115,096.17 | — | — | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL InpatientFacility | Fidelis | MMC HARP CHP EPP 3_4 MLTC | $115,209.07 | — | — | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL InpatientFacility | UHC | HARD CHIP | $115,209.07 | — | — | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL InpatientFacility | Albany Correctional Facility | Medicaid | $115,209.07 | — | — | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK InpatientFacility | Empire | Medicaid | $118,448.48 | — | — | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK InpatientFacility | Empire | EP-Aliessa | $118,448.48 | — | — | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL InpatientFacility | MVP | Essential Plan Products | $118,665.34 | — | — | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL InpatientFacility | MVP | Medicaid | $118,665.34 | — | — | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL InpatientFacility | MVP | NY State Government | $118,665.34 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER InpatientFacility | Law Enforcement Franklin Co. | Medicaid | $121,437.19 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER InpatientFacility | Law Enforcement Franklin Co. | Medicaid | $121,437.19 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL InpatientFacility | Law Enforcement Franklin Co. | Medicaid | $121,543.66 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL InpatientFacility | Law Enforcement Franklin Co. | Medicaid | $121,543.66 | — | — | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL InpatientFacility | Empire | Medicaid | $122,121.61 | — | — | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL InpatientFacility | Empire | EP-Non Aliessa | $122,121.61 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL EAST & WEST InpatientFacility | Law Enforcement Franklin Co. | Medicaid | $122,131.03 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S InpatientFacility | Law Enforcement Franklin Co. | Medicaid | $122,333.23 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S InpatientFacility | Law Enforcement Franklin Co. | Medicaid | $122,333.23 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER InpatientFacility | UHC | Medicaid | $126,294.68 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER InpatientFacility | UHC | Medicaid | $126,294.68 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL InpatientFacility | UHC | Medicaid | $126,405.41 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL InpatientFacility | UHC | Medicaid | $126,405.41 | — | — | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL InpatientFacility | VNA Homecare Options | Medicaid | $126,729.98 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL EAST & WEST InpatientFacility | UHC | Medicaid | $127,016.27 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S InpatientFacility | UHC | Medicaid | $127,226.56 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S InpatientFacility | UHC | Medicaid | $127,226.56 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER InpatientFacility | Anthem | Medicaid | $127,509.05 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER InpatientFacility | Anthem | Medicaid | $127,509.05 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER InpatientFacility | Molina | Medicaid | $127,509.05 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER InpatientFacility | Molina | Medicaid | $127,509.05 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL InpatientFacility | Molina | Medicaid | $127,620.84 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL InpatientFacility | Molina | Medicaid | $127,620.84 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL InpatientFacility | Anthem | Medicaid | $127,620.84 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL InpatientFacility | Anthem | Medicaid | $127,620.84 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL EAST & WEST InpatientFacility | Molina | Medicaid | $128,237.58 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S InpatientFacility | Molina | Medicaid | $128,449.89 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S InpatientFacility | Molina | Medicaid | $128,449.89 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S InpatientFacility | Anthem | Medicaid | $128,449.89 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S InpatientFacility | Anthem | Medicaid | $128,449.89 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER InpatientFacility | Humana | Medicaid | $128,723.42 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER InpatientFacility | Humana | Medicaid | $128,723.42 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL InpatientFacility | Humana | Medicaid | $128,836.28 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL InpatientFacility | Humana | Medicaid | $128,836.28 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL EAST & WEST InpatientFacility | Caresource | Medicaid | $129,282.77 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL EAST & WEST InpatientFacility | Humana | Medicaid | $129,458.89 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S InpatientFacility | Humana | Medicaid | $129,673.22 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S InpatientFacility | Humana | Medicaid | $129,673.22 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER InpatientFacility | Buckeye Community Health | Medicaid | $129,937.79 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER InpatientFacility | Caresource | Medicaid | $129,937.79 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER InpatientFacility | AmeriHealth Caritas | Medicaid | $129,937.79 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER InpatientFacility | Buckeye (Centene) | Medicaid | $129,937.79 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER InpatientFacility | Buckeye Community Health | Medicaid | $129,937.79 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER InpatientFacility | Buckeye (Centene) | Medicaid | $129,937.79 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER InpatientFacility | AmeriHealth Caritas | Medicaid | $129,937.79 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER InpatientFacility | Caresource | Medicaid | $129,937.79 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL InpatientFacility | Caresource | Medicaid | $130,051.72 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL InpatientFacility | Buckeye Community Health | Medicaid | $130,051.72 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL InpatientFacility | Caresource | Medicaid | $130,051.72 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL InpatientFacility | AmeriHealth Caritas | Medicaid | $130,051.72 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL InpatientFacility | Buckeye Community Health | Medicaid | $130,051.72 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL InpatientFacility | AmeriHealth Caritas | Medicaid | $130,051.72 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL InpatientFacility | Buckeye (Centene) | Medicaid | $130,051.72 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL InpatientFacility | Buckeye (Centene) | Medicaid | $130,051.72 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL EAST & WEST InpatientFacility | Buckeye (Centene) | Medicaid | $130,680.20 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL EAST & WEST InpatientFacility | AmeriHealth Caritas | Medicaid | $130,680.20 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL EAST & WEST InpatientFacility | Buckeye Community Health | Medicaid | $130,680.20 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL EAST & WEST InpatientFacility | Caresource | Medicaid | $130,680.20 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S InpatientFacility | Buckeye (Centene) | Medicaid | $130,896.56 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S InpatientFacility | Buckeye Community Health | Medicaid | $130,896.56 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S InpatientFacility | Caresource | Medicaid | $130,896.56 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S InpatientFacility | Buckeye Community Health | Medicaid | $130,896.56 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S InpatientFacility | Caresource | Medicaid | $130,896.56 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S InpatientFacility | AmeriHealth Caritas | Medicaid | $130,896.56 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S InpatientFacility | AmeriHealth Caritas | Medicaid | $130,896.56 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S InpatientFacility | Buckeye (Centene) | Medicaid | $130,896.56 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER InpatientFacility | PARAMOUNT | Medicaid | $132,366.54 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER InpatientFacility | Safe Program | Medicaid | $132,366.54 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER InpatientFacility | PARAMOUNT | Medicaid | $132,366.54 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER InpatientFacility | Safe Program | Medicaid | $132,366.54 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL InpatientFacility | PARAMOUNT | Medicaid | $132,482.59 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL InpatientFacility | Safe Program | Medicaid | $132,482.59 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL InpatientFacility | PARAMOUNT | Medicaid | $132,482.59 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL InpatientFacility | Safe Program | Medicaid | $132,482.59 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL EAST & WEST InpatientFacility | Safe Program | Medicaid | $133,122.82 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL EAST & WEST InpatientFacility | PARAMOUNT | Medicaid | $133,122.82 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S InpatientFacility | Safe Program | Medicaid | $133,343.22 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S InpatientFacility | PARAMOUNT | Medicaid | $133,343.22 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S InpatientFacility | Safe Program | Medicaid | $133,343.22 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S InpatientFacility | PARAMOUNT | Medicaid | $133,343.22 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER InpatientFacility | UHC | HARD CHIP | $138,284.49 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER InpatientFacility | Fidelis | MMC HARP CHP EPP 3_4 MLTC | $138,284.49 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER InpatientFacility | Molina | Medicaid | $138,284.49 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER InpatientFacility | CDPHP | HARP | $138,284.49 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER InpatientFacility | Excellus BCBS | Medicaid | $138,284.49 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER InpatientFacility | Correctional Facility | Medicaid | $138,284.49 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER InpatientFacility | Excellus Health Plan | Medicaid | $138,284.49 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER InpatientFacility | Excellus Healthy | Medicaid | $138,284.49 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER InpatientFacility | Fidelis | MMC HARP CHP EPP 3_4 MLTC | $138,284.49 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER InpatientFacility | Molina | Medicaid | $138,284.49 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER InpatientFacility | UHC | HARD CHIP | $138,284.49 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER InpatientFacility | CDPHP | HARP | $138,284.49 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER InpatientFacility | Excellus BCBS | Medicaid | $138,284.49 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER InpatientFacility | Correctional Facility | Medicaid | $138,284.49 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER InpatientFacility | Excellus Health Plan | Medicaid | $138,284.49 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER InpatientFacility | Excellus Healthy | Medicaid | $138,284.49 | — | — | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH OAKLAND HOSPITAL InpatientFacility | Molina | Medicaid | $143,978.34 | — | — | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK InpatientFacility | MVP | Essential Plan Non-Aliessa | $144,011.34 | — | — | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL InpatientFacility | MVP | Essential Plan Non-Aliessa | $144,011.34 | — | — | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA InpatientFacility | Priority Health | Medicaid | $145,202.35 | — | — | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA InpatientFacility | UHC | Medicaid | $145,202.35 | — | — | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA InpatientFacility | Centene | Medicaid | $145,202.35 | — | — | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA InpatientFacility | UHC | Medicaid | $145,202.35 | — | — | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA InpatientFacility | Centene | Medicaid | $145,202.35 | — | — | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA InpatientFacility | Priority Health | Medicaid | $145,202.35 | — | — | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA InpatientFacility | Molina | Medicaid | $145,202.35 | — | — | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA InpatientFacility | Molina | Medicaid | $145,202.35 | — | — | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA InpatientFacility | Blue Cross Complete | Medicaid | $148,106.40 | — | — | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA InpatientFacility | HAP Caresource | Medicaid | $148,106.40 | — | — | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA InpatientFacility | Blue Cross Complete | Medicaid | $148,106.40 | — | — | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA InpatientFacility | HAP Caresource | Medicaid | $148,106.40 | — | — | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA InpatientFacility | Mclaren | Medicaid | $148,106.40 | — | — | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA InpatientFacility | Mclaren | Medicaid | $148,106.40 | — | — | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH OAKLAND HOSPITAL InpatientFacility | Centene | Medicaid | $148,155.76 | — | — | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH OAKLAND HOSPITAL InpatientFacility | Priority Health | Medicaid | $148,155.76 | — | — | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH OAKLAND HOSPITAL InpatientFacility | UHC | Medicaid | $148,155.76 | — | — | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH OAKLAND HOSPITAL InpatientFacility | Molina | Medicaid | $148,155.76 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER InpatientFacility | Excellus Health Plan | Medicaid HCRA | $148,517.54 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER InpatientFacility | Excellus Health Plan | Medicaid HCRA | $148,517.54 | — | — | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK InpatientFacility | UHC | Essential Plan | $148,619.32 | — | — | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK InpatientFacility | Empire | EP-Non Aliessa | $150,854.20 | — | — | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA InpatientFacility | Molina | Medicaid | $151,010.44 | — | — | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA InpatientFacility | Molina | Medicaid | $151,010.44 | — | — | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH OAKLAND HOSPITAL InpatientFacility | Blue Cross Complete | Medicaid | $151,118.88 | — | — | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH OAKLAND HOSPITAL InpatientFacility | HAP Caresource | Medicaid | $151,118.88 | — | — | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH OAKLAND HOSPITAL InpatientFacility | Mclaren | Medicaid | $151,118.88 | — | — | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL InpatientFacility | UHC | Essential Plan | $153,228.06 | — | — | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL InpatientFacility | Empire | EP-Aliessa | $155,532.24 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER InpatientFacility | UHC | Essential Plan | $161,792.85 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER InpatientFacility | UHC | Essential Plan | $161,792.85 | — | — | 2025-01-01 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL InpatientFacility | Health New England | Medicaid | $186,429.89 | — | — | 2025-01-01 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL InpatientFacility | Health New England | Medicaid | $186,429.89 | — | — | 2025-01-01 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC InpatientFacility | Amerigroup | ALL PRODUCTS | $186,570.24 | — | — | 2025-01-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER InpatientFacility | Optum Transplant | Medicaid Advantage | $192,603.84 | — | — | 2024-12-31 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC InpatientFacility | Aetna Better Health | BETTER HEALTH CHIP | $207,450.42 | — | — | 2025-01-31 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC InpatientFacility | Americhoice | MEDICAID | $207,450.42 | — | — | 2025-01-31 | MRF ↗ |
| SAINT MARY'S HOSPITAL InpatientFacility | Health New England | Medicaid | $213,027.56 | — | — | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER InpatientFacility | Health New England | Medicaid | $215,457.79 | — | — | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER InpatientFacility | Health New England | Medicaid | $215,457.79 | — | — | 2025-01-01 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC InpatientFacility | Aetna Better Health | BETTER HEALTH MEDICAID | $238,567.98 | — | — | 2025-01-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER InpatientFacility | UBH | UBH Medicaid | $240,754.80 | — | — | 2024-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER InpatientFacility | Aetna | Managed Medicaid | $240,754.80 | — | — | 2024-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER InpatientFacility | Amerigroup | Medicaid Advantage | $240,754.80 | — | — | 2024-12-31 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER InpatientFacility | Excellus Health Plan | Health Exchange | $249,768.87 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER InpatientFacility | Excellus Health Plan | Health Exchange | $249,768.87 | — | — | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK InpatientFacility | Fidelis | EPP 1_2 QHP | $251,423.66 | — | — | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK InpatientFacility | MVP | ESS Plans 1_2_3_4 | $251,423.66 | — | — | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK InpatientFacility | Empire | ESS Plans 1_2_3_4 | $251,423.66 | — | — | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL InpatientFacility | Empire | Essential 1_2 | $259,220.41 | — | — | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL InpatientFacility | Empire | Essential 3_4 | $259,220.41 | — | — | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL InpatientFacility | MVP | ESS 3_4 | $259,220.41 | — | — | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL InpatientFacility | MVP | ESS 1_2 | $259,220.41 | — | — | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL InpatientFacility | Fidelis | EPP 1_2 QHP | $259,220.41 | — | — | 2025-01-01 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL InpatientFacility | Health New England | MassHealth | $266,297.89 | — | — | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER InpatientFacility | Health New England | MassHealth | $266,297.89 | — | — | 2025-01-01 | MRF ↗ |
| SAINT MARY'S HOSPITAL InpatientFacility | Health New England | MassHealth | $266,297.89 | — | — | 2025-01-01 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL InpatientFacility | Health New England | MassHealth | $266,297.89 | — | — | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER InpatientFacility | Health New England | MassHealth | $266,297.89 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER InpatientFacility | Excellus Health Plan | Health Exchange HCRA | $273,821.62 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER InpatientFacility | Excellus Health Plan | Health Exchange HCRA | $273,821.62 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER InpatientFacility | Excellus | All Products | $287,828.85 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER InpatientFacility | Excellus | All Products | $287,828.85 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER InpatientFacility | Excellus Health Plan | All Products | $288,083.18 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER InpatientFacility | Excellus Health Plan | All Products | $288,083.18 | — | — | 2025-01-01 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL InpatientFacility | Health New England | ConnectorCare | $306,242.57 | — | — | 2025-01-01 | MRF ↗ |
| SAINT MARY'S HOSPITAL InpatientFacility | Health New England | ConnectorCare | $306,242.57 | — | — | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER InpatientFacility | Health New England | ConnectorCare | $306,242.57 | — | — | 2025-01-01 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL InpatientFacility | Health New England | ConnectorCare | $306,242.57 | — | — | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER InpatientFacility | Health New England | ConnectorCare | $306,242.57 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER InpatientFacility | Molina | ESS 1_2 | $311,140.10 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER InpatientFacility | Fidelis | ESS 1_2 | $311,140.10 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER InpatientFacility | Molina | ESS 3_4 | $311,140.10 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER InpatientFacility | Fidelis | ESS 3_4 | $311,140.10 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER InpatientFacility | Fidelis | ESS 3_4 | $311,140.10 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER InpatientFacility | Fidelis | ESS 1_2 | $311,140.10 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER InpatientFacility | Molina | ESS 3_4 | $311,140.10 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER InpatientFacility | Molina | ESS 1_2 | $311,140.10 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER InpatientFacility | CDPHP | Essential Plan | $311,140.13 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER InpatientFacility | CDPHP | Medicaid | $311,140.13 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER InpatientFacility | CDPHP | Essential Plan | $311,140.13 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER InpatientFacility | CDPHP | Medicaid | $311,140.13 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER InpatientFacility | Excellus Health Plan | Commercial HCRA | $315,825.59 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER InpatientFacility | Excellus Health Plan | Commercial HCRA | $315,825.59 | — | — | 2025-01-01 | MRF ↗ |