'842-4 — Burns With Skin Graft Except Extensive Third Degree Burns
Cite this view
HANK Price Transparency. (n.d.). BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS (OTHER '842-4) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/'842-4?code_type=OTHER
“BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS (OTHER '842-4) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/'842-4?code_type=OTHER. Accessed .
“BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS (OTHER '842-4) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/'842-4?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $54,664–$100,145 (25th–75th percentile) across 14 hospitals · 25 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER '842-4 — 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 |
|---|---|---|---|---|---|---|---|
| DILEY RIDGE MEDICAL CENTER InpatientFacility | Law Enforcement Franklin Co. | Medicaid | $51,060.86 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER InpatientFacility | Law Enforcement Franklin Co. | Medicaid | $51,060.86 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL InpatientFacility | Law Enforcement Franklin Co. | Medicaid | $51,167.33 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL InpatientFacility | Law Enforcement Franklin Co. | Medicaid | $51,167.33 | — | — | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK InpatientFacility | Fidelis | MMC HARP CHP EPP 3_4 MLTC | $51,696.00 | — | — | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK InpatientFacility | Albany Correctional Facility | Medicaid | $51,696.00 | — | — | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK InpatientFacility | CDPHP | Medicaid | $51,696.00 | — | — | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK InpatientFacility | UHC | HARD CHIP | $51,696.00 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL EAST & WEST InpatientFacility | Law Enforcement Franklin Co. | Medicaid | $51,754.70 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S InpatientFacility | Law Enforcement Franklin Co. | Medicaid | $51,956.90 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S InpatientFacility | Law Enforcement Franklin Co. | Medicaid | $51,956.90 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER InpatientFacility | UHC | Medicaid | $53,103.29 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER InpatientFacility | UHC | Medicaid | $53,103.29 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL InpatientFacility | UHC | Medicaid | $53,214.02 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL InpatientFacility | UHC | Medicaid | $53,214.02 | — | — | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK InpatientFacility | MVP | NY State Government | $53,246.88 | — | — | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK InpatientFacility | MVP | Essential Plan Products | $53,246.88 | — | — | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK InpatientFacility | MVP | Medicaid | $53,246.88 | — | — | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL InpatientFacility | Albany Correctional Facility | Medicaid | $53,360.26 | — | — | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL InpatientFacility | UHC | HARD CHIP | $53,360.26 | — | — | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL InpatientFacility | Fidelis | MMC HARP CHP EPP 3_4 MLTC | $53,360.26 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER InpatientFacility | Anthem | Medicaid | $53,613.90 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER InpatientFacility | Molina | Medicaid | $53,613.90 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER InpatientFacility | Anthem | Medicaid | $53,613.90 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER InpatientFacility | Molina | Medicaid | $53,613.90 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL InpatientFacility | Anthem | Medicaid | $53,725.70 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL InpatientFacility | Molina | Medicaid | $53,725.70 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL InpatientFacility | Anthem | Medicaid | $53,725.70 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL InpatientFacility | Molina | Medicaid | $53,725.70 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL EAST & WEST InpatientFacility | UHC | Medicaid | $53,824.89 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL EAST & WEST InpatientFacility | Caresource | Medicaid | $53,980.10 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S InpatientFacility | UHC | Medicaid | $54,035.18 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S InpatientFacility | UHC | Medicaid | $54,035.18 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER InpatientFacility | Humana | Medicaid | $54,124.51 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER InpatientFacility | Humana | Medicaid | $54,124.51 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL InpatientFacility | Humana | Medicaid | $54,237.37 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL InpatientFacility | Humana | Medicaid | $54,237.37 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL EAST & WEST InpatientFacility | Molina | Medicaid | $54,342.44 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S InpatientFacility | Anthem | Medicaid | $54,554.75 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S InpatientFacility | Molina | Medicaid | $54,554.75 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S InpatientFacility | Molina | Medicaid | $54,554.75 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S InpatientFacility | Anthem | Medicaid | $54,554.75 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER InpatientFacility | Caresource | Medicaid | $54,635.12 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER InpatientFacility | Caresource | Medicaid | $54,635.12 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER InpatientFacility | AmeriHealth Caritas | Medicaid | $54,635.12 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER InpatientFacility | Buckeye (Centene) | Medicaid | $54,635.12 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER InpatientFacility | Buckeye Community Health | Medicaid | $54,635.12 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER InpatientFacility | AmeriHealth Caritas | Medicaid | $54,635.12 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER InpatientFacility | Buckeye Community Health | Medicaid | $54,635.12 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER InpatientFacility | Buckeye (Centene) | Medicaid | $54,635.12 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL InpatientFacility | Buckeye Community Health | Medicaid | $54,749.04 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL InpatientFacility | Buckeye (Centene) | Medicaid | $54,749.04 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL InpatientFacility | Buckeye Community Health | Medicaid | $54,749.04 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL InpatientFacility | Caresource | Medicaid | $54,749.04 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL InpatientFacility | AmeriHealth Caritas | Medicaid | $54,749.04 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL InpatientFacility | Buckeye (Centene) | Medicaid | $54,749.04 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL InpatientFacility | AmeriHealth Caritas | Medicaid | $54,749.04 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL InpatientFacility | Caresource | Medicaid | $54,749.04 | — | — | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK InpatientFacility | Empire | Medicaid | $54,797.76 | — | — | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK InpatientFacility | Empire | EP-Aliessa | $54,797.76 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL EAST & WEST InpatientFacility | Humana | Medicaid | $54,859.98 | — | — | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL InpatientFacility | MVP | NY State Government | $54,961.07 | — | — | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL InpatientFacility | MVP | Medicaid | $54,961.07 | — | — | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL InpatientFacility | MVP | Essential Plan Products | $54,961.07 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S InpatientFacility | Humana | Medicaid | $55,074.31 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S InpatientFacility | Humana | Medicaid | $55,074.31 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL EAST & WEST InpatientFacility | Caresource | Medicaid | $55,377.53 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL EAST & WEST InpatientFacility | AmeriHealth Caritas | Medicaid | $55,377.53 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL EAST & WEST InpatientFacility | Buckeye Community Health | Medicaid | $55,377.53 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL EAST & WEST InpatientFacility | Buckeye (Centene) | Medicaid | $55,377.53 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S InpatientFacility | Buckeye Community Health | Medicaid | $55,593.88 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S InpatientFacility | AmeriHealth Caritas | Medicaid | $55,593.88 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S InpatientFacility | Buckeye (Centene) | Medicaid | $55,593.88 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S InpatientFacility | Caresource | Medicaid | $55,593.88 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S InpatientFacility | Caresource | Medicaid | $55,593.88 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S InpatientFacility | Buckeye Community Health | Medicaid | $55,593.88 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S InpatientFacility | Buckeye (Centene) | Medicaid | $55,593.88 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S InpatientFacility | AmeriHealth Caritas | Medicaid | $55,593.88 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER InpatientFacility | Safe Program | Medicaid | $55,656.34 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER InpatientFacility | PARAMOUNT | Medicaid | $55,656.34 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER InpatientFacility | Safe Program | Medicaid | $55,656.34 | — | — | 2025-01-01 | MRF ↗ |
| DILEY RIDGE MEDICAL CENTER InpatientFacility | PARAMOUNT | Medicaid | $55,656.34 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL InpatientFacility | Safe Program | Medicaid | $55,772.39 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL InpatientFacility | Safe Program | Medicaid | $55,772.39 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL InpatientFacility | PARAMOUNT | Medicaid | $55,772.39 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL InpatientFacility | PARAMOUNT | Medicaid | $55,772.39 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL EAST & WEST InpatientFacility | Safe Program | Medicaid | $56,412.62 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL EAST & WEST InpatientFacility | PARAMOUNT | Medicaid | $56,412.62 | — | — | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL InpatientFacility | Empire | Medicaid | $56,561.88 | — | — | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL InpatientFacility | Empire | EP-Non Aliessa | $56,561.88 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S InpatientFacility | PARAMOUNT | Medicaid | $56,633.02 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S InpatientFacility | Safe Program | Medicaid | $56,633.02 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S InpatientFacility | Safe Program | Medicaid | $56,633.02 | — | — | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S InpatientFacility | PARAMOUNT | Medicaid | $56,633.02 | — | — | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL InpatientFacility | VNA Homecare Options | Medicaid | $58,696.29 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER InpatientFacility | Correctional Facility | Medicaid | $64,026.06 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER InpatientFacility | Excellus BCBS | Medicaid | $64,026.06 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER InpatientFacility | CDPHP | HARP | $64,026.06 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER InpatientFacility | CDPHP | HARP | $64,026.06 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER InpatientFacility | UHC | HARD CHIP | $64,026.06 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER InpatientFacility | Molina | Medicaid | $64,026.06 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER InpatientFacility | UHC | HARD CHIP | $64,026.06 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER InpatientFacility | Fidelis | MMC HARP CHP EPP 3_4 MLTC | $64,026.06 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER InpatientFacility | Molina | Medicaid | $64,026.06 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER InpatientFacility | Fidelis | MMC HARP CHP EPP 3_4 MLTC | $64,026.06 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER InpatientFacility | Excellus Health Plan | Medicaid | $64,026.06 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER InpatientFacility | Excellus Healthy | Medicaid | $64,026.06 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER InpatientFacility | Excellus Healthy | Medicaid | $64,026.06 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER InpatientFacility | Excellus Health Plan | Medicaid | $64,026.06 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER InpatientFacility | Correctional Facility | Medicaid | $64,026.06 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER InpatientFacility | Excellus BCBS | Medicaid | $64,026.06 | — | — | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK InpatientFacility | MVP | Essential Plan Non-Aliessa | $66,700.33 | — | — | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL InpatientFacility | MVP | Essential Plan Non-Aliessa | $66,700.33 | — | — | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK InpatientFacility | UHC | Essential Plan | $68,755.68 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER InpatientFacility | Excellus Health Plan | Medicaid HCRA | $68,763.99 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER InpatientFacility | Excellus Health Plan | Medicaid HCRA | $68,763.99 | — | — | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK InpatientFacility | Empire | EP-Non Aliessa | $69,789.60 | — | — | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL InpatientFacility | UHC | Essential Plan | $70,969.15 | — | — | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL InpatientFacility | Empire | EP-Aliessa | $72,036.35 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER InpatientFacility | UHC | Essential Plan | $74,910.49 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER InpatientFacility | UHC | Essential Plan | $74,910.49 | — | — | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH OAKLAND HOSPITAL InpatientFacility | Molina | Medicaid | $92,900.32 | — | — | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA InpatientFacility | Molina | Medicaid | $93,563.44 | — | — | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA InpatientFacility | Molina | Medicaid | $93,563.44 | — | — | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA InpatientFacility | UHC | Medicaid | $93,563.45 | — | — | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA InpatientFacility | Centene | Medicaid | $93,563.45 | — | — | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA InpatientFacility | Centene | Medicaid | $93,563.45 | — | — | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA InpatientFacility | UHC | Medicaid | $93,563.45 | — | — | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA InpatientFacility | Priority Health | Medicaid | $93,563.45 | — | — | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA InpatientFacility | Priority Health | Medicaid | $93,563.45 | — | — | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH OAKLAND HOSPITAL InpatientFacility | UHC | Medicaid | $95,423.13 | — | — | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH OAKLAND HOSPITAL InpatientFacility | Priority Health | Medicaid | $95,423.13 | — | — | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH OAKLAND HOSPITAL InpatientFacility | Centene | Medicaid | $95,423.13 | — | — | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH OAKLAND HOSPITAL InpatientFacility | Molina | Medicaid | $95,423.13 | — | — | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA InpatientFacility | Mclaren | Medicaid | $95,434.71 | — | — | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA InpatientFacility | HAP Caresource | Medicaid | $95,434.71 | — | — | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA InpatientFacility | Mclaren | Medicaid | $95,434.71 | — | — | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA InpatientFacility | HAP Caresource | Medicaid | $95,434.71 | — | — | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA InpatientFacility | Blue Cross Complete | Medicaid | $95,434.72 | — | — | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA InpatientFacility | Blue Cross Complete | Medicaid | $95,434.72 | — | — | 2025-01-01 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL InpatientFacility | Health New England | Medicaid | $95,477.03 | — | — | 2025-01-01 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL InpatientFacility | Health New England | Medicaid | $95,477.03 | — | — | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA InpatientFacility | Molina | Medicaid | $97,305.99 | — | — | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA InpatientFacility | Molina | Medicaid | $97,305.99 | — | — | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH OAKLAND HOSPITAL InpatientFacility | HAP Caresource | Medicaid | $97,331.59 | — | — | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH OAKLAND HOSPITAL InpatientFacility | Blue Cross Complete | Medicaid | $97,331.59 | — | — | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH OAKLAND HOSPITAL InpatientFacility | Mclaren | Medicaid | $97,331.59 | — | — | 2025-01-01 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC InpatientFacility | Amerigroup | ALL PRODUCTS | $97,773.47 | — | — | 2025-01-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER InpatientFacility | Optum Transplant | Medicaid Advantage | $100,935.42 | — | — | 2024-12-31 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC InpatientFacility | Americhoice | MEDICAID | $108,715.88 | — | — | 2025-01-31 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC InpatientFacility | Aetna Better Health | BETTER HEALTH CHIP | $108,715.88 | — | — | 2025-01-31 | MRF ↗ |
| SAINT MARY'S HOSPITAL InpatientFacility | Health New England | Medicaid | $109,098.60 | — | — | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER InpatientFacility | Health New England | Medicaid | $110,343.20 | — | — | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER InpatientFacility | Health New England | Medicaid | $110,343.20 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER InpatientFacility | Excellus Health Plan | Health Exchange | $116,055.61 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER InpatientFacility | Excellus Health Plan | Health Exchange | $116,055.61 | — | — | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK InpatientFacility | Fidelis | EPP 1_2 QHP | $116,316.00 | — | — | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK InpatientFacility | Empire | ESS Plans 1_2_3_4 | $116,316.00 | — | — | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK InpatientFacility | MVP | ESS Plans 1_2_3_4 | $116,316.00 | — | — | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL InpatientFacility | MVP | ESS 1_2 | $120,060.59 | — | — | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL InpatientFacility | Empire | Essential 1_2 | $120,060.59 | — | — | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL InpatientFacility | Empire | Essential 3_4 | $120,060.59 | — | — | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL InpatientFacility | MVP | ESS 3_4 | $120,060.59 | — | — | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL InpatientFacility | Fidelis | EPP 1_2 QHP | $120,060.59 | — | — | 2025-01-01 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC InpatientFacility | Aetna Better Health | BETTER HEALTH MEDICAID | $125,023.26 | — | — | 2025-01-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER InpatientFacility | Aetna | Managed Medicaid | $126,169.28 | — | — | 2024-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER InpatientFacility | UBH | UBH Medicaid | $126,169.28 | — | — | 2024-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER InpatientFacility | Amerigroup | Medicaid Advantage | $126,169.28 | — | — | 2024-12-31 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER InpatientFacility | Excellus Health Plan | Health Exchange HCRA | $127,231.76 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER InpatientFacility | Excellus Health Plan | Health Exchange HCRA | $127,231.76 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER InpatientFacility | Excellus | All Products | $133,456.11 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER InpatientFacility | Excellus | All Products | $133,456.11 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER InpatientFacility | Excellus Health Plan | All Products | $133,858.42 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER InpatientFacility | Excellus Health Plan | All Products | $133,858.42 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER InpatientFacility | Molina | ESS 1_2 | $144,058.64 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER InpatientFacility | Molina | ESS 3_4 | $144,058.64 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER InpatientFacility | Molina | ESS 3_4 | $144,058.64 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER InpatientFacility | Molina | ESS 1_2 | $144,058.64 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER InpatientFacility | Fidelis | ESS 1_2 | $144,058.64 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER InpatientFacility | Fidelis | ESS 3_4 | $144,058.64 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER InpatientFacility | Fidelis | ESS 1_2 | $144,058.64 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER InpatientFacility | Fidelis | ESS 3_4 | $144,058.64 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER InpatientFacility | CDPHP | Essential Plan | $144,058.66 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER InpatientFacility | CDPHP | Medicaid | $144,058.66 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER InpatientFacility | CDPHP | Essential Plan | $144,058.66 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER InpatientFacility | CDPHP | Medicaid | $144,058.66 | — | — | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER InpatientFacility | Health New England | MassHealth | $145,603.36 | — | — | 2025-01-01 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL InpatientFacility | Health New England | MassHealth | $145,603.36 | — | — | 2025-01-01 | MRF ↗ |
| SAINT MARY'S HOSPITAL InpatientFacility | Health New England | MassHealth | $145,603.36 | — | — | 2025-01-01 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL InpatientFacility | Health New England | MassHealth | $145,603.36 | — | — | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER InpatientFacility | Health New England | MassHealth | $145,603.36 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER InpatientFacility | Excellus Health Plan | Commercial HCRA | $146,748.98 | — | — | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER InpatientFacility | Excellus Health Plan | Commercial HCRA | $146,748.98 | — | — | 2025-01-01 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL InpatientFacility | Health New England | ConnectorCare | $167,443.86 | — | — | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER InpatientFacility | Health New England | ConnectorCare | $167,443.86 | — | — | 2025-01-01 | MRF ↗ |
| SAINT MARY'S HOSPITAL InpatientFacility | Health New England | ConnectorCare | $167,443.86 | — | — | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER InpatientFacility | Health New England | ConnectorCare | $167,443.86 | — | — | 2025-01-01 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL InpatientFacility | Health New England | ConnectorCare | $167,443.86 | — | — | 2025-01-01 | MRF ↗ |