00104 — Major Open Coronary Artery Procedures Including Cabg
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). MAJOR OPEN CORONARY ARTERY PROCEDURES INCLUDING CABG (EAPG 00104) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/00104?code_type=EAPG
MLA (9th ed.)
“MAJOR OPEN CORONARY ARTERY PROCEDURES INCLUDING CABG (EAPG 00104) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/00104?code_type=EAPG. Accessed .
Chicago (notes-bibliography)
“MAJOR OPEN CORONARY ARTERY PROCEDURES INCLUDING CABG (EAPG 00104) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/00104?code_type=EAPG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $5,161–$6,196 (25th–75th percentile) across 29 hospitals · 20 payers.
“Negotiated” is the hospital’s negotiated facility rate for this EAPG 00104 — 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 |
|---|---|---|---|---|---|---|---|
| ASPIRE HEALTH PARTNERS OutpatientFacility | Sunshine Health | Medicaid | $33.10 | — | — | 2026-02-03 | MRF ↗ |
| LAKE HEALTH OutpatientFacility | United Healthcare | Managed Medicaid | $2,908.54 | — | — | 2025-05-17 | MRF ↗ |
| LAKE HEALTH BEACHWOOD MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $2,908.54 | — | — | 2025-05-16 | MRF ↗ |
| REID HEALTH OutpatientFacility | Caresource of Ohio | Managed Medicaid | $2,984.63 | — | — | 2025-07-21 | MRF ↗ |
| REID HEALTH OutpatientFacility | Humana of Ohio | Managed Medicaid | $2,984.63 | — | — | 2025-07-21 | MRF ↗ |
| LAKE HEALTH BEACHWOOD MEDICAL CENTER OutpatientFacility | CareSource | Managed Medicaid | $2,995.80 | — | — | 2025-05-16 | MRF ↗ |
| LAKE HEALTH OutpatientFacility | CareSource | Managed Medicaid | $2,995.80 | — | — | 2025-05-17 | MRF ↗ |
| LAKE HEALTH BEACHWOOD MEDICAL CENTER OutpatientFacility | Aetna (Ohio Rise) | Managed Medicaid | $3,024.88 | — | — | 2025-05-16 | MRF ↗ |
| LAKE HEALTH BEACHWOOD MEDICAL CENTER OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $3,024.88 | — | — | 2025-05-16 | MRF ↗ |
| LAKE HEALTH OutpatientFacility | Buckeye | Managed Medicaid | $3,053.97 | — | — | 2025-05-17 | MRF ↗ |
| LAKE HEALTH OutpatientFacility | Molina | Managed Medicaid | $3,053.97 | — | — | 2025-05-17 | MRF ↗ |
| LAKE HEALTH BEACHWOOD MEDICAL CENTER OutpatientFacility | Humana | Managed Medicaid | $3,053.97 | — | — | 2025-05-16 | MRF ↗ |
| LAKE HEALTH BEACHWOOD MEDICAL CENTER OutpatientFacility | Buckeye | Managed Medicaid | $3,053.97 | — | — | 2025-05-16 | MRF ↗ |
| LAKE HEALTH BEACHWOOD MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $3,053.97 | — | — | 2025-05-16 | MRF ↗ |
| LAKE HEALTH OutpatientFacility | Humana | Managed Medicaid | $3,053.97 | — | — | 2025-05-17 | MRF ↗ |
| Alice Hyde Medical Center OutpatientFacility | MVP | Managed Medicaid | $4,734.01 | — | — | 2026-09-08 | MRF ↗ |
| Alice Hyde Medical Center OutpatientFacility | United Healthcare | Managed Medicaid/Essential Plans | $4,734.01 | — | — | 2026-09-08 | MRF ↗ |
| Alice Hyde Medical Center OutpatientFacility | Capital District Physicians' Health Plan | Managed Medicaid | $4,734.01 | — | — | 2026-09-08 | MRF ↗ |
| UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER OutpatientFacility | Buckeye | Managed Medicaid | $4,759.54 | — | — | 2025-05-15 | MRF ↗ |
| UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER OutpatientFacility | CareSource | Managed Medicaid | $4,782.75 | — | — | 2025-05-15 | MRF ↗ |
| UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $4,829.19 | — | — | 2025-05-15 | MRF ↗ |
| UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER OutpatientFacility | Aetna (Ohio Rise) | Managed Medicaid | $4,829.19 | — | — | 2025-05-15 | MRF ↗ |
| UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER OutpatientFacility | Humana | Managed Medicaid | $4,875.62 | — | — | 2025-05-15 | MRF ↗ |
| UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $4,875.62 | — | — | 2025-05-15 | MRF ↗ |
| UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $4,875.62 | — | — | 2025-05-15 | MRF ↗ |
| UH ST JOHN MEDICAL CENTER OutpatientFacility | Buckeye | Managed Medicaid | $5,038.52 | — | — | 2025-05-19 | MRF ↗ |
| UH ST JOHN MEDICAL CENTER OutpatientFacility | CareSource | Managed Medicaid | $5,063.10 | — | — | 2025-05-19 | MRF ↗ |
| UH ST JOHN MEDICAL CENTER OutpatientFacility | Aetna (Ohio Rise) | Managed Medicaid | $5,112.26 | — | — | 2025-05-19 | MRF ↗ |
| UH ST JOHN MEDICAL CENTER OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $5,112.26 | — | — | 2025-05-19 | MRF ↗ |
| Uh Geauga Medical Center OutpatientFacility | Buckeye | Managed Medicaid | $5,119.52 | — | — | 2025-05-16 | MRF ↗ |
| PARMA COMMUNITY GENERAL HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $5,123.74 | — | — | 2025-05-17 | MRF ↗ |
| UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER OutpatientFacility | Buckeye | Managed Medicaid | $5,144.49 | — | — | 2025-05-16 | MRF ↗ |
| UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER OutpatientFacility | CareSource | Managed Medicaid | $5,144.49 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center OutpatientFacility | CareSource | Managed Medicaid | $5,144.49 | — | — | 2025-05-16 | MRF ↗ |
| UH ST JOHN MEDICAL CENTER OutpatientFacility | Humana | Managed Medicaid | $5,161.41 | — | — | 2025-05-19 | MRF ↗ |
| UH ST JOHN MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $5,161.41 | — | — | 2025-05-19 | MRF ↗ |
| UH ST JOHN MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $5,161.41 | — | — | 2025-05-19 | MRF ↗ |
| PARMA COMMUNITY GENERAL HOSPITAL OutpatientFacility | CareSource | Managed Medicaid | $5,173.97 | — | — | 2025-05-17 | MRF ↗ |
| PARMA COMMUNITY GENERAL HOSPITAL OutpatientFacility | Buckeye | Managed Medicaid | $5,173.97 | — | — | 2025-05-17 | MRF ↗ |
| UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER OutpatientFacility | Aetna (Ohio Rise) | Managed Medicaid | $5,194.44 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center OutpatientFacility | Aetna (Ohio Rise) | Managed Medicaid | $5,194.44 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $5,194.44 | — | — | 2025-05-16 | MRF ↗ |
| UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $5,194.44 | — | — | 2025-05-16 | MRF ↗ |
| PARMA COMMUNITY GENERAL HOSPITAL OutpatientFacility | Aetna (Ohio Rise) | Managed Medicaid | $5,224.20 | — | — | 2025-05-17 | MRF ↗ |
| PARMA COMMUNITY GENERAL HOSPITAL OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $5,224.20 | — | — | 2025-05-17 | MRF ↗ |
| UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $5,244.38 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center OutpatientFacility | Humana | Managed Medicaid | $5,244.38 | — | — | 2025-05-16 | MRF ↗ |
| UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER OutpatientFacility | Humana | Managed Medicaid | $5,244.38 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center OutpatientFacility | Molina | Managed Medicaid | $5,244.38 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center OutpatientFacility | United Healthcare | Managed Medicaid | $5,244.38 | — | — | 2025-05-16 | MRF ↗ |
| UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $5,244.38 | — | — | 2025-05-16 | MRF ↗ |
| ADENA REGIONAL MEDICAL CENTER OutpatientFacility | United Community Health Plan | Managed Medicaid | $5,245.70 | — | — | 2025-10-03 | MRF ↗ |
| PARMA COMMUNITY GENERAL HOSPITAL OutpatientFacility | Humana | Managed Medicaid | $5,274.43 | — | — | 2025-05-17 | MRF ↗ |
| PARMA COMMUNITY GENERAL HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $5,274.43 | — | — | 2025-05-17 | MRF ↗ |
| UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $5,292.21 | — | — | 2025-05-18 | MRF ↗ |
| UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER OutpatientFacility | CareSource | Managed Medicaid | $5,292.21 | — | — | 2025-05-18 | MRF ↗ |
| ADENA REGIONAL MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $5,323.10 | — | — | 2025-10-03 | MRF ↗ |
| UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $5,343.59 | — | — | 2025-05-18 | MRF ↗ |
| UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER OutpatientFacility | Aetna (Ohio Rise) | Managed Medicaid | $5,343.59 | — | — | 2025-05-18 | MRF ↗ |
| UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER OutpatientFacility | Buckeye | Managed Medicaid | $5,394.97 | — | — | 2025-05-18 | MRF ↗ |
| UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $5,394.97 | — | — | 2025-05-18 | MRF ↗ |
| UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER OutpatientFacility | Humana | Managed Medicaid | $5,394.97 | — | — | 2025-05-18 | MRF ↗ |
| ADENA REGIONAL MEDICAL CENTER OutpatientFacility | Buckeye Community Health Plan | Medicaid Dual Program | $5,400.17 | — | — | 2025-10-03 | MRF ↗ |
| ADENA REGIONAL MEDICAL CENTER OutpatientFacility | Care Source | Managed Medicaid | $5,400.17 | — | — | 2025-10-03 | MRF ↗ |
| ADENA REGIONAL MEDICAL CENTER OutpatientFacility | Buckeye Community Health Plan | Managed Medicaid | $5,400.17 | — | — | 2025-10-03 | MRF ↗ |
| University Of Toledo Medical Center Outpatient | [Meridian] | [Medicaid] | $5,533.50 | — | — | 2026-07-15 | MRF ↗ |
| University Of Toledo Medical Center Outpatient | [Anthem] | [Medicaid] | $5,533.50 | — | — | 2026-07-15 | MRF ↗ |
| University Of Toledo Medical Center Outpatient | [Aetna Medicaid] | [Better Health] | $5,533.50 | — | — | 2026-07-15 | MRF ↗ |
| University Of Toledo Medical Center Outpatient | [Unitedhealthcare] | [Medicaid] | $5,533.50 | — | — | 2026-07-15 | MRF ↗ |
| University Of Toledo Medical Center Outpatient | [Caresource] | [Medicaid] | $5,533.50 | — | — | 2026-07-15 | MRF ↗ |
| University Of Toledo Medical Center Outpatient | [Amerihealth Caritas] | [Medicaid] | $5,699.51 | — | — | 2026-07-15 | MRF ↗ |
| University Of Toledo Medical Center Outpatient | [Humana Behavior Health] | [Medicaid] | $5,699.51 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY HOSPITALS SAMARITAN MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $5,753.96 | — | — | 2025-05-19 | MRF ↗ |
| University Of Toledo Medical Center Outpatient | [Molina] | [Medicaid] | $5,810.18 | — | — | 2026-07-15 | MRF ↗ |
| University Of Toledo Medical Center Outpatient | [Buckeye Community Health Plan] | [Medicaid] | $5,810.18 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY HOSPITALS SAMARITAN MEDICAL CENTER OutpatientFacility | Buckeye | Managed Medicaid | $5,810.37 | — | — | 2025-05-19 | MRF ↗ |
| UNIVERSITY HOSPITALS SAMARITAN MEDICAL CENTER OutpatientFacility | CareSource | Managed Medicaid | $5,810.37 | — | — | 2025-05-19 | MRF ↗ |
| UNIVERSITY HOSPITALS SAMARITAN MEDICAL CENTER OutpatientFacility | Aetna (Ohio Rise) | Managed Medicaid | $5,866.79 | — | — | 2025-05-19 | MRF ↗ |
| UNIVERSITY HOSPITALS SAMARITAN MEDICAL CENTER OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $5,866.79 | — | — | 2025-05-19 | MRF ↗ |
| UNIVERSITY HOSPITALS SAMARITAN MEDICAL CENTER OutpatientFacility | Humana | Managed Medicaid | $5,923.20 | — | — | 2025-05-19 | MRF ↗ |
| UNIVERSITY HOSPITALS SAMARITAN MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $5,923.20 | — | — | 2025-05-19 | MRF ↗ |
| UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER OutpatientFacility | Buckeye | Managed Medicaid | $6,048.83 | — | — | 2025-05-16 | MRF ↗ |
| UHHS MEMORIAL HOSPITAL OF GENEVA OutpatientFacility | Buckeye | Managed Medicaid | $6,048.83 | — | — | 2025-05-17 | MRF ↗ |
| RAINBOW BABIES AND CHILDRENS HOSPITAL OutpatientFacility | CareSource | Managed Medicaid | $6,073.98 | — | — | 2025-05-19 | MRF ↗ |
| UH CLEVELAND MEDICAL CENTER OutpatientFacility | Buckeye | Managed Medicaid | $6,073.98 | — | — | 2025-05-16 | MRF ↗ |
| UH CLEVELAND MEDICAL CENTER OutpatientFacility | CareSource | Managed Medicaid | $6,073.98 | — | — | 2025-05-16 | MRF ↗ |
| UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER OutpatientFacility | CareSource | Managed Medicaid | $6,078.34 | — | — | 2025-05-16 | MRF ↗ |
| UHHS MEMORIAL HOSPITAL OF GENEVA OutpatientFacility | CareSource | Managed Medicaid | $6,078.34 | — | — | 2025-05-17 | MRF ↗ |
| UH CLEVELAND MEDICAL CENTER OutpatientFacility | Aetna (Ohio Rise) | Managed Medicaid | $6,132.95 | — | — | 2025-05-16 | MRF ↗ |
| UH CLEVELAND MEDICAL CENTER OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $6,132.95 | — | — | 2025-05-16 | MRF ↗ |
| UHHS MEMORIAL HOSPITAL OF GENEVA OutpatientFacility | Aetna (Ohio Rise) | Managed Medicaid | $6,137.35 | — | — | 2025-05-17 | MRF ↗ |
| UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $6,137.35 | — | — | 2025-05-16 | MRF ↗ |
| UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER OutpatientFacility | Aetna (Ohio Rise) | Managed Medicaid | $6,137.35 | — | — | 2025-05-16 | MRF ↗ |
| UHHS MEMORIAL HOSPITAL OF GENEVA OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $6,137.35 | — | — | 2025-05-17 | MRF ↗ |
| RAINBOW BABIES AND CHILDRENS HOSPITAL OutpatientFacility | Humana | Managed Medicaid | $6,191.92 | — | — | 2025-05-19 | MRF ↗ |
| UH CLEVELAND MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $6,191.92 | — | — | 2025-05-16 | MRF ↗ |
| UH CLEVELAND MEDICAL CENTER OutpatientFacility | Humana | Managed Medicaid | $6,191.92 | — | — | 2025-05-16 | MRF ↗ |
| UH CLEVELAND MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $6,191.92 | — | — | 2025-05-16 | MRF ↗ |
| RAINBOW BABIES AND CHILDRENS HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $6,191.92 | — | — | 2025-05-19 | MRF ↗ |
| RAINBOW BABIES AND CHILDRENS HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $6,191.92 | — | — | 2025-05-19 | MRF ↗ |
| UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $6,196.37 | — | — | 2025-05-16 | MRF ↗ |
| UHHS MEMORIAL HOSPITAL OF GENEVA OutpatientFacility | Molina | Managed Medicaid | $6,196.37 | — | — | 2025-05-17 | MRF ↗ |
| UHHS MEMORIAL HOSPITAL OF GENEVA OutpatientFacility | Humana | Managed Medicaid | $6,196.37 | — | — | 2025-05-17 | MRF ↗ |
| UHHS MEMORIAL HOSPITAL OF GENEVA OutpatientFacility | United Healthcare | Managed Medicaid | $6,196.37 | — | — | 2025-05-17 | MRF ↗ |
| UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER OutpatientFacility | Humana | Managed Medicaid | $6,196.37 | — | — | 2025-05-16 | MRF ↗ |
| UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $6,196.37 | — | — | 2025-05-16 | MRF ↗ |
| ASHTABULA COUNTY MEDICAL CENTER OutpatientFacility | Anthem Blue Cross Blue Shield | Managed Medicaid | $6,609.23 | — | — | 2025-08-08 | MRF ↗ |
| ASHTABULA COUNTY MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $6,673.40 | — | — | 2025-08-08 | MRF ↗ |
| ASHTABULA COUNTY MEDICAL CENTER OutpatientFacility | CareSource | Managed Medicaid | $6,737.57 | — | — | 2025-08-08 | MRF ↗ |
| ASHTABULA COUNTY MEDICAL CENTER OutpatientFacility | Buckeye | Managed Medicaid | $6,737.57 | — | — | 2025-08-08 | MRF ↗ |
| ASHTABULA COUNTY MEDICAL CENTER OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $6,737.57 | — | — | 2025-08-08 | MRF ↗ |
| ASHTABULA COUNTY MEDICAL CENTER OutpatientFacility | Molina | Medicare Advantage | $6,865.90 | — | — | 2025-08-08 | MRF ↗ |
| ASHTABULA COUNTY MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $7,058.40 | — | — | 2025-08-08 | MRF ↗ |
| ADENA PIKE MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $7,467.43 | — | — | 2025-10-03 | MRF ↗ |
| ADENA PIKE MEDICAL CENTER OutpatientFacility | Buckeye Community Health Plan | Medicaid Dual Plan | $7,575.39 | — | — | 2025-10-03 | MRF ↗ |
| ADENA PIKE MEDICAL CENTER OutpatientFacility | Care Source | Managed Medicaid | $7,575.39 | — | — | 2025-10-03 | MRF ↗ |
| ADENA PIKE MEDICAL CENTER OutpatientFacility | United Community Plan | Managed Medicaid | $7,575.39 | — | — | 2025-10-03 | MRF ↗ |
| ADENA PIKE MEDICAL CENTER OutpatientFacility | Buckeye Community Health Plan | Managed Medicaid | $7,575.39 | — | — | 2025-10-03 | MRF ↗ |
| GREENFIELD AREA MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $7,751.00 | — | — | 2025-10-08 | MRF ↗ |
| GREENFIELD AREA MEDICAL CENTER OutpatientFacility | Buckeye Community Health Plan | Managed Medicaid | $7,863.19 | — | — | 2025-10-08 | MRF ↗ |
| GREENFIELD AREA MEDICAL CENTER OutpatientFacility | Buckeye Community Health Plan | Medicaid Dual Plan | $7,863.19 | — | — | 2025-10-08 | MRF ↗ |
| GREENFIELD AREA MEDICAL CENTER OutpatientFacility | Care Source | Managed Medicaid | $7,863.19 | — | — | 2025-10-08 | MRF ↗ |
| ADENA FAYETTE MEDICAL CENTER OutpatientFacility | Molina | Dual Medicaid | $8,262.85 | — | — | 2025-10-03 | MRF ↗ |
| ADENA FAYETTE MEDICAL CENTER OutpatientFacility | Care Source | Managed Medicaid | $8,675.85 | — | — | 2025-10-03 | MRF ↗ |
| ADENA FAYETTE MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $8,675.85 | — | — | 2025-10-03 | MRF ↗ |
| ADENA FAYETTE MEDICAL CENTER OutpatientFacility | Buckeye Community Health Plan | Medicaid Dual Plan | $8,675.85 | — | — | 2025-10-03 | MRF ↗ |
| ADENA FAYETTE MEDICAL CENTER OutpatientFacility | Buckeye Community Health Plan | Managed Medicaid | $8,675.85 | — | — | 2025-10-03 | MRF ↗ |
| Alice Hyde Medical Center OutpatientFacility | Fidelis Care | Health Benefit Exchange Products | $8,757.80 | — | — | 2026-09-08 | MRF ↗ |
| ASHTABULA COUNTY MEDICAL CENTER OutpatientFacility | Oscar Cleveland | Commercial | $8,983.42 | — | — | 2025-08-08 | MRF ↗ |
| Alice Hyde Medical Center OutpatientFacility | MVP | Essential Plans | $9,704.76 | — | — | 2026-09-08 | MRF ↗ |
| Alice Hyde Medical Center OutpatientFacility | Capital District Physicians' Health Plan | Essential Plans | $10,651.45 | — | — | 2026-09-08 | MRF ↗ |
| FLOYD CHEROKEE MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of Alabama | Commercial | $28,811.33 | — | — | 2025-11-19 | MRF ↗ |
| ST VINCENT'S BIRMINGHAM OutpatientFacility | BlueCross BlueShield of Alabama | Commercial | $33,394.93 | — | — | 2026-04-20 | MRF ↗ |
| ST VINCENT'S BIRMINGHAM OutpatientFacility | BlueCross BlueShield of Alabama | Commercial | $33,394.93 | — | — | 2026-04-20 | MRF ↗ |
| ST VINCENT'S ST CLAIR OutpatientFacility | BlueCross BlueShield of Alabama | Commercial | $37,680.62 | — | — | 2026-04-20 | MRF ↗ |
| ST. VINCENT'S EAST OutpatientFacility | BlueCross BlueShield of Alabama | Commercial | $42,597.92 | — | — | 2026-04-20 | MRF ↗ |
| UNIVERSITY OF ALABAMA HOSPITAL OutpatientFacility | BlueCross BlueShield of Alabama | Commercial | $46,933.49 | — | — | 2026-02-19 | MRF ↗ |
| ST VINCENTS BLOUNT OutpatientFacility | BlueCross BlueShield of Alabama | Commercial | $47,716.12 | — | — | 2026-04-20 | MRF ↗ |
| ST VINCENT'S CHILTON OutpatientFacility | BlueCross BlueShield of Alabama | Commercial | $53,752.81 | — | — | 2026-04-20 | MRF ↗ |