005 - 4 — Tracheostomy With Mv >96 Hours Without Extensive Procedure
Cite this view
HANK Price Transparency. (n.d.). TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE (APR_DRG 005 - 4) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/005 - 4?code_type=APR_DRG
“TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE (APR_DRG 005 - 4) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/005 - 4?code_type=APR_DRG. Accessed .
“TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE (APR_DRG 005 - 4) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/005 - 4?code_type=APR_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $59,374–$1,538,186 (25th–75th percentile) across 9 hospitals · 91 payers.
“Negotiated” is the hospital’s negotiated facility rate for this APR_DRG 005 - 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 |
|---|---|---|---|---|---|---|---|
| GROSSMONT HOSPITAL Inpatient | Health Net | Health Net - Medi-Cal | $2,058.68 | $1,226,114.50 | $919,585.88 | 2026-04-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | VSP Vision Care | VSP Vision Care | — | $866,109.00 | $536,987.58 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Blue Cross Blue Shield | Capital - Basic Network Rates | — | $866,109.00 | $536,987.58 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | MHNet | MHNet - Behavioral Health | — | $866,109.00 | $536,987.58 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Wyoming Seminary | Wyoming Seminary | — | $866,109.00 | $536,987.58 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Wire Rope | Wire Rope | — | $866,109.00 | $536,987.58 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Congregation of the Sister Servants | Congregation of the Sister Servants | — | $866,109.00 | $536,987.58 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Prison Health Services | Prison Health Services | $8,363.16 | $866,109.00 | $536,987.58 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Prison Health Services | Seven Corners | — | $866,109.00 | $536,987.58 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Intergroup Services | Intergroup Services | — | $866,109.00 | $536,987.58 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Christian Healthcare Ministries | Christian Healthcare Ministries | — | $866,109.00 | $536,987.58 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Community Care | Community Care - Behavioral Health | — | $866,109.00 | $536,987.58 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Pacificare | Pacificare - Behavioral Health | — | $866,109.00 | $536,987.58 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Integrated Health Plan | Integrated Health Plan | — | $866,109.00 | $536,987.58 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Integrated Health Plan | Integrated Health Plan - Behavioral Health | — | $866,109.00 | $536,987.58 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Geisinger Health Plan | Geisinger Health Plan - Gold - Medicare Advantage | — | $866,109.00 | $536,987.58 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Geisinger Health Plan | Geisinger Health Plan - Employee | — | $866,109.00 | $536,987.58 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Geisinger Health Plan | Geisinger Health Plan - Commercial | — | $866,109.00 | $536,987.58 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Blue Cross Blue Shield | Capital - Enhanced Network Rates | — | $866,109.00 | $536,987.58 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Ambetter | Ambetter - Managed Medicare | — | $866,109.00 | $536,987.58 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | United Healthcare | United Healthcare - Behavioral Health | — | $866,109.00 | $536,987.58 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | United Healthcare | United Healthcare - Commercial | — | $866,109.00 | $536,987.58 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Cigna | Cigna | — | $866,109.00 | $536,987.58 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Multiplan | Multiplan/Private Health Care System | — | $866,109.00 | $536,987.58 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Multiplan | Beech Street | — | $866,109.00 | $536,987.58 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Medicare | Medicare | — | $866,109.00 | $536,987.58 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Medicare | Black Lung - Medicare Advantage | — | $866,109.00 | $536,987.58 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Humana | Humana - Medicare Advantage | — | $866,109.00 | $536,987.58 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Tricare | Department of Veteran's Affairs | — | $866,109.00 | $536,987.58 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Tricare | Humana Tricare | — | $866,109.00 | $536,987.58 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Medicaid | Medicaid | $8,363.16 | $866,109.00 | $536,987.58 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Magellan | Magellan - Behavioral Health | — | $866,109.00 | $536,987.58 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Value Options | Value Options - Behavioral Health | — | $866,109.00 | $536,987.58 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Aetna | Aetna | — | $866,109.00 | $536,987.58 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Aetna | First Health Network | — | $866,109.00 | $536,987.58 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Managed Health Network | Managed Health Network - Behavioral Health | — | $866,109.00 | $536,987.58 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Life Geisinger | Life Geisinger - Managed Medicaid | — | $866,109.00 | $536,987.58 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Blue Cross Blue Shield | Capital Blue Cross Blue Journey - Medicare Advantage | — | $866,109.00 | $536,987.58 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Blue Cross Blue Shield | Capital - Special Network Rates | — | $866,109.00 | $536,987.58 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Blue Cross Blue Shield | Highmark BC/BS - Special Care | — | $866,109.00 | $536,987.58 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Special Risk International | Special Risk International - United Resource Network | — | $866,109.00 | $536,987.58 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | North Central Secure Treatment Unit | North Central Secure Treatment Unit | — | $866,109.00 | $536,987.58 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Blue Cross Blue Shield | Highmark BC/BS | — | $866,109.00 | $536,987.58 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Shepard International Health Care | Shepard International Health Care - Allegheny International | — | $866,109.00 | $536,987.58 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $8,400.00 | $866,109.00 | $536,987.58 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $8,614.05 | $866,109.00 | $536,987.58 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Health Partners | Health Partners - Managed Medicaid | $9,199.48 | $866,109.00 | $536,987.58 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | UPMC For You | UPMC For You - Managed Medicaid | $9,826.71 | $866,109.00 | $536,987.58 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | UPMC CHIP | UPMC CHIP - Managed Medicaid | $10,035.79 | $866,109.00 | $536,987.58 | 2025-07-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | ODRC | ODRC | $57,556.19 | $836,859.38 | — | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Blue Cross Blue Shield | Blue Cross Community - Managed Medicaid | $59,980.29 | $3,076,371.25 | $2,153,459.88 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Medicaid | Medicaid | $59,980.29 | $3,076,371.25 | $2,153,459.88 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | County Care | County Care - Managed Medicaid | $59,980.29 | $3,076,371.25 | $2,153,459.88 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Molina Healthcare | Molina Healthcare - Managed Medicaid | $59,980.29 | $3,076,371.25 | $2,153,459.88 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Meridian Health | Meridian Health MCO - Managed Medicaid | $60,580.07 | $3,076,371.25 | $2,153,459.88 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Youthcare | Youthcare - Managed Medicaid | $65,978.26 | $3,076,371.25 | $2,153,459.88 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Aetna | Aetna Better Health - Managed Medicaid | $65,978.26 | $3,076,371.25 | $2,153,459.88 | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Medicaid | Medicaid | $70,239.90 | $836,859.38 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Molina | Molina - Medicaid | $73,748.81 | $836,859.38 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Aetna | Aetna Better Health | $73,748.81 | $836,859.38 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Aetna | Aetna Better Health - OhioRISE | $73,751.91 | $836,859.38 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | United | United Healthcare - Medicaid | $77,260.66 | $836,859.38 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Humana | Humana Medicaid | $77,263.93 | $836,859.38 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Amerihealth | Amerihealth | $79,371.12 | $836,859.38 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Buckeye Community | Buckeyes Community - Medicaid | $80,772.51 | $836,859.38 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | CareSource | CareSource - Medicaid | $80,772.51 | $836,859.38 | — | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | Prison Health Services | Prison Health Services | $97,570.04 | $1,787,136.38 | $1,108,024.55 | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | Medicaid | Medicaid | $97,570.04 | $1,787,136.38 | $1,108,024.55 | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $100,497.14 | $1,787,136.38 | $1,108,024.55 | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | Health Partners | Health Partners - Managed Medicaid | $107,327.00 | $1,787,136.38 | $1,108,024.55 | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $108,809.40 | $1,787,136.38 | $1,108,024.55 | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | UPMC For You | UPMC For You - Managed Medicaid | $114,644.82 | $1,787,136.38 | $1,108,024.55 | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | UPMC CHIP | UPMC CHIP - Managed Medicaid | $117,084.09 | $1,787,136.38 | $1,108,024.55 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Inpatient | Blue Shield | Blue Shield - Promise | $171,656.03 | $1,226,114.50 | $919,585.88 | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Medicaid | Medicaid | $290,892.32 | $836,859.38 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | ODRC | ODRC | $290,892.32 | $836,859.38 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Aetna | Aetna Better Health | $305,453.67 | $836,859.38 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Buckeye Community | Buckeyes Community - Dual Eligible | $308,801.11 | $836,859.38 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Buckeye Community | Buckeyes Community - Medicare | $308,801.11 | $836,859.38 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | United | United Healthcare - Medicaid | $320,015.03 | $836,859.38 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | OSU Health Plan | OSU Health Plan - Student Health Plan | $321,019.26 | $836,859.38 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | OSU Health Plan | OSU Health Plan - Prime Care | $326,709.90 | $836,859.38 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | OSU Health Plan | OSU Health Plan - Partner | $344,116.58 | $836,859.38 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | OSU Health Plan | OSU Health Plan - Non OSU PPO | $359,849.53 | $836,859.38 | — | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Inpatient | Blue Shield | Blue Shield - Promise | $364,156.01 | $1,226,114.50 | $919,585.88 | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Buckeye Community | Buckeye Ambetter Exchange | $373,825.08 | $836,859.38 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Ohio PPO | Ohio PPO Connect | $374,996.69 | $836,859.38 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | OSU Health Plan | OSU Health Plan - Market | $378,260.44 | $836,859.38 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | OSU Health Plan | OSU Health Plan - Student Health Plan | $382,193.68 | $836,859.38 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | CareSource | CareSource - Exchange | $384,955.31 | $836,859.38 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Healthspan | Healthspan - Commercial | $401,692.50 | $836,859.38 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Molina | Molina - Exchange | $401,692.50 | $836,859.38 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Buckeye Community | Buckeyes Community - Medicaid | $410,144.78 | $836,859.38 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | CareSource | CareSource - Medicaid | $413,073.79 | $836,859.38 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Molina | Molina - Medicaid | $413,073.79 | $836,859.38 | — | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Inpatient | Community Health Group | Community Health Group - Medi-Cal | $416,878.93 | $1,226,114.50 | $919,585.88 | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | OSU Health Plan | OSU Health Plan - Non OSU PPO | $418,429.69 | $836,859.38 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | OSU Health Plan | OSU Department of Athletics | $418,429.69 | $836,859.38 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | OSU Health Plan | OSU Department of Athletics | $418,429.69 | $836,859.38 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | OSU Health Plan | OSU Health Plan - Prime Care | $447,803.45 | $836,859.38 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Amerihealth | Amerihealth | $450,899.83 | $836,859.38 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Humana | Humana Medicaid | $468,306.51 | $836,859.38 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Healthspan | Healthspan - Commercial | $502,115.63 | $836,859.38 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | OSU Health Plan | OSU Health Plan - Partner | $503,538.29 | $836,859.38 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Humana | Humana Commercial | $536,426.86 | $836,859.38 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | OhioHealth | OhioHealth - Choice | $543,958.59 | $836,859.38 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Lifetrac | Lifetrac | $543,958.59 | $836,859.38 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Ohio PPO | Ohio PPO Connect | $549,147.12 | $836,859.38 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Upper Ohio Valley | Upper Ohio Valley - Health Plan | $552,327.19 | $836,859.38 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | OSU Health Plan | OSU Health Plan - Market | $553,917.22 | $836,859.38 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Anthem | Anthem - HMO/PPO | $561,616.33 | $836,859.38 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Lifetrac | Lifetrac | $569,064.38 | $836,859.38 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | United | United Healthcare | $590,236.92 | $836,859.38 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | OhioHealth | OhioHealth - Choice | $602,538.75 | $836,859.38 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Cigna | Cigna | $606,471.99 | $836,859.38 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | OhioHealth | OhioHealth - Group Healthreach | $610,907.34 | $836,859.38 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | OhioHealth | OhioHealth - Group Healthreach | $610,907.34 | $836,859.38 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | MMO | MMO - New Business | $631,745.14 | $836,859.38 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | MMO | MMO - Commercial | $665,554.26 | $836,859.38 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Multiplan | Multiplan | $669,487.50 | $836,859.38 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Frontpath | Frontpath Transplant | $669,487.50 | $836,859.38 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Frontpath | Frontpath Transplant | $669,487.50 | $836,859.38 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Aetna | First Health | $672,834.94 | $836,859.38 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Aetna | First Health | $686,224.69 | $836,859.38 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Upper Ohio Valley | Upper Ohio Valley - Health Plan | $686,224.69 | $836,859.38 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Aetna | Aetna | $713,004.19 | $836,859.38 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Anthem | Anthem - Traditional | $730,159.80 | $836,859.38 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Healthsmart | Healthsmart | $753,173.44 | $836,859.38 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Healthsmart | Healthsmart | $753,173.44 | $836,859.38 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Multiplan | Multiplan | $778,279.22 | $836,859.38 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Anthem | Anthem - Traditional | $781,124.54 | $836,859.38 | — | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Inpatient | Molina | Molina Medi-Cal | $782,261.05 | $1,226,114.50 | $919,585.88 | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Anthem | Anthem - Traditional | $783,384.06 | $836,859.38 | — | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Inpatient | Community Health Group | Community Health Group - Medi-Cal | $804,331.11 | $1,226,114.50 | $919,585.88 | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | Cigna | Cigna | $809,572.78 | $1,787,136.38 | $1,108,024.55 | 2026-04-01 | MRF ↗ |
| Sharp Memorial Hospital-transplant Inpatient | Molina | Molina Medi-Cal | $833,757.86 | $1,226,114.50 | $919,585.88 | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Inpatient | California Health and Wellness | California Health and Wellness | $858,280.15 | $1,226,114.50 | $919,585.88 | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Inpatient | Medi-Cal | Medi-Cal | $858,280.15 | $1,226,114.50 | $919,585.88 | 2026-04-01 | MRF ↗ |
| Sharp Memorial Hospital-transplant Inpatient | Community Health Group | Community Health Group - Medi-Cal | $858,280.15 | $1,226,114.50 | $919,585.88 | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | Christian Healthcare Ministries | Christian Healthcare Ministries | $893,568.19 | $1,787,136.38 | $1,108,024.55 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Inpatient | County Medical Services | County of San Diego | $919,585.88 | $1,226,114.50 | $919,585.88 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | MercyCare Health | MercyCare Health - HMO/PPO | $1,138,257.36 | $3,076,371.25 | $2,153,459.88 | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | Aetna | First Health Network | $1,193,807.10 | $1,787,136.38 | $1,108,024.55 | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Inpatient | Health Net | Health Net - Medi-Cal | $1,201,592.21 | $1,226,114.50 | $919,585.88 | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | Wyoming Seminary | Wyoming Seminary | $1,250,995.46 | $1,787,136.38 | $1,108,024.55 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Cigna | Cigna Local Plus | $1,292,075.93 | $3,076,371.25 | $2,153,459.88 | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | Intergroup Services | Intergroup Services | $1,519,065.92 | $1,787,136.38 | $1,108,024.55 | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | Multiplan | Beech Street | $1,519,065.92 | $1,787,136.38 | $1,108,024.55 | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | Multiplan | Multiplan/Private Health Care System | $1,519,065.92 | $1,787,136.38 | $1,108,024.55 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Aetna | Aetna Northwestern | $1,538,185.63 | $3,076,371.25 | $2,153,459.88 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | La Rabida Childrens Hospital | La Rabida Childrens Hospital | $1,538,185.63 | $3,076,371.25 | $2,153,459.88 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Aetna | Aetna Illinois Preferred | $1,630,476.76 | $3,076,371.25 | $2,153,459.88 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Cigna | Cigna C-5 | $1,771,989.84 | $3,076,371.25 | $2,153,459.88 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Independent Physicians at Mercy | Independent Physicians at Mercy | $1,845,822.75 | $3,076,371.25 | $2,153,459.88 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Centegra | Centegra | $1,845,822.75 | $3,076,371.25 | $2,153,459.88 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Blue Cross Blue Shield | Dupage Medical Group | $1,845,822.75 | $3,076,371.25 | $2,153,459.88 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Blue Cross Blue Shield | Northwestern Medicine Physician Network IPA | $1,845,822.75 | $3,076,371.25 | $2,153,459.88 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Blue Cross Blue Shield | Northshore Physician Associates | $1,999,641.31 | $3,076,371.25 | $2,153,459.88 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Blue Cross Blue Shield | Lake County Physician Association | $2,153,459.88 | $3,076,371.25 | $2,153,459.88 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Imagine Health | Imagine Health | $2,153,459.88 | $3,076,371.25 | $2,153,459.88 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | UI Health | UI Health | $2,153,459.88 | $3,076,371.25 | $2,153,459.88 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | West Suburban Health Providers | West Suburban Health Providers | $2,153,459.88 | $3,076,371.25 | $2,153,459.88 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Northwest Community Healthcare | Northwest Community Healthcare | $2,153,459.88 | $3,076,371.25 | $2,153,459.88 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Advanced Physicians Association IPA | Advanced Physicians Association IPA | $2,153,459.88 | $3,076,371.25 | $2,153,459.88 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Methodist First Choice | Methodist First Choice | $2,153,459.88 | $3,076,371.25 | $2,153,459.88 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | St. Francis | St. Francis - IPA | $2,153,459.88 | $3,076,371.25 | $2,153,459.88 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Health Plus | Health Plus - PHO | $2,153,459.88 | $3,076,371.25 | $2,153,459.88 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Blue Cross Blue Shield | Illinois Health Partners | $2,153,459.88 | $3,076,371.25 | $2,153,459.88 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Cigna | Cigna | $2,184,223.59 | $3,076,371.25 | $2,153,459.88 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Shriners Hospital | Shriners Hospital | $2,307,278.44 | $3,076,371.25 | $2,153,459.88 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Swedish Covenant Physician Partners | Swedish Covenant Physician Partners | $2,307,278.44 | $3,076,371.25 | $2,153,459.88 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Health Alliance | Health Alliance - PPO | $2,461,097.00 | $3,076,371.25 | $2,153,459.88 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Macneal Health | Macneal Health | $2,461,097.00 | $3,076,371.25 | $2,153,459.88 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Blue Cross Blue Shield | Sherman Choice - PHO | $2,461,097.00 | $3,076,371.25 | $2,153,459.88 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | American Psych Systems | American Psych Systems | $2,461,097.00 | $3,076,371.25 | $2,153,459.88 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Healthlink Inc. | Healthlink Inc. | $2,538,006.28 | $3,076,371.25 | $2,153,459.88 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | St. Elizabeth | St. Elizabeth - PHO | $2,614,915.56 | $3,076,371.25 | $2,153,459.88 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Principal Healthcare | Principal Healthcare - PPO | $2,614,915.56 | $3,076,371.25 | $2,153,459.88 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Cofinity | Cofinity | $2,614,915.56 | $3,076,371.25 | $2,153,459.88 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | HFN Inc | HFN - EPO | $2,614,915.56 | $3,076,371.25 | $2,153,459.88 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Humana | Humana National POS | $2,614,915.56 | $3,076,371.25 | $2,153,459.88 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Humana | Humana | $2,614,915.56 | $3,076,371.25 | $2,153,459.88 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Sagamore Health Network | Sagamore Health Network - PPO | $2,707,206.70 | $3,076,371.25 | $2,153,459.88 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | First Health | First Health | $2,707,206.70 | $3,076,371.25 | $2,153,459.88 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Preferred Health Network | Preferred Health Network - PPO | $2,707,206.70 | $3,076,371.25 | $2,153,459.88 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Healthstar | Healthstar - PPO Next | $2,707,206.70 | $3,076,371.25 | $2,153,459.88 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Benchmark Health | Benchmark Health | $2,768,734.13 | $3,076,371.25 | $2,153,459.88 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Beech Street | Beech Street - PPO | $2,768,734.13 | $3,076,371.25 | $2,153,459.88 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Swedish American | Swedish American | $2,768,734.13 | $3,076,371.25 | $2,153,459.88 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | HFN Inc | HFN - PPO | $2,768,734.13 | $3,076,371.25 | $2,153,459.88 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Security Health Plan | Security Health Plan - HMO | $2,768,734.13 | $3,076,371.25 | $2,153,459.88 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Private Health Care System | Private Health Care System - EPO | $2,768,734.13 | $3,076,371.25 | $2,153,459.88 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Private Health Care System | Private Health Care System - Northwestern | $2,768,734.13 | $3,076,371.25 | $2,153,459.88 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Employer's Coalition on Health | Employer's Coalition on Health | $2,768,734.13 | $3,076,371.25 | $2,153,459.88 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Private Health Care System | PHCS - PPO | $2,768,734.13 | $3,076,371.25 | $2,153,459.88 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Wellmark/Healthnetwork | Wellmark/Healthnetwork - PPO | $2,830,261.55 | $3,076,371.25 | $2,153,459.88 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | WEA Insurance Group | WEA Insurance Group - PPO | $2,922,552.69 | $3,076,371.25 | $2,153,459.88 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | National Provider Network | National Provider Network - PPO | $2,922,552.69 | $3,076,371.25 | $2,153,459.88 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Integrated Health Plan | Integrated Health Plan | $2,922,552.69 | $3,076,371.25 | $2,153,459.88 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Multiplan | Multiplan - PPO | $2,922,552.69 | $3,076,371.25 | $2,153,459.88 | 2026-04-01 | MRF ↗ |
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