03052 — Kidney Transplant
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). KIDNEY TRANSPLANT (EAPG 03052) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/03052?code_type=EAPG
MLA (9th ed.)
“KIDNEY TRANSPLANT (EAPG 03052) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/03052?code_type=EAPG. Accessed .
Chicago (notes-bibliography)
“KIDNEY TRANSPLANT (EAPG 03052) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/03052?code_type=EAPG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,926–$2,310 (25th–75th percentile) across 23 hospitals · 20 payers.
“Negotiated” is the hospital’s negotiated facility rate for this EAPG 03052 — 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 | $15.78 | — | — | 2026-02-03 | MRF ↗ |
| LAKE HEALTH OutpatientFacility | United Healthcare | Managed Medicaid | $1,085.20 | — | — | 2025-05-17 | MRF ↗ |
| LAKE HEALTH BEACHWOOD MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $1,085.20 | — | — | 2025-05-16 | MRF ↗ |
| REID HEALTH OutpatientFacility | Humana of Ohio | Managed Medicaid | $1,113.59 | — | — | 2025-07-21 | MRF ↗ |
| REID HEALTH OutpatientFacility | Caresource of Ohio | Managed Medicaid | $1,113.59 | — | — | 2025-07-21 | MRF ↗ |
| LAKE HEALTH BEACHWOOD MEDICAL CENTER OutpatientFacility | CareSource | Managed Medicaid | $1,117.76 | — | — | 2025-05-16 | MRF ↗ |
| LAKE HEALTH OutpatientFacility | CareSource | Managed Medicaid | $1,117.76 | — | — | 2025-05-17 | MRF ↗ |
| LAKE HEALTH BEACHWOOD MEDICAL CENTER OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $1,128.61 | — | — | 2025-05-16 | MRF ↗ |
| LAKE HEALTH BEACHWOOD MEDICAL CENTER OutpatientFacility | Aetna (Ohio Rise) | Managed Medicaid | $1,128.61 | — | — | 2025-05-16 | MRF ↗ |
| LAKE HEALTH OutpatientFacility | Humana | Managed Medicaid | $1,139.46 | — | — | 2025-05-17 | MRF ↗ |
| LAKE HEALTH BEACHWOOD MEDICAL CENTER OutpatientFacility | Humana | Managed Medicaid | $1,139.46 | — | — | 2025-05-16 | MRF ↗ |
| LAKE HEALTH OutpatientFacility | Buckeye | Managed Medicaid | $1,139.46 | — | — | 2025-05-17 | MRF ↗ |
| LAKE HEALTH OutpatientFacility | Molina | Managed Medicaid | $1,139.46 | — | — | 2025-05-17 | MRF ↗ |
| LAKE HEALTH BEACHWOOD MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $1,139.46 | — | — | 2025-05-16 | MRF ↗ |
| LAKE HEALTH BEACHWOOD MEDICAL CENTER OutpatientFacility | Buckeye | Managed Medicaid | $1,139.46 | — | — | 2025-05-16 | MRF ↗ |
| UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER OutpatientFacility | Buckeye | Managed Medicaid | $1,775.82 | — | — | 2025-05-15 | MRF ↗ |
| UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER OutpatientFacility | CareSource | Managed Medicaid | $1,784.49 | — | — | 2025-05-15 | MRF ↗ |
| UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $1,801.81 | — | — | 2025-05-15 | MRF ↗ |
| UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER OutpatientFacility | Aetna (Ohio Rise) | Managed Medicaid | $1,801.81 | — | — | 2025-05-15 | MRF ↗ |
| UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER OutpatientFacility | Humana | Managed Medicaid | $1,819.14 | — | — | 2025-05-15 | MRF ↗ |
| UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $1,819.14 | — | — | 2025-05-15 | MRF ↗ |
| UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $1,819.14 | — | — | 2025-05-15 | MRF ↗ |
| UH ST JOHN MEDICAL CENTER OutpatientFacility | Buckeye | Managed Medicaid | $1,879.92 | — | — | 2025-05-19 | MRF ↗ |
| UH ST JOHN MEDICAL CENTER OutpatientFacility | CareSource | Managed Medicaid | $1,889.09 | — | — | 2025-05-19 | MRF ↗ |
| UH ST JOHN MEDICAL CENTER OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $1,907.43 | — | — | 2025-05-19 | MRF ↗ |
| UH ST JOHN MEDICAL CENTER OutpatientFacility | Aetna (Ohio Rise) | Managed Medicaid | $1,907.43 | — | — | 2025-05-19 | MRF ↗ |
| Uh Geauga Medical Center OutpatientFacility | Buckeye | Managed Medicaid | $1,910.14 | — | — | 2025-05-16 | MRF ↗ |
| PARMA COMMUNITY GENERAL HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $1,911.71 | — | — | 2025-05-17 | MRF ↗ |
| UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER OutpatientFacility | Buckeye | Managed Medicaid | $1,919.46 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center OutpatientFacility | CareSource | Managed Medicaid | $1,919.46 | — | — | 2025-05-16 | MRF ↗ |
| UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER OutpatientFacility | CareSource | Managed Medicaid | $1,919.46 | — | — | 2025-05-16 | MRF ↗ |
| UH ST JOHN MEDICAL CENTER OutpatientFacility | Humana | Managed Medicaid | $1,925.77 | — | — | 2025-05-19 | MRF ↗ |
| UH ST JOHN MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $1,925.77 | — | — | 2025-05-19 | MRF ↗ |
| UH ST JOHN MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $1,925.77 | — | — | 2025-05-19 | MRF ↗ |
| PARMA COMMUNITY GENERAL HOSPITAL OutpatientFacility | Buckeye | Managed Medicaid | $1,930.46 | — | — | 2025-05-17 | MRF ↗ |
| PARMA COMMUNITY GENERAL HOSPITAL OutpatientFacility | CareSource | Managed Medicaid | $1,930.46 | — | — | 2025-05-17 | MRF ↗ |
| UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $1,938.09 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $1,938.09 | — | — | 2025-05-16 | MRF ↗ |
| UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER OutpatientFacility | Aetna (Ohio Rise) | Managed Medicaid | $1,938.09 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center OutpatientFacility | Aetna (Ohio Rise) | Managed Medicaid | $1,938.09 | — | — | 2025-05-16 | MRF ↗ |
| PARMA COMMUNITY GENERAL HOSPITAL OutpatientFacility | Aetna (Ohio Rise) | Managed Medicaid | $1,949.20 | — | — | 2025-05-17 | MRF ↗ |
| PARMA COMMUNITY GENERAL HOSPITAL OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $1,949.20 | — | — | 2025-05-17 | MRF ↗ |
| UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $1,956.73 | — | — | 2025-05-16 | MRF ↗ |
| UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER OutpatientFacility | Humana | Managed Medicaid | $1,956.73 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center OutpatientFacility | Humana | Managed Medicaid | $1,956.73 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center OutpatientFacility | Molina | Managed Medicaid | $1,956.73 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center OutpatientFacility | United Healthcare | Managed Medicaid | $1,956.73 | — | — | 2025-05-16 | MRF ↗ |
| UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $1,956.73 | — | — | 2025-05-16 | MRF ↗ |
| ADENA REGIONAL MEDICAL CENTER OutpatientFacility | United Community Health Plan | Managed Medicaid | $1,957.22 | — | — | 2025-10-03 | MRF ↗ |
| PARMA COMMUNITY GENERAL HOSPITAL OutpatientFacility | Humana | Managed Medicaid | $1,967.94 | — | — | 2025-05-17 | MRF ↗ |
| PARMA COMMUNITY GENERAL HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $1,967.94 | — | — | 2025-05-17 | MRF ↗ |
| UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $1,974.57 | — | — | 2025-05-18 | MRF ↗ |
| UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER OutpatientFacility | CareSource | Managed Medicaid | $1,974.57 | — | — | 2025-05-18 | MRF ↗ |
| ADENA REGIONAL MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $1,986.10 | — | — | 2025-10-03 | MRF ↗ |
| UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER OutpatientFacility | Aetna (Ohio Rise) | Managed Medicaid | $1,993.74 | — | — | 2025-05-18 | MRF ↗ |
| UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $1,993.74 | — | — | 2025-05-18 | MRF ↗ |
| UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $2,012.91 | — | — | 2025-05-18 | MRF ↗ |
| UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER OutpatientFacility | Buckeye | Managed Medicaid | $2,012.91 | — | — | 2025-05-18 | MRF ↗ |
| UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER OutpatientFacility | Humana | Managed Medicaid | $2,012.91 | — | — | 2025-05-18 | MRF ↗ |
| ADENA REGIONAL MEDICAL CENTER OutpatientFacility | Buckeye Community Health Plan | Managed Medicaid | $2,014.86 | — | — | 2025-10-03 | MRF ↗ |
| ADENA REGIONAL MEDICAL CENTER OutpatientFacility | Buckeye Community Health Plan | Medicaid Dual Program | $2,014.86 | — | — | 2025-10-03 | MRF ↗ |
| ADENA REGIONAL MEDICAL CENTER OutpatientFacility | Care Source | Managed Medicaid | $2,014.86 | — | — | 2025-10-03 | MRF ↗ |
| University Of Toledo Medical Center Outpatient | [Caresource] | [Medicaid] | $2,064.60 | — | — | 2026-07-15 | MRF ↗ |
| University Of Toledo Medical Center Outpatient | [Meridian] | [Medicaid] | $2,064.60 | — | — | 2026-07-15 | MRF ↗ |
| University Of Toledo Medical Center Outpatient | [Unitedhealthcare] | [Medicaid] | $2,064.60 | — | — | 2026-07-15 | MRF ↗ |
| University Of Toledo Medical Center Outpatient | [Aetna Medicaid] | [Better Health] | $2,064.60 | — | — | 2026-07-15 | MRF ↗ |
| University Of Toledo Medical Center Outpatient | [Anthem] | [Medicaid] | $2,064.60 | — | — | 2026-07-15 | MRF ↗ |
| University Of Toledo Medical Center Outpatient | [Amerihealth Caritas] | [Medicaid] | $2,126.54 | — | — | 2026-07-15 | MRF ↗ |
| University Of Toledo Medical Center Outpatient | [Humana Behavior Health] | [Medicaid] | $2,126.54 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY HOSPITALS SAMARITAN MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $2,146.86 | — | — | 2025-05-19 | MRF ↗ |
| University Of Toledo Medical Center Outpatient | [Molina] | [Medicaid] | $2,167.83 | — | — | 2026-07-15 | MRF ↗ |
| University Of Toledo Medical Center Outpatient | [Buckeye Community Health Plan] | [Medicaid] | $2,167.83 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY HOSPITALS SAMARITAN MEDICAL CENTER OutpatientFacility | Buckeye | Managed Medicaid | $2,167.90 | — | — | 2025-05-19 | MRF ↗ |
| UNIVERSITY HOSPITALS SAMARITAN MEDICAL CENTER OutpatientFacility | CareSource | Managed Medicaid | $2,167.90 | — | — | 2025-05-19 | MRF ↗ |
| UNIVERSITY HOSPITALS SAMARITAN MEDICAL CENTER OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $2,188.95 | — | — | 2025-05-19 | MRF ↗ |
| UNIVERSITY HOSPITALS SAMARITAN MEDICAL CENTER OutpatientFacility | Aetna (Ohio Rise) | Managed Medicaid | $2,188.95 | — | — | 2025-05-19 | MRF ↗ |
| UNIVERSITY HOSPITALS SAMARITAN MEDICAL CENTER OutpatientFacility | Humana | Managed Medicaid | $2,210.00 | — | — | 2025-05-19 | MRF ↗ |
| UNIVERSITY HOSPITALS SAMARITAN MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $2,210.00 | — | — | 2025-05-19 | MRF ↗ |
| Alice Hyde Medical Center OutpatientFacility | MVP | Managed Medicaid | $2,256.18 | — | — | 2026-09-08 | MRF ↗ |
| Alice Hyde Medical Center OutpatientFacility | Capital District Physicians' Health Plan | Managed Medicaid | $2,256.18 | — | — | 2026-09-08 | MRF ↗ |
| Alice Hyde Medical Center OutpatientFacility | United Healthcare | Managed Medicaid/Essential Plans | $2,256.18 | — | — | 2026-09-08 | MRF ↗ |
| UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER OutpatientFacility | Buckeye | Managed Medicaid | $2,256.88 | — | — | 2025-05-16 | MRF ↗ |
| UHHS MEMORIAL HOSPITAL OF GENEVA OutpatientFacility | Buckeye | Managed Medicaid | $2,256.88 | — | — | 2025-05-17 | MRF ↗ |
| UH CLEVELAND MEDICAL CENTER OutpatientFacility | Buckeye | Managed Medicaid | $2,266.26 | — | — | 2025-05-16 | MRF ↗ |
| UH CLEVELAND MEDICAL CENTER OutpatientFacility | CareSource | Managed Medicaid | $2,266.26 | — | — | 2025-05-16 | MRF ↗ |
| RAINBOW BABIES AND CHILDRENS HOSPITAL OutpatientFacility | CareSource | Managed Medicaid | $2,266.26 | — | — | 2025-05-19 | MRF ↗ |
| UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER OutpatientFacility | CareSource | Managed Medicaid | $2,267.88 | — | — | 2025-05-16 | MRF ↗ |
| UHHS MEMORIAL HOSPITAL OF GENEVA OutpatientFacility | CareSource | Managed Medicaid | $2,267.88 | — | — | 2025-05-17 | MRF ↗ |
| UH CLEVELAND MEDICAL CENTER OutpatientFacility | Aetna (Ohio Rise) | Managed Medicaid | $2,288.26 | — | — | 2025-05-16 | MRF ↗ |
| UH CLEVELAND MEDICAL CENTER OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $2,288.26 | — | — | 2025-05-16 | MRF ↗ |
| UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER OutpatientFacility | Aetna (Ohio Rise) | Managed Medicaid | $2,289.90 | — | — | 2025-05-16 | MRF ↗ |
| UHHS MEMORIAL HOSPITAL OF GENEVA OutpatientFacility | Aetna (Ohio Rise) | Managed Medicaid | $2,289.90 | — | — | 2025-05-17 | MRF ↗ |
| UHHS MEMORIAL HOSPITAL OF GENEVA OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $2,289.90 | — | — | 2025-05-17 | MRF ↗ |
| UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $2,289.90 | — | — | 2025-05-16 | MRF ↗ |
| RAINBOW BABIES AND CHILDRENS HOSPITAL OutpatientFacility | Humana | Managed Medicaid | $2,310.26 | — | — | 2025-05-19 | MRF ↗ |
| RAINBOW BABIES AND CHILDRENS HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $2,310.26 | — | — | 2025-05-19 | MRF ↗ |
| RAINBOW BABIES AND CHILDRENS HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $2,310.26 | — | — | 2025-05-19 | MRF ↗ |
| UH CLEVELAND MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $2,310.26 | — | — | 2025-05-16 | MRF ↗ |
| UH CLEVELAND MEDICAL CENTER OutpatientFacility | Humana | Managed Medicaid | $2,310.26 | — | — | 2025-05-16 | MRF ↗ |
| UH CLEVELAND MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $2,310.26 | — | — | 2025-05-16 | MRF ↗ |
| UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER OutpatientFacility | Humana | Managed Medicaid | $2,311.92 | — | — | 2025-05-16 | MRF ↗ |
| UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $2,311.92 | — | — | 2025-05-16 | MRF ↗ |
| UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $2,311.92 | — | — | 2025-05-16 | MRF ↗ |
| UHHS MEMORIAL HOSPITAL OF GENEVA OutpatientFacility | Molina | Managed Medicaid | $2,311.92 | — | — | 2025-05-17 | MRF ↗ |
| UHHS MEMORIAL HOSPITAL OF GENEVA OutpatientFacility | Humana | Managed Medicaid | $2,311.92 | — | — | 2025-05-17 | MRF ↗ |
| UHHS MEMORIAL HOSPITAL OF GENEVA OutpatientFacility | United Healthcare | Managed Medicaid | $2,311.92 | — | — | 2025-05-17 | MRF ↗ |
| ASHTABULA COUNTY MEDICAL CENTER OutpatientFacility | Anthem Blue Cross Blue Shield | Managed Medicaid | $2,465.96 | — | — | 2025-08-08 | MRF ↗ |
| ASHTABULA COUNTY MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $2,489.91 | — | — | 2025-08-08 | MRF ↗ |
| ASHTABULA COUNTY MEDICAL CENTER OutpatientFacility | CareSource | Managed Medicaid | $2,513.85 | — | — | 2025-08-08 | MRF ↗ |
| ASHTABULA COUNTY MEDICAL CENTER OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $2,513.85 | — | — | 2025-08-08 | MRF ↗ |
| ASHTABULA COUNTY MEDICAL CENTER OutpatientFacility | Buckeye | Managed Medicaid | $2,513.85 | — | — | 2025-08-08 | MRF ↗ |
| ASHTABULA COUNTY MEDICAL CENTER OutpatientFacility | Molina | Medicare Advantage | $2,561.73 | — | — | 2025-08-08 | MRF ↗ |
| ASHTABULA COUNTY MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $2,633.55 | — | — | 2025-08-08 | MRF ↗ |
| ADENA PIKE MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $2,786.17 | — | — | 2025-10-03 | MRF ↗ |
| ADENA PIKE MEDICAL CENTER OutpatientFacility | Buckeye Community Health Plan | Medicaid Dual Plan | $2,826.45 | — | — | 2025-10-03 | MRF ↗ |
| ADENA PIKE MEDICAL CENTER OutpatientFacility | United Community Plan | Managed Medicaid | $2,826.45 | — | — | 2025-10-03 | MRF ↗ |
| ADENA PIKE MEDICAL CENTER OutpatientFacility | Care Source | Managed Medicaid | $2,826.45 | — | — | 2025-10-03 | MRF ↗ |
| ADENA PIKE MEDICAL CENTER OutpatientFacility | Buckeye Community Health Plan | Managed Medicaid | $2,826.45 | — | — | 2025-10-03 | MRF ↗ |
| GREENFIELD AREA MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $2,891.97 | — | — | 2025-10-08 | MRF ↗ |
| GREENFIELD AREA MEDICAL CENTER OutpatientFacility | Buckeye Community Health Plan | Medicaid Dual Plan | $2,933.83 | — | — | 2025-10-08 | MRF ↗ |
| GREENFIELD AREA MEDICAL CENTER OutpatientFacility | Care Source | Managed Medicaid | $2,933.83 | — | — | 2025-10-08 | MRF ↗ |
| GREENFIELD AREA MEDICAL CENTER OutpatientFacility | Buckeye Community Health Plan | Managed Medicaid | $2,933.83 | — | — | 2025-10-08 | MRF ↗ |
| ADENA FAYETTE MEDICAL CENTER OutpatientFacility | Molina | Dual Medicaid | $3,082.95 | — | — | 2025-10-03 | MRF ↗ |
| ADENA FAYETTE MEDICAL CENTER OutpatientFacility | Buckeye Community Health Plan | Medicaid Dual Plan | $3,237.04 | — | — | 2025-10-03 | MRF ↗ |
| ADENA FAYETTE MEDICAL CENTER OutpatientFacility | Buckeye Community Health Plan | Managed Medicaid | $3,237.04 | — | — | 2025-10-03 | MRF ↗ |
| ADENA FAYETTE MEDICAL CENTER OutpatientFacility | Care Source | Managed Medicaid | $3,237.04 | — | — | 2025-10-03 | MRF ↗ |
| ADENA FAYETTE MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $3,237.04 | — | — | 2025-10-03 | MRF ↗ |
| ASHTABULA COUNTY MEDICAL CENTER OutpatientFacility | Oscar Cleveland | Commercial | $3,351.80 | — | — | 2025-08-08 | MRF ↗ |
| Alice Hyde Medical Center OutpatientFacility | Fidelis Care | Health Benefit Exchange Products | $4,173.88 | — | — | 2026-09-08 | MRF ↗ |
| Alice Hyde Medical Center OutpatientFacility | MVP | Essential Plans | $4,625.20 | — | — | 2026-09-08 | MRF ↗ |
| Alice Hyde Medical Center OutpatientFacility | Capital District Physicians' Health Plan | Essential Plans | $5,076.38 | — | — | 2026-09-08 | MRF ↗ |
| FLOYD CHEROKEE MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of Alabama | Commercial | $13,731.21 | — | — | 2025-11-19 | MRF ↗ |