104 — Head Trauma With Deep Coma
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). HEAD TRAUMA WITH DEEP COMA (APR_DRG 104) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/104?code_type=APR_DRG
MLA (9th ed.)
“HEAD TRAUMA WITH DEEP COMA (APR_DRG 104) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/104?code_type=APR_DRG. Accessed .
Chicago (notes-bibliography)
“HEAD TRAUMA WITH DEEP COMA (APR_DRG 104) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/104?code_type=APR_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $5,718–$104,064 (25th–75th percentile) across 44 hospitals · 43 payers.
“Negotiated” is the hospital’s negotiated rate for the entire inpatient stay under APR_DRG 104 — the consumer-grade median across the country. An inpatient (DRG) price bundles the whole admission: operating room, room & board, recovery, imaging, anesthesia (facility), implants and supplies. It does not include the surgeon’s or anesthesiologist’s professional fees, which 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 |
|---|---|---|---|---|---|---|---|
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Medicaid Other | — | $1,743.63 | $292,524.20 | $190,140.73 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Medicaid Sc | — | $1,756.37 | $292,524.20 | $190,140.73 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Bluechoice Medicaid (Greenville County Only) | — | $1,785.18 | $292,524.20 | $190,140.73 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Molina Medicaid | — | $1,809.06 | $292,524.20 | $190,140.73 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Blue Choice Medicaid (Greenville County Only) | — | $1,817.01 | $292,524.20 | $190,140.73 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Bluechoice Medicaid | — | $1,844.19 | $292,524.20 | $190,140.73 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Absolute Total Care Medicaid | — | $1,844.19 | $292,524.20 | $190,140.73 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Select Health Medicaid | — | $1,844.19 | $292,524.20 | $190,140.73 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Blue Choice Medicaid (Greenville County Only) | — | $1,873.85 | $292,524.20 | $190,140.73 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Medicaid Other | — | $1,899.13 | $292,524.20 | $190,140.73 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Medicaid | — | $1,899.13 | $292,524.20 | $190,140.73 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Absolute Total Care Medicaid | — | $1,917.74 | $292,524.20 | $190,140.73 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bluechoice Medicaid | — | $1,932.99 | $292,524.20 | $190,140.73 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Blue Choice Medicaid (Greenville County Only) | — | $1,934.99 | $292,524.00 | $190,141.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Blue Choice Medicaid (Greenville County Only) | — | $1,950.04 | $292,524.20 | $190,140.73 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Select Health Medicaid | — | $1,971.51 | $292,524.20 | $190,140.73 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Molina Medicaid | — | $1,990.98 | $292,524.20 | $190,140.73 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Select Health Medicaid | — | $1,990.98 | $292,524.20 | $190,140.73 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Bluechoice Medicaid | — | $1,993.45 | $292,524.20 | $190,140.73 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Medicaid Sc | — | $2,026.85 | $292,524.20 | $190,140.73 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Medicaid | — | $2,028.13 | $292,524.20 | $190,140.73 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Absolute Total Care Medicaid | — | $2,029.64 | $292,524.20 | $190,140.73 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Humana Healthy Horizons Medicaid | — | $2,032.07 | $292,524.20 | $190,140.73 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Bluechoice Medicaid | — | $2,043.20 | $292,524.20 | $190,140.73 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Select Health Medicaid | — | $2,053.26 | $292,524.20 | $190,140.73 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Molina Medicaid | — | $2,053.26 | $292,524.20 | $190,140.73 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Bluechoice Medicaid | — | $2,058.50 | $292,524.00 | $190,141.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Medicaid | — | $2,058.50 | $292,524.00 | $190,141.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Medicare Advantage Non Contracted | — | $2,058.50 | $292,524.00 | $190,141.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Bluechoice Medicaid | — | $2,074.51 | $292,524.20 | $190,140.73 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Medicaid Other | — | $2,077.28 | $292,524.20 | $190,140.73 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Select Health Medicaid | — | $2,089.04 | $292,524.20 | $190,140.73 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Absolute Total Care Medicaid | — | $2,093.12 | $292,524.20 | $190,140.73 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Bluechoice Medicaid | — | $2,108.03 | $292,524.20 | $190,140.73 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Molina Medicaid | — | $2,114.89 | $292,524.20 | $190,140.73 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Molina Medicaid | — | $2,120.26 | $292,524.00 | $190,141.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Select Health Medicaid | — | $2,120.26 | $292,524.00 | $190,141.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Medicaid | — | $2,124.66 | $292,524.20 | $190,140.73 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Medicaid Other | — | $2,124.66 | $292,524.20 | $190,140.73 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Absolute Total Care Medicaid | — | $2,128.20 | $292,524.20 | $190,140.73 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Molina Medicaid | — | $2,136.75 | $292,524.20 | $190,140.73 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Select Health Medicaid | — | $2,136.75 | $292,524.20 | $190,140.73 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Medicaid Sc | — | $2,143.37 | $292,524.20 | $190,140.73 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Absolute Total Care Medicaid | — | $2,161.43 | $292,524.00 | $190,141.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Humana Healthy Horizons Medicaid | — | $2,168.73 | $292,524.20 | $190,140.73 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Humana Healthy Horizons Medicaid | — | $2,170.11 | $292,524.20 | $190,140.73 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Absolute Total Care Medicaid | — | $2,178.24 | $292,524.20 | $190,140.73 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Molina Medicaid | — | $2,184.00 | $292,524.20 | $190,140.73 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Humana Healthy Horizons Medicaid | — | $2,202.59 | $292,524.00 | $190,141.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Absolute Total Care Medicaid | — | $2,221.98 | $292,524.20 | $190,140.73 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Select Health Medicaid | — | $2,229.54 | $292,524.20 | $190,140.73 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Medicaid | — | $2,231.57 | $292,524.20 | $190,140.73 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Humana Healthy Horizons Medicaid | — | $2,273.38 | $292,524.20 | $190,140.73 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Humana Healthy Horizons Medicaid | — | $2,293.40 | $292,524.20 | $190,140.73 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Humana Healthy Horizons Medicaid | — | $2,293.40 | $292,524.20 | $190,140.73 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Humana Healthy Horizons Medicaid | — | $2,387.78 | $292,524.20 | $190,140.73 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Molina Medicaid | — | $2,391.69 | $292,524.20 | $190,140.73 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Cigna Hmo Ppo | — | $2,646.00 | $292,524.20 | $190,140.73 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Medicaid Other | — | $4,785.37 | $292,524.20 | $190,141.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Humana Healthy Horizons Medicaid | — | $5,120.35 | $292,524.20 | $190,141.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Blue Choice Medicaid (Greenville County Only) | — | $5,218.75 | $292,524.20 | $190,141.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Bluechoice Medicaid | — | $5,551.86 | $292,524.20 | $190,141.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Medicaid | — | $5,551.86 | $292,524.20 | $190,141.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Select Health Medicaid | — | $5,718.42 | $292,524.20 | $190,141.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Molina Medicaid | — | $5,718.42 | $292,524.20 | $190,141.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Absolute Total Care Medicaid | — | $5,829.45 | $292,524.20 | $190,141.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | United Healthcare Medicare | — | $23,770.64 | $292,524.20 | $190,140.73 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Select Health First Choice Vip | — | $28,154.23 | $292,524.20 | $190,140.73 | 2026-07-05 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Inpatient | Mdwise | Hip | $28,928.36 | — | — | 2026-07-17 | MRF ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC InpatientFacility | Anthem Blue Cross of IN | Medicaid | $29,352.84 | — | — | 2026-02-18 | MRF ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC InpatientFacility | MDWise | Medicaid | $29,352.84 | — | — | 2026-02-18 | MRF ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC InpatientFacility | Managed Health Services | Medicaid | $29,352.84 | — | — | 2026-02-18 | MRF ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC InpatientFacility | CareSource Indiana of IN | Hoosier Healthwise/HIP | $29,352.84 | — | — | 2026-02-18 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | CareSource Indiana Healthy Indiana Plan (HIP) | Managed Medicaid | $29,365.88 | — | — | 2026-06-03 | MRF ↗ |
| REID HEALTH InpatientFacility | Anthem Blue Cross Blue Shield | Pathways for Aging/Managed Medicaid | $29,365.88 | — | — | 2025-07-21 | MRF ↗ |
| REID HEALTH InpatientFacility | Anthem Blue Cross Blue Shield | Managed Medicaid | $29,365.88 | — | — | 2025-07-21 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | United Healthcare of Indiana | Managed Medicaid | $29,365.88 | — | — | 2026-06-03 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | Managed Health Services (MHS) Hoosier Care Connect | Managed Medicaid | $29,365.88 | — | — | 2026-06-03 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Managed Health Services (MHS) Hoosier Healthwise (HHW) | Managed Medicaid | $29,365.88 | — | — | 2025-04-24 | MRF ↗ |
| REID HEALTH InpatientFacility | Humana of Indiana | Pathways for Aging/Managed Medicaid | $29,365.88 | — | — | 2025-07-21 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | Managed Health Services (MHS) | Managed Medicaid | $29,365.88 | — | — | 2026-06-03 | MRF ↗ |
| REID HEALTH InpatientFacility | MDWise | Managed Medicaid | $29,365.88 | — | — | 2025-07-21 | MRF ↗ |
| REID HEALTH InpatientFacility | MHS | Managed Medicaid | $29,365.88 | — | — | 2025-07-21 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | CareSource Indiana Healthy Indiana Plan (HIP) | Managed Medicaid | $29,365.88 | — | — | 2025-04-24 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Humana | Managed Medicaid | $29,365.88 | — | — | 2025-04-24 | MRF ↗ |
| REID HEALTH InpatientFacility | Caresource of Indiana | Managed Medicaid | $29,365.88 | — | — | 2025-07-21 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Managed Health Services (MHS) Hoosier Care Connect | Managed Medicaid | $29,365.88 | — | — | 2025-04-24 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Anthem Blue Cross Blue Shield | Managed Medicaid | $29,365.88 | — | — | 2025-04-24 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | CareSource Indiana Hoosier Healthwise (HHW) | Managed Medicaid | $29,659.54 | — | — | 2026-06-03 | MRF ↗ |
| REID HEALTH InpatientFacility | United Healthcare | Managed Medicaid | $29,953.23 | — | — | 2025-07-21 | MRF ↗ |
| REID HEALTH InpatientFacility | United Healthcare | Pathways for Aging/Managed Medicaid | $29,953.23 | — | — | 2025-07-21 | MRF ↗ |
| MONROE HOSPITAL Inpatient | BCBS | BCBS Medicaid - Hoosier Healthwise | $30,204.30 | — | — | 2024-12-19 | MRF ↗ |
| MONROE HOSPITAL Inpatient | Non-Contracted Medicaid | Non-Contracted Medicaid | $30,204.30 | — | — | 2024-12-19 | MRF ↗ |
| MONROE HOSPITAL Inpatient | Traditional Medicaid | Traditional Medicaid | $30,204.30 | — | — | 2024-12-19 | MRF ↗ |
| MONROE HOSPITAL Inpatient | United Healthcare | UHC Medicaid CHIP - Hoosier Care | $30,204.30 | — | — | 2024-12-19 | MRF ↗ |
| MONROE HOSPITAL Inpatient | Care Source | Care Source Medicaid - Hoosier Healthwise | $30,204.30 | — | — | 2024-12-19 | MRF ↗ |
| MONROE HOSPITAL Inpatient | Care Source | Care Source Medicaid - Healthy Indiana Plan - HIP | $30,204.30 | — | — | 2024-12-19 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | United Healthcare | Managed Medicaid | $30,246.86 | — | — | 2025-04-24 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | CareSource Indiana Hoosier Healthwise (HHW) | Managed Medicaid | $30,246.86 | — | — | 2025-04-24 | MRF ↗ |
| DEACONESS HENDERSON HOSPITAL InpatientFacility | MHS IN Medicaid Product (IN) | Managed Medicaid | $30,649.43 | — | — | 2026-02-09 | MRF ↗ |
| DEACONESS HENDERSON HOSPITAL InpatientFacility | Caresource IN | Managed Medicaid | $30,649.43 | — | — | 2026-02-09 | MRF ↗ |
| DEACONESS HENDERSON HOSPITAL InpatientFacility | Anthem IN | Managed Medicaid | $30,649.43 | — | — | 2026-02-09 | MRF ↗ |
| METHODIST HOSPITAL UNION COUNTY InpatientFacility | MHS IN MCO | Managed Medicaid | $30,649.43 | — | — | 2026-02-13 | MRF ↗ |
| METHODIST HOSPITAL UNION COUNTY InpatientFacility | CareSource IN | Managed Medicaid | $30,649.43 | — | — | 2026-02-13 | MRF ↗ |
| DEACONESS HENDERSON HOSPITAL InpatientFacility | United Healthcare IN | Managed Medicaid | $30,649.43 | — | — | 2026-02-09 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Mdwise Hoosier Healthwise (HHW) | Managed Medicaid | $30,834.17 | — | — | 2025-04-24 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | MDwise Hoosier Healthwise (HHW) | Managed Medicaid | $30,834.17 | — | — | 2026-06-03 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Molina Healthcare of Indiana | Managed Medicaid | $31,127.83 | — | — | 2025-04-24 | MRF ↗ |
| NORTON-KING'S DAUGHTERS' HEALTH InpatientFacility | United Healthcare of Indiana | Managed Medicaid | $31,704.92 | — | — | 2026-05-05 | MRF ↗ |
| NORTON-KING'S DAUGHTERS' HEALTH InpatientFacility | Anthem of Indiana | Managed Medicaid | $31,704.92 | — | — | 2026-05-05 | MRF ↗ |
| NORTON-KING'S DAUGHTERS' HEALTH InpatientFacility | Managed Health Services of Indiana | Managed Medicaid | $31,704.92 | — | — | 2026-05-05 | MRF ↗ |
| THE WOMEN'S HOSPITAL InpatientFacility | Anthem IN Pathways for Aging | Managed Medicaid | $36,553.76 | — | — | 2026-02-13 | MRF ↗ |
| THE WOMEN'S HOSPITAL InpatientFacility | Caresource HIP | Managed Medicaid | $36,553.76 | — | — | 2026-02-13 | MRF ↗ |
| THE WOMEN'S HOSPITAL InpatientFacility | Anthem IN | Managed Medicaid | $36,553.76 | — | — | 2026-02-13 | MRF ↗ |
| THE WOMEN'S HOSPITAL InpatientFacility | Anthem HIP | Managed Medicaid | $36,553.76 | — | — | 2026-02-13 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Inpatient | Meridian Il | Medicaid | $37,584.09 | — | — | 2026-07-17 | MRF ↗ |
| CARLE HOOPESTON REGIONAL HEALTH CENTER InpatientFacility | Aetna Better Health | Managed Medicaid | $42,756.66 | — | — | 2026-04-15 | MRF ↗ |
| CARLE HOOPESTON REGIONAL HEALTH CENTER InpatientFacility | Molina | Managed Medicaid | $42,756.66 | — | — | 2026-04-15 | MRF ↗ |
| CARLE HOOPESTON REGIONAL HEALTH CENTER InpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $42,756.66 | — | — | 2026-04-15 | MRF ↗ |
| CARLE HEALTH PROCTOR HOSPITAL InpatientFacility | Aetna Better Health | Managed Medicaid | $42,756.66 | — | — | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | Meridian | Managed Medicaid | $42,756.66 | — | — | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $42,756.66 | — | — | 2026-04-15 | MRF ↗ |
| CARLE HEALTH PEKIN HOSPITAL InpatientFacility | Molina | Managed Medicaid | $42,756.66 | — | — | 2026-04-15 | MRF ↗ |
| CARLE HEALTH PEKIN HOSPITAL InpatientFacility | Aetna Better Health | Managed Medicaid | $42,756.66 | — | — | 2026-04-15 | MRF ↗ |
| CARLE HEALTH PEKIN HOSPITAL InpatientFacility | Meridian | Managed Medicaid | $42,756.66 | — | — | 2026-04-15 | MRF ↗ |
| CARLE HEALTH PEKIN HOSPITAL InpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $42,756.66 | — | — | 2026-04-15 | MRF ↗ |
| CARLE HEALTH PROCTOR HOSPITAL InpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $42,756.66 | — | — | 2026-04-15 | MRF ↗ |
| CARLE HEALTH PROCTOR HOSPITAL InpatientFacility | Meridian | Managed Medicaid | $42,756.66 | — | — | 2026-04-15 | MRF ↗ |
| CARLE HOOPESTON REGIONAL HEALTH CENTER InpatientFacility | Meridian | Managed Medicaid | $42,756.66 | — | — | 2026-04-15 | MRF ↗ |
| CARLE HEALTH PROCTOR HOSPITAL InpatientFacility | Molina | Managed Medicaid | $42,756.66 | — | — | 2026-04-15 | MRF ↗ |
| CARLE HEALTH METHODIST HOSPITAL InpatientFacility | Aetna Better Health | Managed Medicaid | $42,756.66 | — | — | 2026-04-15 | MRF ↗ |
| CARLE HEALTH METHODIST HOSPITAL InpatientFacility | Molina | Managed Medicaid | $42,756.66 | — | — | 2026-04-15 | MRF ↗ |
| CARLE RICHLAND MEMORIAL HOSPITAL InpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $42,756.66 | — | — | 2026-04-15 | MRF ↗ |
| CARLE RICHLAND MEMORIAL HOSPITAL InpatientFacility | Meridian | Managed Medicaid | $42,756.66 | — | — | 2026-04-15 | MRF ↗ |
| CARLE RICHLAND MEMORIAL HOSPITAL InpatientFacility | Aetna Better Health | Managed Medicaid | $42,756.66 | — | — | 2026-04-15 | MRF ↗ |
| CARLE RICHLAND MEMORIAL HOSPITAL InpatientFacility | Molina | Managed Medicaid | $42,756.66 | — | — | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | Molina | Managed Medicaid | $42,756.66 | — | — | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | Aetna Better Health | Managed Medicaid | $42,756.66 | — | — | 2026-04-15 | MRF ↗ |
| CARLE HEALTH METHODIST HOSPITAL InpatientFacility | Meridian | Managed Medicaid | $42,756.66 | — | — | 2026-04-15 | MRF ↗ |
| CARLE HEALTH METHODIST HOSPITAL InpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $42,756.66 | — | — | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Molina | Managed Medicaid | $42,756.66 | — | — | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Aetna Better Health | Managed Medicaid | $42,756.66 | — | — | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Meridian | Managed Medicaid | $42,756.66 | — | — | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $42,756.66 | — | — | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Molina | Managed Medicaid | $43,008.11 | — | — | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Blue Cross Community Care | Managed Medicaid | $43,008.11 | — | — | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Meridian | Managed Medicaid | $43,008.11 | — | — | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Aetna Better Health | Managed Medicaid | $43,008.11 | — | — | 2026-04-15 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Medicare Advantage Non Contracted | — | $52,269.33 | $292,524.20 | $190,140.73 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Aetna Medicare Prime Hmo | — | $52,683.14 | $292,524.20 | $190,140.73 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bcbs Medicare Advantage | — | $53,204.74 | $292,524.20 | $190,140.73 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Medicare | — | $53,501.66 | $292,524.20 | $190,140.73 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Wellcare Medicare | — | $54,769.59 | $292,524.20 | $190,140.73 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Select Health First Choice Vip | — | $54,867.94 | $292,524.20 | $190,140.73 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Medicare | — | $56,884.52 | $292,524.20 | $190,140.73 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Medicare Advantage Non Contracted | — | $57,177.79 | $292,524.20 | $190,140.73 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Aetna Medicare Prime Hmo | — | $57,749.56 | $292,524.20 | $190,140.73 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Bcbs Medicare Advantage | — | $58,255.30 | $292,524.20 | $190,140.73 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Molina Dual Options | — | $59,238.18 | $292,524.20 | $190,140.73 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Wellcare Medicare | — | $59,968.68 | $292,524.20 | $190,140.73 | 2026-07-05 | MRF ↗ |
| MEEKER MEMORIAL HOSPITAL InpatientFacility | BLUE CROSS | PLUS PMAP/MNCARE G | $67,145.45 | — | — | 2025-12-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Medicare | — | $69,507.17 | $292,524.20 | $190,140.73 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Medicare | — | $70,951.45 | $292,524.20 | $190,140.73 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | First Health-Wc | — | $71,713.52 | $292,524.20 | $190,140.73 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Select Health First Choice Vip | — | $73,664.74 | $292,524.20 | $190,140.73 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Wellcare Medicare | — | $73,689.21 | $292,524.20 | $190,140.73 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | First Health-Wc | — | $78,447.92 | $292,524.20 | $190,140.73 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Medicare | — | $80,155.19 | $292,524.00 | $190,141.00 | 2026-07-05 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Inpatient | Anthem | Medicaid | $89,677.95 | — | — | 2026-07-17 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Inpatient | Caresource | Commercial | $89,677.95 | — | — | 2026-07-17 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Inpatient | Mdwise | Medicaid | $89,677.95 | — | — | 2026-07-17 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Inpatient | Uhc Pathways | Medicaid | $102,780.52 | — | — | 2026-07-17 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Inpatient | Bcbs | Medicaid | $102,780.52 | — | — | 2026-07-17 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Inpatient | Aetna | Medicaid | $102,780.52 | — | — | 2026-07-17 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Inpatient | Anthem Indiana | Medicaid | $102,780.52 | — | — | 2026-07-17 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Inpatient | Caresource Hip | Medicaid | $102,780.52 | — | — | 2026-07-17 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Inpatient | Mdwise Bhmi | Medicaid | $102,780.52 | — | — | 2026-07-17 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Inpatient | Caresource Hhw | Medicaid | $102,780.52 | — | — | 2026-07-17 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Inpatient | Meridian | Medicaid | $102,780.52 | — | — | 2026-07-17 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Inpatient | Uhc | Medicaid | $102,780.52 | — | — | 2026-07-17 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Inpatient | Molina | Medicaid | $102,780.52 | — | — | 2026-07-17 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Inpatient | Anthem | Medicaid | $102,780.52 | — | — | 2026-07-17 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Inpatient | Anthem | In Medicaid | $102,780.61 | — | — | 2026-07-17 | MRF ↗ |
| UNIVERSITY OF LOUISVILLE HOSPITAL Inpatient | Anthem | In Medicaid | $102,780.61 | — | — | 2026-07-17 | MRF ↗ |
| UOFL HEALTH - SHELBYVILLE HOSPITAL Inpatient | Anthem | In Medicaid | $102,780.61 | — | — | 2026-07-17 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Inpatient | Anthem | In Medicaid | $102,780.61 | — | — | 2026-07-17 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Inpatient | Mdwise | In Medicaid Hhw | $104,064.07 | — | — | 2026-07-15 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Inpatient | Mhs | In Medicaid Hip | $104,064.07 | — | — | 2026-07-15 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Inpatient | Mhs | In Medicaid Hhw | $104,064.07 | — | — | 2026-07-15 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Inpatient | Uhc | In Medicaid Hcc | $104,064.07 | — | — | 2026-09-21 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Inpatient | Anthem | In Medicaid Hip | $104,064.07 | — | — | 2026-07-15 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Inpatient | Anthem | In Medicaid Hcc | $104,064.07 | — | — | 2026-07-15 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Inpatient | Anthem | Pathways For Aging | $104,064.07 | — | — | 2026-07-15 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Inpatient | Caresource | In Medicaid Hip | $104,064.07 | — | — | 2026-07-15 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Inpatient | Caresource | In Medicaid Hhw | $104,064.07 | — | — | 2026-07-15 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Inpatient | Humana | Pathways For Aging | $104,064.07 | — | — | 2026-07-15 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Inpatient | Uhc | Pathways For Aging | $104,064.07 | — | — | 2026-07-15 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Inpatient | Mdwise | In Medicaid Hip | $104,064.07 | — | — | 2026-07-15 | MRF ↗ |
| GIBSON GENERAL HOSPITAL InpatientFacility | Anthem HIP | Managed Medicaid | $104,064.11 | — | — | 2026-02-11 | MRF ↗ |
| MEMORIAL HOSPITAL AND HEALTH CARE CENTER InpatientFacility | Anthem | Managed Medicaid | $104,064.11 | — | — | 2026-02-13 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.