111 — Major Cardiovascular Procedures Without Cc
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Major Cardiovascular Procedures w/o CC (MS_DRG 111) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/111?code_type=MS_DRG
MLA (9th ed.)
“Major Cardiovascular Procedures w/o CC (MS_DRG 111) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/111?code_type=MS_DRG. Accessed .
Chicago (notes-bibliography)
“Major Cardiovascular Procedures w/o CC (MS_DRG 111) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/111?code_type=MS_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $5,327–$10,630 (25th–75th percentile) across 100 hospitals · 117 payers.
“Negotiated” is the hospital’s negotiated facility rate for this MS_DRG 111 — 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 |
|---|---|---|---|---|---|---|---|
| Uh Geauga Medical Center InpatientFacility | Humana | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Primetime Health Plan | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Cigna | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | WellCare by AllWell | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Anthem | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | SummaCare | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Medical Mutual of Ohio | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Molina | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | United Healthcare | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Aetna | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Devoted Health | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | The Health Plan | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Paramount | Medicare Advantage | $52.19 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Valor Health Plans | Medicare Advantage | $53.20 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Perennial Advantage of Ohio | Medicare Advantage | $53.20 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Aetna CVSHealth QHP | Commercial | $90.19 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | CareSource | Marketplace | $91.21 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Ambetter | Commercial | $91.21 | — | — | 2025-05-16 | MRF ↗ |
| MOUNT SINAI SOUTH NASSAU InpatientFacility | Fidelis | Fidelis Essential 3&4 - Snch | — | — | — | 2026-04-01 | MRF ↗ |
| Las Vegas-amg Specialty Hospital | Health Plan Nevada - Sierra Medicaid | — | $840.00 | $1,750.00 | $1,750.00 | 2026-05-18 | MRF ↗ |
| Las Vegas-amg Specialty Hospital | Nevada Medicaid | — | $840.00 | $1,750.00 | $1,750.00 | 2026-05-18 | MRF ↗ |
| Lafayette - A M G Specialty Hospital | Phcs Ppo | — | $950.00 | $1,750.00 | $1,750.00 | 2026-05-18 | MRF ↗ |
| Zachary - A M G Specialty Hospital | Amerihealth Caritas Medicaid | — | $1,037.29 | $1,750.00 | $1,750.00 | 2026-05-18 | MRF ↗ |
| Zachary - A M G Specialty Hospital | Bcbs Hea,Thy Blue Medicaid | — | $1,037.29 | $1,750.00 | $1,750.00 | 2026-05-18 | MRF ↗ |
| Lafayette - A M G Specialty Hospital | Amerihealth Caritas Medicaid | — | $1,037.29 | $1,750.00 | $1,750.00 | 2026-05-18 | MRF ↗ |
| Lafayette - A M G Specialty Hospital | Uhc Medicaid | — | $1,037.29 | $1,750.00 | $1,750.00 | 2026-05-18 | MRF ↗ |
| Zachary - A M G Specialty Hospital | Uhc Medicaid | — | $1,037.29 | $1,750.00 | $1,750.00 | 2026-05-18 | MRF ↗ |
| Lafayette - A M G Specialty Hospital | La Health Connect Medicaid | — | $1,037.29 | $1,750.00 | $1,750.00 | 2026-05-18 | MRF ↗ |
| Lafayette - A M G Specialty Hospital | Louisiana Medicaid | — | $1,037.29 | $1,750.00 | $1,750.00 | 2026-05-18 | MRF ↗ |
| Lafayette - A M G Specialty Hospital | Bcbs Hea,Thy Blue Medicaid | — | $1,037.29 | $1,750.00 | $1,750.00 | 2026-05-18 | MRF ↗ |
| Zachary - A M G Specialty Hospital | La Health Connect Medicaid | — | $1,037.29 | $1,750.00 | $1,750.00 | 2026-05-18 | MRF ↗ |
| Zachary - A M G Specialty Hospital | Louisiana Medicaid | — | $1,037.29 | $1,750.00 | $1,750.00 | 2026-05-18 | MRF ↗ |
| FROEDTERT SOUTH INC. Inpatient | None | — | — | $34,674.60 | — | 2026-02-27 | MRF ↗ |
| Okc-amg Specialty Hospital | Cigna Commercial Open Access Plus, Ppo, Pos And Hmo | — | $1,100.00 | $1,750.00 | $1,750.00 | 2026-05-18 | MRF ↗ |
| Zachary - A M G Specialty Hospital | Cigna Commercial | — | $1,140.00 | $1,750.00 | $1,750.00 | 2026-05-18 | MRF ↗ |
| Las Vegas-amg Specialty Hospital | Anthem Bcbs Commercial | — | $1,144.44 | $1,750.00 | $1,750.00 | 2026-05-18 | MRF ↗ |
| Lafayette - A M G Specialty Hospital | Bcbs Commercial Preferred Ppo, Hmo | — | $1,185.00 | $1,750.00 | $1,750.00 | 2026-05-18 | MRF ↗ |
| Zachary - A M G Specialty Hospital | Bcbs Commercial Preferred Ppo, Hmo | — | $1,185.00 | $1,750.00 | $1,750.00 | 2026-05-18 | MRF ↗ |
| Lafayette - A M G Specialty Hospital | Cigna Commercial | — | $1,190.00 | $1,750.00 | $1,750.00 | 2026-05-18 | MRF ↗ |
| Okc-amg Specialty Hospital | Aetna-Commercial Hmo, Qpos, Usaccess, Elect Choice, Choice Pos Ii, Select, Open Choice Ppo, Work Comp | — | $1,236.00 | $1,750.00 | $1,750.00 | 2026-05-18 | MRF ↗ |
| Lafayette - A M G Specialty Hospital | Aetna First Health | — | $1,260.00 | $1,750.00 | $1,750.00 | 2026-05-18 | MRF ↗ |
| Zachary - A M G Specialty Hospital | Aetna First Health | — | $1,260.00 | $1,750.00 | $1,750.00 | 2026-05-18 | MRF ↗ |
| Okc-amg Specialty Hospital | United Healthcare Commercial Hmo, Ppo, Pos, Epo Geha | — | $1,270.00 | $1,750.00 | $1,750.00 | 2026-05-18 | MRF ↗ |
| Okc-amg Specialty Hospital | Bcbs Blue Advantage Ppo | — | $1,275.00 | $1,750.00 | $1,750.00 | 2026-05-18 | MRF ↗ |
| Lafayette - A M G Specialty Hospital | Aetna Commercial | — | $1,300.00 | $1,750.00 | $1,750.00 | 2026-05-18 | MRF ↗ |
| Zachary - A M G Specialty Hospital | Aetna Commercial | — | $1,300.00 | $1,750.00 | $1,750.00 | 2026-05-18 | MRF ↗ |
| Lafayette - A M G Specialty Hospital | United Healthcare Commercial-Ppo, Hmo, Pos, Umr | — | $1,309.00 | $1,750.00 | $1,750.00 | 2026-05-18 | MRF ↗ |
| Zachary - A M G Specialty Hospital | United Healthcare Commercial-Ppo, Hmo, Pos, Epo | — | $1,309.00 | $1,750.00 | $1,750.00 | 2026-05-18 | MRF ↗ |
| Las Vegas-amg Specialty Hospital | Cigna Commercial | — | $1,325.00 | $1,750.00 | $1,750.00 | 2026-05-18 | MRF ↗ |
| Las Vegas-amg Specialty Hospital | Aetna - Commercial Hmo, Ppo, Epo, | — | $1,350.00 | $1,750.00 | $1,750.00 | 2026-05-18 | MRF ↗ |
| Okc-amg Specialty Hospital | Multiplan And Phcs | — | $1,350.00 | $1,750.00 | $1,750.00 | 2026-05-18 | MRF ↗ |
| Okc-amg Specialty Hospital | Bcbs Commercial -Traditional, Bluechoice Ppo, Preferred, Blueline Hmo | — | $1,377.00 | $1,750.00 | $1,750.00 | 2026-05-18 | MRF ↗ |
| Lafayette - A M G Specialty Hospital | Verity Healthnet | — | $1,400.00 | $1,750.00 | $1,750.00 | 2026-05-18 | MRF ↗ |
| Zachary - A M G Specialty Hospital | Verity Healthnet | — | $1,400.00 | $1,750.00 | $1,750.00 | 2026-05-18 | MRF ↗ |
| Okc-amg Specialty Hospital | Centene-Celtic Oncourse | — | $1,600.00 | $1,750.00 | $1,750.00 | 2026-05-18 | MRF ↗ |
| Las Vegas-amg Specialty Hospital | Centene-Celtic Oncourse | — | $1,600.00 | $1,750.00 | $1,750.00 | 2026-05-18 | MRF ↗ |
| Okc-amg Specialty Hospital | Mercy Network Commercial, Medicare, And Emploer Direct | — | $1,700.00 | $1,750.00 | $1,750.00 | 2026-05-18 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Inpatient | OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | — | — | — | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Inpatient | AMERIGROUP | AMERIGROUP | — | — | — | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Inpatient | BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | — | — | — | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Inpatient | UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | — | — | — | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Inpatient | AMERIGROUP | AMERIGROUP | — | — | — | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Inpatient | BLUE CROSS | TENNCARE BLUE SELECT | — | — | — | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Inpatient | MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | — | — | — | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Inpatient | AETNA | AETNA BETTER HEALTH OF VIRGINIA | — | — | — | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Inpatient | OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | — | — | — | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Inpatient | BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | — | — | — | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Inpatient | MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | — | — | — | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Inpatient | BLUE CROSS | TENNCARE BLUE CARE | — | — | — | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Inpatient | BLUE CROSS | TENNCARE BLUE SELECT | — | — | — | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Inpatient | UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | — | — | — | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Inpatient | BLUE CROSS | TENNCARE BLUE CARE | — | — | — | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Inpatient | AETNA | AETNA BETTER HEALTH OF VIRGINIA | — | — | — | 2026-03-23 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Inpatient | SEAFARERS HEALTH AND BENEFITS PLAN [5343] | MMC CIGNA OAP | $2,101.00 | $121,869.76 | — | 2026-04-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Inpatient | SEAFARERS HEALTH AND BENEFITS PLAN [5343] | MMC CIGNA | $2,101.00 | $121,221.52 | — | 2026-01-01 | MRF ↗ |
| BON SECOURS-ST FRANCIS XAVIER HOSPITAL Inpatient | MOLINA HEALTHCARE SC MEDICAID [4847] | MOLINA HEALTHCARE SC MEDICAID [4847001] | $2,611.05 | — | — | 2026-04-01 | MRF ↗ |
| BON SECOURS-ST FRANCIS XAVIER HOSPITAL Inpatient | BLUE CHOICE MEDICAID SC [4807] | BLUE CHOICE HEALTHPLAN MEDICAID SC [4807001] | $2,611.05 | — | — | 2026-04-01 | MRF ↗ |
| BON SECOURS-ST FRANCIS XAVIER HOSPITAL Inpatient | SELECT HEALTH OF SC [4890] | SELECT HEALTH OF SC [4890001] | $2,741.60 | — | — | 2026-04-01 | MRF ↗ |
| BON SECOURS-ST FRANCIS XAVIER HOSPITAL Inpatient | HUMANA MEDICAID SC [4884] | HUMANA MEDICAID SC [4884001] | $2,741.60 | — | — | 2026-04-01 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Inpatient | MOLINA HEALTHCARE OH MEDICAID [3070] | MOLINA HEALTHCARE OHIO MEDICA [3070001] | $2,978.94 | — | — | 2026-04-01 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Inpatient | UNITED HEALTHCARE COMMUNITY PL [3519] | UNITED HEALTHCARE COMMUNITY PLAN OH [3519001] | $2,978.94 | — | — | 2026-04-01 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Inpatient | AMERIHEALTH CARITAS OH [4813] | AMERIHEALTH CARITAS OH [4813001] | $2,978.94 | — | — | 2026-04-01 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Inpatient | HUMANA MEDICAID OH [4455] | HUMANA MEDICAID OH [4455001] | $2,978.94 | — | — | 2026-04-01 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Inpatient | ANTHEM OH MEDICAID [6565] | ANTHEM OH MEDICAID [656501] | $2,978.94 | — | — | 2026-04-01 | MRF ↗ |
| Tobey Hospital Inpatient | WELLSENSE HEALTH PLAN CLARITY CONNECTORCARE & META | WELLSENSE HEALTH PLAN CLARITY CONNECTORCARE & META | $3,070.72 | $9,668.52 | $4,834.26 | 2025-12-15 | MRF ↗ |
| ROPER HOSPITAL Inpatient | MOLINA HEALTHCARE SC MEDICAID [4847] | MOLINA HEALTHCARE SC MEDICAID [4847001] | $3,290.07 | — | — | 2026-04-01 | MRF ↗ |
| MERCY HEALTH - WEST HOSPITAL Inpatient | CARESOURCE [2002] | CARESOURCE OH MEDICAID [2002001] | $3,363.91 | — | — | 2026-04-01 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MSMC | $3,409.36 | $32,375.75 | $16,187.88 | 2026-03-23 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MSMC | $3,409.36 | $32,375.75 | $16,187.88 | 2026-03-23 | MRF ↗ |
| MERCY HEALTH - WEST HOSPITAL Inpatient | ANTHEM OH MEDICAID [6565] | ANTHEM OH MEDICAID [656501] | $3,412.66 | — | — | 2026-04-01 | MRF ↗ |
| MERCY HEALTH - WEST HOSPITAL Inpatient | UNITED HEALTHCARE COMMUNITY PL [3519] | UNITED HEALTHCARE COMMUNITY PLAN OH [3519001] | $3,412.66 | — | — | 2026-04-01 | MRF ↗ |
| ROPER HOSPITAL Inpatient | SELECT HEALTH OF SC [4890] | SELECT HEALTH OF SC [4890001] | $3,454.57 | — | — | 2026-04-01 | MRF ↗ |
| ROPER HOSPITAL Inpatient | HUMANA MEDICAID SC [4884] | HUMANA MEDICAID SC [4884001] | $3,454.57 | — | — | 2026-04-01 | MRF ↗ |
| METHODIST MIDLOTHIAN MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MLMC | $3,500.42 | $32,375.75 | $16,187.88 | 2026-03-21 | MRF ↗ |
| METHODIST MANSFIELD MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MMMC | $3,500.52 | $32,375.75 | $16,187.88 | 2026-03-21 | MRF ↗ |
| MERCY HEALTH - WEST HOSPITAL Inpatient | CARESOURCE [2002] | CARESOURCE OH MEDICAID [2002001] | $3,500.83 | — | — | 2026-04-01 | MRF ↗ |
| ANDERSON HOSPITAL Inpatient | CARESOURCE [2002] | CARESOURCE OH MEDICAID [2002001] | $3,526.52 | — | — | 2026-04-01 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MRMC | $3,532.97 | $32,375.75 | $16,187.88 | 2026-03-21 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MRMC | $3,532.97 | $32,375.75 | $16,187.88 | 2026-03-21 | MRF ↗ |
| MERCY HEALTH - WEST HOSPITAL Inpatient | MOLINA HEALTHCARE OH MEDICAID [3070] | MOLINA HEALTHCARE OHIO MEDICA [3070001] | $3,542.66 | — | — | 2026-04-01 | MRF ↗ |
| MERCY HEALTH - WEST HOSPITAL Inpatient | HUMANA MEDICAID OH [4455] | HUMANA MEDICAID OH [4455001] | $3,551.56 | — | — | 2026-04-01 | MRF ↗ |
| MERCY HEALTH - WEST HOSPITAL Inpatient | AMERIHEALTH CARITAS OH [4813] | AMERIHEALTH CARITAS OH [4813001] | $3,551.56 | — | — | 2026-04-01 | MRF ↗ |
| MERCY HEALTH - WEST HOSPITAL Inpatient | UNITED HEALTHCARE COMMUNITY PL [3519] | UNITED HEALTHCARE COMMUNITY PLAN OH [3519001] | $3,551.56 | — | — | 2026-04-01 | MRF ↗ |
| MERCY HEALTH - WEST HOSPITAL Inpatient | ANTHEM OH MEDICAID [6565] | ANTHEM OH MEDICAID [656501] | $3,551.56 | — | — | 2026-04-01 | MRF ↗ |
| ANDERSON HOSPITAL Inpatient | ANTHEM OH MEDICAID [6565] | ANTHEM OH MEDICAID [656501] | $3,577.63 | — | — | 2026-04-01 | MRF ↗ |
| ANDERSON HOSPITAL Inpatient | UNITED HEALTHCARE COMMUNITY PL [3519] | UNITED HEALTHCARE COMMUNITY PLAN OH [3519001] | $3,577.63 | — | — | 2026-04-01 | MRF ↗ |
| ANDERSON HOSPITAL Inpatient | HUMANA MEDICAID OH [4455] | HUMANA MEDICAID OH [4455001] | $3,577.63 | — | — | 2026-04-01 | MRF ↗ |
| METHODIST CHARLTON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MCMC | $3,613.30 | $32,375.75 | $16,187.88 | 2026-03-21 | MRF ↗ |
| MERCY HEALTH - WEST HOSPITAL Inpatient | MOLINA HEALTHCARE OH MEDICAID [3070] | MOLINA HEALTHCARE OHIO MEDICA [3070001] | $3,686.86 | — | — | 2026-04-01 | MRF ↗ |
| ANDERSON HOSPITAL Inpatient | MOLINA HEALTHCARE OH MEDICAID [3070] | MOLINA HEALTHCARE OHIO MEDICA [3070001] | $3,713.92 | — | — | 2026-04-01 | MRF ↗ |
| MERCY HEALTH - WEST HOSPITAL Inpatient | BUCKEYE COMMUNITY HEALTH PLAN [2001] | BUCKEYE COMMUNITY HEALTH PLAN [2001001] | $3,720.68 | — | — | 2026-04-01 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | HUMANA MEDICAID OH [4455] | HUMANA MEDICAID OH [4455001] | $3,742.82 | — | — | 2026-04-01 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | ANTHEM OH MEDICAID [6565] | ANTHEM OH MEDICAID [656501] | $3,742.82 | — | — | 2026-04-01 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | AMERIHEALTH CARITAS OH [4813] | AMERIHEALTH CARITAS OH [4813001] | $3,742.82 | — | — | 2026-04-01 | MRF ↗ |
| ANDERSON HOSPITAL Inpatient | BUCKEYE COMMUNITY HEALTH PLAN [2001] | BUCKEYE COMMUNITY HEALTH PLAN [2001001] | $3,748.00 | — | — | 2026-04-01 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | BUCKEYE COMMUNITY HEALTH PLAN [2001] | BUCKEYE COMMUNITY HEALTH PLAN [2001001] | $3,921.05 | — | — | 2026-04-01 | MRF ↗ |
| METHODIST CELINA MEDICAL CENTER Inpatient | SUPERIOR MEDICAID MANAGED CARE [5007] | MHS HB MEDICAID 110% STAR PLUS MCEL | $3,985.26 | $32,375.75 | $16,187.88 | 2026-03-23 | MRF ↗ |
| Mount Sinai Behavioral Health Center InpatientFacility | Metroplus | Metroplus Medicaid - Brook | — | — | — | 2026-04-01 | MRF ↗ |
| ST LUKE'S HOSPITAL Inpatient | WELLSENSE HEALTH PLAN CLARITY CONNECTORCARE & META | WELLSENSE HEALTH PLAN CLARITY CONNECTORCARE & META | $4,043.68 | $12,732.00 | $6,366.00 | 2025-12-15 | MRF ↗ |
| MERCY ST VINCENT MEDICAL CENTER Inpatient | CARESOURCE [2002] | CARESOURCE OH MEDICAID [2002001] | $4,127.59 | — | — | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | TUFTS HEALTH PUBLIC PLAN [350009] | HB XR THPP MCO ACO MWF | $4,152.50 | $19,651.77 | $13,756.24 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | TUFTS HEALTH PUBLIC PLAN [350009] | HB XR THPP MCO ACO MWF | $4,152.50 | $19,651.77 | $13,756.24 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | WELLSENSE NH [350010] | HB XR MASSHEALTH 100% MWF | $4,152.50 | $19,651.77 | $13,756.24 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | MEDICAID MASSHEALTH [300001] | HB XR MEDICAID LIMITED CMSP 100% | — | $19,651.77 | $13,756.24 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | MEDICAID MASSHEALTH [300001] | HB XR MASSHEALTH 100% LGH | $4,152.50 | $19,651.77 | $13,756.24 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | TEWKSBURY HOSPITAL [950008] | HB XR MASSHEALTH NON-CONTRACTED MWF | $4,152.50 | $19,651.77 | $13,756.24 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | MEDICAID MASSHEALTH [300001] | HB XR MEDICAID LIMITED CMSP 100% | — | $19,651.77 | $13,756.24 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | MEDICAID MASSHEALTH [300001] | HB XR MASSHEALTH 100% MWF | $4,152.50 | $19,651.77 | $13,756.24 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | MIDDLESEX COUNTY [500015] | HB XR MASSHEALTH NON-CONTRACTED LGH | $4,152.50 | $19,651.77 | $13,756.24 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | SUFFOLK COUNTY [500014] | HB XR MASSHEALTH NON-CONTRACTED MWF | $4,152.50 | $19,651.77 | $13,756.24 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | MIDDLESEX COUNTY [500015] | HB XR MASSHEALTH NON-CONTRACTED MWF | $4,152.50 | $19,651.77 | $13,756.24 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | SUFFOLK COUNTY [500014] | HB XR MASSHEALTH NON-CONTRACTED LGH | $4,152.50 | $19,651.77 | $13,756.24 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | TEWKSBURY HOSPITAL [950008] | HB XR MASSHEALTH NON-CONTRACTED MWF | $4,152.50 | $19,651.77 | $13,756.24 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | MEDICAID MASSHEALTH [300001] | HB XR MASSHEALTH 100% MWF | $4,152.50 | $19,651.77 | $13,756.24 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | MASS GENERAL BRIGHAM HEALTH PLAN MEDICAID REPLACEM | HB XR MGBHP ACO COMPLETE SELECT MWF | $4,152.50 | $19,651.77 | $13,756.24 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | MEDICAID MASSHEALTH [300001] | HB XR MEDICAID LIMITED CMSP 100% | — | $19,651.77 | $13,756.24 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | MASS GENERAL BRIGHAM HEALTH PLAN MEDICAID REPLACEM | HB XR MGBHP ACO COMPLETE SELECT MWF | $4,152.50 | $19,651.77 | $13,756.24 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | WELLSENSE NH [350010] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | — | $19,651.77 | $13,756.24 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | MIDDLESEX COUNTY [500015] | HB XR MASSHEALTH NON-CONTRACTED MWF | $4,152.50 | $19,651.77 | $13,756.24 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | GENERIC PRISON [500099] | HB XR MASSHEALTH NON-CONTRACTED MWF | $4,152.50 | $19,651.77 | $13,756.24 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | FALLON HEALTH MEDICAID REPLACEMENT [350008] | HB XR MASSHEALTH 100% MWF | $4,152.50 | $19,651.77 | $13,756.24 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | TEWKSBURY HOSPITAL [950008] | HB XR MASSHEALTH NON-CONTRACTED LGH | $4,152.50 | $19,651.77 | $13,756.24 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | FALLON HEALTH MEDICAID REPLACEMENT [350008] | HB XR MASSHEALTH 100% MWF | $4,152.50 | $19,651.77 | $13,756.24 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | GENERIC PRISON [500099] | HB XR MASSHEALTH NON-CONTRACTED MWF | $4,152.50 | $19,651.77 | $13,756.24 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | FALLON HEALTH MEDICAID REPLACEMENT [350008] | HB XR MASSHEALTH 100% LGH | $4,152.50 | $19,651.77 | $13,756.24 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | SUFFOLK COUNTY [500014] | HB XR MASSHEALTH NON-CONTRACTED MWF | $4,152.50 | $19,651.77 | $13,756.24 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | GENERIC PRISON [500099] | HB XR MASSHEALTH NON-CONTRACTED LGH | $4,152.50 | $19,651.77 | $13,756.24 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | WELLSENSE MEDICAID REPLACEMENT [350011] | HB XR WELLSENSE MEDICAID MCO ACO LGH | $4,152.50 | $19,651.77 | $13,756.24 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | MASS GENERAL BRIGHAM HEALTH PLAN MEDICAID REPLACEM | HB XR MGBHP ACO COMPLETE SELECT LGH | $4,152.50 | $19,651.77 | $13,756.24 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | WELLSENSE NH [350010] | HB XR MASSHEALTH 100% MWF | $4,152.50 | $19,651.77 | $13,756.24 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | TUFTS HEALTH PUBLIC PLAN [350009] | HB XR THPP MCO ACO LGH | $4,163.12 | $19,651.77 | $13,756.24 | 2026-04-01 | MRF ↗ |
| ST LUKE'S HOSPITAL Inpatient | WELLSENSE HEALTH PLAN [1010202] | WELLSENSE HEALTH PLAN SOUTHCOAST ALLIANCE ACO [101 | $4,163.40 | $12,732.00 | $6,366.00 | 2025-12-15 | MRF ↗ |
| MERCY ST VINCENT MEDICAL CENTER Inpatient | AMERIHEALTH CARITAS OH [4813] | AMERIHEALTH CARITAS OH [4813001] | $4,187.41 | — | — | 2026-04-01 | MRF ↗ |
| MERCY ST VINCENT MEDICAL CENTER Inpatient | ANTHEM OH MEDICAID [6565] | ANTHEM OH MEDICAID [656501] | $4,187.41 | — | — | 2026-04-01 | MRF ↗ |
| MERCY ST VINCENT MEDICAL CENTER Inpatient | MOLINA HEALTHCARE OH MEDICAID [3070] | MOLINA HEALTHCARE OHIO MEDICA [3070001] | $4,187.41 | — | — | 2026-04-01 | MRF ↗ |
| MERCY ST VINCENT MEDICAL CENTER Inpatient | HUMANA MEDICAID OH [4455] | HUMANA MEDICAID OH [4455001] | $4,187.41 | — | — | 2026-04-01 | MRF ↗ |
| FIRELANDS REGIONAL MEDICAL CENTER InpatientFacility | Buckeye | Medicaid | — | — | — | 2025-03-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | WELLSENSE NH [350010] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES TMC | — | $19,651.77 | $13,756.24 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | MASS GENERAL BRIGHAM HEALTH PLAN MEDICAID REPLACEM | HB XR MASSHEALTH 100% TMC | $4,261.57 | $19,651.77 | $13,756.24 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | MEDICAID MASSHEALTH [300001] | HB XR MEDICAID LIMITED CMSP 100% | — | $19,651.77 | $13,756.24 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | GENERIC PRISON [500099] | HB XR MASSHEALTH NON-CONTRACTED TMC | $4,261.57 | $19,651.77 | $13,756.24 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | MIDDLESEX COUNTY [500015] | HB XR MASSHEALTH NON-CONTRACTED TMC | $4,261.57 | $19,651.77 | $13,756.24 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | WELLSENSE MEDICAID REPLACEMENT [350011] | HB XR WELLSENSE MEDICAID MCO ACO TMC | $4,261.57 | $19,651.77 | $13,756.24 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | MEDICAID MASSHEALTH [300001] | HB XR MASSHEALTH 100% TMC | $4,261.57 | $19,651.77 | $13,756.24 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | MASS GENERAL BRIGHAM HEALTH PLAN MEDICAID REPLACEM | HB XR MGBHP ACO COMPLETE SELECT TMC | $4,261.57 | $19,651.77 | $13,756.24 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | TUFTS HEALTH PUBLIC PLAN [350009] | HB XR THPP MCO ACO TMC | $4,261.57 | $19,651.77 | $13,756.24 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | TEWKSBURY HOSPITAL [950008] | HB XR MASSHEALTH NON-CONTRACTED TMC | $4,261.57 | $19,651.77 | $13,756.24 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | FALLON HEALTH MEDICAID REPLACEMENT [350008] | HB XR MASSHEALTH 100% TMC | $4,261.57 | $19,651.77 | $13,756.24 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | SUFFOLK COUNTY [500014] | HB XR MASSHEALTH NON-CONTRACTED TMC | $4,261.57 | $19,651.77 | $13,756.24 | 2026-04-01 | MRF ↗ |
| MERCY ST VINCENT MEDICAL CENTER Inpatient | CARESOURCE [2002] | CARESOURCE OH MEDICAID [2002001] | $4,295.58 | — | — | 2026-04-01 | MRF ↗ |
| ST CHARLES HOSPITAL Inpatient | CARESOURCE [2002] | CARESOURCE OH MEDICAID [2002001] | $4,295.58 | — | — | 2026-04-01 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL InpatientFacility | Security Health Plan Of Wisconsin, Inc. | Security Health Plan Wisconsin Medicaid Plans | $4,306.39 | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL InpatientFacility | Security Health Plan Of Wisconsin, Inc. | Security Health Plan Wisconsin Medicaid Plans | — | — | — | 2025-07-01 | MRF ↗ |
| MERCY ST VINCENT MEDICAL CENTER Inpatient | BUCKEYE COMMUNITY HEALTH PLAN [2001] | BUCKEYE COMMUNITY HEALTH PLAN [2001001] | $4,316.33 | — | — | 2026-04-01 | MRF ↗ |
| ST CHARLES HOSPITAL Inpatient | BUCKEYE COMMUNITY HEALTH PLAN [2001] | BUCKEYE COMMUNITY HEALTH PLAN [2001001] | $4,316.33 | — | — | 2026-04-01 | MRF ↗ |
| MERCY ST VINCENT MEDICAL CENTER Inpatient | AMERIHEALTH CARITAS OH [4813] | AMERIHEALTH CARITAS OH [4813001] | $4,357.84 | — | — | 2026-04-01 | MRF ↗ |
| MERCY ST VINCENT MEDICAL CENTER Inpatient | MOLINA HEALTHCARE OH MEDICAID [3070] | MOLINA HEALTHCARE OHIO MEDICA [3070001] | $4,357.84 | — | — | 2026-04-01 | MRF ↗ |
| MERCY ST VINCENT MEDICAL CENTER Inpatient | ANTHEM OH MEDICAID [6565] | ANTHEM OH MEDICAID [656501] | $4,357.84 | — | — | 2026-04-01 | MRF ↗ |
| MERCY ST VINCENT MEDICAL CENTER Inpatient | HUMANA MEDICAID OH [4455] | HUMANA MEDICAID OH [4455001] | $4,357.84 | — | — | 2026-04-01 | MRF ↗ |
| ST CHARLES HOSPITAL Inpatient | ANTHEM OH MEDICAID [6565] | ANTHEM OH MEDICAID [656501] | $4,357.84 | — | — | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | WELLSENSE MEDICAID REPLACEMENT [350011] | HB XR WELLSENSE MEDICAID MCO ACO MWF | $4,360.13 | $19,651.77 | $13,756.24 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | WELLSENSE MEDICAID REPLACEMENT [350011] | HB XR WELLSENSE MEDICAID MCO ACO MWF | $4,360.13 | $19,651.77 | $13,756.24 | 2026-04-01 | MRF ↗ |
| MERCY ST VINCENT MEDICAL CENTER Inpatient | UNITED HEALTHCARE COMMUNITY PL [3519] | UNITED HEALTHCARE COMMUNITY PLAN OH [3519001] | $4,440.84 | — | — | 2026-04-01 | MRF ↗ |
| SALEM HOSPITAL Inpatient | MOLINA [1014] | HB SLM MEDICAID | $4,681.17 | $30,449.43 | — | 2026-03-27 | MRF ↗ |
| MASSACHUSETTS GENERAL HOSPITAL Inpatient | MASSHEALTH [3001] | HB MGH MEDICAID | $4,681.42 | $68,929.65 | — | 2026-03-27 | MRF ↗ |
| SALEM HOSPITAL Inpatient | WELLSENSE [1003] | HB SLM WELLSENSE MCO | $4,681.42 | $30,449.43 | — | 2026-03-27 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Inpatient | ALLSTATE [5047] | CSMC HORIZON CASUALTY PIP | — | $37,981.25 | — | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Inpatient | ALLSTATE [5047] | CMC HORIZON CASUALTY PIP | — | $37,981.25 | — | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | ALLSTATE [5047] | HMC HORIZON CASUALTY PIP | — | $37,981.25 | — | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | ALLSTATE [5047] | HMC HORIZON CASUALTY PIP | — | $37,981.25 | — | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Inpatient | LUMINARE HEALTH AHS RETIREE [5013] | CMC AETNA AHS EMPLOYEE | — | $37,981.25 | — | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | LUMINARE HEALTH AHS RETIREE [5013] | HMC AETNA AHS EMPLOYEE | — | $37,981.25 | — | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | LUMINARE HEALTH AHS RETIREE [5013] | HMC AETNA AHS EMPLOYEE | — | $37,981.25 | — | 2026-01-01 | MRF ↗ |
| ST LUKE'S HOSPITAL Inpatient | TUFTS HEALTH PUBLIC PLANS [1010213] | TUFTS HEALTH TOGETHER [101021301] | $4,787.92 | $12,732.00 | $6,366.00 | 2025-12-15 | MRF ↗ |
| METHODIST DALLAS MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MDMC | $4,799.68 | $32,375.75 | $16,187.88 | 2026-03-20 | MRF ↗ |
| Mount Sinai Behavioral Health Center InpatientFacility | Fidelis | Fidelis Medicaid - Brook | — | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center InpatientFacility | Healthfirst | Healthfirst Essential Plan 3&4 - Brook | — | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center InpatientFacility | Empire Bc | Empire Bc - Healthplus Medicaid - Brook | — | — | — | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | MIDDLESEX COUNTY [500015] | HB XR MASSHEALTH NON-CONTRACTED MWF | $5,043.55 | $15,272.43 | $10,690.70 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | FALLON HEALTH MEDICAID REPLACEMENT [350008] | HB XR MASSHEALTH 100% MWF | $5,043.55 | $15,272.43 | $10,690.70 | 2026-04-01 | 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.