1204 — Major Respiratory And Chest Procedures
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). MAJOR RESPIRATORY AND CHEST PROCEDURES (APR_DRG 1204) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/1204?code_type=APR_DRG
MLA (9th ed.)
“MAJOR RESPIRATORY AND CHEST PROCEDURES (APR_DRG 1204) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/1204?code_type=APR_DRG. Accessed .
Chicago (notes-bibliography)
“MAJOR RESPIRATORY AND CHEST PROCEDURES (APR_DRG 1204) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/1204?code_type=APR_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $35,802–$72,926 (25th–75th percentile) across 1,161 hospitals · 636 payers.
“Negotiated” is the hospital’s negotiated rate for the entire inpatient stay under APR_DRG 1204 — 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 |
|---|---|---|---|---|---|---|---|
| LOMA LINDA UNIVERSITY MEDICAL CENTER-MURRIETA InpatientFacility | Inland Empire Health Plan (IEHP) | Medi-Cal | $5.52 | — | — | 2026-02-19 | MRF ↗ |
| Memorial Regional Hospital South InpatientFacility | OptumHealth Care Solutions | Transplants - Medicaid | $6.97 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL WEST InpatientFacility | OptumHealth Care Solutions | Transplants - Medicaid | $6.97 | — | — | 2026-05-27 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Superior Health Plan | CHIP/Medicaid | $10.05 | — | — | 2026-04-15 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Molina | CHIP/Medicaid | $10.05 | — | — | 2026-04-15 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Amerigroup | CHIP/Medicaid | $10.05 | — | — | 2026-04-15 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Cigna | Medicaid | $10.05 | — | — | 2026-04-15 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Parkland | Medicaid | $10.05 | — | — | 2026-04-15 | MRF ↗ |
| ELIZABETHTOWN COMMUNITY HOSPITAL InpatientFacility | — | — | — | — | — | 2025-01-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | Superior Health Plan | CHPFC | $1,139.00 | — | — | 2024-10-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | Superior Health Plan | STARPLUS | $1,139.00 | — | — | 2024-10-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | Superior Health Plan | STARKids | $1,139.00 | — | — | 2024-10-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | Superior Health Plan | CHIP | $1,139.00 | — | — | 2024-10-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | Superior Health Plan | STAR | $1,139.00 | — | — | 2024-10-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Medicaid Other | — | $1,310.65 | $123,201.15 | $80,080.75 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Medicaid Sc | — | $1,320.23 | $123,201.15 | $80,080.75 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Bluechoice Medicaid (Greenville County Only) | — | $1,341.88 | $123,201.15 | $80,080.75 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Molina Medicaid | — | $1,359.83 | $123,201.15 | $80,080.75 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Blue Choice Medicaid (Greenville County Only) | — | $1,365.81 | $123,201.15 | $80,080.75 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Bluechoice Medicaid | — | $1,386.24 | $123,201.15 | $80,080.75 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Select Health Medicaid | — | $1,386.24 | $123,201.15 | $80,080.75 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Absolute Total Care Medicaid | — | $1,386.24 | $123,201.15 | $80,080.75 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Blue Choice Medicaid (Greenville County Only) | — | $1,408.53 | $123,201.15 | $80,080.75 | 2026-07-05 | MRF ↗ |
| NEW ULM MEDICAL CENTER Inpatient | Medicaid | Medicaid Ma (N) | $1,421.14 | — | — | 2026-07-18 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Medicaid Other | — | $1,427.54 | $123,201.15 | $80,080.75 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Medicaid | — | $1,427.54 | $123,201.15 | $80,080.75 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Absolute Total Care Medicaid | — | $1,441.53 | $123,201.15 | $80,080.75 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bluechoice Medicaid | — | $1,452.99 | $123,201.15 | $80,080.75 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Blue Choice Medicaid (Greenville County Only) | — | $1,454.49 | $123,201.00 | $80,081.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Blue Choice Medicaid (Greenville County Only) | — | $1,465.81 | $123,201.15 | $80,080.75 | 2026-05-28 | MRF ↗ |
| NEW ULM MEDICAL CENTER Inpatient | South Country Health Alliance | Scha Pmap (N) | $1,470.00 | — | — | 2026-07-18 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Select Health Medicaid | — | $1,481.95 | $123,201.15 | $80,080.75 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Molina Medicaid | — | $1,496.58 | $123,201.15 | $80,080.75 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Select Health Medicaid | — | $1,496.58 | $123,201.15 | $80,080.75 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Bluechoice Medicaid | — | $1,498.44 | $123,201.15 | $80,080.75 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Medicaid Sc | — | $1,523.55 | $123,201.15 | $80,080.75 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Medicaid | — | $1,524.51 | $123,201.15 | $80,080.75 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Absolute Total Care Medicaid | — | $1,525.64 | $123,201.15 | $80,080.75 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Humana Healthy Horizons Medicaid | — | $1,527.46 | $123,201.15 | $80,080.75 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Bluechoice Medicaid | — | $1,535.83 | $123,201.15 | $80,080.75 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL InpatientFacility | — | — | — | — | — | 2024-12-16 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Select Health Medicaid | — | $1,543.39 | $123,201.15 | $80,080.75 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Molina Medicaid | — | $1,543.39 | $123,201.15 | $80,080.75 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Medicare Advantage Non Contracted | — | $1,547.33 | $123,201.00 | $80,081.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Medicaid | — | $1,547.33 | $123,201.00 | $80,081.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Bluechoice Medicaid | — | $1,547.33 | $123,201.00 | $80,081.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Bluechoice Medicaid | — | $1,559.37 | $123,201.15 | $80,080.75 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Medicaid Other | — | $1,561.45 | $123,201.15 | $80,080.75 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Select Health Medicaid | — | $1,570.29 | $123,201.15 | $80,080.75 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Absolute Total Care Medicaid | — | $1,573.36 | $123,201.15 | $80,080.75 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Bluechoice Medicaid | — | $1,584.56 | $123,201.15 | $80,080.75 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Molina Medicaid | — | $1,589.72 | $123,201.15 | $80,080.75 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Select Health Medicaid | — | $1,593.75 | $123,201.00 | $80,081.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Molina Medicaid | — | $1,593.75 | $123,201.00 | $80,081.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Medicaid | — | $1,597.06 | $123,201.15 | $80,080.75 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Medicaid Other | — | $1,597.06 | $123,201.15 | $80,080.75 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Absolute Total Care Medicaid | — | $1,599.72 | $123,201.15 | $80,080.75 | 2026-07-05 | MRF ↗ |
| FOSTORIA COMMUNITY HOSPITAL Inpatient | Meridian Health Plan Of Mi | Meridian | $1,600.00 | — | — | 2026-07-17 | MRF ↗ |
| PROMEDICA TOLEDO HOSPITAL Inpatient | Health Plan Of Michigan Dba Meridian Health Plan Of Michigan | Meridian | $1,600.00 | — | — | 2026-07-17 | MRF ↗ |
| BAY PARK COMMUNITY HOSPITAL Inpatient | Meridian Health Plan Of Mi | Meridian | $1,600.00 | — | — | 2026-07-15 | MRF ↗ |
| PROMEDICA DEFIANCE REGIONAL HOSPITAL Inpatient | Meridian Health Plan Of Mi | Meridian | $1,600.00 | — | — | 2026-07-17 | MRF ↗ |
| PROMEDICA MONROE REGIONAL HOSPITAL Inpatient | Meridian | Meridian | $1,600.00 | — | — | 2026-07-15 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Select Health Medicaid | — | $1,606.15 | $123,201.15 | $80,080.75 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Molina Medicaid | — | $1,606.15 | $123,201.15 | $80,080.75 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Medicaid Sc | — | $1,611.13 | $123,201.15 | $80,080.75 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Absolute Total Care Medicaid | — | $1,624.70 | $123,201.00 | $80,081.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Humana Healthy Horizons Medicaid | — | $1,630.19 | $123,201.15 | $80,080.75 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Humana Healthy Horizons Medicaid | — | $1,631.23 | $123,201.15 | $80,080.75 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Absolute Total Care Medicaid | — | $1,637.34 | $123,201.15 | $80,080.75 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Molina Medicaid | — | $1,641.67 | $123,201.15 | $80,080.75 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Humana Healthy Horizons Medicaid | — | $1,655.65 | $123,201.00 | $80,081.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Absolute Total Care Medicaid | — | $1,670.22 | $123,201.15 | $80,080.75 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Select Health Medicaid | — | $1,675.90 | $123,201.15 | $80,080.75 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Medicaid | — | $1,677.43 | $123,201.15 | $80,080.75 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Humana Healthy Horizons Medicaid | — | $1,708.86 | $123,201.15 | $80,080.75 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Humana Healthy Horizons Medicaid | — | $1,723.91 | $123,201.15 | $80,080.75 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Humana Healthy Horizons Medicaid | — | $1,723.91 | $123,201.15 | $80,080.75 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Humana Healthy Horizons Medicaid | — | $1,794.85 | $123,201.15 | $80,080.75 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Molina Medicaid | — | $1,797.78 | $123,201.15 | $80,080.75 | 2026-07-05 | MRF ↗ |
| JAMAICA HOSPITAL MEDICAL CENTER Inpatient | Hotel Trades Council | Dental Or | $1,912.00 | — | — | 2026-07-15 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Medicaid Other | Medicaid Other | $2,215.41 | — | — | 2026-09-21 | MRF ↗ |
| ELLIS HOSPITAL Inpatient | Empire Bcbs | Empire Bc | $2,296.45 | $102,699.90 | — | 2026-07-15 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $2,377.51 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $2,465.01 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Select Health | Select Health Medicaid | $2,504.94 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Molina | Molina Medicaid | $2,504.94 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $2,529.26 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $2,553.58 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL InpatientFacility | — | — | — | — | — | 2024-12-10 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $2,637.57 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL InpatientFacility | — | — | — | — | — | 2024-12-12 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Cigna Hmo Ppo | — | $2,646.00 | $123,201.15 | $80,080.75 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL InpatientFacility | — | — | — | — | — | 2024-12-07 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL InpatientFacility | — | — | — | — | — | 2024-12-13 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL InpatientFacility | — | — | — | — | — | 2024-12-13 | MRF ↗ |
| RIVER FALLS AREA HOSPITAL Inpatient | South Country Health Alliance | Scha Pmap (R) | $3,319.06 | — | — | 2026-07-15 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE InpatientFacility | — | — | — | — | — | 2025-03-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST InpatientFacility | — | — | — | — | — | 2025-03-06 | MRF ↗ |
| Prisma Health North Greenville Ltach | Medicaid Other | — | $3,597.07 | $123,201.15 | $80,081.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Humana Healthy Horizons Medicaid | — | $3,848.86 | $123,201.15 | $80,081.00 | 2026-07-05 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL InpatientFacility | OHANA | NON-ABD | $3,853.92 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL InpatientFacility | OHANA | ABD | $3,853.92 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL InpatientFacility | OHANA | ABD | $3,853.92 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL InpatientFacility | OHANA | NON-ABD | $3,853.92 | — | — | 2026-02-12 | MRF ↗ |
| Prisma Health North Greenville Ltach | Blue Choice Medicaid (Greenville County Only) | — | $3,922.83 | $123,201.15 | $80,081.00 | 2026-07-05 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Health Net Federal Services | Tricare | — | — | — | 2026-07-15 | MRF ↗ |
| Prisma Health North Greenville Ltach | Medicaid | — | $4,173.22 | $123,201.15 | $80,081.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Bluechoice Medicaid | — | $4,173.22 | $123,201.15 | $80,081.00 | 2026-07-05 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN InpatientFacility | OHANA | NON-ABD | $4,244.32 | — | — | 2026-02-12 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN InpatientFacility | OHANA | ABD | $4,244.32 | — | — | 2026-02-12 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN InpatientFacility | ALOHACARE | MEDICAID | $4,244.32 | — | — | 2026-02-12 | MRF ↗ |
| Prisma Health North Greenville Ltach | Select Health Medicaid | — | $4,298.42 | $123,201.15 | $80,081.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Molina Medicaid | — | $4,298.42 | $123,201.15 | $80,081.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Absolute Total Care Medicaid | — | $4,381.88 | $123,201.15 | $80,081.00 | 2026-07-05 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | United Healthcare Va Behavioral Health | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | United Healthcare Community Plan | Managed Medicaid | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Sedgwick Government Solutions | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Healthfirst Essential Plan 3/4 | Commerial | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Molina Chp/Harp | Managed Medicaid | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Molina Essential 1 And 2 | Managed Medicaid | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Fidelis Care Ny Chp | Managed Medicaid | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Healthfirst Essential Plan 1/2 | Healthfirst Essential Plan 1/2 | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Empire Blue Cross Blue Shield Essential Plan | Comm | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Agewell New York | Medicare Advantage | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Fidelis Care - Essential Plans 1 | 5 | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Fidelis Care Ny Harp | Managed Medicaid | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Empire Blue Cross Blue Shield Harp | Managed Medi | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Empire Blue Cross Blue Shield Healthplus | Mgd Medi | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Empire Blue Cross Blue Shield Individual | Comm | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Emblem Essential Health Plans 1/2 | Managed Medicaid | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Emblem Essential Health Plans 3/4 | Managed Medicaid | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Fidelis Care Ny | Managed Medicaid | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Emblemhealth Hip Of Ny | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Emblemhealth Hip Of Ny | Managed Medicaid | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Partners Health Plan | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Empire Blue Cross Blue Shield | Medicare Advantage | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Empire Blue Cross Blue Shield Chp | Managed Medicaid | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Centerlight | Commerical | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Fidelis Care | Exchange (Hbx) | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Elderplan | Medicare Advantage | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Aetna Ppo | Medicare Advantage | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Healthfirst | Child Health Plus | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Emblemhealth Hip Of Ny | Medicare Advantage | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Healthfirst Health Plan | Medicare Advantage | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Aetna | Medicare Advantage | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | United Healthcare Va | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Fidelis Care | Medicare (Including Dual) | — | — | — | 2026-08-01 | MRF ↗ |
| Mclaren Bay Special Care | Medicaid - Hmo | — | $4,981.95 | $111,963.65 | $55,981.82 | 2026-07-05 | MRF ↗ |
| MCLAREN BAY REGION | Medicaid - Hmo | — | $4,981.95 | $111,963.65 | $55,981.82 | 2026-07-05 | MRF ↗ |
| Mclaren Bay Special Care | Medicaid - Molina | — | $5,081.59 | $111,963.65 | $55,981.82 | 2026-07-05 | MRF ↗ |
| MCLAREN BAY REGION | Medicaid - Molina | — | $5,081.59 | $111,963.65 | $55,981.82 | 2026-07-05 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS InpatientFacility | UHC COMMUNITY | ALL PRODUCTS | $6,178.91 | — | — | 2026-03-18 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Tricare Humana Military | — | $6,393.32 | $123,201.15 | $80,080.75 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach InpatientFacility | — | — | — | — | — | 2024-12-11 | MRF ↗ |
| MONTEFIORE ST LUKE'S CORNWALL Inpatient | Anthem | Exchange | $7,650.04 | — | — | 2026-04-01 | MRF ↗ |
| EAST COOPER MEDICAL CENTER InpatientFacility | Select Health | Medicaid | $7,663.86 | — | — | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER InpatientFacility | Humana | Medicaid | $7,663.86 | — | — | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER InpatientFacility | Absolute Total Care | Medicaid | $8,047.07 | — | — | 2026-03-12 | MRF ↗ |
| CITIZENS MEDICAL CENTER Inpatient | Us Department Of Justice | Us Marshall Services Inmate | $8,231.60 | — | — | 2026-09-28 | MRF ↗ |
| SANFORD LUVERNE MEDICAL CENTER InpatientFacility | Primewest | Medicaid Managed Care | $12,918.29 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD LUVERNE MEDICAL CENTER InpatientFacility | Ucare | Medicaid Managed Care | $12,918.29 | — | — | 2026-03-04 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Inpatient | Healthy Way La | Healthy Way La | $13,497.51 | — | — | 2026-07-15 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Inpatient | Healthy Way La | Healthy Way La | $13,497.51 | — | — | 2026-07-19 | MRF ↗ |
| GARFIELD MEDICAL CENTER InpatientFacility | — | — | — | — | — | 2026-03-12 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Inpatient | Healthy Way La | Healthy Way La | $14,797.00 | — | — | 2026-07-15 | MRF ↗ |
| SANFORD CANBY MEDICAL CENTER InpatientFacility | Primewest | Medicaid Managed Care | $17,324.55 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD THIEF RIVER FALLS MEDICAL CENTER InpatientFacility | Primewest | Medicaid Managed Care | $17,324.55 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD THIEF RIVER FALLS MEDICAL CENTER InpatientFacility | Ucare | Medicaid Managed Care | $17,324.55 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD BEHAVIORAL HEALTH CENTER InpatientFacility | Primewest | Medicaid Managed Care | $17,324.55 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD BEHAVIORAL HEALTH CENTER InpatientFacility | Ucare | Medicaid Managed Care | $17,324.55 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD WHEATON MEDICAL CENTER InpatientFacility | Ucare | Medicaid Managed Care | $17,854.87 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD WHEATON MEDICAL CENTER InpatientFacility | Primewest | Medicaid Managed Care | $17,854.87 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD JACKSON MEDICAL CENTER InpatientFacility | Primewest | Medicaid Managed Care | $18,834.47 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD JACKSON MEDICAL CENTER InpatientFacility | Ucare | Medicaid Managed Care | $18,834.47 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD CANBY MEDICAL CENTER InpatientFacility | Ucare | Medicaid Managed Care | $19,724.39 | — | — | 2026-03-04 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Inpatient | Wellcare | Medicaid | $19,794.77 | — | — | 2026-07-15 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Inpatient | Humana | Medicaid | $19,794.77 | — | — | 2026-07-15 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Inpatient | Clear Health Alliance | Medicaid | $19,794.77 | — | — | 2026-07-15 | MRF ↗ |
| SANFORD BAGLEY MEDICAL CENTER InpatientFacility | Ucare | Medicaid Managed Care | $19,820.36 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD BAGLEY MEDICAL CENTER InpatientFacility | Primewest | Medicaid Managed Care | $19,820.36 | — | — | 2026-03-04 | MRF ↗ |
| HCA FLORIDA JFK HOSPITAL Inpatient | Palm Beach PACE | MCD | $19,821.91 | — | — | 2026-03-01 | MRF ↗ |
| PALM BEACH GARDENS MEDICAL CENTER Inpatient | Palm Beach PACE | MCD | $19,821.91 | — | — | 2026-03-01 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Inpatient | United Healthcare | Medicaid | $20,388.61 | — | — | 2026-07-15 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Inpatient | United Healthcare | Medicaid | $20,389.00 | — | — | 2026-07-15 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Inpatient | United Healthcare | Medicaid | $20,586.56 | — | — | 2026-07-15 | MRF ↗ |
| FLOWERS HOSPITAL Inpatient | Florida Medicaid | Fl Medicaid | $20,673.16 | — | — | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Centene Peach State Health | Managed Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Centene Sunshine Health | Mngd Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Soonercare | Managed Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Aetna Better Health Of Fl | Managed Medicaid | $20,673.16 | — | — | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Centene Home State Health Plan | Mngd Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Centene Managed Health Services | Mngd Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Centene Meridian Health Plan Of Mi | Mngd Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Amerigroup Of Ga | Managed Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| THE SHRINERS' HOSPITAL FOR CHILDREN - BOSTON Inpatient | Aetna Better Health Of Fl | Managed Medicaid | $20,673.16 | — | — | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Humana | Tricare | — | — | — | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Amerihealth Caritas Florida | Managed Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Inpatient | Bcbs | Bcbs Medicaid Managed Care (Ip) | $20,714.72 | — | — | 2026-07-15 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Inpatient | Aetna | Aetna Better Health Medicaid Managed Care (Ip) | $20,714.72 | — | — | 2026-07-15 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Inpatient | Molina | Molina Medicaid Managed Care (Ip) | $20,714.72 | — | — | 2026-07-15 | 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.