120 — Other Circulatory System O.r. Procedures
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Other circulatory system O.R. procedures (MS_DRG 120) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/120?code_type=MS_DRG
MLA (9th ed.)
“Other circulatory system O.R. procedures (MS_DRG 120) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/120?code_type=MS_DRG. Accessed .
Chicago (notes-bibliography)
“Other circulatory system O.R. procedures (MS_DRG 120) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/120?code_type=MS_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $21,271–$37,147 (25th–75th percentile) across 78 hospitals · 80 payers.
“Negotiated” is the hospital’s negotiated facility rate for this MS_DRG 120 — 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 | The Health Plan | 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 | Cigna | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Humana | 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 | Primetime Health Plan | 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 | Molina | 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 | United Healthcare | 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 | Aetna | 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 ↗ |
| ST MARY'S GENERAL HOSPITAL Inpatient | Humana | Humana Military | $5,338.10 | — | — | 2024-12-19 | MRF ↗ |
| LOWER BUCKS HOSPITAL Inpatient | Humana | Humana Tricare | $5,338.10 | — | — | 2024-12-19 | MRF ↗ |
| ST MARY'S GENERAL HOSPITAL Inpatient | Humana | Humana Military | $5,338.10 | — | — | 2024-12-19 | MRF ↗ |
| ROXBOROUGH MEMORIAL HOSPITAL Inpatient | Humana Military Tricare | Humana Military Tricare | $5,338.10 | — | — | 2024-12-19 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | ALLSTATE [5047] | HMC HORIZON CASUALTY PIP | — | $71,193.87 | — | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Inpatient | LUMINARE HEALTH AHS RETIREE [5013] | CMC AETNA AHS EMPLOYEE | — | $71,193.87 | — | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | LUMINARE HEALTH AHS RETIREE [5013] | HMC AETNA AHS EMPLOYEE | — | $71,193.87 | — | 2026-01-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Inpatient | ALLSTATE [5047] | CSMC HORIZON CASUALTY PIP | — | $71,193.87 | — | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | LUMINARE HEALTH AHS RETIREE [5013] | HMC AETNA AHS EMPLOYEE | — | $71,193.87 | — | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Inpatient | ALLSTATE [5047] | CMC HORIZON CASUALTY PIP | — | $71,193.87 | — | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | ALLSTATE [5047] | HMC HORIZON CASUALTY PIP | — | $71,193.87 | — | 2026-01-01 | MRF ↗ |
| LOWER BUCKS HOSPITAL Inpatient | Tricare | Tricare | $6,062.70 | — | — | 2024-12-19 | MRF ↗ |
| ROXBOROUGH MEMORIAL HOSPITAL Inpatient | Tricare | Tricare | $6,142.17 | — | — | 2024-12-19 | MRF ↗ |
| MOUNT SINAI HOSPITAL InpatientFacility | Metroplus | Metroplus Medicaid - Tmsh | — | — | — | 2026-04-01 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC InpatientFacility | Aetna | NC+ Preferred | $6,527.00 | — | — | 2025-10-08 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC InpatientFacility | Aetna | Whole Health | $6,955.00 | — | — | 2025-10-08 | MRF ↗ |
| INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL InpatientFacility | None | — | — | — | — | 2026-03-23 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER InpatientFacility | None | — | — | — | — | 2026-03-23 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL InpatientFacility | None | — | — | — | — | 2026-03-23 | MRF ↗ |
| Tyler Memorial Hospital InpatientFacility | None | — | — | — | — | 2026-01-01 | MRF ↗ |
| Charlton Memorial Hospital Inpatient | TUFTS HEALTH PUBLIC PLANS [1010213] | TUFTS HEALTH DIRECT [101021302] | $8,004.62 | $123,675.42 | $61,837.71 | 2025-12-15 | MRF ↗ |
| ST LUKE'S HOSPITAL Inpatient | TUFTS HEALTH PUBLIC PLANS [1010213] | TUFTS HEALTH DIRECT [101021302] | $8,004.62 | $102,033.90 | $51,016.95 | 2025-12-15 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Martin's Point | Martin's Point | $8,107.80 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Martin's Point | Martin's Point | $8,107.80 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Martin's Point | Martin's Point | $8,107.80 | — | — | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Inpatient | Martin's Point | Martin's Point | $8,107.80 | — | — | 2026-04-14 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL InpatientFacility | Tufts Associated Health Maintenance Organization, Inc. | USHFP | $8,107.80 | — | — | 2026-02-28 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Martin's Point | Martin's Point | $8,107.80 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Martin's Point | Martin's Point | $8,107.80 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Martin's Point | Martin's Point | $8,107.80 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Martin's Point | Martin's Point | $8,107.80 | — | — | 2026-04-14 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC InpatientFacility | Aetna | Broad Network | $8,452.00 | — | — | 2025-10-08 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | TUFTS HEALTH PUBLIC PLAN CONNECTORCARE [100264] | HB XR THPP CONNECTOR PLANS QHP SUBSIDIZED LGH | $8,640.95 | $65,566.25 | $45,896.38 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | MEDICAID MASSHEALTH [300001] | HB XR MEDICAID LIMITED CMSP 100% | — | $65,566.25 | $45,896.38 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | WELLSENSE NH [350010] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | — | $65,566.25 | $45,896.38 | 2026-04-01 | MRF ↗ |
| UPMC NORTHWEST InpatientFacility | UPMC Work Partners | Workers Comp | $9,223.57 | — | — | 2026-03-06 | MRF ↗ |
| UPMC BEDFORD MEMORIAL InpatientFacility | UPMC Work Partners | Workers Comp | $9,223.57 | — | — | 2026-03-06 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Inpatient | CARESOURCE [2002] | CARESOURCE OH MEDICAID [2002001] | $9,276.62 | — | — | 2026-04-01 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Inpatient | BUCKEYE COMMUNITY HEALTH PLAN [2001] | BUCKEYE COMMUNITY HEALTH PLAN [2001001] | $9,460.31 | — | — | 2026-04-01 | MRF ↗ |
| MASSACHUSETTS GENERAL HOSPITAL Inpatient | WELLSENSE [1003] | HB MGH WELLSENSE MCO | $9,467.93 | $119,129.39 | — | 2026-03-27 | MRF ↗ |
| MASSACHUSETTS GENERAL HOSPITAL Inpatient | MEDICAID NON MASSACHUSETTS [3002] | HB MGH MEDICAID | $9,467.93 | $119,129.39 | — | 2026-03-27 | MRF ↗ |
| UPMC HORIZON InpatientFacility | UPMC Work Partners | Workers Comp | $9,470.42 | — | — | 2026-03-06 | MRF ↗ |
| UPMC HAMOT InpatientFacility | UPMC Work Partners | Workers Comp | $9,495.41 | — | — | 2026-03-06 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Inpatient | HUMANA MEDICAID OH [4455] | HUMANA MEDICAID OH [4455001] | $9,644.01 | — | — | 2026-04-01 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Inpatient | AMERIHEALTH CARITAS OH [4813] | AMERIHEALTH CARITAS OH [4813001] | $9,644.01 | — | — | 2026-04-01 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Inpatient | UNITED HEALTHCARE COMMUNITY PL [3519] | UNITED HEALTHCARE COMMUNITY PLAN OH [3519001] | $9,644.01 | — | — | 2026-04-01 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Inpatient | MOLINA HEALTHCARE OH MEDICAID [3070] | MOLINA HEALTHCARE OHIO MEDICA [3070001] | $9,644.01 | — | — | 2026-04-01 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Inpatient | ANTHEM OH MEDICAID [6565] | ANTHEM OH MEDICAID [656501] | $9,644.01 | — | — | 2026-04-01 | MRF ↗ |
| UPMC ALTOONA InpatientFacility | UPMC Work Partners | Workers Comp | $9,674.01 | — | — | 2026-03-06 | MRF ↗ |
| UPMC ALTOONA InpatientFacility | UPMC Work Partners | Workers Comp | $9,674.01 | — | — | 2026-03-06 | MRF ↗ |
| UPMC PASSAVANT InpatientFacility | UPMC Work Partners | Workers Comp | $10,292.55 | — | — | 2026-03-07 | MRF ↗ |
| Upmc Presbyterian Shadyside InpatientFacility | UPMC Work Partners | Workers Comp | $10,292.55 | — | — | 2026-03-06 | MRF ↗ |
| UPMC MERCY InpatientFacility | UPMC Work Partners | Workers Comp | $10,292.55 | — | — | 2026-03-06 | MRF ↗ |
| UPMC EAST InpatientFacility | UPMC Work Partners | Workers Comp | $10,292.55 | — | — | 2026-03-06 | MRF ↗ |
| UPMC MERCY InpatientFacility | UPMC Work Partners | Workers Comp | $10,292.55 | — | — | 2026-03-06 | MRF ↗ |
| UPMC PASSAVANT InpatientFacility | UPMC Work Partners | Workers Comp | $10,292.55 | — | — | 2026-03-07 | MRF ↗ |
| UPMC MCKEESPORT HOSPITAL InpatientFacility | UPMC Work Partners | Workers Comp | $10,292.55 | — | — | 2026-03-06 | MRF ↗ |
| UPMC PINNACLE HOSPITALS InpatientFacility | UPMC Work Partners | Workers Comp | $10,450.52 | — | — | 2026-03-06 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MSMC | $11,215.58 | $155,052.11 | $77,526.06 | 2026-03-23 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MSMC | $11,215.58 | $155,052.11 | $77,526.06 | 2026-03-23 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | TUFTS HEALTH PUBLIC PLAN CONNECTORCARE [100264] | HB XR THPP CONNECTOR PLANS QHP NON-SUBSIDIZED LGH | $11,478.22 | $65,566.25 | $45,896.38 | 2026-04-01 | MRF ↗ |
| METHODIST MIDLOTHIAN MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MLMC | $11,515.14 | $155,052.11 | $77,526.06 | 2026-03-21 | MRF ↗ |
| METHODIST MANSFIELD MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MMMC | $11,515.45 | $155,052.11 | $77,526.06 | 2026-03-21 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MRMC | $11,622.20 | $155,052.11 | $77,526.06 | 2026-03-21 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MRMC | $11,622.20 | $155,052.11 | $77,526.06 | 2026-03-21 | MRF ↗ |
| METHODIST CHARLTON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MCMC | $11,886.45 | $155,052.11 | $77,526.06 | 2026-03-21 | MRF ↗ |
| ST ELIZABETH YOUNGSTOWN HOSPITAL Inpatient | ANTHEM OH MEDICAID [6565] | ANTHEM OH MEDICAID [656501] | $12,095.76 | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH YOUNGSTOWN HOSPITAL Inpatient | HUMANA MEDICAID OH [4455] | HUMANA MEDICAID OH [4455001] | $12,095.76 | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH YOUNGSTOWN HOSPITAL Inpatient | AMERIHEALTH CARITAS OH [4813] | AMERIHEALTH CARITAS OH [4813001] | $12,095.76 | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH YOUNGSTOWN HOSPITAL Inpatient | BUCKEYE COMMUNITY HEALTH PLAN [2001] | BUCKEYE COMMUNITY HEALTH PLAN [2001001] | $12,095.76 | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH YOUNGSTOWN HOSPITAL Inpatient | CARESOURCE [2002] | CARESOURCE OH MEDICAID [2002001] | $12,095.76 | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH YOUNGSTOWN HOSPITAL Inpatient | UNITED HEALTHCARE COMMUNITY PL [3519] | UNITED HEALTHCARE COMMUNITY PLAN OH [3519001] | $12,326.15 | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH YOUNGSTOWN HOSPITAL Inpatient | MOLINA HEALTHCARE OH MEDICAID [3070] | MOLINA HEALTHCARE OHIO MEDICA [3070001] | $12,326.15 | — | — | 2026-04-01 | MRF ↗ |
| METHODIST CELINA MEDICAL CENTER Inpatient | SUPERIOR MEDICAID MANAGED CARE [5007] | MHS HB MEDICAID 110% STAR PLUS MCEL | $13,110.07 | $155,052.11 | $77,526.06 | 2026-03-23 | MRF ↗ |
| MEMORIAL HEALTHCARE SYSTEM, INC Inpatient | Peach State | Medicaid|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| MEMORIAL HEALTHCARE SYSTEM, INC Inpatient | Peach State | Medicaid|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| MEMORIAL HEALTHCARE SYSTEM, INC Inpatient | Amerigroup | Medicaid|All Plans | $13,127.00 | — | — | 2026-02-28 | MRF ↗ |
| MEMORIAL HEALTHCARE SYSTEM, INC Inpatient | Amerigroup | Medicaid|All Plans | $13,127.00 | — | — | 2026-02-28 | MRF ↗ |
| CHI Memorial Hospital - Hixson Inpatient | Amerigroup | Medicaid|All Plans | $13,127.00 | — | — | 2026-02-28 | MRF ↗ |
| CHI MEMORIAL HOSPITAL- GEORGIA Inpatient | Aetna | Commercial|All Other Plans | — | — | — | 2026-02-28 | MRF ↗ |
| CHI MEMORIAL HOSPITAL- GEORGIA Inpatient | Aetna | Commercial|PPO | — | — | — | 2026-02-28 | MRF ↗ |
| CHI MEMORIAL HOSPITAL- GEORGIA Inpatient | Aetna | Commercial|HMO | — | — | — | 2026-02-28 | MRF ↗ |
| CHI MEMORIAL HOSPITAL- GEORGIA Inpatient | Amerigroup | Medicaid|All Plans | $14,687.00 | — | — | 2026-02-28 | MRF ↗ |
| MOUNT SINAI SOUTH NASSAU InpatientFacility | Affinity | Affinity Medicaid - Snch | — | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI WEST InpatientFacility | Fidelis | Fidelis Medicaid - Slw | — | — | — | 2026-04-01 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL InpatientFacility | United Healthcare Of Wisconsin, Inc. | United Healthcare Medicaid Plans | — | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL InpatientFacility | United Healthcare Of Wisconsin, Inc. | United Healthcare Medicaid Plans | $15,357.86 | — | — | 2025-07-01 | MRF ↗ |
| BRIGHAM AND WOMEN'S HOSPITAL Inpatient | WELLSENSE [1003] | HB BWH WELLSENSE MCO | $15,468.78 | $105,774.52 | — | 2026-03-27 | MRF ↗ |
| MASSACHUSETTS GENERAL HOSPITAL Inpatient | MASSHEALTH [3001] | HB MGH MEDICAID | $15,468.78 | $91,956.44 | — | 2026-03-27 | MRF ↗ |
| METHODIST DALLAS MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MDMC | $15,789.24 | $155,052.11 | $77,526.06 | 2026-03-20 | MRF ↗ |
| ATRIUM MEDICAL CENTER InpatientFacility | Contracted Commercial | Private Healthcare Systems | $16,366.21 | — | — | 2026-04-01 | MRF ↗ |
| MIAMI VALLEY HOSPITAL InpatientFacility | Contracted Commercial | Private Healthcare Systems | $16,366.21 | — | — | 2026-04-01 | MRF ↗ |
| MIAMI VALLEY HOSPITAL InpatientFacility | Contracted Commercial | Faith Based - Phcs | $16,366.21 | — | — | 2026-04-01 | MRF ↗ |
| UPPER VALLEY MEDICAL CENTER InpatientFacility | Contracted Commercial | Private Healthcare Systems | $16,366.21 | — | — | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | MIDDLESEX COUNTY [500015] | HB XR MASSHEALTH NON-CONTRACTED MWF | $16,665.37 | $65,566.25 | $45,896.38 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | MEDICAID MASSHEALTH [300001] | HB XR MASSHEALTH 100% MWF | $16,665.37 | $65,566.25 | $45,896.38 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | MEDICAID MASSHEALTH [300001] | HB XR MEDICAID LIMITED CMSP 100% | — | $65,566.25 | $45,896.38 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | MASS GENERAL BRIGHAM HEALTH PLAN MEDICAID REPLACEM | HB XR MGBHP ACO COMPLETE SELECT MWF | $16,665.37 | $65,566.25 | $45,896.38 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | GENERIC PRISON [500099] | HB XR MASSHEALTH NON-CONTRACTED LGH | $16,665.37 | $65,566.25 | $45,896.38 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | GENERIC PRISON [500099] | HB XR MASSHEALTH NON-CONTRACTED MWF | $16,665.37 | $65,566.25 | $45,896.38 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | MASS GENERAL BRIGHAM HEALTH PLAN MEDICAID REPLACEM | HB XR MGBHP ACO COMPLETE SELECT LGH | $16,665.37 | $65,566.25 | $45,896.38 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | MEDICAID MASSHEALTH [300001] | HB XR MASSHEALTH 100% LGH | $16,665.37 | $65,566.25 | $45,896.38 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | MIDDLESEX COUNTY [500015] | HB XR MASSHEALTH NON-CONTRACTED LGH | $16,665.37 | $65,566.25 | $45,896.38 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | FALLON HEALTH MEDICAID REPLACEMENT [350008] | HB XR MASSHEALTH 100% MWF | $16,665.37 | $65,566.25 | $45,896.38 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | SUFFOLK COUNTY [500014] | HB XR MASSHEALTH NON-CONTRACTED LGH | $16,665.37 | $65,566.25 | $45,896.38 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | TEWKSBURY HOSPITAL [950008] | HB XR MASSHEALTH NON-CONTRACTED LGH | $16,665.37 | $65,566.25 | $45,896.38 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | WELLSENSE MEDICAID REPLACEMENT [350011] | HB XR WELLSENSE MEDICAID MCO ACO LGH | $16,665.37 | $65,566.25 | $45,896.38 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | FALLON HEALTH MEDICAID REPLACEMENT [350008] | HB XR MASSHEALTH 100% LGH | $16,665.37 | $65,566.25 | $45,896.38 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | MEDICAID MASSHEALTH [300001] | HB XR MASSHEALTH 100% MWF | $16,665.37 | $65,566.25 | $45,896.38 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | TEWKSBURY HOSPITAL [950008] | HB XR MASSHEALTH NON-CONTRACTED MWF | $16,665.37 | $65,566.25 | $45,896.38 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | TUFTS HEALTH PUBLIC PLAN [350009] | HB XR THPP MCO ACO MWF | $16,665.37 | $65,566.25 | $45,896.38 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | SUFFOLK COUNTY [500014] | HB XR MASSHEALTH NON-CONTRACTED MWF | $16,665.37 | $65,566.25 | $45,896.38 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | FALLON HEALTH MEDICAID REPLACEMENT [350008] | HB XR MASSHEALTH 100% MWF | $16,665.37 | $65,566.25 | $45,896.38 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | MIDDLESEX COUNTY [500015] | HB XR MASSHEALTH NON-CONTRACTED MWF | $16,665.37 | $65,566.25 | $45,896.38 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | MASS GENERAL BRIGHAM HEALTH PLAN MEDICAID REPLACEM | HB XR MGBHP ACO COMPLETE SELECT MWF | $16,665.37 | $65,566.25 | $45,896.38 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | MEDICAID MASSHEALTH [300001] | HB XR MEDICAID LIMITED CMSP 100% | — | $65,566.25 | $45,896.38 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | WELLSENSE NH [350010] | HB XR MASSHEALTH 100% MWF | $16,665.37 | $65,566.25 | $45,896.38 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | GENERIC PRISON [500099] | HB XR MASSHEALTH NON-CONTRACTED MWF | $16,665.37 | $65,566.25 | $45,896.38 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | WELLSENSE NH [350010] | HB XR MASSHEALTH 100% MWF | $16,665.37 | $65,566.25 | $45,896.38 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | TUFTS HEALTH PUBLIC PLAN [350009] | HB XR THPP MCO ACO MWF | $16,665.37 | $65,566.25 | $45,896.38 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | TEWKSBURY HOSPITAL [950008] | HB XR MASSHEALTH NON-CONTRACTED MWF | $16,665.37 | $65,566.25 | $45,896.38 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | SUFFOLK COUNTY [500014] | HB XR MASSHEALTH NON-CONTRACTED MWF | $16,665.37 | $65,566.25 | $45,896.38 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | TUFTS HEALTH PUBLIC PLAN [350009] | HB XR THPP MCO ACO LGH | $16,708.02 | $65,566.25 | $45,896.38 | 2026-04-01 | MRF ↗ |
| ST LUKE'S HOSPITAL Inpatient | WELLSENSE HEALTH PLAN [1010202] | WELLSENSE HEALTH PLAN SOUTHCOAST ALLIANCE ACO [101 | $16,709.15 | $102,033.90 | $51,016.95 | 2025-12-15 | MRF ↗ |
| Charlton Memorial Hospital Inpatient | WELLSENSE HEALTH PLAN [1010202] | WELLSENSE HEALTH PLAN SOUTHCOAST ALLIANCE ACO [101 | $16,709.15 | $89,176.29 | $44,588.14 | 2025-12-15 | MRF ↗ |
| UPMC JAMESON InpatientFacility | UPMC Work Partners | Workers Comp | $16,974.37 | — | — | 2026-03-06 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | TEWKSBURY HOSPITAL [950008] | HB XR MASSHEALTH NON-CONTRACTED TMC | $17,103.11 | $65,566.25 | $45,896.38 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | WELLSENSE MEDICAID REPLACEMENT [350011] | HB XR WELLSENSE MEDICAID MCO ACO TMC | $17,103.11 | $65,566.25 | $45,896.38 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | FALLON HEALTH MEDICAID REPLACEMENT [350008] | HB XR MASSHEALTH 100% TMC | $17,103.11 | $65,566.25 | $45,896.38 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | SUFFOLK COUNTY [500014] | HB XR MASSHEALTH NON-CONTRACTED TMC | $17,103.11 | $65,566.25 | $45,896.38 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | TUFTS HEALTH PUBLIC PLAN [350009] | HB XR THPP MCO ACO TMC | $17,103.11 | $65,566.25 | $45,896.38 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | WELLSENSE NH [350010] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES TMC | — | $65,566.25 | $45,896.38 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | GENERIC PRISON [500099] | HB XR MASSHEALTH NON-CONTRACTED TMC | $17,103.11 | $65,566.25 | $45,896.38 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | MASS GENERAL BRIGHAM HEALTH PLAN MEDICAID REPLACEM | HB XR MGBHP ACO COMPLETE SELECT TMC | $17,103.11 | $65,566.25 | $45,896.38 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | MASS GENERAL BRIGHAM HEALTH PLAN MEDICAID REPLACEM | HB XR MASSHEALTH 100% TMC | $17,103.11 | $65,566.25 | $45,896.38 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | MEDICAID MASSHEALTH [300001] | HB XR MASSHEALTH 100% TMC | $17,103.11 | $65,566.25 | $45,896.38 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | MIDDLESEX COUNTY [500015] | HB XR MASSHEALTH NON-CONTRACTED TMC | $17,103.11 | $65,566.25 | $45,896.38 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | MEDICAID MASSHEALTH [300001] | HB XR MEDICAID LIMITED CMSP 100% | — | $65,566.25 | $45,896.38 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | WELLSENSE MEDICAID REPLACEMENT [350011] | HB XR WELLSENSE MEDICAID MCO ACO MWF | $17,498.64 | $65,566.25 | $45,896.38 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | WELLSENSE MEDICAID REPLACEMENT [350011] | HB XR WELLSENSE MEDICAID MCO ACO MWF | $17,498.64 | $65,566.25 | $45,896.38 | 2026-04-01 | MRF ↗ |
| MOUNT SINAI SOUTH NASSAU InpatientFacility | Fidelis | Fidelis Medicaid / Chp / Harp - Snch | — | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center InpatientFacility | Fidelis | Fidelis Medicaid - Brook | — | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH YOUNGSTOWN HOSPITAL Inpatient | BUCKEYE COMMUNITY HEALTH PLAN [2001] | BUCKEYE COMMUNITY HEALTH PLAN [2001001] | $17,688.81 | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH YOUNGSTOWN HOSPITAL Inpatient | HUMANA MEDICAID OH [4455] | HUMANA MEDICAID OH [4455001] | $17,688.81 | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH YOUNGSTOWN HOSPITAL Inpatient | ANTHEM OH MEDICAID [6565] | ANTHEM OH MEDICAID [656501] | $17,688.81 | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH YOUNGSTOWN HOSPITAL Inpatient | CARESOURCE [2002] | CARESOURCE OH MEDICAID [2002001] | $17,688.81 | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH YOUNGSTOWN HOSPITAL Inpatient | AMERIHEALTH CARITAS OH [4813] | AMERIHEALTH CARITAS OH [4813001] | $17,688.81 | — | — | 2026-04-01 | MRF ↗ |
| UPMC Lock Haven InpatientFacility | UPMC Work Partners | Workers Comp | $17,858.74 | — | — | 2026-03-06 | MRF ↗ |
| ST ELIZABETH YOUNGSTOWN HOSPITAL Inpatient | MOLINA HEALTHCARE OH MEDICAID [3070] | MOLINA HEALTHCARE OHIO MEDICA [3070001] | $18,025.74 | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH YOUNGSTOWN HOSPITAL Inpatient | UNITED HEALTHCARE COMMUNITY PL [3519] | UNITED HEALTHCARE COMMUNITY PLAN OH [3519001] | $18,025.74 | — | — | 2026-04-01 | MRF ↗ |
| MH ST JOSEPH WARREN HOSPITAL Inpatient | HUMANA MEDICAID OH [4455] | HUMANA MEDICAID OH [4455001] | $18,071.32 | — | — | 2026-04-01 | MRF ↗ |
| MH ST JOSEPH WARREN HOSPITAL Inpatient | ANTHEM OH MEDICAID [6565] | ANTHEM OH MEDICAID [656501] | $18,071.32 | — | — | 2026-04-01 | MRF ↗ |
| MH ST JOSEPH WARREN HOSPITAL Inpatient | BUCKEYE COMMUNITY HEALTH PLAN [2001] | BUCKEYE COMMUNITY HEALTH PLAN [2001001] | $18,071.32 | — | — | 2026-04-01 | MRF ↗ |
| MH ST JOSEPH WARREN HOSPITAL Inpatient | CARESOURCE [2002] | CARESOURCE OH MEDICAID [2002001] | $18,071.32 | — | — | 2026-04-01 | MRF ↗ |
| MH ST JOSEPH WARREN HOSPITAL Inpatient | AMERIHEALTH CARITAS OH [4813] | AMERIHEALTH CARITAS OH [4813001] | $18,071.32 | — | — | 2026-04-01 | MRF ↗ |
| MH ST JOSEPH WARREN HOSPITAL Inpatient | MOLINA HEALTHCARE OH MEDICAID [3070] | MOLINA HEALTHCARE OHIO MEDICA [3070001] | $18,415.53 | — | — | 2026-04-01 | MRF ↗ |
| MH ST JOSEPH WARREN HOSPITAL Inpatient | UNITED HEALTHCARE COMMUNITY PL [3519] | UNITED HEALTHCARE COMMUNITY PLAN OH [3519001] | $18,415.53 | — | — | 2026-04-01 | MRF ↗ |
| UPMC SOMERSET InpatientFacility | UPMC Work Partners | Workers Comp | $18,423.52 | — | — | 2026-03-06 | MRF ↗ |
| MASSACHUSETTS GENERAL HOSPITAL Inpatient | MGB HEALTH PLAN [150001] | HB AMC MGBHP COMMERCIAL PPO | $18,801.17 | $119,129.39 | — | 2026-03-27 | MRF ↗ |
| UPMC HANOVER InpatientFacility | UPMC Work Partners | Workers Comp | $18,897.13 | — | — | 2026-03-06 | MRF ↗ |
| UPMC HANOVER InpatientFacility | UPMC Work Partners | Workers Comp | $18,897.13 | — | — | 2026-03-06 | MRF ↗ |
| UPMC MEMORIAL InpatientFacility | UPMC Work Partners | Workers Comp | $18,897.13 | — | — | 2026-03-06 | MRF ↗ |
| ST LUKE'S HOSPITAL Inpatient | TUFTS HEALTH PUBLIC PLANS [1010213] | TUFTS HEALTH TOGETHER [101021301] | $19,215.52 | $102,033.90 | $51,016.95 | 2025-12-15 | MRF ↗ |
| Charlton Memorial Hospital Inpatient | TUFTS HEALTH PUBLIC PLANS [1010213] | TUFTS HEALTH TOGETHER [101021301] | $19,215.52 | $89,176.29 | $44,588.14 | 2025-12-15 | MRF ↗ |
| Tyler Memorial Hospital InpatientFacility | None | — | — | — | — | 2026-01-01 | MRF ↗ |
| UPMC LITITZ InpatientFacility | UPMC Work Partners | Workers Comp | $19,394.01 | — | — | 2026-03-06 | MRF ↗ |
| UPMC Lock Haven InpatientFacility | Multiplan | Worker's Compensation | $19,727.67 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE InpatientFacility | UPMC Work Partners | Workers Comp | $19,806.53 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE InpatientFacility | UPMC Work Partners | Workers Comp | $19,806.53 | — | — | 2026-03-06 | MRF ↗ |
| UPMC JAMESON InpatientFacility | UPMC Work Partners | Workers Comp | $20,189.87 | — | — | 2026-03-06 | MRF ↗ |
| MASSACHUSETTS GENERAL HOSPITAL Inpatient | MASSHEALTH [3001] | HB MGH MEDICAID | $20,498.62 | $99,596.13 | — | 2026-03-27 | MRF ↗ |
| BRIGHAM AND WOMEN'S HOSPITAL Inpatient | MASSHEALTH [3001] | HB BWH MEDICAID | $20,498.62 | $174,156.31 | — | 2026-03-27 | MRF ↗ |
| BRIGHAM AND WOMEN'S HOSPITAL Inpatient | MASSHEALTH [3001] | HB BWH MEDICAID | $20,498.62 | $124,776.60 | — | 2026-03-27 | MRF ↗ |
| BRIGHAM AND WOMEN'S HOSPITAL Inpatient | WELLSENSE [1003] | HB BWH WELLSENSE MCO | $20,498.62 | $174,156.31 | — | 2026-03-27 | MRF ↗ |
| BRIGHAM AND WOMEN'S HOSPITAL Inpatient | WELLSENSE [1003] | HB BWH WELLSENSE MCO | $20,498.62 | $124,776.60 | — | 2026-03-27 | MRF ↗ |
| MASSACHUSETTS GENERAL HOSPITAL Inpatient | WELLSENSE [1003] | HB MGH WELLSENSE MCO | $20,498.62 | $99,596.13 | — | 2026-03-27 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | ALLSTATE [5047] | HMC HORIZON CASUALTY PIP | — | $85,596.98 | — | 2026-04-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Inpatient | ALLSTATE [5047] | MMC HORIZON CASUALTY PIP | — | $85,596.98 | — | 2026-04-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | LUMINARE HEALTH AHS RETIREE [5013] | OMC AETNA AHS EMPLOYEE | $21,270.85 | $85,596.98 | — | 2026-04-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | ALLSTATE [5047] | OMC HORIZON CASUALTY PIP | — | $71,193.87 | — | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | LUMINARE HEALTH AHS RETIREE [5013] | OMC AETNA AHS EMPLOYEE | — | $71,193.87 | — | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | LUMINARE HEALTH AHS RETIREE [5013] | HMC AETNA AHS EMPLOYEE | $21,270.85 | $85,596.98 | — | 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.