121 — Other Respiratory And Chest Procedures
Cite this view
HANK Price Transparency. (n.d.). OTHER RESPIRATORY AND CHEST PROCEDURES (APR_DRG 121) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/121?code_type=APR_DRG
“OTHER RESPIRATORY AND CHEST PROCEDURES (APR_DRG 121) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/121?code_type=APR_DRG. Accessed .
“OTHER RESPIRATORY AND CHEST PROCEDURES (APR_DRG 121) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/121?code_type=APR_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $17,322–$47,596 (25th–75th percentile) across 65 hospitals · 235 payers.
“Negotiated” is the hospital’s negotiated rate for the entire inpatient stay under APR_DRG 121 — 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 |
|---|---|---|---|---|---|---|---|
| Driscoll Children's Hospital Transplant Center Inpatient | TEXAS REHABILITATION COMM [50038] | TEXAS REHABILITATION COMM [5003801] | $165.82 | $179,488.77 | $35,897.75 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Inpatient | POLICE DEPARTMENTS [50065] | POLICE DEPTS [5006501] | $1,000.00 | $179,488.77 | $35,897.75 | 2026-03-31 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST InpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $3,730.73 | $74,522.75 | — | 2026-03-18 | MRF ↗ |
| JOHNSON CITY MEDICAL CENTER Inpatient | AMERIGROUP | AMERIGROUP | — | — | — | 2026-03-23 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $5,738.61 | $169,937.79 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $5,738.61 | $169,937.79 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $5,738.61 | $169,937.79 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $5,738.61 | $169,937.79 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $5,738.61 | $169,937.79 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $5,738.61 | $169,937.79 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $5,738.61 | $169,937.79 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $5,738.61 | $169,937.79 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $5,738.61 | $169,937.79 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $5,738.61 | $169,937.79 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $5,738.61 | $169,937.79 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $5,738.61 | $169,937.79 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $5,738.61 | $169,937.79 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $5,738.61 | $169,937.79 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $5,738.61 | $169,937.79 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $5,738.61 | $169,937.79 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $5,738.61 | $169,937.79 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $5,738.61 | $169,937.79 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $5,738.61 | $169,937.79 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $5,738.61 | $169,937.79 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $5,738.61 | $169,937.79 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $5,738.61 | $169,937.79 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $5,738.61 | $169,937.79 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $5,738.61 | $169,937.79 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $5,738.61 | $169,937.79 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $5,738.61 | $169,937.79 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $5,738.61 | $169,937.79 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $5,738.61 | $169,937.79 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $5,738.61 | $169,937.79 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $5,738.61 | $169,937.79 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $5,738.61 | $169,937.79 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $5,738.61 | $169,937.79 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $5,738.61 | $169,937.79 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $5,738.61 | $169,937.79 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $5,738.61 | $169,937.79 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $5,738.61 | $169,937.79 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $5,738.61 | $169,937.79 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $5,738.61 | $169,937.79 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $5,738.61 | $169,937.79 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $5,738.61 | $169,937.79 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $5,738.61 | $169,937.79 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $5,738.61 | $169,937.79 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $5,738.61 | $169,937.79 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $5,738.61 | $169,937.79 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $5,738.61 | $169,937.79 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $5,738.61 | $169,937.79 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $5,738.61 | $169,937.79 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $5,738.61 | $169,937.79 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $5,738.61 | $169,937.79 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $5,738.61 | $169,937.79 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $5,738.61 | $169,937.79 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $5,738.61 | $169,937.79 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $5,738.61 | $169,937.79 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $5,738.61 | $169,937.79 | — | 2026-03-26 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | UHC COMMUNITY MEDICAID [2175] | HB XR UHC INDIANA PATHWAYS MEDICAID | $6,142.86 | $79,791.74 | $47,875.04 | 2025-12-19 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis Child Health Plus | $6,193.51 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis Medicaid | $6,732.07 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis HARP | $6,732.07 | — | — | 2026-04-14 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | UHC COMMUNITY MEDICAID [2175] | HB XR UHC INDIANA PATHWAYS MEDICAID | $7,173.26 | $84,015.47 | $50,409.28 | 2025-12-19 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $7,521.63 | $130,018.93 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $7,521.63 | $130,018.93 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $7,521.63 | $130,018.93 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $7,521.63 | $130,018.93 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $7,521.63 | $130,018.93 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $7,521.63 | $130,018.93 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $7,521.63 | $130,018.93 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $7,521.63 | $130,018.93 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $7,521.63 | $130,018.93 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $7,521.63 | $130,018.93 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $7,521.63 | $130,018.93 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $7,521.63 | $130,018.93 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $7,521.63 | $130,018.93 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $7,521.63 | $130,018.93 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $7,521.63 | $130,018.93 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $7,521.63 | $130,018.93 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $7,521.63 | $130,018.93 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $7,521.63 | $130,018.93 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $7,521.63 | $130,018.93 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $7,521.63 | $130,018.93 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $7,521.63 | $130,018.93 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $7,521.63 | $130,018.93 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $7,521.63 | $130,018.93 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $7,521.63 | $130,018.93 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $7,521.63 | $130,018.93 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $7,521.63 | $130,018.93 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $7,521.63 | $130,018.93 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $7,521.63 | $130,018.93 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $7,521.63 | $130,018.93 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $7,521.63 | $130,018.93 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $7,521.63 | $130,018.93 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $7,521.63 | $130,018.93 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $7,521.63 | $130,018.93 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $7,521.63 | $130,018.93 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $7,521.63 | $130,018.93 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $7,521.63 | $130,018.93 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $7,521.63 | $130,018.93 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $7,521.63 | $130,018.93 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $7,521.63 | $130,018.93 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $7,521.63 | $130,018.93 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $7,521.63 | $130,018.93 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $7,521.63 | $130,018.93 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $7,521.63 | $130,018.93 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $7,521.63 | $130,018.93 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $7,521.63 | $130,018.93 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $7,521.63 | $130,018.93 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $7,521.63 | $130,018.93 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $7,521.63 | $130,018.93 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $7,521.63 | $130,018.93 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $7,521.63 | $130,018.93 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $7,521.63 | $130,018.93 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $7,521.63 | $130,018.93 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $7,521.63 | $130,018.93 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $7,521.63 | $130,018.93 | — | 2026-03-26 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Inpatient | Fidelis | Managed Medicaid | $7,524.56 | $206,482.36 | $165,185.89 | 2026-07-15 | MRF ↗ |
| GUTHRIE CORTLAND REGIONAL MEDICAL CENTER Inpatient | Molina | — | $7,565.84 | $86,858.01 | $69,486.41 | 2026-07-15 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Inpatient | Fidelis | Managed Medicaid | $7,643.14 | $206,482.36 | $165,185.89 | 2026-07-15 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Inpatient | Molina | — | $7,689.28 | $94,971.94 | $47,485.97 | 2026-07-15 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Inpatient | Mvp | Managed Medicaid | $7,734.81 | $94,971.94 | $47,485.97 | 2026-07-15 | MRF ↗ |
| MAPLE GROVE HOSPITAL InpatientFacility | BLUE CROSS [1021] | NMH BCBS PMAP | $7,744.85 | $42,186.75 | — | 2026-09-25 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL InpatientFacility | BLUE CROSS [1021] | NMH BCBS PMAP | $7,744.85 | $42,184.04 | — | 2026-04-30 | MRF ↗ |
| CORNING HOSPITAL Inpatient | Fidelis | Managed Medicaid | $8,028.53 | $94,971.94 | $75,977.55 | 2026-07-15 | MRF ↗ |
| CORNING HOSPITAL Inpatient | United Healthcare | Managed Medicaid | $8,028.53 | $94,971.94 | $75,977.55 | 2026-07-15 | MRF ↗ |
| CORNING HOSPITAL Inpatient | Mvp | Managed Medicaid | $8,028.53 | $94,971.94 | $75,977.55 | 2026-07-15 | MRF ↗ |
| GUTHRIE CORTLAND REGIONAL MEDICAL CENTER Inpatient | United Healthcare | Managed Medicaid | $8,028.53 | $86,858.01 | $69,486.41 | 2026-07-15 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Inpatient | Mvp | Essential | $8,028.53 | $94,971.94 | $47,485.97 | 2026-07-15 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Inpatient | United Healthcare | Managed Medicaid | $8,028.53 | $94,971.94 | $47,485.97 | 2026-07-15 | MRF ↗ |
| CORNING HOSPITAL Inpatient | Bcbs | Managed Medicaid | $8,028.53 | $94,971.94 | $75,977.55 | 2026-07-15 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Fidelis | Fidelis QHP | $8,040.18 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Fidelis | Fidelis QHP | $8,040.18 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Fidelis | Fidelis QHP | $8,040.18 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Fidelis | Fidelis QHP | $8,040.18 | — | — | 2026-04-14 | MRF ↗ |
| MERCY MEDICAL CTR InpatientFacility | TUFTS HEALTH PUBLIC PLANS | TUFTS MEDICAID | $8,212.55 | — | — | 2026-03-31 | MRF ↗ |
| CORNING HOSPITAL Inpatient | Molina | — | $8,269.39 | $94,971.94 | $75,977.55 | 2026-07-15 | MRF ↗ |
| RIVERSIDE UNIVERSITY HEALTH SYSTEM-MEDICAL CENTER Inpatient | LA CARE HEALTH PLAN | MCAL HMO | $8,334.05 | $198,475.37 | — | 2026-01-01 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis Child Health Plus | $8,338.97 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Fidelis | Fidelis QHP | $8,442.19 | — | — | 2026-04-14 | MRF ↗ |
| ROBERT PACKER HOSPITAL Inpatient | Bcbs | Managed Medicaid | $8,460.89 | $94,971.94 | $75,977.55 | 2026-07-15 | MRF ↗ |
| ROBERT PACKER HOSPITAL Inpatient | Mvp | Managed Medicaid | $8,460.89 | $94,971.94 | $75,977.55 | 2026-07-15 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Inpatient | Bcbs | Managed Medicaid | $8,460.89 | $206,482.36 | $165,185.89 | 2026-07-15 | MRF ↗ |
| ROBERT PACKER HOSPITAL Inpatient | Molina | — | $8,714.72 | $94,971.94 | $75,977.55 | 2026-07-15 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Inpatient | Molina | — | $8,714.72 | $206,482.36 | $165,185.89 | 2026-07-15 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Inpatient | Molina | — | $8,714.72 | $206,482.36 | $165,185.89 | 2026-07-15 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Inpatient | Cdphp | Managed Medicaid | $8,869.47 | $206,482.36 | $165,185.89 | 2026-07-15 | MRF ↗ |
| ROBERT PACKER HOSPITAL Inpatient | United Healthcare | Managed Medicaid | $8,924.60 | $94,971.94 | $75,977.55 | 2026-07-15 | MRF ↗ |
| HSHS ST ELIZABETH'S HOSPITAL Inpatient | WEXFORD | WEXFORD HEALTH SOURCES | $8,938.32 | $83,946.75 | $60,441.66 | 2026-01-15 | MRF ↗ |
| HSHS ST ELIZABETH'S HOSPITAL Inpatient | MERIDIAN HEALTH PLAN | MERIDIAN HMO MCD | — | — | — | 2026-03-24 | MRF ↗ |
| HSHS ST ELIZABETH'S HOSPITAL Inpatient | MOLINA HEALTHCARE | MOLINA MEDICAID | — | — | — | 2026-03-24 | MRF ↗ |
| HSHS ST ELIZABETH'S HOSPITAL Inpatient | WEXFORD | WEXFORD HEALTH SOURCES | — | — | — | 2026-03-24 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis Medicaid | $9,064.10 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis HARP | $9,064.10 | — | — | 2026-04-14 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Inpatient | Cdphp | Managed Medicaid | $9,133.27 | $206,482.36 | $165,185.89 | 2026-07-15 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | AMERIHEALTH CARITAS [2230] | HB XR AMERIHEALTH CARITAS OH 103% | $9,242.58 | $79,791.74 | $47,875.04 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | UHC COMMUNITY MEDICAID [2175] | HB XR UNITED HEALTHCARE MGD MEDICAID OHIO | $9,242.58 | $79,791.74 | $47,875.04 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | HUMANA MEDICAID OH [3102] | HB XR HUMANA 103% OHIO MEDICAID | $9,242.58 | $79,791.74 | $47,875.04 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | AETNA BETTER HEALTH OHIO MEDICAID [2183] | HB XR AETNA BETTER HLTH MGD MEDICAID OH 108% | $9,242.58 | $79,791.74 | $47,875.04 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | ANTHEM MEDICAID OHIO [2192] | HB XR ANTHEM OH MEDICAID 103% | $9,242.58 | $79,791.74 | $47,875.04 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | CARESOURCE [2031] | HB XR CARESOURCE MGD MEDICAID OHIO 103% | $9,242.58 | $79,791.74 | $47,875.04 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | BUCKEYE COMMUNITY HEALTH [2028] | HB XR BUCKEYE MGD MEDICAID OH 106% | $9,242.58 | $79,791.74 | $47,875.04 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | MOLINA MEDICAID [2058] | HB XR MOLINA MGD MEDICAID OH 107% | $9,242.58 | $79,791.74 | $47,875.04 | 2025-12-19 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis QHP | $9,286.41 | — | — | 2026-04-14 | MRF ↗ |
| CORNING HOSPITAL Inpatient | Cdphp | Managed Medicaid | $9,334.79 | $94,971.94 | $75,977.55 | 2026-07-15 | MRF ↗ |
| HSHS ST ELIZABETH'S HOSPITAL Inpatient | MOLINA HEALTHCARE | MOLINA MEDICAID | $9,385.24 | $83,946.75 | $60,441.66 | 2026-01-15 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Inpatient | Fidelis | Exchange | $9,405.70 | $206,482.36 | $165,185.89 | 2026-07-15 | MRF ↗ |
| CORNING HOSPITAL Inpatient | Icircle | Managed Medicaid | $9,473.67 | $94,971.94 | $75,977.55 | 2026-07-15 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | Amerihealth | Managed Medicaid | $9,518.72 | — | — | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | Amerihealth | Managed Medicaid | $9,518.72 | — | — | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | Health Partners | Managed Medicaid | $9,518.72 | — | — | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | Health Partners | Managed Medicaid | $9,518.72 | — | — | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | UPMC for You | Managed Medicaid | $9,547.42 | — | — | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | UPMC for You | Managed Medicaid | $9,547.42 | — | — | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | Geisinger | Managed Medicaid | $9,709.10 | — | — | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | Geisinger | Managed Medicaid | $9,709.10 | — | — | 2026-02-12 | MRF ↗ |
| WEST PENN HOSPITAL Inpatient | Fidelis | Fidelis QHP | $9,728.61 | — | — | 2026-04-14 | MRF ↗ |
| MEADVILLE MEDICAL CENTER Inpatient | Geisinger | Managed Medicaid | $9,738.37 | — | — | 2026-09-11 | MRF ↗ |
| MEADVILLE MEDICAL CENTER Inpatient | Geisinger | Managed Medicaid | $9,738.37 | — | — | 2025-02-18 | MRF ↗ |
| MEADVILLE MEDICAL CENTER Inpatient | Geisinger | Managed Medicaid | $9,738.37 | — | — | 2025-02-18 | MRF ↗ |
| MEADVILLE MEDICAL CENTER Inpatient | Geisinger | Managed Medicaid | $9,738.37 | — | — | 2026-02-12 | MRF ↗ |
| GUTHRIE CORTLAND REGIONAL MEDICAL CENTER Inpatient | Bcbs | Managed Medicaid | $9,741.71 | $86,858.01 | $69,486.41 | 2026-07-15 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Inpatient | Cdphp | Managed Medicaid | $9,741.71 | $94,971.94 | $47,485.97 | 2026-07-15 | MRF ↗ |
| GUTHRIE CORTLAND REGIONAL MEDICAL CENTER Inpatient | Fidelis | Managed Medicaid | $9,741.71 | $86,858.01 | $69,486.41 | 2026-07-15 | MRF ↗ |
| GUTHRIE CORTLAND REGIONAL MEDICAL CENTER Inpatient | Wellcare | Managed Medicaid | $9,741.71 | $86,858.01 | $69,486.41 | 2026-07-15 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Independent Health | Independent Health State Products | $9,753.46 | — | — | 2026-04-14 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Inpatient | Fidelis | Managed Medicaid | $9,808.38 | $94,971.94 | $47,485.97 | 2026-07-15 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Inpatient | Bcbs | Managed Medicaid | $9,808.38 | $94,971.94 | $47,485.97 | 2026-07-15 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL InpatientFacility | BLUE CROSS [1021] | NMH BCBS PMAP | $9,809.60 | $57,636.12 | — | 2026-04-30 | MRF ↗ |
| MAPLE GROVE HOSPITAL InpatientFacility | BLUE CROSS [1021] | NMH BCBS PMAP | $9,809.60 | $53,530.79 | — | 2026-09-25 | MRF ↗ |
| HSHS ST ELIZABETH'S HOSPITAL Inpatient | MERIDIAN HEALTH PLAN | MERIDIAN HMO MCD | $9,832.15 | $83,946.75 | $60,441.66 | 2026-01-15 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Inpatient | Geisinger | Managed Medicaid | $9,906.22 | $94,971.94 | $47,485.97 | 2026-07-15 | MRF ↗ |
| ROBERT PACKER HOSPITAL Inpatient | Icircle | Managed Medicaid | $9,983.86 | $94,971.94 | $75,977.55 | 2026-07-15 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Inpatient | Icircle | Managed Medicaid | $9,983.86 | $206,482.36 | $165,185.89 | 2026-07-15 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | SUPERIOR HEALTH PLAN [1402] | SUPERIOR STAR HEALTH FOSTER CARE [140200] | $10,118.50 | $67,478.93 | $26,991.57 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | COOK CHILDREN HEALTH PLAN [1380] | COOK CHILDRENS CHIP [138006] | $10,314.98 | $67,478.93 | $26,991.57 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | AETNA BETTER HEALTH [1317] | AETNA BETTER HEALTH CHIP [131701] | $10,314.98 | $67,478.93 | $26,991.57 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | COOK CHILDREN HEALTH PLAN [1380] | COOK CHILDREN STAR MEDICAID [138000] | $10,314.98 | $67,478.93 | $26,991.57 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | COOK CHILDREN HEALTH PLAN [1380] | COOK CHILDRENS STAR KIDS [138005] | $10,314.98 | $67,478.93 | $26,991.57 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | PARKLAND COMMUNITY HEALTH PLAN [1056] | Parkland CHIP [105606] | $10,314.98 | $67,478.93 | $26,991.57 | 2026-05-29 | 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.