137 — Major Respiratory Infections And Inflammations
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS (APR_DRG 137) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/137?code_type=APR_DRG
MLA (9th ed.)
“MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS (APR_DRG 137) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/137?code_type=APR_DRG. Accessed .
Chicago (notes-bibliography)
“MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS (APR_DRG 137) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/137?code_type=APR_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $7,830–$19,057 (25th–75th percentile) across 75 hospitals · 290 payers.
“Negotiated” is the hospital’s negotiated facility rate for this APR_DRG 137 — 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 |
|---|---|---|---|---|---|---|---|
| TITUSVILLE AREA HOSPITAL Inpatient | United Healthcare Medicare | Medicare Advantage | $96.61 | — | — | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | United Healthcare Medicare | Medicare Advantage | $96.61 | — | — | 2026-02-12 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Inpatient | TEXAS REHABILITATION COMM [50038] | TEXAS REHABILITATION COMM [5003801] | $165.82 | $73,339.58 | $14,667.92 | 2026-03-31 | MRF ↗ |
| BETHESDA HOSPITAL EAST Inpatient | UNITED HEALTHCARE | UNITED MD HMO | — | — | — | 2026-03-30 | MRF ↗ |
| BETHESDA HOSPITAL EAST Inpatient | VISTA | COVENTRY MEDICAID | — | — | — | 2026-03-30 | MRF ↗ |
| BETHESDA HOSPITAL EAST Inpatient | SUNSHINE STATE | SUNSHINE ST MD HMONC | — | — | — | 2026-03-30 | MRF ↗ |
| BETHESDA HOSPITAL EAST Inpatient | WELLCARE | WELL CARE MD HMONC | — | — | — | 2026-03-30 | MRF ↗ |
| BETHESDA HOSPITAL EAST Inpatient | MEDICAID | SIMPLYHLTH MD HMO NC | — | — | — | 2026-03-30 | MRF ↗ |
| BETHESDA HOSPITAL EAST Inpatient | MEDICAID | PRESTIGE MD HMO NC | — | — | — | 2026-03-30 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Inpatient | POLICE DEPARTMENTS [50065] | POLICE DEPTS [5006501] | $1,000.00 | $73,339.58 | $14,667.92 | 2026-03-31 | MRF ↗ |
| FRANKLIN WOODS COMMUNITY HOSPITAL Inpatient | OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | — | — | — | 2026-03-23 | MRF ↗ |
| FRANKLIN WOODS COMMUNITY HOSPITAL Inpatient | WELLCARE | WELLCARE MEDICAID | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | BLUE CROSS | TENNCARE BLUE SELECT | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | AMERIGROUP | AMERIGROUP | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | — | — | — | 2026-03-23 | MRF ↗ |
| FRANKLIN WOODS COMMUNITY HOSPITAL Inpatient | BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | — | — | — | 2026-03-23 | MRF ↗ |
| FRANKLIN WOODS COMMUNITY HOSPITAL Inpatient | MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | BLUE CROSS | TENNCARE BLUE CARE | — | — | — | 2026-03-23 | MRF ↗ |
| FRANKLIN WOODS COMMUNITY HOSPITAL Inpatient | BLUE CROSS | TENNCARE BLUE SELECT | — | — | — | 2026-03-23 | MRF ↗ |
| FRANKLIN WOODS COMMUNITY HOSPITAL Inpatient | AMERIGROUP | AMERIGROUP | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | AMERIGROUP | AMERIGROUP | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | BLUE CROSS | TENNCARE BLUE SELECT | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | BLUE CROSS | TENNCARE BLUE CARE | — | — | — | 2026-03-23 | MRF ↗ |
| FRANKLIN WOODS COMMUNITY HOSPITAL Inpatient | UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | — | — | — | 2026-03-23 | MRF ↗ |
| Children's Healthcare of Atlanta at Hughes Spalding Inpatient | CARESOURCE [61] | CARESOURCE: HUGHES SPALDING PEACHCARE | $2,485.16 | $10,051.00 | $10,051.00 | 2026-04-23 | MRF ↗ |
| Children's Healthcare of Atlanta at Hughes Spalding Inpatient | AMERIGROUP [102] | AMERIGROUP: HUGHES SPALDING PEACHCARE | $2,485.16 | $10,051.00 | $10,051.00 | 2026-04-23 | MRF ↗ |
| Children's Healthcare of Atlanta at Hughes Spalding Inpatient | CARESOURCE [61] | CARESOURCE: HUGHES SPALDING MCAID | $2,485.16 | $10,051.00 | $10,051.00 | 2026-04-23 | MRF ↗ |
| Children's Healthcare of Atlanta at Hughes Spalding Inpatient | AMERIGROUP [102] | AMERIGROUP: HUGHES SPALDING MCAID | $2,485.16 | $10,051.00 | $10,051.00 | 2026-04-23 | MRF ↗ |
| Children's Healthcare of Atlanta at Hughes Spalding Inpatient | PEACHSTATE [43] | PEACH STATE: HUGHES SPALDING MCAID | $2,485.60 | $10,051.00 | $10,051.00 | 2026-04-23 | MRF ↗ |
| Children's Healthcare of Atlanta at Hughes Spalding Inpatient | PEACHSTATE [43] | PEACH STATE: HUGHES SPALDING PEACHCARE | $2,485.60 | $10,051.00 | $10,051.00 | 2026-04-23 | MRF ↗ |
| JOHNSON CITY MEDICAL CENTER Inpatient | WELLCARE | WELLCARE MEDICAID | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSON CITY MEDICAL CENTER Inpatient | UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSON CITY MEDICAL CENTER Inpatient | MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSON CITY MEDICAL CENTER Inpatient | BLUE CROSS | TENNCARE BLUE SELECT | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSON CITY MEDICAL CENTER Inpatient | BLUE CROSS | TENNCARE BLUE CARE | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSON CITY MEDICAL CENTER Inpatient | AMERIGROUP | AMERIGROUP | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSON CITY MEDICAL CENTER Inpatient | AETNA | AETNA BETTER HEALTH OF VIRGINIA | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSON CITY MEDICAL CENTER Inpatient | BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | — | — | — | 2026-03-23 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $2,819.10 | $22,690.45 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $2,819.10 | $25,852.85 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $2,819.10 | $22,690.45 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $2,819.10 | $25,852.85 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $2,819.10 | $22,690.45 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $2,819.10 | $25,852.85 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $2,819.10 | $22,690.45 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $2,819.10 | $22,690.45 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $2,819.10 | $22,690.45 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $2,819.10 | $22,690.45 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $2,819.10 | $25,852.85 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $2,819.10 | $25,852.85 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $2,819.10 | $25,852.85 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $2,819.10 | $22,690.45 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $2,819.10 | $22,690.45 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $2,819.10 | $22,690.45 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $2,819.10 | $22,690.45 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $2,819.10 | $25,852.85 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $2,819.10 | $25,852.85 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $2,819.10 | $25,852.85 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $2,819.10 | $22,690.45 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $2,819.10 | $25,852.85 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $2,819.10 | $25,852.85 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $2,819.10 | $22,690.45 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $2,819.10 | $22,690.45 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $2,819.10 | $22,690.45 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $2,819.10 | $22,690.45 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $2,819.10 | $25,852.85 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $2,819.10 | $22,690.45 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $2,819.10 | $22,690.45 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $2,819.10 | $22,690.45 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $2,819.10 | $25,852.85 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $2,819.10 | $22,690.45 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $2,819.10 | $22,690.45 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $2,819.10 | $25,852.85 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $2,819.10 | $25,852.85 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $2,819.10 | $22,690.45 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $2,819.10 | $25,852.85 | — | 2026-03-26 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | AMERIHEALTH CARITAS [2230] | HB XR AMERIHEALTH CARITAS OH 103% | — | $35,760.78 | $21,456.47 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | ANTHEM MEDICAID OHIO [2192] | HB XR ANTHEM OH MEDICAID 103% | — | $35,760.78 | $21,456.47 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | CARESOURCE [2031] | HB XR CARESOURCE MGD MEDICAID OHIO 103% | — | $35,760.78 | $21,456.47 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | MOLINA MEDICAID [2058] | HB XR MOLINA MGD MEDICAID OH 107% | — | $35,760.78 | $21,456.47 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | AETNA BETTER HEALTH OHIO MEDICAID [2183] | HB XR AETNA BETTER HLTH MGD MEDICAID OH 108% | — | $35,760.78 | $21,456.47 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | HUMANA MEDICAID OH [3102] | HB XR HUMANA 103% OHIO MEDICAID | — | $35,760.78 | $21,456.47 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | BUCKEYE COMMUNITY HEALTH [2028] | HB XR BUCKEYE MGD MEDICAID OH 106% | — | $35,760.78 | $21,456.47 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | UHC COMMUNITY MEDICAID [2175] | HB XR UHC INDIANA PATHWAYS MEDICAID | $2,856.02 | $35,760.78 | $21,456.47 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | UHC COMMUNITY MEDICAID [2175] | HB XR UNITED HEALTHCARE MGD MEDICAID OHIO | — | $35,760.78 | $21,456.47 | 2025-12-19 | MRF ↗ |
| UNION GENERAL HOSPITAL Inpatient | CARESOURCE NETWORK PARTNERS, LLC. | CARE SOURCE MEDICAID | — | — | — | 2026-03-23 | MRF ↗ |
| UNION GENERAL HOSPITAL Inpatient | AMERIGROUP COMMUNITY CARE | AMERIGROUP MEDICAID | — | — | — | 2026-03-23 | MRF ↗ |
| UNION GENERAL HOSPITAL Inpatient | UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID | — | — | — | 2026-03-23 | MRF ↗ |
| UNION GENERAL HOSPITAL Inpatient | WELLCARE | WELCARE MEDICAID | — | — | — | 2026-03-23 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis Child Health Plus | $3,565.35 | — | — | 2026-04-14 | MRF ↗ |
| RIVERSIDE UNIVERSITY HEALTH SYSTEM-MEDICAL CENTER Inpatient | LA CARE HEALTH PLAN | MCAL HMO | $3,647.95 | $182,870.09 | — | 2026-01-01 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST InpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $3,730.73 | $12,479.30 | — | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS InpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $3,730.73 | $20,000.19 | — | 2026-03-12 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis Medicaid | $3,875.38 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis HARP | $3,875.38 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Independent Health | Independent Health State Products | $3,887.28 | — | — | 2026-04-14 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | ANTHEM MEDICAID OHIO [2192] | HB XR ANTHEM OH MEDICAID 103% | $3,950.31 | $26,167.22 | $15,700.33 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | HUMANA MEDICAID OH [3102] | HB XR HUMANA 103% OHIO MEDICAID | $3,950.31 | $26,167.22 | $15,700.33 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | AETNA BETTER HEALTH OHIO MEDICAID [2183] | HB XR AETNA BETTER HLTH MGD MEDICAID OH 108% | $3,950.31 | $26,167.22 | $15,700.33 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | BUCKEYE COMMUNITY HEALTH [2028] | HB XR BUCKEYE MGD MEDICAID OH 106% | $3,950.31 | $26,167.22 | $15,700.33 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | UHC COMMUNITY MEDICAID [2175] | HB XR UNITED HEALTHCARE MGD MEDICAID OHIO | $3,950.31 | $64,083.63 | $38,450.18 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | CARESOURCE [2031] | HB XR CARESOURCE MGD MEDICAID OHIO 103% | $3,950.31 | $26,167.22 | $15,700.33 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | MOLINA MEDICAID [2058] | HB XR MOLINA MGD MEDICAID OH 107% | $3,950.31 | $26,167.22 | $15,700.33 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | AMERIHEALTH CARITAS [2230] | HB XR AMERIHEALTH CARITAS OH 103% | $3,950.31 | $26,167.22 | $15,700.33 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | UHC COMMUNITY MEDICAID [2175] | HB XR UHC INDIANA PATHWAYS MEDICAID | $4,013.46 | $26,167.22 | $15,700.33 | 2025-12-19 | MRF ↗ |
| RIVERSIDE UNIVERSITY HEALTH SYSTEM-MEDICAL CENTER Inpatient | LA CARE HEALTH PLAN | MCAL HMO | $4,038.40 | $120,196.62 | — | 2026-01-01 | MRF ↗ |
| HSHS ST ELIZABETH'S HOSPITAL Inpatient | WEXFORD | WEXFORD HEALTH SOURCES | $4,121.19 | $33,186.88 | $23,894.55 | 2026-01-15 | MRF ↗ |
| ST JOSEPHS HOSPITAL Inpatient | MOLINA HEALTHCARE | MOLINA MEDICAID | $4,121.19 | $37,849.80 | $27,251.86 | 2026-01-15 | MRF ↗ |
| Hshs Good Shepherd Hospital Inc Inpatient | WEXFORD | WEXFORD HEALTH SOURCES | — | — | — | 2026-03-24 | MRF ↗ |
| Hshs Good Shepherd Hospital Inc Inpatient | MERIDIAN HEALTH PLAN | MERIDIAN HMO MCD | — | — | — | 2026-03-24 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $4,160.90 | $49,603.60 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $4,160.90 | $49,603.60 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $4,160.90 | $49,603.60 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $4,160.90 | $49,603.60 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $4,160.90 | $50,244.45 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $4,160.90 | $49,603.60 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $4,160.90 | $49,603.60 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $4,160.90 | $82,543.70 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $4,160.90 | $49,603.60 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $4,160.90 | $50,244.45 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $4,160.90 | $82,543.70 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $4,160.90 | $49,603.60 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $4,160.90 | $50,244.45 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $4,160.90 | $82,543.70 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $4,160.90 | $82,543.70 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $4,160.90 | $82,543.70 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $4,160.90 | $49,603.60 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $4,160.90 | $49,603.60 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $4,160.90 | $82,543.70 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $4,160.90 | $82,543.70 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $4,160.90 | $82,543.70 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $4,160.90 | $82,543.70 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $4,160.90 | $82,543.70 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $4,160.90 | $82,543.70 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $4,160.90 | $82,543.70 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $4,160.90 | $82,543.70 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $4,160.90 | $82,543.70 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $4,160.90 | $50,244.45 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $4,160.90 | $50,244.45 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $4,160.90 | $82,543.70 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $4,160.90 | $49,603.60 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $4,160.90 | $50,244.45 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $4,160.90 | $49,603.60 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $4,160.90 | $49,603.60 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $4,160.90 | $50,244.45 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $4,160.90 | $49,603.60 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $4,160.90 | $50,244.45 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $4,160.90 | $50,973.70 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $4,160.90 | $50,973.70 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $4,160.90 | $50,973.70 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $4,160.90 | $50,973.70 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $4,160.90 | $50,973.70 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $4,160.90 | $50,973.70 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $4,160.90 | $50,973.70 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $4,160.90 | $50,973.70 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $4,160.90 | $49,603.60 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $4,160.90 | $49,603.60 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $4,160.90 | $49,603.60 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $4,160.90 | $49,603.60 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $4,160.90 | $82,543.70 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $4,160.90 | $49,603.60 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $4,160.90 | $49,603.60 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $4,160.90 | $49,603.60 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $4,160.90 | $49,603.60 | — | 2026-03-26 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Aetna | Aetna Better Health CHIP | $4,207.01 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $4,207.01 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $4,207.01 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $4,207.01 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Aetna | Aetna Better Health CHIP | $4,207.01 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $4,207.01 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Aetna | Aetna Better Health CHIP | $4,207.01 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $4,207.01 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Aetna | Aetna Better Health CHIP | $4,207.01 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Aetna | Aetna Better Health CHIP | $4,207.01 | — | — | 2026-04-14 | MRF ↗ |
| HSHS ST ELIZABETH'S HOSPITAL Inpatient | MOLINA HEALTHCARE | MOLINA MEDICAID | $4,327.25 | $33,186.88 | $23,894.55 | 2026-01-15 | MRF ↗ |
| ST MARYS HOSPITAL Inpatient | MOLINA HEALTHCARE | MOLINA MEDICAID | $4,327.25 | $49,077.25 | $35,335.62 | 2026-01-15 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | Health Partners | Managed Medicaid | $4,371.33 | — | — | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | Amerihealth | Managed Medicaid | $4,371.33 | — | — | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | Health Partners | Managed Medicaid | $4,371.33 | — | — | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | Amerihealth | Managed Medicaid | $4,371.33 | — | — | 2026-02-12 | MRF ↗ |
| Heritage Valley Kennedy Hospital Inpatient | UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID | $4,411.14 | $44,326.00 | $10,530.14 | 2024-12-30 | MRF ↗ |
| Heritage Valley Kennedy Hospital Inpatient | GATEWAY HEALTH PLAN | GATEWAY MEDICAID DBA HIGHMARK WHOLECARE | $4,411.14 | $44,326.00 | $10,530.14 | 2024-12-30 | MRF ↗ |
| Heritage Valley Kennedy Hospital Inpatient | UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID | $4,411.14 | $44,326.00 | $10,530.14 | 2024-12-30 | MRF ↗ |
| Heritage Valley Kennedy Hospital Inpatient | GATEWAY HEALTH PLAN | GATEWAY MEDICAID DBA HIGHMARK WHOLECARE | $4,411.14 | $44,326.00 | $10,530.14 | 2024-12-30 | MRF ↗ |
| Heritage Valley Kennedy Hospital Inpatient | AETNA HEALTH INC | AETNA BETTER HEALTH MEDICAID | $4,411.14 | $44,326.00 | $10,530.14 | 2024-12-30 | MRF ↗ |
| Heritage Valley Kennedy Hospital Inpatient | AETNA HEALTH INC | AETNA BETTER HEALTH MEDICAID | $4,411.14 | $44,326.00 | $10,530.14 | 2024-12-30 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Aetna | Aetna Better Health CHIP | $4,417.37 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $4,417.37 | — | — | 2026-04-14 | MRF ↗ |
| Heritage Valley Kennedy Hospital Inpatient | UPMC HEALTH PLAN | UPMC MEDICAID | $4,419.52 | $44,326.00 | $10,530.14 | 2024-12-30 | MRF ↗ |
| Heritage Valley Kennedy Hospital Inpatient | UPMC HEALTH PLAN | UPMC MEDICAID | $4,419.52 | $44,326.00 | $10,530.14 | 2024-12-30 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | Geisinger | Managed Medicaid | $4,458.76 | — | — | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | Geisinger | Managed Medicaid | $4,458.76 | — | — | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | UPMC for You | Managed Medicaid | $4,475.68 | — | — | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | UPMC for You | Managed Medicaid | $4,475.68 | — | — | 2026-02-12 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $4,531.79 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $4,531.79 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $4,531.79 | — | — | 2026-04-14 | 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.