1601 — Major Cardiothoracic Repair Of Heart Anomaly
Cite this view
HANK Price Transparency. (n.d.). MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY (APR_DRG 1601) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/1601?code_type=APR_DRG
“MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY (APR_DRG 1601) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/1601?code_type=APR_DRG. Accessed .
“MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY (APR_DRG 1601) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/1601?code_type=APR_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $18,975–$37,543 (25th–75th percentile) across 1,164 hospitals · 622 payers.
“Negotiated” is the hospital’s negotiated rate for the entire inpatient stay under APR_DRG 1601 — the consumer-grade median across the country. An inpatient (DRG) price bundles the whole admission: operating room, room & board, recovery, imaging, anesthesia (facility), implants and supplies. It does not include the surgeon’s or anesthesiologist’s professional fees, which are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| LOMA LINDA UNIVERSITY MEDICAL CENTER-MURRIETA InpatientFacility | Inland Empire Health Plan (IEHP) | Medi-Cal | $2.80 | — | — | 2026-02-19 | MRF ↗ |
| Memorial Regional Hospital South InpatientFacility | OptumHealth Care Solutions | Transplants - Medicaid | $4.19 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL WEST InpatientFacility | OptumHealth Care Solutions | Transplants - Medicaid | $4.19 | — | — | 2026-05-27 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Superior Health Plan | CHIP/Medicaid | $4.99 | — | — | 2026-04-15 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Parkland | Medicaid | $4.99 | — | — | 2026-04-15 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Molina | CHIP/Medicaid | $4.99 | — | — | 2026-04-15 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Cigna | Medicaid | $4.99 | — | — | 2026-04-15 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Amerigroup | CHIP/Medicaid | $4.99 | — | — | 2026-04-15 | MRF ↗ |
| ELIZABETHTOWN COMMUNITY HOSPITAL InpatientFacility | — | — | — | — | — | 2025-01-01 | MRF ↗ |
| NEW ULM MEDICAL CENTER Inpatient | Medicaid | Medicaid Ma (N) | $1,421.14 | — | — | 2026-07-18 | MRF ↗ |
| NEW ULM MEDICAL CENTER Inpatient | South Country Health Alliance | Scha Pmap (N) | $1,470.00 | — | — | 2026-07-18 | MRF ↗ |
| FOSTORIA COMMUNITY HOSPITAL Inpatient | Meridian Health Plan Of Mi | Meridian | $1,600.00 | — | — | 2026-07-17 | MRF ↗ |
| PROMEDICA DEFIANCE REGIONAL HOSPITAL Inpatient | Meridian Health Plan Of Mi | Meridian | $1,600.00 | — | — | 2026-07-17 | MRF ↗ |
| PROMEDICA MONROE REGIONAL HOSPITAL Inpatient | Meridian | Meridian | $1,600.00 | — | — | 2026-07-15 | MRF ↗ |
| PROMEDICA TOLEDO HOSPITAL Inpatient | Health Plan Of Michigan Dba Meridian Health Plan Of Michigan | Meridian | $1,600.00 | — | — | 2026-07-17 | MRF ↗ |
| BAY PARK COMMUNITY HOSPITAL Inpatient | Meridian Health Plan Of Mi | Meridian | $1,600.00 | — | — | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Healthlink | Hmo | — | — | — | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Healthlink | Ppo | — | — | — | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Centene Managed Health Services | Mgd. Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Soonercare | Managed Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Cigna Hmo Ppo | — | $2,646.00 | $136,568.64 | $88,769.62 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Medicaid Other | — | $2,879.76 | $136,568.64 | $88,769.62 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Medicaid Sc | — | $2,900.80 | $136,568.64 | $88,769.62 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Bluechoice Medicaid (Greenville County Only) | — | $2,948.38 | $136,568.64 | $88,769.62 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Molina Medicaid | — | $2,987.82 | $136,568.64 | $88,769.62 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Blue Choice Medicaid (Greenville County Only) | — | $3,000.95 | $136,568.64 | $88,769.62 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Select Health Medicaid | — | $3,045.84 | $136,568.64 | $88,769.62 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Bluechoice Medicaid | — | $3,045.84 | $136,568.64 | $88,769.62 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Absolute Total Care Medicaid | — | $3,045.84 | $136,568.64 | $88,769.62 | 2026-07-05 | MRF ↗ |
| CITIZENS MEDICAL CENTER Inpatient | Us Department Of Justice | Us Marshall Services Inmate | $3,093.47 | — | — | 2026-09-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Blue Choice Medicaid (Greenville County Only) | — | $3,094.83 | $136,568.64 | $88,769.62 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Medicaid | — | $3,136.58 | $136,568.64 | $88,769.62 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Medicaid Other | — | $3,136.58 | $136,568.64 | $88,769.62 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Absolute Total Care Medicaid | — | $3,167.33 | $136,568.64 | $88,769.62 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bluechoice Medicaid | — | $3,192.50 | $136,568.64 | $88,769.62 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Blue Choice Medicaid (Greenville County Only) | — | $3,195.81 | $136,569.00 | $88,770.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Blue Choice Medicaid (Greenville County Only) | — | $3,220.67 | $136,568.64 | $88,769.62 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Select Health Medicaid | — | $3,256.13 | $136,568.64 | $88,769.62 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Select Health Medicaid | — | $3,288.28 | $136,568.64 | $88,769.62 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Molina Medicaid | — | $3,288.28 | $136,568.64 | $88,769.62 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Bluechoice Medicaid | — | $3,292.37 | $136,568.64 | $88,769.62 | 2026-07-05 | MRF ↗ |
| RIVER FALLS AREA HOSPITAL Inpatient | South Country Health Alliance | Scha Pmap (R) | $3,319.06 | — | — | 2026-07-15 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Medicaid Sc | — | $3,347.53 | $136,568.64 | $88,769.62 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Medicaid | — | $3,349.65 | $136,568.64 | $88,769.62 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Absolute Total Care Medicaid | — | $3,352.13 | $136,568.64 | $88,769.62 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Humana Healthy Horizons Medicaid | — | $3,356.14 | $136,568.64 | $88,769.62 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Bluechoice Medicaid | — | $3,374.53 | $136,568.64 | $88,769.62 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Molina Medicaid | — | $3,391.14 | $136,568.64 | $88,769.62 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Select Health Medicaid | — | $3,391.14 | $136,568.64 | $88,769.62 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Medicare Advantage Non Contracted | — | $3,399.80 | $136,569.00 | $88,770.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Bluechoice Medicaid | — | $3,399.80 | $136,569.00 | $88,770.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Medicaid | — | $3,399.80 | $136,569.00 | $88,770.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Bluechoice Medicaid | — | $3,426.25 | $136,568.64 | $88,769.62 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Medicaid Other | — | $3,430.81 | $136,568.64 | $88,769.62 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Select Health Medicaid | — | $3,450.24 | $136,568.64 | $88,769.62 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Absolute Total Care Medicaid | — | $3,456.99 | $136,568.64 | $88,769.62 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL InpatientFacility | — | — | — | — | — | 2024-12-16 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Bluechoice Medicaid | — | $3,481.60 | $136,568.64 | $88,769.62 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Molina Medicaid | — | $3,492.94 | $136,568.64 | $88,769.62 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Select Health Medicaid | — | $3,501.79 | $136,569.00 | $88,770.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Molina Medicaid | — | $3,501.79 | $136,569.00 | $88,770.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Medicaid | — | $3,509.06 | $136,568.64 | $88,769.62 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Medicaid Other | — | $3,509.06 | $136,568.64 | $88,769.62 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Absolute Total Care Medicaid | — | $3,514.91 | $136,568.64 | $88,769.62 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Select Health Medicaid | — | $3,529.04 | $136,568.64 | $88,769.62 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Molina Medicaid | — | $3,529.04 | $136,568.64 | $88,769.62 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Medicaid Sc | — | $3,539.96 | $136,568.64 | $88,769.62 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Absolute Total Care Medicaid | — | $3,569.79 | $136,569.00 | $88,770.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Humana Healthy Horizons Medicaid | — | $3,581.86 | $136,568.64 | $88,769.62 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Humana Healthy Horizons Medicaid | — | $3,584.13 | $136,568.64 | $88,769.62 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Absolute Total Care Medicaid | — | $3,597.56 | $136,568.64 | $88,769.62 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Molina Medicaid | — | $3,607.07 | $136,568.64 | $88,769.62 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Humana Healthy Horizons Medicaid | — | $3,637.79 | $136,569.00 | $88,770.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Absolute Total Care Medicaid | — | $3,669.80 | $136,568.64 | $88,769.62 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Select Health Medicaid | — | $3,682.29 | $136,568.64 | $88,769.62 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Medicaid | — | $3,685.64 | $136,568.64 | $88,769.62 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Humana Healthy Horizons Medicaid | — | $3,754.70 | $136,568.64 | $88,769.62 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Humana Healthy Horizons Medicaid | — | $3,787.76 | $136,568.64 | $88,769.62 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Humana Healthy Horizons Medicaid | — | $3,787.76 | $136,568.64 | $88,769.62 | 2026-07-05 | MRF ↗ |
| CHILDREN'S HOSP OF LOS ANGELES Inpatient | Molina | Molina Mmc | — | — | — | 2026-07-18 | MRF ↗ |
| THE SHRINERS' HOSPITAL FOR CHILDREN - BOSTON Inpatient | Bms Healthnet Bos | Managed Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| THE SHRINERS' HOSPITAL FOR CHILDREN - BOSTON Inpatient | Centene Meridian Health Plan Of Mi | Mngd Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| THE SHRINERS' HOSPITAL FOR CHILDREN - BOSTON Inpatient | Amerihealth Caritas Florida | Managed Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| THE SHRINERS' HOSPITAL FOR CHILDREN - BOSTON Inpatient | Health New England | Medicare Advantage | — | — | — | 2026-07-15 | MRF ↗ |
| THE SHRINERS' HOSPITAL FOR CHILDREN - BOSTON Inpatient | Humana | Tricare | — | — | — | 2026-07-15 | MRF ↗ |
| THE SHRINERS' HOSPITAL FOR CHILDREN - BOSTON Inpatient | Centene Sunshine Health | Mngd Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| THE SHRINERS' HOSPITAL FOR CHILDREN - BOSTON Inpatient | Mass General Brigham Health Plan | Mgd. Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Humana Healthy Horizons Medicaid | — | $3,943.63 | $136,568.64 | $88,769.62 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Molina Medicaid | — | $3,950.09 | $136,568.64 | $88,769.62 | 2026-07-05 | MRF ↗ |
| MONTEFIORE ST LUKE'S CORNWALL Inpatient | Anthem | Exchange | $3,951.63 | — | — | 2026-04-01 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Health Net Federal Services | Tricare | — | — | — | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Health Net Federal Services | Tricare | — | — | — | 2026-07-15 | MRF ↗ |
| EAST COOPER MEDICAL CENTER InpatientFacility | Select Health | Medicaid | $4,510.17 | — | — | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER InpatientFacility | Humana | Medicaid | $4,510.17 | — | — | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER InpatientFacility | Absolute Total Care | Medicaid | $4,735.68 | — | — | 2026-03-12 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Medicaid Other | Medicaid Other | $4,984.48 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $5,349.18 | — | — | 2026-09-21 | MRF ↗ |
| SPENCER MUNICIPAL HOSPITAL Inpatient | Wellmark Hmo | Ppo | $5,428.32 | — | — | 2026-07-15 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $5,546.06 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Select Health | Select Health Medicaid | $5,635.90 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Molina | Molina Medicaid | $5,635.90 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $5,690.62 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $5,745.34 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL InpatientFacility | — | — | — | — | — | 2024-12-10 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $5,934.29 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL InpatientFacility | — | — | — | — | — | 2024-12-12 | MRF ↗ |
| SPENCER MUNICIPAL HOSPITAL Inpatient | Wellmark Ppo | Ppo | $5,971.82 | — | — | 2026-07-15 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL InpatientFacility | — | — | — | — | — | 2024-12-07 | MRF ↗ |
| SOUTHWEST HEALTH CENTER InpatientFacility | CARE WISCONSIN | MANAGED MEDICAID | $6,780.88 | — | — | 2026-03-27 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL InpatientFacility | — | — | — | — | — | 2024-12-13 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL InpatientFacility | — | — | — | — | — | 2024-12-13 | MRF ↗ |
| PRISMA HEALTH BAPTIST InpatientFacility | — | — | — | — | — | 2025-03-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE InpatientFacility | — | — | — | — | — | 2025-03-06 | MRF ↗ |
| SANFORD LUVERNE MEDICAL CENTER InpatientFacility | Ucare | Medicaid Managed Care | $7,602.38 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD LUVERNE MEDICAL CENTER InpatientFacility | Primewest | Medicaid Managed Care | $7,602.38 | — | — | 2026-03-04 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL InpatientFacility | OHANA | NON-ABD | $7,729.83 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL InpatientFacility | OHANA | ABD | $7,729.83 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL InpatientFacility | OHANA | ABD | $7,729.83 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL InpatientFacility | OHANA | NON-ABD | $7,729.83 | — | — | 2026-02-12 | MRF ↗ |
| Prisma Health North Greenville Ltach | Medicaid Other | — | $7,903.47 | $136,568.64 | $88,770.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Humana Healthy Horizons Medicaid | — | $8,456.71 | $136,568.64 | $88,770.00 | 2026-07-05 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN InpatientFacility | OHANA | NON-ABD | $8,512.86 | — | — | 2026-02-12 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN InpatientFacility | OHANA | ABD | $8,512.86 | — | — | 2026-02-12 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN InpatientFacility | ALOHACARE | MEDICAID | $8,512.86 | — | — | 2026-02-12 | MRF ↗ |
| Prisma Health North Greenville Ltach | Blue Choice Medicaid (Greenville County Only) | — | $8,619.23 | $136,568.64 | $88,770.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Medicaid | — | $9,169.40 | $136,568.64 | $88,770.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Bluechoice Medicaid | — | $9,169.40 | $136,568.64 | $88,770.00 | 2026-07-05 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Inpatient | Clear Health Alliance | Medicaid | $9,172.88 | — | — | 2026-07-15 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Inpatient | Humana | Medicaid | $9,172.88 | — | — | 2026-07-15 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Inpatient | Wellcare | Medicaid | $9,172.88 | — | — | 2026-07-15 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Inpatient | Healthy Way La | Healthy Way La | $9,377.73 | — | — | 2026-07-15 | MRF ↗ |
| Prisma Health North Greenville Ltach | Molina Medicaid | — | $9,444.48 | $136,568.64 | $88,770.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Select Health Medicaid | — | $9,444.48 | $136,568.64 | $88,770.00 | 2026-07-05 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Inpatient | United Healthcare | Medicaid | $9,448.00 | — | — | 2026-07-15 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Inpatient | United Healthcare | Medicaid | $9,448.07 | — | — | 2026-07-15 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Inpatient | United Healthcare | Medicaid | $9,539.79 | — | — | 2026-07-15 | MRF ↗ |
| ELMHURST HOSPITAL CENTER InpatientFacility | Healthfirst | Small Group | $9,598.42 | — | — | 2025-09-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Absolute Total Care Medicaid | — | $9,627.87 | $136,568.64 | $88,770.00 | 2026-07-05 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Inpatient | Staywell | Wellcare Medicaid | $9,631.52 | — | — | 2026-07-15 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Inpatient | Humana | Medicaid | $9,631.52 | — | — | 2026-07-15 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Inpatient | Humana | Medicaid | $9,632.00 | — | — | 2026-07-15 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Inpatient | Staywell | Wellcare Medicaid | $9,632.00 | — | — | 2026-07-15 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Inpatient | Vivada | Medicaid | $9,814.98 | — | — | 2026-07-15 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Inpatient | Vivada | Medicaid | $9,815.00 | — | — | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Inpatient | Mdwise | Hip | $9,821.90 | — | — | 2026-07-17 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Inpatient | Aetna | Medicaid | $9,906.71 | — | — | 2026-07-15 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Inpatient | Aetna | Medicaid | $9,906.71 | — | — | 2026-07-15 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Inpatient | Aetna | Medicaid | $9,906.71 | — | — | 2026-07-15 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Managed Health Services (MHS) Hoosier Care Connect | Managed Medicaid | $9,970.45 | — | — | 2025-04-24 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | CareSource Indiana Healthy Indiana Plan (HIP) | Managed Medicaid | $9,970.45 | — | — | 2025-04-24 | MRF ↗ |
| REID HEALTH InpatientFacility | Anthem Blue Cross Blue Shield | Managed Medicaid | $9,970.45 | — | — | 2025-07-21 | MRF ↗ |
| REID HEALTH InpatientFacility | Anthem Blue Cross Blue Shield | Pathways for Aging/Managed Medicaid | $9,970.45 | — | — | 2025-07-21 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Humana | Managed Medicaid | $9,970.45 | — | — | 2025-04-24 | MRF ↗ |
| REID HEALTH InpatientFacility | Caresource of Indiana | Managed Medicaid | $9,970.45 | — | — | 2025-07-21 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Managed Health Services (MHS) Hoosier Healthwise (HHW) | Managed Medicaid | $9,970.45 | — | — | 2025-04-24 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | United Healthcare of Indiana | Managed Medicaid | $9,970.45 | — | — | 2026-06-03 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | Managed Health Services (MHS) Hoosier Care Connect | Managed Medicaid | $9,970.45 | — | — | 2026-06-03 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Anthem Blue Cross Blue Shield | Managed Medicaid | $9,970.45 | — | — | 2025-04-24 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | Managed Health Services (MHS) | Managed Medicaid | $9,970.45 | — | — | 2026-06-03 | MRF ↗ |
| REID HEALTH InpatientFacility | Humana of Indiana | Pathways for Aging/Managed Medicaid | $9,970.45 | — | — | 2025-07-21 | MRF ↗ |
| REID HEALTH InpatientFacility | MHS | Managed Medicaid | $9,970.45 | — | — | 2025-07-21 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | CareSource Indiana Healthy Indiana Plan (HIP) | Managed Medicaid | $9,970.45 | — | — | 2026-06-03 | MRF ↗ |
| REID HEALTH InpatientFacility | MDWise | Managed Medicaid | $9,970.45 | — | — | 2025-07-21 | MRF ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC InpatientFacility | Anthem Blue Cross of IN | Medicaid | $9,972.21 | — | — | 2026-02-18 | MRF ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC InpatientFacility | CareSource Indiana of IN | Hoosier Healthwise/HIP | $9,972.21 | — | — | 2026-02-18 | MRF ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC InpatientFacility | Managed Health Services | Medicaid | $9,972.21 | — | — | 2026-02-18 | MRF ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC InpatientFacility | MDWise | Medicaid | $9,972.21 | — | — | 2026-02-18 | MRF ↗ |
| UOFL HEALTH - SHELBYVILLE HOSPITAL Inpatient | Anthem | In Medicaid | $10,040.64 | — | — | 2026-07-15 | MRF ↗ |
| UofL Health - Peace Hospital Inpatient | Anthem | In Medicaid | $10,040.64 | — | — | 2026-07-15 | MRF ↗ |
| UofL Health - South Hospital Inpatient | Anthem | In Medicaid | $10,040.64 | — | — | 2026-07-15 | MRF ↗ |
| UofL Health - Medical Center Southwest Inpatient | Anthem | In Medicaid | $10,040.64 | — | — | 2026-07-15 | MRF ↗ |
| UofL Health - Medical Center Northeast Inpatient | Anthem | In Medicaid | $10,040.64 | — | — | 2026-07-15 | MRF ↗ |
| UofL Health - Frazier Rehabilitation Hospital - Brownsboro Inpatient | Anthem | In Medicaid | $10,040.64 | — | — | 2026-07-15 | MRF ↗ |
| UofL Health - Medical Center East Inpatient | Anthem | In Medicaid | $10,040.64 | — | — | 2026-08-01 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Inpatient | Anthem | In Medicaid | $10,040.64 | — | — | 2026-08-01 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | CareSource Indiana Hoosier Healthwise (HHW) | Managed Medicaid | $10,070.15 | — | — | 2026-06-03 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Inpatient | Sunshine State Health | Medicaid | $10,090.00 | — | — | 2026-07-15 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Inpatient | Sunshine State Health | Medicaid | $10,090.17 | — | — | 2026-07-15 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Inpatient | Sunshine State Health | Medicaid | $10,090.17 | — | — | 2026-07-15 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Inpatient | Molina | Medicaid | $10,090.17 | — | — | 2026-07-15 | MRF ↗ |
| REID HEALTH InpatientFacility | United Healthcare | Managed Medicaid | $10,169.87 | — | — | 2025-07-21 | MRF ↗ |
| REID HEALTH InpatientFacility | United Healthcare | Pathways for Aging/Managed Medicaid | $10,169.87 | — | — | 2025-07-21 | MRF ↗ |
| SANFORD CANBY MEDICAL CENTER InpatientFacility | Primewest | Medicaid Managed Care | $10,195.46 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD THIEF RIVER FALLS MEDICAL CENTER InpatientFacility | Ucare | Medicaid Managed Care | $10,195.46 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD THIEF RIVER FALLS MEDICAL CENTER InpatientFacility | Primewest | Medicaid Managed Care | $10,195.46 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD BEHAVIORAL HEALTH CENTER InpatientFacility | Primewest | Medicaid Managed Care | $10,195.46 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD BEHAVIORAL HEALTH CENTER InpatientFacility | Ucare | Medicaid Managed Care | $10,195.46 | — | — | 2026-03-04 | MRF ↗ |
| DEACONESS HENDERSON HOSPITAL InpatientFacility | Anthem IN | Managed Medicaid | $10,222.00 | — | — | 2026-02-09 | MRF ↗ |
| DEACONESS HENDERSON HOSPITAL InpatientFacility | Caresource IN | Managed Medicaid | $10,222.00 | — | — | 2026-02-09 | MRF ↗ |
| DEACONESS HENDERSON HOSPITAL InpatientFacility | United Healthcare IN | Managed Medicaid | $10,222.00 | — | — | 2026-02-09 | MRF ↗ |
| METHODIST HOSPITAL UNION COUNTY InpatientFacility | MHS IN MCO | Managed Medicaid | $10,222.00 | — | — | 2026-02-13 | MRF ↗ |
| METHODIST HOSPITAL UNION COUNTY InpatientFacility | CareSource IN | Managed Medicaid | $10,222.00 | — | — | 2026-02-13 | MRF ↗ |
| DEACONESS HENDERSON HOSPITAL InpatientFacility | MHS IN Medicaid Product (IN) | Managed Medicaid | $10,222.00 | — | — | 2026-02-09 | MRF ↗ |
| MONROE HOSPITAL Inpatient | Care Source | Care Source Medicaid - Hoosier Healthwise | $10,255.10 | — | — | 2024-12-19 | MRF ↗ |
| MONROE HOSPITAL Inpatient | Traditional Medicaid | Traditional Medicaid | $10,255.10 | — | — | 2024-12-19 | MRF ↗ |
| MONROE HOSPITAL Inpatient | Care Source | Care Source Medicaid - Healthy Indiana Plan - HIP | $10,255.10 | — | — | 2024-12-19 | MRF ↗ |
| MONROE HOSPITAL Inpatient | Non-Contracted Medicaid | Non-Contracted Medicaid | $10,255.10 | — | — | 2024-12-19 | MRF ↗ |
| MONROE HOSPITAL Inpatient | Care Source | Care Source Medicaid - Hoosier Healthwise | $10,255.10 | — | — | 2026-03-17 | MRF ↗ |
| MONROE HOSPITAL Inpatient | Care Source | Care Source Medicaid - Healthy Indiana Plan - HIP | $10,255.10 | — | — | 2026-03-17 | MRF ↗ |
| MONROE HOSPITAL Inpatient | United Healthcare | UHC Medicaid CHIP - Hoosier Care | $10,255.10 | — | — | 2026-03-17 | 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.