1604 — Major Cardiothoracic Repair Of Heart Anomaly
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY (APR_DRG 1604) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/1604?code_type=APR_DRG
MLA (9th ed.)
“MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY (APR_DRG 1604) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/1604?code_type=APR_DRG. Accessed .
Chicago (notes-bibliography)
“MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY (APR_DRG 1604) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/1604?code_type=APR_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $74,221–$145,289 (25th–75th percentile) across 1,134 hospitals · 613 payers.
“Negotiated” is the hospital’s negotiated rate for the entire inpatient stay under APR_DRG 1604 — 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 | $10.88 | — | — | 2026-02-19 | MRF ↗ |
| Memorial Regional Hospital South InpatientFacility | OptumHealth Care Solutions | Transplants - Medicaid | $17.05 | — | — | 2026-05-27 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Cigna | Medicaid | $21.67 | — | — | 2026-04-15 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Parkland | Medicaid | $21.67 | — | — | 2026-04-15 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Molina | CHIP/Medicaid | $21.67 | — | — | 2026-04-15 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Amerigroup | CHIP/Medicaid | $21.67 | — | — | 2026-04-15 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Superior Health Plan | CHIP/Medicaid | $21.67 | — | — | 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 ↗ |
| BAY PARK COMMUNITY HOSPITAL Inpatient | Meridian Health Plan Of Mi | 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 ↗ |
| PROMEDICA MONROE REGIONAL HOSPITAL Inpatient | Meridian | Meridian | $1,600.00 | — | — | 2026-07-15 | 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 ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Medicaid Other | — | $1,728.08 | $420,304.81 | $273,198.13 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL InpatientFacility | — | — | — | — | — | 2024-12-16 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Medicare Advantage Non Contracted | — | $2,040.15 | $420,305.00 | $273,198.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Medicaid Other | — | $2,058.75 | $420,304.81 | $273,198.13 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Medicaid Other | — | $2,105.71 | $420,304.81 | $273,198.13 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Medicaid Sc | — | $2,187.05 | $420,304.81 | $273,198.13 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Bluechoice Medicaid (Greenville County Only) | — | $2,222.93 | $420,304.81 | $273,198.13 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Molina Medicaid | — | $2,252.66 | $420,304.81 | $273,198.13 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Blue Choice Medicaid (Greenville County Only) | — | $2,262.57 | $420,304.81 | $273,198.13 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Absolute Total Care Medicaid | — | $2,296.40 | $420,304.81 | $273,198.13 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Select Health Medicaid | — | $2,296.40 | $420,304.81 | $273,198.13 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Bluechoice Medicaid | — | $2,296.40 | $420,304.81 | $273,198.13 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Blue Choice Medicaid (Greenville County Only) | — | $2,333.34 | $420,304.81 | $273,198.13 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Medicaid Other | — | $2,364.82 | $420,304.81 | $273,198.13 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Medicaid | — | $2,364.82 | $420,304.81 | $273,198.13 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Absolute Total Care Medicaid | — | $2,388.00 | $420,304.81 | $273,198.13 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bluechoice Medicaid | — | $2,406.98 | $420,304.81 | $273,198.13 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Blue Choice Medicaid (Greenville County Only) | — | $2,409.48 | $420,305.00 | $273,198.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Blue Choice Medicaid (Greenville County Only) | — | $2,428.23 | $420,304.81 | $273,198.13 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Select Health Medicaid | — | $2,454.95 | $420,304.81 | $273,198.13 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Select Health Medicaid | — | $2,479.20 | $420,304.81 | $273,198.13 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Molina Medicaid | — | $2,479.20 | $420,304.81 | $273,198.13 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Bluechoice Medicaid | — | $2,482.28 | $420,304.81 | $273,198.13 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Medicaid Sc | — | $2,523.86 | $420,304.81 | $273,198.13 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Medicaid | — | $2,525.47 | $420,304.81 | $273,198.13 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Absolute Total Care Medicaid | — | $2,527.33 | $420,304.81 | $273,198.13 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Humana Healthy Horizons Medicaid | — | $2,530.36 | $420,304.81 | $273,198.13 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Bluechoice Medicaid | — | $2,544.22 | $420,304.81 | $273,198.13 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Select Health Medicaid | — | $2,556.75 | $420,304.81 | $273,198.13 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Molina Medicaid | — | $2,556.75 | $420,304.81 | $273,198.13 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Medicaid | — | $2,563.27 | $420,305.00 | $273,198.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Bluechoice Medicaid | — | $2,563.27 | $420,305.00 | $273,198.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Bluechoice Medicaid | — | $2,583.21 | $420,304.81 | $273,198.13 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Select Health Medicaid | — | $2,601.30 | $420,304.81 | $273,198.13 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Absolute Total Care Medicaid | — | $2,606.39 | $420,304.81 | $273,198.13 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Bluechoice Medicaid | — | $2,624.94 | $420,304.81 | $273,198.13 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Molina Medicaid | — | $2,633.50 | $420,304.81 | $273,198.13 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Molina Medicaid | — | $2,640.17 | $420,305.00 | $273,198.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Select Health Medicaid | — | $2,640.17 | $420,305.00 | $273,198.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Medicaid | — | $2,645.66 | $420,304.81 | $273,198.13 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Cigna Hmo Ppo | — | $2,646.00 | $420,304.81 | $273,198.13 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Absolute Total Care Medicaid | — | $2,650.06 | $420,304.81 | $273,198.13 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Select Health Medicaid | — | $2,660.71 | $420,304.81 | $273,198.13 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Molina Medicaid | — | $2,660.71 | $420,304.81 | $273,198.13 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Medicaid Sc | — | $2,668.95 | $420,304.81 | $273,198.13 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Absolute Total Care Medicaid | — | $2,691.43 | $420,305.00 | $273,198.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Humana Healthy Horizons Medicaid | — | $2,700.54 | $420,304.81 | $273,198.13 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Humana Healthy Horizons Medicaid | — | $2,702.25 | $420,304.81 | $273,198.13 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Absolute Total Care Medicaid | — | $2,712.38 | $420,304.81 | $273,198.13 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Molina Medicaid | — | $2,719.55 | $420,304.81 | $273,198.13 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Humana Healthy Horizons Medicaid | — | $2,742.70 | $420,305.00 | $273,198.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Absolute Total Care Medicaid | — | $2,766.84 | $420,304.81 | $273,198.13 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Select Health Medicaid | — | $2,776.26 | $420,304.81 | $273,198.13 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Medicaid | — | $2,778.78 | $420,304.81 | $273,198.13 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Medicaid Other | Medicaid Other | $2,794.82 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Humana Healthy Horizons Medicaid | — | $2,830.85 | $420,304.81 | $273,198.13 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Humana Healthy Horizons Medicaid | — | $2,855.78 | $420,304.81 | $273,198.13 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Humana Healthy Horizons Medicaid | — | $2,855.78 | $420,304.81 | $273,198.13 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Humana Healthy Horizons Medicaid | — | $2,973.30 | $420,304.81 | $273,198.13 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Molina Medicaid | — | $2,978.16 | $420,304.81 | $273,198.13 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $2,999.30 | — | — | 2026-09-21 | MRF ↗ |
| CITIZENS MEDICAL CENTER Inpatient | Us Department Of Justice | Us Marshall Services Inmate | $3,093.47 | — | — | 2026-09-28 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $3,109.70 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Molina | Molina Medicaid | $3,160.07 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Select Health | Select Health Medicaid | $3,160.07 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $3,190.76 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $3,221.43 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL InpatientFacility | — | — | — | — | — | 2024-12-10 | MRF ↗ |
| RIVER FALLS AREA HOSPITAL Inpatient | South Country Health Alliance | Scha Pmap (R) | $3,319.06 | — | — | 2026-07-15 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $3,327.38 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL InpatientFacility | — | — | — | — | — | 2024-12-12 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL InpatientFacility | — | — | — | — | — | 2024-12-07 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL InpatientFacility | — | — | — | — | — | 2024-12-13 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL InpatientFacility | — | — | — | — | — | 2024-12-13 | MRF ↗ |
| PRISMA HEALTH BAPTIST InpatientFacility | — | — | — | — | — | 2025-03-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE InpatientFacility | — | — | — | — | — | 2025-03-06 | MRF ↗ |
| Prisma Health North Greenville Ltach | Medicaid Other | — | $4,742.71 | $420,304.81 | $273,198.00 | 2026-07-05 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL InpatientFacility | OHANA | NON-ABD | $5,868.95 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL InpatientFacility | OHANA | ABD | $5,868.95 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL InpatientFacility | OHANA | NON-ABD | $5,868.95 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL InpatientFacility | OHANA | ABD | $5,868.95 | — | — | 2026-02-12 | MRF ↗ |
| Prisma Health North Greenville Ltach | Humana Healthy Horizons Medicaid | — | $6,375.93 | $420,304.81 | $273,198.00 | 2026-07-05 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN InpatientFacility | ALOHACARE | MEDICAID | $6,463.47 | — | — | 2026-02-12 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN InpatientFacility | OHANA | NON-ABD | $6,463.47 | — | — | 2026-02-12 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN InpatientFacility | OHANA | ABD | $6,463.47 | — | — | 2026-02-12 | MRF ↗ |
| Prisma Health North Greenville Ltach | Blue Choice Medicaid (Greenville County Only) | — | $6,498.45 | $420,304.81 | $273,198.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Bluechoice Medicaid | — | $6,913.25 | $420,304.81 | $273,198.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Medicaid | — | $6,913.25 | $420,304.81 | $273,198.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Molina Medicaid | — | $7,120.65 | $420,304.81 | $273,198.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Select Health Medicaid | — | $7,120.65 | $420,304.81 | $273,198.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Absolute Total Care Medicaid | — | $7,258.91 | $420,304.81 | $273,198.00 | 2026-07-05 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS InpatientFacility | UHC COMMUNITY | ALL PRODUCTS | $8,112.64 | — | — | 2026-03-18 | MRF ↗ |
| Prisma Health North Greenville Ltach InpatientFacility | — | — | — | — | — | 2024-12-11 | MRF ↗ |
| MONTEFIORE ST LUKE'S CORNWALL Inpatient | Anthem | Exchange | $12,489.54 | — | — | 2026-04-01 | MRF ↗ |
| SPENCER MUNICIPAL HOSPITAL Inpatient | Wellmark Hmo | Ppo | $12,874.10 | — | — | 2026-07-15 | MRF ↗ |
| SPENCER MUNICIPAL HOSPITAL Inpatient | Wellmark Ppo | Ppo | $14,163.10 | — | — | 2026-07-15 | MRF ↗ |
| SOUTHWEST HEALTH CENTER InpatientFacility | CARE WISCONSIN | MANAGED MEDICAID | $17,292.49 | — | — | 2026-03-27 | MRF ↗ |
| EAST COOPER MEDICAL CENTER InpatientFacility | Humana | Medicaid | $18,213.61 | — | — | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER InpatientFacility | Select Health | Medicaid | $18,213.61 | — | — | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER InpatientFacility | Absolute Total Care | Medicaid | $19,124.33 | — | — | 2026-03-12 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Inpatient | Healthy Way La | Healthy Way La | $29,141.81 | — | — | 2026-07-15 | MRF ↗ |
| SANFORD LUVERNE MEDICAL CENTER InpatientFacility | Primewest | Medicaid Managed Care | $30,701.05 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD LUVERNE MEDICAL CENTER InpatientFacility | Ucare | Medicaid Managed Care | $30,701.05 | — | — | 2026-03-04 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Inpatient | Healthy Way La | Healthy Way La | $32,077.78 | — | — | 2026-07-15 | MRF ↗ |
| GARFIELD MEDICAL CENTER InpatientFacility | — | — | — | — | — | 2026-03-12 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Inpatient | Healthy Way La | Healthy Way La | $32,077.78 | — | — | 2026-07-19 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Tricare Humana Military | — | $32,153.11 | $420,304.81 | $273,198.13 | 2026-07-05 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Inpatient | Mdwise | Hip | $34,328.58 | — | — | 2026-07-17 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | CareSource Indiana Healthy Indiana Plan (HIP) | Managed Medicaid | $34,847.77 | — | — | 2026-06-03 | MRF ↗ |
| REID HEALTH InpatientFacility | MDWise | Managed Medicaid | $34,847.77 | — | — | 2025-07-21 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Managed Health Services (MHS) Hoosier Healthwise (HHW) | Managed Medicaid | $34,847.77 | — | — | 2025-04-24 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | Managed Health Services (MHS) | Managed Medicaid | $34,847.77 | — | — | 2026-06-03 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | United Healthcare of Indiana | Managed Medicaid | $34,847.77 | — | — | 2026-06-03 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | Managed Health Services (MHS) Hoosier Care Connect | Managed Medicaid | $34,847.77 | — | — | 2026-06-03 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Managed Health Services (MHS) Hoosier Care Connect | Managed Medicaid | $34,847.77 | — | — | 2025-04-24 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Humana | Managed Medicaid | $34,847.77 | — | — | 2025-04-24 | MRF ↗ |
| REID HEALTH InpatientFacility | MHS | Managed Medicaid | $34,847.77 | — | — | 2025-07-21 | MRF ↗ |
| REID HEALTH InpatientFacility | Caresource of Indiana | Managed Medicaid | $34,847.77 | — | — | 2025-07-21 | MRF ↗ |
| REID HEALTH InpatientFacility | Humana of Indiana | Pathways for Aging/Managed Medicaid | $34,847.77 | — | — | 2025-07-21 | MRF ↗ |
| REID HEALTH InpatientFacility | Anthem Blue Cross Blue Shield | Pathways for Aging/Managed Medicaid | $34,847.77 | — | — | 2025-07-21 | MRF ↗ |
| REID HEALTH InpatientFacility | Anthem Blue Cross Blue Shield | Managed Medicaid | $34,847.77 | — | — | 2025-07-21 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Anthem Blue Cross Blue Shield | Managed Medicaid | $34,847.77 | — | — | 2025-04-24 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | CareSource Indiana Healthy Indiana Plan (HIP) | Managed Medicaid | $34,847.77 | — | — | 2025-04-24 | MRF ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC InpatientFacility | Managed Health Services | Medicaid | $34,849.89 | — | — | 2026-02-18 | MRF ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC InpatientFacility | Anthem Blue Cross of IN | Medicaid | $34,849.89 | — | — | 2026-02-18 | MRF ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC InpatientFacility | MDWise | Medicaid | $34,849.89 | — | — | 2026-02-18 | MRF ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC InpatientFacility | CareSource Indiana of IN | Hoosier Healthwise/HIP | $34,849.89 | — | — | 2026-02-18 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | CareSource Indiana Hoosier Healthwise (HHW) | Managed Medicaid | $35,196.25 | — | — | 2026-06-03 | MRF ↗ |
| REID HEALTH InpatientFacility | United Healthcare | Pathways for Aging/Managed Medicaid | $35,544.78 | — | — | 2025-07-21 | MRF ↗ |
| REID HEALTH InpatientFacility | United Healthcare | Managed Medicaid | $35,544.78 | — | — | 2025-07-21 | MRF ↗ |
| DEACONESS HENDERSON HOSPITAL InpatientFacility | MHS IN Medicaid Product (IN) | Managed Medicaid | $35,776.57 | — | — | 2026-02-09 | MRF ↗ |
| DEACONESS HENDERSON HOSPITAL InpatientFacility | United Healthcare IN | Managed Medicaid | $35,776.57 | — | — | 2026-02-09 | MRF ↗ |
| METHODIST HOSPITAL UNION COUNTY InpatientFacility | MHS IN MCO | Managed Medicaid | $35,776.57 | — | — | 2026-02-13 | MRF ↗ |
| METHODIST HOSPITAL UNION COUNTY InpatientFacility | CareSource IN | Managed Medicaid | $35,776.57 | — | — | 2026-02-13 | MRF ↗ |
| DEACONESS HENDERSON HOSPITAL InpatientFacility | Anthem IN | Managed Medicaid | $35,776.57 | — | — | 2026-02-09 | MRF ↗ |
| DEACONESS HENDERSON HOSPITAL InpatientFacility | Caresource IN | Managed Medicaid | $35,776.57 | — | — | 2026-02-09 | MRF ↗ |
| MONROE HOSPITAL Inpatient | Care Source | Care Source Medicaid - Hoosier Healthwise | $35,842.65 | — | — | 2026-03-17 | MRF ↗ |
| MONROE HOSPITAL Inpatient | United Healthcare | UHC Medicaid CHIP - Hoosier Care | $35,842.65 | — | — | 2026-03-17 | MRF ↗ |
| MONROE HOSPITAL Inpatient | BCBS | BCBS Medicaid - Hoosier Healthwise | $35,842.65 | — | — | 2026-03-17 | MRF ↗ |
| MONROE HOSPITAL Inpatient | Monroe Medical Group and Managed Health Services | Monroe Medical Group Medicaid | $35,842.65 | — | — | 2026-03-17 | MRF ↗ |
| MONROE HOSPITAL Inpatient | Care Source | Care Source Medicaid - Healthy Indiana Plan - HIP | $35,842.65 | — | — | 2026-03-17 | MRF ↗ |
| MONROE HOSPITAL Inpatient | Traditional Medicaid | Traditional Medicaid | $35,842.65 | — | — | 2026-03-17 | MRF ↗ |
| MONROE HOSPITAL Inpatient | Care Source | Care Source Medicaid - Healthy Indiana Plan - HIP | $35,842.70 | — | — | 2024-12-19 | MRF ↗ |
| MONROE HOSPITAL Inpatient | United Healthcare | UHC Medicaid CHIP - Hoosier Care | $35,842.70 | — | — | 2024-12-19 | MRF ↗ |
| MONROE HOSPITAL Inpatient | Traditional Medicaid | Traditional Medicaid | $35,842.70 | — | — | 2024-12-19 | MRF ↗ |
| MONROE HOSPITAL Inpatient | BCBS | BCBS Medicaid - Hoosier Healthwise | $35,842.70 | — | — | 2024-12-19 | MRF ↗ |
| MONROE HOSPITAL Inpatient | Non-Contracted Medicaid | Non-Contracted Medicaid | $35,842.70 | — | — | 2024-12-19 | MRF ↗ |
| MONROE HOSPITAL Inpatient | Care Source | Care Source Medicaid - Hoosier Healthwise | $35,842.70 | — | — | 2024-12-19 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | United Healthcare | Managed Medicaid | $35,893.20 | — | — | 2025-04-24 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | CareSource Indiana Hoosier Healthwise (HHW) | Managed Medicaid | $35,893.20 | — | — | 2025-04-24 | MRF ↗ |
| NORTON-KING'S DAUGHTERS' HEALTH InpatientFacility | United Healthcare of Indiana | Managed Medicaid | $36,540.35 | — | — | 2026-05-05 | MRF ↗ |
| NORTON-KING'S DAUGHTERS' HEALTH InpatientFacility | Managed Health Services of Indiana | Managed Medicaid | $36,540.35 | — | — | 2026-05-05 | MRF ↗ |
| NORTON-KING'S DAUGHTERS' HEALTH InpatientFacility | Anthem of Indiana | Managed Medicaid | $36,540.35 | — | — | 2026-05-05 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Mdwise Hoosier Healthwise (HHW) | Managed Medicaid | $36,590.16 | — | — | 2025-04-24 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | MDwise Hoosier Healthwise (HHW) | Managed Medicaid | $36,590.16 | — | — | 2026-06-03 | MRF ↗ |
| NYACK HOSPITAL Inpatient | HealthFirst | Exchange Product - Enrollees | $36,634.42 | — | $73,268.83 | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Inpatient | HealthFirst | Exchange Product - Enrollees | $36,634.42 | — | $73,268.83 | 2025-06-27 | MRF ↗ |
| ELMHURST HOSPITAL CENTER InpatientFacility | Healthfirst | Small Group | $36,895.11 | — | — | 2025-09-05 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Molina Healthcare of Indiana | Managed Medicaid | $36,938.64 | — | — | 2025-04-24 | MRF ↗ |
| SANFORD CANBY MEDICAL CENTER InpatientFacility | Ucare | Medicaid Managed Care | $37,197.45 | — | — | 2026-03-04 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Inpatient | Molina | Molina Medicaid Managed Care (Ip) | $39,065.08 | — | — | 2026-07-15 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Inpatient | Bcbs | Bcbs Medicaid Managed Care (Ip) | $39,065.08 | — | — | 2026-07-15 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Inpatient | Meridian | Meridian Medicaid Managed Care (Ip) | $39,065.08 | — | — | 2026-07-15 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Inpatient | Aetna | Aetna Better Health Medicaid Managed Care (Ip) | $39,065.08 | — | — | 2026-07-15 | MRF ↗ |
| THE WOMEN'S HOSPITAL InpatientFacility | Anthem IN | Managed Medicaid | $40,049.05 | — | — | 2026-02-13 | MRF ↗ |
| THE WOMEN'S HOSPITAL InpatientFacility | Anthem IN Pathways for Aging | Managed Medicaid | $40,049.05 | — | — | 2026-02-13 | MRF ↗ |
| THE WOMEN'S HOSPITAL InpatientFacility | Anthem HIP | Managed Medicaid | $40,049.05 | — | — | 2026-02-13 | MRF ↗ |
| THE WOMEN'S HOSPITAL InpatientFacility | Caresource HIP | Managed Medicaid | $40,049.05 | — | — | 2026-02-13 | MRF ↗ |
| CENTRACARE- RICE MEMORIAL HOSPITAL Inpatient | UCare | UCare Community Health Plan | $40,054.69 | — | — | 2024-12-10 | MRF ↗ |
| SANFORD BEHAVIORAL HEALTH CENTER InpatientFacility | Ucare | Medicaid Managed Care | $41,172.78 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD BEHAVIORAL HEALTH CENTER InpatientFacility | Primewest | Medicaid Managed Care | $41,172.78 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD THIEF RIVER FALLS MEDICAL CENTER InpatientFacility | Ucare | Medicaid Managed Care | $41,172.78 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD THIEF RIVER FALLS MEDICAL CENTER InpatientFacility | Primewest | Medicaid Managed Care | $41,172.78 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD CANBY MEDICAL CENTER InpatientFacility | Primewest | Medicaid Managed Care | $41,172.78 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD WHEATON MEDICAL CENTER InpatientFacility | Ucare | Medicaid Managed Care | $42,433.11 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD WHEATON MEDICAL CENTER InpatientFacility | Primewest | Medicaid Managed Care | $42,433.11 | — | — | 2026-03-04 | MRF ↗ |
| SAMARITAN MEDICAL CENTER InpatientFacility | Excellus | Managed Medicaid | $42,584.55 | — | — | 2026-02-02 | MRF ↗ |
| SAMARITAN MEDICAL CENTER InpatientFacility | MVP | Essential Plan 3-4 | $42,584.55 | — | — | 2026-02-02 | MRF ↗ |
| SAMARITAN MEDICAL CENTER InpatientFacility | Fidelis | Medicaid Managed Care/Child Health Plus and Family Health Plus | $42,584.55 | — | — | 2026-02-02 | MRF ↗ |
| SAMARITAN MEDICAL CENTER InpatientFacility | United Healthcare | Managed Medicaid | $43,862.09 | — | — | 2026-02-02 | MRF ↗ |
| SANFORD JACKSON MEDICAL CENTER InpatientFacility | Ucare | Medicaid Managed Care | $44,761.18 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD JACKSON MEDICAL CENTER InpatientFacility | Primewest | Medicaid Managed Care | $44,761.18 | — | — | 2026-03-04 | MRF ↗ |
| BANNER HEART HOSPITAL InpatientFacility | Health Net | Medicaid | $44,847.88 | — | — | 2026-03-02 | MRF ↗ |
| BANNER HEART HOSPITAL InpatientFacility | Arizona Physicians IPA | Medicaid | $44,847.88 | — | — | 2026-03-02 | MRF ↗ |
| BANNER HEART HOSPITAL InpatientFacility | Health Choice Arizona, Inc. | Medicaid | $44,847.88 | — | — | 2026-03-02 | 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.