160 — 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 160) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/160?code_type=APR_DRG
MLA (9th ed.)
“MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY (APR_DRG 160) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/160?code_type=APR_DRG. Accessed .
Chicago (notes-bibliography)
“MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY (APR_DRG 160) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/160?code_type=APR_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $42,233–$103,555 (25th–75th percentile) across 24 hospitals · 95 payers.
“Negotiated” is the hospital’s negotiated rate for the entire inpatient stay under APR_DRG 160 — 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 | $268,367.52 | $53,673.50 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Inpatient | POLICE DEPARTMENTS [50065] | POLICE DEPTS [5006501] | $1,000.00 | $268,367.52 | $53,673.50 | 2026-03-31 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis Child Health Plus | $16,121.46 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis Child Health Plus | $17,410.69 | — | — | 2026-04-14 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL Inpatient | Tufts | One Care | — | — | — | 2026-06-05 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL Inpatient | Mass General Brigham Health Plan | ACO MassHealth | — | — | — | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Inpatient | Mass General Brigham Health Plan | QHP Subsidized | $17,424.57 | — | — | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Inpatient | Tufts | ACO/MCO Masshealth | — | — | — | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Inpatient | Wellsense | Masshealth Managed Care | — | — | — | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Inpatient | Tufts | One Care | — | — | — | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Inpatient | Mass General Brigham Health Plan | Be Healthy ACO Masshealth | — | — | — | 2026-06-05 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL Inpatient | Mass General Brigham Health Plan | QHP Subsidized | $17,424.57 | — | — | 2026-06-05 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL Inpatient | Tufts | ACO/MCO Masshealth | — | — | — | 2026-06-05 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL Inpatient | Mass General Brigham Health Plan | Be Healthy ACO Masshealth | — | — | — | 2026-06-05 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL Inpatient | Wellsense | Masshealth Managed Care | — | — | — | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Inpatient | Mass General Brigham Health Plan | ACO MassHealth | — | — | — | 2026-06-05 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis HARP | $17,523.33 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis Medicaid | $17,523.33 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis Medicaid | $18,924.66 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis HARP | $18,924.66 | — | — | 2026-04-14 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL Inpatient | Mass General Brigham Health Plan | Commercial (HMO, PPO, QHP Unsubsidized) | $19,513.42 | — | — | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Inpatient | Mass General Brigham Health Plan | Commercial (HMO, PPO, QHP Unsubsidized) | $19,513.42 | — | — | 2026-06-05 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL Inpatient | BCBS | HMO Commercial | $19,889.00 | — | — | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Inpatient | BCBS | PPO Commercial | $20,359.00 | — | — | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Inpatient | BCBS | Indemnity Commercial | $20,359.00 | — | — | 2026-06-05 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Fidelis | Fidelis QHP | $20,928.27 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Fidelis | Fidelis QHP | $20,928.27 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Fidelis | Fidelis QHP | $20,928.27 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Fidelis | Fidelis QHP | $20,928.27 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Fidelis | Fidelis QHP | $21,974.70 | — | — | 2026-04-14 | MRF ↗ |
| BAYSTATE WING HOSPITAL Inpatient | BCBS | HMO Commercial | $22,016.00 | — | — | 2026-06-05 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Independent Health | Independent Health State Products | $22,378.85 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Fidelis | Fidelis QHP | $22,601.89 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Fidelis | Fidelis QHP | $22,601.89 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Fidelis | Fidelis QHP | $22,601.89 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Fidelis | Fidelis QHP | $22,601.89 | — | — | 2026-04-14 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL Inpatient | BCBS | PPO Commercial | $23,580.00 | — | — | 2026-06-05 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL Inpatient | BCBS | Indemnity Commercial | $23,580.00 | — | — | 2026-06-05 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Fidelis | Fidelis QHP | $23,732.01 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis QHP | $24,172.18 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $24,219.51 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $24,219.51 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Aetna | Aetna Better Health CHIP | $24,219.51 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Aetna | Aetna Better Health CHIP | $24,219.51 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $24,219.51 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Aetna | Aetna Better Health CHIP | $24,219.51 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $24,219.51 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Aetna | Aetna Better Health CHIP | $24,219.51 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Aetna | Aetna Better Health CHIP | $24,219.51 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $24,219.51 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis Child Health Plus | $24,493.74 | — | — | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Inpatient | Fidelis | Fidelis QHP | $25,323.20 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Aetna | Aetna Better Health CHIP | $25,430.51 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $25,430.51 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $26,089.26 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $26,089.26 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $26,089.26 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis QHP | $26,105.22 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $26,358.72 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $26,358.72 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $26,358.72 | — | — | 2026-04-14 | MRF ↗ |
| HOLLYWOOD PRESBYTERIAN MEDICAL CENTER Inpatient | LA Care | PASC-SEIU | — | — | — | 2025-11-19 | MRF ↗ |
| HUNTINGTON HOSPITAL Inpatient | Kaiser Foundation Hospitals on behalf of its Southern California Region | Medi-Cal | $26,478.12 | — | — | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | Molina Healthcare of California | Medi-Cal | $26,478.12 | — | — | 2025-11-26 | MRF ↗ |
| HOLLYWOOD PRESBYTERIAN MEDICAL CENTER Inpatient | Alta Hospital Systems | Medi-Cal | — | — | — | 2025-11-19 | MRF ↗ |
| HOLLYWOOD PRESBYTERIAN MEDICAL CENTER Inpatient | Pipeline formerly Avanti | Medi-Cal | — | — | — | 2025-11-19 | MRF ↗ |
| HOLLYWOOD PRESBYTERIAN MEDICAL CENTER Inpatient | Kern Health Systems | Medi-Cal | — | — | — | 2025-11-19 | MRF ↗ |
| HOLLYWOOD PRESBYTERIAN MEDICAL CENTER Inpatient | Blue Shield of California | Medi-Cal | — | — | — | 2025-11-19 | MRF ↗ |
| HOLLYWOOD PRESBYTERIAN MEDICAL CENTER Inpatient | LA Care | Medi-Cal | — | — | — | 2025-11-19 | MRF ↗ |
| HOLLYWOOD PRESBYTERIAN MEDICAL CENTER Inpatient | Brand New Day | Medi-Cal | — | — | — | 2025-11-19 | MRF ↗ |
| HOLLYWOOD PRESBYTERIAN MEDICAL CENTER Inpatient | Medicaid | Medicaid | — | — | — | 2025-11-19 | MRF ↗ |
| HOLLYWOOD PRESBYTERIAN MEDICAL CENTER Inpatient | Valley Presbyterian Medical Center | Medi-Cal | — | — | — | 2025-11-19 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | Prospect Health Plan, Inc. | Medi-Cal | $26,478.12 | — | — | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | AIDS Healthcare Foundation and AHF Healthcare Centers | PHC California/Medi-Cal HMO | $26,478.12 | — | — | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | VENTURA COUNTY MEDI-CAL MANAGED CARE COMMISSION (dba Gold Coast Health Plan) | Medi-Cal | $26,478.12 | — | — | 2025-11-26 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis HARP | $26,623.63 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis Medicaid | $26,623.63 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Amerihealth | Amerihealth Medicaid HC | $26,641.46 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Amerihealth | Amerihealth Medicaid CHC | $26,641.46 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Amerihealth | Amerihealth Medicaid HC | $26,641.46 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Amerihealth | Amerihealth Medicaid HC | $26,641.46 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Amerihealth | Amerihealth Medicaid HC | $26,641.46 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Amerihealth | Amerihealth Medicaid CHC | $26,641.46 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Amerihealth | Amerihealth Medicaid CHC | $26,641.46 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Amerihealth | Amerihealth Medicaid HC | $26,641.46 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Amerihealth | Amerihealth Medicaid CHC | $26,641.46 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Amerihealth | Amerihealth Medicaid CHC | $26,641.46 | — | — | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Inpatient | Fidelis | Fidelis QHP | $27,348.28 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Highmark Wholecare | Highmark Wholecare Medicaid HC | $27,610.24 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Highmark Wholecare | Highmark Wholecare Medicaid HC | $27,610.24 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Highmark Wholecare | Highmark Wholecare Medicaid HC | $27,610.24 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Highmark Wholecare | Highmark Wholecare Medicaid HC | $27,610.24 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Highmark Wholecare | Highmark Wholecare Medicaid HC | $27,610.24 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Amerihealth | Amerihealth Medicaid CHC | $27,973.56 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Amerihealth | Amerihealth Medicaid HC | $27,973.56 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Aetna | Aetna Better Health CHIP | $27,973.57 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $27,973.57 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $28,077.68 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $28,077.68 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Geisinger | Geisinger Medicaid HC | $28,336.83 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Geisinger | Geisinger CHIP | $28,336.83 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Geisinger | Geisinger Medicaid HC | $28,336.83 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Geisinger | Geisinger Medicaid HC | $28,336.83 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Geisinger | Geisinger CHIP | $28,336.83 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Geisinger | Geisinger CHIP | $28,336.83 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Geisinger | Geisinger CHIP | $28,336.83 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Geisinger | Geisinger Medicaid HC | $28,336.83 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Geisinger | Geisinger Medicaid HC | $28,336.83 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Geisinger | Geisinger CHIP | $28,336.83 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Highmark Wholecare | Highmark Wholecare Medicaid HC | $28,990.78 | — | — | 2026-04-14 | MRF ↗ |
| HUNTINGTON HOSPITAL Inpatient | California PhysiciansÆ Service, dba Blue Shield of California | Medi-Cal | $29,125.93 | — | — | 2025-11-26 | MRF ↗ |
| HUNTINGTON HOSPITAL Inpatient | Blue Cross of California | Medi-Cal | $29,125.93 | — | — | 2025-11-26 | MRF ↗ |
| WEST PENN HOSPITAL Inpatient | Aetna | Aetna Better Health CHIP | $29,305.60 | — | — | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $29,305.60 | — | — | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Inpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $29,431.61 | — | — | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Inpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $29,431.61 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Geisinger | Geisinger Medicaid HC | $29,753.69 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Geisinger | Geisinger CHIP | $29,753.69 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $30,096.76 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $30,096.76 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Jefferson Health Plans | Jefferson Health Plans | $30,274.39 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Jefferson Health Plans | Jefferson Health Plans | $30,274.39 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Jefferson Health Plans | Jefferson Health Plans | $30,274.39 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Jefferson Health Plans | Jefferson Health Plans | $30,274.39 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Jefferson Health Plans | Jefferson Health Plans | $30,274.39 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Amerihealth | Amerihealth Medicaid HC | $30,770.92 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Amerihealth | Amerihealth Medicaid CHC | $30,770.92 | — | — | 2026-04-14 | MRF ↗ |
| PELLA REGIONAL HEALTH CENTER Inpatient | Wellmark Inc Dba Wellmark Blue Cross And Blue Shield Of Iowa | Ppo | $31,235.48 | $34,362.81 | $34,362.81 | 2026-07-15 | MRF ↗ |
| SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN Inpatient | Metroplus Medicaid | Commercial | $31,367.00 | $32,337.00 | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF VIRGINIA MEDICAL CENTER Inpatient | OPTIMA VIRGINIA PREMIER MEDICAID [20505] | UVAMC - Medicaid & Medicaid MCO's | $31,503.13 | $306,762.47 | — | 2026-03-24 | MRF ↗ |
| UNIVERSITY OF VIRGINIA MEDICAL CENTER Inpatient | MEDICAID MANAGED CARE GENERIC [20500] | UVAMC - Medicaid & Medicaid MCO's | $31,503.13 | $306,762.47 | — | 2026-03-24 | MRF ↗ |
| UNIVERSITY OF VIRGINIA MEDICAL CENTER Inpatient | ANTHEM MEDICAID [20501] | UVAMC - Medicaid MCO (Anthem) | $31,503.13 | $306,762.47 | — | 2026-03-24 | MRF ↗ |
| UNIVERSITY OF VIRGINIA MEDICAL CENTER Inpatient | MEDICAID OF VIRGINIA [20001] | UVAMC - Medicaid & Medicaid MCO's | $31,503.13 | $306,762.47 | — | 2026-03-24 | MRF ↗ |
| UNIVERSITY OF VIRGINIA MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID [20511] | UVAMC - Medicaid & Medicaid MCO's | $31,503.13 | $306,762.47 | — | 2026-03-24 | MRF ↗ |
| UNIVERSITY OF VIRGINIA MEDICAL CENTER Inpatient | MOLINA COMPLETE CARE MEDICAID [20512] | UVAMC - Medicaid & Medicaid MCO's | $31,503.13 | $306,762.47 | — | 2026-03-24 | MRF ↗ |
| UNIVERSITY OF VIRGINIA MEDICAL CENTER Inpatient | UHC OPTUM MEDICAID [20517] | UVAMC - Medicaid & Medicaid MCO's | $31,503.13 | $306,762.47 | — | 2026-03-24 | MRF ↗ |
| UNIVERSITY OF VIRGINIA MEDICAL CENTER Inpatient | SENTARA MEDICAID [20504] | UVAMC - Medicaid & Medicaid MCO's | $31,503.13 | $306,762.47 | — | 2026-03-24 | MRF ↗ |
| UNIVERSITY OF VIRGINIA MEDICAL CENTER Inpatient | MEDICAID OUT OF STATE [21000] | UVAMC - Medicaid & Medicaid MCO's | $31,503.13 | $306,762.47 | — | 2026-03-24 | MRF ↗ |
| UNIVERSITY OF VIRGINIA MEDICAL CENTER Inpatient | KAISER PERMANENTE MEDICAID [20515] | UVAMC - Medicaid & Medicaid MCO's | $31,503.13 | $306,762.47 | — | 2026-03-24 | MRF ↗ |
| UNIVERSITY OF VIRGINIA MEDICAL CENTER Inpatient | HUMANA MEDICAID [20510] | UVAMC - Medicaid & Medicaid MCO's | $31,503.13 | $306,762.47 | — | 2026-03-24 | MRF ↗ |
| UNIVERSITY OF VIRGINIA MEDICAL CENTER Inpatient | AETNA BETTER HEALTH MEDICAID [20502] | UVAMC - Medicaid & Medicaid MCO's | $31,503.13 | $306,762.47 | — | 2026-03-24 | MRF ↗ |
| UNIVERSITY OF VIRGINIA MEDICAL CENTER Inpatient | INTOTAL HEALTH MEDICAID [20503] | UVAMC - Medicaid & Medicaid MCO's | $31,503.13 | $306,762.47 | — | 2026-03-24 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Independent Health | Independent Health State Products | $31,644.82 | — | — | 2026-04-14 | MRF ↗ |
| HUNTINGTON HOSPITAL Inpatient | Avanti Hospitals, LLC | Medi-Cal | $31,773.74 | — | — | 2025-11-26 | MRF ↗ |
| HUNTINGTON HOSPITAL Inpatient | L.A. Care Health Plan | Medi-Cal | $31,773.74 | — | — | 2025-11-26 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Jefferson Health Plans | Jefferson Health Plans | $31,788.13 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Fidelis | Fidelis QHP | $31,796.84 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Fidelis | Fidelis QHP | $31,796.84 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Fidelis | Fidelis QHP | $31,796.84 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Fidelis | Fidelis QHP | $31,796.84 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Highmark Wholecare | Highmark Wholecare Medicaid HC | $31,889.87 | — | — | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Inpatient | Amerihealth | Amerihealth Medicaid CHC | $32,236.16 | — | — | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Inpatient | Amerihealth | Amerihealth Medicaid HC | $32,236.16 | — | — | 2026-04-14 | MRF ↗ |
| SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN Inpatient | Emblem Hip Medicaid | Commercial | $32,337.00 | $32,337.00 | — | 2026-07-15 | MRF ↗ |
| SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN Inpatient | Uhc Medicaid | Commercial | $32,337.00 | $32,337.00 | — | 2026-07-15 | MRF ↗ |
| SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN Inpatient | Vnsny Medicaid | Commercial | $32,337.00 | $32,337.00 | — | 2026-07-15 | MRF ↗ |
| SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN Inpatient | Affinity Medicaid | Commercial | $32,337.00 | $32,337.00 | — | 2026-07-15 | MRF ↗ |
| SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN Inpatient | Metroplus Qhp | Commercial | $32,337.00 | $32,337.00 | — | 2026-07-15 | MRF ↗ |
| SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN Inpatient | Fidelis Medicaid | Commercial | $32,337.00 | $32,337.00 | — | 2026-07-15 | MRF ↗ |
| SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN Inpatient | Ebcbs Medicaid | Commercial | $32,337.00 | $32,337.00 | — | 2026-07-15 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Geisinger | Geisinger Medicaid HC | $32,729.07 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Geisinger | Geisinger CHIP | $32,729.07 | — | — | 2026-04-14 | MRF ↗ |
| HUNTINGTON HOSPITAL Inpatient | Dignity Health | Medi-Cal | $33,097.65 | — | — | 2025-11-26 | MRF ↗ |
| HUNTINGTON HOSPITAL Inpatient | Health Net of California, Inc. | Medi-Cal | $33,097.65 | — | — | 2025-11-26 | MRF ↗ |
| HUNTINGTON HOSPITAL Inpatient | Universal Care, Inc. d/b/a Brand New Day | Medi-Cal | $33,097.65 | — | — | 2025-11-26 | MRF ↗ |
| HUNTINGTON HOSPITAL Inpatient | Pacific PACE, LLC and Pasadena Hospital Association, LTD | Medi-Cal | $33,097.65 | — | — | 2025-11-26 | MRF ↗ |
| SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN Inpatient | Wellcare Medicaid | Commercial | $33,307.00 | $32,337.00 | — | 2026-07-15 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Fidelis | Fidelis QHP | $33,386.71 | — | — | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Inpatient | Highmark Wholecare | Highmark Wholecare Medicaid HC | $33,408.38 | — | — | 2026-04-14 | MRF ↗ |
| SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN Inpatient | Metroplus Medicaid | Commercial | $33,875.00 | $34,923.00 | — | 2026-07-15 | MRF ↗ |
| SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN Inpatient | Fidelis Qhp | Commercial | $33,953.00 | $32,337.00 | — | 2026-07-15 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $34,247.60 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $34,247.60 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $34,247.60 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $34,247.60 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Aetna | Aetna Better Health CHIP | $34,247.60 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $34,247.60 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Aetna | Aetna Better Health CHIP | $34,247.60 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Aetna | Aetna Better Health CHIP | $34,247.60 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Aetna | Aetna Better Health CHIP | $34,247.60 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Aetna | Aetna Better Health CHIP | $34,247.60 | — | — | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Inpatient | Geisinger | Geisinger CHIP | $34,287.55 | — | — | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Inpatient | Geisinger | Geisinger Medicaid HC | $34,287.55 | — | — | 2026-04-14 | MRF ↗ |
| PELLA REGIONAL HEALTH CENTER Inpatient | Wellmark Inc Dba Wellmark Blue Cross And Blue Shield Of Iowa | Hmo | $34,362.81 | $34,362.81 | $34,362.81 | 2026-07-15 | MRF ↗ |
| HUNTINGTON HOSPITAL Inpatient | PROSPECT HEALTH PLAN, INC. | Medi-Cal | $34,421.56 | — | — | 2025-11-26 | MRF ↗ |
| HUNTINGTON HOSPITAL Inpatient | Heritage Provider Network | Medi-Cal | $34,421.56 | — | — | 2025-11-26 | MRF ↗ |
| SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN Inpatient | Vnsny Medicaid | Commercial | $34,923.00 | $34,923.00 | — | 2026-07-15 | MRF ↗ |
| SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN Inpatient | Ebcbs Medicaid | Commercial | $34,923.00 | $34,923.00 | — | 2026-07-15 | MRF ↗ |
| SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN Inpatient | Uhc Medicaid | Commercial | $34,923.00 | $34,923.00 | — | 2026-07-15 | MRF ↗ |
| SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN Inpatient | Metroplus Qhp | Commercial | $34,923.00 | $34,923.00 | — | 2026-07-15 | MRF ↗ |
| SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN Inpatient | Fidelis Medicaid | Commercial | $34,923.00 | $34,923.00 | — | 2026-07-15 | MRF ↗ |
| SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN Inpatient | Affinity Medicaid | Commercial | $34,923.00 | $34,923.00 | — | 2026-07-15 | MRF ↗ |
| SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN Inpatient | Emblem Hip Medicaid | Commercial | $34,923.00 | $34,923.00 | — | 2026-07-15 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Jefferson Health Plans | Jefferson Health Plans | $34,966.96 | — | — | 2026-04-14 | MRF ↗ |
| SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN Inpatient | Magnacare Medicaid | Commercial | $35,570.00 | $32,337.00 | — | 2026-07-15 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Aetna | Aetna Better Health CHIP | $35,960.01 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $35,960.01 | — | — | 2026-04-14 | MRF ↗ |
| SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN Inpatient | Wellcare Medicaid | Commercial | $35,970.00 | $34,923.00 | — | 2026-07-15 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Inpatient | Molina Apple Health | MOLINA BEHAVIORAL HEALTH ONLY | $36,213.15 | — | — | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Inpatient | Molina Apple Health | MOLINA AH | $36,213.15 | — | — | 2024-07-01 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.