160 — Hernia Procedures Except Inguinal & Femoral Age >17 Without Cc
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Hernia Procedures Except Inguinal & Femoral Age >17 w/o CC (MS_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=MS_DRG
MLA (9th ed.)
“Hernia Procedures Except Inguinal & Femoral Age >17 w/o CC (MS_DRG 160) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/160?code_type=MS_DRG. Accessed .
Chicago (notes-bibliography)
“Hernia Procedures Except Inguinal & Femoral Age >17 w/o CC (MS_DRG 160) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/160?code_type=MS_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $6,590–$47,914 (25th–75th percentile) across 48 hospitals · 43 payers.
“Negotiated” is the hospital’s negotiated facility rate for this MS_DRG 160 — 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 |
|---|---|---|---|---|---|---|---|
| Uh Geauga Medical Center InpatientFacility | Humana | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Aetna | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | WellCare by AllWell | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Molina | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | United Healthcare | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Anthem | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | SummaCare | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Primetime Health Plan | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Cigna | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Medical Mutual of Ohio | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | The Health Plan | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Devoted Health | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Paramount | Medicare Advantage | $52.19 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Perennial Advantage of Ohio | Medicare Advantage | $53.20 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Valor Health Plans | Medicare Advantage | $53.20 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Aetna CVSHealth QHP | Commercial | $90.19 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | CareSource | Marketplace | $91.21 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Ambetter | Commercial | $91.21 | — | — | 2025-05-16 | MRF ↗ |
| UPMC JAMESON InpatientFacility | UPMC Work Partners | Workers Comp | $5,688.70 | — | — | 2026-03-06 | MRF ↗ |
| MIAMI VALLEY HOSPITAL InpatientFacility | Contracted Commercial | Private Healthcare Systems | $5,839.75 | — | — | 2026-04-01 | MRF ↗ |
| UPPER VALLEY MEDICAL CENTER InpatientFacility | Contracted Commercial | Private Healthcare Systems | $5,839.75 | — | — | 2026-04-01 | MRF ↗ |
| ATRIUM MEDICAL CENTER InpatientFacility | Contracted Commercial | Private Healthcare Systems | $5,839.75 | — | — | 2026-04-01 | MRF ↗ |
| MIAMI VALLEY HOSPITAL InpatientFacility | Contracted Commercial | Faith Based - Phcs | $5,839.75 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL HEALTHCARE SYSTEM, INC Inpatient | Amerigroup | Medicaid|All Plans | $5,957.00 | — | — | 2026-02-28 | MRF ↗ |
| CHI Memorial Hospital - Hixson Inpatient | Amerigroup | Medicaid|All Plans | $5,957.00 | — | — | 2026-02-28 | MRF ↗ |
| MEMORIAL HEALTHCARE SYSTEM, INC Inpatient | Amerigroup | Medicaid|All Plans | $5,957.00 | — | — | 2026-02-28 | MRF ↗ |
| MEMORIAL HEALTHCARE SYSTEM, INC Inpatient | Peach State | Medicaid|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| MEMORIAL HEALTHCARE SYSTEM, INC Inpatient | Peach State | Medicaid|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| UPMC Lock Haven InpatientFacility | UPMC Work Partners | Workers Comp | $5,985.08 | — | — | 2026-03-06 | MRF ↗ |
| UPMC SOMERSET InpatientFacility | UPMC Work Partners | Workers Comp | $6,174.36 | — | — | 2026-03-06 | MRF ↗ |
| ST MARY'S GENERAL HOSPITAL Inpatient | Humana | Humana Military | $6,256.13 | — | — | 2024-12-19 | MRF ↗ |
| ST MARY'S GENERAL HOSPITAL Inpatient | Humana | Humana Military | $6,256.13 | — | — | 2024-12-19 | MRF ↗ |
| UPMC MEMORIAL InpatientFacility | UPMC Work Partners | Workers Comp | $6,333.08 | — | — | 2026-03-06 | MRF ↗ |
| UPMC HANOVER InpatientFacility | UPMC Work Partners | Workers Comp | $6,333.08 | — | — | 2026-03-06 | MRF ↗ |
| UPMC HANOVER InpatientFacility | UPMC Work Partners | Workers Comp | $6,333.08 | — | — | 2026-03-06 | MRF ↗ |
| UPMC LITITZ InpatientFacility | UPMC Work Partners | Workers Comp | $6,499.60 | — | — | 2026-03-06 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC InpatientFacility | Aetna | NC+ Preferred | $6,527.00 | — | — | 2025-10-08 | MRF ↗ |
| UPMC Lock Haven InpatientFacility | Multiplan | Worker's Compensation | $6,611.43 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE InpatientFacility | UPMC Work Partners | Workers Comp | $6,637.85 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE InpatientFacility | UPMC Work Partners | Workers Comp | $6,637.85 | — | — | 2026-03-06 | MRF ↗ |
| CHI MEMORIAL HOSPITAL- GEORGIA Inpatient | Amerigroup | Medicaid|All Plans | $6,665.00 | — | — | 2026-02-28 | MRF ↗ |
| CHI MEMORIAL HOSPITAL- GEORGIA Inpatient | Aetna | Commercial|PPO | — | — | — | 2026-02-28 | MRF ↗ |
| CHI MEMORIAL HOSPITAL- GEORGIA Inpatient | Aetna | Commercial|HMO | — | — | — | 2026-02-28 | MRF ↗ |
| CHI MEMORIAL HOSPITAL- GEORGIA Inpatient | Aetna | Commercial|All Other Plans | — | — | — | 2026-02-28 | MRF ↗ |
| UPMC JAMESON InpatientFacility | UPMC Work Partners | Workers Comp | $6,766.32 | — | — | 2026-03-06 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC InpatientFacility | Aetna | Whole Health | $6,955.00 | — | — | 2025-10-08 | MRF ↗ |
| Tyler Memorial Hospital InpatientFacility | None | — | — | — | — | 2026-01-01 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER InpatientFacility | None | — | — | — | — | 2026-03-23 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL InpatientFacility | None | — | — | — | — | 2026-03-23 | MRF ↗ |
| INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL InpatientFacility | None | — | — | — | — | 2026-03-23 | MRF ↗ |
| UPMC PASSAVANT InpatientFacility | Private Health Care Systems | Workers' Comp | $7,867.82 | — | — | 2026-03-07 | MRF ↗ |
| UPMC PASSAVANT InpatientFacility | Private Health Care Systems | Workers' Comp | $7,867.82 | — | — | 2026-03-07 | MRF ↗ |
| Upmc Presbyterian Shadyside InpatientFacility | Multiplan | Worker's Compensation | $7,867.82 | — | — | 2026-03-06 | MRF ↗ |
| Tyler Memorial Hospital InpatientFacility | None | — | — | — | — | 2026-01-01 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Martin's Point | Martin's Point | $8,205.63 | — | — | 2026-04-14 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL InpatientFacility | Tufts Associated Health Maintenance Organization, Inc. | USHFP | $8,205.63 | — | — | 2026-02-28 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Martin's Point | Martin's Point | $8,205.63 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Martin's Point | Martin's Point | $8,205.63 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Martin's Point | Martin's Point | $8,205.63 | — | — | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Inpatient | Martin's Point | Martin's Point | $8,205.63 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Martin's Point | Martin's Point | $8,205.63 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Martin's Point | Martin's Point | $8,205.63 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Martin's Point | Martin's Point | $8,205.63 | — | — | 2026-04-14 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC InpatientFacility | Aetna | Broad Network | $8,452.00 | — | — | 2025-10-08 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | TUFTS HEALTH PUBLIC PLAN CONNECTORCARE [100264] | HB XR THPP CONNECTOR PLANS QHP SUBSIDIZED LGH | $8,640.95 | $116,460.48 | $81,522.34 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | WELLSENSE NH [350010] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | — | $116,460.48 | $81,522.34 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | MEDICAID MASSHEALTH [300001] | HB XR MEDICAID LIMITED CMSP 100% | — | $116,460.48 | $81,522.34 | 2026-04-01 | MRF ↗ |
| UPMC BEDFORD MEMORIAL InpatientFacility | UPMC Work Partners | Workers Comp | $9,223.57 | — | — | 2026-03-06 | MRF ↗ |
| UPMC NORTHWEST InpatientFacility | UPMC Work Partners | Workers Comp | $9,223.57 | — | — | 2026-03-06 | MRF ↗ |
| UPMC HORIZON InpatientFacility | UPMC Work Partners | Workers Comp | $9,470.42 | — | — | 2026-03-06 | MRF ↗ |
| UPMC HAMOT InpatientFacility | UPMC Work Partners | Workers Comp | $9,495.41 | — | — | 2026-03-06 | MRF ↗ |
| UPMC ALTOONA InpatientFacility | UPMC Work Partners | Workers Comp | $9,674.01 | — | — | 2026-03-06 | MRF ↗ |
| UPMC ALTOONA InpatientFacility | UPMC Work Partners | Workers Comp | $9,674.01 | — | — | 2026-03-06 | MRF ↗ |
| UPMC MERCY InpatientFacility | UPMC Work Partners | Workers Comp | $10,292.55 | — | — | 2026-03-06 | MRF ↗ |
| UPMC PASSAVANT InpatientFacility | UPMC Work Partners | Workers Comp | $10,292.55 | — | — | 2026-03-07 | MRF ↗ |
| UPMC MERCY InpatientFacility | UPMC Work Partners | Workers Comp | $10,292.55 | — | — | 2026-03-06 | MRF ↗ |
| UPMC MCKEESPORT HOSPITAL InpatientFacility | UPMC Work Partners | Workers Comp | $10,292.55 | — | — | 2026-03-06 | MRF ↗ |
| UPMC EAST InpatientFacility | UPMC Work Partners | Workers Comp | $10,292.55 | — | — | 2026-03-06 | MRF ↗ |
| UPMC PASSAVANT InpatientFacility | UPMC Work Partners | Workers Comp | $10,292.55 | — | — | 2026-03-07 | MRF ↗ |
| Upmc Presbyterian Shadyside InpatientFacility | UPMC Work Partners | Workers Comp | $10,292.55 | — | — | 2026-03-06 | MRF ↗ |
| UPMC PINNACLE HOSPITALS InpatientFacility | UPMC Work Partners | Workers Comp | $10,450.52 | — | — | 2026-03-06 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | TUFTS HEALTH PUBLIC PLAN CONNECTORCARE [100264] | HB XR THPP CONNECTOR PLANS QHP NON-SUBSIDIZED LGH | $11,478.22 | $116,460.48 | $81,522.34 | 2026-04-01 | MRF ↗ |
| MOUNT SINAI HOSPITAL InpatientFacility | Metroplus | Metroplus Medicaid - Tmsh | — | — | — | 2026-04-01 | MRF ↗ |
| MASSACHUSETTS GENERAL HOSPITAL Inpatient | MASSHEALTH [3001] | HB MGH MEDICAID | $44,099.90 | $151,907.39 | — | 2026-03-27 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | MIDDLESEX COUNTY [500015] | HB XR MASSHEALTH NON-CONTRACTED MWF | $47,511.26 | $116,460.48 | $81,522.34 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | WELLSENSE MEDICAID REPLACEMENT [350011] | HB XR WELLSENSE MEDICAID MCO ACO LGH | $47,511.26 | $116,460.48 | $81,522.34 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | SUFFOLK COUNTY [500014] | HB XR MASSHEALTH NON-CONTRACTED LGH | $47,511.26 | $116,460.48 | $81,522.34 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | MIDDLESEX COUNTY [500015] | HB XR MASSHEALTH NON-CONTRACTED LGH | $47,511.26 | $116,460.48 | $81,522.34 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | MEDICAID MASSHEALTH [300001] | HB XR MASSHEALTH 100% LGH | $47,511.26 | $116,460.48 | $81,522.34 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | MASS GENERAL BRIGHAM HEALTH PLAN MEDICAID REPLACEM | HB XR MGBHP ACO COMPLETE SELECT LGH | $47,511.26 | $116,460.48 | $81,522.34 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | GENERIC PRISON [500099] | HB XR MASSHEALTH NON-CONTRACTED LGH | $47,511.26 | $116,460.48 | $81,522.34 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | FALLON HEALTH MEDICAID REPLACEMENT [350008] | HB XR MASSHEALTH 100% LGH | $47,511.26 | $116,460.48 | $81,522.34 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | WELLSENSE NH [350010] | HB XR MASSHEALTH 100% MWF | $47,511.26 | $116,460.48 | $81,522.34 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | TUFTS HEALTH PUBLIC PLAN [350009] | HB XR THPP MCO ACO MWF | $47,511.26 | $116,460.48 | $81,522.34 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | TEWKSBURY HOSPITAL [950008] | HB XR MASSHEALTH NON-CONTRACTED MWF | $47,511.26 | $116,460.48 | $81,522.34 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | SUFFOLK COUNTY [500014] | HB XR MASSHEALTH NON-CONTRACTED MWF | $47,511.26 | $116,460.48 | $81,522.34 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | MIDDLESEX COUNTY [500015] | HB XR MASSHEALTH NON-CONTRACTED MWF | $47,511.26 | $116,460.48 | $81,522.34 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | MEDICAID MASSHEALTH [300001] | HB XR MASSHEALTH 100% MWF | $47,511.26 | $116,460.48 | $81,522.34 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | MEDICAID MASSHEALTH [300001] | HB XR MEDICAID LIMITED CMSP 100% | — | $116,460.48 | $81,522.34 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | MASS GENERAL BRIGHAM HEALTH PLAN MEDICAID REPLACEM | HB XR MGBHP ACO COMPLETE SELECT MWF | $47,511.26 | $116,460.48 | $81,522.34 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | GENERIC PRISON [500099] | HB XR MASSHEALTH NON-CONTRACTED MWF | $47,511.26 | $116,460.48 | $81,522.34 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | FALLON HEALTH MEDICAID REPLACEMENT [350008] | HB XR MASSHEALTH 100% MWF | $47,511.26 | $116,460.48 | $81,522.34 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | TEWKSBURY HOSPITAL [950008] | HB XR MASSHEALTH NON-CONTRACTED LGH | $47,511.26 | $116,460.48 | $81,522.34 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | MEDICAID MASSHEALTH [300001] | HB XR MASSHEALTH 100% MWF | $47,511.26 | $116,460.48 | $81,522.34 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | MEDICAID MASSHEALTH [300001] | HB XR MEDICAID LIMITED CMSP 100% | — | $116,460.48 | $81,522.34 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | SUFFOLK COUNTY [500014] | HB XR MASSHEALTH NON-CONTRACTED MWF | $47,511.26 | $116,460.48 | $81,522.34 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | TEWKSBURY HOSPITAL [950008] | HB XR MASSHEALTH NON-CONTRACTED MWF | $47,511.26 | $116,460.48 | $81,522.34 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | GENERIC PRISON [500099] | HB XR MASSHEALTH NON-CONTRACTED MWF | $47,511.26 | $116,460.48 | $81,522.34 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | TUFTS HEALTH PUBLIC PLAN [350009] | HB XR THPP MCO ACO MWF | $47,511.26 | $116,460.48 | $81,522.34 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | MASS GENERAL BRIGHAM HEALTH PLAN MEDICAID REPLACEM | HB XR MGBHP ACO COMPLETE SELECT MWF | $47,511.26 | $116,460.48 | $81,522.34 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | WELLSENSE NH [350010] | HB XR MASSHEALTH 100% MWF | $47,511.26 | $116,460.48 | $81,522.34 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | FALLON HEALTH MEDICAID REPLACEMENT [350008] | HB XR MASSHEALTH 100% MWF | $47,511.26 | $116,460.48 | $81,522.34 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | TUFTS HEALTH PUBLIC PLAN [350009] | HB XR THPP MCO ACO LGH | $47,632.86 | $116,460.48 | $81,522.34 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | WELLSENSE NH [350010] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES TMC | — | $116,460.48 | $81,522.34 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | WELLSENSE MEDICAID REPLACEMENT [350011] | HB XR WELLSENSE MEDICAID MCO ACO TMC | $48,759.21 | $116,460.48 | $81,522.34 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | TUFTS HEALTH PUBLIC PLAN [350009] | HB XR THPP MCO ACO TMC | $48,759.21 | $116,460.48 | $81,522.34 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | MASS GENERAL BRIGHAM HEALTH PLAN MEDICAID REPLACEM | HB XR MGBHP ACO COMPLETE SELECT TMC | $48,759.21 | $116,460.48 | $81,522.34 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | TEWKSBURY HOSPITAL [950008] | HB XR MASSHEALTH NON-CONTRACTED TMC | $48,759.21 | $116,460.48 | $81,522.34 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | MEDICAID MASSHEALTH [300001] | HB XR MASSHEALTH 100% TMC | $48,759.21 | $116,460.48 | $81,522.34 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | SUFFOLK COUNTY [500014] | HB XR MASSHEALTH NON-CONTRACTED TMC | $48,759.21 | $116,460.48 | $81,522.34 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | MEDICAID MASSHEALTH [300001] | HB XR MEDICAID LIMITED CMSP 100% | — | $116,460.48 | $81,522.34 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | GENERIC PRISON [500099] | HB XR MASSHEALTH NON-CONTRACTED TMC | $48,759.21 | $116,460.48 | $81,522.34 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | MASS GENERAL BRIGHAM HEALTH PLAN MEDICAID REPLACEM | HB XR MASSHEALTH 100% TMC | $48,759.21 | $116,460.48 | $81,522.34 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | MIDDLESEX COUNTY [500015] | HB XR MASSHEALTH NON-CONTRACTED TMC | $48,759.21 | $116,460.48 | $81,522.34 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | FALLON HEALTH MEDICAID REPLACEMENT [350008] | HB XR MASSHEALTH 100% TMC | $48,759.21 | $116,460.48 | $81,522.34 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | WELLSENSE MEDICAID REPLACEMENT [350011] | HB XR WELLSENSE MEDICAID MCO ACO MWF | $49,886.82 | $116,460.48 | $81,522.34 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | WELLSENSE MEDICAID REPLACEMENT [350011] | HB XR WELLSENSE MEDICAID MCO ACO MWF | $49,886.82 | $116,460.48 | $81,522.34 | 2026-04-01 | MRF ↗ |
| BRIGHAM AND WOMEN'S HOSPITAL Inpatient | HARVARD PILGRIM [120001] | HB AMC HPHC HMO / POS | $60,312.62 | $614,564.17 | — | 2026-03-27 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | WELLSENSE CLARITY CONNECTORCARE [100256] | HB XR WELLSENSE CLARITY SILVER PLAN LGH | $61,764.64 | $116,460.48 | $81,522.34 | 2026-04-01 | MRF ↗ |
| BRIGHAM AND WOMEN'S HOSPITAL Inpatient | HARVARD PILGRIM [120001] | HB AMC HPHC PPO | $63,330.00 | $614,564.17 | — | 2026-03-27 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | WELLSENSE CLARITY CONNECTORCARE [100256] | HB XR WELLSENSE CLARITY SILVER PLAN TMC | $65,337.34 | $116,460.48 | $81,522.34 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | WELLSENSE CLARITY CONNECTORCARE [100256] | HB XR WELLSENSE CLARITY SILVER PLAN MWH | $70,981.82 | $116,460.48 | $81,522.34 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | WELLSENSE CLARITY CONNECTORCARE [100256] | HB XR WELLSENSE CLARITY SILVER PLAN MWH | $70,981.82 | $116,460.48 | $81,522.34 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | TUFTS HEALTH PUBLIC PLAN CONNECTORCARE [100264] | HB XR THPP CONNECTOR PLANS QHP SUBSIDIZED TMC | $71,269.65 | $116,460.48 | $81,522.34 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | WELLSENSE CLARITY CONNECTORCARE [100256] | HB XR WELLSENSE CLARITY NON-SILVER LGH | $71,742.00 | $116,460.48 | $81,522.34 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | WELLSENSE CLARITY CONNECTORCARE [100256] | HB XR WELLSENSE CLARITY NON-SILVER TMC | $73,626.41 | $116,460.48 | $81,522.34 | 2026-04-01 | MRF ↗ |
| MASSACHUSETTS GENERAL HOSPITAL Inpatient | MASSHEALTH [3001] | HB MGH MEDICAID | $74,548.52 | $251,243.40 | — | 2026-03-27 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | WELLSENSE CLARITY CONNECTORCARE [100256] | HB XR WELLSENSE CLARITY NON-SILVER MWH | $80,769.14 | $116,460.48 | $81,522.34 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | WELLSENSE CLARITY CONNECTORCARE [100256] | HB XR WELLSENSE CLARITY NON-SILVER MWH | $80,769.14 | $116,460.48 | $81,522.34 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | TUFTS HEALTH PUBLIC PLAN CONNECTORCARE [100264] | HB XR THPP CONNECTOR PLANS QHP NON SUBSIDIZED TMC | $83,817.08 | $116,460.48 | $81,522.34 | 2026-04-01 | MRF ↗ |
| MASSACHUSETTS GENERAL HOSPITAL Inpatient | BLUE CROSS BLUE SHIELD [110001] | HB AMC BLUE CROSS PPO | $124,547.54 | $151,907.39 | — | 2026-03-27 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Inpatient | MGB CONNECTORCARE [10506] | All MGB (FORMERLY AHP) COMMERCIAL/HMO UM [33] Plans | $163,682.00 | $151,649.86 | $151,649.86 | 2026-03-26 | MRF ↗ |
| MASSACHUSETTS GENERAL HOSPITAL Inpatient | BLUE CROSS BLUE SHIELD [110001] | HB AMC BLUE CROSS HMO | $170,928.65 | $251,243.40 | — | 2026-03-27 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Inpatient | MGB HLTH PARTNERS [11110] | All MGB (FORMERLY AHP) PPO UM [238] Plans | $188,228.85 | $151,649.86 | $151,649.86 | 2026-03-26 | MRF ↗ |
| BRIGHAM AND WOMEN'S HOSPITAL Inpatient | BLUE CROSS BLUE SHIELD [110001] | HB AMC BLUE CROSS PPO | $192,169.87 | $363,457.20 | — | 2026-03-27 | MRF ↗ |
| BRIGHAM AND WOMEN'S HOSPITAL Inpatient | BLUE CROSS BLUE SHIELD [110001] | HB AMC BLUE CROSS HMO | $318,419.78 | $614,564.17 | — | 2026-03-27 | MRF ↗ |
| BRIGHAM AND WOMEN'S HOSPITAL Inpatient | BLUE CROSS BLUE SHIELD [110001] | HB AMC BLUE CROSS PPO | $357,989.65 | $614,564.17 | — | 2026-03-27 | MRF ↗ |
| MASSACHUSETTS GENERAL HOSPITAL Inpatient | MGB HEALTH PLAN [150001] | HB AMC MGBHP COMMERCIAL PPO | $394,971.45 | $277,497.82 | — | 2026-03-27 | MRF ↗ |