161 — Inguinal & Femoral Hernia Procedures Age >17 W Cc
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Inguinal & Femoral Hernia Procedures Age >17 w CC (MS_DRG 161) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/161?code_type=MS_DRG
MLA (9th ed.)
“Inguinal & Femoral Hernia Procedures Age >17 w CC (MS_DRG 161) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/161?code_type=MS_DRG. Accessed .
Chicago (notes-bibliography)
“Inguinal & Femoral Hernia Procedures Age >17 w CC (MS_DRG 161) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/161?code_type=MS_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $81,171–$351,019 (25th–75th percentile) across 62 hospitals · 68 payers.
“Negotiated” is the hospital’s negotiated facility rate for this MS_DRG 161 — 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 | Medical Mutual of Ohio | 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 | Cigna | 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 | United Healthcare | 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 | Anthem | 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 | 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 | Humana | 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 | Valor Health Plans | Medicare Advantage | $53.20 | — | — | 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 | Aetna CVSHealth QHP | Commercial | $90.19 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Ambetter | Commercial | $91.21 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | CareSource | Marketplace | $91.21 | — | — | 2025-05-16 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Inpatient | SEAFARERS HEALTH AND BENEFITS PLAN [5343] | MMC CIGNA OAP | $2,101.00 | $1,735,526.18 | — | 2026-04-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Inpatient | SEAFARERS HEALTH AND BENEFITS PLAN [5343] | MMC CIGNA | $2,101.00 | $1,729,174.68 | — | 2026-01-01 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN InpatientFacility | None | — | — | — | — | 2026-03-18 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC InpatientFacility | Aetna | NC+ Preferred | $6,527.00 | — | — | 2025-10-08 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC InpatientFacility | Aetna | Whole Health | $6,955.00 | — | — | 2025-10-08 | MRF ↗ |
| UPMC JAMESON InpatientFacility | UPMC Work Partners | Workers Comp | $7,833.86 | — | — | 2026-03-06 | MRF ↗ |
| UPMC Lock Haven InpatientFacility | UPMC Work Partners | Workers Comp | $8,242.01 | — | — | 2026-03-06 | MRF ↗ |
| MIAMI VALLEY HOSPITAL InpatientFacility | Contracted Commercial | Faith Based - Phcs | $8,395.04 | — | — | 2026-04-01 | MRF ↗ |
| MIAMI VALLEY HOSPITAL InpatientFacility | Contracted Commercial | Private Healthcare Systems | $8,395.04 | — | — | 2026-04-01 | MRF ↗ |
| ATRIUM MEDICAL CENTER InpatientFacility | Contracted Commercial | Private Healthcare Systems | $8,395.04 | — | — | 2026-04-01 | MRF ↗ |
| UPPER VALLEY MEDICAL CENTER InpatientFacility | Contracted Commercial | Private Healthcare Systems | $8,395.04 | — | — | 2026-04-01 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC InpatientFacility | Aetna | Broad Network | $8,452.00 | — | — | 2025-10-08 | MRF ↗ |
| UPMC SOMERSET InpatientFacility | UPMC Work Partners | Workers Comp | $8,502.66 | — | — | 2026-03-06 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | TUFTS HEALTH PUBLIC PLAN CONNECTORCARE [100264] | HB XR THPP CONNECTOR PLANS QHP SUBSIDIZED LGH | $8,640.95 | $780,304.61 | $546,213.23 | 2026-04-01 | MRF ↗ |
| UPMC HANOVER InpatientFacility | UPMC Work Partners | Workers Comp | $8,721.23 | — | — | 2026-03-06 | MRF ↗ |
| UPMC HANOVER InpatientFacility | UPMC Work Partners | Workers Comp | $8,721.23 | — | — | 2026-03-06 | MRF ↗ |
| UPMC MEMORIAL InpatientFacility | UPMC Work Partners | Workers Comp | $8,721.23 | — | — | 2026-03-06 | MRF ↗ |
| UPMC LITITZ InpatientFacility | UPMC Work Partners | Workers Comp | $8,950.55 | — | — | 2026-03-06 | MRF ↗ |
| UPMC Lock Haven InpatientFacility | Multiplan | Worker's Compensation | $9,104.54 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE InpatientFacility | UPMC Work Partners | Workers Comp | $9,140.93 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE InpatientFacility | UPMC Work Partners | Workers Comp | $9,140.93 | — | — | 2026-03-06 | MRF ↗ |
| UPMC NORTHWEST InpatientFacility | UPMC Work Partners | Workers Comp | $9,223.57 | — | — | 2026-03-06 | MRF ↗ |
| UPMC BEDFORD MEMORIAL InpatientFacility | UPMC Work Partners | Workers Comp | $9,223.57 | — | — | 2026-03-06 | MRF ↗ |
| UPMC JAMESON InpatientFacility | UPMC Work Partners | Workers Comp | $9,317.85 | — | — | 2026-03-06 | MRF ↗ |
| MEMORIAL HEALTHCARE SYSTEM, INC Inpatient | Peach State | Medicaid|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| CHI Memorial Hospital - Hixson Inpatient | Amerigroup | Medicaid|All Plans | $9,441.00 | — | — | 2026-02-28 | MRF ↗ |
| MEMORIAL HEALTHCARE SYSTEM, INC Inpatient | Amerigroup | Medicaid|All Plans | $9,441.00 | — | — | 2026-02-28 | MRF ↗ |
| MEMORIAL HEALTHCARE SYSTEM, INC Inpatient | Peach State | Medicaid|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| MEMORIAL HEALTHCARE SYSTEM, INC Inpatient | Amerigroup | Medicaid|All Plans | $9,441.00 | — | — | 2026-02-28 | 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 ↗ |
| Tyler Memorial Hospital InpatientFacility | None | — | — | — | — | 2026-01-01 | 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 ↗ |
| ROXBOROUGH MEMORIAL HOSPITAL Inpatient | Worker Compensation | Worker Compensation | $9,968.01 | — | — | 2024-12-19 | MRF ↗ |
| LOWER BUCKS HOSPITAL Inpatient | Worker Compensation | Worker Compensation | $9,968.01 | — | — | 2024-12-19 | MRF ↗ |
| UPMC EAST InpatientFacility | UPMC Work Partners | Workers Comp | $10,292.55 | — | — | 2026-03-06 | MRF ↗ |
| UPMC MERCY InpatientFacility | UPMC Work Partners | Workers Comp | $10,292.55 | — | — | 2026-03-06 | MRF ↗ |
| Upmc Presbyterian Shadyside 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 MCKEESPORT HOSPITAL 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 PINNACLE HOSPITALS InpatientFacility | UPMC Work Partners | Workers Comp | $10,450.52 | — | — | 2026-03-06 | MRF ↗ |
| CHI MEMORIAL HOSPITAL- GEORGIA Inpatient | Aetna | Commercial|HMO | — | — | — | 2026-02-28 | MRF ↗ |
| CHI MEMORIAL HOSPITAL- GEORGIA Inpatient | Aetna | Commercial|PPO | — | — | — | 2026-02-28 | MRF ↗ |
| CHI MEMORIAL HOSPITAL- GEORGIA Inpatient | Amerigroup | Medicaid|All Plans | $10,563.00 | — | — | 2026-02-28 | MRF ↗ |
| CHI MEMORIAL HOSPITAL- GEORGIA Inpatient | Aetna | Commercial|All Other Plans | — | — | — | 2026-02-28 | MRF ↗ |
| Upmc Presbyterian Shadyside InpatientFacility | Multiplan | Worker's Compensation | $10,834.70 | — | — | 2026-03-06 | MRF ↗ |
| UPMC PASSAVANT InpatientFacility | Private Health Care Systems | Workers' Comp | $10,834.70 | — | — | 2026-03-07 | MRF ↗ |
| UPMC PASSAVANT InpatientFacility | Private Health Care Systems | Workers' Comp | $10,834.70 | — | — | 2026-03-07 | 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 | $761,733.65 | $533,213.56 | 2026-04-01 | MRF ↗ |
| ST MARY'S GENERAL HOSPITAL Inpatient | Humana | Humana Military | $14,381.70 | — | — | 2024-12-19 | MRF ↗ |
| ST MARY'S GENERAL HOSPITAL Inpatient | Humana | Humana Military | $14,381.70 | — | — | 2024-12-19 | MRF ↗ |
| LOWER BUCKS HOSPITAL Inpatient | Humana | Humana Tricare | $14,381.70 | — | — | 2024-12-19 | MRF ↗ |
| ROXBOROUGH MEMORIAL HOSPITAL Inpatient | Humana Military Tricare | Humana Military Tricare | $14,381.70 | — | — | 2024-12-19 | MRF ↗ |
| LOWER BUCKS HOSPITAL Inpatient | Tricare | Tricare | $16,333.90 | — | — | 2024-12-19 | MRF ↗ |
| ROXBOROUGH MEMORIAL HOSPITAL Inpatient | Tricare | Tricare | $16,548.00 | — | — | 2024-12-19 | MRF ↗ |
| INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL InpatientFacility | None | — | — | — | — | 2026-03-23 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER InpatientFacility | None | — | — | — | — | 2026-03-23 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL InpatientFacility | None | — | — | — | — | 2026-03-23 | MRF ↗ |
| Tyler Memorial Hospital InpatientFacility | None | — | — | — | — | 2026-01-01 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL InpatientFacility | Tufts Associated Health Maintenance Organization, Inc. | USHFP | $17,720.50 | — | — | 2026-02-28 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Martin's Point | Martin's Point | $17,720.50 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Martin's Point | Martin's Point | $17,720.50 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Martin's Point | Martin's Point | $17,720.50 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Martin's Point | Martin's Point | $17,720.50 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Martin's Point | Martin's Point | $17,720.50 | — | — | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Inpatient | Martin's Point | Martin's Point | $17,720.50 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Martin's Point | Martin's Point | $17,720.50 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Martin's Point | Martin's Point | $17,720.50 | — | — | 2026-04-14 | MRF ↗ |
| MOUNT SINAI WEST InpatientFacility | Amida Care | Amida Care Medicaid - Slw | — | — | — | 2026-04-01 | MRF ↗ |
| BRIGHAM AND WOMEN'S HOSPITAL Inpatient | WELLSENSE [1003] | HB BWH WELLSENSE MCO | $66,599.94 | $356,208.01 | — | 2026-03-27 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | HARVARD PILGRIM HEALTHCARE [100241] | HB XR HPHC HMO MWF | $67,893.86 | $126,498.94 | $88,549.26 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | HARVARD PILGRIM HEALTHCARE [100241] | HB XR HPHC HMO MWF | $67,893.86 | $126,498.94 | $88,549.26 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | HEALTH PLANS INC [100262] | HB XR HPHC HMO MWF | $67,893.86 | $126,498.94 | $88,549.26 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | HEALTH PLANS INC [100262] | HB XR HPHC HMO MWF | $67,893.86 | $126,498.94 | $88,549.26 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | MEDICAID MASSHEALTH [300001] | HB XR MEDICAID LIMITED CMSP 100% | — | $761,733.65 | $533,213.56 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | MEDICAID MASSHEALTH [300001] | HB XR MEDICAID LIMITED CMSP 100% | — | $761,733.65 | $533,213.56 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | UNITED HEALTHCARE [100060] | HB XR HPHC PPO MWF | $74,682.04 | $126,498.94 | $88,549.26 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | HEALTH PLANS INC [100262] | HB XR HPHC PPO MWF | $74,682.04 | $126,498.94 | $88,549.26 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | HEALTH PLANS INC [100262] | HB XR HPHC PPO MWF | $74,682.04 | $126,498.94 | $88,549.26 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | HARVARD PILGRIM HEALTHCARE [100241] | HB XR HPHC PPO MWF | $74,682.04 | $126,498.94 | $88,549.26 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | UNITED HEALTHCARE [100060] | HB XR HPHC PPO MWF | $74,682.04 | $126,498.94 | $88,549.26 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | HARVARD PILGRIM HEALTHCARE [100241] | HB XR HPHC PPO MWF | $74,682.04 | $126,498.94 | $88,549.26 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | HEALTH PLANS INC [100262] | HB XR HPHC FULLY INSURED REFERRAL HMO POS PPO LGH | $75,561.17 | $126,498.94 | $88,549.26 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | HARVARD PILGRIM HEALTHCARE [100241] | HB XR HPHC FULLY INSURED REFERRAL HMO POS PPO LGH | $75,561.17 | $126,498.94 | $88,549.26 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | HARVARD PILGRIM HEALTHCARE [100241] | HB XR HPHC FULLY INSURED RISK HMO POS LGH | $77,146.82 | $126,498.94 | $88,549.26 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | HEALTH PLANS INC [100262] | HB XR HPHC FULLY INSURED RISK HMO POS LGH | $77,146.82 | $126,498.94 | $88,549.26 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | HARVARD PILGRIM HEALTHCARE [100241] | HB XR HPHC SELF INSURED RISK HMO POS LGH | $80,450.59 | $126,498.94 | $88,549.26 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | HARVARD PILGRIM HEALTHCARE [100241] | HB XR HPHC SELF INSURED REFERRAL HMO POS PPO LGH | $81,891.72 | $126,498.94 | $88,549.26 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | UNITED HEALTHCARE [100060] | HB XR HPHC SELF INSURED REFERRAL HMO POS PPO LGH | $81,891.72 | $126,498.94 | $88,549.26 | 2026-04-01 | MRF ↗ |
| Charlton Memorial Hospital Inpatient | HARVARD PILGRIM [1010602] | HARVARD PILGRIM HMO/PPO [101060201] | $86,054.55 | $178,547.08 | $89,273.54 | 2025-12-15 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | HEALTH PLANS INC [100262] | HB XR HPHC HMO POS TMC | $89,149.57 | $126,498.94 | $88,549.26 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | MEDICAID MASSHEALTH [300001] | HB XR MEDICAID LIMITED CMSP 100% | — | $780,304.61 | $546,213.23 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | WELLSENSE NH [350010] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES TMC | — | $761,733.65 | $533,213.56 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | HARVARD PILGRIM HEALTHCARE [100241] | HB XR HPHC HMO POS TMC | $89,149.57 | $126,498.94 | $88,549.26 | 2026-04-01 | MRF ↗ |
| SALEM HOSPITAL Inpatient | HARVARD PILGRIM [120001] | HB CH HPHC HMO / POS | $92,421.93 | $116,055.73 | — | 2026-03-27 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | HEALTH PLANS INC [100262] | HB XR HPHC PPO TMC | $98,065.33 | $126,498.94 | $88,549.26 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | HARVARD PILGRIM HEALTHCARE [100241] | HB XR HPHC PPO TMC | $98,065.33 | $126,498.94 | $88,549.26 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | UNITED HEALTHCARE [100060] | HB XR HPHC PPO TMC | $98,065.33 | $126,498.94 | $88,549.26 | 2026-04-01 | MRF ↗ |
| MOUNT SINAI WEST InpatientFacility | Metroplus | Metroplus Ep 1-2 - Slw | — | — | — | 2026-04-01 | MRF ↗ |
| BRIGHAM AND WOMEN'S HOSPITAL Inpatient | HARVARD PILGRIM [120001] | HB AMC HPHC HMO / POS | $105,782.49 | $1,181,300.10 | — | 2026-03-27 | MRF ↗ |
| MASSACHUSETTS GENERAL HOSPITAL Inpatient | HARVARD PILGRIM [120001] | HB AMC HPHC HMO / POS | $105,782.49 | $1,064,045.76 | — | 2026-03-27 | MRF ↗ |
| Charlton Memorial Hospital Inpatient | BCBS RHODE ISLAND [1010501] | BCBS RHODE ISLAND HMO [101050101] | $109,811.83 | $207,156.53 | $103,578.26 | 2025-12-15 | MRF ↗ |
| BRIGHAM AND WOMEN'S HOSPITAL Inpatient | HARVARD PILGRIM [120001] | HB AMC HPHC PPO | $111,074.69 | $160,981.59 | — | 2026-03-27 | MRF ↗ |
| MOUNT SINAI HOSPITAL InpatientFacility | Metroplus | Metroplus Medicaid - Tmsh | — | — | — | 2026-04-01 | MRF ↗ |
| BRIGHAM AND WOMEN'S HOSPITAL Inpatient | BLUE CROSS BLUE SHIELD [110001] | HB AMC BLUE CROSS HMO | $155,945.07 | $1,181,300.10 | — | 2026-03-27 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | HARVARD PILGRIM HEALTHCARE [100241] | HB XR HPHC HMO MWF | $166,417.15 | $219,216.05 | $153,451.24 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | HEALTH PLANS INC [100262] | HB XR HPHC HMO MWF | $166,417.15 | $219,216.05 | $153,451.24 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | HARVARD PILGRIM HEALTHCARE [100241] | HB XR HPHC HMO MWF | $166,417.15 | $219,216.05 | $153,451.24 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | HEALTH PLANS INC [100262] | HB XR HPHC HMO MWF | $166,417.15 | $219,216.05 | $153,451.24 | 2026-04-01 | MRF ↗ |
| MASSACHUSETTS GENERAL HOSPITAL Inpatient | MGB HEALTH PLAN [150001] | HB AMC MGBHP COMMERCIAL HMO | $168,405.10 | $164,311.74 | — | 2026-03-27 | MRF ↗ |
| MASSACHUSETTS GENERAL HOSPITAL Inpatient | CENTERS OF EXCELLENCE [1026] | HB AMC TRANSPLANT OPTUM HEALTH | — | $1,064,045.76 | — | 2026-03-27 | MRF ↗ |
| MASSACHUSETTS GENERAL HOSPITAL Inpatient | MGB HEALTH PLAN [150001] | HB AMC MGBHP COMMERCIAL PPO | $176,823.56 | $164,311.74 | — | 2026-03-27 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | HEALTH PLANS INC [100262] | HB XR HPHC PPO MWF | $183,055.92 | $219,216.05 | $153,451.24 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | HARVARD PILGRIM HEALTHCARE [100241] | HB XR HPHC PPO MWF | $183,055.92 | $219,216.05 | $153,451.24 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | HEALTH PLANS INC [100262] | HB XR HPHC PPO MWF | $183,055.92 | $219,216.05 | $153,451.24 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | UNITED HEALTHCARE [100060] | HB XR HPHC PPO MWF | $183,055.92 | $219,216.05 | $153,451.24 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | HARVARD PILGRIM HEALTHCARE [100241] | HB XR HPHC PPO MWF | $183,055.92 | $219,216.05 | $153,451.24 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | UNITED HEALTHCARE [100060] | HB XR HPHC PPO MWF | $183,055.92 | $219,216.05 | $153,451.24 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | HEALTH PLANS INC [100262] | HB XR HPHC FULLY INSURED REFERRAL HMO POS PPO LGH | $185,210.79 | $219,216.05 | $153,451.24 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | HARVARD PILGRIM HEALTHCARE [100241] | HB XR HPHC FULLY INSURED REFERRAL HMO POS PPO LGH | $185,210.79 | $219,216.05 | $153,451.24 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | HARVARD PILGRIM HEALTHCARE [100241] | HB XR HPHC FULLY INSURED RISK HMO POS LGH | $189,097.43 | $219,216.05 | $153,451.24 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | HEALTH PLANS INC [100262] | HB XR HPHC FULLY INSURED RISK HMO POS LGH | $189,097.43 | $219,216.05 | $153,451.24 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | HARVARD PILGRIM HEALTHCARE [100241] | HB XR HPHC SELF INSURED RISK HMO POS LGH | $197,195.42 | $219,216.05 | $153,451.24 | 2026-04-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | SEAFARERS HEALTH AND BENEFITS PLAN [5343] | OMC CIGNA | — | $1,729,174.68 | — | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | LUMINARE HEALTH AHS RETIREE [5013] | OMC AETNA AHS EMPLOYEE | — | $1,729,174.68 | — | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | SEAFARERS HEALTH AND BENEFITS PLAN [5343] | OMC CIGNA | — | $1,729,174.68 | — | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | ALLSTATE [5047] | OMC HORIZON CASUALTY PIP | — | $1,729,174.68 | — | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | LUMINARE HEALTH AHS RETIREE [5013] | OMC AETNA AHS EMPLOYEE | — | $1,729,174.68 | — | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | ALLSTATE [5047] | OMC HORIZON CASUALTY PIP | — | $1,729,174.68 | — | 2026-01-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | HARVARD PILGRIM HEALTHCARE [100241] | HB XR HPHC SELF INSURED REFERRAL HMO POS PPO LGH | $200,727.84 | $219,216.05 | $153,451.24 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | UNITED HEALTHCARE [100060] | HB XR HPHC SELF INSURED REFERRAL HMO POS PPO LGH | $200,727.84 | $219,216.05 | $153,451.24 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Inpatient | ABSOLUTE TOTAL CARE [20109] | Absolute Total Care | $204,271.10 | $280,081.47 | $84,024.44 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Inpatient | ABSOLUTE TOTAL CARE [20109] | Absolute Total Care | $204,271.10 | $280,081.47 | $84,024.44 | 2026-04-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | LUMINARE HEALTH AHS RETIREE [5013] | OMC AETNA AHS EMPLOYEE | $205,948.01 | $1,735,526.18 | — | 2026-04-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | SEAFARERS HEALTH AND BENEFITS PLAN [5343] | HMC CIGNA OAP | — | $1,735,526.18 | — | 2026-04-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | LUMINARE HEALTH AHS RETIREE [5013] | HMC AETNA AHS EMPLOYEE | $205,948.01 | $1,735,526.18 | — | 2026-04-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Inpatient | ALLSTATE [5047] | NMC HORIZON CASUALTY PIP | — | $1,735,526.18 | — | 2026-04-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Inpatient | LUMINARE HEALTH AHS RETIREE [5013] | NMC AETNA AHS EMPLOYEE | $205,948.01 | $1,735,526.18 | — | 2026-04-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Inpatient | SEAFARERS HEALTH AND BENEFITS PLAN [5343] | NMC CIGNA OAP | — | $1,735,526.18 | — | 2026-04-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Inpatient | ALLSTATE [5047] | CMC HORIZON CASUALTY PIP | — | $1,735,526.18 | — | 2026-04-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Inpatient | SEAFARERS HEALTH AND BENEFITS PLAN [5343] | CMC CIGNA OAP | — | $1,735,526.18 | — | 2026-04-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Inpatient | LUMINARE HEALTH AHS RETIREE [5013] | CMC AETNA AHS EMPLOYEE | $205,948.01 | $1,735,526.18 | — | 2026-04-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | ALLSTATE [5047] | OMC HORIZON CASUALTY PIP | — | $1,735,526.18 | — | 2026-04-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Inpatient | LUMINARE HEALTH AHS RETIREE [5013] | MMC AETNA AHS EMPLOYEE | $205,948.01 | $1,735,526.18 | — | 2026-04-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | SEAFARERS HEALTH AND BENEFITS PLAN [5343] | OMC CIGNA OAP | — | $1,735,526.18 | — | 2026-04-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | ALLSTATE [5047] | HMC HORIZON CASUALTY PIP | — | $1,735,526.18 | — | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | HEALTH PLANS INC [100262] | HB XR HPHC HMO POS TMC | $218,517.84 | $219,216.05 | $153,451.24 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | HARVARD PILGRIM HEALTHCARE [100241] | HB XR HPHC HMO POS TMC | $218,517.84 | $219,216.05 | $153,451.24 | 2026-04-01 | MRF ↗ |
| MOUNT SINAI HOSPITAL InpatientFacility | Affinity | Affinity Essential Plan 1-2 - Tmsh | — | — | — | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | UNITED HEALTHCARE [100060] | HB XR HPHC PPO TMC | $240,371.59 | $219,216.05 | $153,451.24 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | HEALTH PLANS INC [100262] | HB XR HPHC PPO TMC | $240,371.59 | $219,216.05 | $153,451.24 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | HARVARD PILGRIM HEALTHCARE [100241] | HB XR HPHC PPO TMC | $240,371.59 | $219,216.05 | $153,451.24 | 2026-04-01 | MRF ↗ |
| MOUNT SINAI WEST InpatientFacility | Metroplus | Metroplus Medicaid - Slw | — | — | — | 2026-04-01 | MRF ↗ |
| MASSACHUSETTS GENERAL HOSPITAL Inpatient | WELLSENSE NH [1050] | HB MGH WELLSENSE MCO | $249,606.97 | $1,064,045.76 | — | 2026-03-27 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | WELLSENSE NH [350010] | HB XR MASSHEALTH 100% MWF | $268,915.38 | $761,733.65 | $533,213.56 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | TEWKSBURY HOSPITAL [950008] | HB XR MASSHEALTH NON-CONTRACTED MWF | $268,915.38 | $761,733.65 | $533,213.56 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | TUFTS HEALTH PUBLIC PLAN [350009] | HB XR THPP MCO ACO MWF | $268,915.38 | $761,733.65 | $533,213.56 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | MEDICAID MASSHEALTH [300001] | HB XR MASSHEALTH 100% MWF | $268,915.38 | $761,733.65 | $533,213.56 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | TEWKSBURY HOSPITAL [950008] | HB XR MASSHEALTH NON-CONTRACTED LGH | $268,915.38 | $761,733.65 | $533,213.56 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | SUFFOLK COUNTY [500014] | HB XR MASSHEALTH NON-CONTRACTED LGH | $268,915.38 | $761,733.65 | $533,213.56 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | GENERIC PRISON [500099] | HB XR MASSHEALTH NON-CONTRACTED MWF | $268,915.38 | $761,733.65 | $533,213.56 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | MASS GENERAL BRIGHAM HEALTH PLAN MEDICAID REPLACEM | HB XR MGBHP ACO COMPLETE SELECT MWF | $268,915.38 | $761,733.65 | $533,213.56 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | MIDDLESEX COUNTY [500015] | HB XR MASSHEALTH NON-CONTRACTED MWF | $268,915.38 | $761,733.65 | $533,213.56 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | FALLON HEALTH MEDICAID REPLACEMENT [350008] | HB XR MASSHEALTH 100% LGH | $268,915.38 | $761,733.65 | $533,213.56 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | FALLON HEALTH MEDICAID REPLACEMENT [350008] | HB XR MASSHEALTH 100% MWF | $268,915.38 | $761,733.65 | $533,213.56 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | GENERIC PRISON [500099] | HB XR MASSHEALTH NON-CONTRACTED LGH | $268,915.38 | $761,733.65 | $533,213.56 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | GENERIC PRISON [500099] | HB XR MASSHEALTH NON-CONTRACTED MWF | $268,915.38 | $761,733.65 | $533,213.56 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | TUFTS HEALTH PUBLIC PLAN [350009] | HB XR THPP MCO ACO MWF | $268,915.38 | $761,733.65 | $533,213.56 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | WELLSENSE NH [350010] | HB XR MASSHEALTH 100% MWF | $268,915.38 | $761,733.65 | $533,213.56 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | MASS GENERAL BRIGHAM HEALTH PLAN MEDICAID REPLACEM | HB XR MGBHP ACO COMPLETE SELECT MWF | $268,915.38 | $761,733.65 | $533,213.56 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | MEDICAID MASSHEALTH [300001] | HB XR MASSHEALTH 100% MWF | $268,915.38 | $761,733.65 | $533,213.56 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | WELLSENSE MEDICAID REPLACEMENT [350011] | HB XR WELLSENSE MEDICAID MCO ACO LGH | $268,915.38 | $761,733.65 | $533,213.56 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | TEWKSBURY HOSPITAL [950008] | HB XR MASSHEALTH NON-CONTRACTED MWF | $268,915.38 | $761,733.65 | $533,213.56 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | FALLON HEALTH MEDICAID REPLACEMENT [350008] | HB XR MASSHEALTH 100% MWF | $268,915.38 | $761,733.65 | $533,213.56 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | MASS GENERAL BRIGHAM HEALTH PLAN MEDICAID REPLACEM | HB XR MGBHP ACO COMPLETE SELECT LGH | $268,915.38 | $761,733.65 | $533,213.56 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | SUFFOLK COUNTY [500014] | HB XR MASSHEALTH NON-CONTRACTED MWF | $268,915.38 | $761,733.65 | $533,213.56 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | MIDDLESEX COUNTY [500015] | HB XR MASSHEALTH NON-CONTRACTED LGH | $268,915.38 | $761,733.65 | $533,213.56 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | MIDDLESEX COUNTY [500015] | HB XR MASSHEALTH NON-CONTRACTED MWF | $268,915.38 | $761,733.65 | $533,213.56 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | MEDICAID MASSHEALTH [300001] | HB XR MASSHEALTH 100% LGH | $268,915.38 | $761,733.65 | $533,213.56 | 2026-04-01 | 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.