162 - 4 — Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS (APR_DRG 162 - 4) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/162 - 4?code_type=APR_DRG
MLA (9th ed.)
“CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS (APR_DRG 162 - 4) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/162 - 4?code_type=APR_DRG. Accessed .
Chicago (notes-bibliography)
“CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS (APR_DRG 162 - 4) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/162 - 4?code_type=APR_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $57,922–$946,992 (25th–75th percentile) across 9 hospitals · 91 payers.
“Negotiated” is the hospital’s negotiated facility rate for this APR_DRG 162 - 4 — 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 |
|---|---|---|---|---|---|---|---|
| GEISINGER MEDICAL CENTER Inpatient | Shepard International Health Care | Shepard International Health Care - Allegheny International | — | $864,160.06 | $535,779.24 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Life Geisinger | Life Geisinger - Managed Medicaid | — | $864,160.06 | $535,779.24 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | VSP Vision Care | VSP Vision Care | — | $864,160.06 | $535,779.24 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Blue Cross Blue Shield | Capital - Enhanced Network Rates | — | $864,160.06 | $535,779.24 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | MHNet | MHNet - Behavioral Health | — | $864,160.06 | $535,779.24 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Wyoming Seminary | Wyoming Seminary | — | $864,160.06 | $535,779.24 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Wire Rope | Wire Rope | — | $864,160.06 | $535,779.24 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Congregation of the Sister Servants | Congregation of the Sister Servants | — | $864,160.06 | $535,779.24 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Prison Health Services | Prison Health Services | $8,363.16 | $864,160.06 | $535,779.24 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Prison Health Services | Seven Corners | — | $864,160.06 | $535,779.24 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Intergroup Services | Intergroup Services | — | $864,160.06 | $535,779.24 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Christian Healthcare Ministries | Christian Healthcare Ministries | — | $864,160.06 | $535,779.24 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Community Care | Community Care - Behavioral Health | — | $864,160.06 | $535,779.24 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Pacificare | Pacificare - Behavioral Health | — | $864,160.06 | $535,779.24 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Integrated Health Plan | Integrated Health Plan | — | $864,160.06 | $535,779.24 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Integrated Health Plan | Integrated Health Plan - Behavioral Health | — | $864,160.06 | $535,779.24 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Geisinger Health Plan | Geisinger Health Plan - Employee | — | $864,160.06 | $535,779.24 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Geisinger Health Plan | Geisinger Health Plan - Gold - Medicare Advantage | — | $864,160.06 | $535,779.24 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Geisinger Health Plan | Geisinger Health Plan - Commercial | — | $864,160.06 | $535,779.24 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Blue Cross Blue Shield | Capital - Special Network Rates | — | $864,160.06 | $535,779.24 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Ambetter | Ambetter - Managed Medicare | — | $864,160.06 | $535,779.24 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | United Healthcare | United Healthcare - Behavioral Health | — | $864,160.06 | $535,779.24 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | United Healthcare | United Healthcare - Commercial | — | $864,160.06 | $535,779.24 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Cigna | Cigna | — | $864,160.06 | $535,779.24 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Multiplan | Multiplan/Private Health Care System | — | $864,160.06 | $535,779.24 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Multiplan | Beech Street | — | $864,160.06 | $535,779.24 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Medicare | Medicare | — | $864,160.06 | $535,779.24 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Medicare | Black Lung - Medicare Advantage | — | $864,160.06 | $535,779.24 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Humana | Humana - Medicare Advantage | — | $864,160.06 | $535,779.24 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Tricare | Department of Veteran's Affairs | — | $864,160.06 | $535,779.24 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Tricare | Humana Tricare | — | $864,160.06 | $535,779.24 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Medicaid | Medicaid | $8,363.16 | $864,160.06 | $535,779.24 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Magellan | Magellan - Behavioral Health | — | $864,160.06 | $535,779.24 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Value Options | Value Options - Behavioral Health | — | $864,160.06 | $535,779.24 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Aetna | Aetna | — | $864,160.06 | $535,779.24 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Aetna | First Health Network | — | $864,160.06 | $535,779.24 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Managed Health Network | Managed Health Network - Behavioral Health | — | $864,160.06 | $535,779.24 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Blue Cross Blue Shield | Capital Blue Cross Blue Journey - Medicare Advantage | — | $864,160.06 | $535,779.24 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Blue Cross Blue Shield | Highmark BC/BS - Special Care | — | $864,160.06 | $535,779.24 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Blue Cross Blue Shield | Highmark BC/BS | — | $864,160.06 | $535,779.24 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Blue Cross Blue Shield | Capital - Basic Network Rates | — | $864,160.06 | $535,779.24 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Special Risk International | Special Risk International - United Resource Network | — | $864,160.06 | $535,779.24 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | North Central Secure Treatment Unit | North Central Secure Treatment Unit | — | $864,160.06 | $535,779.24 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $8,400.00 | $864,160.06 | $535,779.24 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $8,614.05 | $864,160.06 | $535,779.24 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Health Partners | Health Partners - Managed Medicaid | $9,199.48 | $864,160.06 | $535,779.24 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | UPMC For You | UPMC For You - Managed Medicaid | $9,826.71 | $864,160.06 | $535,779.24 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | UPMC CHIP | UPMC CHIP - Managed Medicaid | $10,035.79 | $864,160.06 | $535,779.24 | 2025-07-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | ODRC | ODRC | $52,728.30 | $551,590.38 | — | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Medicaid | Medicaid | $57,922.19 | $1,945,094.50 | $1,361,566.15 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Molina Healthcare | Molina Healthcare - Managed Medicaid | $57,922.19 | $1,945,094.50 | $1,361,566.15 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Blue Cross Blue Shield | Blue Cross Community - Managed Medicaid | $57,922.19 | $1,945,094.50 | $1,361,566.15 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | County Care | County Care - Managed Medicaid | $57,922.19 | $1,945,094.50 | $1,361,566.15 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Meridian Health | Meridian Health MCO - Managed Medicaid | $58,501.39 | $1,945,094.50 | $1,361,566.15 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Aetna | Aetna Better Health - Managed Medicaid | $63,714.34 | $1,945,094.50 | $1,361,566.15 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Youthcare | Youthcare - Managed Medicaid | $63,714.34 | $1,945,094.50 | $1,361,566.15 | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Medicaid | Medicaid | $64,348.08 | $551,590.38 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Aetna | Aetna Better Health | $67,562.66 | $551,590.38 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Molina | Molina - Medicaid | $67,562.66 | $551,590.38 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Aetna | Aetna Better Health - OhioRISE | $67,565.50 | $551,590.38 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | United | United Healthcare - Medicaid | $70,779.93 | $551,590.38 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Humana | Humana Medicaid | $70,782.93 | $551,590.38 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Amerihealth | Amerihealth | $72,713.36 | $551,590.38 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | CareSource | CareSource - Medicaid | $73,997.20 | $551,590.38 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Buckeye Community | Buckeyes Community - Medicaid | $73,997.20 | $551,590.38 | — | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | Prison Health Services | Prison Health Services | $84,902.92 | $817,370.06 | $506,769.44 | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | Medicaid | Medicaid | $84,902.92 | $817,370.06 | $506,769.44 | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $87,450.01 | $817,370.06 | $506,769.44 | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | Health Partners | Health Partners - Managed Medicaid | $93,393.18 | $817,370.06 | $506,769.44 | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $94,683.12 | $817,370.06 | $506,769.44 | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | UPMC For You | UPMC For You - Managed Medicaid | $99,760.95 | $817,370.06 | $506,769.44 | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | UPMC CHIP | UPMC CHIP - Managed Medicaid | $101,883.55 | $817,370.06 | $506,769.44 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Inpatient | Community Health Group | Community Health Group - Medi-Cal | $172,769.55 | $1,151,797.00 | $863,847.75 | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | ODRC | ODRC | $191,732.81 | $551,590.38 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Medicaid | Medicaid | $191,732.81 | $551,590.38 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Aetna | Aetna Better Health | $201,330.49 | $551,590.38 | — | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Inpatient | County Medical Services | County of San Diego | $201,564.47 | $1,151,797.00 | $863,847.75 | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Buckeye Community | Buckeyes Community - Medicare | $203,536.85 | $551,590.38 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Buckeye Community | Buckeyes Community - Dual Eligible | $203,536.85 | $551,590.38 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | United | United Healthcare - Medicaid | $210,928.16 | $551,590.38 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | OSU Health Plan | OSU Health Plan - Student Health Plan | $211,590.07 | $551,590.38 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | OSU Health Plan | OSU Health Plan - Prime Care | $215,340.88 | $551,590.38 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | OSU Health Plan | OSU Health Plan - Partner | $226,813.96 | $551,590.38 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | OSU Health Plan | OSU Health Plan - Non OSU PPO | $237,183.86 | $551,590.38 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Buckeye Community | Buckeye Ambetter Exchange | $246,395.42 | $551,590.38 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Ohio PPO | Ohio PPO Connect | $247,167.65 | $551,590.38 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | OSU Health Plan | OSU Health Plan - Market | $249,318.85 | $551,590.38 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | OSU Health Plan | OSU Health Plan - Student Health Plan | $251,911.32 | $551,590.38 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | CareSource | CareSource - Exchange | $253,731.57 | $551,590.38 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Healthspan | Healthspan - Commercial | $264,763.38 | $551,590.38 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Molina | Molina - Exchange | $264,763.38 | $551,590.38 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Buckeye Community | Buckeyes Community - Medicaid | $270,334.44 | $551,590.38 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | CareSource | CareSource - Medicaid | $272,265.01 | $551,590.38 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Molina | Molina - Medicaid | $272,265.01 | $551,590.38 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | OSU Health Plan | OSU Health Plan - Non OSU PPO | $275,795.19 | $551,590.38 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | OSU Health Plan | OSU Department of Athletics | $275,795.19 | $551,590.38 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | OSU Health Plan | OSU Department of Athletics | $275,795.19 | $551,590.38 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | OSU Health Plan | OSU Health Plan - Prime Care | $295,156.01 | $551,590.38 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Amerihealth | Amerihealth | $297,196.89 | $551,590.38 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Humana | Humana Medicaid | $308,669.97 | $551,590.38 | — | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Inpatient | Medi-Cal | Medi-Cal | $322,503.16 | $1,151,797.00 | $863,847.75 | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Healthspan | Healthspan - Commercial | $330,954.22 | $551,590.38 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | OSU Health Plan | OSU Health Plan - Partner | $331,891.93 | $551,590.38 | — | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Inpatient | Health Net | Health Net - Medi-Cal | $342,083.71 | $1,151,797.00 | $863,847.75 | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Inpatient | California Health and Wellness | California Health and Wellness | $342,083.71 | $1,151,797.00 | $863,847.75 | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Humana | Humana Commercial | $353,569.43 | $551,590.38 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | OhioHealth | OhioHealth - Choice | $358,533.74 | $551,590.38 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Lifetrac | Lifetrac | $358,533.74 | $551,590.38 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Ohio PPO | Ohio PPO Connect | $361,953.60 | $551,590.38 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Upper Ohio Valley | Upper Ohio Valley - Health Plan | $364,049.65 | $551,590.38 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | OSU Health Plan | OSU Health Plan - Market | $365,097.67 | $551,590.38 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Anthem | Anthem - HMO/PPO | $370,172.30 | $551,590.38 | — | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | Cigna | Cigna | $370,268.64 | $817,370.06 | $506,769.44 | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Lifetrac | Lifetrac | $375,081.46 | $551,590.38 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | United | United Healthcare | $389,036.69 | $551,590.38 | — | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Inpatient | Blue Shield | Blue Shield - Promise | $391,610.98 | $1,151,797.00 | $863,847.75 | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Inpatient | County Medical Services | County of San Diego | $391,610.98 | $1,151,797.00 | $863,847.75 | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | OhioHealth | OhioHealth - Choice | $397,145.07 | $551,590.38 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Cigna | Cigna | $399,737.54 | $551,590.38 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | OhioHealth | OhioHealth - Group Healthreach | $402,660.97 | $551,590.38 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | OhioHealth | OhioHealth - Group Healthreach | $402,660.97 | $551,590.38 | — | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | Christian Healthcare Ministries | Christian Healthcare Ministries | $408,685.03 | $817,370.06 | $506,769.44 | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | MMO | MMO - New Business | $416,395.57 | $551,590.38 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | MMO | MMO - Commercial | $438,679.83 | $551,590.38 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Frontpath | Frontpath Transplant | $441,272.30 | $551,590.38 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Multiplan | Multiplan | $441,272.30 | $551,590.38 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Frontpath | Frontpath Transplant | $441,272.30 | $551,590.38 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Aetna | First Health | $443,478.66 | $551,590.38 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Aetna | First Health | $452,304.11 | $551,590.38 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Upper Ohio Valley | Upper Ohio Valley - Health Plan | $452,304.11 | $551,590.38 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Aetna | Aetna | $469,955.00 | $551,590.38 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Anthem | Anthem - Traditional | $481,262.60 | $551,590.38 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Healthsmart | Healthsmart | $496,431.34 | $551,590.38 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Healthsmart | Healthsmart | $496,431.34 | $551,590.38 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Multiplan | Multiplan | $512,979.05 | $551,590.38 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Anthem | Anthem - Traditional | $514,854.46 | $551,590.38 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Anthem | Anthem - Traditional | $516,343.75 | $551,590.38 | — | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | Aetna | First Health Network | $546,003.20 | $817,370.06 | $506,769.44 | 2026-04-01 | MRF ↗ |
| Sharp Memorial Hospital-transplant Inpatient | Community Health Group | Community Health Group - Medi-Cal | $551,825.94 | $1,151,797.00 | $863,847.75 | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | Wyoming Seminary | Wyoming Seminary | $572,159.04 | $817,370.06 | $506,769.44 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Inpatient | Health Net | Health Net - Medi-Cal | $575,898.50 | $1,151,797.00 | $863,847.75 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Inpatient | Medi-Cal | Medi-Cal | $581,657.48 | $1,151,797.00 | $863,847.75 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Inpatient | Community Health Group | Community Health Group - Medi-Cal | $641,550.93 | $1,151,797.00 | $863,847.75 | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | Multiplan | Beech Street | $694,764.55 | $817,370.06 | $506,769.44 | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | Multiplan | Multiplan/Private Health Care System | $694,764.55 | $817,370.06 | $506,769.44 | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | Intergroup Services | Intergroup Services | $694,764.55 | $817,370.06 | $506,769.44 | 2026-04-01 | MRF ↗ |
| Sharp Memorial Hospital-transplant Inpatient | California Health and Wellness | California Health and Wellness | $702,596.17 | $1,151,797.00 | $863,847.75 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | MercyCare Health | MercyCare Health - HMO/PPO | $719,684.96 | $1,945,094.50 | $1,361,566.15 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Inpatient | County Medical Services | County of San Diego | $806,257.90 | $1,151,797.00 | $863,847.75 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Inpatient | Blue Shield | Blue Shield - Promise | $806,257.90 | $1,151,797.00 | $863,847.75 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Cigna | Cigna Local Plus | $816,939.69 | $1,945,094.50 | $1,361,566.15 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Inpatient | California Health and Wellness | California Health and Wellness | $921,437.60 | $1,151,797.00 | $863,847.75 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Aetna | Aetna Northwestern | $972,547.25 | $1,945,094.50 | $1,361,566.15 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | La Rabida Childrens Hospital | La Rabida Childrens Hospital | $972,547.25 | $1,945,094.50 | $1,361,566.15 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Aetna | Aetna Illinois Preferred | $1,030,900.09 | $1,945,094.50 | $1,361,566.15 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Cigna | Cigna C-5 | $1,120,374.43 | $1,945,094.50 | $1,361,566.15 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Blue Cross Blue Shield | Northwestern Medicine Physician Network IPA | $1,167,056.70 | $1,945,094.50 | $1,361,566.15 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Independent Physicians at Mercy | Independent Physicians at Mercy | $1,167,056.70 | $1,945,094.50 | $1,361,566.15 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Blue Cross Blue Shield | Dupage Medical Group | $1,167,056.70 | $1,945,094.50 | $1,361,566.15 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Centegra | Centegra | $1,167,056.70 | $1,945,094.50 | $1,361,566.15 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Blue Cross Blue Shield | Northshore Physician Associates | $1,264,311.43 | $1,945,094.50 | $1,361,566.15 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | West Suburban Health Providers | West Suburban Health Providers | $1,361,566.15 | $1,945,094.50 | $1,361,566.15 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | St. Francis | St. Francis - IPA | $1,361,566.15 | $1,945,094.50 | $1,361,566.15 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Methodist First Choice | Methodist First Choice | $1,361,566.15 | $1,945,094.50 | $1,361,566.15 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Advanced Physicians Association IPA | Advanced Physicians Association IPA | $1,361,566.15 | $1,945,094.50 | $1,361,566.15 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Northwest Community Healthcare | Northwest Community Healthcare | $1,361,566.15 | $1,945,094.50 | $1,361,566.15 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | UI Health | UI Health | $1,361,566.15 | $1,945,094.50 | $1,361,566.15 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Blue Cross Blue Shield | Lake County Physician Association | $1,361,566.15 | $1,945,094.50 | $1,361,566.15 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Health Plus | Health Plus - PHO | $1,361,566.15 | $1,945,094.50 | $1,361,566.15 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Blue Cross Blue Shield | Illinois Health Partners | $1,361,566.15 | $1,945,094.50 | $1,361,566.15 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Imagine Health | Imagine Health | $1,361,566.15 | $1,945,094.50 | $1,361,566.15 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Cigna | Cigna | $1,381,017.09 | $1,945,094.50 | $1,361,566.15 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Shriners Hospital | Shriners Hospital | $1,458,820.88 | $1,945,094.50 | $1,361,566.15 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Swedish Covenant Physician Partners | Swedish Covenant Physician Partners | $1,458,820.88 | $1,945,094.50 | $1,361,566.15 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | American Psych Systems | American Psych Systems | $1,556,075.60 | $1,945,094.50 | $1,361,566.15 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Health Alliance | Health Alliance - PPO | $1,556,075.60 | $1,945,094.50 | $1,361,566.15 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Blue Cross Blue Shield | Sherman Choice - PHO | $1,556,075.60 | $1,945,094.50 | $1,361,566.15 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Macneal Health | Macneal Health | $1,556,075.60 | $1,945,094.50 | $1,361,566.15 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Healthlink Inc. | Healthlink Inc. | $1,604,702.96 | $1,945,094.50 | $1,361,566.15 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | St. Elizabeth | St. Elizabeth - PHO | $1,653,330.32 | $1,945,094.50 | $1,361,566.15 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Principal Healthcare | Principal Healthcare - PPO | $1,653,330.32 | $1,945,094.50 | $1,361,566.15 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Cofinity | Cofinity | $1,653,330.32 | $1,945,094.50 | $1,361,566.15 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | HFN Inc | HFN - EPO | $1,653,330.32 | $1,945,094.50 | $1,361,566.15 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Humana | Humana | $1,653,330.32 | $1,945,094.50 | $1,361,566.15 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Humana | Humana National POS | $1,653,330.32 | $1,945,094.50 | $1,361,566.15 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Preferred Health Network | Preferred Health Network - PPO | $1,711,683.16 | $1,945,094.50 | $1,361,566.15 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | First Health | First Health | $1,711,683.16 | $1,945,094.50 | $1,361,566.15 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Sagamore Health Network | Sagamore Health Network - PPO | $1,711,683.16 | $1,945,094.50 | $1,361,566.15 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Healthstar | Healthstar - PPO Next | $1,711,683.16 | $1,945,094.50 | $1,361,566.15 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Private Health Care System | Private Health Care System - Northwestern | $1,750,585.05 | $1,945,094.50 | $1,361,566.15 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Private Health Care System | PHCS - PPO | $1,750,585.05 | $1,945,094.50 | $1,361,566.15 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | HFN Inc | HFN - PPO | $1,750,585.05 | $1,945,094.50 | $1,361,566.15 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Swedish American | Swedish American | $1,750,585.05 | $1,945,094.50 | $1,361,566.15 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Private Health Care System | Private Health Care System - EPO | $1,750,585.05 | $1,945,094.50 | $1,361,566.15 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Beech Street | Beech Street - PPO | $1,750,585.05 | $1,945,094.50 | $1,361,566.15 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Benchmark Health | Benchmark Health | $1,750,585.05 | $1,945,094.50 | $1,361,566.15 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Employer's Coalition on Health | Employer's Coalition on Health | $1,750,585.05 | $1,945,094.50 | $1,361,566.15 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Security Health Plan | Security Health Plan - HMO | $1,750,585.05 | $1,945,094.50 | $1,361,566.15 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Wellmark/Healthnetwork | Wellmark/Healthnetwork - PPO | $1,789,486.94 | $1,945,094.50 | $1,361,566.15 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Integrated Health Plan | Integrated Health Plan | $1,847,839.77 | $1,945,094.50 | $1,361,566.15 | 2026-04-01 | MRF ↗ |
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