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 (OTHER 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=OTHER
MLA (9th ed.)
“CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS (OTHER 162 - 4) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/162 - 4?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS (OTHER 162 - 4) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/162 - 4?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $57,922–$794,740 (25th–75th percentile) across 14 hospitals · 97 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 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 |
|---|---|---|---|---|---|---|---|
| SHARP MEMORIAL HOSPITAL Inpatient | Blue Shield | Blue Shield - PPO | — | $1,151,797.00 | $863,847.75 | 2025-07-01 | MRF ↗ |
| SHARP MEMORIAL HOSPITAL Inpatient | Blue Shield | Blue Shield - HMO | — | $1,151,797.00 | $863,847.75 | 2025-07-01 | MRF ↗ |
| SHARP MEMORIAL HOSPITAL Inpatient | Blue Shield | Blue Shield - Promise | — | $1,151,797.00 | $863,847.75 | 2025-07-01 | MRF ↗ |
| SHARP MEMORIAL HOSPITAL Inpatient | Molina | Molina - Cal Medi-Connect | — | $1,151,797.00 | $863,847.75 | 2025-07-01 | MRF ↗ |
| SHARP MEMORIAL HOSPITAL Inpatient | Molina | Molina Medi-Cal | — | $1,151,797.00 | $863,847.75 | 2025-07-01 | MRF ↗ |
| SHARP MEMORIAL HOSPITAL Inpatient | Molina | Molina - Exchange | — | $1,151,797.00 | $863,847.75 | 2025-07-01 | MRF ↗ |
| SHARP MEMORIAL HOSPITAL Inpatient | United Healthcare | United Healthcare - Medicare | — | $1,151,797.00 | $863,847.75 | 2025-07-01 | MRF ↗ |
| SHARP MEMORIAL HOSPITAL Inpatient | Optum Health | Optum Health - Commercial | — | $1,151,797.00 | $863,847.75 | 2025-07-01 | MRF ↗ |
| SHARP MEMORIAL HOSPITAL Inpatient | Cigna | Cigna - HMO | — | $1,151,797.00 | $863,847.75 | 2025-07-01 | MRF ↗ |
| SHARP MEMORIAL HOSPITAL Inpatient | Medicare | Medicare | — | $1,151,797.00 | $863,847.75 | 2025-07-01 | MRF ↗ |
| SHARP MEMORIAL HOSPITAL Inpatient | Blue Cross | Blue Cross - HMO | — | $1,151,797.00 | $863,847.75 | 2025-07-01 | MRF ↗ |
| SHARP MEMORIAL HOSPITAL Inpatient | Optum Health | Optum Health - Medicare | — | $1,151,797.00 | $863,847.75 | 2025-07-01 | MRF ↗ |
| SHARP MEMORIAL HOSPITAL Inpatient | Aetna | Aetna Whole Health | — | $1,151,797.00 | $863,847.75 | 2025-07-01 | MRF ↗ |
| SHARP MEMORIAL HOSPITAL Inpatient | Aetna | First Health Medicare | — | $1,151,797.00 | $863,847.75 | 2025-07-01 | MRF ↗ |
| SHARP MEMORIAL HOSPITAL Inpatient | Aetna | Aetna - HMO/POS | — | $1,151,797.00 | $863,847.75 | 2025-07-01 | MRF ↗ |
| SHARP MEMORIAL HOSPITAL Inpatient | Health Net | Health Net Individual - EPO | — | $1,151,797.00 | $863,847.75 | 2025-07-01 | MRF ↗ |
| SHARP MEMORIAL HOSPITAL Inpatient | Health Net | Health Net - Medi-Cal | — | $1,151,797.00 | $863,847.75 | 2025-07-01 | MRF ↗ |
| SHARP MEMORIAL HOSPITAL Inpatient | Health Net | Health Net - Medicare | — | $1,151,797.00 | $863,847.75 | 2025-07-01 | MRF ↗ |
| SHARP MEMORIAL HOSPITAL Inpatient | Health Net | Health Net Cal MediConnect | — | $1,151,797.00 | $863,847.75 | 2025-07-01 | MRF ↗ |
| SHARP MEMORIAL HOSPITAL Inpatient | Health Net | Health Net Individual - HMO | — | $1,151,797.00 | $863,847.75 | 2025-07-01 | MRF ↗ |
| SHARP MEMORIAL HOSPITAL Inpatient | Managed Health Network | MHN - Medicare | — | $1,151,797.00 | $863,847.75 | 2025-07-01 | MRF ↗ |
| SHARP MEMORIAL HOSPITAL Inpatient | Kaiser | Kaiser - Rehab | $725.00 | $1,151,797.00 | $863,847.75 | 2025-07-01 | MRF ↗ |
| SHARP MEMORIAL HOSPITAL Inpatient | Medi-Cal | Medi-Cal | — | $1,151,797.00 | $863,847.75 | 2025-07-01 | MRF ↗ |
| SHARP MEMORIAL HOSPITAL Inpatient | Community Health Group | Community Health Group - Medi-Cal | — | $1,151,797.00 | $863,847.75 | 2025-07-01 | MRF ↗ |
| SHARP MEMORIAL HOSPITAL Inpatient | Community Health Group | Community Health Group - Cal Mediconnect | — | $1,151,797.00 | $863,847.75 | 2025-07-01 | MRF ↗ |
| SHARP MEMORIAL HOSPITAL Inpatient | San Diego Pace | San Diego Pace | — | $1,151,797.00 | $863,847.75 | 2025-07-01 | MRF ↗ |
| SHARP MEMORIAL HOSPITAL Inpatient | California Health and Wellness | California Health and Wellness | — | $1,151,797.00 | $863,847.75 | 2025-07-01 | MRF ↗ |
| SHARP MEMORIAL HOSPITAL Inpatient | County Medical Services | County of San Diego | — | $1,151,797.00 | $863,847.75 | 2025-07-01 | MRF ↗ |
| SHARP MEMORIAL HOSPITAL Inpatient | Indian Health Council | Indian Health Council | — | $1,151,797.00 | $863,847.75 | 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 | Ambetter | Ambetter - Managed Medicare | — | $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 | Community Care | Community Care - Behavioral Health | — | $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 | 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 | MHNet | MHNet - Behavioral Health | — | $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 | Prison Health Services | Seven Corners | — | $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 | Pacificare | Pacificare - Behavioral Health | — | $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 - Commercial | — | $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 | 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 | — | $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 | Blue Cross Blue Shield | Capital - Enhanced Network Rates | — | $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 | Managed Health Network | Managed Health Network - 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 | Value Options | Value Options - Behavioral Health | — | $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 | Medicaid | Medicaid | $8,363.16 | $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 | Humana | Humana - Medicare Advantage | — | $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 | Medicare | Medicare | — | $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 ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Inpatient | UPMC Health Plan | UPMC Health Plan - Commercial | $12,413.27 | — | — | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Inpatient | Cigna | Cigna | $16,340.00 | — | — | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Inpatient | Blue Cross Blue Shield | Highmark BC/BS - Special Care | $17,050.42 | — | — | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Inpatient | Blue Cross Blue Shield | Highmark BC/BS | $24,357.74 | — | — | 2026-07-01 | 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 | 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 | 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 | 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 | Youthcare | Youthcare - 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 | Aetna | Aetna Better Health - 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 ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Inpatient | Medicaid | Medicaid | $66,279.21 | — | — | 2026-07-01 | 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 ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Inpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $69,593.12 | — | — | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Inpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $69,593.12 | — | — | 2026-07-01 | 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 ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Inpatient | Jefferson Health Plan | Jefferson Health Plan - Managed Medicaid | $72,907.14 | — | — | 2026-07-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Buckeye Community | Buckeyes Community - Medicaid | $73,997.20 | $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 ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Inpatient | UPMC For You | UPMC For You - Managed Medicaid | $77,878.06 | — | — | 2026-07-01 | MRF ↗ |
| GRAND ISLAND REGIONAL MEDICAL CENTER Inpatient | Uhc Medicaid | All Plans | $77,886.12 | — | — | 2026-07-15 | MRF ↗ |
| GRAND ISLAND REGIONAL MEDICAL CENTER Inpatient | Molina Healthcare Medicaid | All Plans | $77,886.12 | — | — | 2026-07-15 | MRF ↗ |
| BRYAN MEDICAL CENTER Inpatient | Uhc Medicaid | All Plans | $77,886.12 | — | — | 2026-07-18 | MRF ↗ |
| BRYAN MEDICAL CENTER Inpatient | Molina Healthcare Medicaid | All Plans | $77,886.12 | — | — | 2026-07-18 | MRF ↗ |
| BRYAN MEDICAL CENTER Inpatient | Medicaid | All Plans | $77,886.12 | — | — | 2026-07-18 | MRF ↗ |
| GRAND ISLAND REGIONAL MEDICAL CENTER Inpatient | Medicaid | All Plans | $77,886.12 | — | — | 2026-07-15 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Inpatient | United Healthcare | United Healthcare - Managed Medicaid | $79,535.05 | — | — | 2026-07-01 | 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 | Prison Health Services | Prison Health Services | $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 | Amerihealth | Amerihealth | $189,075.24 | $560,057.00 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Medicaid | Medicaid | $189,075.24 | $560,057.00 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Aetna | Aetna Better Health | $198,540.21 | $560,057.00 | — | 2026-07-01 | 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 ↗ |
| BRYAN MEDICAL CENTER Inpatient | Bcbs Managed Care | All Plans | $201,750.70 | — | — | 2026-07-18 | MRF ↗ |
| GRAND ISLAND REGIONAL MEDICAL CENTER Inpatient | Bcbs Managed Care | All Plans | $201,750.70 | — | — | 2026-07-15 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | United | United Healthcare - Medicaid | $208,005.17 | $560,057.00 | — | 2026-07-01 | 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 ↗ |
| 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 | CareSource | CareSource - Exchange | $257,626.22 | $560,057.00 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | OSU Health Plan | OSU Health Plan - Student Health Plan | $261,098.57 | $560,057.00 | — | 2026-07-01 | 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 | Buckeye Community | Buckeyes Community - Medicaid | $266,587.13 | $560,057.00 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Molina | Molina - Medicaid | $268,491.33 | $560,057.00 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | CareSource | CareSource - Medicaid | $268,491.33 | $560,057.00 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Molina | Molina - Exchange | $268,827.36 | $560,057.00 | — | 2026-07-01 | 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 | $280,028.50 | $560,057.00 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | OSU Health Plan | OSU Health Plan - Non OSU PPO | $280,028.50 | $560,057.00 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | OSU Health Plan | OSU Health Plan - Prime Care | $296,102.14 | $560,057.00 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Humana | Humana Medicaid | $304,390.98 | $560,057.00 | — | 2026-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | North Central Secure Treatment Unit | North Central Secure Treatment Unit | $311,097.62 | $864,160.06 | $535,779.24 | 2025-07-01 | 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 | $336,034.20 | $560,057.00 | — | 2026-07-01 | 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 ↗ |
| SHARP MESA VISTA HOSPITAL Inpatient | Health Net | Health Net Individual - EPO | $342,083.71 | $1,151,797.00 | $863,847.75 | 2025-07-01 | 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 MESA VISTA HOSPITAL Inpatient | Blue Cross | Blue Cross - Standard | $342,083.71 | $1,151,797.00 | $863,847.75 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Inpatient | Community Health Group | Community Health Group - Cal Mediconnect | $342,083.71 | $1,151,797.00 | $863,847.75 | 2025-07-01 | 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 | Anthem | Anthem - HMO/PPO | $360,284.67 | $560,057.00 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Lifetrac | Lifetrac | $364,037.05 | $560,057.00 | — | 2026-07-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Upper Ohio Valley | Upper Ohio Valley - Health Plan | $364,049.65 | $551,590.38 | — | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | Cigna | Cigna | $370,268.64 | $817,370.06 | $506,769.44 | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | OSU Health Plan | OSU Health Plan - Market | $370,701.73 | $560,057.00 | — | 2026-07-01 | 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 | OSU Health Plan | OSU Health Plan - Partner | $383,695.05 | $560,057.00 | — | 2026-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Inpatient | Molina | Molina - Cal Medi-Connect | $391,610.98 | $1,151,797.00 | $863,847.75 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Inpatient | Aetna | Aetna - PPO | $391,610.98 | $1,151,797.00 | $863,847.75 | 2025-07-01 | 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 | MMO | MMO - New Business | $392,767.97 | $560,057.00 | — | 2026-07-01 | 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 - Choice | $403,241.04 | $560,057.00 | — | 2026-07-01 | 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 | OhioHealth | OhioHealth - Group Healthreach | $408,841.61 | $560,057.00 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Aetna | Aetna | $411,081.84 | $560,057.00 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | MMO | MMO - Commercial | $413,826.12 | $560,057.00 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Ohio PPO | Ohio PPO Connect | $416,234.36 | $560,057.00 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Aetna | First Health | $424,523.21 | $560,057.00 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | United | United Healthcare | $428,219.58 | $560,057.00 | — | 2026-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Cigna | Cigna | $432,080.03 | $864,160.06 | $535,779.24 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Shepard International Health Care | Shepard International Health Care - Allegheny International | $432,080.03 | $864,160.06 | $535,779.24 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Christian Healthcare Ministries | Christian Healthcare Ministries | $432,080.03 | $864,160.06 | $535,779.24 | 2025-07-01 | 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 ↗ |
| 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 | Upper Ohio Valley | Upper Ohio Valley - Health Plan | $448,045.60 | $560,057.00 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Frontpath | Frontpath Transplant | $448,045.60 | $560,057.00 | — | 2026-07-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Anthem | Anthem - Traditional | $481,262.60 | $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 | Anthem | Anthem - Traditional | $501,083.00 | $560,057.00 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Healthsmart | Healthsmart | $504,051.30 | $560,057.00 | — | 2026-07-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Anthem | Anthem - Traditional | $516,343.75 | $551,590.38 | — | 2026-04-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Integrated Health Plan | Integrated Health Plan | $518,496.04 | $864,160.06 | $535,779.24 | 2025-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Multiplan | Multiplan | $520,853.01 | $560,057.00 | — | 2026-07-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | Aetna | First Health Network | $546,003.20 | $817,370.06 | $506,769.44 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Inpatient | Health Net | Health Net Individual - HMO | $551,825.94 | $1,151,797.00 | $863,847.75 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Inpatient | Community Health Group | Community Health Group - Medi-Cal | $551,825.94 | $1,151,797.00 | $863,847.75 | 2025-07-01 | 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 ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Aetna | First Health Network | $575,530.60 | $864,160.06 | $535,779.24 | 2025-07-01 | 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 ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Wyoming Seminary | Wyoming Seminary | $604,912.04 | $864,160.06 | $535,779.24 | 2025-07-01 | MRF ↗ |
| SHARP MEMORIAL HOSPITAL Inpatient | United Healthcare | United Healthcare - PPO | $641,550.93 | $1,151,797.00 | $863,847.75 | 2025-07-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Inpatient | United Healthcare | United Healthcare - PPO | $641,550.93 | $1,151,797.00 | $863,847.75 | 2025-07-01 | 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 ↗ |
| SHARP MEMORIAL HOSPITAL Inpatient | Blue Cross | Blue Cross - Prudent Buyer | $650,765.30 | $1,151,797.00 | $863,847.75 | 2025-07-01 | MRF ↗ |
| SHARP MEMORIAL HOSPITAL Inpatient | Blue Cross | Blue Cross - PPO | $650,765.30 | $1,151,797.00 | $863,847.75 | 2025-07-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Inpatient | Blue Cross | Blue Cross - PPO | $650,765.30 | $1,151,797.00 | $863,847.75 | 2025-07-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Inpatient | Blue Cross | Blue Cross - Prudent Buyer | $650,765.30 | $1,151,797.00 | $863,847.75 | 2025-07-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | Intergroup Services | Intergroup Services | $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 | Multiplan | Beech Street | $694,764.55 | $817,370.06 | $506,769.44 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Inpatient | California Health and Wellness | California Health and Wellness | $702,596.17 | $1,151,797.00 | $863,847.75 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Inpatient | Blue Cross | Blue Cross - PPO | $702,596.17 | $1,151,797.00 | $863,847.75 | 2025-07-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Inpatient | United Healthcare | United Healthcare - HMO | $702,596.17 | $1,151,797.00 | $863,847.75 | 2025-07-01 | MRF ↗ |
| SHARP MEMORIAL HOSPITAL Inpatient | United Healthcare | United Healthcare - HMO | $702,596.17 | $1,151,797.00 | $863,847.75 | 2025-07-01 | 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.