162 — 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) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/162?code_type=APR_DRG
MLA (9th ed.)
“CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS (APR_DRG 162) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/162?code_type=APR_DRG. Accessed .
Chicago (notes-bibliography)
“CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS (APR_DRG 162) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/162?code_type=APR_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $42,802–$89,855 (25th–75th percentile) across 41 hospitals · 180 payers.
“Negotiated” is the hospital’s negotiated rate for the entire inpatient stay under APR_DRG 162 — the consumer-grade median across the country. An inpatient (DRG) price bundles the whole admission: operating room, room & board, recovery, imaging, anesthesia (facility), implants and supplies. It does not include the surgeon’s or anesthesiologist’s professional fees, which are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| Driscoll Children's Hospital Transplant Center Inpatient | TEXAS REHABILITATION COMM [50038] | TEXAS REHABILITATION COMM [5003801] | $165.82 | $897,845.40 | $179,569.08 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Inpatient | POLICE DEPARTMENTS [50065] | POLICE DEPTS [5006501] | $1,000.00 | $897,845.40 | $179,569.08 | 2026-03-31 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | MOLINA MEDICAID [2058] | HB XR MOLINA MGD MEDICAID OH 107% | — | $270,586.22 | $162,351.73 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | HUMANA MEDICAID OH [3102] | HB XR HUMANA 103% OHIO MEDICAID | — | $270,586.22 | $162,351.73 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | UHC COMMUNITY MEDICAID [2175] | HB XR UNITED HEALTHCARE MGD MEDICAID OHIO | — | $270,586.22 | $162,351.73 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | CARESOURCE [2031] | HB XR CARESOURCE MGD MEDICAID OHIO 103% | — | $270,586.22 | $162,351.73 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | BUCKEYE COMMUNITY HEALTH [2028] | HB XR BUCKEYE MGD MEDICAID OH 106% | — | $270,586.22 | $162,351.73 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | ANTHEM MEDICAID OHIO [2192] | HB XR ANTHEM OH MEDICAID 103% | — | $270,586.22 | $162,351.73 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | AMERIHEALTH CARITAS [2230] | HB XR AMERIHEALTH CARITAS OH 103% | — | $270,586.22 | $162,351.73 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | AETNA BETTER HEALTH OHIO MEDICAID [2183] | HB XR AETNA BETTER HLTH MGD MEDICAID OH 108% | — | $270,586.22 | $162,351.73 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | UHC COMMUNITY MEDICAID [2175] | HB XR UHC INDIANA PATHWAYS MEDICAID | $16,333.30 | $227,555.02 | $136,533.01 | 2025-12-19 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL Inpatient | Mass General Brigham Health Plan | QHP Subsidized | $17,424.57 | — | — | 2026-06-05 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL Inpatient | Wellsense | Masshealth Managed Care | — | — | — | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Inpatient | Wellsense | Masshealth Managed Care | — | — | — | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Inpatient | Mass General Brigham Health Plan | Be Healthy ACO Masshealth | — | — | — | 2026-06-05 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL Inpatient | Mass General Brigham Health Plan | ACO MassHealth | — | — | — | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Inpatient | Tufts | ACO/MCO Masshealth | — | — | — | 2026-06-05 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL Inpatient | Mass General Brigham Health Plan | Be Healthy ACO Masshealth | — | — | — | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Inpatient | Mass General Brigham Health Plan | QHP Subsidized | $17,424.57 | — | — | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Inpatient | Tufts | One Care | — | — | — | 2026-06-05 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL Inpatient | Tufts | One Care | — | — | — | 2026-06-05 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL Inpatient | Tufts | ACO/MCO Masshealth | — | — | — | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Inpatient | Mass General Brigham Health Plan | ACO MassHealth | — | — | — | 2026-06-05 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis Child Health Plus | $17,740.17 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis Medicaid | $19,282.79 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis HARP | $19,282.79 | — | — | 2026-04-14 | MRF ↗ |
| BAYSTATE WING HOSPITAL Inpatient | Mass General Brigham Health Plan | Commercial (HMO, PPO, QHP Unsubsidized) | $19,513.42 | — | — | 2026-06-05 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL Inpatient | Mass General Brigham Health Plan | Commercial (HMO, PPO, QHP Unsubsidized) | $19,513.42 | — | — | 2026-06-05 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL Inpatient | BCBS | HMO Commercial | $19,889.00 | — | — | 2026-06-05 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | UHC COMMUNITY MEDICAID [2175] | HB XR UHC INDIANA PATHWAYS MEDICAID | $19,993.97 | $270,586.22 | $162,351.73 | 2025-12-19 | MRF ↗ |
| BAYSTATE WING HOSPITAL Inpatient | BCBS | PPO Commercial | $20,359.00 | — | — | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Inpatient | BCBS | Indemnity Commercial | $20,359.00 | — | — | 2026-06-05 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | HUMANA MEDICAID OH [3102] | HB XR HUMANA 103% OHIO MEDICAID | $21,179.81 | $227,555.02 | $136,533.01 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | ANTHEM MEDICAID OHIO [2192] | HB XR ANTHEM OH MEDICAID 103% | $21,179.81 | $227,555.02 | $136,533.01 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | MOLINA MEDICAID [2058] | HB XR MOLINA MGD MEDICAID OH 107% | $21,179.81 | $227,555.02 | $136,533.01 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | BUCKEYE COMMUNITY HEALTH [2028] | HB XR BUCKEYE MGD MEDICAID OH 106% | $21,179.81 | $227,555.02 | $136,533.01 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | AMERIHEALTH CARITAS [2230] | HB XR AMERIHEALTH CARITAS OH 103% | $21,179.81 | $227,555.02 | $136,533.01 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | CARESOURCE [2031] | HB XR CARESOURCE MGD MEDICAID OHIO 103% | $21,179.81 | $227,555.02 | $136,533.01 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | UHC COMMUNITY MEDICAID [2175] | HB XR UNITED HEALTHCARE MGD MEDICAID OHIO | $21,179.81 | $227,555.02 | $136,533.01 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | AETNA BETTER HEALTH OHIO MEDICAID [2183] | HB XR AETNA BETTER HLTH MGD MEDICAID OH 108% | $21,179.81 | $227,555.02 | $136,533.01 | 2025-12-19 | MRF ↗ |
| BAYSTATE WING HOSPITAL Inpatient | BCBS | HMO Commercial | $22,016.00 | — | — | 2026-06-05 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis Child Health Plus | $22,966.75 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Fidelis | Fidelis QHP | $23,029.61 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Fidelis | Fidelis QHP | $23,029.61 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Fidelis | Fidelis QHP | $23,029.61 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Fidelis | Fidelis QHP | $23,029.61 | — | — | 2026-04-14 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL Inpatient | BCBS | Indemnity Commercial | $23,580.00 | — | — | 2026-06-05 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL Inpatient | BCBS | PPO Commercial | $23,580.00 | — | — | 2026-06-05 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Fidelis | Fidelis QHP | $24,181.11 | — | — | 2026-04-14 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Inpatient | Fidelis | Managed Medicaid | $24,889.81 | $164,850.38 | $131,880.30 | 2026-07-15 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis HARP | $24,963.86 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis Medicaid | $24,963.86 | — | — | 2026-04-14 | MRF ↗ |
| GUTHRIE CORTLAND REGIONAL MEDICAL CENTER Inpatient | Wellcare | Managed Medicaid | $26,079.24 | $164,850.38 | $131,880.30 | 2026-07-15 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Inpatient | Cdphp | Managed Medicaid | $26,079.24 | $164,850.38 | $82,425.19 | 2026-07-15 | MRF ↗ |
| GUTHRIE CORTLAND REGIONAL MEDICAL CENTER Inpatient | Fidelis | Managed Medicaid | $26,079.24 | $164,850.38 | $131,880.30 | 2026-07-15 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Inpatient | Fidelis | Managed Medicaid | $26,493.99 | $164,850.38 | $82,425.19 | 2026-07-15 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Inpatient | Bcbs | Managed Medicaid | $26,493.99 | $164,850.38 | $82,425.19 | 2026-07-15 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis QHP | $26,599.23 | — | — | 2026-04-14 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Inpatient | Fidelis | Managed Medicaid | $26,669.58 | $164,850.38 | $131,880.30 | 2026-07-15 | MRF ↗ |
| GUTHRIE CORTLAND REGIONAL MEDICAL CENTER Inpatient | Molina | — | $26,861.62 | $164,850.38 | $131,880.30 | 2026-07-15 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Inpatient | Molina | — | $27,396.16 | $164,850.38 | $82,425.19 | 2026-07-15 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Inpatient | Mvp | Managed Medicaid | $27,520.12 | $164,850.38 | $82,425.19 | 2026-07-15 | MRF ↗ |
| WEST PENN HOSPITAL Inpatient | Fidelis | Fidelis QHP | $27,865.82 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Independent Health | Independent Health State Products | $28,220.93 | — | — | 2026-04-14 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Inpatient | Mvp | Essential | $28,651.02 | $164,850.38 | $82,425.19 | 2026-07-15 | MRF ↗ |
| CORNING HOSPITAL Inpatient | Fidelis | Managed Medicaid | $28,651.02 | $164,850.38 | $131,880.30 | 2026-07-15 | MRF ↗ |
| GUTHRIE CORTLAND REGIONAL MEDICAL CENTER Inpatient | United Healthcare | Managed Medicaid | $28,651.02 | $164,850.38 | $131,880.30 | 2026-07-15 | MRF ↗ |
| CORNING HOSPITAL Inpatient | Bcbs | Managed Medicaid | $28,651.02 | $164,850.38 | $131,880.30 | 2026-07-15 | MRF ↗ |
| CORNING HOSPITAL Inpatient | Mvp | Managed Medicaid | $28,651.02 | $164,850.38 | $131,880.30 | 2026-07-15 | MRF ↗ |
| CORNING HOSPITAL Inpatient | United Healthcare | Managed Medicaid | $28,651.02 | $164,850.38 | $131,880.30 | 2026-07-15 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis Child Health Plus | $29,395.46 | — | — | 2026-04-14 | MRF ↗ |
| CORNING HOSPITAL Inpatient | Molina | — | $29,510.55 | $164,850.38 | $131,880.30 | 2026-07-15 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Inpatient | Bcbs | Managed Medicaid | $29,701.99 | $164,850.38 | $131,880.30 | 2026-07-15 | MRF ↗ |
| ROBERT PACKER HOSPITAL Inpatient | Bcbs | Managed Medicaid | $29,701.99 | $164,850.38 | $131,880.30 | 2026-07-15 | MRF ↗ |
| ROBERT PACKER HOSPITAL Inpatient | Mvp | Managed Medicaid | $29,701.99 | $164,850.38 | $131,880.30 | 2026-07-15 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Fidelis | Fidelis QHP | $29,814.57 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Fidelis | Fidelis QHP | $29,814.57 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Fidelis | Fidelis QHP | $29,814.57 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Fidelis | Fidelis QHP | $29,814.57 | — | — | 2026-04-14 | MRF ↗ |
| ROBERT PACKER HOSPITAL Inpatient | United Healthcare | Managed Medicaid | $30,165.70 | $164,850.38 | $131,880.30 | 2026-07-15 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $30,542.09 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $30,542.09 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $30,542.09 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Aetna | Aetna Better Health CHIP | $30,542.09 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $30,542.09 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Aetna | Aetna Better Health CHIP | $30,542.09 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Aetna | Aetna Better Health CHIP | $30,542.09 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Aetna | Aetna Better Health CHIP | $30,542.09 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $30,542.09 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Aetna | Aetna Better Health CHIP | $30,542.09 | — | — | 2026-04-14 | MRF ↗ |
| ROBERT PACKER HOSPITAL Inpatient | Molina | — | $30,593.05 | $164,850.38 | $131,880.30 | 2026-07-15 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Inpatient | Molina | — | $30,593.05 | $164,850.38 | $131,880.30 | 2026-07-15 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Inpatient | Molina | — | $30,593.05 | $164,850.38 | $131,880.30 | 2026-07-15 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Inpatient | Fidelis | Exchange | $31,112.26 | $164,850.38 | $131,880.30 | 2026-07-15 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Inpatient | Cdphp | Managed Medicaid | $31,168.92 | $164,850.38 | $131,880.30 | 2026-07-15 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Fidelis | Fidelis QHP | $31,305.32 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis HARP | $31,951.58 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis Medicaid | $31,951.58 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $32,069.22 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Aetna | Aetna Better Health CHIP | $32,069.22 | — | — | 2026-04-14 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Inpatient | Cdphp | Managed Medicaid | $32,095.97 | $164,850.38 | $131,880.30 | 2026-07-15 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL InpatientFacility | BLUE CROSS [1021] | NMH BCBS PMAP | $32,841.95 | $319,023.61 | — | 2026-04-30 | MRF ↗ |
| MAPLE GROVE HOSPITAL InpatientFacility | BLUE CROSS [1021] | NMH BCBS PMAP | $32,841.95 | $139,999.79 | — | 2026-09-25 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $32,899.94 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $32,899.94 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $32,899.94 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $33,239.75 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $33,239.75 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $33,239.75 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Amerihealth | Amerihealth Medicaid CHC | $33,596.30 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Amerihealth | Amerihealth Medicaid HC | $33,596.30 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Amerihealth | Amerihealth Medicaid HC | $33,596.30 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Amerihealth | Amerihealth Medicaid CHC | $33,596.30 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Amerihealth | Amerihealth Medicaid HC | $33,596.30 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Amerihealth | Amerihealth Medicaid HC | $33,596.30 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Amerihealth | Amerihealth Medicaid CHC | $33,596.30 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Amerihealth | Amerihealth Medicaid CHC | $33,596.30 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Amerihealth | Amerihealth Medicaid HC | $33,596.30 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Amerihealth | Amerihealth Medicaid CHC | $33,596.30 | — | — | 2026-04-14 | MRF ↗ |
| CORNING HOSPITAL Inpatient | Icircle | Managed Medicaid | $33,808.20 | $164,850.38 | $131,880.30 | 2026-07-15 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Independent Health | Independent Health State Products | $33,867.77 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis QHP | $34,435.87 | — | — | 2026-04-14 | MRF ↗ |
| SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN Inpatient | Metroplus Medicaid | Commercial | $34,516.00 | $35,583.00 | — | 2026-07-15 | MRF ↗ |
| CORNING HOSPITAL Inpatient | Cdphp | Managed Medicaid | $34,615.26 | $164,850.38 | $131,880.30 | 2026-07-15 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Inpatient | Geisinger | Managed Medicaid | $34,670.33 | $164,850.38 | $82,425.19 | 2026-07-15 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Highmark Wholecare | Highmark Wholecare Medicaid HC | $34,817.99 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Highmark Wholecare | Highmark Wholecare Medicaid HC | $34,817.99 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Highmark Wholecare | Highmark Wholecare Medicaid HC | $34,817.99 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Highmark Wholecare | Highmark Wholecare Medicaid HC | $34,817.99 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Highmark Wholecare | Highmark Wholecare Medicaid HC | $34,817.99 | — | — | 2026-04-14 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Inpatient | Amerihealth | Managed Medicaid | $34,929.75 | $164,850.38 | $82,425.19 | 2026-07-15 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Inpatient | Amerihealth | Caritas Chc | $34,929.75 | $164,850.38 | $82,425.19 | 2026-07-15 | MRF ↗ |
| ROBERT PACKER HOSPITAL Inpatient | Icircle | Managed Medicaid | $35,048.34 | $164,850.38 | $131,880.30 | 2026-07-15 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Inpatient | Icircle | Managed Medicaid | $35,048.34 | $164,850.38 | $131,880.30 | 2026-07-15 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Amerihealth | Amerihealth Medicaid CHC | $35,276.15 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Amerihealth | Amerihealth Medicaid HC | $35,276.15 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $35,276.16 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Aetna | Aetna Better Health CHIP | $35,276.16 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $35,407.45 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $35,407.45 | — | — | 2026-04-14 | MRF ↗ |
| SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN Inpatient | Ebcbs Medicaid | Commercial | $35,583.00 | $35,583.00 | — | 2026-07-15 | MRF ↗ |
| SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN Inpatient | Uhc Medicaid | Commercial | $35,583.00 | $35,583.00 | — | 2026-07-15 | MRF ↗ |
| SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN Inpatient | Affinity Medicaid | Commercial | $35,583.00 | $35,583.00 | — | 2026-07-15 | MRF ↗ |
| SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN Inpatient | Emblem Hip Medicaid | Commercial | $35,583.00 | $35,583.00 | — | 2026-07-15 | MRF ↗ |
| SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN Inpatient | Metroplus Qhp | Commercial | $35,583.00 | $35,583.00 | — | 2026-07-15 | MRF ↗ |
| SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN Inpatient | Fidelis Medicaid | Commercial | $35,583.00 | $35,583.00 | — | 2026-07-15 | MRF ↗ |
| SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN Inpatient | Vnsny Medicaid | Commercial | $35,583.00 | $35,583.00 | — | 2026-07-15 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Geisinger | Geisinger CHIP | $35,734.25 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Geisinger | Geisinger Medicaid HC | $35,734.25 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Geisinger | Geisinger CHIP | $35,734.25 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Geisinger | Geisinger Medicaid HC | $35,734.25 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Geisinger | Geisinger CHIP | $35,734.25 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Geisinger | Geisinger Medicaid HC | $35,734.25 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Geisinger | Geisinger Medicaid HC | $35,734.25 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Geisinger | Geisinger CHIP | $35,734.25 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Geisinger | Geisinger Medicaid HC | $35,734.25 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Geisinger | Geisinger CHIP | $35,734.25 | — | — | 2026-04-14 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $36,033.10 | $428,454.06 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $36,033.10 | $428,454.06 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $36,033.10 | $428,454.06 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $36,033.10 | $428,454.06 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $36,033.10 | $428,454.06 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $36,033.10 | $428,454.06 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $36,033.10 | $428,454.06 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $36,033.10 | $428,454.06 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $36,033.10 | $428,454.06 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $36,033.10 | $428,454.06 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $36,033.10 | $428,454.06 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $36,033.10 | $428,454.06 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $36,033.10 | $428,454.06 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $36,033.10 | $428,454.06 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $36,033.10 | $428,454.06 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $36,033.10 | $428,454.06 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $36,033.10 | $428,454.06 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $36,033.10 | $428,454.06 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $36,033.10 | $428,454.06 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $36,033.10 | $428,454.06 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $36,033.10 | $428,454.06 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $36,033.10 | $428,454.06 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $36,033.10 | $428,454.06 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $36,033.10 | $428,454.06 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $36,033.10 | $428,454.06 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $36,033.10 | $428,454.06 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $36,033.10 | $428,454.06 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $36,033.10 | $428,454.06 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $36,033.10 | $428,454.06 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $36,033.10 | $428,454.06 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $36,033.10 | $428,454.06 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $36,033.10 | $428,454.06 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $36,033.10 | $428,454.06 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $36,033.10 | $428,454.06 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $36,033.10 | $428,454.06 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $36,033.10 | $428,454.06 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $36,033.10 | $428,454.06 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $36,033.10 | $428,454.06 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $36,033.10 | $428,454.06 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $36,033.10 | $428,454.06 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $36,033.10 | $428,454.06 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $36,033.10 | $428,454.06 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $36,033.10 | $428,454.06 | — | 2026-03-26 | 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.