163 - 4 — Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS (APR_DRG 163 - 4) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/163 - 4?code_type=APR_DRG
MLA (9th ed.)
“CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS (APR_DRG 163 - 4) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/163 - 4?code_type=APR_DRG. Accessed .
Chicago (notes-bibliography)
“CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS (APR_DRG 163 - 4) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/163 - 4?code_type=APR_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $49,288–$571,080 (25th–75th percentile) across 9 hospitals · 90 payers.
“Negotiated” is the hospital’s negotiated facility rate for this APR_DRG 163 - 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 | — | $415,866.97 | $257,837.52 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Life Geisinger | Life Geisinger - Managed Medicaid | — | $415,866.97 | $257,837.52 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Blue Cross Blue Shield | Capital - Enhanced Network Rates | — | $415,866.97 | $257,837.52 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | VSP Vision Care | VSP Vision Care | — | $415,866.97 | $257,837.52 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | MHNet | MHNet - Behavioral Health | — | $415,866.97 | $257,837.52 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Wyoming Seminary | Wyoming Seminary | — | $415,866.97 | $257,837.52 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Wire Rope | Wire Rope | — | $415,866.97 | $257,837.52 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Congregation of the Sister Servants | Congregation of the Sister Servants | — | $415,866.97 | $257,837.52 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Prison Health Services | Prison Health Services | $8,363.16 | $415,866.97 | $257,837.52 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Prison Health Services | Seven Corners | — | $415,866.97 | $257,837.52 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Intergroup Services | Intergroup Services | — | $415,866.97 | $257,837.52 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Christian Healthcare Ministries | Christian Healthcare Ministries | — | $415,866.97 | $257,837.52 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Community Care | Community Care - Behavioral Health | — | $415,866.97 | $257,837.52 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Pacificare | Pacificare - Behavioral Health | — | $415,866.97 | $257,837.52 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Integrated Health Plan | Integrated Health Plan | — | $415,866.97 | $257,837.52 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Integrated Health Plan | Integrated Health Plan - Behavioral Health | — | $415,866.97 | $257,837.52 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Geisinger Health Plan | Geisinger Health Plan - Employee | — | $415,866.97 | $257,837.52 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Geisinger Health Plan | Geisinger Health Plan - Commercial | — | $415,866.97 | $257,837.52 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Geisinger Health Plan | Geisinger Health Plan - Gold - Medicare Advantage | — | $415,866.97 | $257,837.52 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Blue Cross Blue Shield | Highmark BC/BS | — | $415,866.97 | $257,837.52 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Ambetter | Ambetter - Managed Medicare | — | $415,866.97 | $257,837.52 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | United Healthcare | United Healthcare - Commercial | — | $415,866.97 | $257,837.52 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | United Healthcare | United Healthcare - Behavioral Health | — | $415,866.97 | $257,837.52 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Cigna | Cigna | — | $415,866.97 | $257,837.52 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Multiplan | Multiplan/Private Health Care System | — | $415,866.97 | $257,837.52 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Multiplan | Beech Street | — | $415,866.97 | $257,837.52 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Medicare | Medicare | — | $415,866.97 | $257,837.52 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Medicare | Black Lung - Medicare Advantage | — | $415,866.97 | $257,837.52 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Humana | Humana - Medicare Advantage | — | $415,866.97 | $257,837.52 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Tricare | Humana Tricare | — | $415,866.97 | $257,837.52 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Tricare | Department of Veteran's Affairs | — | $415,866.97 | $257,837.52 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Medicaid | Medicaid | $8,363.16 | $415,866.97 | $257,837.52 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Magellan | Magellan - Behavioral Health | — | $415,866.97 | $257,837.52 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Value Options | Value Options - Behavioral Health | — | $415,866.97 | $257,837.52 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Aetna | Aetna | — | $415,866.97 | $257,837.52 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Aetna | First Health Network | — | $415,866.97 | $257,837.52 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Managed Health Network | Managed Health Network - Behavioral Health | — | $415,866.97 | $257,837.52 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Blue Cross Blue Shield | Capital - Special Network Rates | — | $415,866.97 | $257,837.52 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Blue Cross Blue Shield | Capital - Basic Network Rates | — | $415,866.97 | $257,837.52 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Blue Cross Blue Shield | Capital Blue Cross Blue Journey - Medicare Advantage | — | $415,866.97 | $257,837.52 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Blue Cross Blue Shield | Highmark BC/BS - Special Care | — | $415,866.97 | $257,837.52 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Special Risk International | Special Risk International - United Resource Network | — | $415,866.97 | $257,837.52 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | North Central Secure Treatment Unit | North Central Secure Treatment Unit | — | $415,866.97 | $257,837.52 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $8,400.00 | $415,866.97 | $257,837.52 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $8,614.05 | $415,866.97 | $257,837.52 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Health Partners | Health Partners - Managed Medicaid | $9,199.48 | $415,866.97 | $257,837.52 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | UPMC For You | UPMC For You - Managed Medicaid | $9,826.71 | $415,866.97 | $257,837.52 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | UPMC CHIP | UPMC CHIP - Managed Medicaid | $10,035.79 | $415,866.97 | $257,837.52 | 2025-07-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Molina Healthcare | Molina Healthcare - Managed Medicaid | $49,288.24 | $908,822.63 | $636,175.84 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Blue Cross Blue Shield | Blue Cross Community - Managed Medicaid | $49,288.24 | $908,822.63 | $636,175.84 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Medicaid | Medicaid | $49,288.24 | $908,822.63 | $636,175.84 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | County Care | County Care - Managed Medicaid | $49,288.24 | $908,822.63 | $636,175.84 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Meridian Health | Meridian Health MCO - Managed Medicaid | $49,781.11 | $908,822.63 | $636,175.84 | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | ODRC | ODRC | $53,329.38 | $533,375.25 | — | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Youthcare | Youthcare - Managed Medicaid | $54,217.01 | $908,822.63 | $636,175.84 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Aetna | Aetna Better Health - Managed Medicaid | $54,217.01 | $908,822.63 | $636,175.84 | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Medicaid | Medicaid | $65,081.62 | $533,375.25 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Molina | Molina - Medicaid | $68,332.85 | $533,375.25 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Aetna | Aetna Better Health | $68,332.85 | $533,375.25 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Aetna | Aetna Better Health - OhioRISE | $68,335.72 | $533,375.25 | — | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | Prison Health Services | Prison Health Services | $70,723.31 | $371,577.59 | $230,378.11 | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | Medicaid | Medicaid | $70,723.31 | $371,577.59 | $230,378.11 | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | United | United Healthcare - Medicaid | $71,586.80 | $533,375.25 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Humana | Humana Medicaid | $71,589.82 | $533,375.25 | — | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $72,845.01 | $371,577.59 | $230,378.11 | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Amerihealth | Amerihealth | $73,542.27 | $533,375.25 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Buckeye Community | Buckeyes Community - Medicaid | $74,840.74 | $533,375.25 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | CareSource | CareSource - Medicaid | $74,840.74 | $533,375.25 | — | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | Health Partners | Health Partners - Managed Medicaid | $77,795.61 | $371,577.59 | $230,378.11 | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $78,870.12 | $371,577.59 | $230,378.11 | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | UPMC For You | UPMC For You - Managed Medicaid | $83,099.91 | $371,577.59 | $230,378.11 | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | UPMC CHIP | UPMC CHIP - Managed Medicaid | $84,868.01 | $371,577.59 | $230,378.11 | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | Cigna | Cigna | $168,324.65 | $371,577.59 | $230,378.11 | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | ODRC | ODRC | $185,401.24 | $533,375.25 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Medicaid | Medicaid | $185,401.24 | $533,375.25 | — | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | Christian Healthcare Ministries | Christian Healthcare Ministries | $185,788.80 | $371,577.59 | $230,378.11 | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Aetna | Aetna Better Health | $194,681.97 | $533,375.25 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Buckeye Community | Buckeyes Community - Dual Eligible | $196,815.47 | $533,375.25 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Buckeye Community | Buckeyes Community - Medicare | $196,815.47 | $533,375.25 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | United | United Healthcare - Medicaid | $203,962.70 | $533,375.25 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | OSU Health Plan | OSU Health Plan - Student Health Plan | $204,602.75 | $533,375.25 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | OSU Health Plan | OSU Health Plan - Prime Care | $208,229.70 | $533,375.25 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | OSU Health Plan | OSU Health Plan - Partner | $219,323.90 | $533,375.25 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | OSU Health Plan | OSU Health Plan - Non OSU PPO | $229,351.36 | $533,375.25 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Buckeye Community | Buckeye Ambetter Exchange | $238,258.72 | $533,375.25 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Ohio PPO | Ohio PPO Connect | $239,005.45 | $533,375.25 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | OSU Health Plan | OSU Health Plan - Market | $241,085.61 | $533,375.25 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | OSU Health Plan | OSU Health Plan - Student Health Plan | $243,592.48 | $533,375.25 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | CareSource | CareSource - Exchange | $245,352.62 | $533,375.25 | — | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | Aetna | First Health Network | $248,213.83 | $371,577.59 | $230,378.11 | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Healthspan | Healthspan - Commercial | $256,020.12 | $533,375.25 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Molina | Molina - Exchange | $256,020.12 | $533,375.25 | — | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | Wyoming Seminary | Wyoming Seminary | $260,104.32 | $371,577.59 | $230,378.11 | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Buckeye Community | Buckeyes Community - Medicaid | $261,407.21 | $533,375.25 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Molina | Molina - Medicaid | $263,274.02 | $533,375.25 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | CareSource | CareSource - Medicaid | $263,274.02 | $533,375.25 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | OSU Health Plan | OSU Department of Athletics | $266,687.63 | $533,375.25 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | OSU Health Plan | OSU Health Plan - Non OSU PPO | $266,687.63 | $533,375.25 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | OSU Health Plan | OSU Department of Athletics | $266,687.63 | $533,375.25 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | OSU Health Plan | OSU Health Plan - Prime Care | $285,409.10 | $533,375.25 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Amerihealth | Amerihealth | $287,382.58 | $533,375.25 | — | 2026-04-01 | MRF ↗ |
| Sharp Memorial Hospital-transplant Inpatient | County Medical Services | County of San Diego | $289,864.46 | $975,974.63 | $731,980.97 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Inpatient | Blue Shield | Blue Shield - Promise | $289,864.46 | $975,974.63 | $731,980.97 | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Humana | Humana Medicaid | $298,476.79 | $533,375.25 | — | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | Multiplan | Multiplan/Private Health Care System | $315,840.95 | $371,577.59 | $230,378.11 | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | Intergroup Services | Intergroup Services | $315,840.95 | $371,577.59 | $230,378.11 | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | Multiplan | Beech Street | $315,840.95 | $371,577.59 | $230,378.11 | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Healthspan | Healthspan - Commercial | $320,025.15 | $533,375.25 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | OSU Health Plan | OSU Health Plan - Partner | $320,931.89 | $533,375.25 | — | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | MercyCare Health | MercyCare Health - HMO/PPO | $336,264.37 | $908,822.63 | $636,175.84 | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Humana | Humana Commercial | $341,893.54 | $533,375.25 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | OhioHealth | OhioHealth - Choice | $346,693.91 | $533,375.25 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Lifetrac | Lifetrac | $346,693.91 | $533,375.25 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Ohio PPO | Ohio PPO Connect | $350,000.84 | $533,375.25 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Upper Ohio Valley | Upper Ohio Valley - Health Plan | $352,027.67 | $533,375.25 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | OSU Health Plan | OSU Health Plan - Market | $353,041.08 | $533,375.25 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Anthem | Anthem - HMO/PPO | $357,948.13 | $533,375.25 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Lifetrac | Lifetrac | $362,695.17 | $533,375.25 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | United | United Healthcare | $376,189.56 | $533,375.25 | — | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Cigna | Cigna Local Plus | $381,705.50 | $908,822.63 | $636,175.84 | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | OhioHealth | OhioHealth - Choice | $384,030.18 | $533,375.25 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Cigna | Cigna | $386,537.04 | $533,375.25 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | OhioHealth | OhioHealth - Group Healthreach | $389,363.93 | $533,375.25 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | OhioHealth | OhioHealth - Group Healthreach | $389,363.93 | $533,375.25 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | MMO | MMO - New Business | $402,644.98 | $533,375.25 | — | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Inpatient | California Health and Wellness | California Health and Wellness | $409,909.34 | $975,974.63 | $731,980.97 | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | MMO | MMO - Commercial | $424,193.34 | $533,375.25 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Multiplan | Multiplan | $426,700.20 | $533,375.25 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Frontpath | Frontpath Transplant | $426,700.20 | $533,375.25 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Frontpath | Frontpath Transplant | $426,700.20 | $533,375.25 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Aetna | First Health | $428,833.70 | $533,375.25 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Aetna | First Health | $437,367.70 | $533,375.25 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Upper Ohio Valley | Upper Ohio Valley - Health Plan | $437,367.70 | $533,375.25 | — | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | La Rabida Childrens Hospital | La Rabida Childrens Hospital | $454,411.31 | $908,822.63 | $636,175.84 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Aetna | Aetna Northwestern | $454,411.31 | $908,822.63 | $636,175.84 | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Aetna | Aetna | $454,435.71 | $533,375.25 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Anthem | Anthem - Traditional | $465,369.91 | $533,375.25 | — | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Inpatient | County Medical Services | County of San Diego | $468,467.82 | $975,974.63 | $731,980.97 | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Inpatient | Health Net | Health Net - Medi-Cal | $468,467.82 | $975,974.63 | $731,980.97 | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Healthsmart | Healthsmart | $480,037.73 | $533,375.25 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Healthsmart | Healthsmart | $480,037.73 | $533,375.25 | — | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Aetna | Aetna Illinois Preferred | $481,675.99 | $908,822.63 | $636,175.84 | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Multiplan | Multiplan | $496,038.98 | $533,375.25 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Anthem | Anthem - Traditional | $497,852.46 | $533,375.25 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Anthem | Anthem - Traditional | $499,292.57 | $533,375.25 | — | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Cigna | Cigna C-5 | $523,481.83 | $908,822.63 | $636,175.84 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Blue Cross Blue Shield | Northwestern Medicine Physician Network IPA | $545,293.57 | $908,822.63 | $636,175.84 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Independent Physicians at Mercy | Independent Physicians at Mercy | $545,293.57 | $908,822.63 | $636,175.84 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Blue Cross Blue Shield | Dupage Medical Group | $545,293.57 | $908,822.63 | $636,175.84 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Centegra | Centegra | $545,293.57 | $908,822.63 | $636,175.84 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Inpatient | Community Health Group | Community Health Group - Medi-Cal | $551,425.66 | $975,974.63 | $731,980.97 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Inpatient | Community Health Group | Community Health Group - Medi-Cal | $551,425.66 | $975,974.63 | $731,980.97 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Blue Cross Blue Shield | Northshore Physician Associates | $590,734.71 | $908,822.63 | $636,175.84 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Northwest Community Healthcare | Northwest Community Healthcare | $636,175.84 | $908,822.63 | $636,175.84 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | UI Health | UI Health | $636,175.84 | $908,822.63 | $636,175.84 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | West Suburban Health Providers | West Suburban Health Providers | $636,175.84 | $908,822.63 | $636,175.84 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Imagine Health | Imagine Health | $636,175.84 | $908,822.63 | $636,175.84 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Health Plus | Health Plus - PHO | $636,175.84 | $908,822.63 | $636,175.84 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Blue Cross Blue Shield | Lake County Physician Association | $636,175.84 | $908,822.63 | $636,175.84 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Blue Cross Blue Shield | Illinois Health Partners | $636,175.84 | $908,822.63 | $636,175.84 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | St. Francis | St. Francis - IPA | $636,175.84 | $908,822.63 | $636,175.84 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Advanced Physicians Association IPA | Advanced Physicians Association IPA | $636,175.84 | $908,822.63 | $636,175.84 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Methodist First Choice | Methodist First Choice | $636,175.84 | $908,822.63 | $636,175.84 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Inpatient | Health Net | Health Net - Medi-Cal | $639,263.38 | $975,974.63 | $731,980.97 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Cigna | Cigna | $645,264.06 | $908,822.63 | $636,175.84 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Inpatient | Molina | Molina Medi-Cal | $663,662.74 | $975,974.63 | $731,980.97 | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Inpatient | Community Health Group | Community Health Group - Medi-Cal | $673,422.49 | $975,974.63 | $731,980.97 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Swedish Covenant Physician Partners | Swedish Covenant Physician Partners | $681,616.97 | $908,822.63 | $636,175.84 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Shriners Hospital | Shriners Hospital | $681,616.97 | $908,822.63 | $636,175.84 | 2026-04-01 | MRF ↗ |
| Sharp Memorial Hospital-transplant Inpatient | Molina | Molina Medi-Cal | $683,182.24 | $975,974.63 | $731,980.97 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | American Psych Systems | American Psych Systems | $727,058.10 | $908,822.63 | $636,175.84 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Blue Cross Blue Shield | Sherman Choice - PHO | $727,058.10 | $908,822.63 | $636,175.84 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Macneal Health | Macneal Health | $727,058.10 | $908,822.63 | $636,175.84 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Health Alliance | Health Alliance - PPO | $727,058.10 | $908,822.63 | $636,175.84 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Inpatient | County Medical Services | County of San Diego | $731,980.97 | $975,974.63 | $731,980.97 | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Inpatient | Molina | Molina Medi-Cal | $731,980.97 | $975,974.63 | $731,980.97 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Healthlink Inc. | Healthlink Inc. | $749,778.67 | $908,822.63 | $636,175.84 | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Inpatient | Blue Shield | Blue Shield - Promise | $751,500.46 | $975,974.63 | $731,980.97 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | St. Elizabeth | St. Elizabeth - PHO | $772,499.23 | $908,822.63 | $636,175.84 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | HFN Inc | HFN - EPO | $772,499.23 | $908,822.63 | $636,175.84 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Humana | Humana National POS | $772,499.23 | $908,822.63 | $636,175.84 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Principal Healthcare | Principal Healthcare - PPO | $772,499.23 | $908,822.63 | $636,175.84 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Cofinity | Cofinity | $772,499.23 | $908,822.63 | $636,175.84 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Humana | Humana | $772,499.23 | $908,822.63 | $636,175.84 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Preferred Health Network | Preferred Health Network - PPO | $799,763.91 | $908,822.63 | $636,175.84 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | First Health | First Health | $799,763.91 | $908,822.63 | $636,175.84 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Healthstar | Healthstar - PPO Next | $799,763.91 | $908,822.63 | $636,175.84 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Sagamore Health Network | Sagamore Health Network - PPO | $799,763.91 | $908,822.63 | $636,175.84 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Beech Street | Beech Street - PPO | $817,940.36 | $908,822.63 | $636,175.84 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Private Health Care System | PHCS - PPO | $817,940.36 | $908,822.63 | $636,175.84 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Private Health Care System | Private Health Care System - Northwestern | $817,940.36 | $908,822.63 | $636,175.84 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Security Health Plan | Security Health Plan - HMO | $817,940.36 | $908,822.63 | $636,175.84 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Swedish American | Swedish American | $817,940.36 | $908,822.63 | $636,175.84 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | HFN Inc | HFN - PPO | $817,940.36 | $908,822.63 | $636,175.84 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Private Health Care System | Private Health Care System - EPO | $817,940.36 | $908,822.63 | $636,175.84 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Employer's Coalition on Health | Employer's Coalition on Health | $817,940.36 | $908,822.63 | $636,175.84 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Benchmark Health | Benchmark Health | $817,940.36 | $908,822.63 | $636,175.84 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Wellmark/Healthnetwork | Wellmark/Healthnetwork - PPO | $836,116.82 | $908,822.63 | $636,175.84 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | National Provider Network | National Provider Network - PPO | $863,381.49 | $908,822.63 | $636,175.84 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Integrated Health Plan | Integrated Health Plan | $863,381.49 | $908,822.63 | $636,175.84 | 2026-04-01 | MRF ↗ |
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