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 (OTHER 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=OTHER
MLA (9th ed.)
“CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS (OTHER 163 - 4) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/163 - 4?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS (OTHER 163 - 4) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/163 - 4?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $53,329–$639,263 (25th–75th percentile) across 14 hospitals · 97 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 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 |
|---|---|---|---|---|---|---|---|
| SHARP MEMORIAL HOSPITAL Inpatient | San Diego Pace | San Diego Pace | — | $975,974.63 | $731,980.97 | 2025-07-01 | MRF ↗ |
| SHARP MEMORIAL HOSPITAL Inpatient | California Health and Wellness | California Health and Wellness | — | $975,974.63 | $731,980.97 | 2025-07-01 | MRF ↗ |
| SHARP MEMORIAL HOSPITAL Inpatient | County Medical Services | County of San Diego | — | $975,974.63 | $731,980.97 | 2025-07-01 | MRF ↗ |
| SHARP MEMORIAL HOSPITAL Inpatient | Indian Health Council | Indian Health Council | — | $975,974.63 | $731,980.97 | 2025-07-01 | MRF ↗ |
| SHARP MEMORIAL HOSPITAL Inpatient | Molina | Molina - Exchange | — | $975,974.63 | $731,980.97 | 2025-07-01 | MRF ↗ |
| SHARP MEMORIAL HOSPITAL Inpatient | Molina | Molina Medi-Cal | — | $975,974.63 | $731,980.97 | 2025-07-01 | MRF ↗ |
| SHARP MEMORIAL HOSPITAL Inpatient | Molina | Molina - Cal Medi-Connect | — | $975,974.63 | $731,980.97 | 2025-07-01 | MRF ↗ |
| SHARP MEMORIAL HOSPITAL Inpatient | United Healthcare | United Healthcare - Medicare | — | $975,974.63 | $731,980.97 | 2025-07-01 | MRF ↗ |
| SHARP MEMORIAL HOSPITAL Inpatient | Cigna | Cigna - HMO | — | $975,974.63 | $731,980.97 | 2025-07-01 | MRF ↗ |
| SHARP MEMORIAL HOSPITAL Inpatient | Medicare | Medicare | — | $975,974.63 | $731,980.97 | 2025-07-01 | MRF ↗ |
| SHARP MEMORIAL HOSPITAL Inpatient | Blue Shield | Blue Shield - HMO | — | $975,974.63 | $731,980.97 | 2025-07-01 | MRF ↗ |
| SHARP MEMORIAL HOSPITAL Inpatient | Blue Cross | Blue Cross - HMO | — | $975,974.63 | $731,980.97 | 2025-07-01 | MRF ↗ |
| SHARP MEMORIAL HOSPITAL Inpatient | Blue Shield | Blue Shield - PPO | — | $975,974.63 | $731,980.97 | 2025-07-01 | MRF ↗ |
| SHARP MEMORIAL HOSPITAL Inpatient | Blue Shield | Blue Shield - Promise | — | $975,974.63 | $731,980.97 | 2025-07-01 | MRF ↗ |
| SHARP MEMORIAL HOSPITAL Inpatient | Optum Health | Optum Health - Medicare | — | $975,974.63 | $731,980.97 | 2025-07-01 | MRF ↗ |
| SHARP MEMORIAL HOSPITAL Inpatient | Optum Health | Optum Health - Commercial | — | $975,974.63 | $731,980.97 | 2025-07-01 | MRF ↗ |
| SHARP MEMORIAL HOSPITAL Inpatient | Aetna | Aetna - HMO/POS | — | $975,974.63 | $731,980.97 | 2025-07-01 | MRF ↗ |
| SHARP MEMORIAL HOSPITAL Inpatient | Aetna | First Health Medicare | — | $975,974.63 | $731,980.97 | 2025-07-01 | MRF ↗ |
| SHARP MEMORIAL HOSPITAL Inpatient | Aetna | Aetna Whole Health | — | $975,974.63 | $731,980.97 | 2025-07-01 | MRF ↗ |
| SHARP MEMORIAL HOSPITAL Inpatient | Health Net | Health Net Cal MediConnect | — | $975,974.63 | $731,980.97 | 2025-07-01 | MRF ↗ |
| SHARP MEMORIAL HOSPITAL Inpatient | Health Net | Health Net - Medicare | — | $975,974.63 | $731,980.97 | 2025-07-01 | MRF ↗ |
| SHARP MEMORIAL HOSPITAL Inpatient | Health Net | Health Net Individual - HMO | — | $975,974.63 | $731,980.97 | 2025-07-01 | MRF ↗ |
| SHARP MEMORIAL HOSPITAL Inpatient | Health Net | Health Net Individual - EPO | — | $975,974.63 | $731,980.97 | 2025-07-01 | MRF ↗ |
| SHARP MEMORIAL HOSPITAL Inpatient | Health Net | Health Net - Medi-Cal | — | $975,974.63 | $731,980.97 | 2025-07-01 | MRF ↗ |
| SHARP MEMORIAL HOSPITAL Inpatient | Managed Health Network | MHN - Medicare | — | $975,974.63 | $731,980.97 | 2025-07-01 | MRF ↗ |
| SHARP MEMORIAL HOSPITAL Inpatient | Kaiser | Kaiser - Rehab | $725.00 | $975,974.63 | $731,980.97 | 2025-07-01 | MRF ↗ |
| SHARP MEMORIAL HOSPITAL Inpatient | Medi-Cal | Medi-Cal | — | $975,974.63 | $731,980.97 | 2025-07-01 | MRF ↗ |
| SHARP MEMORIAL HOSPITAL Inpatient | Community Health Group | Community Health Group - Cal Mediconnect | — | $975,974.63 | $731,980.97 | 2025-07-01 | MRF ↗ |
| SHARP MEMORIAL HOSPITAL Inpatient | Community Health Group | Community Health Group - Medi-Cal | — | $975,974.63 | $731,980.97 | 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 | Pacificare | Pacificare - Behavioral Health | — | $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 - Gold - Medicare Advantage | — | $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 | 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 | Geisinger Health Plan | Geisinger Health Plan - Employee | — | $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 | 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 | Highmark BC/BS - Special Care | — | $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 | Tricare | Department of Veteran's Affairs | — | $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 | Medicaid | Medicaid | $8,363.16 | $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 | Aetna | Aetna | — | $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 | Wire Rope | Wire Rope | — | $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 | United Healthcare | United Healthcare - Behavioral Health | — | $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 | Blue Cross Blue Shield | Highmark BC/BS | — | $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 | MHNet | MHNet - Behavioral Health | — | $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 | Life Geisinger | Life Geisinger - Managed Medicaid | — | $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 | 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 ↗ |
| 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 ↗ |
| 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 | Medicaid | 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 | 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 | 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 | Aetna | Aetna Better Health - Managed Medicaid | $54,217.01 | $908,822.63 | $636,175.84 | 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 ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Inpatient | Medicaid | Medicaid | $57,996.91 | — | — | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Inpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $60,896.72 | — | — | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Inpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $60,896.72 | — | — | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Inpatient | Jefferson Health Plan | Jefferson Health Plan - Managed Medicaid | $63,796.61 | — | — | 2026-07-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Medicaid | Medicaid | $65,081.62 | $533,375.25 | — | 2026-04-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Inpatient | UPMC For You | UPMC For You - Managed Medicaid | $68,146.37 | — | — | 2026-07-01 | MRF ↗ |
| BRYAN MEDICAL CENTER Inpatient | Uhc Medicaid | All Plans | $68,153.67 | — | — | 2026-07-18 | MRF ↗ |
| BRYAN MEDICAL CENTER Inpatient | Medicaid | All Plans | $68,153.67 | — | — | 2026-07-18 | MRF ↗ |
| GRAND ISLAND REGIONAL MEDICAL CENTER Inpatient | Molina Healthcare Medicaid | All Plans | $68,153.67 | — | — | 2026-07-15 | MRF ↗ |
| GRAND ISLAND REGIONAL MEDICAL CENTER Inpatient | Uhc Medicaid | All Plans | $68,153.67 | — | — | 2026-07-15 | MRF ↗ |
| GRAND ISLAND REGIONAL MEDICAL CENTER Inpatient | Medicaid | All Plans | $68,153.67 | — | — | 2026-07-15 | MRF ↗ |
| BRYAN MEDICAL CENTER Inpatient | Molina Healthcare Medicaid | All Plans | $68,153.67 | — | — | 2026-07-18 | 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-LEWISTOWN HOSPITAL Inpatient | United Healthcare | United Healthcare - Managed Medicaid | $69,596.30 | — | — | 2026-07-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | Medicaid | Medicaid | $70,723.31 | $371,577.59 | $230,378.11 | 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 ↗ |
| 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 ↗ |
| BRYAN MEDICAL CENTER Inpatient | Bcbs Managed Care | All Plans | $125,153.14 | — | — | 2026-07-18 | MRF ↗ |
| GRAND ISLAND REGIONAL MEDICAL CENTER Inpatient | Bcbs Managed Care | All Plans | $125,153.14 | — | — | 2026-07-15 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Inpatient | Blue Cross | Blue Cross - Prudent Buyer | $146,396.19 | $975,974.63 | $731,980.97 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Inpatient | Blue Cross | Blue Cross - Standard | $146,396.19 | $975,974.63 | $731,980.97 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | North Central Secure Treatment Unit | North Central Secure Treatment Unit | $149,712.11 | $415,866.97 | $257,837.52 | 2025-07-01 | 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 | Medicaid | Medicaid | $170,235.48 | $504,252.00 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Amerihealth | Amerihealth | $170,235.48 | $504,252.00 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Aetna | Aetna Better Health | $178,757.33 | $504,252.00 | — | 2026-07-01 | 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 | United | United Healthcare - Medicaid | $187,279.19 | $504,252.00 | — | 2026-07-01 | 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 ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Cigna | Cigna | $207,933.48 | $415,866.97 | $257,837.52 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Christian Healthcare Ministries | Christian Healthcare Ministries | $207,933.48 | $415,866.97 | $257,837.52 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Shepard International Health Care | Shepard International Health Care - Allegheny International | $207,933.48 | $415,866.97 | $257,837.52 | 2025-07-01 | 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 | CareSource | CareSource - Exchange | $231,955.92 | $504,252.00 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | OSU Health Plan | OSU Health Plan - Student Health Plan | $235,082.28 | $504,252.00 | — | 2026-07-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Ohio PPO | Ohio PPO Connect | $239,005.45 | $533,375.25 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Buckeye Community | Buckeyes Community - Medicaid | $240,023.95 | $504,252.00 | — | 2026-07-01 | 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 | CareSource | CareSource - Medicaid | $241,738.41 | $504,252.00 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Molina | Molina - Medicaid | $241,738.41 | $504,252.00 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Molina | Molina - Exchange | $242,040.96 | $504,252.00 | — | 2026-07-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | Aetna | First Health Network | $248,213.83 | $371,577.59 | $230,378.11 | 2026-04-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Integrated Health Plan | Integrated Health Plan | $249,520.18 | $415,866.97 | $257,837.52 | 2025-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | OSU Health Plan | OSU Health Plan - Non OSU PPO | $252,126.00 | $504,252.00 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | OSU Health Plan | OSU Department of Athletics | $252,126.00 | $504,252.00 | — | 2026-07-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Healthspan | Healthspan - Commercial | $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 | OSU Health Plan | OSU Health Plan - Prime Care | $266,598.03 | $504,252.00 | — | 2026-07-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | OSU Health Plan | OSU Department of Athletics | $266,687.63 | $533,375.25 | — | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Inpatient | Cigna | Cigna - PPO | $273,272.90 | $975,974.63 | $731,980.97 | 2025-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Humana | Humana Medicaid | $274,060.96 | $504,252.00 | — | 2026-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Aetna | First Health Network | $276,967.40 | $415,866.97 | $257,837.52 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Inpatient | Interplan | Interplan | $289,864.46 | $975,974.63 | $731,980.97 | 2025-07-01 | 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 ↗ |
| SHARP MESA VISTA HOSPITAL Inpatient | Aetna | Aetna Whole Health | $289,864.46 | $975,974.63 | $731,980.97 | 2025-07-01 | MRF ↗ |
| GROSSMONT HOSPITAL Inpatient | Blue Shield | Blue Shield - Promise | $289,864.46 | $975,974.63 | $731,980.97 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Inpatient | County Medical Services | County of San Diego | $289,864.46 | $975,974.63 | $731,980.97 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Wyoming Seminary | Wyoming Seminary | $291,106.88 | $415,866.97 | $257,837.52 | 2025-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Healthspan | Healthspan - Commercial | $302,551.20 | $504,252.00 | — | 2026-07-01 | 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 | Anthem | Anthem - HMO/PPO | $324,385.31 | $504,252.00 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Lifetrac | Lifetrac | $327,763.80 | $504,252.00 | — | 2026-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Inpatient | Molina | Molina - Exchange | $331,831.37 | $975,974.63 | $731,980.97 | 2025-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | OSU Health Plan | OSU Health Plan - Market | $333,764.40 | $504,252.00 | — | 2026-07-01 | 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 | OSU Health Plan | OSU Health Plan - Partner | $345,463.05 | $504,252.00 | — | 2026-07-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | OhioHealth | OhioHealth - Choice | $346,693.91 | $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 ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Multiplan | Beech Street | $353,486.92 | $415,866.97 | $257,837.52 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Congregation of the Sister Servants | Congregation of the Sister Servants | $353,486.92 | $415,866.97 | $257,837.52 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Multiplan | Multiplan/Private Health Care System | $353,486.92 | $415,866.97 | $257,837.52 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Intergroup Services | Intergroup Services | $353,486.92 | $415,866.97 | $257,837.52 | 2025-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | MMO | MMO - New Business | $353,631.93 | $504,252.00 | — | 2026-07-01 | 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 | OhioHealth | OhioHealth - Choice | $363,061.44 | $504,252.00 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | OhioHealth | OhioHealth - Group Healthreach | $368,103.96 | $504,252.00 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Aetna | Aetna | $370,120.97 | $504,252.00 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | MMO | MMO - Commercial | $372,591.80 | $504,252.00 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Ohio PPO | Ohio PPO Connect | $374,760.09 | $504,252.00 | — | 2026-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Inpatient | Allianz Global Assistance | AZGA Services Canada | $380,239.71 | $975,974.63 | $731,980.97 | 2025-07-01 | 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 | Aetna | First Health | $382,223.02 | $504,252.00 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | United | United Healthcare | $385,551.08 | $504,252.00 | — | 2026-07-01 | 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 | Frontpath | Frontpath Transplant | $403,401.60 | $504,252.00 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Upper Ohio Valley | Upper Ohio Valley - Health Plan | $403,401.60 | $504,252.00 | — | 2026-07-01 | 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 ↗ |
| 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 ↗ |
| 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 | Anthem | Anthem - Traditional | $451,154.26 | $504,252.00 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Healthsmart | Healthsmart | $453,826.80 | $504,252.00 | — | 2026-07-01 | 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 ↗ |
| 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 ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Multiplan | Multiplan | $468,954.36 | $504,252.00 | — | 2026-07-01 | MRF ↗ |
| Ohio State University Hospitals 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 ↗ |
| 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 ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Inpatient | United Healthcare | United Healthcare - PPO | $543,617.87 | $975,974.63 | $731,980.97 | 2025-07-01 | MRF ↗ |
| SHARP MEMORIAL HOSPITAL Inpatient | United Healthcare | United Healthcare - PPO | $543,617.87 | $975,974.63 | $731,980.97 | 2025-07-01 | 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 | 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 ↗ |
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.