1631 — 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 1631) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/1631?code_type=APR_DRG
MLA (9th ed.)
“CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS (APR_DRG 1631) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/1631?code_type=APR_DRG. Accessed .
Chicago (notes-bibliography)
“CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS (APR_DRG 1631) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/1631?code_type=APR_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $18,326–$40,780 (25th–75th percentile) across 1,169 hospitals · 641 payers.
“Negotiated” is the hospital’s negotiated rate for the entire inpatient stay under APR_DRG 1631 — 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 |
|---|---|---|---|---|---|---|---|
| LOMA LINDA UNIVERSITY MEDICAL CENTER-MURRIETA InpatientFacility | Inland Empire Health Plan (IEHP) | Medi-Cal | $3.70 | — | — | 2026-02-19 | MRF ↗ |
| Memorial Regional Hospital South InpatientFacility | OptumHealth Care Solutions | Transplants - Medicaid | $4.46 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL WEST InpatientFacility | OptumHealth Care Solutions | Transplants - Medicaid | $4.46 | — | — | 2026-05-27 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Cigna | Medicaid | $4.50 | — | — | 2026-04-15 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Molina | CHIP/Medicaid | $4.50 | — | — | 2026-04-15 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Amerigroup | CHIP/Medicaid | $4.50 | — | — | 2026-04-15 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Superior Health Plan | CHIP/Medicaid | $4.50 | — | — | 2026-04-15 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Parkland | Medicaid | $4.50 | — | — | 2026-04-15 | MRF ↗ |
| ELIZABETHTOWN COMMUNITY HOSPITAL InpatientFacility | — | — | — | — | — | 2025-01-01 | MRF ↗ |
| NEW ULM MEDICAL CENTER Inpatient | Medicaid | Medicaid Ma (N) | $1,421.14 | — | — | 2026-07-18 | MRF ↗ |
| NEW ULM MEDICAL CENTER Inpatient | South Country Health Alliance | Scha Pmap (N) | $1,470.00 | — | — | 2026-07-18 | MRF ↗ |
| FOSTORIA COMMUNITY HOSPITAL Inpatient | Meridian Health Plan Of Mi | Meridian | $1,600.00 | — | — | 2026-07-17 | MRF ↗ |
| BAY PARK COMMUNITY HOSPITAL Inpatient | Meridian Health Plan Of Mi | Meridian | $1,600.00 | — | — | 2026-07-15 | MRF ↗ |
| PROMEDICA DEFIANCE REGIONAL HOSPITAL Inpatient | Meridian Health Plan Of Mi | Meridian | $1,600.00 | — | — | 2026-07-17 | MRF ↗ |
| PROMEDICA MONROE REGIONAL HOSPITAL Inpatient | Meridian | Meridian | $1,600.00 | — | — | 2026-07-15 | MRF ↗ |
| PROMEDICA TOLEDO HOSPITAL Inpatient | Health Plan Of Michigan Dba Meridian Health Plan Of Michigan | Meridian | $1,600.00 | — | — | 2026-07-17 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Centene Managed Health Services | Mgd. Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Soonercare | Managed Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Healthlink | Hmo | — | — | — | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Healthlink | Ppo | — | — | — | 2026-07-15 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Cigna Hmo Ppo | — | $2,646.00 | $108,414.03 | $70,469.12 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Medicaid Other | — | $2,862.34 | $108,414.03 | $70,469.12 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Medicaid Sc | — | $2,883.25 | $108,414.03 | $70,469.12 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Bluechoice Medicaid (Greenville County Only) | — | $2,930.55 | $108,414.03 | $70,469.12 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Molina Medicaid | — | $2,969.74 | $108,414.03 | $70,469.12 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Blue Choice Medicaid (Greenville County Only) | — | $2,982.79 | $108,414.03 | $70,469.12 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Absolute Total Care Medicaid | — | $3,027.41 | $108,414.03 | $70,469.12 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Select Health Medicaid | — | $3,027.41 | $108,414.03 | $70,469.12 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Bluechoice Medicaid | — | $3,027.41 | $108,414.03 | $70,469.12 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Blue Choice Medicaid (Greenville County Only) | — | $3,076.10 | $108,414.03 | $70,469.12 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Medicaid | — | $3,117.60 | $108,414.03 | $70,469.12 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Medicaid Other | — | $3,117.60 | $108,414.03 | $70,469.12 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Absolute Total Care Medicaid | — | $3,148.16 | $108,414.03 | $70,469.12 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bluechoice Medicaid | — | $3,173.19 | $108,414.03 | $70,469.12 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Blue Choice Medicaid (Greenville County Only) | — | $3,176.48 | $108,414.00 | $70,469.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Blue Choice Medicaid (Greenville County Only) | — | $3,201.19 | $108,414.03 | $70,469.12 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Select Health Medicaid | — | $3,236.43 | $108,414.03 | $70,469.12 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Molina Medicaid | — | $3,268.38 | $108,414.03 | $70,469.12 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Select Health Medicaid | — | $3,268.38 | $108,414.03 | $70,469.12 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Bluechoice Medicaid | — | $3,272.45 | $108,414.03 | $70,469.12 | 2026-07-05 | MRF ↗ |
| RIVER FALLS AREA HOSPITAL Inpatient | South Country Health Alliance | Scha Pmap (R) | $3,319.06 | — | — | 2026-07-15 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Medicaid Sc | — | $3,327.28 | $108,414.03 | $70,469.12 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Medicaid | — | $3,329.38 | $108,414.03 | $70,469.12 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Absolute Total Care Medicaid | — | $3,331.84 | $108,414.03 | $70,469.12 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Humana Healthy Horizons Medicaid | — | $3,335.83 | $108,414.03 | $70,469.12 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Bluechoice Medicaid | — | $3,354.12 | $108,414.03 | $70,469.12 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Molina Medicaid | — | $3,370.62 | $108,414.03 | $70,469.12 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Select Health Medicaid | — | $3,370.62 | $108,414.03 | $70,469.12 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Medicare Advantage Non Contracted | — | $3,379.23 | $108,414.00 | $70,469.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Bluechoice Medicaid | — | $3,379.23 | $108,414.00 | $70,469.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Medicaid | — | $3,379.23 | $108,414.00 | $70,469.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Bluechoice Medicaid | — | $3,405.52 | $108,414.03 | $70,469.12 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Medicaid Other | — | $3,410.05 | $108,414.03 | $70,469.12 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Select Health Medicaid | — | $3,429.36 | $108,414.03 | $70,469.12 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Absolute Total Care Medicaid | — | $3,436.07 | $108,414.03 | $70,469.12 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Bluechoice Medicaid | — | $3,460.54 | $108,414.03 | $70,469.12 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Molina Medicaid | — | $3,471.80 | $108,414.03 | $70,469.12 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Select Health Medicaid | — | $3,480.61 | $108,414.00 | $70,469.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Molina Medicaid | — | $3,480.61 | $108,414.00 | $70,469.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Medicaid Other | — | $3,487.83 | $108,414.03 | $70,469.12 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Medicaid | — | $3,487.83 | $108,414.03 | $70,469.12 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL InpatientFacility | — | — | — | — | — | 2024-12-16 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Absolute Total Care Medicaid | — | $3,493.64 | $108,414.03 | $70,469.12 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Select Health Medicaid | — | $3,507.68 | $108,414.03 | $70,469.12 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Molina Medicaid | — | $3,507.68 | $108,414.03 | $70,469.12 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Medicaid Sc | — | $3,518.55 | $108,414.03 | $70,469.12 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Absolute Total Care Medicaid | — | $3,548.19 | $108,414.00 | $70,469.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Humana Healthy Horizons Medicaid | — | $3,560.19 | $108,414.03 | $70,469.12 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Humana Healthy Horizons Medicaid | — | $3,562.44 | $108,414.03 | $70,469.12 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Absolute Total Care Medicaid | — | $3,575.79 | $108,414.03 | $70,469.12 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Molina Medicaid | — | $3,585.24 | $108,414.03 | $70,469.12 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Humana Healthy Horizons Medicaid | — | $3,615.77 | $108,414.00 | $70,469.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Absolute Total Care Medicaid | — | $3,647.59 | $108,414.03 | $70,469.12 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Select Health Medicaid | — | $3,660.01 | $108,414.03 | $70,469.12 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Medicaid | — | $3,663.34 | $108,414.03 | $70,469.12 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Humana Healthy Horizons Medicaid | — | $3,731.98 | $108,414.03 | $70,469.12 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Humana Healthy Horizons Medicaid | — | $3,764.84 | $108,414.03 | $70,469.12 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Humana Healthy Horizons Medicaid | — | $3,764.84 | $108,414.03 | $70,469.12 | 2026-07-05 | MRF ↗ |
| MONTEFIORE ST LUKE'S CORNWALL Inpatient | Anthem | Exchange | $3,799.02 | — | — | 2026-04-01 | MRF ↗ |
| THE SHRINERS' HOSPITAL FOR CHILDREN - BOSTON Inpatient | Amerihealth Caritas Florida | Managed Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| THE SHRINERS' HOSPITAL FOR CHILDREN - BOSTON Inpatient | Bms Healthnet Bos | Managed Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| THE SHRINERS' HOSPITAL FOR CHILDREN - BOSTON Inpatient | Centene Sunshine Health | Mngd Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| THE SHRINERS' HOSPITAL FOR CHILDREN - BOSTON Inpatient | Centene Meridian Health Plan Of Mi | Mngd Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| THE SHRINERS' HOSPITAL FOR CHILDREN - BOSTON Inpatient | Health New England | Medicare Advantage | — | — | — | 2026-07-15 | MRF ↗ |
| THE SHRINERS' HOSPITAL FOR CHILDREN - BOSTON Inpatient | Humana | Tricare | — | — | — | 2026-07-15 | MRF ↗ |
| THE SHRINERS' HOSPITAL FOR CHILDREN - BOSTON Inpatient | Mass General Brigham Health Plan | Mgd. Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Humana Healthy Horizons Medicaid | — | $3,919.77 | $108,414.03 | $70,469.12 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Molina Medicaid | — | $3,926.19 | $108,414.03 | $70,469.12 | 2026-07-05 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Health Net Federal Services | Tricare | — | — | — | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Health Net Federal Services | Tricare | — | — | — | 2026-07-15 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Molina Chp/Harp | Managed Medicaid | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Emblemhealth Ghi | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Centerlight | Commerical | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Partners Health Plan | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Agewell New York | Medicare Advantage | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Healthfirst Health Plan | Medicare Advantage | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Emblemhealth Hip Of Ny | Managed Medicaid | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Fidelis Care Ny | Managed Medicaid | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Healthfirst Essential Plan 1/2 | Healthfirst Essential Plan 1/2 | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Emblem Essential Health Plans 3/4 | Managed Medicaid | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Sedgwick Government Solutions | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | United Healthcare Va | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Healthfirst Essential Plan 3/4 | Commerial | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Elderplan | Medicare Advantage | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Empire Blue Cross Blue Shield Essential Plan | Comm | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Empire Blue Cross Blue Shield Individual | Comm | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Fidelis Care Ny Harp | Managed Medicaid | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Molina Essential 1 And 2 | Managed Medicaid | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Fidelis Care | Medicare (Including Dual) | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Fidelis Care Ny Chp | Managed Medicaid | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Emblem Essential Health Plans 1/2 | Managed Medicaid | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Emblemhealth Hip Of Ny | Medicare Advantage | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Fidelis Care | Exchange (Hbx) | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Healthfirst | Child Health Plus | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Empire Blue Cross Blue Shield | Medicare Advantage | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Empire Blue Cross Blue Shield Healthplus | Mgd Medi | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Aetna Ppo | Medicare Advantage | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Empire Blue Cross Blue Shield Harp | Managed Medi | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Fidelis Care - Essential Plans 1 | 5 | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Emblemhealth Hip Of Ny | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Empire Blue Cross Blue Shield Chp | Managed Medicaid | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | United Healthcare Community Plan | Managed Medicaid | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | United Healthcare Va Behavioral Health | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Aetna | Medicare Advantage | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Emblemhealth Hip Of Ny Select Care | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| CITIZENS MEDICAL CENTER Inpatient | Us Department Of Justice | Us Marshall Services Inmate | $4,674.76 | — | — | 2026-09-28 | MRF ↗ |
| Mclaren Bay Special Care | Medicaid - Hmo | — | $4,981.95 | $92,681.66 | $46,340.83 | 2026-07-05 | MRF ↗ |
| MCLAREN BAY REGION | Medicaid - Hmo | — | $4,981.95 | $92,681.66 | $46,340.83 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Medicaid Other | Medicaid Other | $5,025.39 | — | — | 2026-09-21 | MRF ↗ |
| Mclaren Bay Special Care | Medicaid - Molina | — | $5,081.59 | $92,681.66 | $46,340.83 | 2026-07-05 | MRF ↗ |
| MCLAREN BAY REGION | Medicaid - Molina | — | $5,081.59 | $92,681.66 | $46,340.83 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $5,393.09 | — | — | 2026-09-21 | MRF ↗ |
| EAST COOPER MEDICAL CENTER InpatientFacility | Select Health | Medicaid | $5,440.16 | — | — | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER InpatientFacility | Humana | Medicaid | $5,440.16 | — | — | 2026-03-12 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $5,591.58 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Molina | Molina Medicaid | $5,682.16 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Select Health | Select Health Medicaid | $5,682.16 | — | — | 2026-09-21 | MRF ↗ |
| EAST COOPER MEDICAL CENTER InpatientFacility | Absolute Total Care | Medicaid | $5,712.18 | — | — | 2026-03-12 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $5,737.33 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $5,792.49 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL InpatientFacility | — | — | — | — | — | 2024-12-10 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $5,982.99 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL InpatientFacility | — | — | — | — | — | 2024-12-12 | MRF ↗ |
| Prisma Health North Greenville Ltach | First Health-Wc | — | $6,126.82 | $108,414.03 | $70,469.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Humana Gold Plus Medicare Advantage Hmo | — | $6,204.90 | $108,414.03 | $70,469.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Medicare | — | $6,204.90 | $108,414.03 | $70,469.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Bcbs Medicare Advantage | — | $6,251.86 | $108,414.03 | $70,469.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Aetna Medicare Prime Hmo | — | $6,251.86 | $108,414.03 | $70,469.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Wellcare Medicare | — | $6,251.86 | $108,414.03 | $70,469.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL InpatientFacility | — | — | — | — | — | 2024-12-07 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL InpatientFacility | — | — | — | — | — | 2024-12-13 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL InpatientFacility | — | — | — | — | — | 2024-12-13 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL InpatientFacility | OHANA | NON-ABD | $6,987.24 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL InpatientFacility | OHANA | ABD | $6,987.24 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL InpatientFacility | OHANA | ABD | $6,987.24 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL InpatientFacility | OHANA | NON-ABD | $6,987.24 | — | — | 2026-02-12 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE InpatientFacility | — | — | — | — | — | 2025-03-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST InpatientFacility | — | — | — | — | — | 2025-03-06 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN InpatientFacility | ALOHACARE | MEDICAID | $7,695.05 | — | — | 2026-02-12 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN InpatientFacility | OHANA | NON-ABD | $7,695.05 | — | — | 2026-02-12 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN InpatientFacility | OHANA | ABD | $7,695.05 | — | — | 2026-02-12 | MRF ↗ |
| Prisma Health North Greenville Ltach | Medicaid Other | — | $7,855.65 | $108,414.03 | $70,469.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Humana Healthy Horizons Medicaid | — | $8,405.55 | $108,414.03 | $70,469.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Blue Choice Medicaid (Greenville County Only) | — | $8,567.08 | $108,414.03 | $70,469.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Bluechoice Medicaid | — | $9,113.92 | $108,414.03 | $70,469.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Medicaid | — | $9,113.92 | $108,414.03 | $70,469.00 | 2026-07-05 | MRF ↗ |
| SANFORD LUVERNE MEDICAL CENTER InpatientFacility | Primewest | Medicaid Managed Care | $9,169.99 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD LUVERNE MEDICAL CENTER InpatientFacility | Ucare | Medicaid Managed Care | $9,169.99 | — | — | 2026-03-04 | MRF ↗ |
| Prisma Health North Greenville Ltach | Select Health Medicaid | — | $9,387.33 | $108,414.03 | $70,469.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Molina Medicaid | — | $9,387.33 | $108,414.03 | $70,469.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Absolute Total Care Medicaid | — | $9,569.61 | $108,414.03 | $70,469.00 | 2026-07-05 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Inpatient | Healthy Way La | Healthy Way La | $9,581.29 | — | — | 2026-07-15 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Inpatient | Healthy Way La | Healthy Way La | $9,581.29 | — | — | 2026-07-19 | MRF ↗ |
| GARFIELD MEDICAL CENTER InpatientFacility | — | — | — | — | — | 2026-03-12 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Inpatient | Healthy Way La | Healthy Way La | $9,914.32 | — | — | 2026-07-15 | MRF ↗ |
| ELMHURST HOSPITAL CENTER InpatientFacility | Healthfirst | Small Group | $10,337.34 | — | — | 2025-09-05 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Inpatient | Mdwise | Hip | $10,963.25 | — | — | 2026-07-17 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Inpatient | Clear Health Alliance | Medicaid | $11,009.04 | — | — | 2026-07-15 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Inpatient | Humana | Medicaid | $11,009.04 | — | — | 2026-07-15 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Inpatient | Wellcare | Medicaid | $11,009.04 | — | — | 2026-07-15 | MRF ↗ |
| REID HEALTH InpatientFacility | MHS | Managed Medicaid | $11,129.06 | — | — | 2025-07-21 | MRF ↗ |
| REID HEALTH InpatientFacility | Anthem Blue Cross Blue Shield | Managed Medicaid | $11,129.06 | — | — | 2025-07-21 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Anthem Blue Cross Blue Shield | Managed Medicaid | $11,129.06 | — | — | 2025-04-24 | MRF ↗ |
| REID HEALTH InpatientFacility | Caresource of Indiana | Managed Medicaid | $11,129.06 | — | — | 2025-07-21 | MRF ↗ |
| REID HEALTH InpatientFacility | Anthem Blue Cross Blue Shield | Pathways for Aging/Managed Medicaid | $11,129.06 | — | — | 2025-07-21 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Managed Health Services (MHS) Hoosier Healthwise (HHW) | Managed Medicaid | $11,129.06 | — | — | 2025-04-24 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Managed Health Services (MHS) Hoosier Care Connect | Managed Medicaid | $11,129.06 | — | — | 2025-04-24 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | Managed Health Services (MHS) | Managed Medicaid | $11,129.06 | — | — | 2026-06-03 | MRF ↗ |
| REID HEALTH InpatientFacility | MDWise | Managed Medicaid | $11,129.06 | — | — | 2025-07-21 | MRF ↗ |
| REID HEALTH InpatientFacility | Humana of Indiana | Pathways for Aging/Managed Medicaid | $11,129.06 | — | — | 2025-07-21 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | United Healthcare of Indiana | Managed Medicaid | $11,129.06 | — | — | 2026-06-03 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | CareSource Indiana Healthy Indiana Plan (HIP) | Managed Medicaid | $11,129.06 | — | — | 2026-06-03 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Humana | Managed Medicaid | $11,129.06 | — | — | 2025-04-24 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | Managed Health Services (MHS) Hoosier Care Connect | Managed Medicaid | $11,129.06 | — | — | 2026-06-03 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | CareSource Indiana Healthy Indiana Plan (HIP) | Managed Medicaid | $11,129.06 | — | — | 2025-04-24 | MRF ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC InpatientFacility | CareSource Indiana of IN | Hoosier Healthwise/HIP | $11,135.05 | — | — | 2026-02-18 | MRF ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC InpatientFacility | Anthem Blue Cross of IN | Medicaid | $11,135.05 | — | — | 2026-02-18 | MRF ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC InpatientFacility | Managed Health Services | Medicaid | $11,135.05 | — | — | 2026-02-18 | MRF ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC InpatientFacility | MDWise | Medicaid | $11,135.05 | — | — | 2026-02-18 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | CareSource Indiana Hoosier Healthwise (HHW) | Managed Medicaid | $11,240.35 | — | — | 2026-06-03 | 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.