165 - 4 — Coronary Bypass W Ami Or Complex Pdx
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). CORONARY BYPASS W AMI OR COMPLEX PDX (APR_DRG 165 - 4) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/165 - 4?code_type=APR_DRG
MLA (9th ed.)
“CORONARY BYPASS W AMI OR COMPLEX PDX (APR_DRG 165 - 4) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/165 - 4?code_type=APR_DRG. Accessed .
Chicago (notes-bibliography)
“CORONARY BYPASS W AMI OR COMPLEX PDX (APR_DRG 165 - 4) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/165 - 4?code_type=APR_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $68,030–$355,127 (25th–75th percentile) across 9 hospitals · 39 payers.
“Negotiated” is the hospital’s negotiated facility rate for this APR_DRG 165 - 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 | Medicaid | Medicaid | $8,363.16 | — | — | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Prison Health Services | Prison Health Services | $8,363.16 | — | — | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $8,400.00 | — | — | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $8,614.05 | — | — | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Health Partners | Health Partners - Managed Medicaid | $9,199.48 | — | — | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | UPMC For You | UPMC For You - Managed Medicaid | $9,826.71 | — | — | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | UPMC CHIP | UPMC CHIP - Managed Medicaid | $10,035.79 | — | — | 2025-07-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | ODRC | ODRC | $38,154.63 | $446,531.56 | — | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Blue Cross Blue Shield | Blue Cross Community - Managed Medicaid | $45,072.98 | — | — | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | County Care | County Care - Managed Medicaid | $45,072.98 | — | — | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Molina Healthcare | Molina Healthcare - Managed Medicaid | $45,072.98 | — | — | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Medicaid | Medicaid | $45,072.98 | — | — | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Meridian Health | Meridian Health MCO - Managed Medicaid | $45,523.69 | — | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Medicaid | Medicaid | $46,562.80 | $446,531.56 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Molina | Molina - Medicaid | $48,888.90 | $446,531.56 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Aetna | Aetna Better Health | $48,888.90 | $446,531.56 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Aetna | Aetna Better Health - OhioRISE | $48,890.96 | $446,531.56 | — | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Aetna | Aetna Better Health - Managed Medicaid | $49,580.23 | — | — | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Youthcare | Youthcare - Managed Medicaid | $49,580.23 | — | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | United | United Healthcare - Medicaid | $51,216.94 | $446,531.56 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Humana | Humana Medicaid | $51,219.11 | $446,531.56 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Amerihealth | Amerihealth | $52,615.99 | $446,531.56 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Buckeye Community | Buckeyes Community - Medicaid | $53,544.99 | $446,531.56 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | CareSource | CareSource - Medicaid | $53,544.99 | $446,531.56 | — | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | Prison Health Services | Prison Health Services | $66,048.74 | $479,374.34 | $297,212.09 | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | Medicaid | Medicaid | $66,048.74 | $479,374.34 | $297,212.09 | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $68,030.20 | $479,374.34 | $297,212.09 | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | Health Partners | Health Partners - Managed Medicaid | $72,653.59 | $479,374.34 | $297,212.09 | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $73,657.08 | $479,374.34 | $297,212.09 | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | UPMC For You | UPMC For You - Managed Medicaid | $77,607.29 | $479,374.34 | $297,212.09 | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | UPMC CHIP | UPMC CHIP - Managed Medicaid | $79,258.52 | $479,374.34 | $297,212.09 | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | ODRC | ODRC | $155,214.37 | $446,531.56 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Medicaid | Medicaid | $155,214.37 | $446,531.56 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Aetna | Aetna Better Health | $162,984.02 | $446,531.56 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Buckeye Community | Buckeyes Community - Dual Eligible | $164,770.15 | $446,531.56 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Buckeye Community | Buckeyes Community - Medicare | $164,770.15 | $446,531.56 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | United | United Healthcare - Medicaid | $170,753.67 | $446,531.56 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | OSU Health Plan | OSU Health Plan - Student Health Plan | $171,289.51 | $446,531.56 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | OSU Health Plan | OSU Health Plan - Prime Care | $174,325.92 | $446,531.56 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | OSU Health Plan | OSU Health Plan - Partner | $183,613.78 | $446,531.56 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | OSU Health Plan | OSU Health Plan - Non OSU PPO | $192,008.57 | $446,531.56 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Buckeye Community | Buckeye Ambetter Exchange | $199,465.65 | $446,531.56 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Ohio PPO | Ohio PPO Connect | $200,090.79 | $446,531.56 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | OSU Health Plan | OSU Health Plan - Market | $201,832.27 | $446,531.56 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | OSU Health Plan | OSU Health Plan - Student Health Plan | $203,930.96 | $446,531.56 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | CareSource | CareSource - Exchange | $205,404.52 | $446,531.56 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Molina | Molina - Exchange | $214,335.15 | $446,531.56 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Healthspan | Healthspan - Commercial | $214,335.15 | $446,531.56 | — | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | Cigna | Cigna | $217,156.58 | $479,374.34 | $297,212.09 | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Buckeye Community | Buckeyes Community - Medicaid | $218,845.12 | $446,531.56 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Molina | Molina - Medicaid | $220,407.98 | $446,531.56 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | CareSource | CareSource - Medicaid | $220,407.98 | $446,531.56 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | OSU Health Plan | OSU Department of Athletics | $223,265.78 | $446,531.56 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | OSU Health Plan | OSU Department of Athletics | $223,265.78 | $446,531.56 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | OSU Health Plan | OSU Health Plan - Non OSU PPO | $223,265.78 | $446,531.56 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | OSU Health Plan | OSU Health Plan - Prime Care | $238,939.04 | $446,531.56 | — | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | Christian Healthcare Ministries | Christian Healthcare Ministries | $239,687.17 | $479,374.34 | $297,212.09 | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Amerihealth | Amerihealth | $240,591.21 | $446,531.56 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Humana | Humana Medicaid | $249,879.06 | $446,531.56 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Healthspan | Healthspan - Commercial | $267,918.94 | $446,531.56 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | OSU Health Plan | OSU Health Plan - Partner | $268,678.04 | $446,531.56 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Humana | Humana Commercial | $286,226.73 | $446,531.56 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | OhioHealth | OhioHealth - Choice | $290,245.52 | $446,531.56 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Lifetrac | Lifetrac | $290,245.52 | $446,531.56 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Ohio PPO | Ohio PPO Connect | $293,014.01 | $446,531.56 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Upper Ohio Valley | Upper Ohio Valley - Health Plan | $294,710.83 | $446,531.56 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | OSU Health Plan | OSU Health Plan - Market | $295,559.24 | $446,531.56 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Anthem | Anthem - HMO/PPO | $299,667.33 | $446,531.56 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Lifetrac | Lifetrac | $303,641.46 | $446,531.56 | — | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Inpatient | County Medical Services | County of San Diego | $311,892.58 | $917,331.13 | $687,998.34 | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | United | United Healthcare | $314,938.71 | $446,531.56 | — | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | Aetna | First Health Network | $320,222.06 | $479,374.34 | $297,212.09 | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | OhioHealth | OhioHealth - Choice | $321,502.72 | $446,531.56 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Cigna | Cigna | $323,601.42 | $446,531.56 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | OhioHealth | OhioHealth - Group Healthreach | $325,968.04 | $446,531.56 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | OhioHealth | OhioHealth - Group Healthreach | $325,968.04 | $446,531.56 | — | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | Wyoming Seminary | Wyoming Seminary | $335,562.04 | $479,374.34 | $297,212.09 | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | MMO | MMO - New Business | $337,086.68 | $446,531.56 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | MMO | MMO - Commercial | $355,126.55 | $446,531.56 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Multiplan | Multiplan | $357,225.25 | $446,531.56 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Frontpath | Frontpath Transplant | $357,225.25 | $446,531.56 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Frontpath | Frontpath Transplant | $357,225.25 | $446,531.56 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Aetna | First Health | $359,011.38 | $446,531.56 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Aetna | First Health | $366,155.88 | $446,531.56 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Upper Ohio Valley | Upper Ohio Valley - Health Plan | $366,155.88 | $446,531.56 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Aetna | Aetna | $380,444.89 | $446,531.56 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Anthem | Anthem - Traditional | $389,598.79 | $446,531.56 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Healthsmart | Healthsmart | $401,878.41 | $446,531.56 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Healthsmart | Healthsmart | $401,878.41 | $446,531.56 | — | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | Multiplan | Beech Street | $407,468.19 | $479,374.34 | $297,212.09 | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | Intergroup Services | Intergroup Services | $407,468.19 | $479,374.34 | $297,212.09 | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | Multiplan | Multiplan/Private Health Care System | $407,468.19 | $479,374.34 | $297,212.09 | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Multiplan | Multiplan | $415,274.35 | $446,531.56 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Anthem | Anthem - Traditional | $416,792.56 | $446,531.56 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Anthem | Anthem - Traditional | $417,998.20 | $446,531.56 | — | 2026-04-01 | MRF ↗ |
| Sharp Memorial Hospital-transplant Inpatient | Community Health Group | Community Health Group - Medi-Cal | $623,785.17 | $917,331.13 | $687,998.34 | 2026-04-01 | MRF ↗ |
| Sharp Memorial Hospital-transplant Inpatient | Blue Shield | Blue Shield - Promise | $632,958.48 | $917,331.13 | $687,998.34 | 2026-04-01 | MRF ↗ |
| Sharp Memorial Hospital-transplant Inpatient | Medi-Cal | Medi-Cal | $642,131.79 | $917,331.13 | $687,998.34 | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Inpatient | Health Net | Health Net - Medi-Cal | $642,131.79 | $917,331.13 | $687,998.34 | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Inpatient | Community Health Group | Community Health Group - Medi-Cal | $642,131.79 | $917,331.13 | $687,998.34 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Inpatient | Community Health Group | Community Health Group - Medi-Cal | $642,131.79 | $917,331.13 | $687,998.34 | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Inpatient | Blue Shield | Blue Shield - Promise | $687,998.34 | $917,331.13 | $687,998.34 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Inpatient | Health Net | Health Net - Medi-Cal | $687,998.34 | $917,331.13 | $687,998.34 | 2026-04-01 | MRF ↗ |
| Sharp Memorial Hospital-transplant Inpatient | California Health and Wellness | California Health and Wellness | $706,344.97 | $917,331.13 | $687,998.34 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Inpatient | Medi-Cal | Medi-Cal | $733,864.90 | $917,331.13 | $687,998.34 | 2026-04-01 | MRF ↗ |