165 — Coronary Bypass With Ami Or Complex Principal Diagnosis
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS (APR_DRG 165) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/165?code_type=APR_DRG
MLA (9th ed.)
“CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS (APR_DRG 165) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/165?code_type=APR_DRG. Accessed .
Chicago (notes-bibliography)
“CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS (APR_DRG 165) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/165?code_type=APR_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $38,719–$75,440 (25th–75th percentile) across 53 hospitals · 180 payers.
“Negotiated” is the hospital’s negotiated rate for the entire inpatient stay under APR_DRG 165 — 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 |
|---|---|---|---|---|---|---|---|
| MERCY HOSPITAL SOUTHEAST InpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $3,730.73 | $204,243.53 | — | 2026-03-18 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | UHC COMMUNITY MEDICAID [2175] | HB XR UNITED HEALTHCARE MGD MEDICAID OHIO | $5,724.06 | $9,540.10 | $5,724.06 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | AETNA BETTER HEALTH OHIO MEDICAID [2183] | HB XR AETNA BETTER HLTH MGD MEDICAID OH 108% | $5,724.06 | $9,540.10 | $5,724.06 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | ANTHEM MEDICAID OHIO [2192] | HB XR ANTHEM OH MEDICAID 103% | $5,724.06 | $9,540.10 | $5,724.06 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | BUCKEYE COMMUNITY HEALTH [2028] | HB XR BUCKEYE MGD MEDICAID OH 106% | $5,724.06 | $9,540.10 | $5,724.06 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | AMERIHEALTH CARITAS [2230] | HB XR AMERIHEALTH CARITAS OH 103% | $5,724.06 | $9,540.10 | $5,724.06 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | MOLINA MEDICAID [2058] | HB XR MOLINA MGD MEDICAID OH 107% | $5,724.06 | $9,540.10 | $5,724.06 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | HUMANA MEDICAID OH [3102] | HB XR HUMANA 103% OHIO MEDICAID | $5,724.06 | $9,540.10 | $5,724.06 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | CARESOURCE [2031] | HB XR CARESOURCE MGD MEDICAID OHIO 103% | $5,724.06 | $9,540.10 | $5,724.06 | 2025-12-19 | MRF ↗ |
| BETHESDA HOSPITAL EAST Inpatient | MEDICAID | PRESTIGE MD HMO NC | — | — | — | 2026-03-30 | MRF ↗ |
| BETHESDA HOSPITAL EAST Inpatient | VISTA | COVENTRY MEDICAID | — | — | — | 2026-03-30 | MRF ↗ |
| BETHESDA HOSPITAL EAST Inpatient | MEDICAID | SIMPLYHLTH MD HMO NC | — | — | — | 2026-03-30 | MRF ↗ |
| BETHESDA HOSPITAL EAST Inpatient | SUNSHINE STATE | SUNSHINE ST MD HMONC | — | — | — | 2026-03-30 | MRF ↗ |
| BETHESDA HOSPITAL EAST Inpatient | WELLCARE | WELL CARE MD HMONC | — | — | — | 2026-03-30 | MRF ↗ |
| BETHESDA HOSPITAL EAST Inpatient | UNITED HEALTHCARE | UNITED MD HMO | — | — | — | 2026-03-30 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | BUCKEYE COMMUNITY HEALTH [2028] | HB XR BUCKEYE MGD MEDICAID OH 106% | — | $199,384.82 | $119,630.89 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | MOLINA MEDICAID [2058] | HB XR MOLINA MGD MEDICAID OH 107% | — | $199,384.82 | $119,630.89 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | HUMANA MEDICAID OH [3102] | HB XR HUMANA 103% OHIO MEDICAID | — | $199,384.82 | $119,630.89 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | AETNA BETTER HEALTH OHIO MEDICAID [2183] | HB XR AETNA BETTER HLTH MGD MEDICAID OH 108% | — | $199,384.82 | $119,630.89 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | UHC COMMUNITY MEDICAID [2175] | HB XR UNITED HEALTHCARE MGD MEDICAID OHIO | — | $199,384.82 | $119,630.89 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | AMERIHEALTH CARITAS [2230] | HB XR AMERIHEALTH CARITAS OH 103% | — | $199,384.82 | $119,630.89 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | ANTHEM MEDICAID OHIO [2192] | HB XR ANTHEM OH MEDICAID 103% | — | $199,384.82 | $119,630.89 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | CARESOURCE [2031] | HB XR CARESOURCE MGD MEDICAID OHIO 103% | — | $199,384.82 | $119,630.89 | 2025-12-19 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | UCARE [1148] | UCARE MEDICARE ADVANTAGE [3303] | — | $119,913.02 | $63,194.16 | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | BLUE CROSS [1021] | BCBS STRIVE COMMERCIAL [4342] | — | $119,913.02 | $63,194.16 | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | BEECH STREET [1171] | BEECH ST GENERIC [3353] | — | $119,913.02 | — | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | MEDICA [1086] | MEDICA COMMERCIAL [3453] | — | $119,913.02 | — | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | PHCS [1172] | ALLIED BENEFIT SYSTEMS PHCS [3378] | — | $119,913.02 | — | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | HEALTH PARTNERS [1061] | HEALTHPARTNERS CARE [3108] | — | $119,913.02 | — | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | MEDICA [1086] | MEDICA NORTH MEMORIAL ACCLAIM [4206] | — | $119,913.02 | — | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | HENNEPIN HEALTH [1096] | HENNEPIN HEALTH PMAP [3212] | — | $119,913.02 | — | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | UNITED HEALTHCARE [2204] | UHC COMMERCIAL [4358] | — | $119,913.02 | — | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | HENNEPIN HEALTH [1096] | HENNEPIN HEALTH SNBC [4275] | — | $119,913.02 | — | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | BLUE CROSS [1021] | BCBS PMAP/MNCARE [4483] | — | $119,913.02 | $63,194.16 | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | UCARE [1148] | UCARE MSHO [3304] | — | $119,913.02 | $63,194.16 | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | HEALTH PARTNERS [1061] | HEALTHPARTNERS OPEN ACCESS/CHOICE [3119] | — | $119,913.02 | — | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | BLUE CROSS [1021] | BCBS MINNESOTA COMMERCIAL [3031] | — | $119,913.02 | $63,194.16 | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | BLUE CROSS [1021] | BCBS FEDERAL EMPLOYEE [3033] | — | $119,913.02 | $63,194.16 | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | HEALTH PARTNERS [1061] | HEALTHPARTNERS MSHO [3118] | — | $119,913.02 | — | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | HEALTH PARTNERS [1061] | HEALTHPARTNERS FREEDOM [3106] | — | $119,913.02 | — | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | BLUE CROSS [1021] | BCBS MEDICARE ADVANTAGE [4278] | $15,140.18 | $119,913.02 | $63,194.16 | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | UNITED HEALTHCARE [2204] | UHC MEDICARE ADVANTAGE [4360] | — | $119,913.02 | — | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | AMERICA'S PPO [1010] | HEALTHEZ AMERICA'S PPO [3438] | — | $119,913.02 | — | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | AMERICA'S PPO [1010] | AMERICA'S PPO [3015] | — | $119,913.02 | — | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | MEDICA [1086] | MEDICA VANTAGE PLUS [4205] | — | $119,913.02 | — | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | HEALTH PAYORS ORG, LTD [1146] | HEALTH PAYORS ORG GENERIC [3459] | — | $119,913.02 | — | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | UCARE [1148] | UCARE IFB [4293] | — | $119,913.02 | — | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | NATIONAL PREFERRED PROV NETWRK [1230] | NAT PREF PROV NETWORK GENERIC [3512] | — | $119,913.02 | — | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | HEALTH SOUTH [1234] | HEALTH SOUTH GENERIC [3514] | — | $119,913.02 | — | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | ALLINA HEALTH-AETNA [2201] | ALLINA HEALTH-AETNA COMMERCIAL [4352] | — | $119,913.02 | — | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | CIGNA HEALTH PARTNERS [1242] | HEALTHPARTNERS CIGNA [3540] | — | $119,913.02 | — | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | MEDICA [1086] | MEDICA DUAL SOLUTION/MSHO [3178] | — | $119,913.02 | — | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | MEDICA [1086] | MEDICA PMAP/MNCARE [4467] | — | $119,913.02 | — | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | ALLINA HEALTH-AETNA [2201] | ALLINA HEALTH-AETNA MEDICARE [4353] | — | $119,913.02 | — | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | 0 | 0 | $15,164.75 | $119,913.02 | $63,194.16 | 2024-12-31 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | UHC COMMUNITY MEDICAID [2175] | HB XR UHC INDIANA PATHWAYS MEDICAID | $16,076.69 | $139,701.14 | $83,820.68 | 2025-12-19 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $16,973.11 | $311,983.74 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $16,973.11 | $311,983.74 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $16,973.11 | $311,983.74 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $16,973.11 | $311,983.74 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $16,973.11 | $311,983.74 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $16,973.11 | $311,983.74 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $16,973.11 | $311,983.74 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $16,973.11 | $311,983.74 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $16,973.11 | $311,983.74 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $16,973.11 | $311,983.74 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $16,973.11 | $311,983.74 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $16,973.11 | $311,983.74 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $16,973.11 | $311,983.74 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $16,973.11 | $311,983.74 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $16,973.11 | $311,983.74 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $16,973.11 | $311,983.74 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $16,973.11 | $311,983.74 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $16,973.11 | $311,983.74 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $16,973.11 | $311,983.74 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $16,973.11 | $311,983.74 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $16,973.11 | $311,983.74 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $16,973.11 | $311,983.74 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $16,973.11 | $311,983.74 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $16,973.11 | $311,983.74 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $16,973.11 | $311,983.74 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $16,973.11 | $311,983.74 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $16,973.11 | $311,983.74 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $16,973.11 | $311,983.74 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $16,973.11 | $311,983.74 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $16,973.11 | $311,983.74 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $16,973.11 | $311,983.74 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $16,973.11 | $311,983.74 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $16,973.11 | $311,983.74 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $16,973.11 | $311,983.74 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $16,973.11 | $311,983.74 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $16,973.11 | $311,983.74 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $16,973.11 | $311,983.74 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $16,973.11 | $311,983.74 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $16,973.11 | $311,983.74 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $16,973.11 | $311,983.74 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $16,973.11 | $311,983.74 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $16,973.11 | $311,983.74 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $16,973.11 | $311,983.74 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $16,973.11 | $311,983.74 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $16,973.11 | $311,983.74 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $16,973.11 | $311,983.74 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $16,973.11 | $311,983.74 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $16,973.11 | $311,983.74 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $16,973.11 | $311,983.74 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $16,973.11 | $311,983.74 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $16,973.11 | $311,983.74 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $16,973.11 | $311,983.74 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $16,973.11 | $311,983.74 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $16,973.11 | $311,983.74 | — | 2026-03-26 | MRF ↗ |
| BAYSTATE WING HOSPITAL Inpatient | Mass General Brigham Health Plan | Be Healthy ACO Masshealth | — | — | — | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Inpatient | Mass General Brigham Health Plan | ACO MassHealth | — | — | — | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Inpatient | Wellsense | Masshealth Managed Care | — | — | — | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Inpatient | Tufts | One Care | — | — | — | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Inpatient | Tufts | ACO/MCO Masshealth | — | — | — | 2026-06-05 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL Inpatient | Wellsense | Masshealth Managed Care | — | — | — | 2026-06-05 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL Inpatient | Tufts | One Care | — | — | — | 2026-06-05 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL Inpatient | Mass General Brigham Health Plan | Be Healthy ACO Masshealth | — | — | — | 2026-06-05 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL Inpatient | Tufts | ACO/MCO Masshealth | — | — | — | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Inpatient | Mass General Brigham Health Plan | QHP Subsidized | $17,424.57 | — | — | 2026-06-05 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL Inpatient | Mass General Brigham Health Plan | QHP Subsidized | $17,424.57 | — | — | 2026-06-05 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL Inpatient | Mass General Brigham Health Plan | ACO MassHealth | — | — | — | 2026-06-05 | MRF ↗ |
| SANFORD MEDICAL CENTER ABERDEEN InpatientFacility | Sanford Health Plan | SD Exchange True | $18,650.59 | — | — | 2026-03-04 | MRF ↗ |
| BAYSTATE WING HOSPITAL Inpatient | Mass General Brigham Health Plan | Commercial (HMO, PPO, QHP Unsubsidized) | $19,513.42 | — | — | 2026-06-05 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL Inpatient | Mass General Brigham Health Plan | Commercial (HMO, PPO, QHP Unsubsidized) | $19,513.42 | — | — | 2026-06-05 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | UHC COMMUNITY MEDICAID [2175] | HB XR UHC INDIANA PATHWAYS MEDICAID | $19,649.90 | $199,384.82 | $119,630.89 | 2025-12-19 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL Inpatient | BCBS | HMO Commercial | $19,889.00 | — | — | 2026-06-05 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis Child Health Plus | $20,155.67 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis Child Health Plus | $20,224.84 | — | — | 2026-04-14 | MRF ↗ |
| BAYSTATE WING HOSPITAL Inpatient | BCBS | Indemnity Commercial | $20,359.00 | — | — | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Inpatient | BCBS | PPO Commercial | $20,359.00 | — | — | 2026-06-05 | MRF ↗ |
| SANFORD MEDICAL CENTER ABERDEEN InpatientFacility | Sanford Health Plan | Group Health/True | $21,266.36 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD MEDICAL CENTER ABERDEEN InpatientFacility | Health Partners | State Employees | $21,401.00 | — | — | 2026-03-04 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis Medicaid | $21,908.34 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis HARP | $21,908.34 | — | — | 2026-04-14 | MRF ↗ |
| SANFORD MEDICAL CENTER ABERDEEN InpatientFacility | Sanford Health Plan | SD Exchange Commercial | $21,941.88 | — | — | 2026-03-04 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis Medicaid | $21,983.53 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis HARP | $21,983.53 | — | — | 2026-04-14 | MRF ↗ |
| BAYSTATE WING HOSPITAL Inpatient | BCBS | HMO Commercial | $22,016.00 | — | — | 2026-06-05 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Inpatient | Fidelis | Managed Medicaid | $22,912.42 | $157,631.15 | $126,104.92 | 2026-07-15 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | ANTHEM MEDICAID OHIO [2192] | HB XR ANTHEM OH MEDICAID 103% | $23,016.00 | $139,701.14 | $83,820.68 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | AMERIHEALTH CARITAS [2230] | HB XR AMERIHEALTH CARITAS OH 103% | $23,016.00 | $139,701.14 | $83,820.68 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | UHC COMMUNITY MEDICAID [2175] | HB XR UNITED HEALTHCARE MGD MEDICAID OHIO | $23,016.00 | $139,701.14 | $83,820.68 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | MOLINA MEDICAID [2058] | HB XR MOLINA MGD MEDICAID OH 107% | $23,016.00 | $139,701.14 | $83,820.68 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | BUCKEYE COMMUNITY HEALTH [2028] | HB XR BUCKEYE MGD MEDICAID OH 106% | $23,016.00 | $139,701.14 | $83,820.68 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | HUMANA MEDICAID OH [3102] | HB XR HUMANA 103% OHIO MEDICAID | $23,016.00 | $139,701.14 | $83,820.68 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | CARESOURCE [2031] | HB XR CARESOURCE MGD MEDICAID OHIO 103% | $23,016.00 | $139,701.14 | $83,820.68 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | AETNA BETTER HEALTH OHIO MEDICAID [2183] | HB XR AETNA BETTER HLTH MGD MEDICAID OH 108% | $23,016.00 | $139,701.14 | $83,820.68 | 2025-12-19 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Inpatient | Cdphp | Managed Medicaid | $23,016.85 | $692,873.70 | $346,436.85 | 2026-07-15 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Inpatient | Fidelis | Managed Medicaid | $23,366.35 | $692,873.70 | $346,436.85 | 2026-07-15 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Inpatient | Bcbs | Managed Medicaid | $23,366.35 | $692,873.70 | $346,436.85 | 2026-07-15 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Inpatient | Fidelis | Managed Medicaid | $23,559.34 | $157,631.15 | $126,104.92 | 2026-07-15 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL Inpatient | BCBS | PPO Commercial | $23,580.00 | — | — | 2026-06-05 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL Inpatient | BCBS | Indemnity Commercial | $23,580.00 | — | — | 2026-06-05 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Inpatient | Molina | — | $24,174.69 | $692,873.70 | $346,436.85 | 2026-07-15 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Inpatient | Mvp | Managed Medicaid | $24,285.83 | $692,873.70 | $346,436.85 | 2026-07-15 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | Amerihealth | Managed Medicaid | $24,487.43 | — | — | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | Health Partners | Managed Medicaid | $24,487.43 | — | — | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | Amerihealth | Managed Medicaid | $24,487.43 | — | — | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | Health Partners | Managed Medicaid | $24,487.43 | — | — | 2026-02-12 | MRF ↗ |
| SANFORD MEDICAL CENTER ABERDEEN InpatientFacility | Health Partners | Commercial | $24,788.00 | — | — | 2026-03-04 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis Child Health Plus | $24,910.33 | — | — | 2026-04-14 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | Geisinger | Managed Medicaid | $24,977.18 | — | — | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | Geisinger | Managed Medicaid | $24,977.18 | — | — | 2026-02-12 | MRF ↗ |
| SANFORD MEDICAL CENTER ABERDEEN InpatientFacility | Sanford Health Plan | Commercial | $25,019.24 | — | — | 2026-03-04 | MRF ↗ |
| CORNING HOSPITAL Inpatient | Bcbs | Managed Medicaid | $25,279.88 | $157,631.15 | $126,104.92 | 2026-07-15 | MRF ↗ |
| CORNING HOSPITAL Inpatient | Fidelis | Managed Medicaid | $25,279.88 | $157,631.15 | $126,104.92 | 2026-07-15 | MRF ↗ |
| CORNING HOSPITAL Inpatient | United Healthcare | Managed Medicaid | $25,279.88 | $157,631.15 | $126,104.92 | 2026-07-15 | MRF ↗ |
| CORNING HOSPITAL Inpatient | Mvp | Managed Medicaid | $25,279.88 | $157,631.15 | $126,104.92 | 2026-07-15 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Inpatient | Mvp | Essential | $25,279.88 | $692,873.70 | $346,436.85 | 2026-07-15 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Independent Health | Independent Health State Products | $25,849.75 | — | — | 2026-04-14 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL InpatientFacility | BLUE CROSS [1021] | NMH BCBS PMAP | $25,892.87 | $136,269.86 | — | 2026-04-30 | MRF ↗ |
| MAPLE GROVE HOSPITAL InpatientFacility | BLUE CROSS [1021] | NMH BCBS PMAP | $25,892.87 | $133,471.02 | — | 2026-09-25 | MRF ↗ |
| MAPLE GROVE HOSPITAL InpatientFacility | BLUE CROSS [1021] | NMH BCBS PMAP | $25,892.87 | $89,393.57 | — | 2026-09-25 | MRF ↗ |
| CORNING HOSPITAL Inpatient | Molina | — | $26,038.28 | $157,631.15 | $126,104.92 | 2026-07-15 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Fidelis | Fidelis QHP | $26,165.33 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Fidelis | Fidelis QHP | $26,165.33 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Fidelis | Fidelis QHP | $26,165.33 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Fidelis | Fidelis QHP | $26,165.33 | — | — | 2026-04-14 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | UPMC for You | Managed Medicaid | $26,213.66 | — | — | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | UPMC for You | Managed Medicaid | $26,213.66 | — | — | 2026-02-12 | MRF ↗ |
| ROBERT PACKER HOSPITAL Inpatient | Bcbs | Managed Medicaid | $26,229.72 | $157,631.15 | $126,104.92 | 2026-07-15 | MRF ↗ |
| ROBERT PACKER HOSPITAL Inpatient | Mvp | Managed Medicaid | $26,229.72 | $157,631.15 | $126,104.92 | 2026-07-15 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Inpatient | Bcbs | Managed Medicaid | $26,229.72 | $157,631.15 | $126,104.92 | 2026-07-15 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Fidelis | Fidelis QHP | $26,255.13 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Fidelis | Fidelis QHP | $26,255.13 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Fidelis | Fidelis QHP | $26,255.13 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Fidelis | Fidelis QHP | $26,255.13 | — | — | 2026-04-14 | MRF ↗ |
| ROBERT PACKER HOSPITAL Inpatient | United Healthcare | Managed Medicaid | $26,693.43 | $157,631.15 | $126,104.92 | 2026-07-15 | MRF ↗ |
| MEADVILLE MEDICAL CENTER Inpatient | Geisinger | Managed Medicaid | $26,737.93 | — | — | 2026-02-12 | MRF ↗ |
| MEADVILLE MEDICAL CENTER Inpatient | Geisinger | Managed Medicaid | $26,737.93 | — | — | 2025-02-18 | MRF ↗ |
| MEADVILLE MEDICAL CENTER Inpatient | Geisinger | Managed Medicaid | $26,737.93 | — | — | 2025-02-18 | MRF ↗ |
| MEADVILLE MEDICAL CENTER Inpatient | Geisinger | Managed Medicaid | $26,737.93 | — | — | 2026-09-11 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Inpatient | Molina | — | $27,016.61 | $157,631.15 | $126,104.92 | 2026-07-15 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Inpatient | Molina | — | $27,016.61 | $157,631.15 | $126,104.92 | 2026-07-15 | MRF ↗ |
| ROBERT PACKER HOSPITAL Inpatient | Molina | — | $27,016.61 | $157,631.15 | $126,104.92 | 2026-07-15 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis Medicaid | $27,076.44 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis HARP | $27,076.44 | — | — | 2026-04-14 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST InpatientFacility | MEDICAID [20240] | HB STLO CAPE IL MEDICAID | $27,217.17 | $204,243.53 | — | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST InpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $27,217.17 | $204,243.53 | — | 2026-03-18 | 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.