167 — Other Cardiothoracic And Thoracic Circulatory Procedures
Cite this view
HANK Price Transparency. (n.d.). OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES (APR_DRG 167) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/167?code_type=APR_DRG
“OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES (APR_DRG 167) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/167?code_type=APR_DRG. Accessed .
“OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES (APR_DRG 167) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/167?code_type=APR_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $29,690–$59,731 (25th–75th percentile) across 57 hospitals · 217 payers.
“Negotiated” is the hospital’s negotiated rate for the entire inpatient stay under APR_DRG 167 — 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 |
|---|---|---|---|---|---|---|---|
| Driscoll Children's Hospital Transplant Center Inpatient | TEXAS REHABILITATION COMM [50038] | TEXAS REHABILITATION COMM [5003801] | $165.82 | $295,120.79 | $59,024.16 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Inpatient | POLICE DEPARTMENTS [50065] | POLICE DEPTS [5006501] | $1,000.00 | $295,120.79 | $59,024.16 | 2026-03-31 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | UHC COMMUNITY MEDICAID [2175] | HB XR UHC INDIANA PATHWAYS MEDICAID | $6,877.10 | $126,955.59 | $76,173.35 | 2025-12-19 | MRF ↗ |
| WELLMONT HOLSTON VALLEY MEDICAL CENTER Inpatient | BLUE CROSS | TENNCARE BLUE CARE | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSON CITY MEDICAL CENTER Inpatient | AMERIGROUP | AMERIGROUP | — | — | — | 2026-03-23 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | UHC COMMUNITY MEDICAID [2175] | HB XR UHC INDIANA PATHWAYS MEDICAID | $9,125.91 | $89,602.78 | $53,761.67 | 2025-12-19 | MRF ↗ |
| JOHNSON CITY MEDICAL CENTER Inpatient | BLUE CROSS | TENNCARE BLUE CARE | — | — | — | 2026-03-23 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis Child Health Plus | $12,429.54 | — | — | 2026-04-14 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Inpatient | Fidelis | Managed Medicaid | $12,693.57 | $142,452.01 | $113,961.61 | 2026-07-15 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis HARP | $13,510.37 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis Medicaid | $13,510.37 | — | — | 2026-04-14 | MRF ↗ |
| GUTHRIE CORTLAND REGIONAL MEDICAL CENTER Inpatient | Fidelis | Managed Medicaid | $14,310.40 | $265,164.92 | $212,131.94 | 2026-07-15 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Inpatient | Cdphp | Managed Medicaid | $14,310.40 | $265,164.92 | $132,582.46 | 2026-07-15 | MRF ↗ |
| GUTHRIE CORTLAND REGIONAL MEDICAL CENTER Inpatient | Wellcare | Managed Medicaid | $14,310.40 | $265,164.92 | $212,131.94 | 2026-07-15 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Inpatient | Fidelis | Managed Medicaid | $14,474.41 | $265,164.92 | $132,582.46 | 2026-07-15 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Inpatient | Bcbs | Managed Medicaid | $14,474.41 | $265,164.92 | $132,582.46 | 2026-07-15 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis Child Health Plus | $14,550.92 | — | — | 2026-04-14 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Inpatient | Fidelis | Managed Medicaid | $14,716.88 | $142,452.01 | $113,961.61 | 2026-07-15 | MRF ↗ |
| GUTHRIE CORTLAND REGIONAL MEDICAL CENTER Inpatient | Molina | — | $14,739.72 | $265,164.92 | $212,131.94 | 2026-07-15 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | UHC COMMUNITY MEDICAID [2175] | HB XR UHC INDIANA PATHWAYS MEDICAID | $14,915.63 | $109,783.15 | $65,869.89 | 2025-12-19 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Inpatient | Molina | — | $15,016.00 | $265,164.92 | $132,582.46 | 2026-07-15 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Inpatient | Mvp | Managed Medicaid | $15,090.69 | $265,164.92 | $132,582.46 | 2026-07-15 | MRF ↗ |
| MAPLE GROVE HOSPITAL InpatientFacility | BLUE CROSS [1021] | NMH BCBS PMAP | $15,097.55 | $67,344.09 | — | 2026-09-25 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL InpatientFacility | BLUE CROSS [1021] | NMH BCBS PMAP | $15,097.55 | $67,338.29 | — | 2026-04-30 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Inpatient | Cdphp | Managed Medicaid | $15,507.21 | $142,452.01 | $113,961.61 | 2026-07-15 | MRF ↗ |
| CORNING HOSPITAL Inpatient | Fidelis | Managed Medicaid | $15,695.66 | $142,452.01 | $113,961.61 | 2026-07-15 | MRF ↗ |
| CORNING HOSPITAL Inpatient | United Healthcare | Managed Medicaid | $15,695.66 | $142,452.01 | $113,961.61 | 2026-07-15 | MRF ↗ |
| CORNING HOSPITAL Inpatient | Bcbs | Managed Medicaid | $15,695.66 | $142,452.01 | $113,961.61 | 2026-07-15 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Inpatient | Mvp | Essential | $15,695.66 | $265,164.92 | $132,582.46 | 2026-07-15 | MRF ↗ |
| CORNING HOSPITAL Inpatient | Mvp | Managed Medicaid | $15,695.66 | $142,452.01 | $113,961.61 | 2026-07-15 | MRF ↗ |
| GUTHRIE CORTLAND REGIONAL MEDICAL CENTER Inpatient | United Healthcare | Managed Medicaid | $15,695.66 | $265,164.92 | $212,131.94 | 2026-07-15 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis Medicaid | $15,816.22 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis HARP | $15,816.22 | — | — | 2026-04-14 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Inpatient | Fidelis | Exchange | $15,866.96 | $142,452.01 | $113,961.61 | 2026-07-15 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Inpatient | Cdphp | Managed Medicaid | $15,968.43 | $142,452.01 | $113,961.61 | 2026-07-15 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | MOLINA MEDICAID [2058] | HB XR MOLINA MGD MEDICAID OH 107% | $16,053.68 | $126,955.59 | $76,173.35 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | CARESOURCE [2031] | HB XR CARESOURCE MGD MEDICAID OHIO 103% | $16,053.68 | $126,955.59 | $76,173.35 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | UHC COMMUNITY MEDICAID [2175] | HB XR UNITED HEALTHCARE MGD MEDICAID OHIO | $16,053.68 | $126,955.59 | $76,173.35 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | HUMANA MEDICAID OH [3102] | HB XR HUMANA 103% OHIO MEDICAID | $16,053.68 | $126,955.59 | $76,173.35 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | AMERIHEALTH CARITAS [2230] | HB XR AMERIHEALTH CARITAS OH 103% | $16,053.68 | $126,955.59 | $76,173.35 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | BUCKEYE COMMUNITY HEALTH [2028] | HB XR BUCKEYE MGD MEDICAID OH 106% | $16,053.68 | $126,955.59 | $76,173.35 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | AETNA BETTER HEALTH OHIO MEDICAID [2183] | HB XR AETNA BETTER HLTH MGD MEDICAID OH 108% | $16,053.68 | $126,955.59 | $76,173.35 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | ANTHEM MEDICAID OHIO [2192] | HB XR ANTHEM OH MEDICAID 103% | $16,053.68 | $126,955.59 | $76,173.35 | 2025-12-19 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Fidelis | Fidelis QHP | $16,135.56 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Fidelis | Fidelis QHP | $16,135.56 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Fidelis | Fidelis QHP | $16,135.56 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Fidelis | Fidelis QHP | $16,135.56 | — | — | 2026-04-14 | MRF ↗ |
| CORNING HOSPITAL Inpatient | Molina | — | $16,166.53 | $142,452.01 | $113,961.61 | 2026-07-15 | MRF ↗ |
| ROBERT PACKER HOSPITAL Inpatient | Bcbs | Managed Medicaid | $16,358.01 | $142,452.01 | $113,961.61 | 2026-07-15 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Inpatient | Bcbs | Managed Medicaid | $16,358.01 | $142,452.01 | $113,961.61 | 2026-07-15 | MRF ↗ |
| ROBERT PACKER HOSPITAL Inpatient | Mvp | Managed Medicaid | $16,358.01 | $142,452.01 | $113,961.61 | 2026-07-15 | MRF ↗ |
| ROBERT PACKER HOSPITAL Inpatient | United Healthcare | Managed Medicaid | $16,821.72 | $142,452.01 | $113,961.61 | 2026-07-15 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Inpatient | Molina | — | $16,848.75 | $142,452.01 | $113,961.61 | 2026-07-15 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Inpatient | Molina | — | $16,848.75 | $142,452.01 | $113,961.61 | 2026-07-15 | MRF ↗ |
| ROBERT PACKER HOSPITAL Inpatient | Molina | — | $16,848.75 | $142,452.01 | $113,961.61 | 2026-07-15 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Fidelis | Fidelis QHP | $16,942.35 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Independent Health | Independent Health State Products | $17,329.18 | — | — | 2026-04-14 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL Inpatient | Mass General Brigham Health Plan | QHP Subsidized | $17,424.57 | — | — | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Inpatient | Mass General Brigham Health Plan | ACO MassHealth | — | — | — | 2026-06-05 | 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 | QHP Subsidized | $17,424.57 | — | — | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Inpatient | Wellsense | Masshealth Managed 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 | Mass General Brigham Health Plan | ACO MassHealth | — | — | — | 2026-06-05 | MRF ↗ |
| BAYSTATE NOBLE 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 WING HOSPITAL Inpatient | Tufts | One Care | — | — | — | 2026-06-05 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL Inpatient | Tufts | ACO/MCO Masshealth | — | — | — | 2026-06-05 | MRF ↗ |
| SANFORD MEDICAL CENTER ABERDEEN InpatientFacility | Sanford Health Plan | SD Exchange True | $17,571.03 | — | — | 2026-03-04 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $17,617.40 | $306,547.30 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $17,617.40 | $306,547.30 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $17,617.40 | $306,547.30 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $17,617.40 | $306,547.30 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $17,617.40 | $306,547.30 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $17,617.40 | $306,547.30 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $17,617.40 | $306,547.30 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $17,617.40 | $306,547.30 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $17,617.40 | $306,547.30 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $17,617.40 | $306,547.30 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $17,617.40 | $306,547.30 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $17,617.40 | $306,547.30 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $17,617.40 | $306,547.30 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $17,617.40 | $306,547.30 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $17,617.40 | $306,547.30 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $17,617.40 | $306,547.30 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $17,617.40 | $306,547.30 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $17,617.40 | $306,547.30 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $17,617.40 | $306,547.30 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $17,617.40 | $306,547.30 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $17,617.40 | $306,547.30 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $17,617.40 | $306,547.30 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $17,617.40 | $306,547.30 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $17,617.40 | $306,547.30 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $17,617.40 | $306,547.30 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $17,617.40 | $306,547.30 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $17,617.40 | $306,547.30 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $17,617.40 | $306,547.30 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $17,617.40 | $306,547.30 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $17,617.40 | $306,547.30 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $17,617.40 | $306,547.30 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $17,617.40 | $306,547.30 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $17,617.40 | $306,547.30 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $17,617.40 | $306,547.30 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $17,617.40 | $306,547.30 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $17,617.40 | $306,547.30 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $17,617.40 | $306,547.30 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $17,617.40 | $306,547.30 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $17,617.40 | $306,547.30 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $17,617.40 | $306,547.30 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $17,617.40 | $306,547.30 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $17,617.40 | $306,547.30 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $17,617.40 | $306,547.30 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $17,617.40 | $306,547.30 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $17,617.40 | $306,547.30 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $17,617.40 | $306,547.30 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $17,617.40 | $306,547.30 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $17,617.40 | $306,547.30 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $17,617.40 | $306,547.30 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $17,617.40 | $306,547.30 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $17,617.40 | $306,547.30 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $17,617.40 | $306,547.30 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $17,617.40 | $306,547.30 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $17,617.40 | $306,547.30 | — | 2026-03-26 | MRF ↗ |
| CORNING HOSPITAL Inpatient | Icircle | Managed Medicaid | $18,520.88 | $142,452.01 | $113,961.61 | 2026-07-15 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis QHP | $18,636.60 | — | — | 2026-04-14 | MRF ↗ |
| CORNING HOSPITAL Inpatient | Cdphp | Managed Medicaid | $18,733.68 | $142,452.01 | $113,961.61 | 2026-07-15 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $18,754.50 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $18,754.50 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $18,754.50 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Aetna | Aetna Better Health CHIP | $18,754.50 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Aetna | Aetna Better Health CHIP | $18,754.50 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $18,754.50 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Aetna | Aetna Better Health CHIP | $18,754.50 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Aetna | Aetna Better Health CHIP | $18,754.50 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Aetna | Aetna Better Health CHIP | $18,754.50 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $18,754.50 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis Child Health Plus | $18,862.86 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Fidelis | Fidelis QHP | $18,889.46 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Fidelis | Fidelis QHP | $18,889.46 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Fidelis | Fidelis QHP | $18,889.46 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Fidelis | Fidelis QHP | $18,889.46 | — | — | 2026-04-14 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Inpatient | Icircle | Managed Medicaid | $19,302.45 | $142,452.01 | $113,961.61 | 2026-07-15 | MRF ↗ |
| ROBERT PACKER HOSPITAL Inpatient | Icircle | Managed Medicaid | $19,302.45 | $142,452.01 | $113,961.61 | 2026-07-15 | 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 ↗ |
| WEST PENN HOSPITAL Inpatient | Fidelis | Fidelis QHP | $19,524.02 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $19,692.24 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Aetna | Aetna Better Health CHIP | $19,692.24 | — | — | 2026-04-14 | MRF ↗ |
| CORNING HOSPITAL Inpatient | Geisinger | Managed Medicaid | $19,757.69 | $142,452.01 | $113,961.61 | 2026-07-15 | MRF ↗ |
| GUTHRIE CORTLAND REGIONAL MEDICAL CENTER Inpatient | Geisinger | Managed Medicaid | $19,757.69 | $265,164.92 | $212,131.94 | 2026-07-15 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | Amerihealth | Managed Medicaid | $19,786.76 | — | — | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | Health Partners | Managed Medicaid | $19,786.76 | — | — | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | Health Partners | Managed Medicaid | $19,786.76 | — | — | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | Amerihealth | Managed Medicaid | $19,786.76 | — | — | 2026-02-12 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Fidelis | Fidelis QHP | $19,833.95 | — | — | 2026-04-14 | MRF ↗ |
| BAYSTATE NOBLE HOSPITAL Inpatient | BCBS | HMO Commercial | $19,889.00 | — | — | 2026-06-05 | MRF ↗ |
| HUNTINGTON HOSPITAL Inpatient | Kaiser Foundation Hospitals on behalf of its Southern California Region | Medi-Cal | $19,975.46 | — | — | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | Molina Healthcare of California | Medi-Cal | $19,975.46 | — | — | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | VENTURA COUNTY MEDI-CAL MANAGED CARE COMMISSION (dba Gold Coast Health Plan) | Medi-Cal | $19,975.46 | — | — | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | AIDS Healthcare Foundation and AHF Healthcare Centers | PHC California/Medi-Cal HMO | $19,975.46 | — | — | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | Prospect Health Plan, Inc. | Medi-Cal | $19,975.46 | — | — | 2025-11-26 | MRF ↗ |
| SANFORD MEDICAL CENTER ABERDEEN InpatientFacility | Sanford Health Plan | Group Health/True | $20,035.40 | — | — | 2026-03-04 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | Geisinger | Managed Medicaid | $20,182.50 | — | — | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | Geisinger | Managed Medicaid | $20,182.50 | — | — | 2026-02-12 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $20,202.35 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $20,202.35 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $20,202.35 | — | — | 2026-04-14 | MRF ↗ |
| BAYSTATE WING HOSPITAL Inpatient | BCBS | PPO Commercial | $20,359.00 | — | — | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Inpatient | BCBS | Indemnity Commercial | $20,359.00 | — | — | 2026-06-05 | MRF ↗ |
| FORBES HOSPITAL Inpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $20,411.01 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $20,411.01 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $20,411.01 | — | — | 2026-04-14 | MRF ↗ |
| ROBERT PACKER HOSPITAL Inpatient | Fidelis | Exchange | $20,447.51 | $142,452.01 | $113,961.61 | 2026-07-15 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis HARP | $20,503.11 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis Medicaid | $20,503.11 | — | — | 2026-04-14 | MRF ↗ |
| ROBERT PACKER HOSPITAL Inpatient | Cdphp | Managed Medicaid | $20,591.77 | $142,452.01 | $113,961.61 | 2026-07-15 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Amerihealth | Amerihealth Medicaid HC | $20,629.95 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Amerihealth | Amerihealth Medicaid CHC | $20,629.95 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Amerihealth | Amerihealth Medicaid HC | $20,629.95 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Amerihealth | Amerihealth Medicaid CHC | $20,629.95 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Amerihealth | Amerihealth Medicaid CHC | $20,629.95 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Amerihealth | Amerihealth Medicaid CHC | $20,629.95 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Amerihealth | Amerihealth Medicaid HC | $20,629.95 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Amerihealth | Amerihealth Medicaid HC | $20,629.95 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Amerihealth | Amerihealth Medicaid HC | $20,629.95 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Amerihealth | Amerihealth Medicaid CHC | $20,629.95 | — | — | 2026-04-14 | MRF ↗ |
| SANFORD MEDICAL CENTER ABERDEEN InpatientFacility | Sanford Health Plan | SD Exchange Commercial | $20,671.82 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD MEDICAL CENTER ABERDEEN InpatientFacility | Health Partners | State Employees | $20,979.00 | — | — | 2026-03-04 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Highmark Wholecare | Highmark Wholecare Medicaid HC | $21,380.13 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Highmark Wholecare | Highmark Wholecare Medicaid HC | $21,380.13 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Highmark Wholecare | Highmark Wholecare Medicaid HC | $21,380.13 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Highmark Wholecare | Highmark Wholecare Medicaid HC | $21,380.13 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Highmark Wholecare | Highmark Wholecare Medicaid HC | $21,380.13 | — | — | 2026-04-14 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | UPMC for You | Managed Medicaid | $21,481.69 | — | — | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | UPMC for You | Managed Medicaid | $21,481.69 | — | — | 2026-02-12 | MRF ↗ |
| GENESIS HOSPITAL InpatientFacility | CARESOURCE [100115] | HB MC CARESOURCE | $21,628.65 | $167,741.62 | — | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL InpatientFacility | CITY OF ZANESVILLE [101323] | HB OHIO MEDICAID | $21,628.65 | $167,741.62 | — | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL InpatientFacility | AMERIHEALTH CARITAS OHIO [111111] | HB MC AMERIHEALTH CARITAS OHIO | $21,628.65 | $167,741.62 | — | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL InpatientFacility | COSHOCTON COUNTY SHERIFF DEPARTMENT [1013221] | HB OHIO MEDICAID | $21,628.65 | $167,741.62 | — | 2026-03-27 | 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.