169 — Mouth Procedures Without Cc
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Mouth Procedures w/o CC (MS_DRG 169) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/169?code_type=MS_DRG
MLA (9th ed.)
“Mouth Procedures w/o CC (MS_DRG 169) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/169?code_type=MS_DRG. Accessed .
Chicago (notes-bibliography)
“Mouth Procedures w/o CC (MS_DRG 169) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/169?code_type=MS_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $27,306–$62,961 (25th–75th percentile) across 92 hospitals · 95 payers.
“Negotiated” is the hospital’s negotiated facility rate for this MS_DRG 169 — 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 |
|---|---|---|---|---|---|---|---|
| Uh Geauga Medical Center InpatientFacility | The Health Plan | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Aetna | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Devoted Health | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Primetime Health Plan | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Humana | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | SummaCare | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Anthem | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | WellCare by AllWell | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | United Healthcare | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Medical Mutual of Ohio | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Molina | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Cigna | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Paramount | Medicare Advantage | $52.19 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Valor Health Plans | Medicare Advantage | $53.20 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Perennial Advantage of Ohio | Medicare Advantage | $53.20 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Aetna CVSHealth QHP | Commercial | $90.19 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Ambetter | Commercial | $91.21 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | CareSource | Marketplace | $91.21 | — | — | 2025-05-16 | MRF ↗ |
| FROEDTERT SOUTH INC. Inpatient | None | — | — | $300,907.71 | — | 2026-02-27 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Inpatient | SEAFARERS HEALTH AND BENEFITS PLAN [5343] | MMC CIGNA | $2,101.00 | $892,153.56 | — | 2026-01-01 | MRF ↗ |
| MEMORIAL HEALTHCARE SYSTEM, INC Inpatient | Peach State | Medicaid|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| MEMORIAL HEALTHCARE SYSTEM, INC Inpatient | Amerigroup | Medicaid|All Plans | $2,351.00 | — | — | 2026-02-28 | MRF ↗ |
| CHI Memorial Hospital - Hixson Inpatient | Amerigroup | Medicaid|All Plans | $2,351.00 | — | — | 2026-02-28 | MRF ↗ |
| MEMORIAL HEALTHCARE SYSTEM, INC Inpatient | Amerigroup | Medicaid|All Plans | $2,351.00 | — | — | 2026-02-28 | MRF ↗ |
| MEMORIAL HEALTHCARE SYSTEM, INC Inpatient | Peach State | Medicaid|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| CHI MEMORIAL HOSPITAL- GEORGIA Inpatient | Aetna | Commercial|HMO | — | — | — | 2026-02-28 | MRF ↗ |
| CHI MEMORIAL HOSPITAL- GEORGIA Inpatient | Aetna | Commercial|All Other Plans | — | — | — | 2026-02-28 | MRF ↗ |
| CHI MEMORIAL HOSPITAL- GEORGIA Inpatient | Aetna | Commercial|PPO | — | — | — | 2026-02-28 | MRF ↗ |
| CHI MEMORIAL HOSPITAL- GEORGIA Inpatient | Amerigroup | Medicaid|All Plans | $2,630.00 | — | — | 2026-02-28 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Inpatient | Cigna | Default | — | $29,481.29 | $29,481.29 | 2026-03-16 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Inpatient | Blue Cross Blue Shield of CA Anthem | Default | $4,000.00 | $29,481.29 | $29,481.29 | 2026-03-16 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER InpatientFacility | None | — | — | — | — | 2026-03-23 | MRF ↗ |
| INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL InpatientFacility | None | — | — | — | — | 2026-03-23 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL InpatientFacility | None | — | — | — | — | 2026-03-23 | MRF ↗ |
| Tyler Memorial Hospital InpatientFacility | None | — | — | — | — | 2026-01-01 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE Inpatient | Tricare East Region DOS GT 01012025 | Default | $4,151.97 | $64,674.67 | $40,098.30 | 2026-03-16 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE Inpatient | Tricare For Life | Default | $4,151.97 | $64,674.67 | $40,098.30 | 2026-03-16 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE Inpatient | Tricare North | Default | $4,151.97 | $64,674.67 | $40,098.30 | 2026-03-16 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE Inpatient | Tricare West | Default | $4,151.97 | $64,674.67 | $40,098.30 | 2026-03-16 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Martin's Point | Martin's Point | $4,183.73 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Martin's Point | Martin's Point | $4,183.73 | — | — | 2026-04-14 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL InpatientFacility | Tufts Associated Health Maintenance Organization, Inc. | USHFP | $4,183.73 | — | — | 2026-02-28 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Martin's Point | Martin's Point | $4,183.73 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Martin's Point | Martin's Point | $4,183.73 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Martin's Point | Martin's Point | $4,183.73 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Martin's Point | Martin's Point | $4,183.73 | — | — | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Inpatient | Martin's Point | Martin's Point | $4,183.73 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Martin's Point | Martin's Point | $4,183.73 | — | — | 2026-04-14 | MRF ↗ |
| LOWER BUCKS HOSPITAL Inpatient | Humana | Humana Tricare | $4,371.14 | — | — | 2024-12-19 | MRF ↗ |
| ROXBOROUGH MEMORIAL HOSPITAL Inpatient | Humana Military Tricare | Humana Military Tricare | $4,371.14 | — | — | 2024-12-19 | MRF ↗ |
| ST MARY'S GENERAL HOSPITAL Inpatient | Humana | Humana Military | $4,371.14 | — | — | 2024-12-19 | MRF ↗ |
| ST MARY'S GENERAL HOSPITAL Inpatient | Humana | Humana Military | $4,371.14 | — | — | 2024-12-19 | MRF ↗ |
| LOWER BUCKS HOSPITAL Inpatient | Tricare | Tricare | $4,964.48 | — | — | 2024-12-19 | MRF ↗ |
| ROXBOROUGH MEMORIAL HOSPITAL Inpatient | Tricare | Tricare | $5,029.56 | — | — | 2024-12-19 | MRF ↗ |
| MIAMI VALLEY HOSPITAL InpatientFacility | Contracted Commercial | Private Healthcare Systems | $5,312.22 | — | — | 2026-04-01 | MRF ↗ |
| ATRIUM MEDICAL CENTER InpatientFacility | Contracted Commercial | Private Healthcare Systems | $5,312.22 | — | — | 2026-04-01 | MRF ↗ |
| MIAMI VALLEY HOSPITAL InpatientFacility | Contracted Commercial | Faith Based - Phcs | $5,312.22 | — | — | 2026-04-01 | MRF ↗ |
| UPPER VALLEY MEDICAL CENTER InpatientFacility | Contracted Commercial | Private Healthcare Systems | $5,312.22 | — | — | 2026-04-01 | MRF ↗ |
| UPMC JAMESON InpatientFacility | UPMC Work Partners | Workers Comp | $5,320.93 | — | — | 2026-03-06 | MRF ↗ |
| UPMC Lock Haven InpatientFacility | UPMC Work Partners | Workers Comp | $5,598.15 | — | — | 2026-03-06 | MRF ↗ |
| UPMC SOMERSET InpatientFacility | UPMC Work Partners | Workers Comp | $5,775.20 | — | — | 2026-03-06 | MRF ↗ |
| UPMC HANOVER InpatientFacility | UPMC Work Partners | Workers Comp | $5,923.66 | — | — | 2026-03-06 | MRF ↗ |
| UPMC HANOVER InpatientFacility | UPMC Work Partners | Workers Comp | $5,923.66 | — | — | 2026-03-06 | MRF ↗ |
| UPMC MEMORIAL InpatientFacility | UPMC Work Partners | Workers Comp | $5,923.66 | — | — | 2026-03-06 | MRF ↗ |
| UPMC LITITZ InpatientFacility | UPMC Work Partners | Workers Comp | $6,079.41 | — | — | 2026-03-06 | MRF ↗ |
| UPMC Lock Haven InpatientFacility | Multiplan | Worker's Compensation | $6,184.01 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE InpatientFacility | UPMC Work Partners | Workers Comp | $6,208.73 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE InpatientFacility | UPMC Work Partners | Workers Comp | $6,208.73 | — | — | 2026-03-06 | MRF ↗ |
| UPMC JAMESON InpatientFacility | UPMC Work Partners | Workers Comp | $6,328.89 | — | — | 2026-03-06 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC InpatientFacility | Aetna | NC+ Preferred | $6,527.00 | — | — | 2025-10-08 | MRF ↗ |
| ROXBOROUGH MEMORIAL HOSPITAL Inpatient | Worker Compensation | Worker Compensation | $6,770.50 | — | — | 2024-12-19 | MRF ↗ |
| LOWER BUCKS HOSPITAL Inpatient | Worker Compensation | Worker Compensation | $6,770.50 | — | — | 2024-12-19 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC InpatientFacility | Aetna | Whole Health | $6,955.00 | — | — | 2025-10-08 | MRF ↗ |
| Tyler Memorial Hospital InpatientFacility | None | — | — | — | — | 2026-01-01 | MRF ↗ |
| Upmc Presbyterian Shadyside InpatientFacility | Multiplan | Worker's Compensation | $7,359.17 | — | — | 2026-03-06 | MRF ↗ |
| UPMC PASSAVANT InpatientFacility | Private Health Care Systems | Workers' Comp | $7,359.17 | — | — | 2026-03-07 | MRF ↗ |
| UPMC PASSAVANT InpatientFacility | Private Health Care Systems | Workers' Comp | $7,359.17 | — | — | 2026-03-07 | MRF ↗ |
| ST LUKE'S HOSPITAL Inpatient | TUFTS HEALTH PUBLIC PLANS [1010213] | TUFTS HEALTH DIRECT [101021302] | $8,004.62 | $88,180.94 | $44,090.47 | 2025-12-15 | MRF ↗ |
| Charlton Memorial Hospital Inpatient | TUFTS HEALTH PUBLIC PLANS [1010213] | TUFTS HEALTH DIRECT [101021302] | $8,004.62 | $150,523.87 | $75,261.93 | 2025-12-15 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC InpatientFacility | Aetna | Broad Network | $8,452.00 | — | — | 2025-10-08 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | MEDICAID MASSHEALTH [300001] | HB XR MEDICAID LIMITED CMSP 100% | — | $72,088.27 | $50,461.79 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | TUFTS HEALTH PUBLIC PLAN CONNECTORCARE [100264] | HB XR THPP CONNECTOR PLANS QHP SUBSIDIZED LGH | $8,640.95 | $121,178.63 | $84,825.04 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | TUFTS HEALTH PUBLIC PLAN CONNECTORCARE [100264] | HB XR THPP CONNECTOR PLANS QHP SUBSIDIZED LGH | $8,640.95 | $72,088.27 | $50,461.79 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | WELLSENSE NH [350010] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | — | $72,088.27 | $50,461.79 | 2026-04-01 | MRF ↗ |
| UPMC BEDFORD MEMORIAL InpatientFacility | UPMC Work Partners | Workers Comp | $9,223.57 | — | — | 2026-03-06 | MRF ↗ |
| UPMC NORTHWEST InpatientFacility | UPMC Work Partners | Workers Comp | $9,223.57 | — | — | 2026-03-06 | MRF ↗ |
| UPMC HORIZON InpatientFacility | UPMC Work Partners | Workers Comp | $9,470.42 | — | — | 2026-03-06 | MRF ↗ |
| UPMC HAMOT InpatientFacility | UPMC Work Partners | Workers Comp | $9,495.41 | — | — | 2026-03-06 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Inpatient | Blue Shield of CA | Default | $9,517.00 | $29,481.29 | $29,481.29 | 2026-03-16 | MRF ↗ |
| UPMC ALTOONA InpatientFacility | UPMC Work Partners | Workers Comp | $9,674.01 | — | — | 2026-03-06 | MRF ↗ |
| UPMC ALTOONA InpatientFacility | UPMC Work Partners | Workers Comp | $9,674.01 | — | — | 2026-03-06 | MRF ↗ |
| UPMC EAST InpatientFacility | UPMC Work Partners | Workers Comp | $10,292.55 | — | — | 2026-03-06 | MRF ↗ |
| Upmc Presbyterian Shadyside InpatientFacility | UPMC Work Partners | Workers Comp | $10,292.55 | — | — | 2026-03-06 | MRF ↗ |
| UPMC PASSAVANT InpatientFacility | UPMC Work Partners | Workers Comp | $10,292.55 | — | — | 2026-03-07 | MRF ↗ |
| UPMC MCKEESPORT HOSPITAL InpatientFacility | UPMC Work Partners | Workers Comp | $10,292.55 | — | — | 2026-03-06 | MRF ↗ |
| UPMC MERCY InpatientFacility | UPMC Work Partners | Workers Comp | $10,292.55 | — | — | 2026-03-06 | MRF ↗ |
| UPMC PASSAVANT InpatientFacility | UPMC Work Partners | Workers Comp | $10,292.55 | — | — | 2026-03-07 | MRF ↗ |
| UPMC MERCY InpatientFacility | UPMC Work Partners | Workers Comp | $10,292.55 | — | — | 2026-03-06 | MRF ↗ |
| UPMC PINNACLE HOSPITALS InpatientFacility | UPMC Work Partners | Workers Comp | $10,450.52 | — | — | 2026-03-06 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | TUFTS HEALTH PUBLIC PLAN CONNECTORCARE [100264] | HB XR THPP CONNECTOR PLANS QHP NON-SUBSIDIZED LGH | $11,478.22 | $72,088.27 | $50,461.79 | 2026-04-01 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MSMC | $12,065.53 | $128,246.39 | $64,123.20 | 2026-03-23 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MSMC | $12,065.53 | $128,246.39 | $64,123.20 | 2026-03-23 | MRF ↗ |
| ST ELIZABETH YOUNGSTOWN HOSPITAL Inpatient | ANTHEM OH MEDICAID [6565] | ANTHEM OH MEDICAID [656501] | $12,195.97 | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH YOUNGSTOWN HOSPITAL Inpatient | BUCKEYE COMMUNITY HEALTH PLAN [2001] | BUCKEYE COMMUNITY HEALTH PLAN [2001001] | $12,195.97 | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH YOUNGSTOWN HOSPITAL Inpatient | CARESOURCE [2002] | CARESOURCE OH MEDICAID [2002001] | $12,195.97 | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH YOUNGSTOWN HOSPITAL Inpatient | HUMANA MEDICAID OH [4455] | HUMANA MEDICAID OH [4455001] | $12,195.97 | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH YOUNGSTOWN HOSPITAL Inpatient | AMERIHEALTH CARITAS OH [4813] | AMERIHEALTH CARITAS OH [4813001] | $12,195.97 | — | — | 2026-04-01 | MRF ↗ |
| METHODIST MIDLOTHIAN MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MLMC | $12,387.80 | $128,246.39 | $64,123.20 | 2026-03-21 | MRF ↗ |
| METHODIST MANSFIELD MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MMMC | $12,388.13 | $128,246.39 | $64,123.20 | 2026-03-21 | MRF ↗ |
| ST ELIZABETH YOUNGSTOWN HOSPITAL Inpatient | MOLINA HEALTHCARE OH MEDICAID [3070] | MOLINA HEALTHCARE OHIO MEDICA [3070001] | $12,428.27 | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH YOUNGSTOWN HOSPITAL Inpatient | UNITED HEALTHCARE COMMUNITY PL [3519] | UNITED HEALTHCARE COMMUNITY PLAN OH [3519001] | $12,428.27 | — | — | 2026-04-01 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MRMC | $12,502.97 | $128,246.39 | $64,123.20 | 2026-03-21 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MRMC | $12,502.97 | $128,246.39 | $64,123.20 | 2026-03-21 | MRF ↗ |
| ST ELIZABETH YOUNGSTOWN HOSPITAL Inpatient | ANTHEM OH MEDICAID [6565] | ANTHEM OH MEDICAID [656501] | $12,765.84 | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH YOUNGSTOWN HOSPITAL Inpatient | BUCKEYE COMMUNITY HEALTH PLAN [2001] | BUCKEYE COMMUNITY HEALTH PLAN [2001001] | $12,765.84 | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH YOUNGSTOWN HOSPITAL Inpatient | HUMANA MEDICAID OH [4455] | HUMANA MEDICAID OH [4455001] | $12,765.84 | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH YOUNGSTOWN HOSPITAL Inpatient | AMERIHEALTH CARITAS OH [4813] | AMERIHEALTH CARITAS OH [4813001] | $12,765.84 | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH YOUNGSTOWN HOSPITAL Inpatient | CARESOURCE [2002] | CARESOURCE OH MEDICAID [2002001] | $12,765.84 | — | — | 2026-04-01 | MRF ↗ |
| METHODIST CHARLTON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MCMC | $12,787.25 | $128,246.39 | $64,123.20 | 2026-03-21 | MRF ↗ |
| ST ELIZABETH YOUNGSTOWN HOSPITAL Inpatient | MOLINA HEALTHCARE OH MEDICAID [3070] | MOLINA HEALTHCARE OHIO MEDICA [3070001] | $13,009.00 | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH YOUNGSTOWN HOSPITAL Inpatient | UNITED HEALTHCARE COMMUNITY PL [3519] | UNITED HEALTHCARE COMMUNITY PLAN OH [3519001] | $13,009.00 | — | — | 2026-04-01 | MRF ↗ |
| SPRINGFIELD HOSPITAL Inpatient | CARESOURCE [2002] | CARESOURCE OH MEDICAID [2002001] | $14,102.13 | — | — | 2026-04-01 | MRF ↗ |
| METHODIST CELINA MEDICAL CENTER Inpatient | SUPERIOR MEDICAID MANAGED CARE [5007] | MHS HB MEDICAID 110% STAR PLUS MCEL | $14,103.59 | $128,246.39 | $64,123.20 | 2026-03-23 | MRF ↗ |
| Charlton Memorial Hospital Inpatient | WELLSENSE HEALTH PLAN CLARITY CONNECTORCARE & META | WELLSENSE HEALTH PLAN CLARITY CONNECTORCARE & META | $14,250.15 | $44,868.22 | $22,434.11 | 2025-12-15 | MRF ↗ |
| SPRINGFIELD HOSPITAL Inpatient | HUMANA MEDICAID OH [4455] | HUMANA MEDICAID OH [4455001] | $14,306.51 | — | — | 2026-04-01 | MRF ↗ |
| SPRINGFIELD HOSPITAL Inpatient | MOLINA HEALTHCARE OH MEDICAID [3070] | MOLINA HEALTHCARE OHIO MEDICA [3070001] | $14,306.51 | — | — | 2026-04-01 | MRF ↗ |
| SPRINGFIELD HOSPITAL Inpatient | AMERIHEALTH CARITAS OH [4813] | AMERIHEALTH CARITAS OH [4813001] | $14,306.51 | — | — | 2026-04-01 | MRF ↗ |
| SPRINGFIELD HOSPITAL Inpatient | BUCKEYE COMMUNITY HEALTH PLAN [2001] | BUCKEYE COMMUNITY HEALTH PLAN [2001001] | $14,306.51 | — | — | 2026-04-01 | MRF ↗ |
| SPRINGFIELD HOSPITAL Inpatient | ANTHEM OH MEDICAID [6565] | ANTHEM OH MEDICAID [656501] | $14,306.51 | — | — | 2026-04-01 | MRF ↗ |
| SPRINGFIELD HOSPITAL Inpatient | UNITED HEALTHCARE COMMUNITY PL [3519] | UNITED HEALTHCARE COMMUNITY PLAN OH [3519001] | $14,306.51 | — | — | 2026-04-01 | MRF ↗ |
| THE JEWISH HOSPITAL-MERCY HEALTH Inpatient | CARESOURCE [2002] | CARESOURCE OH MEDICAID [2002001] | $14,453.94 | — | — | 2026-04-01 | MRF ↗ |
| THE JEWISH HOSPITAL-MERCY HEALTH Inpatient | UNITED HEALTHCARE COMMUNITY PL [3519] | UNITED HEALTHCARE COMMUNITY PLAN OH [3519001] | $14,663.42 | — | — | 2026-04-01 | MRF ↗ |
| THE JEWISH HOSPITAL-MERCY HEALTH Inpatient | HUMANA MEDICAID OH [4455] | HUMANA MEDICAID OH [4455001] | $14,663.42 | — | — | 2026-04-01 | MRF ↗ |
| THE JEWISH HOSPITAL-MERCY HEALTH Inpatient | ANTHEM OH MEDICAID [6565] | ANTHEM OH MEDICAID [656501] | $14,663.42 | — | — | 2026-04-01 | MRF ↗ |
| THE JEWISH HOSPITAL-MERCY HEALTH Inpatient | AMERIHEALTH CARITAS OH [4813] | AMERIHEALTH CARITAS OH [4813001] | $14,663.42 | — | — | 2026-04-01 | MRF ↗ |
| MERCY HEALTH - WEST HOSPITAL Inpatient | CARESOURCE [2002] | CARESOURCE OH MEDICAID [2002001] | $14,737.13 | — | — | 2026-04-01 | MRF ↗ |
| SPRINGFIELD HOSPITAL Inpatient | CARESOURCE [2002] | CARESOURCE OH MEDICAID [2002001] | $14,761.06 | — | — | 2026-04-01 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | CARESOURCE [2002] | CARESOURCE OH MEDICAID [2002001] | $14,837.48 | — | — | 2026-04-01 | MRF ↗ |
| MERCY HEALTH - WEST HOSPITAL Inpatient | HUMANA MEDICAID OH [4455] | HUMANA MEDICAID OH [4455001] | $14,950.71 | — | — | 2026-04-01 | MRF ↗ |
| MERCY HEALTH - WEST HOSPITAL Inpatient | AMERIHEALTH CARITAS OH [4813] | AMERIHEALTH CARITAS OH [4813001] | $14,950.71 | — | — | 2026-04-01 | MRF ↗ |
| MERCY HEALTH - WEST HOSPITAL Inpatient | UNITED HEALTHCARE COMMUNITY PL [3519] | UNITED HEALTHCARE COMMUNITY PLAN OH [3519001] | $14,950.71 | — | — | 2026-04-01 | MRF ↗ |
| MERCY HEALTH - WEST HOSPITAL Inpatient | ANTHEM OH MEDICAID [6565] | ANTHEM OH MEDICAID [656501] | $14,950.71 | — | — | 2026-04-01 | MRF ↗ |
| SPRINGFIELD HOSPITAL Inpatient | MOLINA HEALTHCARE OH MEDICAID [3070] | MOLINA HEALTHCARE OHIO MEDICA [3070001] | $14,974.98 | — | — | 2026-04-01 | MRF ↗ |
| SPRINGFIELD HOSPITAL Inpatient | AMERIHEALTH CARITAS OH [4813] | AMERIHEALTH CARITAS OH [4813001] | $14,974.98 | — | — | 2026-04-01 | MRF ↗ |
| SPRINGFIELD HOSPITAL Inpatient | UNITED HEALTHCARE COMMUNITY PL [3519] | UNITED HEALTHCARE COMMUNITY PLAN OH [3519001] | $14,974.98 | — | — | 2026-04-01 | MRF ↗ |
| SPRINGFIELD HOSPITAL Inpatient | ANTHEM OH MEDICAID [6565] | ANTHEM OH MEDICAID [656501] | $14,974.98 | — | — | 2026-04-01 | MRF ↗ |
| SPRINGFIELD HOSPITAL Inpatient | BUCKEYE COMMUNITY HEALTH PLAN [2001] | BUCKEYE COMMUNITY HEALTH PLAN [2001001] | $14,974.98 | — | — | 2026-04-01 | MRF ↗ |
| SPRINGFIELD HOSPITAL Inpatient | HUMANA MEDICAID OH [4455] | HUMANA MEDICAID OH [4455001] | $14,974.98 | — | — | 2026-04-01 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | HUMANA MEDICAID OH [4455] | HUMANA MEDICAID OH [4455001] | $15,052.52 | — | — | 2026-04-01 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | UNITED HEALTHCARE COMMUNITY PL [3519] | UNITED HEALTHCARE COMMUNITY PLAN OH [3519001] | $15,052.52 | — | — | 2026-04-01 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | AMERIHEALTH CARITAS OH [4813] | AMERIHEALTH CARITAS OH [4813001] | $15,052.52 | — | — | 2026-04-01 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | ANTHEM OH MEDICAID [6565] | ANTHEM OH MEDICAID [656501] | $15,052.52 | — | — | 2026-04-01 | MRF ↗ |
| THE JEWISH HOSPITAL-MERCY HEALTH Inpatient | MOLINA HEALTHCARE OH MEDICAID [3070] | MOLINA HEALTHCARE OHIO MEDICA [3070001] | $15,222.02 | — | — | 2026-04-01 | MRF ↗ |
| THE JEWISH HOSPITAL-MERCY HEALTH Inpatient | BUCKEYE COMMUNITY HEALTH PLAN [2001] | BUCKEYE COMMUNITY HEALTH PLAN [2001001] | $15,361.68 | — | — | 2026-04-01 | MRF ↗ |
| MERCY HEALTH - WEST HOSPITAL Inpatient | MOLINA HEALTHCARE OH MEDICAID [3070] | MOLINA HEALTHCARE OHIO MEDICA [3070001] | $15,520.26 | — | — | 2026-04-01 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | CARESOURCE [2002] | CARESOURCE OH MEDICAID [2002001] | $15,530.78 | — | — | 2026-04-01 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | MOLINA HEALTHCARE OH MEDICAID [3070] | MOLINA HEALTHCARE OHIO MEDICA [3070001] | $15,625.95 | — | — | 2026-04-01 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | AMERIHEALTH CARITAS OH [4813] | AMERIHEALTH CARITAS OH [4813001] | $15,755.86 | — | — | 2026-04-01 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | ANTHEM OH MEDICAID [6565] | ANTHEM OH MEDICAID [656501] | $15,755.86 | — | — | 2026-04-01 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | UNITED HEALTHCARE COMMUNITY PL [3519] | UNITED HEALTHCARE COMMUNITY PLAN OH [3519001] | $15,755.86 | — | — | 2026-04-01 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | HUMANA MEDICAID OH [4455] | HUMANA MEDICAID OH [4455001] | $15,755.86 | — | — | 2026-04-01 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | BUCKEYE COMMUNITY HEALTH PLAN [2001] | BUCKEYE COMMUNITY HEALTH PLAN [2001001] | $15,769.30 | — | — | 2026-04-01 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Inpatient | United Healthcare | Default | $15,811.00 | $29,481.29 | $29,481.29 | 2026-03-16 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | MOLINA HEALTHCARE OH MEDICAID [3070] | MOLINA HEALTHCARE OHIO MEDICA [3070001] | $16,356.08 | — | — | 2026-04-01 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | BUCKEYE COMMUNITY HEALTH PLAN [2001] | BUCKEYE COMMUNITY HEALTH PLAN [2001001] | $16,506.14 | — | — | 2026-04-01 | MRF ↗ |
| METHODIST DALLAS MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MDMC | $16,985.80 | $128,246.39 | $64,123.20 | 2026-03-20 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MSMC | $17,109.32 | $59,065.79 | $29,532.90 | 2026-03-23 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MSMC | $17,109.32 | $59,065.79 | $29,532.90 | 2026-03-23 | MRF ↗ |
| MERCY ST VINCENT MEDICAL CENTER Inpatient | CARESOURCE [2002] | CARESOURCE OH MEDICAID [2002001] | $17,275.58 | — | — | 2026-04-01 | MRF ↗ |
| FIRELANDS REGIONAL MEDICAL CENTER InpatientFacility | Humana | Medicaid | — | — | — | 2025-03-01 | MRF ↗ |
| MERCY ST VINCENT MEDICAL CENTER Inpatient | BUCKEYE COMMUNITY HEALTH PLAN [2001] | BUCKEYE COMMUNITY HEALTH PLAN [2001001] | $17,359.04 | — | — | 2026-04-01 | MRF ↗ |
| MERCY ST VINCENT MEDICAL CENTER Inpatient | ANTHEM OH MEDICAID [6565] | ANTHEM OH MEDICAID [656501] | $17,525.95 | — | — | 2026-04-01 | MRF ↗ |
| MERCY ST VINCENT MEDICAL CENTER Inpatient | AMERIHEALTH CARITAS OH [4813] | AMERIHEALTH CARITAS OH [4813001] | $17,525.95 | — | — | 2026-04-01 | MRF ↗ |
| MERCY ST VINCENT MEDICAL CENTER Inpatient | MOLINA HEALTHCARE OH MEDICAID [3070] | MOLINA HEALTHCARE OHIO MEDICA [3070001] | $17,525.95 | — | — | 2026-04-01 | MRF ↗ |
| MERCY ST VINCENT MEDICAL CENTER Inpatient | HUMANA MEDICAID OH [4455] | HUMANA MEDICAID OH [4455001] | $17,525.95 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI HOSPITAL InpatientFacility | Emblem | Emblem Medicaid - Tmsh | — | — | — | 2026-04-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Inpatient | BLUE CROSS BLUE SHIELD MEDICAID [16007] | BCBS BLUE PLUS MN CARE [1600702] | $17,554.93 | $62,998.50 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Inpatient | BLUE CROSS BLUE SHIELD MEDICAID [16007] | BCBS BLUE PLUS MA [1600701] | $17,554.93 | $62,998.50 | — | 2026-01-01 | MRF ↗ |
| METHODIST MIDLOTHIAN MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MLMC | $17,566.30 | $59,065.79 | $29,532.90 | 2026-03-21 | MRF ↗ |
| METHODIST MANSFIELD MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MMMC | $17,566.77 | $59,065.79 | $29,532.90 | 2026-03-21 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MRMC | $17,729.62 | $59,065.79 | $29,532.90 | 2026-03-21 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MRMC | $17,729.62 | $59,065.79 | $29,532.90 | 2026-03-21 | MRF ↗ |
| MERCY ST VINCENT MEDICAL CENTER Inpatient | UNITED HEALTHCARE COMMUNITY PL [3519] | UNITED HEALTHCARE COMMUNITY PLAN OH [3519001] | $17,859.78 | — | — | 2026-04-01 | MRF ↗ |
| METHODIST CHARLTON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MCMC | $18,132.74 | $59,065.79 | $29,532.90 | 2026-03-21 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL InpatientFacility | Security Health Plan Of Wisconsin, Inc. | Security Health Plan Wisconsin Medicaid Plans | — | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL InpatientFacility | United Healthcare Of Wisconsin, Inc. | United Healthcare Medicaid Plans | — | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL InpatientFacility | United Healthcare Of Wisconsin, Inc. | United Healthcare Medicaid Plans | $19,732.60 | — | — | 2025-07-01 | MRF ↗ |
| ST ELIZABETH YOUNGSTOWN HOSPITAL Inpatient | BUCKEYE COMMUNITY HEALTH PLAN [2001] | BUCKEYE COMMUNITY HEALTH PLAN [2001001] | $19,764.86 | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH YOUNGSTOWN HOSPITAL Inpatient | ANTHEM OH MEDICAID [6565] | ANTHEM OH MEDICAID [656501] | $19,764.86 | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH YOUNGSTOWN HOSPITAL Inpatient | HUMANA MEDICAID OH [4455] | HUMANA MEDICAID OH [4455001] | $19,764.86 | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH YOUNGSTOWN HOSPITAL Inpatient | CARESOURCE [2002] | CARESOURCE OH MEDICAID [2002001] | $19,764.86 | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH YOUNGSTOWN HOSPITAL Inpatient | AMERIHEALTH CARITAS OH [4813] | AMERIHEALTH CARITAS OH [4813001] | $19,764.86 | — | — | 2026-04-01 | MRF ↗ |
| METHODIST CELINA MEDICAL CENTER Inpatient | SUPERIOR MEDICAID MANAGED CARE [5007] | MHS HB MEDICAID 110% STAR PLUS MCEL | $19,999.36 | $59,065.79 | $29,532.90 | 2026-03-23 | MRF ↗ |
| ST ELIZABETH YOUNGSTOWN HOSPITAL Inpatient | MOLINA HEALTHCARE OH MEDICAID [3070] | MOLINA HEALTHCARE OHIO MEDICA [3070001] | $20,141.34 | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH YOUNGSTOWN HOSPITAL Inpatient | UNITED HEALTHCARE COMMUNITY PL [3519] | UNITED HEALTHCARE COMMUNITY PLAN OH [3519001] | $20,141.34 | — | — | 2026-04-01 | MRF ↗ |
| ST MARYS HOSPITAL Inpatient | MOLINA HEALTHCARE | MOLINA MEDICAID | $20,301.80 | $118,103.58 | $85,034.58 | 2026-01-15 | MRF ↗ |
| MOUNT SINAI HOSPITAL InpatientFacility | Fidelis | Fidelis Medicaid - Tmsh | — | — | — | 2026-04-01 | MRF ↗ |
| ST MARYS HOSPITAL Inpatient | MERIDIAN HEALTH PLAN | MERIDIAN HMO MCD | $21,268.56 | $118,103.58 | $85,034.58 | 2026-01-15 | MRF ↗ |
| ST LUKE'S HOSPITAL Inpatient | WELLSENSE HEALTH PLAN CLARITY CONNECTORCARE & META | WELLSENSE HEALTH PLAN CLARITY CONNECTORCARE & META | $22,350.04 | $70,371.67 | $35,185.83 | 2025-12-15 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL InpatientFacility | Security Health Plan Of Wisconsin, Inc. | Security Health Plan Wisconsin Medicaid Plans | $22,458.70 | — | — | 2025-07-01 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.