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 $20,141–$53,328 (25th–75th percentile) across 160 hospitals · 112 payers.
“Negotiated” is the hospital’s negotiated rate for the entire inpatient stay under MS_DRG 169 — 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 |
|---|---|---|---|---|---|---|---|
| Uh Geauga Medical Center InpatientFacility | Primetime Health Plan | 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 | Aetna | 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 | SummaCare | 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 | Devoted Health | 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 | Humana | 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 | The Health Plan | 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 | Paramount | Medicare Advantage | $52.19 | — | — | 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 | Valor Health Plans | 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 ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Regence Blue Shield | Ump | — | — | — | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Premerafirst | Heritage Prime | — | — | — | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Kaiser Northwest | Managed Medicaid | — | — | — | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Regence Blue Shield | Commercial | — | — | — | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Premerafirst | Global/Heritage | — | — | — | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Premerafirst | Lifewise Primary | — | — | — | 2026-07-31 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Bluechoice Medicaid | — | $1,959.38 | $47,121.23 | $30,628.80 | 2026-07-05 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Inpatient | United Healthcare | Commercial | $2,054.00 | — | — | 2026-08-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Inpatient | SEAFARERS HEALTH AND BENEFITS PLAN [5343] | MMC CIGNA | $2,101.00 | $892,153.56 | — | 2026-01-01 | MRF ↗ |
| CHI Memorial Hospital - Hixson Inpatient | Amerigroup | Medicaid|All Plans | $2,351.00 | — | — | 2026-02-28 | MRF ↗ |
| NORTHRIDGE HOSPITAL MEDICAL CENTER 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 ↗ |
| CHI MEMORIAL HOSPITAL- GEORGIA Inpatient | Amerigroup | Medicaid|All Plans | $2,630.00 | — | — | 2026-02-28 | MRF ↗ |
| CHI MEMORIAL HOSPITAL- GEORGIA Inpatient | Amerigroup | Medicaid|All Plans | $2,630.00 | — | — | 2026-02-28 | MRF ↗ |
| MARINHEALTH MEDICAL CENTER Inpatient | Unitedhealthcare Hmo Hill Physicians | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| MARINHEALTH MEDICAL CENTER Inpatient | Partnership Health Plan | Managed Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| MARINHEALTH MEDICAL CENTER Inpatient | United Healthcare Epo | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| MARINHEALTH MEDICAL CENTER Inpatient | Anthem Blue Cross Hill Physicians | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| MARINHEALTH MEDICAL CENTER Inpatient | Western Health Advantage | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| MARINHEALTH MEDICAL CENTER Inpatient | Kaiser Medical | Managed Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| MARINHEALTH MEDICAL CENTER Inpatient | United Healthcare Hmo | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| MARINHEALTH MEDICAL CENTER Inpatient | Anthem Blue Cross | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| MARINHEALTH MEDICAL CENTER Inpatient | Anthem Blue Connection | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Bcbs Upstate Reedy (Greenville Co Only) | — | $3,541.00 | $47,121.23 | $30,628.80 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Bcbs Exchange | — | $3,647.00 | $47,121.23 | $30,628.80 | 2026-07-05 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Inpatient | Healthnet | Tricare | $3,880.73 | — | — | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Inpatient | Tricare | Dha | $3,974.54 | — | — | 2026-07-15 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Inpatient | Tricare | Dha | $3,974.54 | — | — | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Inpatient | Tricare | Dha | $3,974.54 | — | — | 2026-07-15 | MRF ↗ |
| MCLEOD LORIS HOSPITAL Inpatient | Tricare | Dha | $3,974.54 | — | — | 2026-07-18 | MRF ↗ |
| MCLEOD REGIONAL MEDICAL CENTER-PEE DEE Inpatient | Tricare | Dha | $3,974.54 | — | — | 2026-08-13 | MRF ↗ |
| PATIENTS' HOSPITAL OF REDDING Inpatient | Blue Cross Blue Shield of CA Anthem | All | $4,000.00 | $29,481.29 | $29,481.29 | 2026-03-16 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Inpatient | Triwest | Veterans Choice | $4,005.01 | — | — | 2026-07-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Triwest | Veterans Choice | $4,005.01 | — | — | 2026-08-01 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Inpatient | Triwest | Veterans Choice | $4,005.01 | — | — | 2026-08-01 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Triwest | Veterans Choice | $4,005.01 | — | — | 2026-07-31 | MRF ↗ |
| LDS HOSPITAL Inpatient | Triwest | Veterans Choice | $4,005.01 | — | — | 2026-08-01 | MRF ↗ |
| SEVIER VALLEY HOSPITAL Inpatient | Triwest | Veterans Choice | $4,005.01 | — | — | 2026-07-15 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Inpatient | Triwest | Veterans Choice | $4,005.01 | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Triwest | Veterans Choice | $4,005.01 | — | — | 2026-07-31 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Triwest | Veterans Choice | $4,005.01 | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL Inpatient | Triwest | Veterans Choice | $4,005.01 | — | — | 2026-08-01 | MRF ↗ |
| BEAR RIVER VALLEY HOSPITAL Inpatient | Triwest | Veterans Choice | $4,005.01 | — | — | 2026-07-15 | MRF ↗ |
| MARSHALL MEDICAL CENTER Inpatient | Humana Military | Tricare | $4,013.42 | — | — | 2026-05-08 | MRF ↗ |
| CLARION HOSPITAL Inpatient | Martin'S Point - Usfhp | Tricare | $4,019.53 | — | — | 2026-05-13 | MRF ↗ |
| CLARION HOSPITAL Inpatient | Tricare | Tricare | $4,019.53 | — | — | 2026-05-23 | MRF ↗ |
| CLARION HOSPITAL Inpatient | Martin'S Point - Usfhp | Tricare | $4,019.53 | — | — | 2026-05-23 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Inpatient | Martin'S Point - Usfhp | Tricare | $4,019.53 | — | — | 2026-07-19 | MRF ↗ |
| CLARION HOSPITAL Inpatient | Tricare | Tricare | $4,019.53 | — | — | 2026-05-13 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Inpatient | Tricare | Tricare | $4,019.53 | — | — | 2026-07-19 | MRF ↗ |
| CEDAR CITY HOSPITAL Inpatient | Triwest | Veterans Choice | $4,037.69 | — | — | 2026-07-14 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL Inpatient | Triwest | Veterans Choice | $4,037.69 | — | — | 2026-07-15 | MRF ↗ |
| ADVANCED SURGICAL HOSPITAL Inpatient | Veteran Administration | Veterans Choice | $4,120.64 | — | — | 2026-07-15 | 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 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 West | 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 ↗ |
| JEFFERSON 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 ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND InpatientFacility | Tufts Associated Health Maintenance Organization, Inc. | USHFP | $4,183.73 | — | — | 2026-02-28 | MRF ↗ |
| ALLEGHENY VALLEY 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 ↗ |
| FORBES HOSPITAL 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 ↗ |
| WEST PENN 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 ↗ |
| BARTOW REGIONAL MEDICAL CENTER Inpatient | Humana Military | Commercial Other | $4,201.54 | — | — | 2026-07-15 | MRF ↗ |
| BAYCARE HOSPITAL WESLEY CHAPEL Inpatient | Humana Military | Commercial Other | $4,201.65 | — | — | 2026-07-15 | MRF ↗ |
| SOUTH FLORIDA BAPTIST HOSPITAL Inpatient | Humana Military | Commercial Other | $4,201.65 | — | — | 2026-07-15 | MRF ↗ |
| MEASE DUNEDIN HOSPITAL Inpatient | Humana Military | Commercial Other | $4,201.65 | — | — | 2026-07-15 | MRF ↗ |
| MORTON PLANT HOSPITAL Inpatient | Humana Military | Commercial Other | $4,201.65 | — | — | 2026-07-15 | MRF ↗ |
| MORTON PLANT NORTH BAY HOSPITAL Inpatient | Humana Military | Commercial Other | $4,201.65 | — | — | 2026-07-15 | MRF ↗ |
| Winter Haven Women's Hospital Inpatient | Humana Military | Commercial Other | $4,201.65 | — | — | 2026-07-15 | MRF ↗ |
| MEASE COUNTRYSIDE HOSPITAL Inpatient | Humana Military | Commercial Other | $4,201.65 | — | — | 2026-07-15 | MRF ↗ |
| ST ANTHONYS HOSPITAL Inpatient | Humana Military | Commercial Other | $4,201.65 | — | — | 2026-08-01 | MRF ↗ |
| ST JOSEPHS HOSPITAL Inpatient | Humana Military | Commercial Other | $4,201.65 | — | — | 2026-07-15 | MRF ↗ |
| EL PASO CHILDREN'S HOSPITAL Inpatient | Uh Military Va | Tricare | $4,236.75 | — | — | 2026-07-15 | MRF ↗ |
| ST MARY'S GENERAL HOSPITAL Inpatient | Humana | Humana Military | $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 ↗ |
| LOWER BUCKS HOSPITAL Inpatient | Humana | Humana Tricare | $4,371.14 | — | — | 2024-12-19 | MRF ↗ |
| Wayne Medical Center Inpatient | Humana Military | Tricare | $4,383.16 | — | — | 2026-05-23 | MRF ↗ |
| Wayne Medical Center Inpatient | Humana Military | Tricare | $4,383.16 | — | — | 2026-05-13 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Inpatient | Tricare | Humana Military | $4,383.16 | — | — | 2026-09-21 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Tricare | Traditional | $4,383.68 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Tricare | Traditional | $4,383.68 | — | — | 2026-05-24 | MRF ↗ |
| UofL Health - Frazier Rehabilitation Hospital - Brownsboro Inpatient | Humana | Military Tricare | $4,410.02 | — | — | 2026-07-15 | MRF ↗ |
| UOFL HEALTH - SHELBYVILLE HOSPITAL Inpatient | Humana | Military Tricare | $4,410.02 | — | — | 2026-07-15 | MRF ↗ |
| UofL Health - Peace Hospital Inpatient | Humana | Military Tricare | $4,410.02 | — | — | 2026-07-15 | MRF ↗ |
| UofL Health - Medical Center Southwest Inpatient | Humana | Military Tricare | $4,410.02 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF LOUISVILLE HOSPITAL Inpatient | Humana | Military Tricare | $4,410.02 | — | — | 2026-05-14 | MRF ↗ |
| UOFL HEALTH - SHELBYVILLE HOSPITAL Inpatient | Humana | Military Tricare | $4,410.02 | — | — | 2026-07-17 | MRF ↗ |
| UNIVERSITY OF LOUISVILLE HOSPITAL Inpatient | Humana | Military Tricare | $4,410.02 | — | — | 2026-07-17 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Inpatient | Humana | Military Tricare | $4,410.02 | — | — | 2026-07-17 | MRF ↗ |
| UofL Health - Medical Center East Inpatient | Humana | Military Tricare | $4,410.02 | — | — | 2026-08-01 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Inpatient | Humana | Military Tricare | $4,410.02 | — | — | 2026-05-14 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Inpatient | Humana | Military Tricare | $4,410.02 | — | — | 2026-08-01 | MRF ↗ |
| UofL Health - Medical Center Northeast Inpatient | Humana | Military Tricare | $4,410.02 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF LOUISVILLE HOSPITAL Inpatient | Humana | Military Tricare | $4,410.02 | — | — | 2026-05-22 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Inpatient | Humana | Military Tricare | $4,410.02 | — | — | 2026-07-17 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Inpatient | Humana Military | Tricare | $4,410.02 | — | — | 2026-07-15 | MRF ↗ |
| UofL Health - South Hospital Inpatient | Humana | Military Tricare | $4,410.02 | — | — | 2026-07-15 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Inpatient | Humana | Military Tricare | $4,410.02 | — | — | 2026-05-22 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Inpatient | Healthnet | Tricare | $4,456.91 | — | — | 2026-07-15 | MRF ↗ |
| EL PASO CHILDREN'S HOSPITAL Inpatient | Health Net Fed Svcs | Tricare | $4,660.42 | — | — | 2026-07-15 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Inpatient | Bluegrass | Bluegrass Hmo | $4,669.02 | — | — | 2026-07-15 | MRF ↗ |
| EL PASO CHILDREN'S HOSPITAL Inpatient | Bcbs Tx | Tricare | $4,707.50 | — | — | 2026-07-15 | 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 ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Triwest | Veterans Choice | $5,149.62 | — | — | 2026-07-14 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Triwest | Veterans Choice | $5,149.62 | — | — | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Tricare | Tricare | $5,149.62 | — | — | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Tricare | Tricare | $5,149.62 | — | — | 2026-07-14 | MRF ↗ |
| EL PASO CHILDREN'S HOSPITAL Inpatient | Uh Military Va | Tricare | $5,210.75 | — | — | 2026-07-15 | 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 ↗ |
| EL PASO CHILDREN'S HOSPITAL Inpatient | Health Net Fed Svcs | Tricare | $5,731.83 | — | — | 2026-07-15 | MRF ↗ |
| THE QUEENS MEDICAL CENTER Inpatient | University Health Alliance | Commercial | $5,753.00 | — | — | 2026-07-15 | MRF ↗ |
| The Queen's Medical Center Inpatient | University Health Alliance | Commercial | $5,753.00 | — | — | 2026-07-15 | MRF ↗ |
| UPMC SOMERSET InpatientFacility | UPMC Work Partners | Workers Comp | $5,775.20 | — | — | 2026-03-06 | MRF ↗ |
| EL PASO CHILDREN'S HOSPITAL Inpatient | Bcbs Tx | Tricare | $5,789.73 | — | — | 2026-07-15 | 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 ↗ |
| READING HOSPITAL Inpatient | Upmc | Workpartners | $6,085.88 | — | — | 2026-07-15 | MRF ↗ |
| THE QUEENS MEDICAL CENTER Inpatient | Hawaii Western Management Group | Commercial | $6,149.00 | — | — | 2026-07-15 | MRF ↗ |
| The Queen's Medical Center Inpatient | Hawaii Western Management Group | Commercial | $6,149.00 | — | — | 2026-07-15 | 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 ↗ |
| READING HOSPITAL Inpatient | Aetna | Workers Comp | $6,278.07 | — | — | 2026-07-15 | MRF ↗ |
| READING HOSPITAL Inpatient | Corvel | Workers Comp | $6,278.07 | — | — | 2026-07-15 | MRF ↗ |
| UPMC JAMESON InpatientFacility | UPMC Work Partners | Workers Comp | $6,328.89 | — | — | 2026-03-06 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Tricare Humana Military | — | $6,344.85 | $47,121.23 | $30,628.80 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Tricare | — | $6,344.85 | $47,121.23 | $30,628.80 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Tricare | — | $6,378.14 | $47,121.00 | $30,629.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Tricare Humana Military | — | $6,378.14 | $47,121.00 | $30,629.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Tricare Humana Military | — | $6,384.57 | $47,121.23 | $30,628.80 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Tricare Humana Military | — | $6,468.07 | $47,121.23 | $30,628.80 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Tricare | — | $6,468.07 | $47,121.23 | $30,628.80 | 2026-07-05 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC InpatientFacility | Aetna | NC+ Preferred | $6,527.00 | — | — | 2025-10-08 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Champus/Tricare | — | $6,679.40 | $47,121.23 | $32,984.86 | 2026-06-20 | 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 ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Inpatient | Pnoa | Workers Comp | $6,979.39 | — | — | 2026-07-19 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Tricare Humana Military | — | $6,979.59 | $47,121.23 | $30,628.80 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Tricare | — | $6,979.59 | $47,121.23 | $30,628.80 | 2026-05-28 | MRF ↗ |
| UPMC PASSAVANT InpatientFacility | Private Health Care Systems | Workers' Comp | $7,359.17 | — | — | 2026-03-07 | MRF ↗ |
| UPMC Shadyside InpatientFacility | Multiplan | Worker's Compensation | $7,359.17 | — | — | 2026-03-06 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Tricare Humana Military | — | $7,383.75 | $47,121.23 | $30,628.80 | 2026-07-05 | MRF ↗ |
| PHOENIXVILLE HOSPITAL Inpatient | Health America | Workers Comp | $7,425.15 | — | — | 2026-07-17 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Inpatient | Workers Comp | Other | $7,651.85 | — | — | 2026-07-19 | 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 ↗ |
| 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 ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC InpatientFacility | Aetna | Broad Network | $8,452.00 | — | — | 2025-10-08 | 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 | 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 ↗ |
| UPMC NORTHWEST InpatientFacility | UPMC Work Partners | Workers Comp | $9,223.57 | — | — | 2026-03-06 | MRF ↗ |
| UPMC BEDFORD MEMORIAL 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 | All | $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 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 EAST 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 Shadyside 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 | HUMANA MEDICAID OH [4455] | HUMANA MEDICAID OH [4455001] | $12,195.97 | — | — | 2026-04-01 | 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.