176 — Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES (APR_DRG 176) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/176?code_type=APR_DRG
MLA (9th ed.)
“INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES (APR_DRG 176) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/176?code_type=APR_DRG. Accessed .
Chicago (notes-bibliography)
“INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES (APR_DRG 176) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/176?code_type=APR_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $16,638–$36,498 (25th–75th percentile) across 39 hospitals · 151 payers.
“Negotiated” is the hospital’s negotiated rate for the entire inpatient stay under APR_DRG 176 — 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 | $143,046.86 | $28,609.37 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Inpatient | POLICE DEPARTMENTS [50065] | POLICE DEPTS [5006501] | $1,000.00 | $143,046.86 | $28,609.37 | 2026-03-31 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | HUMANA MEDICAID OH [3102] | HB XR HUMANA 103% OHIO MEDICAID | — | $379,691.24 | $227,814.74 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | ANTHEM MEDICAID OHIO [2192] | HB XR ANTHEM OH MEDICAID 103% | — | $379,691.24 | $227,814.74 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | UHC COMMUNITY MEDICAID [2175] | HB XR UNITED HEALTHCARE MGD MEDICAID OHIO | — | $379,691.24 | $227,814.74 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | CARESOURCE [2031] | HB XR CARESOURCE MGD MEDICAID OHIO 103% | — | $379,691.24 | $227,814.74 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | AETNA BETTER HEALTH OHIO MEDICAID [2183] | HB XR AETNA BETTER HLTH MGD MEDICAID OH 108% | — | $379,691.24 | $227,814.74 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | MOLINA MEDICAID [2058] | HB XR MOLINA MGD MEDICAID OH 107% | — | $379,691.24 | $227,814.74 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | AMERIHEALTH CARITAS [2230] | HB XR AMERIHEALTH CARITAS OH 103% | — | $379,691.24 | $227,814.74 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | BUCKEYE COMMUNITY HEALTH [2028] | HB XR BUCKEYE MGD MEDICAID OH 106% | — | $379,691.24 | $227,814.74 | 2025-12-19 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | HENNEPIN HEALTH [1096] | HENNEPIN HEALTH SNBC [4275] | — | $15,997.49 | — | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | CIGNA HEALTH PARTNERS [1242] | HEALTHPARTNERS CIGNA [3540] | — | $15,997.49 | — | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | BEECH STREET [1171] | BEECH ST GENERIC [3353] | — | $15,997.49 | — | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | BLUE CROSS [1021] | BCBS STRIVE COMMERCIAL [4342] | — | $15,997.49 | $8,430.68 | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | UNITED HEALTHCARE [2204] | UHC MEDICARE ADVANTAGE [4360] | — | $15,997.49 | — | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | BLUE CROSS [1021] | BCBS MEDICARE ADVANTAGE [4278] | $6,854.92 | $15,997.49 | $8,430.68 | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | HEALTH PARTNERS [1061] | HEALTHPARTNERS OPEN ACCESS/CHOICE [3119] | — | $15,997.49 | — | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | UCARE [1148] | UCARE MEDICARE ADVANTAGE [3303] | — | $15,997.49 | $8,430.68 | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | BLUE CROSS [1021] | BCBS PMAP/MNCARE [4483] | — | $15,997.49 | $8,430.68 | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | AMERICA'S PPO [1010] | AMERICA'S PPO [3015] | — | $15,997.49 | — | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | MEDICA [1086] | MEDICA NORTH MEMORIAL ACCLAIM [4206] | — | $15,997.49 | — | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | MEDICA [1086] | MEDICA DUAL SOLUTION/MSHO [3178] | — | $15,997.49 | — | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | 0 | 0 | — | $15,997.49 | $8,430.68 | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | UCARE [1148] | UCARE MSHO [3304] | — | $15,997.49 | $8,430.68 | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | NATIONAL PREFERRED PROV NETWRK [1230] | NAT PREF PROV NETWORK GENERIC [3512] | — | $15,997.49 | — | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | ALLINA HEALTH-AETNA [2201] | ALLINA HEALTH-AETNA COMMERCIAL [4352] | — | $15,997.49 | — | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | UCARE [1148] | UCARE IFB [4293] | — | $15,997.49 | — | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | BLUE CROSS [1021] | BCBS MINNESOTA COMMERCIAL [3031] | — | $15,997.49 | $8,430.68 | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | HEALTH PARTNERS [1061] | HEALTHPARTNERS MSHO [3118] | — | $15,997.49 | — | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | HEALTH PAYORS ORG, LTD [1146] | HEALTH PAYORS ORG GENERIC [3459] | — | $15,997.49 | — | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | HEALTH PARTNERS [1061] | HEALTHPARTNERS FREEDOM [3106] | — | $15,997.49 | — | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | MEDICA [1086] | MEDICA COMMERCIAL [3453] | — | $15,997.49 | — | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | HENNEPIN HEALTH [1096] | HENNEPIN HEALTH PMAP [3212] | — | $15,997.49 | — | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | BLUE CROSS [1021] | BCBS FEDERAL EMPLOYEE [3033] | — | $15,997.49 | $8,430.68 | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | AMERICA'S PPO [1010] | HEALTHEZ AMERICA'S PPO [3438] | — | $15,997.49 | — | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | HEALTH SOUTH [1234] | HEALTH SOUTH GENERIC [3514] | — | $15,997.49 | — | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | UNITED HEALTHCARE [2204] | UHC COMMERCIAL [4358] | — | $15,997.49 | — | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | MEDICA [1086] | MEDICA VANTAGE PLUS [4205] | — | $15,997.49 | — | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | PHCS [1172] | ALLIED BENEFIT SYSTEMS PHCS [3378] | — | $15,997.49 | — | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | HEALTH PARTNERS [1061] | HEALTHPARTNERS CARE [3108] | — | $15,997.49 | — | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | MEDICA [1086] | MEDICA PMAP/MNCARE [4467] | — | $15,997.49 | — | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | ALLINA HEALTH-AETNA [2201] | ALLINA HEALTH-AETNA MEDICARE [4353] | — | $15,997.49 | — | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | UCARE [1148] | UCARE PMAP/MNCARE [3301] | — | $15,997.49 | $8,430.68 | 2024-12-31 | MRF ↗ |
| MAPLE GROVE HOSPITAL Inpatient | MEDICA [1086] | MEDICA COMMERCIAL [3453] | — | $15,080.66 | — | 2024-12-31 | MRF ↗ |
| MAPLE GROVE HOSPITAL Inpatient | ALLINA HEALTH-AETNA [2201] | ALLINA HEALTH-AETNA MEDICARE [4353] | — | $15,080.66 | — | 2024-12-31 | MRF ↗ |
| MAPLE GROVE HOSPITAL Inpatient | BEECH STREET [1171] | BEECH ST GENERIC [3353] | — | $15,080.66 | — | 2024-12-31 | MRF ↗ |
| MAPLE GROVE HOSPITAL Inpatient | UCARE [1148] | UCARE PMAP/MNCARE [3301] | — | $15,080.66 | $7,947.51 | 2024-12-31 | MRF ↗ |
| MAPLE GROVE HOSPITAL Inpatient | BLUE CROSS [1021] | BCBS FEDERAL EMPLOYEE [3033] | — | $15,080.66 | $7,947.51 | 2024-12-31 | MRF ↗ |
| MAPLE GROVE HOSPITAL Inpatient | UNITED HEALTHCARE [2204] | UHC COMMERCIAL [4358] | — | $15,080.66 | — | 2024-12-31 | MRF ↗ |
| MAPLE GROVE HOSPITAL Inpatient | UNITED HEALTHCARE [2204] | UHC MEDICARE ADVANTAGE [4360] | — | $15,080.66 | — | 2024-12-31 | MRF ↗ |
| MAPLE GROVE HOSPITAL Inpatient | HENNEPIN HEALTH [1096] | HENNEPIN HEALTH PMAP [3212] | — | $15,080.66 | — | 2024-12-31 | MRF ↗ |
| MAPLE GROVE HOSPITAL Inpatient | HENNEPIN HEALTH [1096] | HENNEPIN HEALTH SNBC [4275] | — | $15,080.66 | — | 2024-12-31 | MRF ↗ |
| MAPLE GROVE HOSPITAL Inpatient | CIGNA HEALTH PARTNERS [1242] | HEALTHPARTNERS CIGNA [3540] | — | $15,080.66 | — | 2024-12-31 | MRF ↗ |
| MAPLE GROVE HOSPITAL Inpatient | HEALTH PARTNERS [1061] | HEALTHPARTNERS FREEDOM [3106] | — | $15,080.66 | — | 2024-12-31 | MRF ↗ |
| MAPLE GROVE HOSPITAL Inpatient | HEALTH PARTNERS [1061] | HEALTHPARTNERS MSHO [3118] | — | $15,080.66 | — | 2024-12-31 | MRF ↗ |
| MAPLE GROVE HOSPITAL Inpatient | AMERICA'S PPO [1010] | HEALTHEZ AMERICA'S PPO [3438] | — | $15,080.66 | — | 2024-12-31 | MRF ↗ |
| MAPLE GROVE HOSPITAL Inpatient | HEALTH SOUTH [1234] | HEALTH SOUTH GENERIC [3514] | — | $15,080.66 | — | 2024-12-31 | MRF ↗ |
| MAPLE GROVE HOSPITAL Inpatient | HEALTH PAYORS ORG, LTD [1146] | HEALTH PAYORS ORG GENERIC [3459] | — | $15,080.66 | — | 2024-12-31 | MRF ↗ |
| MAPLE GROVE HOSPITAL Inpatient | AMERICA'S PPO [1010] | AMERICA'S PPO [3015] | — | $15,080.66 | — | 2024-12-31 | MRF ↗ |
| MAPLE GROVE HOSPITAL Inpatient | PHCS [1172] | ALLIED BENEFIT SYSTEMS PHCS [3378] | — | $15,080.66 | — | 2024-12-31 | MRF ↗ |
| MAPLE GROVE HOSPITAL Inpatient | MEDICA [1086] | MEDICA NORTH MEMORIAL ACCLAIM [4206] | — | $15,080.66 | — | 2024-12-31 | MRF ↗ |
| MAPLE GROVE HOSPITAL Inpatient | BLUE CROSS [1021] | BCBS MEDICARE ADVANTAGE [4278] | $6,986.87 | $15,080.66 | $7,947.51 | 2024-12-31 | MRF ↗ |
| MAPLE GROVE HOSPITAL Inpatient | BLUE CROSS [1021] | BCBS STRIVE COMMERCIAL [4342] | — | $15,080.66 | $7,947.51 | 2024-12-31 | MRF ↗ |
| MAPLE GROVE HOSPITAL Inpatient | UCARE [1148] | UCARE IFB [4293] | — | $15,080.66 | — | 2024-12-31 | MRF ↗ |
| MAPLE GROVE HOSPITAL Inpatient | BLUE CROSS [1021] | BCBS PMAP/MNCARE [4483] | — | $15,080.66 | $7,947.51 | 2024-12-31 | MRF ↗ |
| MAPLE GROVE HOSPITAL Inpatient | HEALTH PARTNERS [1061] | HEALTHPARTNERS OPEN ACCESS/CHOICE [3119] | — | $15,080.66 | — | 2024-12-31 | MRF ↗ |
| MAPLE GROVE HOSPITAL Inpatient | MEDICA [1086] | MEDICA VANTAGE PLUS [4205] | — | $15,080.66 | — | 2024-12-31 | MRF ↗ |
| MAPLE GROVE HOSPITAL Inpatient | MEDICA [1086] | MEDICA DUAL SOLUTION/MSHO [3178] | — | $15,080.66 | — | 2024-12-31 | MRF ↗ |
| MAPLE GROVE HOSPITAL Inpatient | ALLINA HEALTH-AETNA [2201] | ALLINA HEALTH-AETNA COMMERCIAL [4352] | — | $15,080.66 | — | 2024-12-31 | MRF ↗ |
| MAPLE GROVE HOSPITAL Inpatient | UCARE [1148] | UCARE MEDICARE ADVANTAGE [3303] | — | $15,080.66 | — | 2024-12-31 | MRF ↗ |
| MAPLE GROVE HOSPITAL Inpatient | HEALTH PARTNERS [1061] | HEALTHPARTNERS CARE [3108] | — | $15,080.66 | — | 2024-12-31 | MRF ↗ |
| MAPLE GROVE HOSPITAL Inpatient | BLUE CROSS [1021] | BCBS MINNESOTA COMMERCIAL [3031] | — | $15,080.66 | $7,947.51 | 2024-12-31 | MRF ↗ |
| MAPLE GROVE HOSPITAL Inpatient | MEDICA [1086] | MEDICA PMAP/MNCARE [4467] | — | $15,080.66 | — | 2024-12-31 | MRF ↗ |
| MAPLE GROVE HOSPITAL Inpatient | NATIONAL PREFERRED PROV NETWRK [1230] | NAT PREF PROV NETWORK GENERIC [3512] | — | $15,080.66 | — | 2024-12-31 | MRF ↗ |
| MAPLE GROVE HOSPITAL Inpatient | UCARE [1148] | UCARE MSHO [3304] | — | $15,080.66 | — | 2024-12-31 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis Child Health Plus | $7,342.33 | — | — | 2026-04-14 | MRF ↗ |
| SANFORD MEDICAL CENTER ABERDEEN InpatientFacility | Sanford Health Plan | SD Exchange True | $7,843.34 | — | — | 2026-03-04 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis Medicaid | $7,980.79 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis HARP | $7,980.79 | — | — | 2026-04-14 | MRF ↗ |
| SANFORD MEDICAL CENTER ABERDEEN InpatientFacility | Sanford Health Plan | Group Health/True | $8,943.38 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD MEDICAL CENTER ABERDEEN InpatientFacility | Sanford Health Plan | SD Exchange Commercial | $9,227.47 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD MEDICAL CENTER ABERDEEN InpatientFacility | Health Partners | State Employees | $9,352.00 | — | — | 2026-03-04 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Fidelis | Fidelis QHP | $9,531.54 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Fidelis | Fidelis QHP | $9,531.54 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Fidelis | Fidelis QHP | $9,531.54 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Fidelis | Fidelis QHP | $9,531.54 | — | — | 2026-04-14 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | UHC COMMUNITY MEDICAID [2175] | HB XR UHC INDIANA PATHWAYS MEDICAID | $9,706.99 | $75,640.86 | $45,384.52 | 2025-12-19 | MRF ↗ |
| PIEDMONT HOSPITAL, INC Inpatient | AMERIGROUP MEDICAID [20100] | Amerigroup | $9,832.68 | $92,562.99 | — | 2026-04-01 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Fidelis | Fidelis QHP | $10,008.12 | — | — | 2026-04-14 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | SUPERIOR HEALTH PLAN [1402] | SUPERIOR STAR HEALTH FOSTER CARE [140200] | $10,251.31 | $173,805.11 | $69,522.04 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | COOK CHILDREN HEALTH PLAN [1380] | COOK CHILDREN STAR MEDICAID [138000] | $10,450.38 | $173,805.11 | $69,522.04 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | AETNA BETTER HEALTH [1317] | AETNA BETTER HEALTH CHIP [131701] | $10,450.38 | $173,805.11 | $69,522.04 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | PARKLAND COMMUNITY HEALTH PLAN [1056] | Parkland CHIP [105606] | $10,450.38 | $173,805.11 | $69,522.04 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | COOK CHILDREN HEALTH PLAN [1380] | COOK CHILDRENS STAR KIDS [138005] | $10,450.38 | $173,805.11 | $69,522.04 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | COOK CHILDREN HEALTH PLAN [1380] | COOK CHILDRENS CHIP [138006] | $10,450.38 | $173,805.11 | $69,522.04 | 2026-05-29 | MRF ↗ |
| SANFORD MEDICAL CENTER ABERDEEN InpatientFacility | Sanford Health Plan | Commercial | $10,521.62 | — | — | 2026-03-04 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | UHC COMMUNITY MEDICAID [2175] | HB XR UNITED HEALTHCARE MGD MEDICAID OHIO | $10,558.62 | $75,640.86 | $45,384.52 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | HUMANA MEDICAID OH [3102] | HB XR HUMANA 103% OHIO MEDICAID | $10,558.62 | $75,640.86 | $45,384.52 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | ANTHEM MEDICAID OHIO [2192] | HB XR ANTHEM OH MEDICAID 103% | $10,558.62 | $75,640.86 | $45,384.52 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | AMERIHEALTH CARITAS [2230] | HB XR AMERIHEALTH CARITAS OH 103% | $10,558.62 | $75,640.86 | $45,384.52 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | CARESOURCE [2031] | HB XR CARESOURCE MGD MEDICAID OHIO 103% | $10,558.62 | $75,640.86 | $45,384.52 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | MOLINA MEDICAID [2058] | HB XR MOLINA MGD MEDICAID OH 107% | $10,558.62 | $75,640.86 | $45,384.52 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | AETNA BETTER HEALTH OHIO MEDICAID [2183] | HB XR AETNA BETTER HLTH MGD MEDICAID OH 108% | $10,558.62 | $75,640.86 | $45,384.52 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | BUCKEYE COMMUNITY HEALTH [2028] | HB XR BUCKEYE MGD MEDICAID OH 106% | $10,558.62 | $75,640.86 | $45,384.52 | 2025-12-19 | MRF ↗ |
| SANFORD MEDICAL CENTER ABERDEEN InpatientFacility | Health Partners | Commercial | $10,832.00 | — | — | 2026-03-04 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | MOLINA [1382] | POST PARTUM VST-MOLINA CHIP [138205] | $10,948.01 | $173,805.11 | $69,522.04 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | POINT COMFORT UNDERWRITERS [1801] | POINT COMFORT UNDERWRITERS [180100] | $10,948.01 | $173,805.11 | $69,522.04 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | MOLINA [1382] | MOLINA CHIP [138201] | $10,948.01 | $173,805.11 | $69,522.04 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | MOLINA [1382] | MOLINA RSA MEDICAID [138203] | $10,948.01 | $173,805.11 | $69,522.04 | 2026-05-29 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis QHP | $11,008.94 | — | — | 2026-04-14 | MRF ↗ |
| ST JOHNS HOSPITAL Inpatient | MOLINA HEALTHCARE | MOLINA MEDICAID | — | — | — | 2026-03-24 | MRF ↗ |
| ST JOHNS HOSPITAL Inpatient | WEXFORD | WEXFORD HEALTH SOURCES | — | — | — | 2026-03-24 | MRF ↗ |
| ST JOHNS HOSPITAL Inpatient | MERIDIAN HEALTH PLAN | MERIDIAN HMO MCD | — | — | — | 2026-03-24 | MRF ↗ |
| WEST PENN HOSPITAL Inpatient | Fidelis | Fidelis QHP | $11,533.15 | — | — | 2026-04-14 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | UHC COMMUNITY MEDICAID [2175] | HB XR UHC INDIANA PATHWAYS MEDICAID | $11,546.40 | $379,691.24 | $227,814.74 | 2025-12-19 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Independent Health | Independent Health State Products | $11,766.70 | — | — | 2026-04-14 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | Health Partners | Managed Medicaid | $12,529.03 | — | — | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | Health Partners | Managed Medicaid | $12,529.03 | — | — | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | Amerihealth | Managed Medicaid | $12,529.03 | — | — | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | Amerihealth | Managed Medicaid | $12,529.03 | — | — | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | UPMC for You | Managed Medicaid | $12,597.50 | — | — | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | UPMC for You | Managed Medicaid | $12,597.50 | — | — | 2026-02-12 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $12,734.51 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Aetna | Aetna Better Health CHIP | $12,734.51 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Aetna | Aetna Better Health CHIP | $12,734.51 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $12,734.51 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Aetna | Aetna Better Health CHIP | $12,734.51 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $12,734.51 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $12,734.51 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $12,734.51 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Aetna | Aetna Better Health CHIP | $12,734.51 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Aetna | Aetna Better Health CHIP | $12,734.51 | — | — | 2026-04-14 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | Geisinger | Managed Medicaid | $12,779.61 | — | — | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | Geisinger | Managed Medicaid | $12,779.61 | — | — | 2026-02-12 | MRF ↗ |
| MEADVILLE MEDICAL CENTER Inpatient | Geisinger | Managed Medicaid | $12,849.45 | — | — | 2026-02-12 | MRF ↗ |
| MEADVILLE MEDICAL CENTER Inpatient | Geisinger | Managed Medicaid | $12,849.45 | — | — | 2025-02-18 | MRF ↗ |
| MEADVILLE MEDICAL CENTER Inpatient | Geisinger | Managed Medicaid | $12,849.45 | — | — | 2025-02-18 | MRF ↗ |
| MEADVILLE MEDICAL CENTER Inpatient | Geisinger | Managed Medicaid | $12,849.45 | — | — | 2026-09-11 | MRF ↗ |
| HUNTINGTON HOSPITAL Inpatient | Kaiser Foundation Hospitals on behalf of its Southern California Region | Medi-Cal | $12,960.78 | — | — | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | AIDS Healthcare Foundation and AHF Healthcare Centers | PHC California/Medi-Cal HMO | $12,960.78 | — | — | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | Prospect Health Plan, Inc. | Medi-Cal | $12,960.78 | — | — | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | Molina Healthcare of California | Medi-Cal | $12,960.78 | — | — | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | VENTURA COUNTY MEDI-CAL MANAGED CARE COMMISSION (dba Gold Coast Health Plan) | Medi-Cal | $12,960.78 | — | — | 2025-11-26 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Aetna | Aetna Better Health CHIP | $13,371.25 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $13,371.25 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis Child Health Plus | $13,529.69 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $13,717.62 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $13,717.62 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $13,717.62 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $13,859.30 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $13,859.30 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $13,859.30 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Amerihealth | Amerihealth Medicaid HC | $14,007.96 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Amerihealth | Amerihealth Medicaid CHC | $14,007.96 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Amerihealth | Amerihealth Medicaid HC | $14,007.96 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Amerihealth | Amerihealth Medicaid CHC | $14,007.96 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Amerihealth | Amerihealth Medicaid HC | $14,007.96 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Amerihealth | Amerihealth Medicaid HC | $14,007.96 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Amerihealth | Amerihealth Medicaid CHC | $14,007.96 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Amerihealth | Amerihealth Medicaid HC | $14,007.96 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Amerihealth | Amerihealth Medicaid CHC | $14,007.96 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Amerihealth | Amerihealth Medicaid CHC | $14,007.96 | — | — | 2026-04-14 | MRF ↗ |
| HUNTINGTON HOSPITAL Inpatient | California PhysiciansÆ Service, dba Blue Shield of California | Medi-Cal | $14,256.86 | — | — | 2025-11-26 | MRF ↗ |
| HUNTINGTON HOSPITAL Inpatient | Blue Cross of California | Medi-Cal | $14,256.86 | — | — | 2025-11-26 | MRF ↗ |
| SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN Inpatient | Metroplus Medicaid | Commercial | $14,286.00 | $14,727.00 | — | 2026-07-15 | MRF ↗ |
| HOLLYWOOD PRESBYTERIAN MEDICAL CENTER Inpatient | Brand New Day | Medi-Cal | — | — | — | 2025-11-19 | MRF ↗ |
| HOLLYWOOD PRESBYTERIAN MEDICAL CENTER Inpatient | Medicaid | Medicaid | — | — | — | 2025-11-19 | MRF ↗ |
| HOLLYWOOD PRESBYTERIAN MEDICAL CENTER Inpatient | Pipeline formerly Avanti | Medi-Cal | — | — | — | 2025-11-19 | MRF ↗ |
| HOLLYWOOD PRESBYTERIAN MEDICAL CENTER Inpatient | Valley Presbyterian Medical Center | Medi-Cal | — | — | — | 2025-11-19 | MRF ↗ |
| HOLLYWOOD PRESBYTERIAN MEDICAL CENTER Inpatient | Alta Hospital Systems | Medi-Cal | — | — | — | 2025-11-19 | MRF ↗ |
| HOLLYWOOD PRESBYTERIAN MEDICAL CENTER Inpatient | Kern Health Systems | Medi-Cal | — | — | — | 2025-11-19 | MRF ↗ |
| HOLLYWOOD PRESBYTERIAN MEDICAL CENTER Inpatient | Blue Shield of California | Medi-Cal | — | — | — | 2025-11-19 | MRF ↗ |
| HOLLYWOOD PRESBYTERIAN MEDICAL CENTER Inpatient | LA Care | Medi-Cal | — | — | — | 2025-11-19 | MRF ↗ |
| HOLLYWOOD PRESBYTERIAN MEDICAL CENTER Inpatient | LA Care | PASC-SEIU | — | — | — | 2025-11-19 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Highmark Wholecare | Highmark Wholecare Medicaid HC | $14,517.35 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Highmark Wholecare | Highmark Wholecare Medicaid HC | $14,517.35 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Highmark Wholecare | Highmark Wholecare Medicaid HC | $14,517.35 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Highmark Wholecare | Highmark Wholecare Medicaid HC | $14,517.35 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Highmark Wholecare | Highmark Wholecare Medicaid HC | $14,517.35 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis Medicaid | $14,706.18 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis HARP | $14,706.18 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Amerihealth | Amerihealth Medicaid HC | $14,708.37 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Amerihealth | Amerihealth Medicaid CHC | $14,708.37 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Aetna | Aetna Better Health CHIP | $14,708.38 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $14,708.38 | — | — | 2026-04-14 | MRF ↗ |
| SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN Inpatient | Affinity Medicaid | Commercial | $14,727.00 | $14,727.00 | — | 2026-07-15 | MRF ↗ |
| SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN Inpatient | Uhc Medicaid | Commercial | $14,727.00 | $14,727.00 | — | 2026-07-15 | MRF ↗ |
| SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN Inpatient | Emblem Hip Medicaid | Commercial | $14,727.00 | $14,727.00 | — | 2026-07-15 | MRF ↗ |
| SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN Inpatient | Ebcbs Medicaid | Commercial | $14,727.00 | $14,727.00 | — | 2026-07-15 | MRF ↗ |
| SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN Inpatient | Vnsny Medicaid | Commercial | $14,727.00 | $14,727.00 | — | 2026-07-15 | MRF ↗ |
| SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN Inpatient | Metroplus Qhp | Commercial | $14,727.00 | $14,727.00 | — | 2026-07-15 | MRF ↗ |
| SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN Inpatient | Fidelis Medicaid | Commercial | $14,727.00 | $14,727.00 | — | 2026-07-15 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $14,763.12 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $14,763.12 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Geisinger | Geisinger Medicaid HC | $14,899.38 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Geisinger | Geisinger CHIP | $14,899.38 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Geisinger | Geisinger Medicaid HC | $14,899.38 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Geisinger | Geisinger Medicaid HC | $14,899.38 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Geisinger | Geisinger CHIP | $14,899.38 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Geisinger | Geisinger Medicaid HC | $14,899.38 | — | — | 2026-04-14 | 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.