193 — Simple Pneumonia And Pleurisy With Mcc
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). SIMPLE PNEUMONIA AND PLEURISY WITH MCC (MS_DRG 193) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/193?code_type=MS_DRG
MLA (9th ed.)
“SIMPLE PNEUMONIA AND PLEURISY WITH MCC (MS_DRG 193) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/193?code_type=MS_DRG. Accessed .
Chicago (notes-bibliography)
“SIMPLE PNEUMONIA AND PLEURISY WITH MCC (MS_DRG 193) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/193?code_type=MS_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $10,142–$19,124 (25th–75th percentile) across 3,253 hospitals · 5,086 payers.
“Negotiated” is the hospital’s negotiated rate for the entire inpatient stay under MS_DRG 193 — 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 |
|---|---|---|---|---|---|---|---|
| NORTHEAST HOSPITAL CORPORATION InpatientFacility | Optum | VA Government | — | — | — | 2026-04-01 | MRF ↗ |
| THE MIRIAM HOSPITAL InpatientFacility | Va Community Care | Optum Government | — | — | — | 2026-04-01 | MRF ↗ |
| THE MIRIAM HOSPITAL InpatientFacility | Va Community Care | Optum Government | — | — | — | 2026-04-01 | MRF ↗ |
| NEWPORT HOSPITAL InpatientFacility | Va Community Care | Optum Government | — | — | — | 2026-04-01 | MRF ↗ |
| NEWPORT HOSPITAL InpatientFacility | Va Community Care | Optum Government | — | — | — | 2026-04-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | Health Net of California, Inc. | Medicare Advantage | — | — | — | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | Medicare Advantage | — | — | — | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | Humana Health Plan, Inc. | Medicare Advantage | — | — | — | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | Medicare Advantage | — | — | — | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | — | — | 2025-11-26 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER InpatientFacility | MOLINA | MOLINA MANAGED MEDICAID PROGRAM | $1.16 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER InpatientFacility | MOLINA | MOLINA MANAGED MEDICAID PROGRAM | $1.16 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER InpatientFacility | MOLINA | MOLINA MANAGED MEDICAID PROGRAM | $1.27 | — | — | 2026-09-01 | MRF ↗ |
| O'connor Hospital InpatientFacility | SCAN HEALTH PLAN [710] | SCAN HEALTH PLAN [710001] | $1.31 | $91,064.00 | $63,744.80 | 2026-09-01 | MRF ↗ |
| ASANTE THREE RIVERS MEDICAL CENTER Inpatient | KAISER MED ADV SO CALIFORNIA HMO [7038] | KAISER MED ADV SO CALIFORNIA HMO | $1.31 | $36,646.47 | $23,820.21 | 2026-03-25 | MRF ↗ |
| ASANTE THREE RIVERS MEDICAL CENTER Inpatient | MANAGED HLTH NETWRK BH WELLCARE [7042] | MANAGED HEALTH NETWORK BH WELLCARE MA | $1.31 | $36,646.47 | $23,820.21 | 2026-03-25 | MRF ↗ |
| ASANTE THREE RIVERS MEDICAL CENTER Inpatient | ATRIO HLTH PLANS MEDICARE ADV [7004] | Atrio Health Medicare Advantage Plans | $1.31 | $36,646.47 | $23,820.21 | 2026-03-25 | MRF ↗ |
| SANTA CLARA VALLEY MEDICAL CENTER InpatientFacility | ALIGNMENT HEALTH [870] | ALIGNMENT HEALTH [870001] | $1.31 | $91,064.00 | $63,744.80 | 2026-09-01 | MRF ↗ |
| O'connor Hospital InpatientFacility | HEALTHNET [265] | HEALTHNET TRICARE [265010] | $1.31 | $91,064.00 | $63,744.80 | 2026-09-01 | MRF ↗ |
| ASANTE THREE RIVERS MEDICAL CENTER Inpatient | KAISER OF WASHINGTON MEDICARE HMO [7026] | KAISER OF WA MEDICARE HMO | $1.31 | $36,646.47 | $23,820.21 | 2026-03-25 | MRF ↗ |
| ASANTE THREE RIVERS MEDICAL CENTER Inpatient | KAISER MED ADV NO CALIFORNIA HMO [7037] | KAISER MED ADV NO CALIFORNIA HMO | $1.31 | $36,646.47 | $23,820.21 | 2026-03-25 | MRF ↗ |
| SANTA CLARA VALLEY MEDICAL CENTER InpatientFacility | UNITED HEALTHCARE MEDICARE ADVANTAGE HMO [740] | UNITED HEALTHCARE MEDICARE ADVANTAGE HMO [740001] | $1.31 | $91,064.00 | $63,744.80 | 2026-09-01 | MRF ↗ |
| ASANTE THREE RIVERS MEDICAL CENTER Inpatient | VETERANS ADMINISTRATION [4004] | Veterans Admininstration Plans | $1.31 | $36,646.47 | $23,820.21 | 2026-03-25 | MRF ↗ |
| ASANTE THREE RIVERS MEDICAL CENTER Inpatient | ALIGNMENT HEALTH PLAN [7029] | ALIGNMENT HEALTH PLAN PPO | $1.31 | $36,646.47 | $23,820.21 | 2026-03-25 | MRF ↗ |
| SANTA CLARA VALLEY MEDICAL CENTER InpatientFacility | BLUE CROSS WELLCARE [375] | WELLCARE [375001] | $1.31 | $91,064.00 | $63,744.80 | 2026-09-01 | MRF ↗ |
| ASANTE THREE RIVERS MEDICAL CENTER Inpatient | CIGNA MED ADV HMO [7040] | CIGNA MED ADV HMO | $1.31 | $36,646.47 | $23,820.21 | 2026-03-25 | MRF ↗ |
| ASANTE THREE RIVERS MEDICAL CENTER Inpatient | STERLING MEDICARE ADV [7012] | STERLING OPTION 1 | $1.31 | $36,646.47 | $23,820.21 | 2026-03-25 | MRF ↗ |
| SANTA CLARA VALLEY MEDICAL CENTER InpatientFacility | SCAN HEALTH PLAN [710] | SCAN HEALTH PLAN [710001] | $1.31 | $91,064.00 | $63,744.80 | 2026-09-01 | MRF ↗ |
| SANTA CLARA VALLEY MEDICAL CENTER InpatientFacility | ONLOK [380] | ONLOK [380001] | $1.31 | $91,064.00 | $63,744.80 | 2026-09-01 | MRF ↗ |
| O'connor Hospital InpatientFacility | BLUE CROSS WELLCARE [375] | WELLCARE [375001] | $1.31 | $91,064.00 | $63,744.80 | 2026-09-01 | MRF ↗ |
| ASANTE THREE RIVERS MEDICAL CENTER Inpatient | MEDICARE SOLUTIONS [7011] | MEDICARE SOLUTIONS MEDICARE ADVANTAGE PLANS | $1.31 | $36,646.47 | $23,820.21 | 2026-03-25 | MRF ↗ |
| ASANTE THREE RIVERS MEDICAL CENTER Inpatient | SAMARITAN HEALTH MED ADV HMO [7043] | SAMARITAN ADVANTAGE PREMIER PLUS HEALTH | $1.31 | $36,646.47 | $23,820.21 | 2026-03-25 | MRF ↗ |
| St. Louise Regional Hospital InpatientFacility | KAISER SR. [365] | KAISER SR [365001] | $1.31 | $91,064.00 | $63,744.80 | 2026-09-01 | MRF ↗ |
| ASANTE THREE RIVERS MEDICAL CENTER Inpatient | BLUE SHIELD MEDICARE ADVANTAGE PPO [7031] | BLUE SHIELD MEDICARE ADVANTAGE PPO | $1.31 | $36,646.47 | $23,820.21 | 2026-03-25 | MRF ↗ |
| St. Louise Regional Hospital InpatientFacility | BLUE CROSS WELLCARE [375] | WELLCARE [375001] | $1.31 | $91,064.00 | $63,744.80 | 2026-09-01 | MRF ↗ |
| ASANTE THREE RIVERS MEDICAL CENTER Inpatient | SCAN HEALTH PLAN [7024] | SCAN CLAIMS DEPARTMENT | $1.31 | $36,646.47 | $23,820.21 | 2026-03-25 | MRF ↗ |
| ASANTE THREE RIVERS MEDICAL CENTER Inpatient | ALIGNMENT HEALTH PLAN [7029] | ALIGNMENT HEALTH PLAN HMO POS | $1.31 | $36,646.47 | $23,820.21 | 2026-03-25 | MRF ↗ |
| O'connor Hospital InpatientFacility | ONLOK [380] | ONLOK [380001] | $1.31 | $91,064.00 | $63,744.80 | 2026-09-01 | MRF ↗ |
| St. Louise Regional Hospital InpatientFacility | HEALTHNET [265] | HEALTHNET TRICARE [265010] | $1.31 | $91,064.00 | $63,744.80 | 2026-09-01 | MRF ↗ |
| ASANTE THREE RIVERS MEDICAL CENTER Inpatient | KAISER MED ADV OREGON HMO [7009] | KAISER MED ADV OREGON HMO | $1.31 | $36,646.47 | $23,820.21 | 2026-03-25 | MRF ↗ |
| ASANTE THREE RIVERS MEDICAL CENTER Inpatient | PYRAMID TODAYS OPTION PREMIER [7015] | PYRAMID TODAYS OPTION PREMIER | $1.31 | $36,646.47 | $23,820.21 | 2026-03-25 | MRF ↗ |
| St. Louise Regional Hospital InpatientFacility | UNITED HEALTHCARE MEDICARE ADVANTAGE HMO [740] | UNITED HEALTHCARE MEDICARE ADVANTAGE HMO [740001] | $1.31 | $91,064.00 | $63,744.80 | 2026-09-01 | MRF ↗ |
| O'connor Hospital InpatientFacility | ALIGNMENT HEALTH [870] | ALIGNMENT HEALTH [870001] | $1.31 | $91,064.00 | $63,744.80 | 2026-09-01 | MRF ↗ |
| ASANTE THREE RIVERS MEDICAL CENTER Inpatient | HUMANA MED ADV HMO [7039] | HUMANA MEDICARE ADVANTAGE PLANS | $1.31 | $36,646.47 | $23,820.21 | 2026-03-25 | MRF ↗ |
| ASANTE THREE RIVERS MEDICAL CENTER Inpatient | WELLCARE MEDICARE ADV [7014] | Wellcare Medicare Advantage Plans | $1.31 | $36,646.47 | $23,820.21 | 2026-03-25 | MRF ↗ |
| St. Louise Regional Hospital InpatientFacility | ALIGNMENT HEALTH [870] | ALIGNMENT HEALTH [870001] | $1.31 | $91,064.00 | $63,744.80 | 2026-09-01 | MRF ↗ |
| ASANTE THREE RIVERS MEDICAL CENTER Inpatient | HUMANA MED ADV PPO [7008] | HUMANA MED ADV PPO | $1.31 | $36,646.47 | $23,820.21 | 2026-03-25 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Inpatient | ALTERNATE HEALTHNET [1007] | HEALTH NET MEDICARE ADVANTAGE UC EMPLOYER GROUP | $1.31 | $67,791.63 | $37,285.40 | 2026-04-01 | MRF ↗ |
| ASANTE THREE RIVERS MEDICAL CENTER Inpatient | KAISER MED ADV HMO [7027] | KAISER MEDICARE ADVANTAGE PLANS | $1.31 | $36,646.47 | $23,820.21 | 2026-03-25 | MRF ↗ |
| O'connor Hospital InpatientFacility | MEDICONNECT SCFHP [727] | MEDICONNECT SCFHP [727001] | $1.31 | $91,064.00 | $63,744.80 | 2026-09-01 | MRF ↗ |
| St. Louise Regional Hospital InpatientFacility | MEDICONNECT SCFHP [727] | MEDICONNECT SCFHP [727001] | $1.31 | $91,064.00 | $63,744.80 | 2026-09-01 | MRF ↗ |
| SANTA CLARA VALLEY MEDICAL CENTER InpatientFacility | MEDICONNECT SCFHP [727] | MEDICONNECT SCFHP [727001] | $1.31 | $91,064.00 | $63,744.80 | 2026-09-01 | MRF ↗ |
| ASANTE THREE RIVERS MEDICAL CENTER Inpatient | PROVIDENCE MEDICARE ADV HMO [7044] | PROVIDENCE MEDICARE ADVANTAGE PLANS HMO | $1.31 | $36,646.47 | $23,820.21 | 2026-03-25 | MRF ↗ |
| St. Louise Regional Hospital InpatientFacility | SCAN HEALTH PLAN [710] | SCAN HEALTH PLAN [710001] | $1.31 | $91,064.00 | $63,744.80 | 2026-09-01 | MRF ↗ |
| SANTA CLARA VALLEY MEDICAL CENTER InpatientFacility | KAISER SR. [365] | KAISER SR [365001] | $1.31 | $91,064.00 | $63,744.80 | 2026-09-01 | MRF ↗ |
| St. Louise Regional Hospital InpatientFacility | ONLOK [380] | ONLOK [380001] | $1.31 | $91,064.00 | $63,744.80 | 2026-09-01 | MRF ↗ |
| ASANTE THREE RIVERS MEDICAL CENTER Inpatient | ATRIO HLTH PLANS MEDICARE ADV [7004] | ATRIO HEALTH PLAN MEDICARE ADV HMO | $1.31 | $36,646.47 | $23,820.21 | 2026-03-25 | MRF ↗ |
| SANTA CLARA VALLEY MEDICAL CENTER InpatientFacility | HEALTHNET [265] | HEALTHNET TRICARE [265010] | $1.31 | $91,064.00 | $63,744.80 | 2026-09-01 | MRF ↗ |
| ASANTE THREE RIVERS MEDICAL CENTER Inpatient | BLUE SHIELD MEDICARE ADVANTAGE HMO [7032] | BLUE SHIELD MEDICARE ADVANTAGE HMO | $1.31 | $36,646.47 | $23,820.21 | 2026-03-25 | MRF ↗ |
| ASANTE THREE RIVERS MEDICAL CENTER Inpatient | KAISER MED ADV SENIOR NW [7028] | KAISER MED ADV SENIOR NW | $1.31 | $36,646.47 | $23,820.21 | 2026-03-25 | MRF ↗ |
| O'connor Hospital InpatientFacility | KAISER SR. [365] | KAISER SR [365001] | $1.31 | $91,064.00 | $63,744.80 | 2026-09-01 | MRF ↗ |
| O'connor Hospital InpatientFacility | UNITED HEALTHCARE MEDICARE ADVANTAGE HMO [740] | UNITED HEALTHCARE MEDICARE ADVANTAGE HMO [740001] | $1.31 | $91,064.00 | $63,744.80 | 2026-09-01 | MRF ↗ |
| Temple University Hospital - Northeastern Campus Inpatient | TUH UHC VA CC Network OPTUM | TUH UHC VA CC Network OPTUM | $1.32 | $114,247.02 | $14,836.35 | 2025-01-01 | MRF ↗ |
| Jeanes Hospital Inpatient | TUH UHC VA CC Network OPTUM | TUH UHC VA CC Network OPTUM | $1.32 | $98,316.52 | $14,836.35 | 2025-01-01 | MRF ↗ |
| TEMPLE UNIVERSITY HOSPITAL Inpatient | TUH UHC VA CC Network OPTUM | TUH UHC VA CC Network OPTUM | $1.32 | $111,188.93 | $14,836.35 | 2025-01-01 | MRF ↗ |
| TEMPLE UNIVERSITY HOSPITAL Inpatient | TUH UHC VA CC Network OPTUM | TUH UHC VA CC Network OPTUM | $1.32 | $115,274.61 | $14,836.35 | 2025-01-01 | MRF ↗ |
| Hospital Of The Fox Chase Cancer Center Inpatient | TUH UHC VA CC Network OPTUM | TUH UHC VA CC Network OPTUM | $1.32 | $114,247.02 | $14,836.35 | 2025-01-01 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Inpatient | MH OPTUM [170] | MH OPTUM MEDICARE | $1.33 | $22,768.42 | $14,799.47 | 2024-12-30 | MRF ↗ |
| MERCYONE WATERLOO MEDICAL CENTER InpatientFacility | WELLPOINT MEDICARE ADVANTAGE | WELLPOINT MEDICARE ADVANTAGE | $1.34 | — | $22,126.30 | 2026-03-31 | MRF ↗ |
| PIEDMONT HOSPITAL, INC Inpatient | CARESOURCE MEDICARE ADVANTAGE [30186] | Caresource Medicare Advantage | $1.41 | $40,750.43 | $12,225.13 | 2026-04-01 | MRF ↗ |
| PIEDMONT HOSPITAL, INC Inpatient | GEORGIA HEALTH ADVANTAGE [30143] | Georgia Health Medicare Advantage | $1.41 | $40,750.43 | $12,225.13 | 2026-04-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER InpatientFacility | MOLINA | MOLINA MANAGED MEDICAID PROGRAM | $1.74 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER InpatientFacility | MOLINA | MOLINA MANAGED MEDICAID PROGRAM | $1.93 | — | — | 2026-09-01 | MRF ↗ |
| METHODIST MIDLOTHIAN MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MLMC | $2.01 | $58,788.62 | $29,394.31 | 2026-03-21 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MRMC | $2.01 | $63,857.40 | $31,928.70 | 2026-03-21 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MSMC | $2.01 | $31,559.00 | $15,779.50 | 2026-03-23 | MRF ↗ |
| METHODIST MCKINNEY HOSPITAL Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MMK | $2.01 | $27,373.50 | $13,686.75 | 2026-03-21 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MSMC | $2.01 | $31,559.00 | $15,779.50 | 2026-03-23 | MRF ↗ |
| METHODIST DALLAS MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MDMC | $2.01 | $63,245.50 | $31,622.75 | 2026-03-20 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MRMC | $2.01 | $63,857.40 | $31,928.70 | 2026-03-21 | MRF ↗ |
| METHODIST MANSFIELD MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MMMC | $2.01 | $57,911.75 | $28,955.87 | 2026-03-21 | MRF ↗ |
| METHODIST CELINA MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MCEL | $2.01 | $42,054.75 | $12,616.43 | 2026-03-23 | MRF ↗ |
| METHODIST CHARLTON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MCMC | $2.01 | $57,090.50 | $28,545.25 | 2026-03-21 | MRF ↗ |
| PIEDMONT MEDICAL CENTER InpatientFacility | BLUE CROSS/BLUE SHIELD | HMO BLUE (PREFERRED HEALTH SYSTEMS) | $2.48 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER InpatientFacility | MOLINA | MOLINA MANAGED MEDICAID PROGRAM | $2.56 | — | — | 2026-09-01 | MRF ↗ |
| ASANTE THREE RIVERS MEDICAL CENTER Inpatient | PROVIDENCE HEALTH PLAN [1078] | Provdence PEBB Plans | $2.64 | $36,646.47 | $23,820.21 | 2026-03-25 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MSMC | $3.29 | $31,559.00 | $15,779.50 | 2026-03-23 | MRF ↗ |
| METHODIST CHARLTON MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MCMC | $3.29 | $57,090.50 | $28,545.25 | 2026-03-21 | MRF ↗ |
| METHODIST CELINA MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MCEL | $3.29 | $42,054.75 | $12,616.43 | 2026-03-23 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MRMC | $3.29 | $63,857.40 | $31,928.70 | 2026-03-21 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MSMC | $3.29 | $31,559.00 | $15,779.50 | 2026-03-23 | MRF ↗ |
| METHODIST MIDLOTHIAN MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MLMC | $3.29 | $58,788.62 | $29,394.31 | 2026-03-21 | MRF ↗ |
| METHODIST DALLAS MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MDMC | $3.29 | $63,245.50 | $31,622.75 | 2026-03-20 | MRF ↗ |
| METHODIST MANSFIELD MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MMMC | $3.29 | $57,911.75 | $28,955.87 | 2026-03-21 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MRMC | $3.29 | $63,857.40 | $31,928.70 | 2026-03-21 | MRF ↗ |
| PRINCETON BAPTIST MEDICAL CENTER Inpatient | Aetna | AetnaMgdMCare | $4.00 | — | — | 2024-12-11 | MRF ↗ |
| SHELBY BAPTIST MEDICAL CENTER Inpatient | Aetna | AetnaMgdMCare | $4.00 | — | — | 2024-12-11 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Inpatient | Aetna | AetnaMgdMCare | $4.00 | — | — | 2025-01-31 | MRF ↗ |
| CITIZENS BAPTIST MEDICAL CENTER Inpatient | Aetna | AetnaMgdMCare | $4.00 | — | — | 2024-12-11 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER InpatientFacility | MOLINA | MOLINA MANAGED MEDICAID PROGRAM | $4.02 | — | — | 2026-09-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Inpatient | MGM RESORTS [1053] | MGM RESORT | $4.03 | $67,791.63 | $37,285.40 | 2026-04-01 | MRF ↗ |
| PRINCETON BAPTIST MEDICAL CENTER Inpatient | United Healthcare | UnitedNonOptions | $4.10 | — | — | 2024-12-11 | MRF ↗ |
| PRINCETON BAPTIST MEDICAL CENTER Inpatient | United Healthcare | UnitedOptions | $4.10 | — | — | 2024-12-11 | MRF ↗ |
| PRINCETON BAPTIST MEDICAL CENTER Inpatient | United Healthcare | UnitedExchange | $4.10 | — | — | 2024-12-11 | MRF ↗ |
| SHELBY BAPTIST MEDICAL CENTER Inpatient | United Healthcare | UnitedNonOptions | $4.10 | — | — | 2024-12-11 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Inpatient | United Healthcare | UnitedNonOptions | $4.10 | — | $29,510.30 | 2024-12-08 | MRF ↗ |
| SHELBY BAPTIST MEDICAL CENTER Inpatient | United Healthcare | UnitedOptions | $4.10 | — | — | 2024-12-11 | MRF ↗ |
| SHELBY BAPTIST MEDICAL CENTER Inpatient | United Healthcare | UnitedExchange | $4.10 | — | — | 2024-12-11 | MRF ↗ |
| Rehabilitation Institute Of Michigan Inpatient | United Healthcare | UnitedOptions | $4.10 | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Inpatient | United Healthcare | UnitedOptions | $4.10 | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Inpatient | United Healthcare | UnitedHealthcareNewBusiness | $4.10 | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Inpatient | United Healthcare | UnitedNonOptions | $4.10 | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Inpatient | United Healthcare | UnitedExchange | $4.10 | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Inpatient | United Healthcare | UnitedExchange | $4.10 | — | — | 2025-01-31 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Inpatient | United Healthcare | UnitedExchange | $4.10 | — | $37,082.25 | 2024-12-08 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Inpatient | United Healthcare | UnitedChoicePlus | $4.10 | — | — | 2025-01-31 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Inpatient | United Healthcare | UnitedOptions | $4.10 | — | $37,082.25 | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Inpatient | United Healthcare | UnitedNonOptions | $4.10 | — | $37,082.25 | 2024-12-08 | MRF ↗ |
| CITIZENS BAPTIST MEDICAL CENTER Inpatient | United Healthcare | UnitedNonOptions | $4.10 | — | — | 2024-12-11 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Inpatient | United Healthcare | UnitedOptions | $4.10 | — | $51,474.00 | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Inpatient | United Healthcare | UnitedExchange | $4.10 | — | $51,474.00 | 2024-12-08 | MRF ↗ |
| CITIZENS BAPTIST MEDICAL CENTER Inpatient | United Healthcare | UnitedExchange | $4.10 | — | — | 2024-12-11 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Inpatient | United Healthcare | UnitedNonOptions | $4.10 | — | $51,474.00 | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Inpatient | United Healthcare | UnitedOptions | $4.10 | — | $29,510.30 | 2024-12-08 | MRF ↗ |
| CITIZENS BAPTIST MEDICAL CENTER Inpatient | United Healthcare | UnitedOptions | $4.10 | — | — | 2024-12-11 | MRF ↗ |
| Rehabilitation Institute Of Michigan Inpatient | United Healthcare | UnitedNonOptions | $4.10 | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Inpatient | United Healthcare | UnitedHealthcareNewBusiness | $4.10 | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Inpatient | United Healthcare | UnitedHealthcareHMO | $4.10 | — | — | 2025-01-31 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Inpatient | United Healthcare | UnitedExchange | $4.10 | — | $29,510.30 | 2024-12-08 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Inpatient | United Healthcare | UnitedOptions | $4.10 | — | — | 2025-01-31 | MRF ↗ |
| San Leandro Hospital InpatientFacility | HEALTH NET [1022001] | Health Net | $4.80 | $62,336.10 | $31,168.05 | 2026-03-16 | MRF ↗ |
| HIGHLAND HOSPITAL InpatientFacility | HEALTH NET [1022001] | Health Net | $4.80 | $97,620.41 | $48,810.20 | 2026-03-16 | MRF ↗ |
| ALAMEDA HOSPITAL InpatientFacility | HEALTH NET [1022001] | Health Net | $4.80 | $82,095.44 | $41,047.72 | 2026-03-16 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Blue Care Network Medicare Advantage | — | $5.20 | $30,428.80 | $7,607.20 | 2026-07-31 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Medicare Plus Blue | — | $5.20 | $30,428.80 | $7,607.20 | 2026-07-31 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Priority Health - Medicare Advantage | — | $5.20 | $30,428.80 | $7,607.20 | 2026-07-31 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Health Alliance Plan (Hap) Medicare Advantage | — | $5.20 | $30,428.80 | $7,607.20 | 2026-07-31 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER InpatientFacility | MOLINA | MOLINA MANAGED MEDICAID PROGRAM | $5.90 | — | — | 2026-09-01 | MRF ↗ |
| LOGAN HEALTH MEDICAL CENTER InpatientFacility | Bcbs | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| LOGAN HEALTH MEDICAL CENTER InpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| LOGAN HEALTH MEDICAL CENTER InpatientFacility | Triwest Healthcare Alliance | Traditional | — | — | — | 2026-04-01 | MRF ↗ |
| LOGAN HEALTH MEDICAL CENTER InpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BELLEVUE HOSPITAL InpatientFacility | Medical Mutual | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PALOMAR MEDICAL CENTER POWAY InpatientFacility | UnitedHealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT ANNE'S HOSPITAL InpatientFacility | Fallon Health Community Care | Medicare Managed Care Plan - Dual (D-Snp) | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT ANNE'S HOSPITAL InpatientFacility | Fallon Health Community Care | Medicare Managed Care Plan - Dual (D-Snp) | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 InpatientFacility | Bcbs | Mmai Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 InpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Presbyterian Healthcare Transplant InpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 InpatientFacility | Aetna | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Yavapai Regional Medical Center - East Inpatient | BCBS - AZ | Commercial|All Plans | $33.00 | — | — | 2026-02-28 | MRF ↗ |
| Yavapai Regional Medical Center - East Inpatient | BCBS - AZ | Commercial|All Plans | $33.00 | — | — | 2026-02-28 | MRF ↗ |
| ANMED HEALTH InpatientFacility | OTHER HOSPITAL PAYERS [1991] | AH HB XR MUSC TRANSPLANT TESTING SERVICES | $34.26 | $45,355.91 | $22,677.95 | 2026-03-06 | MRF ↗ |
| ANMED HEALTH InpatientFacility | OTHER HOSPITAL PAYERS [1991] | AH HB XR MUSC TRANSPLANT TESTING SERVICES | $34.26 | $45,355.91 | $22,677.95 | 2026-03-06 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 InpatientFacility | Bcbs | Choice Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 InpatientFacility | Bcbs | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC InpatientFacility | Sonder Health Plans | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC InpatientFacility | Bcbs | Blue Value Secure Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC InpatientFacility | Sonder Health Plans | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC InpatientFacility | Bcbs | Blue Value Secure Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SOUTHERN NH MEDICAL CENTER InpatientFacility | Bcbs | Anthem Pathway Individual Other Commerical | — | — | — | 2026-04-01 | MRF ↗ |
| SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN Inpatient | Emblem Hip | Commercial | $49.00 | $285.00 | $285.00 | 2026-07-15 | MRF ↗ |
| SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN Inpatient | Emblem Ghi | Commercial | $49.00 | $285.00 | $285.00 | 2026-07-15 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | WellCare by AllWell | 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 | 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 | Medical Mutual of Ohio | 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 | The 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 | United Healthcare | 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 | Molina | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Paramount | Medicare Advantage | $52.19 | — | — | 2025-05-16 | MRF ↗ |
| HOUSTON METHODIST THE WOODLANDS HOSPITAL InpatientFacility | Aetna | Medicare Managed Care - Hmo/Ppo | — | — | — | 2026-04-01 | 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 ↗ |
| COVENANT HOSPITAL LEVELLAND InpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE InpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE InpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| COVENANT HOSPITAL LEVELLAND InpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MERCER COUNTY JOINT TOWNSHIP COMMUNITY HOSPITAL InpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PARKVIEW LAGRANGE HOSPITAL InpatientFacility | Caresource | Hoosier Healthwise Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| LEGACY MOUNT HOOD MEDICAL CENTER InpatientFacility | Devoted Health | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| LEGACY MOUNT HOOD MEDICAL CENTER InpatientFacility | Devoted Health | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| LEGACY MOUNT HOOD MEDICAL CENTER InpatientFacility | Devoted Health | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN Inpatient | Aetna | Commercial | $79.00 | $285.00 | $285.00 | 2026-07-15 | MRF ↗ |
| PROVIDENCE CENTRALIA HOSPITAL InpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN Inpatient | 1199 | Commercial | $80.00 | $285.00 | $285.00 | 2026-07-15 | MRF ↗ |
| SALEM HOSPITAL InpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SALEM HOSPITAL InpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Aetna CVSHealth QHP | Commercial | $90.19 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | CareSource | Marketplace | $91.21 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Ambetter | Commercial | $91.21 | — | — | 2025-05-16 | MRF ↗ |
| ELMORE COMMUNITY HOSPITAL Inpatient | VIVA Health Plan MCR Adv | Default | $95.00 | $18,000.00 | $7,200.00 | 2026-04-02 | MRF ↗ |
| ELMORE COMMUNITY HOSPITAL Inpatient | VIVA Health Plan MCR Adv | Default | $95.00 | $18,000.00 | $7,200.00 | 2026-04-02 | MRF ↗ |
| THE MONROE CLINIC InpatientFacility | Bcbs | Anthem Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| THE MONROE CLINIC InpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 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.