193 — Simple Pneumonia And Pleurisy With Mcc
Cite this view
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
“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 .
“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 $10,624–$20,409 (25th–75th percentile) across 2,599 hospitals · 6,206 payers.
“Negotiated” is the hospital’s negotiated facility rate for this MS_DRG 193 — 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 |
|---|---|---|---|---|---|---|---|
| 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 ↗ |
| UPMC SOMERSET InpatientFacility | Aetna of PA | TPA/Carrier | $0.53 | — | — | 2026-03-06 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | Humana Health Plan, Inc. | 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 ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | 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 | Health Net of California, Inc. | Medicare Advantage | — | — | — | 2025-11-26 | 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 ↗ |
| 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 ↗ |
| 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 ↗ |
| 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 ↗ |
| 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 ↗ |
| TEMPLE HEALTH - CHESTNUT HILL HOSPITAL 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 ↗ |
| METHODIST CELINA MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MCEL | $2.01 | $42,054.75 | $21,027.37 | 2026-03-23 | 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 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 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 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 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 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 ↗ |
| 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 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 | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MMMC | $3.29 | $57,911.75 | $28,955.87 | 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 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 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 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 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 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 CELINA MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MCEL | $3.29 | $42,054.75 | $21,027.37 | 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 ↗ |
| 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 ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Inpatient | United Healthcare | UnitedOptions | $4.10 | — | $37,082.25 | 2024-12-08 | MRF ↗ |
| Harper University Hospital Inpatient | United Healthcare | UnitedHealthcareNewBusiness | $4.10 | — | — | 2025-01-31 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Inpatient | United Healthcare | UnitedExchange | $4.10 | — | $37,082.25 | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Inpatient | United Healthcare | UnitedNonOptions | $4.10 | — | $29,510.30 | 2024-12-08 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Inpatient | United Healthcare | UnitedOptions | $4.10 | — | — | 2025-01-31 | MRF ↗ |
| Harper University Hospital Inpatient | United Healthcare | UnitedOptions | $4.10 | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Inpatient | United Healthcare | UnitedHealthcareHMO | $4.10 | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Inpatient | United Healthcare | UnitedExchange | $4.10 | — | — | 2025-01-31 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Inpatient | United Healthcare | UnitedNonOptions | $4.10 | — | $37,082.25 | 2024-12-08 | MRF ↗ |
| Rehabilitation Institute Of Michigan Inpatient | United Healthcare | UnitedOptions | $4.10 | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Inpatient | United Healthcare | UnitedHealthcareNewBusiness | $4.10 | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Inpatient | United Healthcare | UnitedHealthcareNewBusiness | $4.10 | — | — | 2025-01-31 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Inpatient | United Healthcare | UnitedExchange | $4.10 | — | $51,474.00 | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Inpatient | United Healthcare | UnitedNonOptions | $4.10 | — | $51,474.00 | 2024-12-08 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Inpatient | United Healthcare | UnitedNonOptions | $4.10 | — | — | 2025-01-31 | MRF ↗ |
| Harper University Hospital Inpatient | United Healthcare | UnitedExchange | $4.10 | — | — | 2025-01-31 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Inpatient | United Healthcare | UnitedOptions | $4.10 | — | $51,474.00 | 2024-12-08 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Inpatient | United Healthcare | UnitedOptions | $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 | UnitedChoicePlus | $4.10 | — | — | 2025-01-31 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Inpatient | United Healthcare | UnitedOptions | $4.10 | — | $29,510.30 | 2024-12-08 | MRF ↗ |
| METROWEST MEDICAL CENTER Inpatient | United Healthcare | UnitedOptions | $4.10 | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Inpatient | United Healthcare | UnitedExchange | $4.10 | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Inpatient | United Healthcare | UnitedNonOptions | $4.10 | — | — | 2025-01-31 | MRF ↗ |
| Harper University Hospital Inpatient | United Healthcare | UnitedNonOptions | $4.10 | — | — | 2025-01-31 | MRF ↗ |
| ALAMEDA HOSPITAL InpatientFacility | HEALTH NET [1022001] | Health Net | $4.80 | $82,095.44 | $41,047.72 | 2026-03-16 | MRF ↗ |
| ALAMEDA HOSPITAL InpatientFacility | HEALTH NET [1022001] | Health Net | $4.80 | $82,095.44 | $41,047.72 | 2026-03-16 | MRF ↗ |
| ST CHARLES MEDICAL CENTER PRINEVILLE Inpatient | PACIFICSOURCE COMMUNITY SOLUTIONS [525] | PacificSource Central Oregon CCO | — | $24,806.07 | $19,844.86 | 2026-04-01 | MRF ↗ |
| The Healthcenter InpatientFacility | Bcbs | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| LOGAN HEALTH MEDICAL CENTER InpatientFacility | Bcbs | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| The Healthcenter InpatientFacility | Humana | 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 ↗ |
| The Healthcenter InpatientFacility | Triwest Healthcare Alliance | Traditional | — | — | — | 2026-04-01 | MRF ↗ |
| The Healthcenter InpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 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 ↗ |
| BELLEVUE HOSPITAL InpatientFacility | Medical Mutual | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| LOGAN HEALTH MEDICAL CENTER InpatientFacility | Bcbs | Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| The Healthcenter InpatientFacility | Bcbs | Ppo | — | — | — | 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 ↗ |
| SAINT VINCENT HOSPITAL Inpatient | First Health | First Health PPO | — | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Claritev | PHCS Primary Network | — | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Claritev | Multiplan Complementary Network | — | — | — | 2026-04-14 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 InpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PRESBYTERIAN HOSPITAL InpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| WASHINGTON HOSPITAL Inpatient | HEALTHNET COMM - ALL OTHER PLANS | HEALTHNET COMM - ALL OTHER PLANS | $18.08 | $107,928.73 | $70,153.68 | 2026-02-10 | MRF ↗ |
| WASHINGTON HOSPITAL Inpatient | HEALTHNET COMM - ALL OTHER PLANS | HEALTHNET COMM - ALL OTHER PLANS | $18.08 | $107,928.73 | $70,153.68 | 2026-02-10 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Claritev | Multiplan Complementary Network | — | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Health Coalition Incorporated | Health Coalition Incorporated | — | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Claritev | PHCS Primary Network | — | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Cigna | Cigna Commercial All Other | — | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | First Health | First Health PPO | — | — | — | 2026-04-14 | 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 ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Health Coalition Incorporated | Health Coalition Incorporated | — | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | First Health | First Health PPO | — | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Cigna | Cigna Commercial All Other | — | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Claritev | Multiplan Complementary Network | — | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Claritev | PHCS Primary Network | — | — | — | 2026-04-14 | 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 | 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 ↗ |
| SOUTHERN NH MEDICAL CENTER InpatientFacility | Bcbs | Anthem Pathway Individual Other Commerical | — | — | — | 2026-04-01 | MRF ↗ |
| SOUTHERN NH MEDICAL CENTER InpatientFacility | Bcbs | Anthem Pathway Individual Other Commerical | — | — | — | 2026-04-01 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL InpatientFacility | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | COMMERCIAL | — | — | — | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL InpatientFacility | PRIVATE HEALTHCARE SYSTEM | COMMERCIAL | — | — | — | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL InpatientFacility | MULTIPLAN, INC | COMMERCIAL | — | — | — | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL InpatientFacility | HARVARD PILGRIM HEALTHCARE, INC. | COMMERCIAL | — | — | — | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL InpatientFacility | AETNA HEALTH MANAGEMENT, LLC | RI PREFERRED | — | — | — | 2026-02-28 | 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 | The Health Plan | 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 | Aetna | 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 | 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 | United Healthcare | 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 ↗ |
| HOUSTON METHODIST THE WOODLANDS HOSPITAL InpatientFacility | Aetna | Medicare Managed Care - Hmo/Ppo | — | — | — | 2026-04-01 | 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 ↗ |
| 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 ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Claritev | Multiplan Complementary Network | — | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Cigna | Cigna Commercial All Other | — | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | First Health | First Health PPO | — | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Health Coalition Incorporated | Health Coalition Incorporated | — | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Claritev | PHCS Primary Network | — | — | — | 2026-04-14 | 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 ↗ |
| LEGACY MOUNT HOOD MEDICAL CENTER InpatientFacility | Devoted Health | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL AURORA InpatientFacility | DEPT OF VETERAN AFFAIRS CONTRACTED [320106] | HB AURA VA CCN OPTUM NEW 121520 | — | $20,464.97 | $13,302.23 | 2026-03-13 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Intergroup | Intergroup | — | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Claritev | PHCS Primary Network | — | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Health Coalition Incorporated | Health Coalition Incorporated | — | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Cigna | Cigna Commercial All Other | — | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Claritev | Multiplan Complementary Network | — | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | First Health | First Health PPO | — | — | — | 2026-04-14 | MRF ↗ |
| PROVIDENCE CENTRALIA HOSPITAL InpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Claritev | PHCS Primary Network | — | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Health Coalition Incorporated | Health Coalition Incorporated | — | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Intergroup | Intergroup | — | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | First Health | First Health PPO | — | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Cigna | Cigna Commercial All Other | — | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Claritev | Multiplan Complementary Network | — | — | — | 2026-04-14 | 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 ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Claritev | Multiplan Complementary Network | — | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Claritev | PHCS Primary Network | — | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | First Health | First Health PPO | — | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Claritev | PHCS Primary Network | — | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | First Health | First Health PPO | — | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Claritev | Multiplan Complementary Network | — | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Intergroup | Intergroup | — | — | — | 2026-04-14 | 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 ↗ |
| 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 ↗ |
| RHODE ISLAND HOSPITAL InpatientFacility | Va Community Care | Optum Government | — | — | — | 2026-04-01 | MRF ↗ |
| RHODE ISLAND HOSPITAL InpatientFacility | Va Community Care | Optum Government | — | — | — | 2026-04-01 | MRF ↗ |
| ELMORE COMMUNITY HOSPITAL Inpatient | United Healthcare | Default | $100.00 | $18,000.00 | $7,200.00 | 2026-04-02 | MRF ↗ |
| ELMORE COMMUNITY HOSPITAL Inpatient | VA Community Care Network VACCN Region 1-3 Optum | All Plans | $100.00 | $18,000.00 | $7,200.00 | 2026-04-02 | MRF ↗ |
| ELMORE COMMUNITY HOSPITAL Inpatient | United Healthcare | Default | $100.00 | $18,000.00 | $7,200.00 | 2026-04-02 | MRF ↗ |
| ELMORE COMMUNITY HOSPITAL Inpatient | VA Community Care Network VACCN Region 1-3 Optum | All Plans | $100.00 | $18,000.00 | $7,200.00 | 2026-04-02 | MRF ↗ |
| ELMORE COMMUNITY HOSPITAL Inpatient | Humana | Default | $100.00 | $18,000.00 | $7,200.00 | 2026-04-02 | MRF ↗ |
| ELMORE COMMUNITY HOSPITAL Inpatient | Humana | Default | $100.00 | $18,000.00 | $7,200.00 | 2026-04-02 | MRF ↗ |
| ELMORE COMMUNITY HOSPITAL Inpatient | Simpra Advantage AL MCR Adv DOS gt 123122 | Default | $102.00 | $18,000.00 | $7,200.00 | 2026-04-02 | MRF ↗ |
| ELMORE COMMUNITY HOSPITAL Inpatient | Simpra Advantage AL MCR Adv DOS gt 123122 | Default | $102.00 | $18,000.00 | $7,200.00 | 2026-04-02 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Intergroup | Intergroup | — | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Claritev | PHCS Primary Network | — | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Health Coalition Incorporated | Health Coalition Incorporated | — | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Claritev | Multiplan Complementary Network | — | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | First Health | First Health PPO | — | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Cigna | Cigna Commercial All Other | — | — | — | 2026-04-14 | MRF ↗ |
| MAYO CLINIC HEALTH SYSTEM-NORTHLAND InpatientFacility | UNITED MEDICAL RESOURCES [91160440] | MULTI UHC [269] | — | — | — | 2026-03-31 | MRF ↗ |
| MAYO CLINIC HEALTH SYSTEM OAKRIDGE InpatientFacility | UNITED MEDICAL RESOURCES [91160440] | MULTI UHC [269] | — | — | — | 2026-03-31 | MRF ↗ |
| LONESOME PINE HOSPITAL Inpatient | BLUE CROSS | ANTHEM MEDICARE VIRGINIA | — | — | — | 2026-03-23 | MRF ↗ |
| MAYO CLINIC HEALTH SYSTEM-NORTHLAND InpatientFacility | HEALTHPARTNERS [91160224] | HEALTHPARTNERS [296] | — | — | — | 2026-03-31 | MRF ↗ |
| MAYO CLINIC HEALTH SYSTEM OAKRIDGE InpatientFacility | AUXIANT [91160064] | TRILOGY & SHEBOYGANS EMPLOYEE HLTH [555] | — | — | — | 2026-03-31 | 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.