194 — Simple Pneumonia And Pleurisy With Cc
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). SIMPLE PNEUMONIA AND PLEURISY WITH CC (MS_DRG 194) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/194?code_type=MS_DRG
MLA (9th ed.)
“SIMPLE PNEUMONIA AND PLEURISY WITH CC (MS_DRG 194) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/194?code_type=MS_DRG. Accessed .
Chicago (notes-bibliography)
“SIMPLE PNEUMONIA AND PLEURISY WITH CC (MS_DRG 194) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/194?code_type=MS_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $6,960–$13,816 (25th–75th percentile) across 2,596 hospitals · 6,165 payers.
“Negotiated” is the hospital’s negotiated facility rate for this MS_DRG 194 — 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 |
|---|---|---|---|---|---|---|---|
| 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 | $0.32 | — | — | 2026-03-06 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Inpatient | ALTERNATE HEALTHNET [1007] | HEALTH NET MEDICARE ADVANTAGE UC EMPLOYER GROUP | $0.81 | $41,917.27 | $23,054.50 | 2026-04-01 | MRF ↗ |
| MERCYONE WATERLOO MEDICAL CENTER InpatientFacility | WELLPOINT MEDICARE ADVANTAGE | WELLPOINT MEDICARE ADVANTAGE | $0.82 | — | $19,305.90 | 2026-03-31 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Inpatient | MH OPTUM [170] | MH OPTUM MEDICARE | $0.82 | $22,738.85 | $14,780.25 | 2024-12-30 | MRF ↗ |
| Temple University Hospital - Northeastern Campus Inpatient | TUH UHC VA CC Network OPTUM | TUH UHC VA CC Network OPTUM | $0.82 | $79,095.09 | $9,492.16 | 2025-01-01 | MRF ↗ |
| Hospital Of The Fox Chase Cancer Center Inpatient | TUH UHC VA CC Network OPTUM | TUH UHC VA CC Network OPTUM | $0.82 | $79,095.09 | $9,492.16 | 2025-01-01 | MRF ↗ |
| TEMPLE UNIVERSITY HOSPITAL Inpatient | TUH UHC VA CC Network OPTUM | TUH UHC VA CC Network OPTUM | $0.82 | $77,972.66 | $9,492.16 | 2025-01-01 | MRF ↗ |
| Jeanes Hospital Inpatient | TUH UHC VA CC Network OPTUM | TUH UHC VA CC Network OPTUM | $0.82 | $71,862.56 | $9,492.16 | 2025-01-01 | MRF ↗ |
| TEMPLE UNIVERSITY HOSPITAL Inpatient | TUH UHC VA CC Network OPTUM | TUH UHC VA CC Network OPTUM | $0.82 | $80,770.53 | $9,492.16 | 2025-01-01 | MRF ↗ |
| TEMPLE HEALTH - CHESTNUT HILL HOSPITAL Inpatient | TUH UHC VA CC Network OPTUM | TUH UHC VA CC Network OPTUM | $0.82 | $79,095.09 | $9,492.16 | 2025-01-01 | MRF ↗ |
| PIEDMONT HOSPITAL, INC Inpatient | GEORGIA HEALTH ADVANTAGE [30143] | Georgia Health Medicare Advantage | $0.86 | $34,785.46 | $10,435.64 | 2026-04-01 | MRF ↗ |
| PIEDMONT HOSPITAL, INC Inpatient | CARESOURCE MEDICARE ADVANTAGE [30186] | Caresource Medicare Advantage | $0.86 | $34,785.46 | $10,435.64 | 2026-04-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | Medicare Advantage | — | — | — | 2025-11-26 | MRF ↗ |
| STAMFORD HOSPITAL InpatientFacility | Cigna | Hmo | — | — | — | 2026-04-01 | 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 ↗ |
| 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 ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MRMC | $1.23 | $47,663.25 | $23,831.62 | 2026-03-21 | MRF ↗ |
| METHODIST MIDLOTHIAN MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MLMC | $1.23 | $38,937.50 | $19,468.75 | 2026-03-21 | MRF ↗ |
| METHODIST CELINA MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MCEL | $1.23 | $49,053.50 | $24,526.75 | 2026-03-23 | MRF ↗ |
| METHODIST MANSFIELD MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MMMC | $1.23 | $43,497.00 | $21,748.50 | 2026-03-21 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MRMC | $1.23 | $47,663.25 | $23,831.62 | 2026-03-21 | MRF ↗ |
| METHODIST CHARLTON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MCMC | $1.23 | $41,862.50 | $20,931.25 | 2026-03-21 | MRF ↗ |
| METHODIST DALLAS MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MDMC | $1.23 | $38,844.75 | $19,422.37 | 2026-03-20 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MSMC | $1.23 | $42,515.50 | $21,257.75 | 2026-03-23 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MSMC | $1.23 | $42,515.50 | $21,257.75 | 2026-03-23 | MRF ↗ |
| METHODIST CELINA MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MCEL | $2.01 | $49,053.50 | $24,526.75 | 2026-03-23 | MRF ↗ |
| METHODIST MIDLOTHIAN MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MLMC | $2.01 | $38,937.50 | $19,468.75 | 2026-03-21 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MRMC | $2.01 | $47,663.25 | $23,831.62 | 2026-03-21 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MSMC | $2.01 | $42,515.50 | $21,257.75 | 2026-03-23 | MRF ↗ |
| METHODIST CHARLTON MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MCMC | $2.01 | $41,862.50 | $20,931.25 | 2026-03-21 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MSMC | $2.01 | $42,515.50 | $21,257.75 | 2026-03-23 | MRF ↗ |
| METHODIST DALLAS MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MDMC | $2.01 | $38,844.75 | $19,422.37 | 2026-03-20 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MRMC | $2.01 | $47,663.25 | $23,831.62 | 2026-03-21 | MRF ↗ |
| METHODIST MANSFIELD MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MMMC | $2.01 | $43,497.00 | $21,748.50 | 2026-03-21 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Inpatient | MGM RESORTS [1053] | MGM RESORT | $2.47 | $41,917.27 | $23,054.50 | 2026-04-01 | MRF ↗ |
| METROWEST MEDICAL CENTER Inpatient | United Healthcare | UnitedNonOptions | $2.90 | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Inpatient | United Healthcare | UnitedOptions | $2.90 | — | — | 2025-01-31 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Inpatient | United Healthcare | UnitedOptions | $2.90 | — | $24,340.50 | 2024-12-08 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Inpatient | United Healthcare | UnitedOptions | $2.90 | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Inpatient | United Healthcare | UnitedHealthcareNewBusiness | $2.90 | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Inpatient | United Healthcare | UnitedOptions | $2.90 | — | — | 2025-01-31 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Inpatient | United Healthcare | UnitedNonOptions | $2.90 | — | $17,680.50 | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Inpatient | United Healthcare | UnitedExchange | $2.90 | — | $17,680.50 | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Inpatient | United Healthcare | UnitedNonOptions | $2.90 | — | $24,340.50 | 2024-12-08 | MRF ↗ |
| Harper University Hospital Inpatient | United Healthcare | UnitedHealthcareNewBusiness | $2.90 | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Inpatient | United Healthcare | UnitedExchange | $2.90 | — | — | 2025-01-31 | MRF ↗ |
| Harper University Hospital Inpatient | United Healthcare | UnitedOptions | $2.90 | — | — | 2025-01-31 | MRF ↗ |
| Harper University Hospital Inpatient | United Healthcare | UnitedNonOptions | $2.90 | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Inpatient | United Healthcare | UnitedHealthcareHMO | $2.90 | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Inpatient | United Healthcare | UnitedChoicePlus | $2.90 | — | — | 2025-01-31 | MRF ↗ |
| Harper University Hospital Inpatient | United Healthcare | UnitedExchange | $2.90 | — | — | 2025-01-31 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Inpatient | United Healthcare | UnitedExchange | $2.90 | — | $25,695.00 | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Inpatient | United Healthcare | UnitedOptions | $2.90 | — | $25,695.00 | 2024-12-08 | MRF ↗ |
| Rehabilitation Institute Of Michigan Inpatient | United Healthcare | UnitedNonOptions | $2.90 | — | — | 2025-01-31 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Inpatient | United Healthcare | UnitedExchange | $2.90 | — | $24,340.50 | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Inpatient | United Healthcare | UnitedOptions | $2.90 | — | $17,680.50 | 2024-12-08 | MRF ↗ |
| Rehabilitation Institute Of Michigan Inpatient | United Healthcare | UnitedExchange | $2.90 | — | — | 2025-01-31 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Inpatient | United Healthcare | UnitedNonOptions | $2.90 | — | $25,695.00 | 2024-12-08 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Inpatient | United Healthcare | UnitedNonOptions | $2.90 | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Inpatient | United Healthcare | UnitedHealthcareNewBusiness | $2.90 | — | — | 2025-01-31 | MRF ↗ |
| METROWEST MEDICAL CENTER Inpatient | United Healthcare | UnitedOptions | $2.90 | — | — | 2025-01-31 | MRF ↗ |
| ALAMEDA HOSPITAL InpatientFacility | HEALTH NET [1022001] | Health Net | $2.94 | $59,286.71 | $29,643.35 | 2026-03-16 | MRF ↗ |
| ALAMEDA HOSPITAL InpatientFacility | HEALTH NET [1022001] | Health Net | $2.94 | $59,286.71 | $29,643.35 | 2026-03-16 | MRF ↗ |
| WASHINGTON HOSPITAL Inpatient | HEALTHNET COMM - ALL OTHER PLANS | HEALTHNET COMM - ALL OTHER PLANS | $7.55 | $59,431.78 | $38,630.66 | 2026-02-10 | MRF ↗ |
| WASHINGTON HOSPITAL Inpatient | HEALTHNET COMM - ALL OTHER PLANS | HEALTHNET COMM - ALL OTHER PLANS | $7.55 | $59,431.78 | $38,630.66 | 2026-02-10 | 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 ↗ |
| LOGAN HEALTH MEDICAL CENTER InpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| The Healthcenter InpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST. JOSEPH HOSPITAL InpatientFacility | Heritage Provider Network | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER InpatientFacility | Fidelis | Medicare Advantage HMO | — | — | — | 2026-04-01 | MRF ↗ |
| LOGAN HEALTH MEDICAL CENTER InpatientFacility | Bcbs | Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| The Healthcenter InpatientFacility | Bcbs | Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST MARY MEDICAL CENTER InpatientFacility | Blue Cross | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST MARY MEDICAL CENTER InpatientFacility | Blue Cross | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| WEST CHESTER HOSPITAL InpatientFacility | Medical Mutual | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 InpatientFacility | Aetna | All Commercial Plans | — | — | — | 2026-04-01 | 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 | Health Coalition Incorporated | Health Coalition Incorporated | — | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Claritev | PHCS Primary Network | — | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Claritev | Multiplan Complementary Network | — | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Cigna | Cigna Commercial All Other | — | — | — | 2026-04-14 | MRF ↗ |
| Yavapai Regional Medical Center - East Inpatient | BCBS - AZ | Commercial|All Plans | $25.00 | — | — | 2026-02-28 | MRF ↗ |
| Yavapai Regional Medical Center - East Inpatient | BCBS - AZ | Commercial|All Plans | $25.00 | — | — | 2026-02-28 | MRF ↗ |
| PRESBYTERIAN HOSPITAL InpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BELLEVUE HOSPITAL InpatientFacility | Amerihealth | Caritas Ohio Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BELLEVUE HOSPITAL InpatientFacility | Amerihealth | Caritas Ohio Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Claritev | Multiplan Complementary Network | — | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Cigna | Cigna Commercial All Other | — | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Health Coalition Incorporated | Health Coalition Incorporated | — | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | First Health | First Health PPO | — | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Claritev | PHCS Primary Network | — | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Intergroup | Intergroup | — | — | — | 2026-04-14 | MRF ↗ |
| HOUSTON METHODIST THE WOODLANDS HOSPITAL InpatientFacility | Bcbs | Medicare Managed Care - Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE InpatientFacility | Heritage Provider Network | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT JOHN'S HEALTH CENTER InpatientFacility | Heritage Provider Network | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE InpatientFacility | Heritage Provider Network | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST. JUDE MEDICAL CENTER InpatientFacility | Heritage Provider Network | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT JOHN'S HEALTH CENTER InpatientFacility | Heritage Provider Network | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO InpatientFacility | Heritage Provider Network | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL InpatientFacility | AETNA HEALTH MANAGEMENT, LLC | RI PREFERRED | — | — | — | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL InpatientFacility | AETNA HEALTH MANAGEMENT, LLC | 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 ↗ |
| PUTNAM HOSPITAL CENTER InpatientFacility | Unitedhealthcare | Optum Ny Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| COVENANT HOSPITAL PLAINVIEW InpatientFacility | Bcbs | Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| COVENANT HOSPITAL PLAINVIEW InpatientFacility | Bcbs | Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | The Health Plan | 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 | Anthem | 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 | 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 | Humana | 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 | Cigna | 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 | United Healthcare | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Primetime Health Plan | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| PROVIDENCE CEDARS SINAI TARZANA MEDICAL CENTER InpatientFacility | Healthnet | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | 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 ↗ |
| INTEGRIS HEALTH EDMOND HOSPITAL InpatientFacility | Aetna | Non-Gatekeeper Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| COVENANT MEDICAL CENTER InpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MERCY ST FRANCIS HOSPITAL InpatientFacility | UNITED HEALTHCARE MEDICARE ADVANTAGE CONTRACTED [320398] | HB MTNV UHC MEDICARE ADVANTAGE | — | $21,102.15 | $13,716.40 | 2026-03-15 | 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 ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Claritev | Multiplan Complementary Network | — | — | — | 2026-04-14 | MRF ↗ |
| NEW YORK COMMUNITY HOSPITAL OF BROOKLYN, INC. InpatientFacility | Villagecare Maxx FIDA | Medicare Advantage HMO | — | — | — | 2026-04-01 | MRF ↗ |
| NEW YORK COMMUNITY HOSPITAL OF BROOKLYN, INC. InpatientFacility | Wellcare | Medicare Advantage HMO | — | — | — | 2026-04-01 | 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 ↗ |
| SSM HEALTH ST ANTHONY HOSPITAL - SHAWNEE InpatientFacility | Bcbs | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Aetna CVSHealth QHP | Commercial | $90.19 | — | — | 2025-05-16 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 InpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | 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 ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 InpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ELMORE COMMUNITY HOSPITAL Inpatient | VIVA Health Plan MCR Adv | Default | $95.00 | $13,900.00 | $5,560.00 | 2026-04-02 | MRF ↗ |
| ELMORE COMMUNITY HOSPITAL Inpatient | VIVA Health Plan MCR Adv | Default | $95.00 | $13,900.00 | $5,560.00 | 2026-04-02 | MRF ↗ |
| ELMORE COMMUNITY HOSPITAL Inpatient | VA Community Care Network VACCN Region 1-3 Optum | All Plans | $100.00 | $13,900.00 | $5,560.00 | 2026-04-02 | MRF ↗ |
| ELMORE COMMUNITY HOSPITAL Inpatient | Humana | Default | $100.00 | $13,900.00 | $5,560.00 | 2026-04-02 | MRF ↗ |
| ELMORE COMMUNITY HOSPITAL Inpatient | Humana | Default | $100.00 | $13,900.00 | $5,560.00 | 2026-04-02 | MRF ↗ |
| ELMORE COMMUNITY HOSPITAL Inpatient | United Healthcare | Default | $100.00 | $13,900.00 | $5,560.00 | 2026-04-02 | MRF ↗ |
| ELMORE COMMUNITY HOSPITAL Inpatient | United Healthcare | Default | $100.00 | $13,900.00 | $5,560.00 | 2026-04-02 | MRF ↗ |
| ELMORE COMMUNITY HOSPITAL Inpatient | VA Community Care Network VACCN Region 1-3 Optum | All Plans | $100.00 | $13,900.00 | $5,560.00 | 2026-04-02 | MRF ↗ |
| ELMORE COMMUNITY HOSPITAL Inpatient | Simpra Advantage AL MCR Adv DOS gt 123122 | Default | $102.00 | $13,900.00 | $5,560.00 | 2026-04-02 | MRF ↗ |
| ELMORE COMMUNITY HOSPITAL Inpatient | Simpra Advantage AL MCR Adv DOS gt 123122 | Default | $102.00 | $13,900.00 | $5,560.00 | 2026-04-02 | MRF ↗ |
| Willis-knighton Medical Center InpatientFacility | Bcbs | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| HOUSTON METHODIST THE WOODLANDS HOSPITAL InpatientFacility | Unitedhealthcare | Medicare Managed Care - Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| ALLIANCE COMMUNITY HOSPITAL InpatientFacility | Bcbs | Anthem Hmo/Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| MAYO CLINIC HEALTH SYSTEM OAKRIDGE InpatientFacility | SUREST [91160752] | MULTI UHC [269] | — | — | — | 2026-03-31 | MRF ↗ |
| MAYO CLINIC HEALTH SYSTEM-RED CEDAR INC InpatientFacility | HEALTHPARTNERS [91160224] | RED CEDAR & HEALTHPARTNERS [297] | — | — | — | 2026-03-31 | MRF ↗ |
| ARCHBOLD MEMORIAL HOSPITAL InpatientFacility | Ambetter | Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL - CASSVILLE InpatientFacility | UNITED HEALTHCARE MEDICARE ADVANTAGE CONTRACTED [320398] | HB CASV UHC MEDICARE ADVANTAGE | — | $25,007.09 | $16,254.61 | 2026-03-15 | MRF ↗ |
| MERCY HOSPITAL AURORA InpatientFacility | DEPT OF VETERAN AFFAIRS CONTRACTED [320106] | HB AURA VA CCN OPTUM NEW 121520 | — | $26,426.79 | $17,177.41 | 2026-03-13 | MRF ↗ |
| WELLSTAR COBB MEDICAL CENTER InpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF MEDICAL CENTER InpatientFacility | Healthnet | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS InpatientFacility | Healthnet | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL AND CLINICS InpatientFacility | Healthnet | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| ST LUKES HOSPITAL InpatientFacility | Blue Cross Blue Shield Minnesota | Blue Cross Minnesota Medicaid | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 InpatientFacility | Countycare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER PRINEVILLE Inpatient | PACIFICSOURCE COMMUNITY SOLUTIONS [525] | PacificSource Central Oregon CCO | — | $15,541.69 | $12,433.35 | 2026-04-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 InpatientFacility | Meridian | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 InpatientFacility | Bcbs | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| HOUSTON METHODIST THE WOODLANDS HOSPITAL InpatientFacility | Humana | Medicare Managed Care - Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| TAMPA GENERAL HOSPITAL CRYSTAL RIVER InpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Claritev | Multiplan Complementary Network | — | — | — | 2026-04-14 | 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 | First Health | First Health PPO | — | — | — | 2026-04-14 | MRF ↗ |
| MERCY HOSPITAL AURORA InpatientFacility | UNITED HEALTHCARE MEDICARE ADVANTAGE CONTRACTED [320398] | HB AURA UHC MEDICARE ADVANTAGE | — | $26,426.79 | $17,177.41 | 2026-03-13 | MRF ↗ |
| MERCY HOSPITAL LINCOLN InpatientFacility | UNITED HEALTHCARE MEDICARE ADVANTAGE CONTRACTED [320398] | HB LINC UHC MCR W/O SEQ | — | $23,288.52 | $15,137.54 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN InpatientFacility | UNITED HEALTHCARE MEDICARE ADVANTAGE CONTRACTED [320398] | HB LINC UHC MCR W/O SEQ | — | $23,288.52 | $15,137.54 | 2026-03-12 | MRF ↗ |
| WELLSTAR NORTH FULTON MEDICAL CENTER InpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| LEXINGTON MEDICAL CENTER InpatientFacility | Humana | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| WELLSTAR COBB MEDICAL CENTER InpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ARCHBOLD MEMORIAL HOSPITAL InpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| WELLSTAR NORTH FULTON MEDICAL CENTER InpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MAYO CLINIC HEALTH SYSTEM CHIPPEWA VALLEY InpatientFacility | MEDICA [1110027] | MEDICA PRIME SOLUTIONS PART B MEDICARE ADVANTAGE PLAN [599] | $183.24 | — | — | 2026-03-31 | MRF ↗ |
| MAYO CLINIC HEALTH SYSTEM CHIPPEWA VALLEY InpatientFacility | MEDICA [91180027] | MEDICA PRIME SOLUTIONS PART B MEDICARE ADVANTAGE PLAN [599] | $183.24 | — | — | 2026-03-31 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 InpatientFacility | Cigna | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL - CASSVILLE InpatientFacility | UNITED HEALTHCARE CONTRACTED [320396] | HB CASV UHC INDIVIDUAL EXCHANGE | — | $25,007.09 | $16,254.61 | 2026-03-15 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | First Health | First Health PPO | — | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Claritev | Multiplan Complementary Network | — | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Cigna | Cigna Commercial All Other | — | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Health Coalition Incorporated | Health Coalition Incorporated | — | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Claritev | PHCS Primary Network | — | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Intergroup | Intergroup | — | — | — | 2026-04-14 | MRF ↗ |
| THE UNIVERSITY OF CHICAGO MEDICAL CENTER InpatientFacility | Meridian | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS InpatientFacility | Aetna | All Commercial Plans | — | — | — | 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.