195 — Simple Pneumonia And Pleurisy Without Cc/mcc
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC (MS_DRG 195) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/195?code_type=MS_DRG
MLA (9th ed.)
“SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC (MS_DRG 195) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/195?code_type=MS_DRG. Accessed .
Chicago (notes-bibliography)
“SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC (MS_DRG 195) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/195?code_type=MS_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $5,186–$10,337 (25th–75th percentile) across 3,152 hospitals · 4,796 payers.
“Negotiated” is the hospital’s negotiated rate for the entire inpatient stay under MS_DRG 195 — 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 |
|---|---|---|---|---|---|---|---|
| TEMPLE UNIVERSITY HOSPITAL Inpatient | TUH UHC VA CC Network OPTUM | TUH UHC VA CC Network OPTUM | $0.62 | $52,981.21 | $7,373.62 | 2025-01-01 | MRF ↗ |
| Temple University Hospital - Northeastern Campus Inpatient | TUH UHC VA CC Network OPTUM | TUH UHC VA CC Network OPTUM | $0.62 | $52,981.21 | $7,373.62 | 2025-01-01 | MRF ↗ |
| Hospital Of The Fox Chase Cancer Center Inpatient | TUH UHC VA CC Network OPTUM | TUH UHC VA CC Network OPTUM | $0.62 | $52,981.21 | $7,373.62 | 2025-01-01 | MRF ↗ |
| TEMPLE UNIVERSITY HOSPITAL Inpatient | TUH UHC VA CC Network OPTUM | TUH UHC VA CC Network OPTUM | $0.62 | $52,981.21 | $7,373.62 | 2025-01-01 | MRF ↗ |
| Jeanes Hospital Inpatient | TUH UHC VA CC Network OPTUM | TUH UHC VA CC Network OPTUM | $0.62 | $52,981.21 | $7,373.62 | 2025-01-01 | MRF ↗ |
| ASANTE THREE RIVERS MEDICAL CENTER Inpatient | WELLCARE MEDICARE ADV [7014] | Wellcare Medicare Advantage Plans | $0.63 | $17,314.91 | $11,254.69 | 2026-03-25 | MRF ↗ |
| FROEDTERT SOUTH INC. Inpatient | AETNA MEDICARE [25106] | FS Medicare HMO - Aetna | $0.63 | $16,832.78 | $12,624.58 | 2026-07-01 | MRF ↗ |
| FROEDTERT SOUTH INC. Inpatient | UHC DUAL COMPLETE MEDICARE [25381] | FS Medicare HMO - United | $0.63 | $16,832.78 | $12,624.58 | 2026-07-01 | MRF ↗ |
| SANTA CLARA VALLEY MEDICAL CENTER InpatientFacility | MEDICONNECT SCFHP [727] | MEDICONNECT SCFHP [727001] | $0.63 | $26,598.52 | $18,618.96 | 2026-09-01 | MRF ↗ |
| ASANTE THREE RIVERS MEDICAL CENTER Inpatient | PYRAMID TODAYS OPTION PREMIER [7015] | PYRAMID TODAYS OPTION PREMIER | $0.63 | $17,314.91 | $11,254.69 | 2026-03-25 | MRF ↗ |
| ASANTE THREE RIVERS MEDICAL CENTER Inpatient | CIGNA MED ADV HMO [7040] | CIGNA MED ADV HMO | $0.63 | $17,314.91 | $11,254.69 | 2026-03-25 | MRF ↗ |
| ASANTE THREE RIVERS MEDICAL CENTER Inpatient | ALIGNMENT HEALTH PLAN [7029] | ALIGNMENT HEALTH PLAN HMO POS | $0.63 | $17,314.91 | $11,254.69 | 2026-03-25 | MRF ↗ |
| ASANTE THREE RIVERS MEDICAL CENTER Inpatient | SCAN HEALTH PLAN [7024] | SCAN CLAIMS DEPARTMENT | $0.63 | $17,314.91 | $11,254.69 | 2026-03-25 | MRF ↗ |
| ASANTE THREE RIVERS MEDICAL CENTER Inpatient | MANAGED HLTH NETWRK BH WELLCARE [7042] | MANAGED HEALTH NETWORK BH WELLCARE MA | $0.63 | $17,314.91 | $11,254.69 | 2026-03-25 | MRF ↗ |
| St. Louise Regional Hospital InpatientFacility | MEDICONNECT SCFHP [727] | MEDICONNECT SCFHP [727001] | $0.63 | $26,598.52 | $18,618.96 | 2026-09-01 | MRF ↗ |
| ASANTE THREE RIVERS MEDICAL CENTER Inpatient | ATRIO HLTH PLANS MEDICARE ADV [7004] | Atrio Health Medicare Advantage Plans | $0.63 | $17,314.91 | $11,254.69 | 2026-03-25 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Inpatient | MH OPTUM [170] | MH OPTUM MEDICARE | $0.63 | $12,904.13 | $8,387.68 | 2024-12-30 | MRF ↗ |
| SANTA CLARA VALLEY MEDICAL CENTER InpatientFacility | ALIGNMENT HEALTH [870] | ALIGNMENT HEALTH [870001] | $0.63 | $26,598.52 | $18,618.96 | 2026-09-01 | MRF ↗ |
| O'connor Hospital InpatientFacility | MEDICONNECT SCFHP [727] | MEDICONNECT SCFHP [727001] | $0.63 | $26,598.52 | $18,618.96 | 2026-09-01 | MRF ↗ |
| St. Louise Regional Hospital InpatientFacility | HEALTHNET [265] | HEALTHNET TRICARE [265010] | $0.63 | $26,598.52 | $18,618.96 | 2026-09-01 | MRF ↗ |
| FROEDTERT SOUTH INC. Inpatient | HUMANA MEDICARE [25176] | FS Medicare HMO - Humana | $0.63 | $16,832.78 | $12,624.58 | 2026-07-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Inpatient | ALTERNATE HEALTHNET [1007] | HEALTH NET MEDICARE ADVANTAGE UC EMPLOYER GROUP | $0.63 | $35,083.70 | $19,296.04 | 2026-04-01 | MRF ↗ |
| ASANTE THREE RIVERS MEDICAL CENTER Inpatient | KAISER MED ADV SO CALIFORNIA HMO [7038] | KAISER MED ADV SO CALIFORNIA HMO | $0.63 | $17,314.91 | $11,254.69 | 2026-03-25 | MRF ↗ |
| ASANTE THREE RIVERS MEDICAL CENTER Inpatient | KAISER MED ADV OREGON HMO [7009] | KAISER MED ADV OREGON HMO | $0.63 | $17,314.91 | $11,254.69 | 2026-03-25 | MRF ↗ |
| St. Louise Regional Hospital InpatientFacility | ALIGNMENT HEALTH [870] | ALIGNMENT HEALTH [870001] | $0.63 | $26,598.52 | $18,618.96 | 2026-09-01 | MRF ↗ |
| SANTA CLARA VALLEY MEDICAL CENTER InpatientFacility | ONLOK [380] | ONLOK [380001] | $0.63 | $26,598.52 | $18,618.96 | 2026-09-01 | MRF ↗ |
| ASANTE THREE RIVERS MEDICAL CENTER Inpatient | BLUE SHIELD MEDICARE ADVANTAGE PPO [7031] | BLUE SHIELD MEDICARE ADVANTAGE PPO | $0.63 | $17,314.91 | $11,254.69 | 2026-03-25 | MRF ↗ |
| FROEDTERT SOUTH INC. Inpatient | SECURITY HEALTH PLAN MEDICARE [25105] | FS MEDICARE HMO - SECURITY HEALTH PLAN | $0.63 | $16,832.78 | $12,624.58 | 2026-07-01 | MRF ↗ |
| ASANTE THREE RIVERS MEDICAL CENTER Inpatient | KAISER MED ADV SENIOR NW [7028] | KAISER MED ADV SENIOR NW | $0.63 | $17,314.91 | $11,254.69 | 2026-03-25 | MRF ↗ |
| O'connor Hospital InpatientFacility | SCAN HEALTH PLAN [710] | SCAN HEALTH PLAN [710001] | $0.63 | $26,598.52 | $18,618.96 | 2026-09-01 | MRF ↗ |
| FROEDTERT SOUTH INC. Inpatient | UHC MEDICARE [25249] | FS Medicare HMO - United | $0.63 | $16,832.78 | $12,624.58 | 2026-07-01 | MRF ↗ |
| ASANTE THREE RIVERS MEDICAL CENTER Inpatient | PROVIDENCE MEDICARE ADV HMO [7044] | PROVIDENCE MEDICARE ADVANTAGE PLANS HMO | $0.63 | $17,314.91 | $11,254.69 | 2026-03-25 | MRF ↗ |
| ASANTE THREE RIVERS MEDICAL CENTER Inpatient | KAISER MED ADV HMO [7027] | KAISER MEDICARE ADVANTAGE PLANS | $0.63 | $17,314.91 | $11,254.69 | 2026-03-25 | MRF ↗ |
| ASANTE THREE RIVERS MEDICAL CENTER Inpatient | HUMANA MED ADV PPO [7008] | HUMANA MED ADV PPO | $0.63 | $17,314.91 | $11,254.69 | 2026-03-25 | MRF ↗ |
| FROEDTERT SOUTH INC. Inpatient | ANTHEM MEDICARE [25119] | FS Medicare HMO - Anthem | $0.63 | $16,832.78 | $12,624.58 | 2026-07-01 | MRF ↗ |
| ASANTE THREE RIVERS MEDICAL CENTER Inpatient | STERLING MEDICARE ADV [7012] | STERLING OPTION 1 | $0.63 | $17,314.91 | $11,254.69 | 2026-03-25 | MRF ↗ |
| St. Louise Regional Hospital InpatientFacility | KAISER SR. [365] | KAISER SR [365001] | $0.63 | $26,598.52 | $18,618.96 | 2026-09-01 | MRF ↗ |
| O'connor Hospital InpatientFacility | BLUE CROSS WELLCARE [375] | WELLCARE [375001] | $0.63 | $26,598.52 | $18,618.96 | 2026-09-01 | MRF ↗ |
| ASANTE THREE RIVERS MEDICAL CENTER Inpatient | ALIGNMENT HEALTH PLAN [7029] | ALIGNMENT HEALTH PLAN PPO | $0.63 | $17,314.91 | $11,254.69 | 2026-03-25 | MRF ↗ |
| ASANTE THREE RIVERS MEDICAL CENTER Inpatient | BLUE SHIELD MEDICARE ADVANTAGE HMO [7032] | BLUE SHIELD MEDICARE ADVANTAGE HMO | $0.63 | $17,314.91 | $11,254.69 | 2026-03-25 | MRF ↗ |
| ASANTE THREE RIVERS MEDICAL CENTER Inpatient | KAISER MED ADV NO CALIFORNIA HMO [7037] | KAISER MED ADV NO CALIFORNIA HMO | $0.63 | $17,314.91 | $11,254.69 | 2026-03-25 | MRF ↗ |
| SANTA CLARA VALLEY MEDICAL CENTER InpatientFacility | BLUE CROSS WELLCARE [375] | WELLCARE [375001] | $0.63 | $26,598.52 | $18,618.96 | 2026-09-01 | MRF ↗ |
| St. Louise Regional Hospital InpatientFacility | ONLOK [380] | ONLOK [380001] | $0.63 | $26,598.52 | $18,618.96 | 2026-09-01 | MRF ↗ |
| SANTA CLARA VALLEY MEDICAL CENTER InpatientFacility | UNITED HEALTHCARE MEDICARE ADVANTAGE HMO [740] | UNITED HEALTHCARE MEDICARE ADVANTAGE HMO [740001] | $0.63 | $26,598.52 | $18,618.96 | 2026-09-01 | MRF ↗ |
| O'connor Hospital InpatientFacility | UNITED HEALTHCARE MEDICARE ADVANTAGE HMO [740] | UNITED HEALTHCARE MEDICARE ADVANTAGE HMO [740001] | $0.63 | $26,598.52 | $18,618.96 | 2026-09-01 | MRF ↗ |
| FROEDTERT SOUTH INC. Inpatient | NETWORK HEALTH MEDICARE [25209] | FS Medicare HMO - Network Health | $0.63 | $16,832.78 | $12,624.58 | 2026-07-01 | MRF ↗ |
| St. Louise Regional Hospital InpatientFacility | UNITED HEALTHCARE MEDICARE ADVANTAGE HMO [740] | UNITED HEALTHCARE MEDICARE ADVANTAGE HMO [740001] | $0.63 | $26,598.52 | $18,618.96 | 2026-09-01 | MRF ↗ |
| ASANTE THREE RIVERS MEDICAL CENTER Inpatient | VETERANS ADMINISTRATION [4004] | Veterans Admininstration Plans | $0.63 | $17,314.91 | $11,254.69 | 2026-03-25 | MRF ↗ |
| ASANTE THREE RIVERS MEDICAL CENTER Inpatient | HUMANA MED ADV HMO [7039] | HUMANA MEDICARE ADVANTAGE PLANS | $0.63 | $17,314.91 | $11,254.69 | 2026-03-25 | MRF ↗ |
| O'connor Hospital InpatientFacility | KAISER SR. [365] | KAISER SR [365001] | $0.63 | $26,598.52 | $18,618.96 | 2026-09-01 | MRF ↗ |
| ASANTE THREE RIVERS MEDICAL CENTER Inpatient | SAMARITAN HEALTH MED ADV HMO [7043] | SAMARITAN ADVANTAGE PREMIER PLUS HEALTH | $0.63 | $17,314.91 | $11,254.69 | 2026-03-25 | MRF ↗ |
| SANTA CLARA VALLEY MEDICAL CENTER InpatientFacility | HEALTHNET [265] | HEALTHNET TRICARE [265010] | $0.63 | $26,598.52 | $18,618.96 | 2026-09-01 | MRF ↗ |
| ASANTE THREE RIVERS MEDICAL CENTER Inpatient | ATRIO HLTH PLANS MEDICARE ADV [7004] | ATRIO HEALTH PLAN MEDICARE ADV HMO | $0.63 | $17,314.91 | $11,254.69 | 2026-03-25 | MRF ↗ |
| SANTA CLARA VALLEY MEDICAL CENTER InpatientFacility | KAISER SR. [365] | KAISER SR [365001] | $0.63 | $26,598.52 | $18,618.96 | 2026-09-01 | MRF ↗ |
| St. Louise Regional Hospital InpatientFacility | SCAN HEALTH PLAN [710] | SCAN HEALTH PLAN [710001] | $0.63 | $26,598.52 | $18,618.96 | 2026-09-01 | MRF ↗ |
| ASANTE THREE RIVERS MEDICAL CENTER Inpatient | MEDICARE SOLUTIONS [7011] | MEDICARE SOLUTIONS MEDICARE ADVANTAGE PLANS | $0.63 | $17,314.91 | $11,254.69 | 2026-03-25 | MRF ↗ |
| O'connor Hospital InpatientFacility | ALIGNMENT HEALTH [870] | ALIGNMENT HEALTH [870001] | $0.63 | $26,598.52 | $18,618.96 | 2026-09-01 | MRF ↗ |
| St. Louise Regional Hospital InpatientFacility | BLUE CROSS WELLCARE [375] | WELLCARE [375001] | $0.63 | $26,598.52 | $18,618.96 | 2026-09-01 | MRF ↗ |
| O'connor Hospital InpatientFacility | ONLOK [380] | ONLOK [380001] | $0.63 | $26,598.52 | $18,618.96 | 2026-09-01 | MRF ↗ |
| SANTA CLARA VALLEY MEDICAL CENTER InpatientFacility | SCAN HEALTH PLAN [710] | SCAN HEALTH PLAN [710001] | $0.63 | $26,598.52 | $18,618.96 | 2026-09-01 | MRF ↗ |
| ASANTE THREE RIVERS MEDICAL CENTER Inpatient | KAISER OF WASHINGTON MEDICARE HMO [7026] | KAISER OF WA MEDICARE HMO | $0.63 | $17,314.91 | $11,254.69 | 2026-03-25 | MRF ↗ |
| O'connor Hospital InpatientFacility | HEALTHNET [265] | HEALTHNET TRICARE [265010] | $0.63 | $26,598.52 | $18,618.96 | 2026-09-01 | MRF ↗ |
| FROEDTERT SOUTH INC. Inpatient | WELLCARE MEDICARE [25188] | FS Medicare HMO - Managed Health Services | $0.64 | $16,832.78 | $12,624.58 | 2026-07-01 | MRF ↗ |
| PIEDMONT HOSPITAL, INC Inpatient | CARESOURCE MEDICARE ADVANTAGE [30186] | Caresource Medicare Advantage | $0.67 | $27,820.46 | $8,346.14 | 2026-04-01 | MRF ↗ |
| PIEDMONT HOSPITAL, INC Inpatient | GEORGIA HEALTH ADVANTAGE [30143] | Georgia Health Medicare Advantage | $0.67 | $27,820.46 | $8,346.14 | 2026-04-01 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MSMC | $0.96 | $34,359.25 | $17,179.62 | 2026-03-23 | MRF ↗ |
| METHODIST CELINA MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MCEL | $0.96 | $34,359.25 | $10,307.78 | 2026-03-23 | MRF ↗ |
| METHODIST CHARLTON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MCMC | $0.96 | $36,655.26 | $18,327.63 | 2026-03-21 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MRMC | $0.96 | $37,848.25 | $18,924.12 | 2026-03-21 | MRF ↗ |
| METHODIST DALLAS MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MDMC | $0.96 | $28,637.75 | $14,318.87 | 2026-03-20 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MRMC | $0.96 | $37,848.25 | $18,924.12 | 2026-03-21 | MRF ↗ |
| METHODIST MANSFIELD MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MMMC | $0.96 | $28,488.50 | $14,244.25 | 2026-03-21 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MSMC | $0.96 | $34,359.25 | $17,179.62 | 2026-03-23 | 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 | 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 | Health Net of California, Inc. | Medicare Advantage | — | — | — | 2025-11-26 | MRF ↗ |
| ASANTE THREE RIVERS MEDICAL CENTER Inpatient | PROVIDENCE HEALTH PLAN [1078] | Provdence PEBB Plans | $1.25 | $17,314.91 | $11,254.69 | 2026-03-25 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MRMC | $1.57 | $37,848.25 | $18,924.12 | 2026-03-21 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MRMC | $1.57 | $37,848.25 | $18,924.12 | 2026-03-21 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MSMC | $1.57 | $34,359.25 | $17,179.62 | 2026-03-23 | MRF ↗ |
| METHODIST CELINA MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MCEL | $1.57 | $34,359.25 | $10,307.78 | 2026-03-23 | MRF ↗ |
| METHODIST CHARLTON MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MCMC | $1.57 | $36,655.26 | $18,327.63 | 2026-03-21 | MRF ↗ |
| METHODIST MANSFIELD MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MMMC | $1.57 | $28,488.50 | $14,244.25 | 2026-03-21 | MRF ↗ |
| METHODIST DALLAS MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MDMC | $1.57 | $28,637.75 | $14,318.87 | 2026-03-20 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MSMC | $1.57 | $34,359.25 | $17,179.62 | 2026-03-23 | MRF ↗ |
| PIEDMONT MEDICAL CENTER InpatientFacility | BLUE CROSS/BLUE SHIELD | HMO BLUE (PREFERRED HEALTH SYSTEMS) | $1.83 | — | — | 2026-09-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Inpatient | MGM RESORTS [1053] | MGM RESORT | $1.92 | $35,083.70 | $19,296.04 | 2026-04-01 | MRF ↗ |
| PRINCETON BAPTIST MEDICAL CENTER Inpatient | Aetna | AetnaMgdMCare | $2.00 | — | — | 2024-12-11 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Inpatient | Aetna | AetnaMgdMCare | $2.00 | — | — | 2025-01-31 | MRF ↗ |
| CITIZENS BAPTIST MEDICAL CENTER Inpatient | Aetna | AetnaMgdMCare | $2.00 | — | — | 2024-12-11 | MRF ↗ |
| SHELBY BAPTIST MEDICAL CENTER Inpatient | Aetna | AetnaMgdMCare | $2.00 | — | — | 2024-12-11 | MRF ↗ |
| ALAMEDA HOSPITAL InpatientFacility | HEALTH NET [1022001] | Health Net | $2.29 | $30,219.14 | $15,109.57 | 2026-03-16 | MRF ↗ |
| HIGHLAND HOSPITAL InpatientFacility | HEALTH NET [1022001] | Health Net | $2.29 | $44,772.53 | $22,386.26 | 2026-03-16 | MRF ↗ |
| SHELBY BAPTIST MEDICAL CENTER Inpatient | United Healthcare | UnitedExchange | $2.40 | — | — | 2024-12-11 | MRF ↗ |
| SHELBY BAPTIST MEDICAL CENTER Inpatient | United Healthcare | UnitedOptions | $2.40 | — | — | 2024-12-11 | MRF ↗ |
| SHELBY BAPTIST MEDICAL CENTER Inpatient | United Healthcare | UnitedNonOptions | $2.40 | — | — | 2024-12-11 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Inpatient | United Healthcare | UnitedOptions | $2.40 | — | — | 2024-12-08 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Inpatient | United Healthcare | UnitedChoicePlus | $2.40 | — | — | 2025-01-31 | MRF ↗ |
| PRINCETON BAPTIST MEDICAL CENTER Inpatient | United Healthcare | UnitedNonOptions | $2.40 | — | — | 2024-12-11 | MRF ↗ |
| Rehabilitation Institute Of Michigan Inpatient | United Healthcare | UnitedHealthcareNewBusiness | $2.40 | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Inpatient | United Healthcare | UnitedExchange | $2.40 | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Inpatient | United Healthcare | UnitedOptions | $2.40 | — | — | 2025-01-31 | MRF ↗ |
| PRINCETON BAPTIST MEDICAL CENTER Inpatient | United Healthcare | UnitedOptions | $2.40 | — | — | 2024-12-11 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Inpatient | United Healthcare | UnitedExchange | $2.40 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Inpatient | United Healthcare | UnitedNonOptions | $2.40 | — | $20,941.50 | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Inpatient | United Healthcare | UnitedNonOptions | $2.40 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Inpatient | United Healthcare | UnitedNonOptions | $2.40 | — | — | 2024-12-08 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Inpatient | United Healthcare | UnitedHealthcareHMO | $2.40 | — | — | 2025-01-31 | MRF ↗ |
| CITIZENS BAPTIST MEDICAL CENTER Inpatient | United Healthcare | UnitedExchange | $2.40 | — | — | 2024-12-11 | MRF ↗ |
| PRINCETON BAPTIST MEDICAL CENTER Inpatient | United Healthcare | UnitedExchange | $2.40 | — | — | 2024-12-11 | MRF ↗ |
| CITIZENS BAPTIST MEDICAL CENTER Inpatient | United Healthcare | UnitedNonOptions | $2.40 | — | — | 2024-12-11 | MRF ↗ |
| CITIZENS BAPTIST MEDICAL CENTER Inpatient | United Healthcare | UnitedOptions | $2.40 | — | — | 2024-12-11 | MRF ↗ |
| Rehabilitation Institute Of Michigan Inpatient | United Healthcare | UnitedNonOptions | $2.40 | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Inpatient | United Healthcare | UnitedOptions | $2.40 | — | — | 2025-01-31 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Inpatient | United Healthcare | UnitedExchange | $2.40 | — | $20,941.50 | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Inpatient | United Healthcare | UnitedExchange | $2.40 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Inpatient | United Healthcare | UnitedOptions | $2.40 | — | — | 2024-12-08 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Inpatient | United Healthcare | UnitedHealthcareNewBusiness | $2.40 | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Inpatient | United Healthcare | UnitedOptions | $2.40 | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Inpatient | United Healthcare | UnitedNonOptions | $2.40 | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Inpatient | United Healthcare | UnitedExchange | $2.40 | — | — | 2025-01-31 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Inpatient | United Healthcare | UnitedOptions | $2.40 | — | $20,941.50 | 2024-12-08 | MRF ↗ |
| SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN Inpatient | Metroplus Medicare | Commercial | $3.00 | $9.00 | $9.00 | 2026-07-15 | MRF ↗ |
| SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN Inpatient | Integra Medicare | Commercial | $3.00 | $9.00 | $9.00 | 2026-07-15 | MRF ↗ |
| SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN Inpatient | Uhc Oxford Medicare | Commercial | $3.00 | $9.00 | $9.00 | 2026-07-15 | MRF ↗ |
| SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN Inpatient | Village Care Medicare | Commercial | $3.00 | $9.00 | $9.00 | 2026-07-15 | MRF ↗ |
| SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN Inpatient | Ebcbs Medicare | Commercial | $3.00 | $9.00 | $9.00 | 2026-07-15 | MRF ↗ |
| SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN Inpatient | Elderplan Medicare | Commercial | $3.00 | $9.00 | $9.00 | 2026-07-15 | MRF ↗ |
| SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN Inpatient | Emblem Hipi Medicare | Commercial | $3.00 | $9.00 | $9.00 | 2026-07-15 | MRF ↗ |
| SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN Inpatient | Aetna - Medicare | Commercial | $3.00 | $9.00 | $9.00 | 2026-07-15 | MRF ↗ |
| SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN Inpatient | Wellcare Medicare | Commercial | $3.00 | $9.00 | $9.00 | 2026-07-15 | MRF ↗ |
| SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN Inpatient | Uhc Medicare | Commercial | $3.00 | $9.00 | $9.00 | 2026-07-15 | MRF ↗ |
| SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN Inpatient | Alphacare Medicare | Commercial | $3.00 | $9.00 | $9.00 | 2026-07-15 | MRF ↗ |
| SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN Inpatient | Vnsny Medicare | Commercial | $3.00 | $9.00 | $9.00 | 2026-07-15 | MRF ↗ |
| SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN Inpatient | Emblem Ghi Medicare | Commercial | $3.00 | $9.00 | $9.00 | 2026-07-15 | MRF ↗ |
| SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN Inpatient | Fidelis Medicare | Commercial | $3.00 | $9.00 | $9.00 | 2026-07-15 | MRF ↗ |
| SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN Inpatient | Hamaspik Medicare | Commercial | $3.00 | $9.00 | $9.00 | 2026-07-15 | MRF ↗ |
| SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN Inpatient | Healthfirst Medicare | Commercial | $3.00 | $9.00 | $9.00 | 2026-07-15 | MRF ↗ |
| SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN Inpatient | Longevity Medicare | Commercial | $3.00 | $9.00 | $9.00 | 2026-07-15 | MRF ↗ |
| SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN Inpatient | Magnacare Medicare | Commercial | $3.00 | $9.00 | $9.00 | 2026-07-15 | MRF ↗ |
| SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN Inpatient | Ebcbs Hmo | Commercial | $5.00 | $9.00 | $9.00 | 2026-07-15 | MRF ↗ |
| SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN Inpatient | Ebcbs Ppo | Commercial | $5.00 | $9.00 | $9.00 | 2026-07-15 | MRF ↗ |
| FROEDTERT SOUTH INC. Inpatient | MOLINA MP EXCHANGE [70433] | FS Molina Marketplace | $5.10 | $16,832.78 | $12,624.58 | 2026-07-01 | MRF ↗ |
| CONE HEALTH WESLEY LONG HOSPITAL Inpatient | Partners Health | Managed Medicaid | $7.29 | $1.00 | $0.38 | 2026-07-15 | MRF ↗ |
| CONE HEALTH BEHAVIORAL HOSPITAL Inpatient | Partners Health | Managed Medicaid | $7.29 | $1.00 | $0.38 | 2026-07-15 | MRF ↗ |
| CONE HEALTH WESLEY LONG HOSPITAL Inpatient | Partners Health | Tailored Plan | $7.29 | $1.00 | $0.38 | 2026-07-15 | MRF ↗ |
| CONE HEALTH ANNIE PENN HOSPITAL Inpatient | Partners Health | Tailored Plan | $7.29 | $1.00 | $0.38 | 2026-07-15 | MRF ↗ |
| CONE HEALTH BEHAVIORAL HOSPITAL Inpatient | Partners Health | Tailored Plan | $7.29 | $1.00 | $0.38 | 2026-07-15 | MRF ↗ |
| CONE HEALTH ANNIE PENN HOSPITAL Inpatient | Partners Health | Managed Medicaid | $7.29 | $1.00 | $0.38 | 2026-07-15 | MRF ↗ |
| MOSES H. CONE MEMORIAL HOSPITAL, THE Inpatient | Partners Health | Managed Medicaid | $7.29 | $1.00 | $0.38 | 2026-07-15 | MRF ↗ |
| MOSES H. CONE MEMORIAL HOSPITAL, THE Inpatient | Partners Health | Tailored Plan | $7.29 | $1.00 | $0.38 | 2026-07-15 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 InpatientFacility | Devoted Health | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 InpatientFacility | Aetna | Mmai Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 InpatientFacility | Bcbs | Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 InpatientFacility | Molina Healthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Yavapai Regional Medical Center - East Inpatient | BCBS - AZ | Commercial|All Plans | $21.00 | — | — | 2026-02-28 | MRF ↗ |
| Yavapai Regional Medical Center - East Inpatient | BCBS - AZ | Commercial|All Plans | $21.00 | — | — | 2026-02-28 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 InpatientFacility | Bcbs | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 InpatientFacility | Bcbs | Mmai Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 InpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 InpatientFacility | Bcbs | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 InpatientFacility | Meridian | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 InpatientFacility | Molina Healthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 InpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 InpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ALLIANCEHEALTH WOODWARD InpatientFacility | Aetna | Better Health Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 InpatientFacility | Countycare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 InpatientFacility | Aetna | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 InpatientFacility | Youthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Priority Health - Medicare Advantage | — | $47.13 | $15,814.89 | $3,953.72 | 2026-07-31 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Health Alliance Plan (Hap) Medicare Advantage | — | $47.13 | $15,814.89 | $3,953.72 | 2026-07-31 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Medicare Plus Blue | — | $47.13 | $15,814.89 | $3,953.72 | 2026-07-31 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Blue Care Network Medicare Advantage | — | $47.13 | $15,814.89 | $3,953.72 | 2026-07-31 | MRF ↗ |
| ADVENTHEALTH OCALA InpatientFacility | Aetna | Hmo/Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Molina | 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 | SummaCare | 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 | Humana | 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 | Medical Mutual of Ohio | 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 | The Health Plan | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Paramount | Medicare Advantage | $52.19 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | 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 ↗ |
| LITTLE COLORADO MEDICAL CENTER Inpatient | Blue Cross Blue Shield Of Az | Indemnity/Ppo/Hmo | $64.18 | — | — | 2026-07-15 | MRF ↗ |
| PARKVIEW WHITLEY HOSPITAL InpatientFacility | Bcbs | Anthem All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 InpatientFacility | Cigna | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| NEW YORK COMMUNITY HOSPITAL OF BROOKLYN, INC. Inpatient | EMPIRE MEDICARE HMO NY | EMPIRE MEDICARE HMO NY | $83.28 | $6,924.05 | $6,924.05 | 2025-04-25 | 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 | $8,900.00 | $3,560.00 | 2026-04-02 | MRF ↗ |
| ELMORE COMMUNITY HOSPITAL Inpatient | VIVA Health Plan MCR Adv | Default | $95.00 | $8,900.00 | $3,560.00 | 2026-04-02 | 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.