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 $5,531–$10,988 (25th–75th percentile) across 2,500 hospitals · 5,964 payers.
“Negotiated” is the hospital’s negotiated facility rate for this MS_DRG 195 — 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 |
|---|---|---|---|---|---|---|---|
| UPMC SOMERSET InpatientFacility | Aetna of PA | TPA/Carrier | $0.25 | — | — | 2026-03-06 | 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 ↗ |
| 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 ↗ |
| 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 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 HEALTH - CHESTNUT HILL 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 ↗ |
| CANTON-POTSDAM HOSPITAL Inpatient | MH OPTUM [170] | MH OPTUM MEDICARE | $0.63 | $12,904.13 | $8,387.68 | 2024-12-30 | 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 ↗ |
| 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 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 CELINA MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MCEL | $0.96 | $34,359.25 | $17,179.62 | 2026-03-23 | 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 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 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 ↗ |
| 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 ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | Health Net of California, 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 | California Physicians' Service dba Blue Shield of California | Medicare Advantage | — | — | — | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | Medicare Advantage | — | — | — | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | Humana Health Plan, Inc. | Medicare Advantage | — | — | — | 2025-11-26 | 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 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 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 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 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 CELINA MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MCEL | $1.57 | $34,359.25 | $17,179.62 | 2026-03-23 | 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 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 ↗ |
| 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 ↗ |
| ALAMEDA HOSPITAL InpatientFacility | HEALTH NET [1022001] | Health Net | $2.29 | $30,219.14 | $15,109.57 | 2026-03-16 | MRF ↗ |
| ALAMEDA HOSPITAL InpatientFacility | HEALTH NET [1022001] | Health Net | $2.29 | $30,219.14 | $15,109.57 | 2026-03-16 | MRF ↗ |
| Harper University Hospital Inpatient | United Healthcare | UnitedOptions | $2.40 | — | — | 2025-01-31 | MRF ↗ |
| Harper University Hospital Inpatient | United Healthcare | UnitedHealthcareNewBusiness | $2.40 | — | — | 2025-01-31 | MRF ↗ |
| Harper University Hospital Inpatient | United Healthcare | UnitedExchange | $2.40 | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Inpatient | United Healthcare | UnitedChoicePlus | $2.40 | — | — | 2025-01-31 | MRF ↗ |
| Harper University Hospital 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 | UnitedNonOptions | $2.40 | — | $20,941.50 | 2024-12-08 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Inpatient | United Healthcare | UnitedExchange | $2.40 | — | — | 2025-01-31 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Inpatient | United Healthcare | UnitedNonOptions | $2.40 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Inpatient | United Healthcare | UnitedOptions | $2.40 | — | — | 2024-12-08 | MRF ↗ |
| Rehabilitation Institute Of Michigan Inpatient | United Healthcare | UnitedOptions | $2.40 | — | — | 2025-01-31 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Inpatient | United Healthcare | UnitedExchange | $2.40 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Inpatient | United Healthcare | UnitedExchange | $2.40 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Inpatient | United Healthcare | UnitedOptions | $2.40 | — | $20,941.50 | 2024-12-08 | MRF ↗ |
| Rehabilitation Institute Of Michigan Inpatient | United Healthcare | UnitedHealthcareNewBusiness | $2.40 | — | — | 2025-01-31 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Inpatient | United Healthcare | UnitedExchange | $2.40 | — | $20,941.50 | 2024-12-08 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Inpatient | United Healthcare | UnitedOptions | $2.40 | — | — | 2025-01-31 | MRF ↗ |
| METROWEST MEDICAL CENTER Inpatient | United Healthcare | UnitedOptions | $2.40 | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Inpatient | United Healthcare | UnitedHealthcareNewBusiness | $2.40 | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Inpatient | United Healthcare | UnitedHealthcareHMO | $2.40 | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Inpatient | United Healthcare | UnitedNonOptions | $2.40 | — | — | 2025-01-31 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Inpatient | United Healthcare | UnitedOptions | $2.40 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Inpatient | United Healthcare | UnitedNonOptions | $2.40 | — | — | 2024-12-08 | MRF ↗ |
| Rehabilitation Institute Of Michigan Inpatient | United Healthcare | UnitedExchange | $2.40 | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Inpatient | United Healthcare | UnitedNonOptions | $2.40 | — | — | 2025-01-31 | 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 ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Health Coalition Incorporated | Health Coalition Incorporated | — | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | First Health | First Health PPO | — | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Cigna | Cigna Commercial All Other | — | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Claritev | Multiplan Complementary Network | — | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Claritev | PHCS Primary Network | — | — | — | 2026-04-14 | 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 ↗ |
| MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE Inpatient | CIGNA | NewBusiness | — | — | — | 2026-03-01 | 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 | Youthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 InpatientFacility | Aetna | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL InpatientFacility | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | COMMERCIAL | — | — | — | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL InpatientFacility | AETNA HEALTH MANAGEMENT, LLC | COMMERCIAL | — | — | — | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL InpatientFacility | AETNA HEALTH MANAGEMENT, LLC | RI PREFERRED | — | — | — | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL InpatientFacility | MULTIPLAN, INC | COMMERCIAL | — | — | — | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL InpatientFacility | PRIVATE HEALTHCARE SYSTEM | COMMERCIAL | — | — | — | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL InpatientFacility | HARVARD PILGRIM HEALTHCARE, INC. | COMMERCIAL | — | — | — | 2026-02-28 | 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 | 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 | 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 | 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 | Molina | 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 | SummaCare | 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 ↗ |
| PARKVIEW WHITLEY HOSPITAL InpatientFacility | Bcbs | Anthem All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| PARKVIEW REGIONAL MEDICAL CENTER InpatientFacility | Bcbs | Anthem All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 InpatientFacility | Cigna | All Commercial Plans | — | — | — | 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 | $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 ↗ |
| WHITE PLAINS HOSPITAL CENTER Inpatient | Magnacare | JIB | — | — | — | 2026-04-01 | MRF ↗ |
| SENTARA LEIGH HOSPITAL InpatientFacility | Unitedhealthcare | Dsnp Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ELMORE COMMUNITY HOSPITAL Inpatient | United Healthcare | Default | $100.00 | $8,900.00 | $3,560.00 | 2026-04-02 | MRF ↗ |
| ELMORE COMMUNITY HOSPITAL Inpatient | Humana | Default | $100.00 | $8,900.00 | $3,560.00 | 2026-04-02 | MRF ↗ |
| ELMORE COMMUNITY HOSPITAL Inpatient | VA Community Care Network VACCN Region 1-3 Optum | All Plans | $100.00 | $8,900.00 | $3,560.00 | 2026-04-02 | MRF ↗ |
| ELMORE COMMUNITY HOSPITAL Inpatient | Humana | Default | $100.00 | $8,900.00 | $3,560.00 | 2026-04-02 | MRF ↗ |
| ELMORE COMMUNITY HOSPITAL Inpatient | United Healthcare | Default | $100.00 | $8,900.00 | $3,560.00 | 2026-04-02 | MRF ↗ |
| Tampa General Hospital InpatientFacility | Bcbs | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT FRANCIS HOSPITAL, INC InpatientFacility | Community Care | Other Physician Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| ELMORE COMMUNITY HOSPITAL Inpatient | VA Community Care Network VACCN Region 1-3 Optum | All Plans | $100.00 | $8,900.00 | $3,560.00 | 2026-04-02 | MRF ↗ |
| ELMORE COMMUNITY HOSPITAL Inpatient | Simpra Advantage AL MCR Adv DOS gt 123122 | Default | $102.00 | $8,900.00 | $3,560.00 | 2026-04-02 | MRF ↗ |
| ELMORE COMMUNITY HOSPITAL Inpatient | Simpra Advantage AL MCR Adv DOS gt 123122 | Default | $102.00 | $8,900.00 | $3,560.00 | 2026-04-02 | MRF ↗ |
| Orlando Health Dr. P. Phillips Hospital InpatientFacility | Advent Health | Fhhs Employee Plan Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL - CASSVILLE InpatientFacility | DEPT OF VETERAN AFFAIRS CONTRACTED [320106] | HB CASV VA CCN OPTUM NEW 121520 | — | $20,900.75 | $13,585.49 | 2026-03-15 | MRF ↗ |
| HOUSTON METHODIST SUGARLAND HOSPITAL InpatientFacility | Devoted Health | Medicare Managed Care - Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| RIDGEVIEW SIBLEY MEDICAL CENTER Inpatient | MEDICA MEDICAID [16023] | MEDICA CHOICE CARE [1602302] | $131.34 | $592.00 | $384.80 | 2026-01-01 | MRF ↗ |
| RIDGEVIEW SIBLEY MEDICAL CENTER Inpatient | MEDICA MEDICAID [16023] | MEDICA ACCESSABILITY [1602301] | $131.34 | $592.00 | $384.80 | 2026-01-01 | MRF ↗ |
| WELLSTAR DOUGLAS MEDICAL CENTER InpatientFacility | Wellcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 InpatientFacility | Cigna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 InpatientFacility | Aetna | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield InpatientFacility | MEDICA CONTRACTED [320239] | HB SPRG UBH COMMERCIAL | $150.32 | $25,976.41 | $16,884.67 | 2026-03-12 | MRF ↗ |
| Mercy Orthopedic Hospital Springfield InpatientFacility | MEDICA [20239] | HB SPRG UBH COMMERCIAL | $150.32 | $25,976.41 | $16,884.67 | 2026-03-12 | MRF ↗ |
| RIDGEVIEW SIBLEY MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICARE [16044] | UNITED HEALTHCARE MEDICARE SOLUTIONS [1604402] | $162.02 | $592.00 | $384.80 | 2026-01-01 | MRF ↗ |
| RIDGEVIEW SIBLEY MEDICAL CENTER Inpatient | AETNA MEDICARE [16004] | ALLINA HEALTH AETNA MEDICARE ADV [1600402] | $162.02 | $592.00 | $384.80 | 2026-01-01 | MRF ↗ |
| RIDGEVIEW SIBLEY MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICARE [16044] | UNITED HEALTHCARE MEDICARE ADVANTAGE [1604401] | $162.02 | $592.00 | $384.80 | 2026-01-01 | MRF ↗ |
| RIDGEVIEW SIBLEY MEDICAL CENTER Inpatient | AARP MEDICARE [16001] | AARP MEDICARE COMPLETE [1600101] | $162.02 | $592.00 | $384.80 | 2026-01-01 | MRF ↗ |
| RIDGEVIEW SIBLEY MEDICAL CENTER Inpatient | MEDICA MEDICARE [16024] | MEDICA PRIME SOLUTION [1602403] | $164.94 | $592.00 | $384.80 | 2026-01-01 | MRF ↗ |
| RIDGEVIEW SIBLEY MEDICAL CENTER Inpatient | MEDICA MEDICARE [16024] | MEDICA DUAL SOLUTION [1602402] | $164.94 | $592.00 | $384.80 | 2026-01-01 | MRF ↗ |
| RIDGEVIEW SIBLEY MEDICAL CENTER Inpatient | MEDICA MEDICARE [16024] | MEDICA COMPLETE SOLUTION [1602404] | $164.94 | $592.00 | $384.80 | 2026-01-01 | MRF ↗ |
| RIDGEVIEW SIBLEY MEDICAL CENTER Inpatient | MEDICA MEDICARE [16024] | MEDICA ACCESSABILITY SOLUTION ENHANCED [1602405] | $164.94 | $592.00 | $384.80 | 2026-01-01 | MRF ↗ |
| RIDGEVIEW SIBLEY MEDICAL CENTER Inpatient | MEDICA MEDICARE [16024] | MEDICA ADVANTAGE SOLUTION [1602401] | $164.94 | $592.00 | $384.80 | 2026-01-01 | MRF ↗ |
| RIDGEVIEW SIBLEY MEDICAL CENTER Inpatient | HEALTHPARTNERS MEDICARE [16019] | HEALTHPARTNERS FREEDOM [1601901] | $166.72 | $592.00 | $384.80 | 2026-01-01 | MRF ↗ |
| RIDGEVIEW SIBLEY MEDICAL CENTER Inpatient | HEALTHPARTNERS MEDICARE [16019] | HEALTHPARTNERS MEDICARE ADVANTAGE [1601902] | $166.72 | $592.00 | $384.80 | 2026-01-01 | MRF ↗ |
| RIDGEVIEW SIBLEY MEDICAL CENTER Inpatient | BLUE CROSS BLUE SHIELD MEDICARE [16008] | BCBS MN MEDICARE ADVANTAGE [1600801] | $166.88 | $592.00 | $384.80 | 2026-01-01 | MRF ↗ |
| RIDGEVIEW SIBLEY MEDICAL CENTER Inpatient | BLUE CROSS BLUE SHIELD MEDICARE [16008] | BCBS OUT OF STATE MEDICARE [1600802] | $166.88 | $592.00 | $384.80 | 2026-01-01 | MRF ↗ |
| RIDGEVIEW SIBLEY MEDICAL CENTER Inpatient | BLUE CROSS BLUE SHIELD MEDICARE [16008] | BCBS BLUE PLUS SECURE BLUE [1600804] | $166.88 | $592.00 | $384.80 | 2026-01-01 | MRF ↗ |
| RIDGEVIEW SIBLEY MEDICAL CENTER Inpatient | BLUE CROSS BLUE SHIELD MEDICARE [16008] | BCBS PLATINUM BLUE [1600803] | $166.88 | $592.00 | $384.80 | 2026-01-01 | MRF ↗ |
| RUSH UNIVERSITY MEDICAL CENTER Inpatient | UHC CORE/NAVIGATE | UHC CORE/NAVIGATE | $171.54 | $14,837.67 | $7,418.83 | 2026-05-07 | MRF ↗ |
| PROVIDENCE ST VINCENT MEDICAL CENTER InpatientFacility | Providence Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST VINCENT MEDICAL CENTER InpatientFacility | Providence Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| RUSH OAK PARK HOSPITAL Inpatient | UHC CORE/NAVIGATE | UHC CORE/NAVIGATE | $189.89 | $13,742.39 | $6,871.19 | 2026-05-13 | MRF ↗ |
| RUSH OAK PARK HOSPITAL Inpatient | UHC CORE/NAVIGATE | UHC CORE/NAVIGATE | $189.89 | $13,742.39 | $6,871.19 | 2026-05-13 | MRF ↗ |
| WINCHESTER HOSPITAL InpatientFacility | Tufts Health Plan | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| AMERY HOSPITAL & CLINIC InpatientFacility | MEDICA [900156] | MEDICA CHOICE [90156] | — | $8,850.00 | $4,614.39 | 2026-03-31 | MRF ↗ |
| AMERY HOSPITAL & CLINIC InpatientFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $201.25 | $8,850.00 | $4,614.39 | 2026-03-31 | MRF ↗ |
| AMERY HOSPITAL & CLINIC InpatientFacility | HP MEDICARE REPLACEMENT [950306] | HP MEDICARE ADVANTAGE [95307] | — | $8,850.00 | $4,614.39 | 2026-03-31 | MRF ↗ |
| AMERY HOSPITAL & CLINIC InpatientFacility | HEALTHPARTNERS [900713] | HP SELF INSURED [91021] | — | $8,850.00 | $4,614.39 | 2026-03-31 | MRF ↗ |
| AMERY HOSPITAL & CLINIC InpatientFacility | BCBS MEDICAID REPLACEMENT [950295] | BCBS PMAP [95296] | — | $8,850.00 | $4,614.39 | 2026-03-31 | MRF ↗ |
| AMERY HOSPITAL & CLINIC InpatientFacility | UNITEDHEALTHCARE [900444] | UHC [50131] | — | $8,850.00 | $4,614.39 | 2026-03-31 | MRF ↗ |
| AMERY HOSPITAL & CLINIC InpatientFacility | FIRST HEALTH NETWORK [950334] | FIRST HEALTH NETWORK [95334] | — | $8,850.00 | $4,614.39 | 2026-03-31 | MRF ↗ |
| RUSH OAK PARK HOSPITAL Inpatient | UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $210.99 | $13,742.39 | $6,871.19 | 2026-05-13 | MRF ↗ |
| RUSH OAK PARK HOSPITAL Inpatient | UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $210.99 | $13,742.39 | $6,871.19 | 2026-05-13 | MRF ↗ |
| THE MIRIAM HOSPITAL InpatientFacility | Wellsense Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| THE MIRIAM HOSPITAL InpatientFacility | Wellsense Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SOUTHERN NH MEDICAL CENTER InpatientFacility | Bcbs | Anthem Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SOUTHERN NH MEDICAL CENTER InpatientFacility | Bcbs | Anthem Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 InpatientFacility | Unitedhealthcare | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA BUTLER HOSPITAL InpatientFacility | AETNA | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA NORTH InpatientFacility | AETNA | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA BUTLER HOSPITAL InpatientFacility | UNITEDHEALTHCARE | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA NORTH InpatientFacility | UNITEDHEALTHCARE | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL InpatientFacility | Bcbs | Anthem Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KNOX COMMUNITY HOSPITAL InpatientFacility | Bcbs | Anthem Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | Texas Athletic Network | Premier | $250.00 | — | — | 2026-03-01 | MRF ↗ |
| MASSACHUSETTS GENERAL HOSPITAL Inpatient | FALLON HEALTH [1008] | HB MGH MEDICAID | — | $22,248.94 | $16,686.70 | 2026-03-27 | MRF ↗ |
| SALEM HOSPITAL InpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SALEM HOSPITAL InpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH EDGEWOOD InpatientFacility | United Healthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ORLANDO HEALTH-HEALTH CENTRAL HOSPITAL InpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ORLANDO HEALTH-HEALTH CENTRAL HOSPITAL InpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| WAYNE COUNTY HOSPITAL Inpatient | WELLMARK BCBS PPO-ALL OTHER PLANS | WELLMARK BCBS PPO-ALL OTHER PLANS | $294.47 | $613.48 | $613.48 | 2026-03-03 | MRF ↗ |
| WAYNE COUNTY HOSPITAL Inpatient | WELLMARK BCBS HMO | WELLMARK BCBS HMO | $294.47 | $613.48 | $613.48 | 2026-03-03 | MRF ↗ |
| ORLANDO HEALTH BAYFRONT HOSPITAL InpatientFacility | Devoted Health | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ORLANDO HEALTH BAYFRONT HOSPITAL InpatientFacility | Humana | Medicare Managed Care - Hmo/Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| ORLANDO HEALTH BAYFRONT HOSPITAL InpatientFacility | Devoted Health | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ORLANDO HEALTH BAYFRONT HOSPITAL InpatientFacility | Humana | Medicare Managed Care - Hmo/Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 InpatientFacility | Bcbs | Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| SWEDISH MEDICAL CENTER InpatientFacility | Humana | Choice Care Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 InpatientFacility | Bcbs | Choice Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| WINCHESTER HOSPITAL InpatientFacility | Unitedhealthcare | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| WILLAPA HARBOR HOSPITAL InpatientFacility | None | — | — | — | — | 2026-02-24 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Inpatient | SUNLIGHT LIVING HLTH MCAL | SUNLIGHT LIVING HLTH MCAL | $354.49 | $53,225.88 | $9,580.66 | 2026-01-30 | MRF ↗ |
| ST MARYS HOSPITAL Inpatient | BLUE CROSS BLUE SHIELD OF ILLINOIS | BCBS IL MMAI | $354.63 | $18,450.55 | $13,284.40 | 2026-01-15 | MRF ↗ |
| ST MARYS HOSPITAL Inpatient | BLUE CROSS BLUE SHIELD OF ILLINOIS | BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV | $354.63 | $18,450.55 | $13,284.40 | 2026-01-15 | MRF ↗ |
| HSHS HOLY FAMILY HOSPITAL INC Inpatient | BLUE CROSS BLUE SHIELD OF ILLINOIS | BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV | $354.63 | $13,426.50 | $9,667.08 | 2026-01-15 | MRF ↗ |
| HSHS HOLY FAMILY HOSPITAL INC Inpatient | BLUE CROSS BLUE SHIELD OF ILLINOIS | BCBS IL MMAI | $354.63 | $13,426.50 | $9,667.08 | 2026-01-15 | MRF ↗ |
| ST JOSEPHS HOSPITAL Inpatient | CLEAR SPRING HEALTH OF ILLINOIS | CLEAR SPRING HEALTH MEDICARE ADV | $354.63 | $16,553.38 | $11,918.43 | 2026-01-15 | 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.