220 - 4 — Major Stomach Esophageal And Duodenal Procedures
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). MAJOR STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES (APR_DRG 220 - 4) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/220 - 4?code_type=APR_DRG
MLA (9th ed.)
“MAJOR STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES (APR_DRG 220 - 4) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/220 - 4?code_type=APR_DRG. Accessed .
Chicago (notes-bibliography)
“MAJOR STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES (APR_DRG 220 - 4) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/220 - 4?code_type=APR_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $33,613–$840,029 (25th–75th percentile) across 8 hospitals · 90 payers.
“Negotiated” is the hospital’s negotiated facility rate for this APR_DRG 220 - 4 — 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 |
|---|---|---|---|---|---|---|---|
| GEISINGER MEDICAL CENTER Inpatient | Blue Cross Blue Shield | Capital - Basic Network Rates | — | $454,454.28 | $281,761.65 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Shepard International Health Care | Shepard International Health Care - Allegheny International | — | $454,454.28 | $281,761.65 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Life Geisinger | Life Geisinger - Managed Medicaid | — | $454,454.28 | $281,761.65 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | VSP Vision Care | VSP Vision Care | — | $454,454.28 | $281,761.65 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | MHNet | MHNet - Behavioral Health | — | $454,454.28 | $281,761.65 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Wyoming Seminary | Wyoming Seminary | — | $454,454.28 | $281,761.65 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Wire Rope | Wire Rope | — | $454,454.28 | $281,761.65 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Congregation of the Sister Servants | Congregation of the Sister Servants | — | $454,454.28 | $281,761.65 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Prison Health Services | Prison Health Services | $8,363.16 | $454,454.28 | $281,761.65 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Prison Health Services | Seven Corners | — | $454,454.28 | $281,761.65 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Intergroup Services | Intergroup Services | — | $454,454.28 | $281,761.65 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Christian Healthcare Ministries | Christian Healthcare Ministries | — | $454,454.28 | $281,761.65 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Community Care | Community Care - Behavioral Health | — | $454,454.28 | $281,761.65 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Pacificare | Pacificare - Behavioral Health | — | $454,454.28 | $281,761.65 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Integrated Health Plan | Integrated Health Plan | — | $454,454.28 | $281,761.65 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Integrated Health Plan | Integrated Health Plan - Behavioral Health | — | $454,454.28 | $281,761.65 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Geisinger Health Plan | Geisinger Health Plan - Gold - Medicare Advantage | — | $454,454.28 | $281,761.65 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Geisinger Health Plan | Geisinger Health Plan - Employee | — | $454,454.28 | $281,761.65 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Geisinger Health Plan | Geisinger Health Plan - Commercial | — | $454,454.28 | $281,761.65 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Blue Cross Blue Shield | Highmark BC/BS - Special Care | — | $454,454.28 | $281,761.65 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Ambetter | Ambetter - Managed Medicare | — | $454,454.28 | $281,761.65 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | United Healthcare | United Healthcare - Commercial | — | $454,454.28 | $281,761.65 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | United Healthcare | United Healthcare - Behavioral Health | — | $454,454.28 | $281,761.65 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Cigna | Cigna | — | $454,454.28 | $281,761.65 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Multiplan | Multiplan/Private Health Care System | — | $454,454.28 | $281,761.65 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Multiplan | Beech Street | — | $454,454.28 | $281,761.65 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Medicare | Black Lung - Medicare Advantage | — | $454,454.28 | $281,761.65 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Medicare | Medicare | — | $454,454.28 | $281,761.65 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Humana | Humana - Medicare Advantage | — | $454,454.28 | $281,761.65 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Tricare | Department of Veteran's Affairs | — | $454,454.28 | $281,761.65 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Tricare | Humana Tricare | — | $454,454.28 | $281,761.65 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Medicaid | Medicaid | $8,363.16 | $454,454.28 | $281,761.65 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Magellan | Magellan - Behavioral Health | — | $454,454.28 | $281,761.65 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Value Options | Value Options - Behavioral Health | — | $454,454.28 | $281,761.65 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Aetna | Aetna | — | $454,454.28 | $281,761.65 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Aetna | First Health Network | — | $454,454.28 | $281,761.65 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Managed Health Network | Managed Health Network - Behavioral Health | — | $454,454.28 | $281,761.65 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Blue Cross Blue Shield | Highmark BC/BS | — | $454,454.28 | $281,761.65 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Blue Cross Blue Shield | Capital - Special Network Rates | — | $454,454.28 | $281,761.65 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Blue Cross Blue Shield | Capital - Enhanced Network Rates | — | $454,454.28 | $281,761.65 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Blue Cross Blue Shield | Capital Blue Cross Blue Journey - Medicare Advantage | — | $454,454.28 | $281,761.65 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Special Risk International | Special Risk International - United Resource Network | — | $454,454.28 | $281,761.65 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | North Central Secure Treatment Unit | North Central Secure Treatment Unit | — | $454,454.28 | $281,761.65 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $8,400.00 | $454,454.28 | $281,761.65 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $8,614.05 | $454,454.28 | $281,761.65 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Health Partners | Health Partners - Managed Medicaid | $9,199.48 | $454,454.28 | $281,761.65 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | UPMC For You | UPMC For You - Managed Medicaid | $9,826.71 | $454,454.28 | $281,761.65 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | UPMC CHIP | UPMC CHIP - Managed Medicaid | $10,035.79 | $454,454.28 | $281,761.65 | 2025-07-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | County Care | County Care - Managed Medicaid | $33,613.18 | $1,680,058.88 | $1,176,041.21 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Medicaid | Medicaid | $33,613.18 | $1,680,058.88 | $1,176,041.21 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Blue Cross Blue Shield | Blue Cross Community - Managed Medicaid | $33,613.18 | $1,680,058.88 | $1,176,041.21 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Molina Healthcare | Molina Healthcare - Managed Medicaid | $33,613.18 | $1,680,058.88 | $1,176,041.21 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Meridian Health | Meridian Health MCO - Managed Medicaid | $33,949.29 | $1,680,058.88 | $1,176,041.21 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Aetna | Aetna Better Health - Managed Medicaid | $36,974.46 | $1,680,058.88 | $1,176,041.21 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Youthcare | Youthcare - Managed Medicaid | $36,974.46 | $1,680,058.88 | $1,176,041.21 | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | ODRC | ODRC | $39,162.39 | $664,664.50 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Medicaid | Medicaid | $47,792.64 | $664,664.50 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Molina | Molina - Medicaid | $50,180.18 | $664,664.50 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Aetna | Aetna Better Health | $50,180.18 | $664,664.50 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Aetna | Aetna Better Health - OhioRISE | $50,182.29 | $664,664.50 | — | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | Prison Health Services | Prison Health Services | $51,307.97 | $871,615.63 | $540,401.69 | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | Medicaid | Medicaid | $51,307.97 | $871,615.63 | $540,401.69 | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | United | United Healthcare - Medicaid | $52,569.71 | $664,664.50 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Humana | Humana Medicaid | $52,571.93 | $664,664.50 | — | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $52,847.21 | $871,615.63 | $540,401.69 | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Amerihealth | Amerihealth | $54,005.71 | $664,664.50 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Buckeye Community | Buckeyes Community - Medicaid | $54,959.24 | $664,664.50 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | CareSource | CareSource - Medicaid | $54,959.24 | $664,664.50 | — | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | Health Partners | Health Partners - Managed Medicaid | $56,438.75 | $871,615.63 | $540,401.69 | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $57,218.28 | $871,615.63 | $540,401.69 | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | UPMC For You | UPMC For You - Managed Medicaid | $60,286.88 | $871,615.63 | $540,401.69 | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | UPMC CHIP | UPMC CHIP - Managed Medicaid | $61,569.59 | $871,615.63 | $540,401.69 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Inpatient | California Health and Wellness | California Health and Wellness | $212,741.55 | $625,710.44 | $469,282.83 | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Medicaid | Medicaid | $231,037.38 | $664,664.50 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | ODRC | ODRC | $231,037.38 | $664,664.50 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Aetna | Aetna Better Health | $242,602.54 | $664,664.50 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Buckeye Community | Buckeyes Community - Medicare | $245,261.20 | $664,664.50 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Buckeye Community | Buckeyes Community - Dual Eligible | $245,261.20 | $664,664.50 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | United | United Healthcare - Medicaid | $254,167.70 | $664,664.50 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | OSU Health Plan | OSU Health Plan - Student Health Plan | $254,965.30 | $664,664.50 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | OSU Health Plan | OSU Health Plan - Prime Care | $259,485.02 | $664,664.50 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | OSU Health Plan | OSU Health Plan - Partner | $273,310.04 | $664,664.50 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | OSU Health Plan | OSU Health Plan - Non OSU PPO | $285,805.73 | $664,664.50 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Buckeye Community | Buckeye Ambetter Exchange | $296,905.63 | $664,664.50 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Ohio PPO | Ohio PPO Connect | $297,836.16 | $664,664.50 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | OSU Health Plan | OSU Health Plan - Market | $300,428.35 | $664,664.50 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | OSU Health Plan | OSU Health Plan - Student Health Plan | $303,552.28 | $664,664.50 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | CareSource | CareSource - Exchange | $305,745.67 | $664,664.50 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Healthspan | Healthspan - Commercial | $319,038.96 | $664,664.50 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Molina | Molina - Exchange | $319,038.96 | $664,664.50 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Buckeye Community | Buckeyes Community - Medicaid | $325,752.07 | $664,664.50 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Molina | Molina - Medicaid | $328,078.40 | $664,664.50 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | CareSource | CareSource - Medicaid | $328,078.40 | $664,664.50 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | OSU Health Plan | OSU Department of Athletics | $332,332.25 | $664,664.50 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | OSU Health Plan | OSU Department of Athletics | $332,332.25 | $664,664.50 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | OSU Health Plan | OSU Health Plan - Non OSU PPO | $332,332.25 | $664,664.50 | — | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Inpatient | Medi-Cal | Medi-Cal | $353,526.40 | $625,710.44 | $469,282.83 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Inpatient | County Medical Services | County of San Diego | $353,526.40 | $625,710.44 | $469,282.83 | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | OSU Health Plan | OSU Health Plan - Prime Care | $355,661.97 | $664,664.50 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Amerihealth | Amerihealth | $358,121.23 | $664,664.50 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Humana | Humana Medicaid | $371,946.25 | $664,664.50 | — | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Inpatient | California Health and Wellness | California Health and Wellness | $381,683.37 | $625,710.44 | $469,282.83 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Inpatient | County Medical Services | County of San Diego | $381,683.37 | $625,710.44 | $469,282.83 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Inpatient | Blue Shield | Blue Shield - Promise | $387,940.47 | $625,710.44 | $469,282.83 | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | Cigna | Cigna | $394,841.88 | $871,615.63 | $540,401.69 | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Healthspan | Healthspan - Commercial | $398,798.70 | $664,664.50 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | OSU Health Plan | OSU Health Plan - Partner | $399,928.63 | $664,664.50 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Humana | Humana Commercial | $426,049.94 | $664,664.50 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | OhioHealth | OhioHealth - Choice | $432,031.92 | $664,664.50 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Lifetrac | Lifetrac | $432,031.92 | $664,664.50 | — | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | Christian Healthcare Ministries | Christian Healthcare Ministries | $435,807.81 | $871,615.63 | $540,401.69 | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Ohio PPO | Ohio PPO Connect | $436,152.84 | $664,664.50 | — | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Inpatient | Molina | Molina Medi-Cal | $437,997.31 | $625,710.44 | $469,282.83 | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Upper Ohio Valley | Upper Ohio Valley - Health Plan | $438,678.57 | $664,664.50 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | OSU Health Plan | OSU Health Plan - Market | $439,941.43 | $664,664.50 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Anthem | Anthem - HMO/PPO | $446,056.35 | $664,664.50 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Lifetrac | Lifetrac | $451,971.86 | $664,664.50 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | United | United Healthcare | $468,787.87 | $664,664.50 | — | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Inpatient | Community Health Group | Community Health Group - Medi-Cal | $469,282.83 | $625,710.44 | $469,282.83 | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | OhioHealth | OhioHealth - Choice | $478,558.44 | $664,664.50 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Cigna | Cigna | $481,682.36 | $664,664.50 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | OhioHealth | OhioHealth - Group Healthreach | $485,205.08 | $664,664.50 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | OhioHealth | OhioHealth - Group Healthreach | $485,205.08 | $664,664.50 | — | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Inpatient | Medi-Cal | Medi-Cal | $500,568.35 | $625,710.44 | $469,282.83 | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | MMO | MMO - New Business | $501,755.23 | $664,664.50 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | MMO | MMO - Commercial | $528,607.68 | $664,664.50 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Frontpath | Frontpath Transplant | $531,731.60 | $664,664.50 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Multiplan | Multiplan | $531,731.60 | $664,664.50 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Frontpath | Frontpath Transplant | $531,731.60 | $664,664.50 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Aetna | First Health | $534,390.26 | $664,664.50 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Upper Ohio Valley | Upper Ohio Valley - Health Plan | $545,024.89 | $664,664.50 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Aetna | First Health | $545,024.89 | $664,664.50 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Aetna | Aetna | $566,294.15 | $664,664.50 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Anthem | Anthem - Traditional | $579,919.78 | $664,664.50 | — | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | Aetna | First Health Network | $582,239.24 | $871,615.63 | $540,401.69 | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Healthsmart | Healthsmart | $598,198.05 | $664,664.50 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Healthsmart | Healthsmart | $598,198.05 | $664,664.50 | — | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | Wyoming Seminary | Wyoming Seminary | $610,130.94 | $871,615.63 | $540,401.69 | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Inpatient | County Medical Services | County of San Diego | $613,196.23 | $625,710.44 | $469,282.83 | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Multiplan | Multiplan | $618,137.98 | $664,664.50 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Anthem | Anthem - Traditional | $620,397.84 | $664,664.50 | — | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | MercyCare Health | MercyCare Health - HMO/PPO | $621,621.78 | $1,680,058.88 | $1,176,041.21 | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Anthem | Anthem - Traditional | $622,192.44 | $664,664.50 | — | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Cigna | Cigna Local Plus | $705,624.73 | $1,680,058.88 | $1,176,041.21 | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | Intergroup Services | Intergroup Services | $740,873.28 | $871,615.63 | $540,401.69 | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | Multiplan | Multiplan/Private Health Care System | $740,873.28 | $871,615.63 | $540,401.69 | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | Multiplan | Beech Street | $740,873.28 | $871,615.63 | $540,401.69 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | La Rabida Childrens Hospital | La Rabida Childrens Hospital | $840,029.44 | $1,680,058.88 | $1,176,041.21 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Aetna | Aetna Northwestern | $840,029.44 | $1,680,058.88 | $1,176,041.21 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Aetna | Aetna Illinois Preferred | $890,431.20 | $1,680,058.88 | $1,176,041.21 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Cigna | Cigna C-5 | $967,713.91 | $1,680,058.88 | $1,176,041.21 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Centegra | Centegra | $1,008,035.32 | $1,680,058.88 | $1,176,041.21 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Independent Physicians at Mercy | Independent Physicians at Mercy | $1,008,035.32 | $1,680,058.88 | $1,176,041.21 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Blue Cross Blue Shield | Northwestern Medicine Physician Network IPA | $1,008,035.32 | $1,680,058.88 | $1,176,041.21 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Blue Cross Blue Shield | Dupage Medical Group | $1,008,035.32 | $1,680,058.88 | $1,176,041.21 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Blue Cross Blue Shield | Northshore Physician Associates | $1,092,038.27 | $1,680,058.88 | $1,176,041.21 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Imagine Health | Imagine Health | $1,176,041.21 | $1,680,058.88 | $1,176,041.21 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Blue Cross Blue Shield | Lake County Physician Association | $1,176,041.21 | $1,680,058.88 | $1,176,041.21 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Blue Cross Blue Shield | Illinois Health Partners | $1,176,041.21 | $1,680,058.88 | $1,176,041.21 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Health Plus | Health Plus - PHO | $1,176,041.21 | $1,680,058.88 | $1,176,041.21 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | St. Francis | St. Francis - IPA | $1,176,041.21 | $1,680,058.88 | $1,176,041.21 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Methodist First Choice | Methodist First Choice | $1,176,041.21 | $1,680,058.88 | $1,176,041.21 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Advanced Physicians Association IPA | Advanced Physicians Association IPA | $1,176,041.21 | $1,680,058.88 | $1,176,041.21 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Northwest Community Healthcare | Northwest Community Healthcare | $1,176,041.21 | $1,680,058.88 | $1,176,041.21 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | West Suburban Health Providers | West Suburban Health Providers | $1,176,041.21 | $1,680,058.88 | $1,176,041.21 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | UI Health | UI Health | $1,176,041.21 | $1,680,058.88 | $1,176,041.21 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Cigna | Cigna | $1,192,841.80 | $1,680,058.88 | $1,176,041.21 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Shriners Hospital | Shriners Hospital | $1,260,044.16 | $1,680,058.88 | $1,176,041.21 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Swedish Covenant Physician Partners | Swedish Covenant Physician Partners | $1,260,044.16 | $1,680,058.88 | $1,176,041.21 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Macneal Health | Macneal Health | $1,344,047.10 | $1,680,058.88 | $1,176,041.21 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Blue Cross Blue Shield | Sherman Choice - PHO | $1,344,047.10 | $1,680,058.88 | $1,176,041.21 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | American Psych Systems | American Psych Systems | $1,344,047.10 | $1,680,058.88 | $1,176,041.21 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Health Alliance | Health Alliance - PPO | $1,344,047.10 | $1,680,058.88 | $1,176,041.21 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Healthlink Inc. | Healthlink Inc. | $1,386,048.57 | $1,680,058.88 | $1,176,041.21 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | HFN Inc | HFN - EPO | $1,428,050.04 | $1,680,058.88 | $1,176,041.21 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Principal Healthcare | Principal Healthcare - PPO | $1,428,050.04 | $1,680,058.88 | $1,176,041.21 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Cofinity | Cofinity | $1,428,050.04 | $1,680,058.88 | $1,176,041.21 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Humana | Humana National POS | $1,428,050.04 | $1,680,058.88 | $1,176,041.21 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | St. Elizabeth | St. Elizabeth - PHO | $1,428,050.04 | $1,680,058.88 | $1,176,041.21 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Humana | Humana | $1,428,050.04 | $1,680,058.88 | $1,176,041.21 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Healthstar | Healthstar - PPO Next | $1,478,451.81 | $1,680,058.88 | $1,176,041.21 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | First Health | First Health | $1,478,451.81 | $1,680,058.88 | $1,176,041.21 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Preferred Health Network | Preferred Health Network - PPO | $1,478,451.81 | $1,680,058.88 | $1,176,041.21 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Sagamore Health Network | Sagamore Health Network - PPO | $1,478,451.81 | $1,680,058.88 | $1,176,041.21 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Swedish American | Swedish American | $1,512,052.99 | $1,680,058.88 | $1,176,041.21 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Private Health Care System | Private Health Care System - Northwestern | $1,512,052.99 | $1,680,058.88 | $1,176,041.21 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Benchmark Health | Benchmark Health | $1,512,052.99 | $1,680,058.88 | $1,176,041.21 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | HFN Inc | HFN - PPO | $1,512,052.99 | $1,680,058.88 | $1,176,041.21 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Employer's Coalition on Health | Employer's Coalition on Health | $1,512,052.99 | $1,680,058.88 | $1,176,041.21 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Beech Street | Beech Street - PPO | $1,512,052.99 | $1,680,058.88 | $1,176,041.21 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Security Health Plan | Security Health Plan - HMO | $1,512,052.99 | $1,680,058.88 | $1,176,041.21 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Private Health Care System | PHCS - PPO | $1,512,052.99 | $1,680,058.88 | $1,176,041.21 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Private Health Care System | Private Health Care System - EPO | $1,512,052.99 | $1,680,058.88 | $1,176,041.21 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Wellmark/Healthnetwork | Wellmark/Healthnetwork - PPO | $1,545,654.17 | $1,680,058.88 | $1,176,041.21 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | WEA Insurance Group | WEA Insurance Group - PPO | $1,596,055.93 | $1,680,058.88 | $1,176,041.21 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | National Provider Network | National Provider Network - PPO | $1,596,055.93 | $1,680,058.88 | $1,176,041.21 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Integrated Health Plan | Integrated Health Plan | $1,596,055.93 | $1,680,058.88 | $1,176,041.21 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Multiplan | Multiplan - PPO | $1,596,055.93 | $1,680,058.88 | $1,176,041.21 | 2026-04-01 | MRF ↗ |