2204 — Major Stomach, Esophageal And Duodenal Procedures
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES (OTHER 2204) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/2204?code_type=OTHER
MLA (9th ed.)
“MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES (OTHER 2204) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/2204?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES (OTHER 2204) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/2204?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $32,025–$79,765 (25th–75th percentile) across 49 hospitals · 80 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 2204 — 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 |
|---|---|---|---|---|---|---|---|
| JOHNSON MEMORIAL HOSPITAL | — | — | — | $91.40 | $77.69 | 2024-05-27 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Anthem | Ppo Hmo | — | $2,301.00 | $1,150.50 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Aetna | Hmo Ppo | — | $2,301.00 | $1,150.50 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Med Mutual | Ppo Hmo | — | $2,301.00 | $1,150.50 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Anthem | Traditional | — | $2,301.00 | $1,150.50 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Cigna | Cigna | — | $2,301.00 | $1,150.50 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Molina | Marketplace | — | $2,301.00 | $1,150.50 | 2026-05-13 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Molina | Medicaid Molina | $21,366.23 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Health Alliance | Medicaid Health Alliance | $21,366.23 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Aetna Better Health | Medicaid Aetna Better Health | $21,366.23 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Countycare Claims | Medicaid Countycare Claims | $21,366.23 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Blue Cross Community Family Health Plan Xxl / Xog | Medicaid Blue Cross Community Family Health Plan Xxl / Xog | $21,366.23 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Aetna Better Health | Medicaid Aetna Better Health | $21,366.23 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Molina | Medicaid Molina | $21,366.23 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Illinois | Medicaid Illinois | $21,366.23 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Blue Cross Community Family Health Plan Xxl / Xog | Medicaid Blue Cross Community Family Health Plan Xxl / Xog | $21,366.23 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Countycare Claims | Medicaid Countycare Claims | $21,366.23 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Health Alliance | Medicaid Health Alliance | $21,366.23 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Humana Health Plan | Medicaid Humana Health Plan | $21,366.23 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Meridian | Medicaid Meridian | $21,366.23 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Wellcare | Medicaid Wellcare | $21,366.23 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Youth Care | Medicaid Youth Care | $21,366.23 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Youth Care | Medicaid Youth Care | $21,366.23 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Wellcare | Medicaid Wellcare | $21,366.23 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Meridian | Medicaid Meridian | $21,366.23 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Humana Health Plan | Medicaid Humana Health Plan | $21,366.23 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Illinois | Medicaid Illinois | $21,366.23 | — | — | 2026-05-14 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Inpatient | Medicaid | Ppo | $24,244.23 | $291,301.65 | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Inpatient | Blue Cross Complete Medicaid | Ppo | $24,244.23 | $291,301.65 | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Inpatient | Mclaren Medicaid | Ppo | $24,244.23 | $291,301.65 | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Inpatient | Priority Health Medicaid | Ppo | $24,244.23 | $291,301.65 | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Inpatient | Aetna Better Health | Ppo | $25,214.00 | $291,301.65 | — | 2026-05-09 | MRF ↗ |
| HILLSDALE HOSPITAL Inpatient | Medicaid | Medicaid | $25,725.79 | — | — | 2026-05-13 | MRF ↗ |
| HILLSDALE HOSPITAL Inpatient | Uhc | Medicaid | $25,725.79 | — | — | 2026-05-13 | MRF ↗ |
| HILLSDALE HOSPITAL Inpatient | Meridian Health Plan | Medicaid | $25,725.79 | — | — | 2026-05-13 | MRF ↗ |
| HILLSDALE HOSPITAL Inpatient | Bcbs | Medicaid | $25,725.79 | — | — | 2026-05-13 | MRF ↗ |
| HILLSDALE HOSPITAL Inpatient | Meridian Health Plan | Medicaid | $26,525.47 | — | — | 2026-05-06 | MRF ↗ |
| HILLSDALE HOSPITAL Inpatient | Uhc | Medicaid | $26,525.47 | — | — | 2026-05-06 | MRF ↗ |
| HILLSDALE HOSPITAL Inpatient | Wellpath | Medicaid | $26,525.47 | — | — | 2026-05-06 | MRF ↗ |
| HILLSDALE HOSPITAL Inpatient | Bcbs | Medicaid | $26,525.47 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Inpatient | Molina Medicaid | Ppo | $26,668.65 | $291,301.65 | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF LOUISVILLE HOSPITAL Inpatient | Anthem | In Medicaid | $26,992.76 | — | — | 2026-05-14 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Inpatient | Anthem | In Medicaid | $26,992.76 | — | — | 2026-05-14 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Inpatient | Anthem | In Medicaid | $26,992.76 | — | — | 2026-05-22 | MRF ↗ |
| UNIVERSITY OF LOUISVILLE HOSPITAL Inpatient | Anthem | In Medicaid | $26,992.76 | — | — | 2026-05-22 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL | Medicaid|Texas Childrens (Tch)|Starkids | — | $27,299.93 | — | — | 2026-07-31 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL | Medicaid|Texas Childrens (Tch)|Starkids | — | $27,299.93 | — | — | 2026-07-31 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE | Medicaid|Texas Childrens (Tch)|Starkids | — | $27,299.93 | — | — | 2026-07-30 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL | Medicaid|Texas Childrens (Tch)|Starkids | — | $27,299.93 | — | — | 2026-07-30 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE | Medicaid|Amerigroup|Starkids | — | $28,118.93 | — | — | 2026-07-30 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL | Medicaid|United|Starkids | — | $28,118.93 | — | — | 2026-07-30 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL | Medicaid|United|Starplus | — | $28,118.93 | — | — | 2026-07-31 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL | Medicaid|Amerigroup|Chip | — | $28,118.93 | — | — | 2026-07-31 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL | Medicaid|Amerigroup|Starkids | — | $28,118.93 | — | — | 2026-07-30 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL | Medicaid|United|Chip | — | $28,118.93 | — | — | 2026-07-30 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL | Medicaid|Amerigroup|Chip | — | $28,118.93 | — | — | 2026-07-31 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL | Medicaid|Amerigroup|Starkids | — | $28,118.93 | — | — | 2026-07-31 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL | Medicaid|United|Chip | — | $28,118.93 | — | — | 2026-07-31 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE | Medicaid|Amerigroup|Chip | — | $28,118.93 | — | — | 2026-07-30 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL | Medicaid|United|Starkids | — | $28,118.93 | — | — | 2026-07-31 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE | Medicaid|United|Starkids | — | $28,118.93 | — | — | 2026-07-30 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE | Medicaid|United|Chip | — | $28,118.93 | — | — | 2026-07-30 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL | Medicaid|Amerigroup|Starkids | — | $28,118.93 | — | — | 2026-07-31 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL | Medicaid|Amerigroup|Chip | — | $28,118.93 | — | — | 2026-07-30 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL | Medicaid|United|Chip | — | $28,118.93 | — | — | 2026-07-31 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL | Medicaid|United|Starkids | — | $28,118.93 | — | — | 2026-07-31 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL | Medicaid|Bcbs - Tx|All Plans | — | $28,664.93 | — | — | 2026-07-31 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE | Medicaid|Bcbs - Tx|All Plans | — | $28,664.93 | — | — | 2026-07-30 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL | Medicaid|Bcbs - Tx|All Plans | — | $28,664.93 | — | — | 2026-07-30 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL | Medicaid|Bcbs - Tx|All Plans | — | $28,664.93 | — | — | 2026-07-31 | MRF ↗ |
| Baylor St Lukes Medical Center | Medicaid|Texas Childrens (Tch)|Starkids | — | $29,081.42 | — | — | 2026-07-31 | MRF ↗ |
| Baylor St Lukes Medical Center | Medicaid|United|Chip | — | $29,081.42 | — | — | 2026-07-31 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Uhc | Mi Medicaid | $29,416.76 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Mclaren (Mi | Mi Medicaid | $29,416.76 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Inpatient | Molina | Mi Medicaid | $29,416.76 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Inpatient | Priority Health | Mi Medicaid | $29,416.76 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Inpatient | Uhc | Mi Medicaid | $29,416.76 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Inpatient | Mclaren | Mi Medicaid | $29,416.76 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Inpatient | Aetna | Mi Medicaid | $29,416.76 | — | — | 2026-05-13 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicaid|Caresource|All Products | — | $29,682.75 | — | — | 2026-07-30 | MRF ↗ |
| Baylor St Lukes Medical Center | Medicaid|United|Starkids | — | $29,953.86 | — | — | 2026-07-31 | MRF ↗ |
| Baylor St Lukes Medical Center | Medicaid|Amerigroup|Starkids | — | $29,953.86 | — | — | 2026-07-31 | MRF ↗ |
| Baylor St Lukes Medical Center | Medicaid|Amerigroup|Chip | — | $29,953.86 | — | — | 2026-07-31 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicaid|Molina|All Products | — | $30,276.41 | — | — | 2026-07-30 | MRF ↗ |
| Baylor St Lukes Medical Center | Medicaid|Bcbs - Tx|All Plans | — | $30,535.49 | — | — | 2026-07-31 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicaid|United|All Products | — | $30,573.23 | — | — | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicaid|Buckeye|All Products | — | $31,166.89 | — | — | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicaid|Paramount|All Products | — | $31,166.89 | — | — | 2026-07-30 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Molina | Medicaid Illinois | $31,892.46 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Aetna | Medicaid | $31,892.46 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid | Medicaid Illinois | $31,892.46 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Mutual Medical | Commercial | $31,892.46 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Mutual Medical | Commercial | $31,892.46 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Molina | Medicaid Illinois | $31,892.46 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Aetna | Medicaid | $31,892.46 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid | Medicaid Illinois | $31,892.46 | — | — | 2026-05-14 | MRF ↗ |
| HILLSDALE HOSPITAL Inpatient | Vcpg | Medicaid | $32,157.24 | — | — | 2026-05-13 | MRF ↗ |
| Chi St Joseph Health College Station Hospital | Medicaid|Superior Health Plan|Chip | — | $33,310.46 | — | — | 2026-07-30 | MRF ↗ |
| Chi St Joseph Health College Station Hospital | Medicaid|United|All Other Plans | — | $33,976.67 | — | — | 2026-07-30 | MRF ↗ |
| Chi St Joseph Health College Station Hospital | Medicaid|United|Starkids | — | $33,976.67 | — | — | 2026-07-30 | MRF ↗ |
| Chi St Joseph Health College Station Hospital | Medicaid|Superior Health Plan|Star | — | $34,975.98 | — | — | 2026-07-30 | MRF ↗ |
| Chi St Joseph Health College Station Hospital | Medicaid|Amerigroup|All Plans | — | $34,975.98 | — | — | 2026-07-30 | MRF ↗ |
| Chi St Joseph Health College Station Hospital | Medicaid|Bcbs - Tx|All Plans | — | $34,975.98 | — | — | 2026-07-30 | MRF ↗ |
| AVERA MARSHALL REGIONAL MEDICAL CTR Inpatient | Bcbsmn Insurance | Min | $38,714.44 | — | — | 2026-05-09 | MRF ↗ |
| CLARION HOSPITAL Inpatient | Medicaid | Traditional Medicaid | $41,690.75 | — | — | 2026-05-23 | MRF ↗ |
| CLARION HOSPITAL Inpatient | Medicaid | Traditional Medicaid | $41,690.75 | — | — | 2026-05-13 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER | Medicaid|Community Health Choice|All Plans | — | $42,327.95 | — | — | 2026-07-30 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER | Medicaid|Texas Childrens (Tch)|All Plans | — | $42,327.95 | — | — | 2026-07-30 | MRF ↗ |
| EXCELA HEALTH LATROBE HOSPITAL Inpatient | Amerihealth Caritas | Medical Assistance | $43,278.93 | — | — | 2026-05-08 | MRF ↗ |
| EXCELA HEALTH LATROBE HOSPITAL Inpatient | Pa Health And Wellness | Medical Assistance | $43,675.98 | — | — | 2026-05-08 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Inpatient | Upmc | Mcd Advantage | $44,422.43 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Inpatient | Aetna | Mcd Advantage | $44,422.43 | — | — | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | United Healthcare | United Healthcare Community Plan Of Pa Medicaid | $44,422.43 | — | — | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | Highmark | Wholecare Medicaid | $44,422.43 | — | — | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | Upmc | Upmc For Kids Medicaid | $44,422.43 | — | — | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | Aetna | Aetna Better Health | $44,422.43 | — | — | 2026-05-13 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Inpatient | Geisinger | Mcd Advantage | $44,422.43 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Inpatient | Upmc | Chip | $44,422.43 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Inpatient | Upmc | Mcd Advantage | $44,422.43 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Inpatient | Aetna | Mcd Advantage | $44,422.43 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Inpatient | Traditional Medicaid | Traditional Medicaid | $44,422.43 | — | — | 2026-05-14 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | United Healthcare | United Healthcare Community Plan Of Pa Medicaid | $44,422.43 | — | — | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | Highmark | Wholecare Medicaid | $44,422.43 | — | — | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | Upmc | Upmc For Kids Medicaid | $44,422.43 | — | — | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | Aetna | Aetna Better Health | $44,422.43 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Inpatient | Traditional Medicaid | Traditional Medicaid | $44,422.43 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Inpatient | Geisinger | Mcd Advantage | $44,422.43 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Inpatient | Upmc | Chip | $44,422.43 | — | — | 2026-05-23 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER | Medicaid|Amerigroup|All Plans | — | $44,555.74 | — | — | 2026-07-30 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | Upmc | Upmc Community Healthchoices Plan | $45,288.67 | — | — | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | Upmc | Upmc For You Medicaid | $45,288.67 | — | — | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | Upmc | Upmc Community Healthchoices Plan | $45,288.67 | — | — | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | Upmc | Upmc For You Medicaid | $45,288.67 | — | — | 2026-05-23 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER InpatientFacility | Healthnet | Medi-Cal Medicaid Managed Care Plan | $45,660.06 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER InpatientFacility | Caloptima | Medi-Cal Medicaid Managed Care Plan | $45,660.06 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER InpatientFacility | Healthnet | Medi-Cal Medicaid Managed Care Plan | $45,660.06 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER InpatientFacility | Caloptima | Medi-Cal Medicaid Managed Care Plan | $45,660.06 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER InpatientFacility | Healthnet | Medi-Cal Medicaid Managed Care Plan | $45,660.06 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER InpatientFacility | Caloptima | Medi-Cal Medicaid Managed Care Plan | $45,660.06 | — | — | 2026-04-01 | MRF ↗ |
| EXCELA HEALTH LATROBE HOSPITAL Inpatient | Geisinger | Medical Assistance | $45,661.26 | — | — | 2026-05-08 | MRF ↗ |
| EXCELA HEALTH LATROBE HOSPITAL Inpatient | Health Partners Plans | Medical Assistance | $45,661.26 | — | — | 2026-05-08 | MRF ↗ |
| CHI ST LUKE'S HEALTH BRAZOSPORT | Medicaid|Amerigroup|All Plans | — | $45,713.18 | — | — | 2026-08-01 | MRF ↗ |
| CHI ST LUKE'S HEALTH BRAZOSPORT | Medicaid|Texas Childrens (Tch)|All Plans | — | $45,713.18 | — | — | 2026-08-01 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER | Medicaid|United|All Plans | — | $45,892.41 | — | — | 2026-07-30 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | La Care | Medi-Cal Medicaid Managed Care Plan | $46,178.59 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Healthnet | Medi-Cal Medicaid Managed Care Plan | $46,178.59 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Healthnet | Medi-Cal Select Health Medicaid Managed Care Plan | $46,178.59 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Healthcare Partners | Medi-Cal Medicaid Managed Care Plan | $46,178.59 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Blue Cross | Medi-Cal Medicaid Managed Care Plan | $46,178.59 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Molina | Medi-Cal Medicaid Managed Care Plan | $46,178.59 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Blue Shield | Promise Health Plan Medicaid Managed Care Plan | $46,178.59 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB InpatientFacility | Healthcare La | Ancillary Medi-Cal Medicaid Managed Care Plan | $46,178.59 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB InpatientFacility | Citrus Valley | Ipa Medi-Cal Medicaid Managed Care Plan | $46,178.59 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB InpatientFacility | Cal Care | Ancillary Medi-Cal Ipa Medicaid Managed Care Plan | $46,178.59 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB InpatientFacility | St. Francis Medical Center | Medi-Cal Medicaid Managed Care Plan | $46,178.59 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB InpatientFacility | Avanti Health System | Medi-Cal Medicaid Managed Care Plan | $46,178.59 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB InpatientFacility | Global Care Medical Group | Ancillary Medi-Cal Medicaid Managed Care Plan | $46,178.59 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB InpatientFacility | La Care | Medi-Cal Medicaid Managed Care Plan | $46,178.59 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB InpatientFacility | Molina | Medi-Cal Medicaid Managed Care Plan | $46,178.59 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB InpatientFacility | Healthnet | Medi-Cal Medicaid Managed Care Plan | $46,178.59 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB InpatientFacility | Blue Shield | Promise Health Plan Medicaid Managed Care Plan | $46,178.59 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB InpatientFacility | Healthnet | Medi-Cal Select Health Medicaid Managed Care Plan | $46,178.59 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB InpatientFacility | Healthcare Partners | Medi-Cal Medicaid Managed Care Plan | $46,178.59 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB InpatientFacility | Heritage Provider Network | Medi-Cal Medicaid Managed Care Plan | $46,178.59 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB InpatientFacility | Blue Cross | Medi-Cal Medicaid Managed Care Plan | $46,178.59 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Blue Shield | Promise Health Plan Medicaid Managed Care Plan | $46,178.59 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Molina | Medi-Cal Medicaid Managed Care Plan | $46,178.59 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Blue Cross | Medi-Cal Medicaid Managed Care Plan | $46,178.59 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Healthcare Partners | Medi-Cal Medicaid Managed Care Plan | $46,178.59 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Healthnet | Medi-Cal Select Health Medicaid Managed Care Plan | $46,178.59 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Healthnet | Medi-Cal Medicaid Managed Care Plan | $46,178.59 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | La Care | Medi-Cal Medicaid Managed Care Plan | $46,178.59 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Global Care Medical Group | Ancillary Medi-Cal Medicaid Managed Care Plan | $46,178.59 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Avanti Health System | Medi-Cal Medicaid Managed Care Plan | $46,178.59 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Cal Care | Ancillary Medi-Cal Ipa Medicaid Managed Care Plan | $46,178.59 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Citrus Valley | Ipa Medi-Cal Medicaid Managed Care Plan | $46,178.59 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Healthcare La | Ancillary Medi-Cal Medicaid Managed Care Plan | $46,178.59 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Beverly Community Hospital Association | Medi-Cal Medicaid Managed Care Plan | $46,178.59 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Avanti Health System | Medi-Cal Medicaid Managed Care Plan | $46,178.59 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Global Care Medical Group | Ancillary Medi-Cal Medicaid Managed Care Plan | $46,178.59 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Cal Care | Ancillary Medi-Cal Ipa Medicaid Managed Care Plan | $46,178.59 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Citrus Valley | Ipa Medi-Cal Medicaid Managed Care Plan | $46,178.59 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Healthcare La | Ancillary Medi-Cal Medicaid Managed Care Plan | $46,178.59 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Beverly Community Hospital Association | Medi-Cal Medicaid Managed Care Plan | $46,178.59 | — | — | 2026-04-01 | MRF ↗ |
| CLARION HOSPITAL Inpatient | Upmc | Medicaid | $46,643.59 | — | — | 2026-05-23 | MRF ↗ |
| CLARION HOSPITAL Inpatient | Upmc | Medicaid | $46,643.59 | — | — | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | Geisinger | Geisinger Medicaid | $47,087.78 | — | — | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | Geisinger | Geisinger Medicaid | $47,087.78 | — | — | 2026-05-13 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Inpatient | Jefferson Health | Mcd Advantage | $47,089.28 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Inpatient | Jefferson Health | Mcd Advantage | $47,089.28 | — | — | 2026-05-14 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas Community Health Choices Plan | $47,532.00 | — | — | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | Pa Health And Wellness | Pa Health And Wellness Community Health Choices Plan | $47,532.00 | — | — | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas Community Health Choices Plan | $47,532.00 | — | — | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | Pa Health And Wellness | Pa Health And Wellness Community Health Choices Plan | $47,532.00 | — | — | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | Health Partners | Health Partners Medicaid | $47,532.00 | — | — | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | Health Partners | Health Partners Medicaid | $47,532.00 | — | — | 2026-05-13 | MRF ↗ |
| CHI ST LUKE'S HEALTH BRAZOSPORT | Medicaid|Bcbs - Tx|All Plans | — | $47,998.84 | — | — | 2026-08-01 | MRF ↗ |
| CHI ST LUKE'S HEALTH BRAZOSPORT | Medicaid|Community Health Choice|All Plans | — | $47,998.84 | — | — | 2026-08-01 | MRF ↗ |
| CHI ST LUKE'S HEALTH BRAZOSPORT | Medicaid|Superior Health Plan|All Plans | — | $47,998.84 | — | — | 2026-08-01 | MRF ↗ |
| EXCELA HEALTH LATROBE HOSPITAL Inpatient | Upmc | Medical Assistance | $48,837.69 | — | — | 2026-05-08 | 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.