220 — 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) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/220?code_type=APR_DRG
MLA (9th ed.)
“MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES (APR_DRG 220) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/220?code_type=APR_DRG. Accessed .
Chicago (notes-bibliography)
“MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES (APR_DRG 220) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/220?code_type=APR_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $16,869–$45,456 (25th–75th percentile) across 69 hospitals · 263 payers.
“Negotiated” is the hospital’s negotiated rate for the entire inpatient stay under APR_DRG 220 — 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 |
|---|---|---|---|---|---|---|---|
| Driscoll Children's Hospital Transplant Center Inpatient | TEXAS REHABILITATION COMM [50038] | TEXAS REHABILITATION COMM [5003801] | $165.82 | $375,828.06 | $75,165.61 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Inpatient | POLICE DEPARTMENTS [50065] | POLICE DEPTS [5006501] | $1,000.00 | $375,828.06 | $75,165.61 | 2026-03-31 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Coastal Energy Corporation | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | City Of Lebanon | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Merril Iron And Steel | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Healthy Blue Mo | Medicaid Managed Care | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Centene Wellcare | Medicare Advantage | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Src Holdings Corporation | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Ozarks Cocacola | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Allwell | Arkansas Health And Wellness | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Parkcrest Dental Group | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Town And Country Super Market | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Flora Farms | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Heart Of America Beverage Company | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Texas Co Memorial Hospital | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Cox Healthplans | Medicare Advantage | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | United Healthcare | Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Cigna | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Loren Cook | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Ozark County | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Mirma Health | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Devoted | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | United Healthcare | Medicare | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Health Net Federal Services | Tricare | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Show Me Benefit Consortium | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Anthem | Medicare Advantage | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Architectural Systems Inc | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Bjc Health Solutions | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Medrisk Llc | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Mihlfeld & Associates | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | First Health | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | United Healthcare | All Payer | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Advanced Concrete Technology | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Centene Home State Health | Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Provider Partners Health Plan | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Missouri Affiliated School Consortium (Masc) | Missouri Affiliated School Consortium (Masc) | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Humana | Medicare Advantage | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Springfieldgreene Co Library | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | United Healthcare | Core Payer | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | The Durham Company | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | United Behavioral Health | Optum Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Justice Furniture And Bedding Co | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Custom Powder Systems | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis Child Health Plus | $5,936.79 | — | — | 2026-04-14 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $6,106.23 | $70,831.20 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $6,106.23 | $108,856.08 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $6,106.23 | $70,831.20 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $6,106.23 | $108,856.08 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $6,106.23 | $108,856.08 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $6,106.23 | $70,831.20 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $6,106.23 | $108,856.08 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $6,106.23 | $108,856.08 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $6,106.23 | $108,856.08 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $6,106.23 | $108,856.08 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $6,106.23 | $108,856.08 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $6,106.23 | $108,856.08 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $6,106.23 | $70,831.20 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $6,106.23 | $70,831.20 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $6,106.23 | $70,831.20 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $6,106.23 | $108,856.08 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $6,106.23 | $70,831.20 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $6,106.23 | $108,856.08 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $6,106.23 | $108,856.08 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $6,106.23 | $108,856.08 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $6,106.23 | $108,856.08 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $6,106.23 | $108,856.08 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $6,106.23 | $108,856.08 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $6,106.23 | $108,856.08 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $6,106.23 | $70,831.20 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $6,106.23 | $108,856.08 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $6,106.23 | $108,856.08 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $6,106.23 | $108,856.08 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $6,106.23 | $108,856.08 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $6,106.23 | $70,831.20 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $6,106.23 | $108,856.08 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $6,106.23 | $108,856.08 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $6,106.23 | $108,856.08 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $6,106.23 | $108,856.08 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $6,106.23 | $108,856.08 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $6,106.23 | $108,856.08 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $6,106.23 | $108,856.08 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $6,106.23 | $108,856.08 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $6,106.23 | $108,856.08 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $6,106.23 | $108,856.08 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $6,106.23 | $108,856.08 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $6,106.23 | $70,831.20 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $6,106.23 | $70,831.20 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $6,106.23 | $108,856.08 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $6,106.23 | $70,831.20 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $6,106.23 | $108,856.08 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $6,106.23 | $108,856.08 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $6,106.23 | $108,856.08 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $6,106.23 | $108,856.08 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $6,106.23 | $108,856.08 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $6,106.23 | $70,831.20 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $6,106.23 | $70,831.20 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $6,106.23 | $70,831.20 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $6,106.23 | $70,831.20 | — | 2026-03-26 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis HARP | $6,453.03 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis Medicaid | $6,453.03 | — | — | 2026-04-14 | MRF ↗ |
| GUTHRIE CORTLAND REGIONAL MEDICAL CENTER Inpatient | Bcbs | Managed Medicaid | $7,058.75 | $207,197.47 | $165,757.98 | 2026-07-15 | MRF ↗ |
| GUTHRIE CORTLAND REGIONAL MEDICAL CENTER Inpatient | Wellcare | Managed Medicaid | $7,058.75 | $207,197.47 | $165,757.98 | 2026-07-15 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Inpatient | Cdphp | Managed Medicaid | $7,058.75 | $207,197.47 | $103,598.74 | 2026-07-15 | MRF ↗ |
| GUTHRIE CORTLAND REGIONAL MEDICAL CENTER Inpatient | Fidelis | Managed Medicaid | $7,058.75 | $207,197.47 | $165,757.98 | 2026-07-15 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Inpatient | Fidelis | Managed Medicaid | $7,068.26 | $207,197.47 | $103,598.74 | 2026-07-15 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Inpatient | Bcbs | Managed Medicaid | $7,068.26 | $207,197.47 | $103,598.74 | 2026-07-15 | MRF ↗ |
| GUTHRIE CORTLAND REGIONAL MEDICAL CENTER Inpatient | Molina | — | $7,270.52 | $207,197.47 | $165,757.98 | 2026-07-15 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Inpatient | Fidelis | Managed Medicaid | $7,351.93 | $207,197.47 | $165,757.98 | 2026-07-15 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Inpatient | Molina | — | $7,387.67 | $207,197.47 | $103,598.74 | 2026-07-15 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Inpatient | Mvp | Managed Medicaid | $7,431.99 | $207,197.47 | $103,598.74 | 2026-07-15 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Inpatient | Fidelis | Managed Medicaid | $7,608.26 | $207,197.47 | $165,757.98 | 2026-07-15 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Fidelis | Fidelis QHP | $7,706.91 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Fidelis | Fidelis QHP | $7,706.91 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Fidelis | Fidelis QHP | $7,706.91 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Fidelis | Fidelis QHP | $7,706.91 | — | — | 2026-04-14 | MRF ↗ |
| CORNING HOSPITAL Inpatient | Bcbs | Managed Medicaid | $7,712.90 | $207,197.47 | $165,757.98 | 2026-07-15 | MRF ↗ |
| CORNING HOSPITAL Inpatient | Fidelis | Managed Medicaid | $7,712.90 | $207,197.47 | $165,757.98 | 2026-07-15 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Inpatient | United Healthcare | Managed Medicaid | $7,712.90 | $207,197.47 | $103,598.74 | 2026-07-15 | MRF ↗ |
| CORNING HOSPITAL Inpatient | Mvp | Managed Medicaid | $7,712.90 | $207,197.47 | $165,757.98 | 2026-07-15 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Inpatient | Mvp | Essential | $7,712.90 | $207,197.47 | $103,598.74 | 2026-07-15 | MRF ↗ |
| GUTHRIE CORTLAND REGIONAL MEDICAL CENTER Inpatient | United Healthcare | Managed Medicaid | $7,712.90 | $207,197.47 | $165,757.98 | 2026-07-15 | MRF ↗ |
| CORNING HOSPITAL Inpatient | United Healthcare | Managed Medicaid | $7,712.90 | $207,197.47 | $165,757.98 | 2026-07-15 | MRF ↗ |
| CORNING HOSPITAL Inpatient | Molina | — | $7,944.29 | $207,197.47 | $165,757.98 | 2026-07-15 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Fidelis | Fidelis QHP | $8,092.27 | — | — | 2026-04-14 | MRF ↗ |
| ROBERT PACKER HOSPITAL Inpatient | Bcbs | Managed Medicaid | $8,135.80 | $146,800.20 | $117,440.16 | 2026-07-15 | MRF ↗ |
| ROBERT PACKER HOSPITAL Inpatient | Fidelis | Managed Medicaid | $8,135.80 | $146,800.20 | $117,440.16 | 2026-07-15 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Inpatient | Bcbs | Managed Medicaid | $8,135.80 | $207,197.47 | $165,757.98 | 2026-07-15 | MRF ↗ |
| ROBERT PACKER HOSPITAL Inpatient | Mvp | Managed Medicaid | $8,135.80 | $146,800.20 | $117,440.16 | 2026-07-15 | MRF ↗ |
| MAPLE GROVE HOSPITAL Inpatient | BLUE CROSS [1021] | MGH BCBS PMAP | $8,201.74 | $31,955.66 | — | 2026-04-30 | MRF ↗ |
| MERCY MEDICAL CTR InpatientFacility | TUFTS HEALTH PUBLIC PLANS | TUFTS MEDICAID | $8,212.55 | — | — | 2026-03-31 | MRF ↗ |
| ROBERT PACKER HOSPITAL Inpatient | Molina | — | $8,379.87 | $146,800.20 | $117,440.16 | 2026-07-15 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Inpatient | Molina | — | $8,379.87 | $207,197.47 | $165,757.98 | 2026-07-15 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Inpatient | Molina | — | $8,379.87 | $207,197.47 | $165,757.98 | 2026-07-15 | MRF ↗ |
| MAPLE GROVE HOSPITAL InpatientFacility | BLUE CROSS [1021] | NMH BCBS PMAP | $8,401.45 | $35,444.45 | — | 2026-09-25 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL InpatientFacility | BLUE CROSS [1021] | NMH BCBS PMAP | $8,401.45 | $35,484.74 | — | 2026-04-30 | MRF ↗ |
| ROBERT PACKER HOSPITAL Inpatient | United Healthcare | Managed Medicaid | $8,599.51 | $146,800.20 | $117,440.16 | 2026-07-15 | MRF ↗ |
| RIVERSIDE UNIVERSITY HEALTH SYSTEM-MEDICAL CENTER Inpatient | LA CARE HEALTH PLAN | MCAL HMO | $8,619.46 | $215,248.04 | — | 2026-01-01 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | UHC COMMUNITY MEDICAID [2175] | HB XR UHC INDIANA PATHWAYS MEDICAID | $8,737.20 | $100,397.03 | $60,238.22 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | AETNA BETTER HEALTH OHIO MEDICAID [2183] | HB XR AETNA BETTER HLTH MGD MEDICAID OH 108% | $8,857.65 | $100,397.03 | $60,238.22 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | CARESOURCE [2031] | HB XR CARESOURCE MGD MEDICAID OHIO 103% | $8,857.65 | $100,397.03 | $60,238.22 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | ANTHEM MEDICAID OHIO [2192] | HB XR ANTHEM OH MEDICAID 103% | $8,857.65 | $100,397.03 | $60,238.22 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | HUMANA MEDICAID OH [3102] | HB XR HUMANA 103% OHIO MEDICAID | $8,857.65 | $100,397.03 | $60,238.22 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | MOLINA MEDICAID [2058] | HB XR MOLINA MGD MEDICAID OH 107% | $8,857.65 | $100,397.03 | $60,238.22 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | AMERIHEALTH CARITAS [2230] | HB XR AMERIHEALTH CARITAS OH 103% | $8,857.65 | $100,397.03 | $60,238.22 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | BUCKEYE COMMUNITY HEALTH [2028] | HB XR BUCKEYE MGD MEDICAID OH 106% | $8,857.65 | $100,397.03 | $60,238.22 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | UHC COMMUNITY MEDICAID [2175] | HB XR UNITED HEALTHCARE MGD MEDICAID OHIO | $8,857.65 | $100,397.03 | $60,238.22 | 2025-12-19 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis QHP | $8,901.50 | — | — | 2026-04-14 | MRF ↗ |
| CORNING HOSPITAL Inpatient | Cdphp | Managed Medicaid | $8,947.87 | $207,197.47 | $165,757.98 | 2026-07-15 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Inpatient | Cdphp | Managed Medicaid | $8,976.95 | $207,197.47 | $165,757.98 | 2026-07-15 | MRF ↗ |
| CORNING HOSPITAL Inpatient | Icircle | Managed Medicaid | $9,101.23 | $207,197.47 | $165,757.98 | 2026-07-15 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Inpatient | Cdphp | Managed Medicaid | $9,243.95 | $207,197.47 | $165,757.98 | 2026-07-15 | MRF ↗ |
| WEST PENN HOSPITAL Inpatient | Fidelis | Fidelis QHP | $9,325.36 | — | — | 2026-04-14 | MRF ↗ |
| ST JOSEPHS HOSPITAL Inpatient | MOLINA HEALTHCARE | MOLINA MEDICAID | $9,433.47 | $70,912.70 | $51,057.14 | 2026-01-15 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis Child Health Plus | $9,455.00 | — | — | 2026-04-14 | MRF ↗ |
| ST ANTHONYS MEMORIAL HOSPITAL Inpatient | MERIDIAN HEALTH PLAN | MERIDIAN HMO MCD | — | — | — | 2026-03-24 | MRF ↗ |
| ST ANTHONYS MEMORIAL HOSPITAL Inpatient | MOLINA HEALTHCARE | MOLINA MEDICAID | — | — | — | 2026-03-24 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Inpatient | Fidelis | Exchange | $9,510.33 | $207,197.47 | $165,757.98 | 2026-07-15 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Inpatient | Geisinger | Managed Medicaid | $9,527.20 | $207,197.47 | $103,598.74 | 2026-07-15 | MRF ↗ |
| ST JOHNS HOSPITAL Inpatient | MOLINA HEALTHCARE | MOLINA MEDICAID | — | — | — | 2026-03-24 | MRF ↗ |
| ST JOHNS HOSPITAL Inpatient | MERIDIAN HEALTH PLAN | MERIDIAN HMO MCD | — | — | — | 2026-03-24 | MRF ↗ |
| ST JOHNS HOSPITAL Inpatient | WEXFORD | WEXFORD HEALTH SOURCES | — | — | — | 2026-03-24 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Inpatient | Icircle | Managed Medicaid | $9,600.24 | $207,197.47 | $165,757.98 | 2026-07-15 | MRF ↗ |
| ROBERT PACKER HOSPITAL Inpatient | Icircle | Managed Medicaid | $9,600.24 | $146,800.20 | $117,440.16 | 2026-07-15 | MRF ↗ |
| GUTHRIE CORTLAND REGIONAL MEDICAL CENTER Inpatient | Geisinger | Managed Medicaid | $9,709.00 | $207,197.47 | $165,757.98 | 2026-07-15 | MRF ↗ |
| ROBERT PACKER HOSPITAL Inpatient | Cdphp | Managed Medicaid | $9,835.36 | $146,800.20 | $117,440.16 | 2026-07-15 | MRF ↗ |
| ST MARYS HOSPITAL Inpatient | MOLINA HEALTHCARE | MOLINA MEDICAID | $9,905.14 | $75,417.30 | $54,300.46 | 2026-01-15 | MRF ↗ |
| Saint Mary's Health Care InpatientFacility | MOLINA MEDICAID | MOLINA MEDICAID | $9,952.17 | — | — | 2026-03-31 | MRF ↗ |
| TRINITY HEALTH OAKLAND HOSPITAL InpatientFacility | MOLINA MEDICAID | MOLINA MEDICAID | $9,953.43 | — | — | 2026-03-31 | MRF ↗ |
| ST MARYS HOSPITAL Inpatient | MOLINA HEALTHCARE | MOLINA MEDICAID | — | — | — | 2026-03-25 | MRF ↗ |
| ST MARYS HOSPITAL Inpatient | MERIDIAN HEALTH PLAN | MERIDIAN HMO MCD | — | — | — | 2026-03-25 | MRF ↗ |
| Saint Mary's Health Care InpatientFacility | BLUE CROSS COMPLETE - MI | BLUE CROSS COMPLETE MEDICAID | $10,104.21 | — | — | 2026-03-31 | MRF ↗ |
| Saint Mary's Health Care InpatientFacility | MCLAREN HEALTH MEDICAID | MCLAREN MEDICAID | $10,104.21 | — | — | 2026-03-31 | MRF ↗ |
| Saint Mary's Health Care InpatientFacility | HAP MEDICAID | HAP CARESOURCE MEDICAID | $10,104.21 | — | — | 2026-03-31 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | Health Partners | Managed Medicaid | $10,118.70 | — | — | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | Health Partners | Managed Medicaid | $10,118.70 | — | — | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | Amerihealth | Managed Medicaid | $10,118.70 | — | — | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | Amerihealth | Managed Medicaid | $10,118.70 | — | — | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | UPMC for You | Managed Medicaid | $10,147.39 | — | — | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | UPMC for You | Managed Medicaid | $10,147.39 | — | — | 2026-02-12 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis HARP | $10,277.17 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis Medicaid | $10,277.17 | — | — | 2026-04-14 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | Geisinger | Managed Medicaid | $10,321.07 | — | — | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | Geisinger | Managed Medicaid | $10,321.07 | — | — | 2026-02-12 | MRF ↗ |
| MEADVILLE MEDICAL CENTER Inpatient | Geisinger | Managed Medicaid | $10,350.34 | — | — | 2026-02-12 | MRF ↗ |
| MEADVILLE MEDICAL CENTER Inpatient | Geisinger | Managed Medicaid | $10,350.34 | — | — | 2025-02-18 | MRF ↗ |
| MEADVILLE MEDICAL CENTER Inpatient | Geisinger | Managed Medicaid | $10,350.34 | — | — | 2026-09-11 | MRF ↗ |
| MEADVILLE MEDICAL CENTER Inpatient | Geisinger | Managed Medicaid | $10,350.34 | — | — | 2025-02-18 | MRF ↗ |
| ST JOSEPHS HOSPITAL Inpatient | MERIDIAN HEALTH PLAN | MERIDIAN HMO MCD | $10,376.82 | $70,912.70 | $51,057.14 | 2026-01-15 | MRF ↗ |
| ST MARYS HOSPITAL Inpatient | MERIDIAN HEALTH PLAN | MERIDIAN HMO MCD | $10,376.82 | $75,417.30 | $54,300.46 | 2026-01-15 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Independent Health | Independent Health State Products | $10,378.35 | — | — | 2026-04-14 | MRF ↗ |
| TRINITY HEALTH OAKLAND HOSPITAL InpatientFacility | BLUE CROSS COMPLETE - MI | BLUE CROSS COMPLETE MEDICAID | $10,773.17 | — | — | 2026-03-31 | MRF ↗ |
| TRINITY HEALTH OAKLAND HOSPITAL InpatientFacility | HAP MEDICAID | HAP CARESOURCE MEDICAID | $10,773.17 | — | — | 2026-03-31 | MRF ↗ |
| TRINITY HEALTH OAKLAND HOSPITAL InpatientFacility | MCLAREN HEALTH MEDICAID | MCLAREN MEDICAID | $10,773.17 | — | — | 2026-03-31 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | UHC COMMUNITY MEDICAID [2175] | HB XR UHC INDIANA PATHWAYS MEDICAID | $10,811.07 | $98,158.12 | $58,894.87 | 2025-12-19 | MRF ↗ |
| Heritage Valley Kennedy Hospital Inpatient | UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID | $10,888.93 | $47,177.95 | $37,407.78 | 2024-12-30 | MRF ↗ |
| Heritage Valley Kennedy Hospital Inpatient | AETNA HEALTH INC | AETNA BETTER HEALTH MEDICAID | $10,888.93 | $47,177.95 | $37,407.78 | 2024-12-30 | MRF ↗ |
| Heritage Valley Kennedy Hospital Inpatient | GATEWAY HEALTH PLAN | GATEWAY MEDICAID DBA HIGHMARK WHOLECARE | $10,888.93 | $47,177.95 | $37,407.78 | 2024-12-30 | MRF ↗ |
| Heritage Valley Kennedy Hospital Inpatient | AETNA HEALTH INC | AETNA BETTER HEALTH MEDICAID | $10,888.93 | $47,177.95 | $37,407.78 | 2024-12-30 | MRF ↗ |
| Heritage Valley Kennedy Hospital Inpatient | GATEWAY HEALTH PLAN | GATEWAY MEDICAID DBA HIGHMARK WHOLECARE | $10,888.93 | $47,177.95 | $37,407.78 | 2024-12-30 | MRF ↗ |
| Heritage Valley Kennedy Hospital Inpatient | UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID | $10,888.93 | $47,177.95 | $37,407.78 | 2024-12-30 | 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.