2254 — Appendectomy
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Appendectomy (APR_DRG 2254) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/2254?code_type=APR_DRG
MLA (9th ed.)
“Appendectomy (APR_DRG 2254) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/2254?code_type=APR_DRG. Accessed .
Chicago (notes-bibliography)
“Appendectomy (APR_DRG 2254) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/2254?code_type=APR_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $34,912–$73,717 (25th–75th percentile) across 138 hospitals · 104 payers.
“Negotiated” is the hospital’s negotiated rate for the entire inpatient stay under APR_DRG 2254 — 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 |
|---|---|---|---|---|---|---|---|
| ELIZABETHTOWN COMMUNITY HOSPITAL InpatientFacility | — | — | — | — | — | 2025-01-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Medicaid Other | — | $1,190.11 | $311,732.77 | $202,626.30 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Medicaid Sc | — | $1,198.80 | $311,732.77 | $202,626.30 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Bluechoice Medicaid (Greenville County Only) | — | $1,218.47 | $311,732.77 | $202,626.30 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Molina Medicaid | — | $1,234.77 | $311,732.77 | $202,626.30 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Blue Choice Medicaid (Greenville County Only) | — | $1,240.20 | $311,732.77 | $202,626.30 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Absolute Total Care Medicaid | — | $1,258.74 | $311,732.77 | $202,626.30 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Bluechoice Medicaid | — | $1,258.74 | $311,732.77 | $202,626.30 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Select Health Medicaid | — | $1,258.74 | $311,732.77 | $202,626.30 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Blue Choice Medicaid (Greenville County Only) | — | $1,278.99 | $311,732.77 | $202,626.30 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Medicaid | — | $1,296.25 | $311,732.77 | $202,626.30 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Medicaid Other | — | $1,296.25 | $311,732.77 | $202,626.30 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Absolute Total Care Medicaid | — | $1,308.95 | $311,732.77 | $202,626.30 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bluechoice Medicaid | — | $1,319.35 | $311,732.77 | $202,626.30 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Blue Choice Medicaid (Greenville County Only) | — | $1,320.73 | $311,733.00 | $202,626.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Blue Choice Medicaid (Greenville County Only) | — | $1,330.99 | $311,732.77 | $202,626.30 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Select Health Medicaid | — | $1,345.65 | $311,732.77 | $202,626.30 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Select Health Medicaid | — | $1,358.94 | $311,732.77 | $202,626.30 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Molina Medicaid | — | $1,358.94 | $311,732.77 | $202,626.30 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Bluechoice Medicaid | — | $1,360.63 | $311,732.77 | $202,626.30 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Medicaid Sc | — | $1,383.43 | $311,732.77 | $202,626.30 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Medicaid | — | $1,384.30 | $311,732.77 | $202,626.30 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Absolute Total Care Medicaid | — | $1,385.33 | $311,732.77 | $202,626.30 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Humana Healthy Horizons Medicaid | — | $1,386.98 | $311,732.77 | $202,626.30 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Bluechoice Medicaid | — | $1,394.58 | $311,732.77 | $202,626.30 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Molina Medicaid | — | $1,401.45 | $311,732.77 | $202,626.30 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Select Health Medicaid | — | $1,401.45 | $311,732.77 | $202,626.30 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Bluechoice Medicaid | — | $1,405.03 | $311,733.00 | $202,626.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Medicaid | — | $1,405.03 | $311,733.00 | $202,626.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Medicare Advantage Non Contracted | — | $1,405.03 | $311,733.00 | $202,626.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Bluechoice Medicaid | — | $1,415.96 | $311,732.77 | $202,626.30 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Medicaid Other | — | $1,417.85 | $311,732.77 | $202,626.30 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Select Health Medicaid | — | $1,425.87 | $311,732.77 | $202,626.30 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Absolute Total Care Medicaid | — | $1,428.66 | $311,732.77 | $202,626.30 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Bluechoice Medicaid | — | $1,438.83 | $311,732.77 | $202,626.30 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Molina Medicaid | — | $1,443.52 | $311,732.77 | $202,626.30 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Select Health Medicaid | — | $1,447.18 | $311,733.00 | $202,626.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Molina Medicaid | — | $1,447.18 | $311,733.00 | $202,626.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Medicaid Other | — | $1,450.18 | $311,732.77 | $202,626.30 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Medicaid | — | $1,450.18 | $311,732.77 | $202,626.30 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Absolute Total Care Medicaid | — | $1,452.60 | $311,732.77 | $202,626.30 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Molina Medicaid | — | $1,458.43 | $311,732.77 | $202,626.30 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Select Health Medicaid | — | $1,458.43 | $311,732.77 | $202,626.30 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Medicaid Sc | — | $1,462.95 | $311,732.77 | $202,626.30 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Absolute Total Care Medicaid | — | $1,475.28 | $311,733.00 | $202,626.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Humana Healthy Horizons Medicaid | — | $1,480.27 | $311,732.77 | $202,626.30 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Humana Healthy Horizons Medicaid | — | $1,481.21 | $311,732.77 | $202,626.30 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Absolute Total Care Medicaid | — | $1,486.76 | $311,732.77 | $202,626.30 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Molina Medicaid | — | $1,490.68 | $311,732.77 | $202,626.30 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Humana Healthy Horizons Medicaid | — | $1,503.38 | $311,733.00 | $202,626.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Absolute Total Care Medicaid | — | $1,516.61 | $311,732.77 | $202,626.30 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Select Health Medicaid | — | $1,521.77 | $311,732.77 | $202,626.30 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Medicaid | — | $1,523.15 | $311,732.77 | $202,626.30 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Humana Healthy Horizons Medicaid | — | $1,551.69 | $311,732.77 | $202,626.30 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Humana Healthy Horizons Medicaid | — | $1,565.36 | $311,732.77 | $202,626.30 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Humana Healthy Horizons Medicaid | — | $1,565.36 | $311,732.77 | $202,626.30 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Humana Healthy Horizons Medicaid | — | $1,629.77 | $311,732.77 | $202,626.30 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Molina Medicaid | — | $1,632.44 | $311,732.77 | $202,626.30 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Cigna Hmo Ppo | — | $2,646.00 | $311,732.77 | $202,626.30 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Medicaid Other | — | $3,266.24 | $311,732.77 | $202,626.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Humana Healthy Horizons Medicaid | — | $3,494.88 | $311,732.77 | $202,626.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Blue Choice Medicaid (Greenville County Only) | — | $3,562.04 | $311,732.77 | $202,626.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Medicaid | — | $3,789.41 | $311,732.77 | $202,626.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Bluechoice Medicaid | — | $3,789.41 | $311,732.77 | $202,626.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Select Health Medicaid | — | $3,903.10 | $311,732.77 | $202,626.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Molina Medicaid | — | $3,903.10 | $311,732.77 | $202,626.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Absolute Total Care Medicaid | — | $3,978.88 | $311,732.77 | $202,626.00 | 2026-07-05 | MRF ↗ |
| MONTEFIORE ST LUKE'S CORNWALL Inpatient | Anthem | Exchange | $5,102.12 | — | — | 2026-04-01 | MRF ↗ |
| ELMHURST HOSPITAL CENTER InpatientFacility | Healthfirst | Small Group | $12,634.44 | — | — | 2025-09-05 | MRF ↗ |
| NYACK HOSPITAL Inpatient | HealthFirst | Exchange Product - Enrollees | $15,114.54 | — | $30,229.08 | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Inpatient | HealthFirst | Exchange Product - Enrollees | $15,114.54 | — | $30,229.08 | 2025-06-27 | MRF ↗ |
| SAMARITAN MEDICAL CENTER InpatientFacility | Excellus | Managed Medicaid | $17,396.29 | — | — | 2026-02-02 | MRF ↗ |
| SAMARITAN MEDICAL CENTER InpatientFacility | MVP | Essential Plan 3-4 | $17,396.29 | — | — | 2026-02-02 | MRF ↗ |
| SAMARITAN MEDICAL CENTER InpatientFacility | Fidelis | Medicaid Managed Care/Child Health Plus and Family Health Plus | $17,396.29 | — | — | 2026-02-02 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Medicaid | — | $17,463.37 | $311,732.77 | $218,212.94 | 2026-06-20 | MRF ↗ |
| SAMARITAN MEDICAL CENTER InpatientFacility | United Healthcare | Managed Medicaid | $17,918.18 | — | — | 2026-02-02 | MRF ↗ |
| CLIFTON SPRINGS HOSPITAL AND CLINIC Inpatient | HIGHMARK [114] | HIGHMARK|HIGHMARK HMO BLUE|HIGHMARK OUT OF AREA | $18,136.10 | $17,011.65 | $11,057.57 | 2024-12-30 | MRF ↗ |
| CLIFTON SPRINGS HOSPITAL AND CLINIC Inpatient | EXCELLUS HMO [104] | CHILD HEALTH PLUS|EXCELLUS ESSENTIAL 1&2|EXCELLUS ESSENTIAL 3&4|UNIVERA MYHEALTH|UNIVERA ESSENTIAL 1&2|UNIVERA ESSENTIAL 1&2 | $18,465.58 | $17,011.65 | $11,057.57 | 2024-12-30 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Parkland Medicaid Star | — | $18,860.44 | $311,732.77 | $218,212.94 | 2026-06-20 | MRF ↗ |
| ST JAMES HOSPITAL Inpatient | FIDELIS 5155 | FIDELIS METAL TIERS 515501 | $19,115.35 | — | — | 2026-01-01 | MRF ↗ |
| CLIFTON SPRINGS HOSPITAL AND CLINIC Inpatient | FIDELIS CARE NEW YORK [112] | FIDELIS CARE NEW YORK|FIDELIS FHP|FIDELIS CHP | $19,139.22 | $17,011.65 | $11,057.57 | 2024-12-30 | MRF ↗ |
| CLIFTON SPRINGS HOSPITAL AND CLINIC Inpatient | MOLINA HEALTHCARE OF NY [188] | MOLINA MEDICAID MANAGED CARE|MOLINA CHILD HEALTH PLUS | $19,139.22 | $17,011.65 | $11,057.57 | 2024-12-30 | MRF ↗ |
| CLIFTON SPRINGS HOSPITAL AND CLINIC Inpatient | MVP [109] | MVP OPTION|MVP CHILD HEALTH PLUS | $19,139.22 | $17,011.65 | $11,057.57 | 2024-12-30 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Cigna Healthspring Medicaid | — | $19,209.71 | $311,732.77 | $218,212.94 | 2026-06-20 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Inpatient | MVP MEDICAID 1712 | MVP OPTION MEDICAID 171201 | $20,471.76 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Inpatient | UNITED HEALTHCARE MEDICAID 1716, UNITED HEALTHCARE 5158 | UNITED HEALTHCARE MEDICAID 171601, UNITED HEALTHCARE ESSENTIAL 1-2 200-250 5158, UNITED HEALTHCARE ESSENTIAL 3-4 171602 | $20,471.76 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Inpatient | AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 | AMERIGROUP (BSWNY ALTERNATE) 172001 | $20,471.76 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Inpatient | HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 | HIGHMARK BCBS MEDICAID 170201, CHILD HEALTH PLUS 170204 | $20,471.76 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Inpatient | INDEPENDENT HEALTH ASSOC MEDICAID 1710 | INDEPENDENT HEALTH ASSOC MEDICAID 171001 | $20,471.76 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Inpatient | MOLINA HEALTHCARE 5189 | MOLINA ESSENTIAL 1-2 200-250 5189 | $20,471.76 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Inpatient | FIDELIS MEDICAID 1708, FIDELIS 5155 | FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502 | $20,471.76 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Inpatient | MOLINA HEALTHCARE 5189 | MOLINA CHILD HEALTH PLUS 518901 | $20,471.76 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Inpatient | EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706, EXCELLUS BLUE CROSS BLUE SHIELD 2201 | BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL 1-2 200-250 2201, EXCELLUS ESSENTIAL 3-4 170604, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS HLTHY NY 220110 | $20,471.76 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Inpatient | MOLINA HEALTHCARE 1723 | MOLINA ESSENTIAL 3-4 172302 | $20,471.76 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Inpatient | MOLINA HEALTHCARE 1723 | MOLINA MEDICAID 172301 | $20,471.76 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Inpatient | FIDELIS 5155 | FIDELIS METAL TIERS 515501 | $20,471.76 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Inpatient | MVP 2900 | MVP CHILD HEALTH PLUS 290004 | $20,493.77 | — | — | 2026-01-01 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | Fidelis | Family Health Plus/Medicaid | $20,628.10 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | Fidelis | Child Health Plus | $20,628.10 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | Beacon | Managed Medicaid | $20,628.10 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | CORVEL | WC | $20,628.10 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | BCBS of Western NY | Essential Plans 3&4 | $20,628.10 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | BCBS of Western NY | Medicaid | $20,628.10 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | Univera | Essential Plan | $20,628.10 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | UHC Medicaid NY | Medicaid | $20,628.10 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | Molina Healthcare of NY | CHIP (For Kids)/Medicaid | $20,628.10 | — | — | 2026-03-06 | MRF ↗ |
| UNITY HOSPITAL Inpatient | MVP [109] | MVP EXCHANGE-INDIVIDUAL | $20,750.90 | $22,983.72 | $18,386.98 | 2024-12-30 | MRF ↗ |
| SAMARITAN MEDICAL CENTER InpatientFacility | MVP | Essential Plan 1-2 and 5-6 | $20,875.55 | — | — | 2026-02-02 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | UPMC HEALTH PLAN 5138 | UPMC HEALTH PLAN 513801 | $21,123.44 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | UPMC HEALTH PLAN 5138 | UPMC HEALTH PLAN 513801 | $21,123.44 | — | — | 2026-01-01 | MRF ↗ |
| UNITY HOSPITAL Inpatient | HIGHMARK [114] | HIGHMARK MEDICAID|HIGHMARK ESSENTIALS|HIGHMARK CHP | $21,336.75 | $22,983.72 | $18,386.98 | 2024-12-30 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | Univera | CHIP (For Kids)/HARP/NY Medicaid | $21,659.49 | — | — | 2026-03-06 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 | HIGHMARK BCBS MEDICAID 170201, CHILD HEALTH PLUS 170204 | $21,682.17 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706, EXCELLUS BLUE CROSS BLUE SHIELD 2201 | BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL 1-2 200-250 2201, EXCELLUS ESSENTIAL 3-4 170604, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS HLTHY NY 220110 | $21,682.17 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | UNITED HEALTHCARE MEDICAID 1716, UNITED HEALTHCARE 5158 | UNITED HEALTHCARE MEDICAID 171601, UNITED HEALTHCARE ESSENTIAL 1-2 200-250 5158, UNITED HEALTHCARE ESSENTIAL 3-4 171602 | $21,682.17 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 | AMERIGROUP (BSWNY ALTERNATE) 172001 | $21,682.17 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | MOLINA HEALTHCARE 5189 | MOLINA ESSENTIAL 1-2 200-250 5189 | $21,682.17 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | INDEPENDENT HEALTH ASSOC MEDICAID 1710 | INDEPENDENT HEALTH ASSOC MEDICAID 171001 | $21,682.17 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | MOLINA HEALTHCARE 5189 | MOLINA CHILD HEALTH PLUS 518901 | $21,682.17 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | FIDELIS MEDICAID 1708, FIDELIS 5155 | FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502 | $21,682.17 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | FIDELIS MEDICAID 1708 | FIDELIS ESSENTIAL 3-4 170804 | $21,682.17 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706, EXCELLUS BLUE CROSS BLUE SHIELD 2201 | BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL 1-2 200-250 2201, EXCELLUS ESSENTIAL 3-4 170604, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS HLTHY NY 220110 | $21,682.17 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | FIDELIS MEDICAID 1708, FIDELIS 5155 | FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502 | $21,682.17 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 | HIGHMARK BCBS MEDICAID 170201, CHILD HEALTH PLUS 170204 | $21,682.17 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | INDEPENDENT HEALTH ASSOC MEDICAID 1710 | INDEPENDENT HEALTH ASSOC MEDICAID 171001 | $21,682.17 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | MOLINA HEALTHCARE 1723 | MOLINA MEDICAID 172301 | $21,682.17 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | MOLINA HEALTHCARE 5189 | MOLINA CHILD HEALTH PLUS 518901 | $21,682.17 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | MVP MEDICAID 1712 | MVP OPTION MEDICAID 171201 | $21,682.17 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | MOLINA HEALTHCARE 5189 | MOLINA ESSENTIAL 1-2 200-250 5189 | $21,682.17 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | FIDELIS MEDICAID 1708 | FIDELIS ESSENTIAL 3-4 170804 | $21,682.17 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | MOLINA HEALTHCARE 1723 | MOLINA ESSENTIAL 3-4 172302 | $21,682.17 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 | AMERIGROUP (BSWNY ALTERNATE) 172001 | $21,682.17 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | MVP MEDICAID 1712 | MVP OPTION MEDICAID 171201 | $21,682.17 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | MOLINA HEALTHCARE 1723 | MOLINA MEDICAID 172301 | $21,682.17 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | UNITED HEALTHCARE MEDICAID 1716, UNITED HEALTHCARE 5158 | UNITED HEALTHCARE MEDICAID 171601, UNITED HEALTHCARE ESSENTIAL 1-2 200-250 5158, UNITED HEALTHCARE ESSENTIAL 3-4 171602 | $21,682.17 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | MOLINA HEALTHCARE 1723 | MOLINA ESSENTIAL 3-4 172302 | $21,682.17 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | MVP 2900 | MVP CHILD HEALTH PLUS 290004 | $21,732.93 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | MVP 2900 | MVP CHILD HEALTH PLUS 290004 | $21,732.93 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Inpatient | INDEPENDENT HEALTH ASSOC MEDICAID 1710 | INDEPENDENT HEALTH ASSOC MEDICAID 171001 | $21,954.14 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Inpatient | UNITED HEALTHCARE MEDICAID 1716, UNITED HEALTHCARE 5158 | UNITED HEALTHCARE MEDICAID 171601, UNITED HEALTHCARE ESSENTIAL 1-2 200-250 5158, UNITED HEALTHCARE ESSENTIAL 3-4 171602 | $21,954.14 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Inpatient | AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 | AMERIGROUP (BSWNY ALTERNATE) 172001 | $21,954.14 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Inpatient | MOLINA HEALTHCARE 1723 | MOLINA ESSENTIAL 3-4 172302 | $21,954.14 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Inpatient | MVP MEDICAID 1712 | MVP OPTION MEDICAID 171201 | $21,954.14 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Inpatient | HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 | HIGHMARK BCBS MEDICAID 170201, CHILD HEALTH PLUS 170204 | $21,954.14 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Inpatient | EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706, EXCELLUS BLUE CROSS BLUE SHIELD 2201 | BLUE CHOICE OPTION MEDICAID 170601 | $21,954.14 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Inpatient | FIDELIS MEDICAID 1708, FIDELIS 5155 | FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502 | $21,954.14 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Inpatient | MOLINA HEALTHCARE 1723 | MOLINA MEDICAID 172301 | $21,954.14 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Inpatient | MOLINA HEALTHCARE 5189 | MOLINA ESSENTIAL 1-2 200-250 5189 | $21,954.14 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Inpatient | MOLINA HEALTHCARE 5189 | MOLINA CHILD HEALTH PLUS 518901 | $21,954.14 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Inpatient | MVP 2900 | MVP CHILD HEALTH PLUS 290004 | $21,982.92 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Inpatient | EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706, EXCELLUS BLUE CROSS BLUE SHIELD 2201 | EXCELLUS ESSENTIAL 1-2 200-250 2201, EXCELLUS ESSENTIAL 3-4 170604, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS HLTHY NY 220110 | $21,984.27 | — | — | 2026-01-01 | MRF ↗ |
| UNITY HOSPITAL Inpatient | MOLINA HEALTHCARE OF NY [188] | MOLINA MEDICAID MANAGED CARE|MOLINA CHILD HEALTH PLUS | $22,291.85 | $22,983.72 | $18,386.98 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Inpatient | EXCELLUS HMO [104] | BLUE CHOICE OPTION|UNIVERA MYHEALTH PLUS|HEALTHY NY | $22,291.85 | $22,983.72 | $18,386.98 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Inpatient | UNITED HEALTHCARE [101] | UHC COMMUNITY PLAN|UHC COMMUNITY MEDICAID DENTAL|UHC ESSENTIAL 1&2|UHC CHPS|UHC ESSENTIAL 3&4 | $22,291.85 | $22,983.72 | $18,386.98 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Inpatient | MVP [109] | MVP OPTION|MVP CHILD HEALTH PLUS | $22,291.85 | $22,983.72 | $18,386.98 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Inpatient | EXCELLUS HMO [104] | CHILD HEALTH PLUS|EXCELLUS ESSENTIAL 1&2|EXCELLUS ESSENTIAL 3&4|UNIVERA MYHEALTH|UNIVERA ESSENTIAL 1&2|UNIVERA ESSENTIAL 1&2 | $22,291.85 | $22,983.72 | $18,386.98 | 2024-12-30 | MRF ↗ |
| ST JAMES HOSPITAL Inpatient | EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706, EXCELLUS BLUE CROSS BLUE SHIELD 2201 | BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL 1-2 200-250 2201, EXCELLUS ESSENTIAL 3-4 170604, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS HLTHY NY 220110 | $22,488.64 | — | — | 2026-01-01 | MRF ↗ |
| ST JAMES HOSPITAL Inpatient | UNITED HEALTHCARE MEDICAID 1716, UNITED HEALTHCARE 5158 | UNITED HEALTHCARE MEDICAID 171601, UNITED HEALTHCARE ESSENTIAL 1-2 200-250 5158, UNITED HEALTHCARE ESSENTIAL 3-4 171602 | $22,488.64 | — | — | 2026-01-01 | MRF ↗ |
| ST JAMES HOSPITAL Inpatient | MOLINA HEALTHCARE 5189 | MOLINA CHILD HEALTH PLUS 518901 | $22,488.64 | — | — | 2026-01-01 | MRF ↗ |
| ST JAMES HOSPITAL Inpatient | MOLINA HEALTHCARE 5189 | MOLINA ESSENTIAL 1-2 200-250 5189 | $22,488.64 | — | — | 2026-01-01 | MRF ↗ |
| ST JAMES HOSPITAL Inpatient | MOLINA HEALTHCARE 1723 | MOLINA MEDICAID 172301 | $22,488.64 | — | — | 2026-01-01 | MRF ↗ |
| ST JAMES HOSPITAL Inpatient | MVP MEDICAID 1712 | MVP OPTION MEDICAID 171201 | $22,488.64 | — | — | 2026-01-01 | MRF ↗ |
| ST JAMES HOSPITAL Inpatient | MOLINA HEALTHCARE 1723 | MOLINA ESSENTIAL 3-4 172302 | $22,488.64 | — | — | 2026-01-01 | MRF ↗ |
| ST JAMES HOSPITAL Inpatient | INDEPENDENT HEALTH ASSOC MEDICAID 1710 | INDEPENDENT HEALTH ASSOC MEDICAID 171001 | $22,488.64 | — | — | 2026-01-01 | MRF ↗ |
| ST JAMES HOSPITAL Inpatient | FIDELIS MEDICAID 1708, FIDELIS 5155 | FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502 | $22,488.64 | — | — | 2026-01-01 | MRF ↗ |
| ST JAMES HOSPITAL Inpatient | AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 | AMERIGROUP (BSWNY ALTERNATE) 172001 | $22,488.64 | — | — | 2026-01-01 | MRF ↗ |
| ST JAMES HOSPITAL Inpatient | HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 | HIGHMARK BCBS MEDICAID 170201, CHILD HEALTH PLUS 170204, HIGHMARK BCBS ESSENTIAL PLANS 170203 | $22,488.64 | — | — | 2026-01-01 | MRF ↗ |
| ST JAMES HOSPITAL Inpatient | MVP 2900 | MVP CHILD HEALTH PLUS 290004 | $22,551.96 | — | — | 2026-01-01 | MRF ↗ |
| ST MARY'S HEALTHCARE Inpatient | Uhc Optum Medicaid | Medicaid | $22,737.27 | — | — | 2026-07-15 | MRF ↗ |
| ST MARY'S HEALTHCARE Inpatient | Fidelis Medicaid | Medicaid | $22,737.27 | — | — | 2026-07-15 | MRF ↗ |
| ST MARY'S HEALTHCARE Inpatient | Medicaid | Medicaid | $22,737.27 | — | — | 2026-07-15 | MRF ↗ |
| ST MARY'S HEALTHCARE Inpatient | Excellus Medicaid | Medicaid | $22,737.27 | — | — | 2026-07-15 | MRF ↗ |
| ST MARY'S HEALTHCARE Inpatient | Uhc Medicaid | Medicaid | $22,737.27 | — | — | 2026-07-15 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | FIDELIS 5155 | FIDELIS ESSENTIAL 1-2 200-250 5155 | $22,766.28 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | FIDELIS 5155 | FIDELIS ESSENTIAL 1-2 200-250 5155 | $22,766.28 | — | — | 2026-01-01 | MRF ↗ |
| GENEVA GENERAL HOSPITAL InpatientFacility | Excellus Blue Choice Options | Managed Medicaid | $22,790.23 | — | — | 2025-08-07 | MRF ↗ |
| GENEVA GENERAL HOSPITAL InpatientFacility | MVP Health Care | Managed Medicaid | $22,790.23 | — | — | 2025-08-07 | MRF ↗ |
| GENEVA GENERAL HOSPITAL InpatientFacility | United Healthcare | Managed Medicaid | $22,790.23 | — | — | 2025-08-07 | MRF ↗ |
| GENEVA GENERAL HOSPITAL InpatientFacility | Aetna | Managed Medicaid | $22,790.23 | — | — | 2025-08-07 | MRF ↗ |
| GENEVA GENERAL HOSPITAL InpatientFacility | Fidelis | Commercial | $22,790.23 | — | — | 2025-08-07 | MRF ↗ |
| GENEVA GENERAL HOSPITAL InpatientFacility | Fidelis | Managed Medicaid | $22,790.23 | — | — | 2025-08-07 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Inpatient | MVP [109] | MVP OPTION|MVP CHILD HEALTH PLUS | $22,828.22 | $21,655.25 | $14,075.91 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Inpatient | UNITED HEALTHCARE [101] | UHC COMMUNITY PLAN|UHC COMMUNITY MEDICAID DENTAL|UHC ESSENTIAL 1&2|UHC CHPS|UHC ESSENTIAL 3&4 | $22,828.22 | $21,655.25 | $14,075.91 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Inpatient | EXCELLUS HMO [104] | BLUE CHOICE OPTION|CHILD HEALTH PLUS|UNIVERA MYHEALTH PLUS|EXCELLUS ESSENTIAL 1&2|EXCELLUS ESSENTIAL 3&4|UNIVERA MYHEALTH|UNIVERA ESSENTIAL 1&2|HEALTHY NY|UNIVERA ESSENTIAL 1&2 | $22,828.22 | $21,655.25 | $14,075.91 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Inpatient | MOLINA HEALTHCARE OF NY [188] | YOURCARE BEACON MEDICAID|MOLINA MEDICAID MANAGED CARE|MOLINA CHILD HEALTH PLUS | $22,828.22 | $21,655.25 | $14,075.91 | 2024-12-30 | MRF ↗ |
| NEWARK-WAYNE COMMUNITY HOSPITAL Inpatient | FIDELIS CARE NEW YORK [112] | FIDELIS CARE NEW YORK|FIDELIS FHP|FIDELIS CHP | $22,828.22 | $21,655.25 | $14,075.91 | 2024-12-30 | MRF ↗ |
| ST MARY'S HEALTHCARE Inpatient | Cdphp Medicaid | Medicaid | $22,964.64 | — | — | 2026-07-15 | MRF ↗ |
| SARATOGA HOSPITAL InpatientFacility | — | — | — | — | — | 2025-01-01 | MRF ↗ |
| ST MARY'S HEALTHCARE Inpatient | Mvp Behavorial Medicaid | Medicaid | $23,419.39 | — | — | 2026-07-15 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Inpatient | Mvp | Medicaid | $23,611.29 | — | — | 2026-07-15 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Inpatient | Cdphp | Essential Plan 1 & 2 | $23,611.29 | — | — | 2026-07-15 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Inpatient | Cdphp | Essential Plan 3 & 4 | $23,611.29 | — | — | 2026-07-15 | MRF ↗ |
| UNITY HOSPITAL Inpatient | FIDELIS CARE NEW YORK [112] | FIDELIS CARE NEW YORK|FIDELIS FHP|FIDELIS CHP | $23,629.33 | $22,983.72 | $18,386.98 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Inpatient | EXCELLUS HMO [104] | BLUE CHOICE OPTION|CHILD HEALTH PLUS|UNIVERA MYHEALTH PLUS|EXCELLUS ESSENTIAL 1&2|EXCELLUS ESSENTIAL 3&4|UNIVERA MYHEALTH|UNIVERA ESSENTIAL 1&2|HEALTHY NY|UNIVERA ESSENTIAL 1&2 | $23,673.73 | $25,509.59 | $16,581.23 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Inpatient | UNITED HEALTHCARE [101] | UHC COMMUNITY PLAN|UHC COMMUNITY MEDICAID DENTAL|UHC ESSENTIAL 1&2|UHC CHPS|UHC ESSENTIAL 3&4 | $23,673.73 | $25,509.59 | $16,581.23 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Inpatient | MOLINA HEALTHCARE OF NY [188] | MOLINA MEDICAID MANAGED CARE|MOLINA CHILD HEALTH PLUS | $23,673.73 | $25,509.59 | $16,581.23 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Inpatient | FIDELIS CARE NEW YORK [112] | FIDELIS CARE NEW YORK|FIDELIS FHP|FIDELIS CHP | $23,673.73 | $25,509.59 | $16,581.23 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Inpatient | MOLINA HEALTHCARE OF NY [188] | MOLINA ESSENTIALS 3&4 | $23,673.73 | $25,509.59 | $16,581.23 | 2024-12-30 | MRF ↗ |
| LONGMONT UNITED HOSPITAL InpatientFacility | Colorado Access | Managed Medicaid | $23,869.57 | — | — | 2024-12-02 | MRF ↗ |
| LONGMONT UNITED HOSPITAL InpatientFacility | Denver Health | Managed Medicaid | $23,869.57 | — | — | 2024-12-02 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.