228 — Inguinal, Femoral And Umbilical Hernia Procedures
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES (APR_DRG 228) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/228?code_type=APR_DRG
MLA (9th ed.)
“INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES (APR_DRG 228) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/228?code_type=APR_DRG. Accessed .
Chicago (notes-bibliography)
“INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES (APR_DRG 228) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/228?code_type=APR_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $9,811–$21,985 (25th–75th percentile) across 62 hospitals · 258 payers.
“Negotiated” is the hospital’s negotiated rate for the entire inpatient stay under APR_DRG 228 — 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 | $43,998.08 | $8,799.62 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Inpatient | POLICE DEPARTMENTS [50065] | POLICE DEPTS [5006501] | $1,000.00 | $43,998.08 | $8,799.62 | 2026-03-31 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | BLUE CROSS | TENNCARE BLUE CARE | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | AMERIGROUP | AMERIGROUP | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | BLUE CROSS | TENNCARE BLUE SELECT | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | AMERIGROUP | AMERIGROUP | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | AETNA | AETNA BETTER HEALTH OF VIRGINIA | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | AETNA | AETNA BETTER HEALTH OF VIRGINIA | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | BLUE CROSS | TENNCARE BLUE SELECT | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | BLUE CROSS | TENNCARE BLUE CARE | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | — | — | — | 2026-03-23 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | First Health | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | United Healthcare | Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Health Net Federal Services | Tricare | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Provider Partners Health Plan | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Loren Cook | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Merril Iron And Steel | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Allwell | Arkansas Health And Wellness | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Flora Farms | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Ozarks Cocacola | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Ozark County | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Anthem | Blue Traditional | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | United Healthcare | All Payer | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Devoted | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Anthem | Blue Access | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Town And Country Super Market | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Heart Of America Beverage Company | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Mihlfeld & Associates | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Advanced Concrete Technology | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | United Healthcare | Core Payer | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Anthem | Pathway/Pathway X | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Anthem | Medicare Advantage | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Cigna | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Src Holdings Corporation | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | City Of Lebanon | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | United Healthcare | Medicare | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Parkcrest Dental Group | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Architectural Systems Inc | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | United Behavioral Health | Optum Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Coastal Energy Corporation | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | The Durham Company | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Centene Home State Health | Medicaid | — | — | — | 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 | Mirma Health | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Centene Wellcare | Medicare Advantage | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Show Me Benefit Consortium | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Cox Healthplans | Medicare Advantage | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Bjc Health Solutions | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Healthy Blue Mo | Medicaid Managed Care | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Anthem | Blue Preferred | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Justice Furniture And Bedding Co | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Texas Co Memorial Hospital | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Springfieldgreene Co Library | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Medrisk Llc | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Humana | Medicare Advantage | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Custom Powder Systems | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| JOHNSON CITY MEDICAL CENTER Inpatient | BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSON CITY MEDICAL CENTER Inpatient | OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSON CITY MEDICAL CENTER Inpatient | OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSON CITY MEDICAL CENTER Inpatient | AETNA | AETNA BETTER HEALTH OF VIRGINIA | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSON CITY MEDICAL CENTER Inpatient | AMERIGROUP | AMERIGROUP | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSON CITY MEDICAL CENTER Inpatient | MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSON CITY MEDICAL CENTER Inpatient | BLUE CROSS | TENNCARE BLUE SELECT | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSON CITY MEDICAL CENTER Inpatient | AMERIGROUP | AMERIGROUP | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSON CITY MEDICAL CENTER Inpatient | BLUE CROSS | TENNCARE BLUE CARE | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSON CITY MEDICAL CENTER Inpatient | MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSON CITY MEDICAL CENTER Inpatient | UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSON CITY MEDICAL CENTER Inpatient | BLUE CROSS | TENNCARE BLUE CARE | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSON CITY MEDICAL CENTER Inpatient | BLUE CROSS | TENNCARE BLUE SELECT | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSON CITY MEDICAL CENTER Inpatient | AETNA | AETNA BETTER HEALTH OF VIRGINIA | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSON CITY MEDICAL CENTER Inpatient | UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSON CITY MEDICAL CENTER Inpatient | BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | — | — | — | 2026-03-23 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | UHC COMMUNITY MEDICAID [2175] | HB XR UHC INDIANA PATHWAYS MEDICAID | $3,225.14 | $34,852.76 | $20,911.66 | 2025-12-19 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis Child Health Plus | $3,572.53 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis Medicaid | $3,883.18 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis HARP | $3,883.18 | — | — | 2026-04-14 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $4,077.11 | $48,169.53 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $4,077.11 | $48,169.53 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $4,077.11 | $48,169.53 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $4,077.11 | $48,169.53 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $4,077.11 | $48,169.53 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $4,077.11 | $48,169.53 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $4,077.11 | $48,169.53 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $4,077.11 | $48,169.53 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $4,077.11 | $48,169.53 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $4,077.11 | $48,169.53 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $4,077.11 | $48,169.53 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $4,077.11 | $48,169.53 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $4,077.11 | $48,169.53 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $4,077.11 | $48,169.53 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $4,077.11 | $48,169.53 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $4,077.11 | $48,169.53 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $4,077.11 | $48,169.53 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $4,077.11 | $48,169.53 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $4,077.11 | $48,169.53 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $4,077.11 | $48,169.53 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $4,077.11 | $48,169.53 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $4,077.11 | $48,169.53 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $4,077.11 | $48,169.53 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $4,077.11 | $48,169.53 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $4,077.11 | $48,169.53 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $4,077.11 | $48,169.53 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $4,077.11 | $48,169.53 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $4,077.11 | $48,169.53 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $4,077.11 | $48,169.53 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $4,077.11 | $48,169.53 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $4,077.11 | $48,169.53 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $4,077.11 | $48,169.53 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $4,077.11 | $48,169.53 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $4,077.11 | $48,169.53 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $4,077.11 | $48,169.53 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $4,077.11 | $48,169.53 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $4,077.11 | $48,169.53 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $4,077.11 | $48,169.53 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $4,077.11 | $48,169.53 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $4,077.11 | $48,169.53 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $4,077.11 | $48,169.53 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $4,077.11 | $48,169.53 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $4,077.11 | $48,169.53 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $4,077.11 | $48,169.53 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $4,077.11 | $48,169.53 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $4,077.11 | $48,169.53 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $4,077.11 | $48,169.53 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $4,077.11 | $48,169.53 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $4,077.11 | $48,169.53 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $4,077.11 | $48,169.53 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $4,077.11 | $48,169.53 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $4,077.11 | $48,169.53 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $4,077.11 | $48,169.53 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $4,077.11 | $48,169.53 | — | 2026-03-26 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Inpatient | Fidelis | Managed Medicaid | $4,371.40 | $32,855.10 | $16,427.55 | 2026-07-15 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Inpatient | Bcbs | Managed Medicaid | $4,371.40 | $32,855.10 | $16,427.55 | 2026-07-15 | MRF ↗ |
| GUTHRIE CORTLAND REGIONAL MEDICAL CENTER Inpatient | Wellcare | Managed Medicaid | $4,418.15 | $32,855.10 | $26,284.08 | 2026-07-15 | MRF ↗ |
| GUTHRIE CORTLAND REGIONAL MEDICAL CENTER Inpatient | Fidelis | Managed Medicaid | $4,418.15 | $32,855.10 | $26,284.08 | 2026-07-15 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Inpatient | Cdphp | Managed Medicaid | $4,418.15 | $32,855.10 | $16,427.55 | 2026-07-15 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | UHC COMMUNITY MEDICAID [2175] | HB XR UHC INDIANA PATHWAYS MEDICAID | $4,435.56 | $42,940.02 | $25,764.01 | 2025-12-19 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Inpatient | Fidelis | Managed Medicaid | $4,488.73 | $30,499.97 | $24,399.98 | 2026-07-15 | MRF ↗ |
| GUTHRIE CORTLAND REGIONAL MEDICAL CENTER Inpatient | Molina | — | $4,550.69 | $32,855.10 | $26,284.08 | 2026-07-15 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Inpatient | Molina | — | $4,609.89 | $32,855.10 | $16,427.55 | 2026-07-15 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Fidelis | Fidelis QHP | $4,637.72 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Fidelis | Fidelis QHP | $4,637.72 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Fidelis | Fidelis QHP | $4,637.72 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Fidelis | Fidelis QHP | $4,637.72 | — | — | 2026-04-14 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Inpatient | Mvp | Managed Medicaid | $4,643.17 | $32,855.10 | $16,427.55 | 2026-07-15 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | ANTHEM MEDICAID OHIO [2192] | HB XR ANTHEM OH MEDICAID 103% | $4,659.22 | $34,852.76 | $20,911.66 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | AMERIHEALTH CARITAS [2230] | HB XR AMERIHEALTH CARITAS OH 103% | $4,659.22 | $34,852.76 | $20,911.66 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | UHC COMMUNITY MEDICAID [2175] | HB XR UNITED HEALTHCARE MGD MEDICAID OHIO | $4,659.22 | $34,852.76 | $20,911.66 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | AETNA BETTER HEALTH OHIO MEDICAID [2183] | HB XR AETNA BETTER HLTH MGD MEDICAID OH 108% | $4,659.22 | $34,852.76 | $20,911.66 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | MOLINA MEDICAID [2058] | HB XR MOLINA MGD MEDICAID OH 107% | $4,659.22 | $34,852.76 | $20,911.66 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | BUCKEYE COMMUNITY HEALTH [2028] | HB XR BUCKEYE MGD MEDICAID OH 106% | $4,659.22 | $34,852.76 | $20,911.66 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | CARESOURCE [2031] | HB XR CARESOURCE MGD MEDICAID OHIO 103% | $4,659.22 | $34,852.76 | $20,911.66 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | HUMANA MEDICAID OH [3102] | HB XR HUMANA 103% OHIO MEDICAID | $4,659.22 | $34,852.76 | $20,911.66 | 2025-12-19 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Inpatient | Fidelis | Managed Medicaid | $4,670.07 | $30,499.97 | $24,399.98 | 2026-07-15 | MRF ↗ |
| GUTHRIE CORTLAND REGIONAL MEDICAL CENTER Inpatient | United Healthcare | Managed Medicaid | $4,806.07 | $32,855.10 | $26,284.08 | 2026-07-15 | MRF ↗ |
| CORNING HOSPITAL Inpatient | Fidelis | Managed Medicaid | $4,806.07 | $30,499.97 | $24,399.98 | 2026-07-15 | MRF ↗ |
| CORNING HOSPITAL Inpatient | United Healthcare | Managed Medicaid | $4,806.07 | $30,499.97 | $24,399.98 | 2026-07-15 | MRF ↗ |
| CORNING HOSPITAL Inpatient | Mvp | Managed Medicaid | $4,806.07 | $30,499.97 | $24,399.98 | 2026-07-15 | MRF ↗ |
| CORNING HOSPITAL Inpatient | Bcbs | Managed Medicaid | $4,806.07 | $30,499.97 | $24,399.98 | 2026-07-15 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Inpatient | Mvp | Essential | $4,806.07 | $32,855.10 | $16,427.55 | 2026-07-15 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Fidelis | Fidelis QHP | $4,869.61 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis Child Health Plus | $4,884.81 | — | — | 2026-04-14 | MRF ↗ |
| CORNING HOSPITAL Inpatient | Molina | — | $4,950.26 | $30,499.97 | $24,399.98 | 2026-07-15 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Inpatient | Cdphp | Managed Medicaid | $4,971.02 | $30,499.97 | $24,399.98 | 2026-07-15 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $5,101.87 | $80,527.13 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $5,101.87 | $80,527.13 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $5,101.87 | $80,527.13 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $5,101.87 | $80,527.13 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $5,101.87 | $80,527.13 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $5,101.87 | $80,527.13 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $5,101.87 | $80,527.13 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $5,101.87 | $80,527.13 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $5,101.87 | $80,527.13 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $5,101.87 | $80,527.13 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $5,101.87 | $80,527.13 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $5,101.87 | $80,527.13 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $5,101.87 | $80,527.13 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $5,101.87 | $80,527.13 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $5,101.87 | $80,527.13 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $5,101.87 | $80,527.13 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $5,101.87 | $80,527.13 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $5,101.87 | $80,527.13 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $5,101.87 | $80,527.13 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $5,101.87 | $80,527.13 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $5,101.87 | $80,527.13 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $5,101.87 | $80,527.13 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $5,101.87 | $80,527.13 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $5,101.87 | $80,527.13 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $5,101.87 | $80,527.13 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $5,101.87 | $80,527.13 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $5,101.87 | $80,527.13 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $5,101.87 | $80,527.13 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $5,101.87 | $80,527.13 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $5,101.87 | $80,527.13 | — | 2026-03-26 | MRF ↗ |
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