230 — Major Small Bowel Procedures
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). MAJOR SMALL BOWEL PROCEDURES (APR_DRG 230) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/230?code_type=APR_DRG
MLA (9th ed.)
“MAJOR SMALL BOWEL PROCEDURES (APR_DRG 230) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/230?code_type=APR_DRG. Accessed .
Chicago (notes-bibliography)
“MAJOR SMALL BOWEL PROCEDURES (APR_DRG 230) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/230?code_type=APR_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $19,427–$43,834 (25th–75th percentile) across 63 hospitals · 286 payers.
“Negotiated” is the hospital’s negotiated facility rate for this APR_DRG 230 — 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 |
|---|---|---|---|---|---|---|---|
| CASCADE VALLEY HOSPITAL Inpatient | CHPW | Medicaid | $0.50 | $42,313.15 | $33,850.52 | 2026-03-26 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Inpatient | TEXAS REHABILITATION COMM [50038] | TEXAS REHABILITATION COMM [5003801] | $165.82 | $172,607.42 | $34,521.48 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Inpatient | POLICE DEPARTMENTS [50065] | POLICE DEPTS [5006501] | $1,000.00 | $172,607.42 | $34,521.48 | 2026-03-31 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | AETNA | AETNA BETTER HEALTH OF VIRGINIA | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID 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 | BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | AETNA | AETNA BETTER HEALTH OF VIRGINIA | — | — | — | 2026-03-23 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS InpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $3,730.73 | $48,636.08 | — | 2026-03-12 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | HUMANA MEDICAID OH [3102] | HB XR HUMANA 103% OHIO MEDICAID | — | $264,205.24 | $158,523.14 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | BUCKEYE COMMUNITY HEALTH [2028] | HB XR BUCKEYE MGD MEDICAID OH 106% | — | $264,205.24 | $158,523.14 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | MOLINA MEDICAID [2058] | HB XR MOLINA MGD MEDICAID OH 107% | — | $264,205.24 | $158,523.14 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | UHC COMMUNITY MEDICAID [2175] | HB XR UNITED HEALTHCARE MGD MEDICAID OHIO | — | $264,205.24 | $158,523.14 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | UHC COMMUNITY MEDICAID [2175] | HB XR UHC INDIANA PATHWAYS MEDICAID | $4,519.40 | $43,215.95 | $25,929.57 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | AMERIHEALTH CARITAS [2230] | HB XR AMERIHEALTH CARITAS OH 103% | — | $264,205.24 | $158,523.14 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | AETNA BETTER HEALTH OHIO MEDICAID [2183] | HB XR AETNA BETTER HLTH MGD MEDICAID OH 108% | — | $264,205.24 | $158,523.14 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | CARESOURCE [2031] | HB XR CARESOURCE MGD MEDICAID OHIO 103% | — | $264,205.24 | $158,523.14 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | ANTHEM MEDICAID OHIO [2192] | HB XR ANTHEM OH MEDICAID 103% | — | $264,205.24 | $158,523.14 | 2025-12-19 | MRF ↗ |
| BETHESDA HOSPITAL EAST Inpatient | VISTA | COVENTRY MEDICAID | — | — | — | 2026-03-30 | MRF ↗ |
| BETHESDA HOSPITAL EAST Inpatient | SUNSHINE STATE | SUNSHINE ST MD HMONC | — | — | — | 2026-03-30 | MRF ↗ |
| BETHESDA HOSPITAL EAST Inpatient | MEDICAID | PRESTIGE MD HMO NC | — | — | — | 2026-03-30 | MRF ↗ |
| BETHESDA HOSPITAL EAST Inpatient | UNITED HEALTHCARE | UNITED MD HMO | — | — | — | 2026-03-30 | MRF ↗ |
| BETHESDA HOSPITAL EAST Inpatient | MEDICAID | SIMPLYHLTH MD HMO NC | — | — | — | 2026-03-30 | MRF ↗ |
| BETHESDA HOSPITAL EAST Inpatient | WELLCARE | WELL CARE MD HMONC | — | — | — | 2026-03-30 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $4,826.70 | $87,689.60 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $4,826.70 | $87,689.60 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $4,826.70 | $87,689.60 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $4,826.70 | $87,689.60 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $4,826.70 | $87,689.60 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $4,826.70 | $87,689.60 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $4,826.70 | $87,689.60 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $4,826.70 | $87,689.60 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $4,826.70 | $87,689.60 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $4,826.70 | $99,704.76 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $4,826.70 | $87,689.60 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $4,826.70 | $87,689.60 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $4,826.70 | $87,689.60 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $4,826.70 | $87,689.60 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $4,826.70 | $87,689.60 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $4,826.70 | $99,704.76 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $4,826.70 | $87,689.60 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $4,826.70 | $87,689.60 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $4,826.70 | $87,689.60 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $4,826.70 | $87,689.60 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $4,826.70 | $87,689.60 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $4,826.70 | $99,704.76 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $4,826.70 | $87,689.60 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $4,826.70 | $87,689.60 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $4,826.70 | $87,689.60 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $4,826.70 | $87,689.60 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $4,826.70 | $87,689.60 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $4,826.70 | $99,704.76 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $4,826.70 | $87,689.60 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $4,826.70 | $87,689.60 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $4,826.70 | $99,704.76 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $4,826.70 | $87,689.60 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $4,826.70 | $87,689.60 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $4,826.70 | $87,689.60 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $4,826.70 | $87,689.60 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $4,826.70 | $99,704.76 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $4,826.70 | $87,689.60 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $4,826.70 | $87,689.60 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $4,826.70 | $87,689.60 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $4,826.70 | $87,689.60 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $4,826.70 | $87,689.60 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $4,826.70 | $87,689.60 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $4,826.70 | $87,689.60 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $4,826.70 | $87,689.60 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $4,826.70 | $87,689.60 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $4,826.70 | $87,689.60 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $4,826.70 | $99,704.76 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $4,826.70 | $87,689.60 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $4,826.70 | $87,689.60 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $4,826.70 | $87,689.60 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $4,826.70 | $87,689.60 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $4,826.70 | $87,689.60 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $4,826.70 | $99,704.76 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $4,826.70 | $87,689.60 | — | 2026-03-26 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | UHC COMMUNITY MEDICAID [2175] | HB XR UHC INDIANA PATHWAYS MEDICAID | $6,356.64 | $78,575.08 | $47,145.05 | 2025-12-19 | MRF ↗ |
| RIVERSIDE UNIVERSITY HEALTH SYSTEM-MEDICAL CENTER Inpatient | LA CARE HEALTH PLAN | MCAL HMO | $7,219.03 | $165,971.18 | — | 2026-01-01 | MRF ↗ |
| Saint Mary's Health Care InpatientFacility | MOLINA MEDICAID | MOLINA MEDICAID | $7,234.85 | — | — | 2026-03-31 | MRF ↗ |
| TRINITY HEALTH OAKLAND HOSPITAL InpatientFacility | MOLINA MEDICAID | MOLINA MEDICAID | $7,235.76 | — | — | 2026-03-31 | MRF ↗ |
| Saint Mary's Health Care InpatientFacility | MCLAREN HEALTH MEDICAID | MCLAREN MEDICAID | $7,345.37 | — | — | 2026-03-31 | MRF ↗ |
| Saint Mary's Health Care InpatientFacility | BLUE CROSS COMPLETE - MI | BLUE CROSS COMPLETE MEDICAID | $7,345.37 | — | — | 2026-03-31 | MRF ↗ |
| Saint Mary's Health Care InpatientFacility | HAP MEDICAID | HAP CARESOURCE MEDICAID | $7,345.37 | — | — | 2026-03-31 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $7,824.72 | $153,585.87 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $7,824.72 | $153,585.87 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $7,824.72 | $162,359.54 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $7,824.72 | $153,585.87 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $7,824.72 | $153,585.87 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $7,824.72 | $153,585.87 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $7,824.72 | $162,359.54 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $7,824.72 | $153,585.87 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $7,824.72 | $153,585.87 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $7,824.72 | $162,359.54 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $7,824.72 | $162,359.54 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $7,824.72 | $153,585.87 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $7,824.72 | $153,585.87 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $7,824.72 | $162,359.54 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $7,824.72 | $162,359.54 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $7,824.72 | $153,585.87 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $7,824.72 | $153,585.87 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $7,824.72 | $162,359.54 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $7,824.72 | $162,359.54 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $7,824.72 | $153,585.87 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $7,824.72 | $153,585.87 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $7,824.72 | $153,585.87 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $7,824.72 | $153,585.87 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $7,824.72 | $153,585.87 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $7,824.72 | $162,359.54 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $7,824.72 | $162,359.54 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $7,824.72 | $162,359.54 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $7,824.72 | $153,585.87 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $7,824.72 | $153,585.87 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $7,824.72 | $153,585.87 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $7,824.72 | $153,585.87 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $7,824.72 | $162,359.54 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $7,824.72 | $162,359.54 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $7,824.72 | $153,585.87 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $7,824.72 | $162,359.54 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $7,824.72 | $153,585.87 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $7,824.72 | $153,585.87 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $7,824.72 | $162,359.54 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $7,824.72 | $153,585.87 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $7,824.72 | $153,585.87 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $7,824.72 | $153,585.87 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $7,824.72 | $153,585.87 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $7,824.72 | $153,585.87 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $7,824.72 | $153,585.87 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $7,824.72 | $153,585.87 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $7,824.72 | $153,585.87 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $7,824.72 | $153,585.87 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $7,824.72 | $153,585.87 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $7,824.72 | $153,585.87 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $7,824.72 | $153,585.87 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $7,824.72 | $153,585.87 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $7,824.72 | $153,585.87 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $7,824.72 | $153,585.87 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $7,824.72 | $162,359.54 | — | 2026-03-26 | MRF ↗ |
| TRINITY HEALTH OAKLAND HOSPITAL InpatientFacility | BLUE CROSS COMPLETE - MI | BLUE CROSS COMPLETE MEDICAID | $7,831.68 | — | — | 2026-03-31 | MRF ↗ |
| TRINITY HEALTH OAKLAND HOSPITAL InpatientFacility | HAP MEDICAID | HAP CARESOURCE MEDICAID | $7,831.68 | — | — | 2026-03-31 | MRF ↗ |
| TRINITY HEALTH OAKLAND HOSPITAL InpatientFacility | MCLAREN HEALTH MEDICAID | MCLAREN MEDICAID | $7,831.68 | — | — | 2026-03-31 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS InpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $7,927.06 | $31,646.05 | — | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS InpatientFacility | MEDICAID [20240] | HB STLO CAPE IL MEDICAID | $7,927.06 | $31,646.05 | — | 2026-03-12 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID [3000] | BCCCP/WISEWOMAN [300006] | $8,055.46 | $44,751.65 | $44,751.65 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID [3000] | MEDICAID TEMPORARY PRESUMPTIVE [300005] | $8,055.46 | $44,751.65 | $44,751.65 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID [3000] | MEDICAID MICHILD [300008] | $8,055.46 | $44,751.65 | $44,751.65 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID [3000] | MEDICAID QMB [300007] | $8,055.46 | $44,751.65 | $44,751.65 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID [3000] | EMERGENCY MEDICAID [300004] | $8,055.46 | $44,751.65 | $44,751.65 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID [3000] | MEDICAID [300001] | $8,055.46 | $44,751.65 | $44,751.65 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID [3000] | PLAN FIRST FAMILY PLANNING [300003] | $8,055.46 | $44,751.65 | $44,751.65 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | OUT OF STATE MEDICAID [3004] | OUT OF STATE MEDICAID GENERIC [300402] | $8,055.46 | $44,751.65 | $44,751.65 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | PRIORITY HEALTH PLAN MEDICAID [9013] | PRIORITY HEALTH PLAN MEDICAID [901301] | $8,055.46 | $44,751.65 | $44,751.65 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | CHILDRENS SPECIAL HEALTH SERVICES ALT [3009] | CHILDRENS SPECIAL HEALTHCARE SERVICES [300901] | $8,055.46 | $44,751.65 | $44,751.65 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID [3000] | MATERNITY OUT PATIENT MEDICAL (MOMS) [300002] | $8,055.46 | $44,751.65 | $44,751.65 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | HEALTH PARTNERS MEDICAID [9017] | HEALTH PARTNERS MEDICAID [901701] | $8,055.46 | $44,751.65 | $44,751.65 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | UNITED HEALTH CARE COMMUNITY PLAN MEDICAID [9004] | UNITED HEALTH CARE MEDICAID [900401] | $8,055.46 | $44,751.65 | $44,751.65 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | OUT OF STATE MEDICAID [3004] | OUT OF STATE MEDICAID [300401] | $8,055.46 | $44,751.65 | $44,751.65 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | HARBOR HEALTH PLAN [9016] | HARBOR HEALTH PLAN [901601] | $8,055.46 | $44,751.65 | $44,751.65 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | GENERIC MEDICAID HMO [9000] | GENERIC MEDICAID HMO [900001] | $8,055.46 | $44,751.65 | $44,751.65 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | BLUE CROSS COMPLETE [9001] | BLUE CROSS COMPLETE [900102] | $8,055.46 | $44,751.65 | $44,751.65 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | UPPER PENINSULA HEALTH PLAN MEDICAID [9015] | UPPER PENINSULA HEALTH [901501] | $8,055.46 | $44,751.65 | $44,751.65 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MERIDIAN HEALTH PLAN [9007] | MERIDIAN MICHILD [900702] | $8,055.46 | $44,751.65 | $44,751.65 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MERIDIAN HEALTH PLAN [9007] | MERIDIAN HEALTH PLAN [900701] | $8,055.46 | $44,751.65 | $44,751.65 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | ABW COVERAGE NO HMO LISTED [3003] | ABW COVERAGE NO HMO LISTED [300301] | $8,055.46 | $44,751.65 | $44,751.65 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID DEDUCTIBLE/SPENDDOWN [3001] | MEDICAID DEDUCTIBLE/SPENDDOWN [300101] | $8,055.46 | $44,751.65 | $44,751.65 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID HEALTHY MICHIGAN [3007] | MEDICAID HEALTHY MICHIGAN [300701] | $8,055.46 | $44,751.65 | $44,751.65 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MCLAREN HEALTH PLAN [9006] | MCLAREN HEALTH PLAN [900601] | $8,055.46 | $44,751.65 | $44,751.65 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | CHILDRENS SPECIAL HEALTHCARE SERVICES (CSHCS) [3002] | CHILDRENS SPECIAL HEALTHCARE SERVICES [300201] | $8,055.46 | $44,751.65 | $44,751.65 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | AETNA BETTER HEALTH PLAN [9018] | AETNA BETTER HEALTH PLAN [901801] | $8,055.46 | $44,751.65 | $44,751.65 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MOLINA HEALTH CARE [9008] | MOLINA HEALTH CARE [900801] | $8,055.46 | $44,751.65 | $44,751.65 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | HEALTH ALLIANCE PLAN MEDICAID [9012] | HAP CARESOURCE [901202] | $8,055.46 | $44,751.65 | $44,751.65 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | COVENTRY CARES MEDICAID [9009] | OMNICARE HEALTH PLAN MEDICAID [900901] | $8,055.46 | $44,751.65 | $44,751.65 | 2026-03-23 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | UHC COMMUNITY MEDICAID [2175] | HB XR UNITED HEALTHCARE MGD MEDICAID OHIO | $8,140.59 | $43,215.95 | $25,929.57 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | ANTHEM MEDICAID OHIO [2192] | HB XR ANTHEM OH MEDICAID 103% | $8,140.59 | $43,215.95 | $25,929.57 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | MOLINA MEDICAID [2058] | HB XR MOLINA MGD MEDICAID OH 107% | $8,140.59 | $43,215.95 | $25,929.57 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | BUCKEYE COMMUNITY HEALTH [2028] | HB XR BUCKEYE MGD MEDICAID OH 106% | $8,140.59 | $43,215.95 | $25,929.57 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | AETNA BETTER HEALTH OHIO MEDICAID [2183] | HB XR AETNA BETTER HLTH MGD MEDICAID OH 108% | $8,140.59 | $43,215.95 | $25,929.57 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | HUMANA MEDICAID OH [3102] | HB XR HUMANA 103% OHIO MEDICAID | $8,140.59 | $43,215.95 | $25,929.57 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | CARESOURCE [2031] | HB XR CARESOURCE MGD MEDICAID OHIO 103% | $8,140.59 | $43,215.95 | $25,929.57 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | AMERIHEALTH CARITAS [2230] | HB XR AMERIHEALTH CARITAS OH 103% | $8,140.59 | $43,215.95 | $25,929.57 | 2025-12-19 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Independent Health | Independent Health State Products | $8,203.01 | — | — | 2026-04-14 | MRF ↗ |
| MAPLE GROVE HOSPITAL Inpatient | BLUE CROSS [1021] | MGH BCBS PMAP | $8,206.53 | $36,958.56 | — | 2026-04-30 | MRF ↗ |
| MERCY MEDICAL CTR InpatientFacility | TUFTS HEALTH PUBLIC PLANS | TUFTS MEDICAID | $8,212.55 | — | — | 2026-03-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL InpatientFacility | BLUE CROSS [1021] | NMH BCBS PMAP | $8,406.36 | $41,274.62 | — | 2026-04-30 | MRF ↗ |
| ST JOSEPHS HOSPITAL Inpatient | MOLINA HEALTHCARE | MOLINA MEDICAID | $8,833.56 | $74,335.20 | $53,521.34 | 2026-01-15 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Aetna | Aetna Better Health CHIP | $8,877.70 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Aetna | Aetna Better Health CHIP | $8,877.70 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $8,877.70 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $8,877.70 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Aetna | Aetna Better Health CHIP | $8,877.70 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Aetna | Aetna Better Health CHIP | $8,877.70 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Aetna | Aetna Better Health CHIP | $8,877.70 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $8,877.70 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $8,877.70 | — | — | 2026-04-14 | 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.