260 — Major Pancreas, Liver And Shunt Procedures
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES (APR_DRG 260) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/260?code_type=APR_DRG
MLA (9th ed.)
“MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES (APR_DRG 260) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/260?code_type=APR_DRG. Accessed .
Chicago (notes-bibliography)
“MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES (APR_DRG 260) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/260?code_type=APR_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $20,974–$47,891 (25th–75th percentile) across 46 hospitals · 263 payers.
“Negotiated” is the hospital’s negotiated facility rate for this APR_DRG 260 — 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 |
|---|---|---|---|---|---|---|---|
| TITUSVILLE AREA HOSPITAL Inpatient | United Healthcare Medicare | Medicare Advantage | $45.56 | — | — | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | United Healthcare Medicare | Medicare Advantage | $45.56 | — | — | 2026-02-12 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Inpatient | TEXAS REHABILITATION COMM [50038] | TEXAS REHABILITATION COMM [5003801] | $165.82 | $109,588.22 | $21,917.64 | 2026-03-31 | MRF ↗ |
| BETHESDA HOSPITAL EAST Inpatient | MEDICAID | SIMPLYHLTH MD HMO NC | — | — | — | 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 | VISTA | COVENTRY MEDICAID | — | — | — | 2026-03-30 | MRF ↗ |
| BETHESDA HOSPITAL EAST Inpatient | WELLCARE | WELL CARE MD HMONC | — | — | — | 2026-03-30 | MRF ↗ |
| BETHESDA HOSPITAL EAST Inpatient | SUNSHINE STATE | SUNSHINE ST MD HMONC | — | — | — | 2026-03-30 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Inpatient | POLICE DEPARTMENTS [50065] | POLICE DEPTS [5006501] | $1,000.00 | $109,588.22 | $21,917.64 | 2026-03-31 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS InpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $3,730.73 | $133,808.52 | — | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST InpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $3,730.73 | $76,008.30 | — | 2026-03-18 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | UHC COMMUNITY MEDICAID [2175] | HB XR UHC INDIANA PATHWAYS MEDICAID | $7,369.26 | $55,391.24 | $33,234.74 | 2025-12-19 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis Child Health Plus | $7,480.17 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis HARP | $8,130.62 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis Medicaid | $8,130.62 | — | — | 2026-04-14 | MRF ↗ |
| MERCY MEDICAL CTR InpatientFacility | TUFTS HEALTH PUBLIC PLANS | TUFTS MEDICAID | $8,212.55 | — | — | 2026-03-31 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Fidelis | Fidelis QHP | $9,710.47 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Fidelis | Fidelis QHP | $9,710.47 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Fidelis | Fidelis QHP | $9,710.47 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Fidelis | Fidelis QHP | $9,710.47 | — | — | 2026-04-14 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $10,145.97 | $80,729.02 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $10,145.97 | $80,729.02 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $10,145.97 | $80,729.02 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $10,145.97 | $80,729.02 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $10,145.97 | $80,729.02 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $10,145.97 | $80,729.02 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $10,145.97 | $80,729.02 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $10,145.97 | $80,729.02 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $10,145.97 | $80,729.02 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $10,145.97 | $80,729.02 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $10,145.97 | $80,729.02 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $10,145.97 | $80,729.02 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $10,145.97 | $80,729.02 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $10,145.97 | $80,729.02 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $10,145.97 | $80,729.02 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $10,145.97 | $80,729.02 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $10,145.97 | $80,729.02 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $10,145.97 | $80,729.02 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $10,145.97 | $80,729.02 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $10,145.97 | $80,729.02 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $10,145.97 | $80,729.02 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $10,145.97 | $80,729.02 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $10,145.97 | $80,729.02 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $10,145.97 | $80,729.02 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $10,145.97 | $80,729.02 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $10,145.97 | $80,729.02 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $10,145.97 | $80,729.02 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $10,145.97 | $80,729.02 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $10,145.97 | $80,729.02 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $10,145.97 | $80,729.02 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $10,145.97 | $80,729.02 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $10,145.97 | $80,729.02 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $10,145.97 | $80,729.02 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $10,145.97 | $80,729.02 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $10,145.97 | $80,729.02 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $10,145.97 | $80,729.02 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $10,145.97 | $80,729.02 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $10,145.97 | $80,729.02 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $10,145.97 | $80,729.02 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $10,145.97 | $80,729.02 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $10,145.97 | $80,729.02 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $10,145.97 | $80,729.02 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $10,145.97 | $80,729.02 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $10,145.97 | $80,729.02 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $10,145.97 | $80,729.02 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $10,145.97 | $80,729.02 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $10,145.97 | $80,729.02 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $10,145.97 | $80,729.02 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $10,145.97 | $80,729.02 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $10,145.97 | $80,729.02 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $10,145.97 | $80,729.02 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $10,145.97 | $80,729.02 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $10,145.97 | $80,729.02 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $10,145.97 | $80,729.02 | — | 2026-03-26 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Fidelis | Fidelis QHP | $10,196.00 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis Child Health Plus | $10,208.76 | — | — | 2026-04-14 | MRF ↗ |
| RIVERSIDE UNIVERSITY HEALTH SYSTEM-MEDICAL CENTER Inpatient | LA CARE HEALTH PLAN | MCAL HMO | $10,357.05 | $107,160.04 | — | 2026-01-01 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST InpatientFacility | MEDICAID [20240] | HB STLO CAPE IL MEDICAID | $10,499.39 | $76,008.30 | — | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST InpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $10,499.39 | $76,008.30 | — | 2026-03-18 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | UHC COMMUNITY MEDICAID [2175] | HB XR UNITED HEALTHCARE MGD MEDICAID OHIO | $10,922.18 | $55,391.24 | $33,234.74 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | AETNA BETTER HEALTH OHIO MEDICAID [2183] | HB XR AETNA BETTER HLTH MGD MEDICAID OH 108% | $10,922.18 | $55,391.24 | $33,234.74 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | MOLINA MEDICAID [2058] | HB XR MOLINA MGD MEDICAID OH 107% | $10,922.18 | $55,391.24 | $33,234.74 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | ANTHEM MEDICAID OHIO [2192] | HB XR ANTHEM OH MEDICAID 103% | $10,922.18 | $55,391.24 | $33,234.74 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | CARESOURCE [2031] | HB XR CARESOURCE MGD MEDICAID OHIO 103% | $10,922.18 | $55,391.24 | $33,234.74 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | BUCKEYE COMMUNITY HEALTH [2028] | HB XR BUCKEYE MGD MEDICAID OH 106% | $10,922.18 | $55,391.24 | $33,234.74 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | HUMANA MEDICAID OH [3102] | HB XR HUMANA 103% OHIO MEDICAID | $10,922.18 | $55,391.24 | $33,234.74 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | AMERIHEALTH CARITAS [2230] | HB XR AMERIHEALTH CARITAS OH 103% | $10,922.18 | $55,391.24 | $33,234.74 | 2025-12-19 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis HARP | $11,096.47 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis Medicaid | $11,096.47 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis QHP | $11,215.61 | — | — | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Inpatient | Fidelis | Fidelis QHP | $11,749.67 | — | — | 2026-04-14 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | UHC COMMUNITY MEDICAID [2175] | HB XR UHC INDIANA PATHWAYS MEDICAID | $12,542.69 | $95,909.87 | $57,545.92 | 2025-12-19 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | Health Partners | Managed Medicaid | $12,597.50 | — | — | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | Amerihealth | Managed Medicaid | $12,597.50 | — | — | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | Amerihealth | Managed Medicaid | $12,597.50 | — | — | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | Health Partners | Managed Medicaid | $12,597.50 | — | — | 2026-02-12 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Independent Health | Independent Health State Products | $12,621.17 | — | — | 2026-04-14 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | Geisinger | Managed Medicaid | $12,849.45 | — | — | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | Geisinger | Managed Medicaid | $12,849.45 | — | — | 2026-02-12 | MRF ↗ |
| Saint Mary's Health Care InpatientFacility | MOLINA MEDICAID | MOLINA MEDICAID | $13,153.03 | — | — | 2026-03-31 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Fidelis | Fidelis QHP | $13,252.62 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Fidelis | Fidelis QHP | $13,252.62 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Fidelis | Fidelis QHP | $13,252.62 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Fidelis | Fidelis QHP | $13,252.62 | — | — | 2026-04-14 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS InpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $13,309.75 | $127,108.38 | — | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS InpatientFacility | MEDICAID [20240] | HB STLO CAPE IL MEDICAID | $13,309.75 | $127,108.38 | — | 2026-03-12 | MRF ↗ |
| Saint Mary's Health Care InpatientFacility | HAP MEDICAID | HAP CARESOURCE MEDICAID | $13,353.96 | — | — | 2026-03-31 | MRF ↗ |
| Saint Mary's Health Care InpatientFacility | MCLAREN HEALTH MEDICAID | MCLAREN MEDICAID | $13,353.96 | — | — | 2026-03-31 | MRF ↗ |
| Saint Mary's Health Care InpatientFacility | BLUE CROSS COMPLETE - MI | BLUE CROSS COMPLETE MEDICAID | $13,353.96 | — | — | 2026-03-31 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $13,448.58 | $185,340.31 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $13,448.58 | $185,340.31 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $13,448.58 | $185,340.31 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $13,448.58 | $185,340.31 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $13,448.58 | $185,340.31 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $13,448.58 | $197,885.70 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $13,448.58 | $197,885.70 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $13,448.58 | $185,340.31 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $13,448.58 | $197,885.70 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $13,448.58 | $197,885.70 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $13,448.58 | $185,340.31 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $13,448.58 | $197,885.70 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $13,448.58 | $197,885.70 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $13,448.58 | $185,340.31 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $13,448.58 | $185,340.31 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $13,448.58 | $197,885.70 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $13,448.58 | $185,340.31 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $13,448.58 | $197,885.70 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $13,448.58 | $185,340.31 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $13,448.58 | $185,340.31 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $13,448.58 | $197,885.70 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $13,448.58 | $185,340.31 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $13,448.58 | $197,885.70 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $13,448.58 | $197,885.70 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $13,448.58 | $185,340.31 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $13,448.58 | $185,340.31 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $13,448.58 | $185,340.31 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $13,448.58 | $185,340.31 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $13,448.58 | $185,340.31 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $13,448.58 | $185,340.31 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $13,448.58 | $185,340.31 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $13,448.58 | $185,340.31 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $13,448.58 | $185,340.31 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $13,448.58 | $197,885.70 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $13,448.58 | $197,885.70 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $13,448.58 | $185,340.31 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $13,448.58 | $197,885.70 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $13,448.58 | $197,885.70 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $13,448.58 | $185,340.31 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $13,448.58 | $185,340.31 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $13,448.58 | $185,340.31 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $13,448.58 | $185,340.31 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $13,448.58 | $185,340.31 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $13,448.58 | $185,340.31 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $13,448.58 | $185,340.31 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $13,448.58 | $185,340.31 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $13,448.58 | $185,340.31 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $13,448.58 | $185,340.31 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $13,448.58 | $185,340.31 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $13,448.58 | $185,340.31 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $13,448.58 | $197,885.70 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $13,448.58 | $185,340.31 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $13,448.58 | $185,340.31 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $13,448.58 | $185,340.31 | — | 2026-03-26 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | UPMC for You | Managed Medicaid | $13,471.38 | — | — | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | UPMC for You | Managed Medicaid | $13,471.38 | — | — | 2026-02-12 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Aetna | Aetna Better Health CHIP | $13,659.26 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $13,659.26 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $13,659.26 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Aetna | Aetna Better Health CHIP | $13,659.26 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $13,659.26 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Aetna | Aetna Better Health CHIP | $13,659.26 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $13,659.26 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Aetna | Aetna Better Health CHIP | $13,659.26 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $13,659.26 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Aetna | Aetna Better Health CHIP | $13,659.26 | — | — | 2026-04-14 | MRF ↗ |
| MEADVILLE MEDICAL CENTER Inpatient | Geisinger | Managed Medicaid | $13,740.81 | — | — | 2025-02-18 | MRF ↗ |
| MEADVILLE MEDICAL CENTER Inpatient | Geisinger | Managed Medicaid | $13,740.81 | — | — | 2026-02-12 | MRF ↗ |
| MEADVILLE MEDICAL CENTER Inpatient | Geisinger | Managed Medicaid | $13,740.81 | — | — | 2025-02-18 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Fidelis | Fidelis QHP | $13,915.26 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $14,342.24 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Aetna | Aetna Better Health CHIP | $14,342.24 | — | — | 2026-04-14 | MRF ↗ |
| HUNTINGTON HOSPITAL Inpatient | Kaiser Foundation Hospitals on behalf of its Southern California Region | Medi-Cal | $14,425.84 | — | — | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | Molina Healthcare of California | Medi-Cal | $14,425.84 | — | — | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | Prospect Health Plan, Inc. | Medi-Cal | $14,425.84 | — | — | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | VENTURA COUNTY MEDI-CAL MANAGED CARE COMMISSION (dba Gold Coast Health Plan) | Medi-Cal | $14,425.84 | — | — | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | AIDS Healthcare Foundation and AHF Healthcare Centers | PHC California/Medi-Cal HMO | $14,425.84 | — | — | 2025-11-26 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | PRIORITY HEALTH PLAN MEDICAID [9013] | PRIORITY HEALTH PLAN MEDICAID [901301] | $14,644.91 | $79,490.89 | $79,490.89 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID [3000] | MEDICAID [300001] | $14,644.91 | $79,490.89 | $79,490.89 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID [3000] | MEDICAID QMB [300007] | $14,644.91 | $79,490.89 | $79,490.89 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID [3000] | MATERNITY OUT PATIENT MEDICAL (MOMS) [300002] | $14,644.91 | $79,490.89 | $79,490.89 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID [3000] | PLAN FIRST FAMILY PLANNING [300003] | $14,644.91 | $79,490.89 | $79,490.89 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID [3000] | EMERGENCY MEDICAID [300004] | $14,644.91 | $79,490.89 | $79,490.89 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID [3000] | MEDICAID MICHILD [300008] | $14,644.91 | $79,490.89 | $79,490.89 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | UNITED HEALTH CARE COMMUNITY PLAN MEDICAID [9004] | UNITED HEALTH CARE MEDICAID [900401] | $14,644.91 | $79,490.89 | $79,490.89 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | ABW COVERAGE NO HMO LISTED [3003] | ABW COVERAGE NO HMO LISTED [300301] | $14,644.91 | $79,490.89 | $79,490.89 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | COVENTRY CARES MEDICAID [9009] | OMNICARE HEALTH PLAN MEDICAID [900901] | $14,644.91 | $79,490.89 | $79,490.89 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | AETNA BETTER HEALTH PLAN [9018] | AETNA BETTER HEALTH PLAN [901801] | $14,644.91 | $79,490.89 | $79,490.89 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | CHILDRENS SPECIAL HEALTH SERVICES ALT [3009] | CHILDRENS SPECIAL HEALTHCARE SERVICES [300901] | $14,644.91 | $79,490.89 | $79,490.89 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MERIDIAN HEALTH PLAN [9007] | MERIDIAN HEALTH PLAN [900701] | $14,644.91 | $79,490.89 | $79,490.89 | 2026-03-23 | 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.