2624 — Cholecystectomy Except Laparoscopic
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Cholecystectomy except laparoscopic (APR_DRG 2624) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/2624?code_type=APR_DRG
MLA (9th ed.)
“Cholecystectomy except laparoscopic (APR_DRG 2624) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/2624?code_type=APR_DRG. Accessed .
Chicago (notes-bibliography)
“Cholecystectomy except laparoscopic (APR_DRG 2624) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/2624?code_type=APR_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $49,500–$106,201 (25th–75th percentile) across 134 hospitals · 106 payers.
“Negotiated” is the hospital’s negotiated rate for the entire inpatient stay under APR_DRG 2624 — the consumer-grade median across the country. An inpatient (DRG) price bundles the whole admission: operating room, room & board, recovery, imaging, anesthesia (facility), implants and supplies. It does not include the surgeon’s or anesthesiologist’s professional fees, which are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| ELIZABETHTOWN COMMUNITY HOSPITAL InpatientFacility | — | — | — | — | — | 2025-01-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Medicaid Other | — | $1,172.19 | $327,092.24 | $212,609.96 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Medicaid Sc | — | $1,180.75 | $327,092.24 | $212,609.96 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Bluechoice Medicaid (Greenville County Only) | — | $1,200.13 | $327,092.24 | $212,609.96 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Molina Medicaid | — | $1,216.18 | $327,092.24 | $212,609.96 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Blue Choice Medicaid (Greenville County Only) | — | $1,221.52 | $327,092.24 | $212,609.96 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Absolute Total Care Medicaid | — | $1,239.79 | $327,092.24 | $212,609.96 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Bluechoice Medicaid | — | $1,239.79 | $327,092.24 | $212,609.96 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Select Health Medicaid | — | $1,239.79 | $327,092.24 | $212,609.96 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Blue Choice Medicaid (Greenville County Only) | — | $1,259.73 | $327,092.24 | $212,609.96 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Medicaid | — | $1,276.73 | $327,092.24 | $212,609.96 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Medicaid Other | — | $1,276.73 | $327,092.24 | $212,609.96 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Absolute Total Care Medicaid | — | $1,289.24 | $327,092.24 | $212,609.96 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bluechoice Medicaid | — | $1,299.49 | $327,092.24 | $212,609.96 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Blue Choice Medicaid (Greenville County Only) | — | $1,300.84 | $327,092.00 | $212,610.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Blue Choice Medicaid (Greenville County Only) | — | $1,310.96 | $327,092.24 | $212,609.96 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Select Health Medicaid | — | $1,325.39 | $327,092.24 | $212,609.96 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Molina Medicaid | — | $1,338.48 | $327,092.24 | $212,609.96 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Select Health Medicaid | — | $1,338.48 | $327,092.24 | $212,609.96 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Bluechoice Medicaid | — | $1,340.14 | $327,092.24 | $212,609.96 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Medicaid Sc | — | $1,362.60 | $327,092.24 | $212,609.96 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Medicaid | — | $1,363.45 | $327,092.24 | $212,609.96 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Absolute Total Care Medicaid | — | $1,364.46 | $327,092.24 | $212,609.96 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Humana Healthy Horizons Medicaid | — | $1,366.10 | $327,092.24 | $212,609.96 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Bluechoice Medicaid | — | $1,373.59 | $327,092.24 | $212,609.96 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Molina Medicaid | — | $1,380.35 | $327,092.24 | $212,609.96 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Select Health Medicaid | — | $1,380.35 | $327,092.24 | $212,609.96 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Medicare Advantage Non Contracted | — | $1,383.87 | $327,092.00 | $212,610.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Medicaid | — | $1,383.87 | $327,092.00 | $212,610.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Bluechoice Medicaid | — | $1,383.87 | $327,092.00 | $212,610.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Bluechoice Medicaid | — | $1,394.64 | $327,092.24 | $212,609.96 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Medicaid Other | — | $1,396.50 | $327,092.24 | $212,609.96 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Select Health Medicaid | — | $1,404.40 | $327,092.24 | $212,609.96 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Absolute Total Care Medicaid | — | $1,407.15 | $327,092.24 | $212,609.96 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Bluechoice Medicaid | — | $1,417.17 | $327,092.24 | $212,609.96 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Molina Medicaid | — | $1,421.78 | $327,092.24 | $212,609.96 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Select Health Medicaid | — | $1,425.39 | $327,092.00 | $212,610.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Molina Medicaid | — | $1,425.39 | $327,092.00 | $212,610.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Medicaid Other | — | $1,428.34 | $327,092.24 | $212,609.96 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Medicaid | — | $1,428.34 | $327,092.24 | $212,609.96 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Absolute Total Care Medicaid | — | $1,430.73 | $327,092.24 | $212,609.96 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Molina Medicaid | — | $1,436.48 | $327,092.24 | $212,609.96 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Select Health Medicaid | — | $1,436.48 | $327,092.24 | $212,609.96 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Medicaid Sc | — | $1,440.92 | $327,092.24 | $212,609.96 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Absolute Total Care Medicaid | — | $1,453.07 | $327,092.00 | $212,610.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Humana Healthy Horizons Medicaid | — | $1,457.98 | $327,092.24 | $212,609.96 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Humana Healthy Horizons Medicaid | — | $1,458.90 | $327,092.24 | $212,609.96 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Absolute Total Care Medicaid | — | $1,464.37 | $327,092.24 | $212,609.96 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Molina Medicaid | — | $1,468.24 | $327,092.24 | $212,609.96 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Humana Healthy Horizons Medicaid | — | $1,480.74 | $327,092.00 | $212,610.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Absolute Total Care Medicaid | — | $1,493.77 | $327,092.24 | $212,609.96 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Select Health Medicaid | — | $1,498.86 | $327,092.24 | $212,609.96 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Medicaid | — | $1,500.23 | $327,092.24 | $212,609.96 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Humana Healthy Horizons Medicaid | — | $1,528.33 | $327,092.24 | $212,609.96 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Humana Healthy Horizons Medicaid | — | $1,541.79 | $327,092.24 | $212,609.96 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Humana Healthy Horizons Medicaid | — | $1,541.79 | $327,092.24 | $212,609.96 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Humana Healthy Horizons Medicaid | — | $1,605.24 | $327,092.24 | $212,609.96 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Molina Medicaid | — | $1,607.86 | $327,092.24 | $212,609.96 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Cigna Hmo Ppo | — | $2,646.00 | $327,092.24 | $212,609.96 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Medicaid Other | — | $3,217.07 | $327,092.24 | $212,610.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Humana Healthy Horizons Medicaid | — | $3,442.26 | $327,092.24 | $212,610.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Blue Choice Medicaid (Greenville County Only) | — | $3,508.41 | $327,092.24 | $212,610.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Bluechoice Medicaid | — | $3,732.36 | $327,092.24 | $212,610.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Medicaid | — | $3,732.36 | $327,092.24 | $212,610.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Select Health Medicaid | — | $3,844.33 | $327,092.24 | $212,610.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Molina Medicaid | — | $3,844.33 | $327,092.24 | $212,610.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Absolute Total Care Medicaid | — | $3,918.97 | $327,092.24 | $212,610.00 | 2026-07-05 | MRF ↗ |
| MONTEFIORE ST LUKE'S CORNWALL Inpatient | Anthem | Exchange | $7,603.32 | — | — | 2026-04-01 | MRF ↗ |
| ELMHURST HOSPITAL CENTER InpatientFacility | Healthfirst | Small Group | $17,157.27 | — | — | 2025-09-05 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | United Healthcare Medicare | — | $21,650.95 | $327,092.24 | $212,609.96 | 2026-07-05 | MRF ↗ |
| NYACK HOSPITAL Inpatient | HealthFirst | Exchange Product - Enrollees | $22,400.65 | — | $44,801.29 | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Inpatient | HealthFirst | Exchange Product - Enrollees | $22,400.65 | — | $44,801.29 | 2025-06-27 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Select Health First Choice Vip | — | $24,239.42 | $327,092.24 | $212,609.96 | 2026-07-05 | MRF ↗ |
| SAMARITAN MEDICAL CENTER InpatientFacility | Excellus | Managed Medicaid | $25,924.42 | — | — | 2026-02-02 | MRF ↗ |
| SAMARITAN MEDICAL CENTER InpatientFacility | Fidelis | Medicaid Managed Care/Child Health Plus and Family Health Plus | $25,924.42 | — | — | 2026-02-02 | MRF ↗ |
| SAMARITAN MEDICAL CENTER InpatientFacility | MVP | Essential Plan 3-4 | $25,924.42 | — | — | 2026-02-02 | MRF ↗ |
| SAMARITAN MEDICAL CENTER InpatientFacility | United Healthcare | Managed Medicaid | $26,702.15 | — | — | 2026-02-02 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Tricare Humana Military | — | $27,291.88 | $327,092.24 | $212,609.96 | 2026-07-05 | MRF ↗ |
| ST JAMES HOSPITAL Inpatient | FIDELIS 5155 | FIDELIS METAL TIERS 515501 | $28,149.01 | — | — | 2026-01-01 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | United Healthcare | — | $29,887.51 | $327,092.24 | $212,609.96 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | United Healthcare | — | $29,887.51 | $327,092.24 | $212,610.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | United Healthcare | — | $29,887.51 | $327,092.24 | $212,609.96 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | United Healthcare | — | $29,887.51 | $327,092.24 | $212,609.96 | 2026-05-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL InpatientFacility | Tufts Health Public Plans | Managed Medicaid MA | $30,152.32 | — | — | 2026-02-28 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND InpatientFacility | Tufts Health Public Plans | MA Medicaid | $30,152.32 | — | — | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL InpatientFacility | Tufts Health Public Plans | MANAGED MEDICAID MA | $30,152.32 | — | — | 2024-12-31 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Inpatient | FIDELIS MEDICAID 1708, FIDELIS 5155 | FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502 | $30,324.75 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Inpatient | HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 | HIGHMARK BCBS MEDICAID 170201, CHILD HEALTH PLUS 170204 | $30,324.75 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Inpatient | FIDELIS 5155 | FIDELIS METAL TIERS 515501 | $30,324.75 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Inpatient | EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706, EXCELLUS BLUE CROSS BLUE SHIELD 2201 | BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL 1-2 200-250 2201, EXCELLUS ESSENTIAL 3-4 170604, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS HLTHY NY 220110 | $30,324.75 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Inpatient | MOLINA HEALTHCARE 1723 | MOLINA MEDICAID 172301 | $30,324.75 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Inpatient | MOLINA HEALTHCARE 5189 | MOLINA ESSENTIAL 1-2 200-250 5189 | $30,324.75 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Inpatient | MVP MEDICAID 1712 | MVP OPTION MEDICAID 171201 | $30,324.75 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Inpatient | MOLINA HEALTHCARE 5189 | MOLINA CHILD HEALTH PLUS 518901 | $30,324.75 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Inpatient | AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 | AMERIGROUP (BSWNY ALTERNATE) 172001 | $30,324.75 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Inpatient | INDEPENDENT HEALTH ASSOC MEDICAID 1710 | INDEPENDENT HEALTH ASSOC MEDICAID 171001 | $30,324.75 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Inpatient | MOLINA HEALTHCARE 1723 | MOLINA ESSENTIAL 3-4 172302 | $30,324.75 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Inpatient | UNITED HEALTHCARE MEDICAID 1716, UNITED HEALTHCARE 5158 | UNITED HEALTHCARE MEDICAID 171601, UNITED HEALTHCARE ESSENTIAL 1-2 200-250 5158, UNITED HEALTHCARE ESSENTIAL 3-4 171602 | $30,324.75 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Inpatient | MVP 2900 | MVP CHILD HEALTH PLUS 290004 | $30,347.21 | — | — | 2026-01-01 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | Molina Healthcare of NY | CHIP (For Kids)/Medicaid | $30,740.54 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | Univera | Essential Plan | $30,740.54 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | UHC Medicaid NY | Medicaid | $30,740.54 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | BCBS of Western NY | Medicaid | $30,740.54 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | Fidelis | Family Health Plus/Medicaid | $30,740.54 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | Fidelis | Child Health Plus | $30,740.54 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | CORVEL | WC | $30,740.54 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | Beacon | Managed Medicaid | $30,740.54 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | BCBS of Western NY | Essential Plans 3&4 | $30,740.54 | — | — | 2026-03-06 | MRF ↗ |
| UNITY HOSPITAL Inpatient | MVP [109] | MVP EXCHANGE-INDIVIDUAL | $30,923.54 | $28,645.58 | $22,916.46 | 2024-12-30 | MRF ↗ |
| SAMARITAN MEDICAL CENTER InpatientFacility | MVP | Essential Plan 1-2 and 5-6 | $31,109.30 | — | — | 2026-02-02 | MRF ↗ |
| LONGMONT UNITED HOSPITAL InpatientFacility | Colorado Access | Managed Medicaid | $31,124.90 | — | — | 2024-12-02 | MRF ↗ |
| LONGMONT UNITED HOSPITAL InpatientFacility | Denver Health | Managed Medicaid | $31,124.90 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES InpatientFacility | Colorado Access | Managed Medicaid | $31,452.62 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES InpatientFacility | Rocky Mountain Health Plan | Managed Medicaid | $31,452.62 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES InpatientFacility | Denver Health | Managed Medicaid | $31,452.62 | — | — | 2024-12-02 | MRF ↗ |
| ST FRANCIS HOSPITAL - INTERQUEST InpatientFacility | Naphcare | Managed Medicaid | $31,452.62 | — | — | 2024-12-02 | MRF ↗ |
| ST FRANCIS HOSPITAL - INTERQUEST InpatientFacility | Kaiser | Managed Medicaid | $31,452.62 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES InpatientFacility | Rocky Mountain Health Plan | Managed Medicaid | $31,452.62 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES InpatientFacility | Colorado Access | Managed Medicaid | $31,452.62 | — | — | 2024-12-02 | MRF ↗ |
| ST FRANCIS HOSPITAL - INTERQUEST InpatientFacility | Denver Health | Managed Medicaid | $31,452.62 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES InpatientFacility | Denver Health | Managed Medicaid | $31,452.62 | — | — | 2024-12-02 | MRF ↗ |
| ST FRANCIS HOSPITAL - INTERQUEST InpatientFacility | Colorado Access | Managed Medicaid | $31,452.62 | — | — | 2024-12-02 | MRF ↗ |
| ST FRANCIS HOSPITAL - INTERQUEST InpatientFacility | Rocky Mountain Health Plan | Managed Medicaid | $31,452.62 | — | — | 2024-12-02 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | UPMC HEALTH PLAN 5138 | UPMC HEALTH PLAN 513801 | $31,478.72 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | UPMC HEALTH PLAN 5138 | UPMC HEALTH PLAN 513801 | $31,478.72 | — | — | 2026-01-01 | MRF ↗ |
| UNITY HOSPITAL Inpatient | HIGHMARK [114] | HIGHMARK MEDICAID|HIGHMARK ESSENTIALS|HIGHMARK CHP | $31,796.66 | $28,645.58 | $22,916.46 | 2024-12-30 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706, EXCELLUS BLUE CROSS BLUE SHIELD 2201 | BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL 1-2 200-250 2201, EXCELLUS ESSENTIAL 3-4 170604, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS HLTHY NY 220110 | $32,085.70 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 | AMERIGROUP (BSWNY ALTERNATE) 172001 | $32,085.70 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | MOLINA HEALTHCARE 5189 | MOLINA CHILD HEALTH PLUS 518901 | $32,085.70 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | UNITED HEALTHCARE MEDICAID 1716, UNITED HEALTHCARE 5158 | UNITED HEALTHCARE MEDICAID 171601, UNITED HEALTHCARE ESSENTIAL 1-2 200-250 5158, UNITED HEALTHCARE ESSENTIAL 3-4 171602 | $32,085.70 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | MOLINA HEALTHCARE 5189 | MOLINA ESSENTIAL 1-2 200-250 5189 | $32,085.70 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 | HIGHMARK BCBS MEDICAID 170201, CHILD HEALTH PLUS 170204 | $32,085.70 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | FIDELIS MEDICAID 1708, FIDELIS 5155 | FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502 | $32,085.70 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | MOLINA HEALTHCARE 1723 | MOLINA MEDICAID 172301 | $32,085.70 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | FIDELIS MEDICAID 1708 | FIDELIS ESSENTIAL 3-4 170804 | $32,085.70 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706, EXCELLUS BLUE CROSS BLUE SHIELD 2201 | BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL 1-2 200-250 2201, EXCELLUS ESSENTIAL 3-4 170604, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS HLTHY NY 220110 | $32,085.70 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 | HIGHMARK BCBS MEDICAID 170201, CHILD HEALTH PLUS 170204 | $32,085.70 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | FIDELIS MEDICAID 1708, FIDELIS 5155 | FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502 | $32,085.70 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | MOLINA HEALTHCARE 5189 | MOLINA CHILD HEALTH PLUS 518901 | $32,085.70 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | INDEPENDENT HEALTH ASSOC MEDICAID 1710 | INDEPENDENT HEALTH ASSOC MEDICAID 171001 | $32,085.70 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | MOLINA HEALTHCARE 5189 | MOLINA ESSENTIAL 1-2 200-250 5189 | $32,085.70 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | MVP MEDICAID 1712 | MVP OPTION MEDICAID 171201 | $32,085.70 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | MOLINA HEALTHCARE 1723 | MOLINA MEDICAID 172301 | $32,085.70 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | MOLINA HEALTHCARE 1723 | MOLINA ESSENTIAL 3-4 172302 | $32,085.70 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | UNITED HEALTHCARE MEDICAID 1716, UNITED HEALTHCARE 5158 | UNITED HEALTHCARE MEDICAID 171601, UNITED HEALTHCARE ESSENTIAL 1-2 200-250 5158, UNITED HEALTHCARE ESSENTIAL 3-4 171602 | $32,085.70 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 | AMERIGROUP (BSWNY ALTERNATE) 172001 | $32,085.70 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | INDEPENDENT HEALTH ASSOC MEDICAID 1710 | INDEPENDENT HEALTH ASSOC MEDICAID 171001 | $32,085.70 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | MOLINA HEALTHCARE 1723 | MOLINA ESSENTIAL 3-4 172302 | $32,085.70 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | FIDELIS MEDICAID 1708 | FIDELIS ESSENTIAL 3-4 170804 | $32,085.70 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | MVP MEDICAID 1712 | MVP OPTION MEDICAID 171201 | $32,085.70 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | MVP 2900 | MVP CHILD HEALTH PLUS 290004 | $32,136.01 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | MVP 2900 | MVP CHILD HEALTH PLUS 290004 | $32,136.01 | — | — | 2026-01-01 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL InpatientFacility | Denver Health | Managed Medicaid | $32,146.59 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL InpatientFacility | Naphcare | Managed Medicaid | $32,146.59 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL InpatientFacility | Colorado Access | Managed Medicaid | $32,146.59 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL InpatientFacility | Rocky Mountain Health Plan | Managed Medicaid | $32,146.59 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL InpatientFacility | Kaiser | Managed Medicaid | $32,146.59 | — | — | 2024-12-02 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | Univera | CHIP (For Kids)/HARP/NY Medicaid | $32,277.55 | — | — | 2026-03-06 | MRF ↗ |
| F F THOMPSON HOSPITAL Inpatient | MOLINA HEALTHCARE 5189 | MOLINA CHILD HEALTH PLUS 518901 | $32,421.75 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Inpatient | HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 | HIGHMARK BCBS MEDICAID 170201, CHILD HEALTH PLUS 170204 | $32,421.75 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Inpatient | FIDELIS MEDICAID 1708, FIDELIS 5155 | FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502 | $32,421.75 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Inpatient | MOLINA HEALTHCARE 1723 | MOLINA ESSENTIAL 3-4 172302 | $32,421.75 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Inpatient | MOLINA HEALTHCARE 5189 | MOLINA ESSENTIAL 1-2 200-250 5189 | $32,421.75 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Inpatient | UNITED HEALTHCARE MEDICAID 1716, UNITED HEALTHCARE 5158 | UNITED HEALTHCARE MEDICAID 171601, UNITED HEALTHCARE ESSENTIAL 1-2 200-250 5158, UNITED HEALTHCARE ESSENTIAL 3-4 171602 | $32,421.75 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Inpatient | AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 | AMERIGROUP (BSWNY ALTERNATE) 172001 | $32,421.75 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Inpatient | INDEPENDENT HEALTH ASSOC MEDICAID 1710 | INDEPENDENT HEALTH ASSOC MEDICAID 171001 | $32,421.75 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Inpatient | MVP MEDICAID 1712 | MVP OPTION MEDICAID 171201 | $32,421.75 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Inpatient | EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706, EXCELLUS BLUE CROSS BLUE SHIELD 2201 | BLUE CHOICE OPTION MEDICAID 170601 | $32,421.75 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Inpatient | MOLINA HEALTHCARE 1723 | MOLINA MEDICAID 172301 | $32,421.75 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Inpatient | MVP 2900 | MVP CHILD HEALTH PLUS 290004 | $32,449.72 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Inpatient | EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706, EXCELLUS BLUE CROSS BLUE SHIELD 2201 | EXCELLUS ESSENTIAL 1-2 200-250 2201, EXCELLUS ESSENTIAL 3-4 170604, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS HLTHY NY 220110 | $32,451.88 | — | — | 2026-01-01 | MRF ↗ |
| ST JAMES HOSPITAL Inpatient | EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706, EXCELLUS BLUE CROSS BLUE SHIELD 2201 | BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL 1-2 200-250 2201, EXCELLUS ESSENTIAL 3-4 170604, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS HLTHY NY 220110 | $33,116.49 | — | — | 2026-01-01 | MRF ↗ |
| ST JAMES HOSPITAL Inpatient | UNITED HEALTHCARE MEDICAID 1716, UNITED HEALTHCARE 5158 | UNITED HEALTHCARE MEDICAID 171601, UNITED HEALTHCARE ESSENTIAL 1-2 200-250 5158, UNITED HEALTHCARE ESSENTIAL 3-4 171602 | $33,116.49 | — | — | 2026-01-01 | MRF ↗ |
| ST JAMES HOSPITAL Inpatient | MOLINA HEALTHCARE 5189 | MOLINA CHILD HEALTH PLUS 518901 | $33,116.49 | — | — | 2026-01-01 | MRF ↗ |
| ST JAMES HOSPITAL Inpatient | MOLINA HEALTHCARE 5189 | MOLINA ESSENTIAL 1-2 200-250 5189 | $33,116.49 | — | — | 2026-01-01 | MRF ↗ |
| ST JAMES HOSPITAL Inpatient | MVP MEDICAID 1712 | MVP OPTION MEDICAID 171201 | $33,116.49 | — | — | 2026-01-01 | MRF ↗ |
| ST JAMES HOSPITAL Inpatient | MOLINA HEALTHCARE 1723 | MOLINA ESSENTIAL 3-4 172302 | $33,116.49 | — | — | 2026-01-01 | MRF ↗ |
| ST JAMES HOSPITAL Inpatient | MOLINA HEALTHCARE 1723 | MOLINA MEDICAID 172301 | $33,116.49 | — | — | 2026-01-01 | MRF ↗ |
| ST JAMES HOSPITAL Inpatient | INDEPENDENT HEALTH ASSOC MEDICAID 1710 | INDEPENDENT HEALTH ASSOC MEDICAID 171001 | $33,116.49 | — | — | 2026-01-01 | MRF ↗ |
| ST JAMES HOSPITAL Inpatient | FIDELIS MEDICAID 1708, FIDELIS 5155 | FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502 | $33,116.49 | — | — | 2026-01-01 | MRF ↗ |
| ST JAMES HOSPITAL Inpatient | AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 | AMERIGROUP (BSWNY ALTERNATE) 172001 | $33,116.49 | — | — | 2026-01-01 | MRF ↗ |
| ST JAMES HOSPITAL Inpatient | HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 | HIGHMARK BCBS MEDICAID 170201, CHILD HEALTH PLUS 170204, HIGHMARK BCBS ESSENTIAL PLANS 170203 | $33,116.49 | — | — | 2026-01-01 | MRF ↗ |
| ST JAMES HOSPITAL Inpatient | MVP 2900 | MVP CHILD HEALTH PLUS 290004 | $33,180.06 | — | — | 2026-01-01 | MRF ↗ |
| UNITY HOSPITAL Inpatient | MOLINA HEALTHCARE OF NY [188] | MOLINA MEDICAID MANAGED CARE|MOLINA CHILD HEALTH PLUS | $33,219.86 | $28,645.58 | $22,916.46 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Inpatient | UNITED HEALTHCARE [101] | UHC COMMUNITY PLAN|UHC COMMUNITY MEDICAID DENTAL|UHC ESSENTIAL 1&2|UHC CHPS|UHC ESSENTIAL 3&4 | $33,219.86 | $28,645.58 | $22,916.46 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Inpatient | MVP [109] | MVP OPTION|MVP CHILD HEALTH PLUS | $33,219.86 | $28,645.58 | $22,916.46 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Inpatient | EXCELLUS HMO [104] | BLUE CHOICE OPTION|UNIVERA MYHEALTH PLUS|HEALTHY NY | $33,219.86 | $28,645.58 | $22,916.46 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Inpatient | EXCELLUS HMO [104] | CHILD HEALTH PLUS|EXCELLUS ESSENTIAL 1&2|EXCELLUS ESSENTIAL 3&4|UNIVERA MYHEALTH|UNIVERA ESSENTIAL 1&2|UNIVERA ESSENTIAL 1&2 | $33,219.86 | $28,645.58 | $22,916.46 | 2024-12-30 | MRF ↗ |
| GENEVA GENERAL HOSPITAL InpatientFacility | Aetna | Managed Medicaid | $33,454.48 | — | — | 2025-08-07 | MRF ↗ |
| GENEVA GENERAL HOSPITAL InpatientFacility | MVP Health Care | Managed Medicaid | $33,454.48 | — | — | 2025-08-07 | MRF ↗ |
| GENEVA GENERAL HOSPITAL InpatientFacility | United Healthcare | Managed Medicaid | $33,454.48 | — | — | 2025-08-07 | MRF ↗ |
| GENEVA GENERAL HOSPITAL InpatientFacility | Excellus Blue Choice Options | Managed Medicaid | $33,454.48 | — | — | 2025-08-07 | MRF ↗ |
| GENEVA GENERAL HOSPITAL InpatientFacility | Fidelis | Managed Medicaid | $33,454.48 | — | — | 2025-08-07 | MRF ↗ |
| GENEVA GENERAL HOSPITAL InpatientFacility | Fidelis | Commercial | $33,454.48 | — | — | 2025-08-07 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | FIDELIS 5155 | FIDELIS ESSENTIAL 1-2 200-250 5155 | $33,689.98 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | FIDELIS 5155 | FIDELIS ESSENTIAL 1-2 200-250 5155 | $33,689.98 | — | — | 2026-01-01 | MRF ↗ |
| ST MARY'S HEALTHCARE Inpatient | Uhc Medicaid | Medicaid | $33,883.69 | — | — | 2026-07-15 | MRF ↗ |
| ST MARY'S HEALTHCARE Inpatient | Fidelis Medicaid | Medicaid | $33,883.69 | — | — | 2026-07-15 | MRF ↗ |
| ST MARY'S HEALTHCARE Inpatient | Excellus Medicaid | Medicaid | $33,883.69 | — | — | 2026-07-15 | MRF ↗ |
| ST MARY'S HEALTHCARE Inpatient | Uhc Optum Medicaid | Medicaid | $33,883.69 | — | — | 2026-07-15 | 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.