3054 — Amputation Of Lower Limb Except Toes
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). AMPUTATION OF LOWER LIMB EXCEPT TOES (OTHER 3054) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/3054?code_type=OTHER
MLA (9th ed.)
“AMPUTATION OF LOWER LIMB EXCEPT TOES (OTHER 3054) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/3054?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“AMPUTATION OF LOWER LIMB EXCEPT TOES (OTHER 3054) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/3054?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $23,233–$62,880 (25th–75th percentile) across 46 hospitals · 76 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 3054 — 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 |
|---|---|---|---|---|---|---|---|
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Molina | Medicaid Molina | $15,253.54 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Illinois | Medicaid Illinois | $15,253.54 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Blue Cross Community Family Health Plan Xxl / Xog | Medicaid Blue Cross Community Family Health Plan Xxl / Xog | $15,253.54 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Countycare Claims | Medicaid Countycare Claims | $15,253.54 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Health Alliance | Medicaid Health Alliance | $15,253.54 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Humana Health Plan | Medicaid Humana Health Plan | $15,253.54 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Meridian | Medicaid Meridian | $15,253.54 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Wellcare | Medicaid Wellcare | $15,253.54 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Youth Care | Medicaid Youth Care | $15,253.54 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Youth Care | Medicaid Youth Care | $15,253.54 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Wellcare | Medicaid Wellcare | $15,253.54 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Meridian | Medicaid Meridian | $15,253.54 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Humana Health Plan | Medicaid Humana Health Plan | $15,253.54 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Health Alliance | Medicaid Health Alliance | $15,253.54 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Countycare Claims | Medicaid Countycare Claims | $15,253.54 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Blue Cross Community Family Health Plan Xxl / Xog | Medicaid Blue Cross Community Family Health Plan Xxl / Xog | $15,253.54 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Illinois | Medicaid Illinois | $15,253.54 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Molina | Medicaid Molina | $15,253.54 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Aetna Better Health | Medicaid Aetna Better Health | $15,253.54 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Aetna Better Health | Medicaid Aetna Better Health | $15,253.54 | — | — | 2026-05-24 | MRF ↗ |
| HILLSDALE HOSPITAL Inpatient | Uhc | Medicaid | $17,771.46 | — | — | 2026-05-06 | MRF ↗ |
| HILLSDALE HOSPITAL Inpatient | Bcbs | Medicaid | $17,771.46 | — | — | 2026-05-06 | MRF ↗ |
| HILLSDALE HOSPITAL Inpatient | Meridian Health Plan | Medicaid | $17,771.46 | — | — | 2026-05-06 | MRF ↗ |
| HILLSDALE HOSPITAL Inpatient | Wellpath | Medicaid | $17,771.46 | — | — | 2026-05-06 | MRF ↗ |
| HILLSDALE HOSPITAL Inpatient | Meridian Health Plan | Medicaid | $18,030.06 | — | — | 2026-05-13 | MRF ↗ |
| HILLSDALE HOSPITAL Inpatient | Medicaid | Medicaid | $18,030.06 | — | — | 2026-05-13 | MRF ↗ |
| HILLSDALE HOSPITAL Inpatient | Bcbs | Medicaid | $18,030.06 | — | — | 2026-05-13 | MRF ↗ |
| HILLSDALE HOSPITAL Inpatient | Uhc | Medicaid | $18,030.06 | — | — | 2026-05-13 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Inpatient | Anthem | In Medicaid | $18,273.53 | — | — | 2026-05-22 | MRF ↗ |
| UNIVERSITY OF LOUISVILLE HOSPITAL Inpatient | Anthem | In Medicaid | $18,273.53 | — | — | 2026-05-22 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Inpatient | Anthem | In Medicaid | $18,273.53 | — | — | 2026-05-14 | MRF ↗ |
| UNIVERSITY OF LOUISVILLE HOSPITAL Inpatient | Anthem | In Medicaid | $18,273.53 | — | — | 2026-05-14 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER | Medicaid|Texas Childrens (Tch)|All Plans | — | $18,478.27 | — | — | 2026-07-30 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER | Medicaid|Community Health Choice|All Plans | — | $18,478.27 | — | — | 2026-07-30 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | Molina Healthcare Of Mi | Caid | $18,752.65 | $145,375.70 | $58,150.28 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | Medicaid Hmo | Caid | $18,752.65 | $145,375.70 | $58,150.28 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | Medicaid | Caid | $18,752.65 | $145,375.70 | $58,150.28 | 2026-05-09 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER | Medicaid|Amerigroup|All Plans | — | $19,450.81 | — | — | 2026-07-30 | MRF ↗ |
| THREE RIVERS HEALTH Inpatient | Mclaren | Mi Medicaid | $19,890.07 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Inpatient | Priority Health | Mi Medicaid | $19,890.07 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Inpatient | Molina | Mi Medicaid | $19,890.07 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Mclaren (Mi | Mi Medicaid | $19,890.07 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Inpatient | Aetna | Mi Medicaid | $19,890.07 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Uhc | Mi Medicaid | $19,890.07 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Inpatient | Uhc | Mi Medicaid | $19,890.07 | — | — | 2026-05-13 | MRF ↗ |
| CHI ST LUKE'S HEALTH BRAZOSPORT | Medicaid|Texas Childrens (Tch)|All Plans | — | $19,956.09 | — | — | 2026-08-01 | MRF ↗ |
| CHI ST LUKE'S HEALTH BRAZOSPORT | Medicaid|Amerigroup|All Plans | — | $19,956.09 | — | — | 2026-08-01 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER | Medicaid|United|All Plans | — | $20,034.33 | — | — | 2026-07-30 | MRF ↗ |
| CHI ST LUKE'S HEALTH BRAZOSPORT | Medicaid|Community Health Choice|All Plans | — | $20,953.89 | — | — | 2026-08-01 | MRF ↗ |
| CHI ST LUKE'S HEALTH BRAZOSPORT | Medicaid|Superior Health Plan|All Plans | — | $20,953.89 | — | — | 2026-08-01 | MRF ↗ |
| CHI ST LUKE'S HEALTH BRAZOSPORT | Medicaid|Bcbs - Tx|All Plans | — | $20,953.89 | — | — | 2026-08-01 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL | Medicaid|Texas Childrens (Tch)|Starkids | — | $21,174.14 | — | — | 2026-07-30 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE | Medicaid|Texas Childrens (Tch)|Starkids | — | $21,174.14 | — | — | 2026-07-30 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL | Medicaid|Texas Childrens (Tch)|Starkids | — | $21,174.14 | — | — | 2026-07-31 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL | Medicaid|Texas Childrens (Tch)|Starkids | — | $21,174.14 | — | — | 2026-07-31 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL | Medicaid|United|Starkids | — | $21,809.36 | — | — | 2026-07-31 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE | Medicaid|Amerigroup|Starkids | — | $21,809.36 | — | — | 2026-07-30 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL | Medicaid|United|Starkids | — | $21,809.36 | — | — | 2026-07-30 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL | Medicaid|United|Starplus | — | $21,809.36 | — | — | 2026-07-31 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL | Medicaid|United|Starkids | — | $21,809.36 | — | — | 2026-07-31 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL | Medicaid|United|Chip | — | $21,809.36 | — | — | 2026-07-31 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL | Medicaid|Amerigroup|Starkids | — | $21,809.36 | — | — | 2026-07-31 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL | Medicaid|Amerigroup|Chip | — | $21,809.36 | — | — | 2026-07-31 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL | Medicaid|Amerigroup|Starkids | — | $21,809.36 | — | — | 2026-07-30 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL | Medicaid|United|Chip | — | $21,809.36 | — | — | 2026-07-30 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL | Medicaid|Amerigroup|Chip | — | $21,809.36 | — | — | 2026-07-31 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE | Medicaid|Amerigroup|Chip | — | $21,809.36 | — | — | 2026-07-30 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE | Medicaid|United|Starkids | — | $21,809.36 | — | — | 2026-07-30 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE | Medicaid|United|Chip | — | $21,809.36 | — | — | 2026-07-30 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL | Medicaid|Amerigroup|Starkids | — | $21,809.36 | — | — | 2026-07-31 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL | Medicaid|Amerigroup|Chip | — | $21,809.36 | — | — | 2026-07-30 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL | Medicaid|United|Chip | — | $21,809.36 | — | — | 2026-07-31 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL | Medicaid|Bcbs - Tx|All Plans | — | $22,232.85 | — | — | 2026-07-31 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE | Medicaid|Bcbs - Tx|All Plans | — | $22,232.85 | — | — | 2026-07-30 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL | Medicaid|Bcbs - Tx|All Plans | — | $22,232.85 | — | — | 2026-07-31 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL | Medicaid|Bcbs - Tx|All Plans | — | $22,232.85 | — | — | 2026-07-30 | MRF ↗ |
| HILLSDALE HOSPITAL Inpatient | Vcpg | Medicaid | $22,537.58 | — | — | 2026-05-13 | MRF ↗ |
| Baylor St Lukes Medical Center | Medicaid|United|Chip | — | $22,555.88 | — | — | 2026-07-31 | MRF ↗ |
| Baylor St Lukes Medical Center | Medicaid|Texas Childrens (Tch)|Starkids | — | $22,555.88 | — | — | 2026-07-31 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Molina | Medicaid Illinois | $22,768.24 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Mutual Medical | Commercial | $22,768.24 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Aetna | Medicaid | $22,768.24 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid | Medicaid Illinois | $22,768.24 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Molina | Medicaid Illinois | $22,768.24 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid | Medicaid Illinois | $22,768.24 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Aetna | Medicaid | $22,768.24 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Mutual Medical | Commercial | $22,768.24 | — | — | 2026-05-14 | MRF ↗ |
| Baylor St Lukes Medical Center | Medicaid|Amerigroup|Starkids | — | $23,232.56 | — | — | 2026-07-31 | MRF ↗ |
| Baylor St Lukes Medical Center | Medicaid|Amerigroup|Chip | — | $23,232.56 | — | — | 2026-07-31 | MRF ↗ |
| Baylor St Lukes Medical Center | Medicaid|United|Starkids | — | $23,232.56 | — | — | 2026-07-31 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicaid|Caresource|All Products | — | $23,550.43 | — | — | 2026-07-30 | MRF ↗ |
| Baylor St Lukes Medical Center | Medicaid|Bcbs - Tx|All Plans | — | $23,683.67 | — | — | 2026-07-31 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicaid|Molina|All Products | — | $24,021.44 | — | — | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicaid|United|All Products | — | $24,256.94 | — | — | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicaid|Paramount|All Products | — | $24,727.95 | — | — | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicaid|Buckeye|All Products | — | $24,727.95 | — | — | 2026-07-30 | MRF ↗ |
| AVERA MARSHALL REGIONAL MEDICAL CTR Inpatient | Bcbsmn Insurance | Min | $25,464.15 | — | — | 2026-05-09 | MRF ↗ |
| Chi St Joseph Health College Station Hospital | Medicaid|Superior Health Plan|Chip | — | $25,835.97 | — | — | 2026-07-30 | MRF ↗ |
| Chi St Joseph Health College Station Hospital | Medicaid|United|All Other Plans | — | $26,352.69 | — | — | 2026-07-30 | MRF ↗ |
| Chi St Joseph Health College Station Hospital | Medicaid|United|Starkids | — | $26,352.69 | — | — | 2026-07-30 | MRF ↗ |
| Chi St Joseph Health College Station Hospital | Medicaid|Bcbs - Tx|All Plans | — | $27,127.77 | — | — | 2026-07-30 | MRF ↗ |
| Chi St Joseph Health College Station Hospital | Medicaid|Superior Health Plan|Star | — | $27,127.77 | — | — | 2026-07-30 | MRF ↗ |
| Chi St Joseph Health College Station Hospital | Medicaid|Amerigroup|All Plans | — | $27,127.77 | — | — | 2026-07-30 | MRF ↗ |
| CLARION HOSPITAL Inpatient | Medicaid | Traditional Medicaid | $29,176.81 | — | — | 2026-05-23 | MRF ↗ |
| CLARION HOSPITAL Inpatient | Medicaid | Traditional Medicaid | $29,176.81 | — | — | 2026-05-13 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Inpatient | Aetna | Mcd Advantage | $29,719.08 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Inpatient | Upmc | Mcd Advantage | $29,719.08 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Inpatient | Upmc | Chip | $29,719.08 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Inpatient | Aetna | Mcd Advantage | $29,719.08 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Inpatient | Traditional Medicaid | Traditional Medicaid | $29,719.08 | — | — | 2026-05-14 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | United Healthcare | United Healthcare Community Plan Of Pa Medicaid | $29,719.08 | $172,111.00 | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Inpatient | Traditional Medicaid | Traditional Medicaid | $29,719.08 | — | — | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | Aetna | Aetna Better Health | $29,719.08 | $172,111.00 | — | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | Upmc | Upmc For Kids Medicaid | $29,719.08 | $172,111.00 | — | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | Highmark | Wholecare Medicaid | $29,719.08 | $172,111.00 | — | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | United Healthcare | United Healthcare Community Plan Of Pa Medicaid | $29,719.08 | $172,111.00 | — | 2026-05-13 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Inpatient | Geisinger | Mcd Advantage | $29,719.08 | — | — | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | Aetna | Aetna Better Health | $29,719.08 | $172,111.00 | — | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | Upmc | Upmc For Kids Medicaid | $29,719.08 | $172,111.00 | — | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | Highmark | Wholecare Medicaid | $29,719.08 | $172,111.00 | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Inpatient | Upmc | Mcd Advantage | $29,719.08 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Inpatient | Upmc | Chip | $29,719.08 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Inpatient | Geisinger | Mcd Advantage | $29,719.08 | — | — | 2026-05-14 | MRF ↗ |
| HARRIS HEALTH Inpatient | Uhc | Medicaid | $30,003.45 | — | — | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Inpatient | Superior | Medicaid | $30,003.45 | — | — | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Inpatient | Superior | Medicaid | $30,003.45 | — | — | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Inpatient | Molina | Medicaid | $30,003.45 | — | — | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Inpatient | Molina | Medicaid | $30,003.45 | — | — | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Inpatient | Uhc | Medicaid | $30,003.45 | — | — | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Inpatient | Tx Childrens | Medicaid | $30,003.45 | — | — | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Inpatient | Tx Childrens | Medicaid | $30,003.45 | — | — | 2026-05-22 | MRF ↗ |
| EXCELA HEALTH LATROBE HOSPITAL Inpatient | Amerihealth Caritas | Medical Assistance | $30,288.28 | — | — | 2026-05-08 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | Upmc | Upmc For You Medicaid | $30,298.60 | $172,111.00 | — | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | Upmc | Upmc For You Medicaid | $30,298.60 | $172,111.00 | — | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | Upmc | Upmc Community Healthchoices Plan | $30,298.60 | $172,111.00 | — | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | Upmc | Upmc Community Healthchoices Plan | $30,298.60 | $172,111.00 | — | 2026-05-13 | MRF ↗ |
| EXCELA HEALTH LATROBE HOSPITAL Inpatient | Pa Health And Wellness | Medical Assistance | $30,566.16 | — | — | 2026-05-08 | MRF ↗ |
| HARRIS HEALTH Inpatient | Chc | Medicaid | $30,603.52 | — | — | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Inpatient | Chc | Medicaid | $30,603.52 | — | — | 2026-05-22 | MRF ↗ |
| CLARION HOSPITAL Inpatient | Upmc | Medicaid | $31,205.06 | — | — | 2026-05-13 | MRF ↗ |
| CLARION HOSPITAL Inpatient | Upmc | Medicaid | $31,205.06 | — | — | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | Geisinger | Geisinger Medicaid | $31,502.23 | $172,111.00 | — | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | Geisinger | Geisinger Medicaid | $31,502.23 | $172,111.00 | — | 2026-05-13 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Inpatient | Jefferson Health | Mcd Advantage | $31,503.23 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Inpatient | Jefferson Health | Mcd Advantage | $31,503.23 | — | — | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | Pa Health And Wellness | Pa Health And Wellness Community Health Choices Plan | $31,799.42 | $172,111.00 | — | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | Pa Health And Wellness | Pa Health And Wellness Community Health Choices Plan | $31,799.42 | $172,111.00 | — | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | Health Partners | Health Partners Medicaid | $31,799.42 | $172,111.00 | — | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | Health Partners | Health Partners Medicaid | $31,799.42 | $172,111.00 | — | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas Community Health Choices Plan | $31,799.42 | $172,111.00 | — | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas Community Health Choices Plan | $31,799.42 | $172,111.00 | — | 2026-05-13 | MRF ↗ |
| EXCELA HEALTH LATROBE HOSPITAL Inpatient | Geisinger | Medical Assistance | $31,955.53 | — | — | 2026-05-08 | MRF ↗ |
| EXCELA HEALTH LATROBE HOSPITAL Inpatient | Health Partners Plans | Medical Assistance | $31,955.53 | — | — | 2026-05-08 | MRF ↗ |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER InpatientFacility | Caloptima | Medi-Cal Medicaid Managed Care Plan | $32,597.13 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER InpatientFacility | Healthnet | Medi-Cal Medicaid Managed Care Plan | $32,597.13 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER InpatientFacility | Caloptima | Medi-Cal Medicaid Managed Care Plan | $32,597.13 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER InpatientFacility | Caloptima | Medi-Cal Medicaid Managed Care Plan | $32,597.13 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER InpatientFacility | Healthnet | Medi-Cal Medicaid Managed Care Plan | $32,597.13 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER InpatientFacility | Healthnet | Medi-Cal Medicaid Managed Care Plan | $32,597.13 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Healthnet | Medi-Cal Medicaid Managed Care Plan | $32,967.31 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | La Care | Medi-Cal Medicaid Managed Care Plan | $32,967.31 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Global Care Medical Group | Ancillary Medi-Cal Medicaid Managed Care Plan | $32,967.31 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Avanti Health System | Medi-Cal Medicaid Managed Care Plan | $32,967.31 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Cal Care | Ancillary Medi-Cal Ipa Medicaid Managed Care Plan | $32,967.31 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Citrus Valley | Ipa Medi-Cal Medicaid Managed Care Plan | $32,967.31 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Beverly Community Hospital Association | Medi-Cal Medicaid Managed Care Plan | $32,967.31 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB InpatientFacility | Healthnet | Medi-Cal Medicaid Managed Care Plan | $32,967.31 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB InpatientFacility | Healthnet | Medi-Cal Select Health Medicaid Managed Care Plan | $32,967.31 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB InpatientFacility | Healthcare Partners | Medi-Cal Medicaid Managed Care Plan | $32,967.31 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB InpatientFacility | Heritage Provider Network | Medi-Cal Medicaid Managed Care Plan | $32,967.31 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB InpatientFacility | Healthcare La | Ancillary Medi-Cal Medicaid Managed Care Plan | $32,967.31 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Healthcare La | Ancillary Medi-Cal Medicaid Managed Care Plan | $32,967.31 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Beverly Community Hospital Association | Medi-Cal Medicaid Managed Care Plan | $32,967.31 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Healthcare La | Ancillary Medi-Cal Medicaid Managed Care Plan | $32,967.31 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Citrus Valley | Ipa Medi-Cal Medicaid Managed Care Plan | $32,967.31 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Cal Care | Ancillary Medi-Cal Ipa Medicaid Managed Care Plan | $32,967.31 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Avanti Health System | Medi-Cal Medicaid Managed Care Plan | $32,967.31 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Global Care Medical Group | Ancillary Medi-Cal Medicaid Managed Care Plan | $32,967.31 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | La Care | Medi-Cal Medicaid Managed Care Plan | $32,967.31 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Healthnet | Medi-Cal Medicaid Managed Care Plan | $32,967.31 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Healthnet | Medi-Cal Select Health Medicaid Managed Care Plan | $32,967.31 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Healthcare Partners | Medi-Cal Medicaid Managed Care Plan | $32,967.31 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Blue Cross | Medi-Cal Medicaid Managed Care Plan | $32,967.31 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Molina | Medi-Cal Medicaid Managed Care Plan | $32,967.31 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Blue Shield | Promise Health Plan Medicaid Managed Care Plan | $32,967.31 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB InpatientFacility | Blue Cross | Medi-Cal Medicaid Managed Care Plan | $32,967.31 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB InpatientFacility | Molina | Medi-Cal Medicaid Managed Care Plan | $32,967.31 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB InpatientFacility | Citrus Valley | Ipa Medi-Cal Medicaid Managed Care Plan | $32,967.31 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB InpatientFacility | Cal Care | Ancillary Medi-Cal Ipa Medicaid Managed Care Plan | $32,967.31 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB InpatientFacility | St. Francis Medical Center | Medi-Cal Medicaid Managed Care Plan | $32,967.31 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB InpatientFacility | Avanti Health System | Medi-Cal Medicaid Managed Care Plan | $32,967.31 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB InpatientFacility | Blue Shield | Promise Health Plan Medicaid Managed Care Plan | $32,967.31 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB InpatientFacility | Global Care Medical Group | Ancillary Medi-Cal Medicaid Managed Care Plan | $32,967.31 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB InpatientFacility | La Care | Medi-Cal Medicaid Managed Care Plan | $32,967.31 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Blue Shield | Promise Health Plan Medicaid Managed Care Plan | $32,967.31 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Molina | Medi-Cal Medicaid Managed Care Plan | $32,967.31 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Blue Cross | Medi-Cal Medicaid Managed Care Plan | $32,967.31 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Healthcare Partners | Medi-Cal Medicaid Managed Care Plan | $32,967.31 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Healthnet | Medi-Cal Select Health Medicaid Managed Care Plan | $32,967.31 | — | — | 2026-04-01 | MRF ↗ |
| EXCELA HEALTH LATROBE HOSPITAL Inpatient | Upmc | Medical Assistance | $34,178.52 | — | — | 2026-05-08 | 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.