309 — Other Significant Hip And Femur Surgery
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). OTHER SIGNIFICANT HIP AND FEMUR SURGERY (APR_DRG 309) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/309?code_type=APR_DRG
MLA (9th ed.)
“OTHER SIGNIFICANT HIP AND FEMUR SURGERY (APR_DRG 309) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/309?code_type=APR_DRG. Accessed .
Chicago (notes-bibliography)
“OTHER SIGNIFICANT HIP AND FEMUR SURGERY (APR_DRG 309) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/309?code_type=APR_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $13,981–$31,331 (25th–75th percentile) across 59 hospitals · 190 payers.
“Negotiated” is the hospital’s negotiated rate for the entire inpatient stay under APR_DRG 309 — the consumer-grade median across the country. An inpatient (DRG) price bundles the whole admission: operating room, room & board, recovery, imaging, anesthesia (facility), implants and supplies. It does not include the surgeon’s or anesthesiologist’s professional fees, which are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| Driscoll Children's Hospital Transplant Center Inpatient | TEXAS REHABILITATION COMM [50038] | TEXAS REHABILITATION COMM [5003801] | $165.82 | $149,483.93 | $29,896.79 | 2026-03-31 | MRF ↗ |
| MAPLE GROVE HOSPITAL Inpatient | PHCS [1172] | ALLIED BENEFIT SYSTEMS PHCS [3378] | — | $22,320.75 | — | 2024-12-31 | MRF ↗ |
| MAPLE GROVE HOSPITAL Inpatient | HENNEPIN HEALTH [1096] | HENNEPIN HEALTH PMAP [3212] | — | $22,320.75 | — | 2024-12-31 | MRF ↗ |
| MAPLE GROVE HOSPITAL Inpatient | UCARE [1148] | UCARE MEDICARE ADVANTAGE [3303] | — | $22,320.75 | — | 2024-12-31 | MRF ↗ |
| MAPLE GROVE HOSPITAL Inpatient | HEALTH SOUTH [1234] | HEALTH SOUTH GENERIC [3514] | — | $22,320.75 | — | 2024-12-31 | MRF ↗ |
| MAPLE GROVE HOSPITAL Inpatient | MEDICA [1086] | MEDICA NORTH MEMORIAL ACCLAIM [4206] | — | $22,320.75 | — | 2024-12-31 | MRF ↗ |
| MAPLE GROVE HOSPITAL Inpatient | UNITED HEALTHCARE [2204] | UHC COMMERCIAL [4358] | — | $22,320.75 | — | 2024-12-31 | MRF ↗ |
| MAPLE GROVE HOSPITAL Inpatient | MEDICA [1086] | MEDICA COMMERCIAL [3453] | — | $22,320.75 | — | 2024-12-31 | MRF ↗ |
| MAPLE GROVE HOSPITAL Inpatient | BLUE CROSS [1021] | BCBS MINNESOTA COMMERCIAL [3031] | — | $22,320.75 | $11,763.04 | 2024-12-31 | MRF ↗ |
| MAPLE GROVE HOSPITAL Inpatient | AMERICA'S PPO [1010] | HEALTHEZ AMERICA'S PPO [3438] | — | $22,320.75 | — | 2024-12-31 | MRF ↗ |
| MAPLE GROVE HOSPITAL Inpatient | HEALTH PARTNERS [1061] | HEALTHPARTNERS FREEDOM [3106] | — | $22,320.75 | — | 2024-12-31 | MRF ↗ |
| MAPLE GROVE HOSPITAL Inpatient | HEALTH PARTNERS [1061] | HEALTHPARTNERS OPEN ACCESS/CHOICE [3119] | — | $22,320.75 | — | 2024-12-31 | MRF ↗ |
| MAPLE GROVE HOSPITAL Inpatient | CIGNA HEALTH PARTNERS [1242] | HEALTHPARTNERS CIGNA [3540] | — | $22,320.75 | — | 2024-12-31 | MRF ↗ |
| MAPLE GROVE HOSPITAL Inpatient | HEALTH PARTNERS [1061] | HEALTHPARTNERS MSHO [3118] | — | $22,320.75 | — | 2024-12-31 | MRF ↗ |
| MAPLE GROVE HOSPITAL Inpatient | MEDICA [1086] | MEDICA PMAP/MNCARE [4467] | — | $22,320.75 | — | 2024-12-31 | MRF ↗ |
| MAPLE GROVE HOSPITAL Inpatient | BLUE CROSS [1021] | BCBS STRIVE COMMERCIAL [4342] | — | $22,320.75 | $11,763.04 | 2024-12-31 | MRF ↗ |
| MAPLE GROVE HOSPITAL Inpatient | ALLINA HEALTH-AETNA [2201] | ALLINA HEALTH-AETNA MEDICARE [4353] | — | $22,320.75 | — | 2024-12-31 | MRF ↗ |
| MAPLE GROVE HOSPITAL Inpatient | HENNEPIN HEALTH [1096] | HENNEPIN HEALTH SNBC [4275] | — | $22,320.75 | — | 2024-12-31 | MRF ↗ |
| MAPLE GROVE HOSPITAL Inpatient | MEDICA [1086] | MEDICA VANTAGE PLUS [4205] | — | $22,320.75 | — | 2024-12-31 | MRF ↗ |
| MAPLE GROVE HOSPITAL Inpatient | BLUE CROSS [1021] | BCBS MEDICARE ADVANTAGE [4278] | $545.33 | $22,320.75 | $11,763.04 | 2024-12-31 | MRF ↗ |
| MAPLE GROVE HOSPITAL Inpatient | AMERICA'S PPO [1010] | AMERICA'S PPO [3015] | — | $22,320.75 | — | 2024-12-31 | MRF ↗ |
| MAPLE GROVE HOSPITAL Inpatient | BEECH STREET [1171] | BEECH ST GENERIC [3353] | — | $22,320.75 | — | 2024-12-31 | MRF ↗ |
| MAPLE GROVE HOSPITAL Inpatient | BLUE CROSS [1021] | BCBS PMAP/MNCARE [4483] | — | $22,320.75 | $11,763.04 | 2024-12-31 | MRF ↗ |
| MAPLE GROVE HOSPITAL Inpatient | BLUE CROSS [1021] | BCBS FEDERAL EMPLOYEE [3033] | — | $22,320.75 | $11,763.04 | 2024-12-31 | MRF ↗ |
| MAPLE GROVE HOSPITAL Inpatient | MEDICA [1086] | MEDICA DUAL SOLUTION/MSHO [3178] | — | $22,320.75 | — | 2024-12-31 | MRF ↗ |
| MAPLE GROVE HOSPITAL Inpatient | UCARE [1148] | UCARE IFB [4293] | — | $22,320.75 | — | 2024-12-31 | MRF ↗ |
| MAPLE GROVE HOSPITAL Inpatient | UCARE [1148] | UCARE PMAP/MNCARE [3301] | — | $22,320.75 | $11,763.04 | 2024-12-31 | MRF ↗ |
| MAPLE GROVE HOSPITAL Inpatient | HEALTH PARTNERS [1061] | HEALTHPARTNERS CARE [3108] | — | $22,320.75 | — | 2024-12-31 | MRF ↗ |
| MAPLE GROVE HOSPITAL Inpatient | HEALTH PAYORS ORG, LTD [1146] | HEALTH PAYORS ORG GENERIC [3459] | — | $22,320.75 | — | 2024-12-31 | MRF ↗ |
| MAPLE GROVE HOSPITAL Inpatient | NATIONAL PREFERRED PROV NETWRK [1230] | NAT PREF PROV NETWORK GENERIC [3512] | — | $22,320.75 | — | 2024-12-31 | MRF ↗ |
| MAPLE GROVE HOSPITAL Inpatient | UNITED HEALTHCARE [2204] | UHC MEDICARE ADVANTAGE [4360] | — | $22,320.75 | — | 2024-12-31 | MRF ↗ |
| MAPLE GROVE HOSPITAL Inpatient | ALLINA HEALTH-AETNA [2201] | ALLINA HEALTH-AETNA COMMERCIAL [4352] | — | $22,320.75 | — | 2024-12-31 | MRF ↗ |
| MAPLE GROVE HOSPITAL Inpatient | UCARE [1148] | UCARE MSHO [3304] | — | $22,320.75 | — | 2024-12-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Inpatient | POLICE DEPARTMENTS [50065] | POLICE DEPTS [5006501] | $1,000.00 | $149,483.93 | $29,896.79 | 2026-03-31 | MRF ↗ |
| COX MONETT HOSPITAL Inpatient | Provider Partners Health Plan | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Inpatient | Medrisk Llc | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Allwell | Arkansas Health And Wellness | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Healthy Blue Mo | Medicaid Managed Care | — | — | — | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Inpatient | Aetna | Premier Network | — | — | — | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Inpatient | Devoted | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Inpatient | First Health | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Inpatient | United Healthcare | Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Inpatient | Missouri Affiliated School Consortium (Masc) | Missouri Affiliated School Consortium (Masc) | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Centene Wellcare | Medicare Advantage | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Provider Partners Health Plan | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | United Healthcare | Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Inpatient | United Behavioral Health | Optum Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | First Health | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Inpatient | Centene Home State Health | Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | United Healthcare | Medicare | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Humana | Medicare Advantage | — | — | — | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Inpatient | Allwell | Arkansas Health And Wellness | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Anthem | Medicare Advantage | — | — | — | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Inpatient | Anthem | Pathway/Pathway X | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | United Behavioral Health | Optum Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Centene Home State Health | Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Inpatient | Health Net Federal Services | Tricare | — | — | — | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Inpatient | Healthy Blue Mo | Medicaid Managed Care | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Cox Healthplans | Medicare Advantage | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Health Net Federal Services | Tricare | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Devoted | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Medrisk Llc | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| JOHNSON CITY MEDICAL CENTER Inpatient | AMERIGROUP | AMERIGROUP | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSON CITY MEDICAL CENTER Inpatient | AMERIGROUP | AMERIGROUP | — | — | — | 2026-03-23 | MRF ↗ |
| HOSPITAL FOR SPECIAL SURGERY InpatientFacility | AFFINITY BY MOLINA HEALTH PLAN [1005] | AFFINITY ESSENTIAL EXCHANGE [100500] | $3,595.00 | — | $60,748.45 | 2026-04-01 | MRF ↗ |
| HOSPITAL FOR SPECIAL SURGERY InpatientFacility | UNITED HEALTHCARE MEDICAID [1108] | UNITED HEALTHCARE CHILD HEALTH PLUS [110803] | — | — | $60,748.45 | 2026-04-01 | MRF ↗ |
| HOSPITAL FOR SPECIAL SURGERY InpatientFacility | AFFINITY BY MOLINA MEDICAID [1006] | AFFINITY BY MOLINA CHILD HEALTH PLUS [100601] | — | — | $60,748.45 | 2026-04-01 | MRF ↗ |
| HOSPITAL FOR SPECIAL SURGERY InpatientFacility | METROPLUS MEDICAID [1327] | METROPLUS CHILD HEALTH PLUS [132701] | — | — | $60,748.45 | 2026-04-01 | MRF ↗ |
| HOSPITAL FOR SPECIAL SURGERY InpatientFacility | FIDELIS MEDICAID [1049] | FIDELIS CHILD HEALTH PLUS [104901] | — | — | $60,748.45 | 2026-04-01 | MRF ↗ |
| HOSPITAL FOR SPECIAL SURGERY InpatientFacility | METROPLUS HEALTH [1326] | METROPLUS ESSENTIAL 1 AND 2 [132600] | — | — | $60,748.45 | 2026-04-01 | MRF ↗ |
| HOSPITAL FOR SPECIAL SURGERY InpatientFacility | EMBLEM HEALTH [1043] | HIP ESSENTIAL GROUP 3 AND 4 [104310] | — | — | $60,748.45 | 2026-04-01 | MRF ↗ |
| HOSPITAL FOR SPECIAL SURGERY InpatientFacility | EMBLEM HEALTH [1043] | HIP ESSENTIAL GROUP 1 AND 2 [104309] | — | — | $60,748.45 | 2026-04-01 | MRF ↗ |
| JOHNSON CITY MEDICAL CENTER Inpatient | BLUE CROSS | TENNCARE BLUE CARE | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSON CITY MEDICAL CENTER Inpatient | BLUE CROSS | TENNCARE BLUE CARE | — | — | — | 2026-03-23 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | UHC COMMUNITY MEDICAID [2175] | HB XR UHC INDIANA PATHWAYS MEDICAID | $5,132.78 | $41,511.31 | $24,906.79 | 2025-12-19 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $6,095.28 | $199,532.22 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $6,095.28 | $199,532.22 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $6,095.28 | $199,532.22 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $6,095.28 | $199,532.22 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $6,095.28 | $199,532.22 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $6,095.28 | $199,532.22 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $6,095.28 | $199,532.22 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $6,095.28 | $199,532.22 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $6,095.28 | $199,532.22 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $6,095.28 | $199,532.22 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $6,095.28 | $199,532.22 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $6,095.28 | $199,532.22 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $6,095.28 | $199,532.22 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $6,095.28 | $199,532.22 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $6,095.28 | $199,532.22 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $6,095.28 | $199,532.22 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $6,095.28 | $199,532.22 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $6,095.28 | $199,532.22 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $6,095.28 | $199,532.22 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $6,095.28 | $199,532.22 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $6,095.28 | $199,532.22 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $6,095.28 | $199,532.22 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $6,095.28 | $199,532.22 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $6,095.28 | $199,532.22 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $6,095.28 | $199,532.22 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $6,095.28 | $199,532.22 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $6,095.28 | $199,532.22 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $6,095.28 | $199,532.22 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $6,095.28 | $199,532.22 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $6,095.28 | $199,532.22 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $6,095.28 | $199,532.22 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $6,095.28 | $199,532.22 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $6,095.28 | $199,532.22 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $6,095.28 | $199,532.22 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $6,095.28 | $199,532.22 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $6,095.28 | $199,532.22 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $6,095.28 | $199,532.22 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $6,095.28 | $199,532.22 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $6,095.28 | $199,532.22 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $6,095.28 | $199,532.22 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $6,095.28 | $199,532.22 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $6,095.28 | $199,532.22 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $6,095.28 | $199,532.22 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $6,095.28 | $199,532.22 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $6,095.28 | $199,532.22 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $6,095.28 | $199,532.22 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $6,095.28 | $199,532.22 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $6,095.28 | $199,532.22 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $6,095.28 | $199,532.22 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $6,095.28 | $199,532.22 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $6,095.28 | $199,532.22 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $6,095.28 | $199,532.22 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $6,095.28 | $199,532.22 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $6,095.28 | $199,532.22 | — | 2026-03-26 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis Child Health Plus | $6,381.56 | — | — | 2026-04-14 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | UHC COMMUNITY MEDICAID [2175] | HB XR UHC INDIANA PATHWAYS MEDICAID | $6,889.80 | $104,407.14 | $62,644.28 | 2025-12-19 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis Medicaid | $6,936.48 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis HARP | $6,936.48 | — | — | 2026-04-14 | MRF ↗ |
| SANFORD MEDICAL CENTER ABERDEEN InpatientFacility | Sanford Health Plan | SD Exchange True | $7,168.13 | — | — | 2026-03-04 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Inpatient | Fidelis | Managed Medicaid | $7,195.00 | $195,104.91 | $156,083.93 | 2026-07-15 | MRF ↗ |
| GUTHRIE CORTLAND REGIONAL MEDICAL CENTER Inpatient | Fidelis | Managed Medicaid | $7,555.51 | $169,515.80 | $135,612.64 | 2026-07-15 | MRF ↗ |
| GUTHRIE CORTLAND REGIONAL MEDICAL CENTER Inpatient | Wellcare | Managed Medicaid | $7,555.51 | $169,515.80 | $135,612.64 | 2026-07-15 | MRF ↗ |
| GUTHRIE CORTLAND REGIONAL MEDICAL CENTER Inpatient | Bcbs | Managed Medicaid | $7,555.51 | $169,515.80 | $135,612.64 | 2026-07-15 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Inpatient | Cdphp | Managed Medicaid | $7,555.51 | $169,515.80 | $84,757.90 | 2026-07-15 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Inpatient | Fidelis | Managed Medicaid | $7,575.60 | $169,515.80 | $84,757.90 | 2026-07-15 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Inpatient | Bcbs | Managed Medicaid | $7,575.60 | $169,515.80 | $84,757.90 | 2026-07-15 | MRF ↗ |
| GUTHRIE CORTLAND REGIONAL MEDICAL CENTER Inpatient | Molina | — | $7,782.18 | $169,515.80 | $135,612.64 | 2026-07-15 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Inpatient | Fidelis | Managed Medicaid | $7,856.45 | $195,104.91 | $156,083.93 | 2026-07-15 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Inpatient | Molina | — | $7,910.23 | $169,515.80 | $84,757.90 | 2026-07-15 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Inpatient | Mvp | Managed Medicaid | $7,956.63 | $169,515.80 | $84,757.90 | 2026-07-15 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $7,985.12 | $153,436.69 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $7,985.12 | $153,436.69 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $7,985.12 | $153,436.69 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $7,985.12 | $153,436.69 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $7,985.12 | $153,436.69 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $7,985.12 | $153,436.69 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $7,985.12 | $153,436.69 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $7,985.12 | $153,436.69 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $7,985.12 | $153,436.69 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $7,985.12 | $153,436.69 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $7,985.12 | $153,436.69 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $7,985.12 | $153,436.69 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $7,985.12 | $153,436.69 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $7,985.12 | $153,436.69 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $7,985.12 | $153,436.69 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $7,985.12 | $153,436.69 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $7,985.12 | $153,436.69 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $7,985.12 | $153,436.69 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $7,985.12 | $153,436.69 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $7,985.12 | $153,436.69 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $7,985.12 | $153,436.69 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $7,985.12 | $153,436.69 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $7,985.12 | $153,436.69 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $7,985.12 | $153,436.69 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $7,985.12 | $153,436.69 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $7,985.12 | $153,436.69 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $7,985.12 | $153,436.69 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $7,985.12 | $153,436.69 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $7,985.12 | $153,436.69 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $7,985.12 | $153,436.69 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $7,985.12 | $153,436.69 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $7,985.12 | $153,436.69 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $7,985.12 | $153,436.69 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $7,985.12 | $153,436.69 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $7,985.12 | $153,436.69 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $7,985.12 | $153,436.69 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $7,985.12 | $153,436.69 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $7,985.12 | $153,436.69 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $7,985.12 | $153,436.69 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $7,985.12 | $153,436.69 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $7,985.12 | $153,436.69 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $7,985.12 | $153,436.69 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $7,985.12 | $153,436.69 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $7,985.12 | $153,436.69 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $7,985.12 | $153,436.69 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $7,985.12 | $153,436.69 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $7,985.12 | $153,436.69 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $7,985.12 | $153,436.69 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $7,985.12 | $153,436.69 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $7,985.12 | $153,436.69 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $7,985.12 | $153,436.69 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $7,985.12 | $153,436.69 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $7,985.12 | $153,436.69 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $7,985.12 | $153,436.69 | — | 2026-03-26 | MRF ↗ |
| SANFORD MEDICAL CENTER ABERDEEN InpatientFacility | Sanford Health Plan | Group Health/True | $8,173.47 | — | — | 2026-03-04 | 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.