3154 — Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT (APR_DRG 3154) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/3154?code_type=APR_DRG
MLA (9th ed.)
“SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT (APR_DRG 3154) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/3154?code_type=APR_DRG. Accessed .
Chicago (notes-bibliography)
“SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT (APR_DRG 3154) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/3154?code_type=APR_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $26,667–$54,011 (25th–75th percentile) across 1,139 hospitals · 610 payers.
“Negotiated” is the hospital’s negotiated rate for the entire inpatient stay under APR_DRG 3154 — 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 |
|---|---|---|---|---|---|---|---|
| LOMA LINDA UNIVERSITY MEDICAL CENTER-MURRIETA InpatientFacility | Inland Empire Health Plan (IEHP) | Medi-Cal | $3.65 | — | — | 2026-02-19 | MRF ↗ |
| Memorial Regional Hospital South InpatientFacility | OptumHealth Care Solutions | Transplants - Medicaid | $4.90 | — | — | 2026-05-27 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Molina | CHIP/Medicaid | $10.13 | — | — | 2026-04-15 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Cigna | Medicaid | $10.13 | — | — | 2026-04-15 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Amerigroup | CHIP/Medicaid | $10.13 | — | — | 2026-04-15 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Superior Health Plan | CHIP/Medicaid | $10.13 | — | — | 2026-04-15 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Parkland | Medicaid | $10.13 | — | — | 2026-04-15 | MRF ↗ |
| ELIZABETHTOWN COMMUNITY HOSPITAL InpatientFacility | — | — | — | — | — | 2025-01-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | Superior Health Plan | CHIP | $1,139.00 | — | — | 2024-10-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | Superior Health Plan | STAR | $1,139.00 | — | — | 2024-10-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | Superior Health Plan | STARPLUS | $1,139.00 | — | — | 2024-10-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | Superior Health Plan | STARKids | $1,139.00 | — | — | 2024-10-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | Superior Health Plan | CHPFC | $1,139.00 | — | — | 2024-10-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Medicaid Other | — | $1,338.72 | $133,693.92 | $86,901.05 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Medicaid Sc | — | $1,348.50 | $133,693.92 | $86,901.05 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Bluechoice Medicaid (Greenville County Only) | — | $1,370.62 | $133,693.92 | $86,901.05 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Molina Medicaid | — | $1,388.95 | $133,693.92 | $86,901.05 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Blue Choice Medicaid (Greenville County Only) | — | $1,395.06 | $133,693.92 | $86,901.05 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Bluechoice Medicaid | — | $1,415.92 | $133,693.92 | $86,901.05 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Absolute Total Care Medicaid | — | $1,415.92 | $133,693.92 | $86,901.05 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Select Health Medicaid | — | $1,415.92 | $133,693.92 | $86,901.05 | 2026-07-05 | MRF ↗ |
| NEW ULM MEDICAL CENTER Inpatient | Medicaid | Medicaid Ma (N) | $1,421.14 | — | — | 2026-07-18 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Blue Choice Medicaid (Greenville County Only) | — | $1,438.70 | $133,693.92 | $86,901.05 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Medicaid Other | — | $1,458.11 | $133,693.92 | $86,901.05 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Medicaid | — | $1,458.11 | $133,693.92 | $86,901.05 | 2026-07-05 | MRF ↗ |
| NEW ULM MEDICAL CENTER Inpatient | South Country Health Alliance | Scha Pmap (N) | $1,470.00 | — | — | 2026-07-18 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Absolute Total Care Medicaid | — | $1,472.40 | $133,693.92 | $86,901.05 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bluechoice Medicaid | — | $1,484.10 | $133,693.92 | $86,901.05 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Blue Choice Medicaid (Greenville County Only) | — | $1,485.64 | $133,694.00 | $86,901.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Blue Choice Medicaid (Greenville County Only) | — | $1,497.20 | $133,693.92 | $86,901.05 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Select Health Medicaid | — | $1,513.68 | $133,693.92 | $86,901.05 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Molina Medicaid | — | $1,528.63 | $133,693.92 | $86,901.05 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Select Health Medicaid | — | $1,528.63 | $133,693.92 | $86,901.05 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Bluechoice Medicaid | — | $1,530.53 | $133,693.92 | $86,901.05 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Medicaid Sc | — | $1,556.17 | $133,693.92 | $86,901.05 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Medicaid | — | $1,557.16 | $133,693.92 | $86,901.05 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Absolute Total Care Medicaid | — | $1,558.31 | $133,693.92 | $86,901.05 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Humana Healthy Horizons Medicaid | — | $1,560.18 | $133,693.92 | $86,901.05 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Bluechoice Medicaid | — | $1,568.73 | $133,693.92 | $86,901.05 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL InpatientFacility | — | — | — | — | — | 2024-12-16 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Molina Medicaid | — | $1,576.45 | $133,693.92 | $86,901.05 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Select Health Medicaid | — | $1,576.45 | $133,693.92 | $86,901.05 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Medicaid | — | $1,580.47 | $133,694.00 | $86,901.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Medicare Advantage Non Contracted | — | $1,580.47 | $133,694.00 | $86,901.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Bluechoice Medicaid | — | $1,580.47 | $133,694.00 | $86,901.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Bluechoice Medicaid | — | $1,592.77 | $133,693.92 | $86,901.05 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Medicaid Other | — | $1,594.89 | $133,693.92 | $86,901.05 | 2026-07-05 | MRF ↗ |
| PROMEDICA MONROE REGIONAL HOSPITAL Inpatient | Meridian | Meridian | $1,600.00 | — | — | 2026-07-15 | MRF ↗ |
| BAY PARK COMMUNITY HOSPITAL Inpatient | Meridian Health Plan Of Mi | Meridian | $1,600.00 | — | — | 2026-07-15 | MRF ↗ |
| PROMEDICA TOLEDO HOSPITAL Inpatient | Health Plan Of Michigan Dba Meridian Health Plan Of Michigan | Meridian | $1,600.00 | — | — | 2026-07-17 | MRF ↗ |
| FOSTORIA COMMUNITY HOSPITAL Inpatient | Meridian Health Plan Of Mi | Meridian | $1,600.00 | — | — | 2026-07-17 | MRF ↗ |
| PROMEDICA DEFIANCE REGIONAL HOSPITAL Inpatient | Meridian Health Plan Of Mi | Meridian | $1,600.00 | — | — | 2026-07-17 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Select Health Medicaid | — | $1,603.92 | $133,693.92 | $86,901.05 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Absolute Total Care Medicaid | — | $1,607.06 | $133,693.92 | $86,901.05 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Bluechoice Medicaid | — | $1,618.50 | $133,693.92 | $86,901.05 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Molina Medicaid | — | $1,623.77 | $133,693.92 | $86,901.05 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Molina Medicaid | — | $1,627.89 | $133,694.00 | $86,901.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Select Health Medicaid | — | $1,627.89 | $133,694.00 | $86,901.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Medicaid | — | $1,631.27 | $133,693.92 | $86,901.05 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Medicaid Other | — | $1,631.27 | $133,693.92 | $86,901.05 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Absolute Total Care Medicaid | — | $1,633.98 | $133,693.92 | $86,901.05 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Molina Medicaid | — | $1,640.55 | $133,693.92 | $86,901.05 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Select Health Medicaid | — | $1,640.55 | $133,693.92 | $86,901.05 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Medicaid Sc | — | $1,645.63 | $133,693.92 | $86,901.05 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Absolute Total Care Medicaid | — | $1,659.49 | $133,694.00 | $86,901.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Humana Healthy Horizons Medicaid | — | $1,665.11 | $133,693.92 | $86,901.05 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Humana Healthy Horizons Medicaid | — | $1,666.16 | $133,693.92 | $86,901.05 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Absolute Total Care Medicaid | — | $1,672.40 | $133,693.92 | $86,901.05 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Molina Medicaid | — | $1,676.82 | $133,693.92 | $86,901.05 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Humana Healthy Horizons Medicaid | — | $1,691.10 | $133,694.00 | $86,901.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Absolute Total Care Medicaid | — | $1,705.99 | $133,693.92 | $86,901.05 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Select Health Medicaid | — | $1,711.79 | $133,693.92 | $86,901.05 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Medicaid | — | $1,713.35 | $133,693.92 | $86,901.05 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Humana Healthy Horizons Medicaid | — | $1,745.45 | $133,693.92 | $86,901.05 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Humana Healthy Horizons Medicaid | — | $1,760.82 | $133,693.92 | $86,901.05 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Humana Healthy Horizons Medicaid | — | $1,760.82 | $133,693.92 | $86,901.05 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Humana Healthy Horizons Medicaid | — | $1,833.29 | $133,693.92 | $86,901.05 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Molina Medicaid | — | $1,836.29 | $133,693.92 | $86,901.05 | 2026-07-05 | MRF ↗ |
| JAMAICA HOSPITAL MEDICAL CENTER Inpatient | Hotel Trades Council | Dental Or | $1,912.00 | — | — | 2026-07-15 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL InpatientFacility | — | — | — | — | — | 2024-12-11 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Soonercare | Managed Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Healthlink | Ppo | — | — | — | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Centene Managed Health Services | Mgd. Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Healthlink | Hmo | — | — | — | 2026-07-15 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Cigna Hmo Ppo | — | $2,646.00 | $133,693.92 | $86,901.05 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL InpatientFacility | — | — | — | — | — | 2024-12-10 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL InpatientFacility | — | — | — | — | — | 2024-12-12 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL InpatientFacility | — | — | — | — | — | 2024-12-07 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL InpatientFacility | — | — | — | — | — | 2024-12-13 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL InpatientFacility | — | — | — | — | — | 2024-12-13 | MRF ↗ |
| RIVER FALLS AREA HOSPITAL Inpatient | South Country Health Alliance | Scha Pmap (R) | $3,319.06 | — | — | 2026-07-15 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL InpatientFacility | OHANA | NON-ABD | $3,403.11 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL InpatientFacility | OHANA | ABD | $3,403.11 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL InpatientFacility | OHANA | NON-ABD | $3,403.11 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL InpatientFacility | OHANA | ABD | $3,403.11 | — | — | 2026-02-12 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE InpatientFacility | — | — | — | — | — | 2025-03-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST InpatientFacility | — | — | — | — | — | 2025-03-06 | MRF ↗ |
| Prisma Health North Greenville Ltach | Medicaid Other | — | $3,674.10 | $133,693.92 | $86,901.00 | 2026-07-05 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN InpatientFacility | ALOHACARE | MEDICAID | $3,747.84 | — | — | 2026-02-12 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN InpatientFacility | OHANA | ABD | $3,747.84 | — | — | 2026-02-12 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN InpatientFacility | OHANA | NON-ABD | $3,747.84 | — | — | 2026-02-12 | MRF ↗ |
| THE SHRINERS' HOSPITAL FOR CHILDREN - BOSTON Inpatient | Amerihealth Caritas Florida | Managed Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| THE SHRINERS' HOSPITAL FOR CHILDREN - BOSTON Inpatient | Bms Healthnet Bos | Managed Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| THE SHRINERS' HOSPITAL FOR CHILDREN - BOSTON Inpatient | Centene Meridian Health Plan Of Mi | Mngd Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| THE SHRINERS' HOSPITAL FOR CHILDREN - BOSTON Inpatient | Humana | Tricare | — | — | — | 2026-07-15 | MRF ↗ |
| THE SHRINERS' HOSPITAL FOR CHILDREN - BOSTON Inpatient | Mass General Brigham Health Plan | Mgd. Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| THE SHRINERS' HOSPITAL FOR CHILDREN - BOSTON Inpatient | Centene Sunshine Health | Mngd Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| THE SHRINERS' HOSPITAL FOR CHILDREN - BOSTON Inpatient | Health New England | Medicare Advantage | — | — | — | 2026-07-15 | MRF ↗ |
| Prisma Health North Greenville Ltach | Humana Healthy Horizons Medicaid | — | $3,931.29 | $133,693.92 | $86,901.00 | 2026-07-05 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Health Net Federal Services | Tricare | — | — | — | 2026-07-15 | MRF ↗ |
| Prisma Health North Greenville Ltach | Blue Choice Medicaid (Greenville County Only) | — | $4,006.84 | $133,693.92 | $86,901.00 | 2026-07-05 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Health Net Federal Services | Tricare | — | — | — | 2026-07-15 | MRF ↗ |
| Prisma Health North Greenville Ltach | Bluechoice Medicaid | — | $4,262.60 | $133,693.92 | $86,901.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Medicaid | — | $4,262.60 | $133,693.92 | $86,901.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Molina Medicaid | — | $4,390.47 | $133,693.92 | $86,901.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Select Health Medicaid | — | $4,390.47 | $133,693.92 | $86,901.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Absolute Total Care Medicaid | — | $4,475.73 | $133,693.92 | $86,901.00 | 2026-07-05 | MRF ↗ |
| MCLAREN MACOMB | Medicaid - Hmo | — | $5,191.91 | $62,579.34 | $31,289.67 | 2026-07-05 | MRF ↗ |
| EAST COOPER MEDICAL CENTER InpatientFacility | Select Health | Medicaid | $5,234.51 | — | — | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER InpatientFacility | Humana | Medicaid | $5,234.51 | — | — | 2026-03-12 | MRF ↗ |
| MCLAREN MACOMB | Medicaid - Molina | — | $5,295.75 | $62,579.34 | $31,289.67 | 2026-07-05 | MRF ↗ |
| MCLAREN MACOMB | Medicaid United Healthcare Community | — | $5,413.75 | $62,579.34 | $31,289.67 | 2026-07-05 | MRF ↗ |
| EAST COOPER MEDICAL CENTER InpatientFacility | Absolute Total Care | Medicaid | $5,496.24 | — | — | 2026-03-12 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS InpatientFacility | UHC COMMUNITY | ALL PRODUCTS | $5,718.43 | — | — | 2026-03-18 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | United Healthcare Medicare | — | $6,403.18 | $133,693.92 | $86,901.05 | 2026-07-05 | MRF ↗ |
| MONTEFIORE ST LUKE'S CORNWALL Inpatient | Anthem | Exchange | $6,447.55 | — | — | 2026-04-01 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Molina Medicaid | — | $6,719.68 | $133,693.92 | $93,585.74 | 2026-06-20 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Aetna Medicaid | — | $6,719.68 | $133,693.92 | $93,585.74 | 2026-06-20 | MRF ↗ |
| Prisma Health North Greenville Ltach InpatientFacility | — | — | — | — | — | 2024-12-11 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Select Health First Choice Vip | — | $7,582.47 | $133,693.92 | $86,901.05 | 2026-07-05 | MRF ↗ |
| SANFORD LUVERNE MEDICAL CENTER InpatientFacility | Ucare | Medicaid Managed Care | $8,823.34 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD LUVERNE MEDICAL CENTER InpatientFacility | Primewest | Medicaid Managed Care | $8,823.34 | — | — | 2026-03-04 | MRF ↗ |
| GARFIELD MEDICAL CENTER InpatientFacility | — | — | — | — | — | 2026-03-12 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Inpatient | Healthy Way La | Healthy Way La | $9,219.05 | — | — | 2026-07-15 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Inpatient | Healthy Way La | Healthy Way La | $9,219.05 | — | — | 2026-07-19 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Inpatient | Healthy Way La | Healthy Way La | $9,781.60 | — | — | 2026-07-15 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Humana Gold Plus Medicare Advantage Hmo | — | $10,274.57 | $133,693.92 | $86,901.05 | 2026-07-05 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Inpatient | Mdwise | Hip | $10,877.86 | — | — | 2026-07-17 | MRF ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC InpatientFacility | Anthem Blue Cross of IN | Medicaid | $11,029.34 | — | — | 2026-02-18 | MRF ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC InpatientFacility | CareSource Indiana of IN | Hoosier Healthwise/HIP | $11,029.34 | — | — | 2026-02-18 | MRF ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC InpatientFacility | Managed Health Services | Medicaid | $11,029.34 | — | — | 2026-02-18 | MRF ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC InpatientFacility | MDWise | Medicaid | $11,029.34 | — | — | 2026-02-18 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | CareSource Indiana Healthy Indiana Plan (HIP) | Managed Medicaid | $11,042.38 | — | — | 2026-06-03 | MRF ↗ |
| REID HEALTH InpatientFacility | MHS | Managed Medicaid | $11,042.38 | — | — | 2025-07-21 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Managed Health Services (MHS) Hoosier Healthwise (HHW) | Managed Medicaid | $11,042.38 | — | — | 2025-04-24 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Managed Health Services (MHS) Hoosier Care Connect | Managed Medicaid | $11,042.38 | — | — | 2025-04-24 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | United Healthcare of Indiana | Managed Medicaid | $11,042.38 | — | — | 2026-06-03 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | Managed Health Services (MHS) Hoosier Care Connect | Managed Medicaid | $11,042.38 | — | — | 2026-06-03 | MRF ↗ |
| REID HEALTH InpatientFacility | Anthem Blue Cross Blue Shield | Managed Medicaid | $11,042.38 | — | — | 2025-07-21 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | CareSource Indiana Healthy Indiana Plan (HIP) | Managed Medicaid | $11,042.38 | — | — | 2025-04-24 | MRF ↗ |
| REID HEALTH InpatientFacility | Anthem Blue Cross Blue Shield | Pathways for Aging/Managed Medicaid | $11,042.38 | — | — | 2025-07-21 | MRF ↗ |
| REID HEALTH InpatientFacility | MDWise | Managed Medicaid | $11,042.38 | — | — | 2025-07-21 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | Managed Health Services (MHS) | Managed Medicaid | $11,042.38 | — | — | 2026-06-03 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Humana | Managed Medicaid | $11,042.38 | — | — | 2025-04-24 | MRF ↗ |
| REID HEALTH InpatientFacility | Humana of Indiana | Pathways for Aging/Managed Medicaid | $11,042.38 | — | — | 2025-07-21 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Anthem Blue Cross Blue Shield | Managed Medicaid | $11,042.38 | — | — | 2025-04-24 | MRF ↗ |
| REID HEALTH InpatientFacility | Caresource of Indiana | Managed Medicaid | $11,042.38 | — | — | 2025-07-21 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | CareSource Indiana Hoosier Healthwise (HHW) | Managed Medicaid | $11,152.80 | — | — | 2026-06-03 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Medicare Advantage Non Contracted | — | $11,202.36 | $133,693.92 | $86,901.05 | 2026-05-28 | MRF ↗ |
| REID HEALTH InpatientFacility | United Healthcare | Pathways for Aging/Managed Medicaid | $11,263.24 | — | — | 2025-07-21 | MRF ↗ |
| REID HEALTH InpatientFacility | United Healthcare | Managed Medicaid | $11,263.24 | — | — | 2025-07-21 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Aetna Medicare Prime Hmo | — | $11,285.11 | $133,693.92 | $86,901.05 | 2026-05-28 | MRF ↗ |
| MONROE HOSPITAL Inpatient | Non-Contracted Medicaid | Non-Contracted Medicaid | $11,357.60 | — | — | 2024-12-19 | MRF ↗ |
| MONROE HOSPITAL Inpatient | BCBS | BCBS Medicaid - Hoosier Healthwise | $11,357.60 | — | — | 2024-12-19 | MRF ↗ |
| MONROE HOSPITAL Inpatient | Traditional Medicaid | Traditional Medicaid | $11,357.60 | — | — | 2024-12-19 | MRF ↗ |
| MONROE HOSPITAL Inpatient | Care Source | Care Source Medicaid - Healthy Indiana Plan - HIP | $11,357.60 | — | — | 2024-12-19 | MRF ↗ |
| MONROE HOSPITAL Inpatient | Care Source | Care Source Medicaid - Hoosier Healthwise | $11,357.60 | — | — | 2024-12-19 | MRF ↗ |
| MONROE HOSPITAL Inpatient | United Healthcare | UHC Medicaid CHIP - Hoosier Care | $11,357.60 | — | — | 2024-12-19 | MRF ↗ |
| MONROE HOSPITAL Inpatient | Care Source | Care Source Medicaid - Healthy Indiana Plan - HIP | $11,357.63 | — | — | 2026-03-17 | MRF ↗ |
| MONROE HOSPITAL Inpatient | BCBS | BCBS Medicaid - Hoosier Healthwise | $11,357.63 | — | — | 2026-03-17 | MRF ↗ |
| MONROE HOSPITAL Inpatient | Care Source | Care Source Medicaid - Hoosier Healthwise | $11,357.63 | — | — | 2026-03-17 | MRF ↗ |
| MONROE HOSPITAL Inpatient | United Healthcare | UHC Medicaid CHIP - Hoosier Care | $11,357.63 | — | — | 2026-03-17 | MRF ↗ |
| MONROE HOSPITAL Inpatient | Monroe Medical Group and Managed Health Services | Monroe Medical Group Medicaid | $11,357.63 | — | — | 2026-03-17 | MRF ↗ |
| MONROE HOSPITAL Inpatient | Traditional Medicaid | Traditional Medicaid | $11,357.63 | — | — | 2026-03-17 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | United Healthcare | Managed Medicaid | $11,373.65 | — | — | 2025-04-24 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | CareSource Indiana Hoosier Healthwise (HHW) | Managed Medicaid | $11,373.65 | — | — | 2025-04-24 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bcbs Medicare Advantage | — | $11,396.84 | $133,693.92 | $86,901.05 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | United Healthcare Medicare | — | $11,396.84 | $133,693.92 | $86,901.05 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Humana Gold Plus Medicare Advantage Hmo | — | $11,550.13 | $133,693.92 | $86,901.05 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Medicare | — | $11,573.63 | $133,693.92 | $86,901.05 | 2026-05-28 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Mdwise Hoosier Healthwise (HHW) | Managed Medicaid | $11,594.50 | — | — | 2025-04-24 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | MDwise Hoosier Healthwise (HHW) | Managed Medicaid | $11,594.50 | — | — | 2026-06-03 | MRF ↗ |
| DEACONESS HENDERSON HOSPITAL InpatientFacility | Caresource IN | Managed Medicaid | $11,603.53 | — | — | 2026-02-09 | MRF ↗ |
| DEACONESS HENDERSON HOSPITAL InpatientFacility | MHS IN Medicaid Product (IN) | Managed Medicaid | $11,603.53 | — | — | 2026-02-09 | MRF ↗ |
| METHODIST HOSPITAL UNION COUNTY InpatientFacility | MHS IN MCO | Managed Medicaid | $11,603.53 | — | — | 2026-02-13 | MRF ↗ |
| METHODIST HOSPITAL UNION COUNTY InpatientFacility | CareSource IN | Managed Medicaid | $11,603.53 | — | — | 2026-02-13 | MRF ↗ |
| DEACONESS HENDERSON HOSPITAL InpatientFacility | Anthem IN | Managed Medicaid | $11,603.53 | — | — | 2026-02-09 | MRF ↗ |
| DEACONESS HENDERSON HOSPITAL InpatientFacility | United Healthcare IN | Managed Medicaid | $11,603.53 | — | — | 2026-02-09 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Molina Healthcare of Indiana | Managed Medicaid | $11,704.92 | — | — | 2025-04-24 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Wellcare Medicare | — | $11,732.05 | $133,693.92 | $86,901.05 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Select Health First Choice Vip | — | $11,772.25 | $133,693.92 | $86,901.05 | 2026-05-28 | MRF ↗ |
| SANFORD CANBY MEDICAL CENTER InpatientFacility | Primewest | Medicaid Managed Care | $11,832.87 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD BEHAVIORAL HEALTH CENTER InpatientFacility | Ucare | Medicaid Managed Care | $11,832.87 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD THIEF RIVER FALLS MEDICAL CENTER InpatientFacility | Ucare | Medicaid Managed Care | $11,832.87 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD THIEF RIVER FALLS MEDICAL CENTER InpatientFacility | Primewest | Medicaid Managed Care | $11,832.87 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD BEHAVIORAL HEALTH CENTER InpatientFacility | Primewest | Medicaid Managed Care | $11,832.87 | — | — | 2026-03-04 | MRF ↗ |
| NORTON-KING'S DAUGHTERS' HEALTH InpatientFacility | Anthem of Indiana | Managed Medicaid | $12,064.97 | — | — | 2026-05-05 | MRF ↗ |
| NORTON-KING'S DAUGHTERS' HEALTH InpatientFacility | United Healthcare of Indiana | Managed Medicaid | $12,064.97 | — | — | 2026-05-05 | MRF ↗ |
| NORTON-KING'S DAUGHTERS' HEALTH InpatientFacility | Managed Health Services of Indiana | Managed Medicaid | $12,064.97 | — | — | 2026-05-05 | MRF ↗ |
| SANFORD WHEATON MEDICAL CENTER InpatientFacility | Ucare | Medicaid Managed Care | $12,195.08 | — | — | 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.