315 — 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 315) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/315?code_type=APR_DRG
MLA (9th ed.)
“SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT (APR_DRG 315) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/315?code_type=APR_DRG. Accessed .
Chicago (notes-bibliography)
“SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT (APR_DRG 315) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/315?code_type=APR_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $9,843–$28,356 (25th–75th percentile) across 73 hospitals · 234 payers.
“Negotiated” is the hospital’s negotiated rate for the entire inpatient stay under APR_DRG 315 — 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 | $53,305.70 | $10,661.14 | 2026-03-31 | MRF ↗ |
| MERCY MEDICAL CTR InpatientFacility | TUFTS HEALTH PUBLIC PLANS | TUFTS MEDICAID | $392.00 | — | — | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Inpatient | POLICE DEPARTMENTS [50065] | POLICE DEPTS [5006501] | $1,000.00 | $53,305.70 | $10,661.14 | 2026-03-31 | MRF ↗ |
| BETHESDA HOSPITAL EAST Inpatient | UNITED HEALTHCARE | UNITED MD HMO | — | — | — | 2026-03-30 | MRF ↗ |
| BETHESDA HOSPITAL EAST Inpatient | MEDICAID | SIMPLYHLTH MD HMO NC | — | — | — | 2026-03-30 | MRF ↗ |
| BETHESDA HOSPITAL EAST Inpatient | MEDICAID | PRESTIGE MD HMO NC | — | — | — | 2026-03-30 | MRF ↗ |
| BETHESDA HOSPITAL EAST Inpatient | SUNSHINE STATE | SUNSHINE ST MD HMONC | — | — | — | 2026-03-30 | MRF ↗ |
| BETHESDA HOSPITAL EAST Inpatient | VISTA | COVENTRY MEDICAID | — | — | — | 2026-03-30 | MRF ↗ |
| BETHESDA HOSPITAL EAST Inpatient | WELLCARE | WELL CARE MD HMONC | — | — | — | 2026-03-30 | MRF ↗ |
| JACOBI MEDICAL CENTER InpatientFacility | Healthfirst | EXCHANGE | $2,548.00 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER InpatientFacility | Healthfirst | EXCHANGE | $2,548.00 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER InpatientFacility | Healthfirst | EXCHANGE | $2,548.00 | — | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER InpatientFacility | Healthfirst | EXCHANGE | $2,548.00 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital InpatientFacility | Healthfirst | EXCHANGE | $2,548.00 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER InpatientFacility | Healthfirst | EXCHANGE | $2,548.00 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER InpatientFacility | Healthfirst | EXCHANGE | $2,548.00 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital InpatientFacility | Healthfirst | EXCHANGE | $2,548.00 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER InpatientFacility | Healthfirst | EXCHANGE | $2,548.00 | — | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER InpatientFacility | Healthfirst | EXCHANGE | $2,548.00 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER InpatientFacility | Healthfirst | EXCHANGE | $2,548.00 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER InpatientFacility | Healthfirst | EXCHANGE | $2,548.00 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER InpatientFacility | Healthfirst | EXCHANGE | $2,548.00 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER InpatientFacility | Healthfirst | EXCHANGE | $2,548.00 | — | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER InpatientFacility | Healthfirst | EXCHANGE | $2,548.00 | — | — | 2025-09-05 | MRF ↗ |
| JOHNSON CITY MEDICAL CENTER Inpatient | AETNA | AETNA BETTER HEALTH OF VIRGINIA | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSON CITY MEDICAL CENTER Inpatient | BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSON CITY MEDICAL CENTER Inpatient | UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSON CITY MEDICAL CENTER Inpatient | MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | — | — | — | 2026-03-23 | MRF ↗ |
| WELLMONT HOLSTON VALLEY MEDICAL CENTER Inpatient | AMERIGROUP | AMERIGROUP | — | — | — | 2026-03-23 | MRF ↗ |
| WELLMONT HOLSTON VALLEY MEDICAL CENTER Inpatient | BLUE CROSS | TENNCARE BLUE CARE | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSON CITY MEDICAL CENTER Inpatient | AMERIGROUP | AMERIGROUP | — | — | — | 2026-03-23 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER InpatientFacility | Healthfirst | Managed Medicaid | $3,974.00 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER InpatientFacility | Healthfirst | Managed Medicaid | $3,974.00 | — | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER InpatientFacility | Healthfirst | Managed Medicaid | $3,974.00 | — | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER InpatientFacility | Healthfirst | HARP | $3,974.00 | — | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER InpatientFacility | Healthfirst | HARP | $3,974.00 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER InpatientFacility | Healthfirst | HARP | $3,974.00 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER InpatientFacility | Healthfirst | Managed Medicaid | $3,974.00 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER InpatientFacility | Healthfirst | Managed Medicaid | $3,974.00 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER InpatientFacility | Healthfirst | Managed Medicaid | $3,974.00 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital InpatientFacility | Healthfirst | HARP | $3,974.00 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital InpatientFacility | Healthfirst | Managed Medicaid | $3,974.00 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER InpatientFacility | Healthfirst | Managed Medicaid | $3,974.00 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER InpatientFacility | Healthfirst | HARP | $3,974.00 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital InpatientFacility | Healthfirst | Managed Medicaid | $3,974.00 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER InpatientFacility | Healthfirst | HARP | $3,974.00 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER InpatientFacility | Healthfirst | HARP | $3,974.00 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER InpatientFacility | Healthfirst | Managed Medicaid | $3,974.00 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital InpatientFacility | Healthfirst | HARP | $3,974.00 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER InpatientFacility | Healthfirst | HARP | $3,974.00 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER InpatientFacility | Healthfirst | HARP | $3,974.00 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER InpatientFacility | Healthfirst | Managed Medicaid | $3,974.00 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER InpatientFacility | Healthfirst | Managed Medicaid | $3,974.00 | — | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER InpatientFacility | Healthfirst | Managed Medicaid | $3,974.00 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER InpatientFacility | Healthfirst | Managed Medicaid | $3,974.00 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER InpatientFacility | Healthfirst | HARP | $3,974.00 | — | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER InpatientFacility | Healthfirst | HARP | $3,974.00 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER InpatientFacility | Healthfirst | HARP | $3,974.00 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER InpatientFacility | Healthfirst | HARP | $3,974.00 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER InpatientFacility | Healthfirst | HARP | $3,974.00 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER InpatientFacility | Healthfirst | Managed Medicaid | $3,974.00 | — | — | 2025-09-05 | MRF ↗ |
| NEWTON MEDICAL CENTER Inpatient | SEAFARERS HEALTH AND BENEFITS PLAN [5343] | NMC CIGNA | — | $104,797.85 | — | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Inpatient | SEAFARERS HEALTH AND BENEFITS PLAN [5343] | NMC CIGNA | — | $104,797.85 | — | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Inpatient | LUMINARE HEALTH AHS RETIREE [5013] | NMC AETNA AHS EMPLOYEE | — | $104,797.85 | — | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Inpatient | LUMINARE HEALTH AHS RETIREE [5013] | NMC AETNA AHS EMPLOYEE | — | $104,797.85 | — | 2026-01-01 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis Child Health Plus | $4,143.86 | — | — | 2026-04-14 | MRF ↗ |
| JOHNSON CITY MEDICAL CENTER Inpatient | BLUE CROSS | TENNCARE BLUE SELECT | — | — | — | 2026-03-23 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis HARP | $4,504.20 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis Medicaid | $4,504.20 | — | — | 2026-04-14 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL InpatientFacility | BLUE CROSS [1021] | NMH BCBS PMAP | $4,533.93 | $40,588.25 | — | 2026-04-30 | MRF ↗ |
| MAPLE GROVE HOSPITAL InpatientFacility | BLUE CROSS [1021] | NMH BCBS PMAP | $4,533.93 | $67,076.64 | — | 2026-09-25 | MRF ↗ |
| JOHNSON CITY MEDICAL CENTER Inpatient | BLUE CROSS | TENNCARE BLUE CARE | — | — | — | 2026-03-23 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $5,006.37 | $82,566.38 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $5,006.37 | $82,566.38 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $5,006.37 | $82,566.38 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $5,006.37 | $82,566.38 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $5,006.37 | $82,566.38 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $5,006.37 | $82,566.38 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $5,006.37 | $82,566.38 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $5,006.37 | $82,566.38 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $5,006.37 | $82,566.38 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $5,006.37 | $82,566.38 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $5,006.37 | $82,566.38 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $5,006.37 | $82,566.38 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $5,006.37 | $82,566.38 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $5,006.37 | $82,566.38 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $5,006.37 | $82,566.38 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $5,006.37 | $82,566.38 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $5,006.37 | $82,566.38 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $5,006.37 | $82,566.38 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $5,006.37 | $82,566.38 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $5,006.37 | $82,566.38 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $5,006.37 | $82,566.38 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $5,006.37 | $82,566.38 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $5,006.37 | $82,566.38 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $5,006.37 | $82,566.38 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $5,006.37 | $82,566.38 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $5,006.37 | $82,566.38 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $5,006.37 | $82,566.38 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $5,006.37 | $82,566.38 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $5,006.37 | $82,566.38 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $5,006.37 | $82,566.38 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $5,006.37 | $82,566.38 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $5,006.37 | $82,566.38 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $5,006.37 | $82,566.38 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $5,006.37 | $82,566.38 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $5,006.37 | $82,566.38 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $5,006.37 | $82,566.38 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $5,006.37 | $82,566.38 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $5,006.37 | $82,566.38 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $5,006.37 | $82,566.38 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $5,006.37 | $82,566.38 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $5,006.37 | $82,566.38 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $5,006.37 | $82,566.38 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $5,006.37 | $82,566.38 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $5,006.37 | $82,566.38 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $5,006.37 | $82,566.38 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $5,006.37 | $82,566.38 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $5,006.37 | $82,566.38 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $5,006.37 | $82,566.38 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $5,006.37 | $82,566.38 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $5,006.37 | $82,566.38 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $5,006.37 | $82,566.38 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $5,006.37 | $82,566.38 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $5,006.37 | $82,566.38 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $5,006.37 | $82,566.38 | — | 2026-03-26 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER InpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $5,078.00 | — | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER InpatientFacility | Healthfirst | MAP | $5,078.00 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER InpatientFacility | Healthfirst | MAP | $5,078.00 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER InpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $5,078.00 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER InpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $5,078.00 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER InpatientFacility | Healthfirst | MAP | $5,078.00 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER InpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $5,078.00 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER InpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $5,078.00 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital InpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $5,078.00 | — | — | 2025-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH InpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $5,078.00 | — | — | 2026-09-05 | MRF ↗ |
| North Central Bronx Hospital InpatientFacility | Healthfirst | MAP | $5,078.00 | — | — | 2025-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH InpatientFacility | Healthfirst | MAP | $5,078.00 | — | — | 2026-09-05 | MRF ↗ |
| North Central Bronx Hospital InpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $5,078.00 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital InpatientFacility | Healthfirst | MAP | $5,078.00 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER InpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $5,078.00 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER InpatientFacility | Healthfirst | MAP | $5,078.00 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER InpatientFacility | Healthfirst | MAP | $5,078.00 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER InpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $5,078.00 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER InpatientFacility | Healthfirst | MAP | $5,078.00 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER InpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $5,078.00 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER InpatientFacility | Healthfirst | MAP | $5,078.00 | — | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER InpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $5,078.00 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER InpatientFacility | Healthfirst | MAP | $5,078.00 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER InpatientFacility | Healthfirst | MAP | $5,078.00 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER InpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $5,078.00 | — | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER InpatientFacility | Healthfirst | MAP | $5,078.00 | — | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER InpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $5,078.00 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER InpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $5,078.00 | — | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER InpatientFacility | Healthfirst | MAP | $5,078.00 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER InpatientFacility | Healthfirst | MAP | $5,078.00 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER InpatientFacility | Healthfirst | MAP | $5,078.00 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER InpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $5,078.00 | — | — | 2025-09-05 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | UHC COMMUNITY MEDICAID [2175] | HB XR UNITED HEALTHCARE MGD MEDICAID OHIO | $5,083.85 | $18,251.98 | $10,951.19 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | MOLINA MEDICAID [2058] | HB XR MOLINA MGD MEDICAID OH 107% | $5,083.85 | $18,251.98 | $10,951.19 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | ANTHEM MEDICAID OHIO [2192] | HB XR ANTHEM OH MEDICAID 103% | $5,083.85 | $18,251.98 | $10,951.19 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | CARESOURCE [2031] | HB XR CARESOURCE MGD MEDICAID OHIO 103% | $5,083.85 | $18,251.98 | $10,951.19 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | HUMANA MEDICAID OH [3102] | HB XR HUMANA 103% OHIO MEDICAID | $5,083.85 | $18,251.98 | $10,951.19 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | AMERIHEALTH CARITAS [2230] | HB XR AMERIHEALTH CARITAS OH 103% | $5,083.85 | $18,251.98 | $10,951.19 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | AETNA BETTER HEALTH OHIO MEDICAID [2183] | HB XR AETNA BETTER HLTH MGD MEDICAID OH 108% | $5,083.85 | $18,251.98 | $10,951.19 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | BUCKEYE COMMUNITY HEALTH [2028] | HB XR BUCKEYE MGD MEDICAID OH 106% | $5,083.85 | $18,251.98 | $10,951.19 | 2025-12-19 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Fidelis | Fidelis QHP | $5,379.41 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Fidelis | Fidelis QHP | $5,379.41 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Fidelis | Fidelis QHP | $5,379.41 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Fidelis | Fidelis QHP | $5,379.41 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Fidelis | Fidelis QHP | $5,648.38 | — | — | 2026-04-14 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Inpatient | Cdphp | Managed Medicaid | $5,903.28 | $100,208.54 | $80,166.83 | 2026-07-15 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | UHC COMMUNITY MEDICAID [2175] | HB XR UHC INDIANA PATHWAYS MEDICAID | $5,955.58 | $18,251.98 | $10,951.19 | 2025-12-19 | MRF ↗ |
| TROY COMMUNITY HOSPITAL Inpatient | Cdphp | Managed Medicaid | $6,078.86 | $100,208.54 | $80,166.83 | 2026-07-15 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER InpatientFacility | Healthfirst | Essential Plan 3-4 | $6,112.00 | — | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER InpatientFacility | Healthfirst | Essential Plan 3-4 | $6,112.00 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER InpatientFacility | Healthfirst | Essential Plan 3-4 | $6,112.00 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER InpatientFacility | Healthfirst | Essential Plan 3-4 | $6,112.00 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER InpatientFacility | Healthfirst | Essential Plan 3-4 | $6,112.00 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER InpatientFacility | Healthfirst | Essential Plan 3-4 | $6,112.00 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital InpatientFacility | Healthfirst | Essential Plan 3-4 | $6,112.00 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital InpatientFacility | Healthfirst | Essential Plan 3-4 | $6,112.00 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER InpatientFacility | Healthfirst | Essential Plan 3-4 | $6,112.00 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER InpatientFacility | Healthfirst | Essential Plan 3-4 | $6,112.00 | — | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER InpatientFacility | Healthfirst | Essential Plan 3-4 | $6,112.00 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER InpatientFacility | Healthfirst | Essential Plan 3-4 | $6,112.00 | — | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER InpatientFacility | Healthfirst | Essential Plan 3-4 | $6,112.00 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER InpatientFacility | Healthfirst | Essential Plan 3-4 | $6,112.00 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER InpatientFacility | Healthfirst | Essential Plan 3-4 | $6,112.00 | — | — | 2025-09-05 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis QHP | $6,213.22 | — | — | 2026-04-14 | MRF ↗ |
| CORNING HOSPITAL Inpatient | Cdphp | Managed Medicaid | $6,245.59 | $82,715.15 | $66,172.12 | 2026-07-15 | MRF ↗ |
| GENESIS HOSPITAL InpatientFacility | COSHOCTON COUNTY SHERIFF DEPARTMENT [1013221] | HB OHIO MEDICAID | $6,301.04 | $72,408.45 | — | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL InpatientFacility | CITY OF ZANESVILLE [101323] | HB OHIO MEDICAID | $6,301.04 | $72,408.45 | — | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL InpatientFacility | CARESOURCE [100115] | HB MC CARESOURCE | $6,301.04 | $72,408.45 | — | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL InpatientFacility | CAID ALT BEHAVIORAL HEALTH [99912003] | HB OHIO MEDICAID | $6,301.04 | $72,408.45 | — | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL InpatientFacility | ANTHEM BC BS OHIO MEDICAID [111113] | HB ANTHEM MEDICAID | $6,301.04 | $72,408.45 | — | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL InpatientFacility | AMERIHEALTH CARITAS OHIO [111111] | HB MC AMERIHEALTH CARITAS OHIO | $6,301.04 | $72,408.45 | — | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL InpatientFacility | PERRY MULTI-COUNTY JUVENILE FACILITY [1013216] | HB OHIO MEDICAID | $6,301.04 | $72,408.45 | — | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL InpatientFacility | MUSKINGUM COUNTY SHERIFF [101324] | HB OHIO MEDICAID | $6,301.04 | $72,408.45 | — | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL InpatientFacility | MUSKINGUM COUNTY JUVENILE DETENTION CTR [1013217] | HB OHIO MEDICAID | $6,301.04 | $72,408.45 | — | 2026-03-27 | 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.