323 — Non-elective Or Complex Hip Joint Replacement
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT (APR_DRG 323) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/323?code_type=APR_DRG
MLA (9th ed.)
“NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT (APR_DRG 323) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/323?code_type=APR_DRG. Accessed .
Chicago (notes-bibliography)
“NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT (APR_DRG 323) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/323?code_type=APR_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $16,151–$33,378 (25th–75th percentile) across 47 hospitals · 191 payers.
“Negotiated” is the hospital’s negotiated rate for the entire inpatient stay under APR_DRG 323 — 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 |
|---|---|---|---|---|---|---|---|
| JOHNSTON MEMORIAL HOSPITAL Inpatient | BLUE CROSS | TENNCARE BLUE CARE | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | AETNA | AETNA BETTER HEALTH OF VIRGINIA | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | AMERIGROUP | AMERIGROUP | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | AETNA | AETNA BETTER HEALTH OF VIRGINIA | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | BLUE CROSS | TENNCARE BLUE CARE | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | BLUE CROSS | TENNCARE BLUE SELECT | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | BLUE CROSS | TENNCARE BLUE SELECT | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | AMERIGROUP | AMERIGROUP | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | — | — | — | 2026-03-23 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS InpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $3,730.73 | $52,516.35 | — | 2026-03-12 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | UHC COMMUNITY MEDICAID [2175] | HB XR UHC INDIANA PATHWAYS MEDICAID | $5,996.96 | $52,377.74 | $31,426.64 | 2025-12-19 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $7,505.02 | $112,738.73 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $7,505.02 | $112,738.73 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $7,505.02 | $112,738.73 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $7,505.02 | $112,738.73 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $7,505.02 | $112,738.73 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $7,505.02 | $112,738.73 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $7,505.02 | $112,738.73 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $7,505.02 | $112,738.73 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $7,505.02 | $112,738.73 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $7,505.02 | $112,738.73 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $7,505.02 | $112,738.73 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $7,505.02 | $112,738.73 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $7,505.02 | $112,738.73 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $7,505.02 | $112,738.73 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $7,505.02 | $112,738.73 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $7,505.02 | $112,738.73 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $7,505.02 | $112,738.73 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $7,505.02 | $112,738.73 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $7,505.02 | $112,738.73 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $7,505.02 | $112,738.73 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $7,505.02 | $112,738.73 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $7,505.02 | $112,738.73 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $7,505.02 | $112,738.73 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $7,505.02 | $112,738.73 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $7,505.02 | $112,738.73 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $7,505.02 | $112,738.73 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $7,505.02 | $112,738.73 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $7,505.02 | $112,738.73 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $7,505.02 | $112,738.73 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $7,505.02 | $112,738.73 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $7,505.02 | $112,738.73 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $7,505.02 | $112,738.73 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $7,505.02 | $112,738.73 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $7,505.02 | $112,738.73 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $7,505.02 | $112,738.73 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $7,505.02 | $112,738.73 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $7,505.02 | $112,738.73 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $7,505.02 | $112,738.73 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $7,505.02 | $112,738.73 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $7,505.02 | $112,738.73 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $7,505.02 | $112,738.73 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $7,505.02 | $112,738.73 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $7,505.02 | $112,738.73 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $7,505.02 | $112,738.73 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $7,505.02 | $112,738.73 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $7,505.02 | $112,738.73 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $7,505.02 | $112,738.73 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $7,505.02 | $112,738.73 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $7,505.02 | $112,738.73 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $7,505.02 | $112,738.73 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $7,505.02 | $112,738.73 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $7,505.02 | $112,738.73 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $7,505.02 | $112,738.73 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $7,505.02 | $112,738.73 | — | 2026-03-26 | MRF ↗ |
| Saint Mary's Health Care InpatientFacility | MOLINA MEDICAID | MOLINA MEDICAID | $9,599.17 | — | — | 2026-03-31 | MRF ↗ |
| Saint Mary's Health Care InpatientFacility | BLUE CROSS COMPLETE - MI | BLUE CROSS COMPLETE MEDICAID | $9,745.81 | — | — | 2026-03-31 | MRF ↗ |
| Saint Mary's Health Care InpatientFacility | MCLAREN HEALTH MEDICAID | MCLAREN MEDICAID | $9,745.81 | — | — | 2026-03-31 | MRF ↗ |
| Saint Mary's Health Care InpatientFacility | HAP MEDICAID | HAP CARESOURCE MEDICAID | $9,745.81 | — | — | 2026-03-31 | MRF ↗ |
| MAPLE GROVE HOSPITAL Inpatient | BLUE CROSS [1021] | MGH BCBS PMAP | $9,809.80 | $42,572.71 | — | 2026-04-30 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL InpatientFacility | BLUE CROSS [1021] | NMH BCBS PMAP | $10,048.66 | $110,569.32 | — | 2026-04-30 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS InpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $10,051.33 | $52,516.35 | — | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS InpatientFacility | MEDICAID [20240] | HB STLO CAPE IL MEDICAID | $10,051.33 | $52,516.35 | — | 2026-03-12 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | UHC COMMUNITY MEDICAID [2175] | HB XR UHC INDIANA PATHWAYS MEDICAID | $10,146.88 | $91,953.03 | $55,171.82 | 2025-12-19 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Independent Health | Independent Health State Products | $10,562.13 | — | — | 2026-04-14 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID [3000] | BCCCP/WISEWOMAN [300006] | $10,687.96 | $83,320.05 | $83,320.05 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | ABW COVERAGE NO HMO LISTED [3003] | ABW COVERAGE NO HMO LISTED [300301] | $10,687.96 | $83,320.05 | $83,320.05 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID [3000] | MEDICAID TEMPORARY PRESUMPTIVE [300005] | $10,687.96 | $83,320.05 | $83,320.05 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MERIDIAN HEALTH PLAN [9007] | MERIDIAN HEALTH PLAN [900701] | $10,687.96 | $83,320.05 | $83,320.05 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | UPPER PENINSULA HEALTH PLAN MEDICAID [9015] | UPPER PENINSULA HEALTH [901501] | $10,687.96 | $83,320.05 | $83,320.05 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID [3000] | EMERGENCY MEDICAID [300004] | $10,687.96 | $83,320.05 | $83,320.05 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | BLUE CROSS COMPLETE [9001] | BLUE CROSS COMPLETE [900102] | $10,687.96 | $83,320.05 | $83,320.05 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | GENERIC MEDICAID HMO [9000] | GENERIC MEDICAID HMO [900001] | $10,687.96 | $83,320.05 | $83,320.05 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | CHILDRENS SPECIAL HEALTHCARE SERVICES (CSHCS) [3002] | CHILDRENS SPECIAL HEALTHCARE SERVICES [300201] | $10,687.96 | $83,320.05 | $83,320.05 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MOLINA HEALTH CARE [9008] | MOLINA HEALTH CARE [900801] | $10,687.96 | $83,320.05 | $83,320.05 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | AETNA BETTER HEALTH PLAN [9018] | AETNA BETTER HEALTH PLAN [901801] | $10,687.96 | $83,320.05 | $83,320.05 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | HEALTH PARTNERS MEDICAID [9017] | HEALTH PARTNERS MEDICAID [901701] | $10,687.96 | $83,320.05 | $83,320.05 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID [3000] | MEDICAID QMB [300007] | $10,687.96 | $83,320.05 | $83,320.05 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID DEDUCTIBLE/SPENDDOWN [3001] | MEDICAID DEDUCTIBLE/SPENDDOWN [300101] | $10,687.96 | $83,320.05 | $83,320.05 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | OUT OF STATE MEDICAID [3004] | OUT OF STATE MEDICAID [300401] | $10,687.96 | $83,320.05 | $83,320.05 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | PRIORITY HEALTH PLAN MEDICAID [9013] | PRIORITY HEALTH PLAN MEDICAID [901301] | $10,687.96 | $83,320.05 | $83,320.05 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | OUT OF STATE MEDICAID [3004] | OUT OF STATE MEDICAID GENERIC [300402] | $10,687.96 | $83,320.05 | $83,320.05 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID [3000] | MEDICAID MICHILD [300008] | $10,687.96 | $83,320.05 | $83,320.05 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID [3000] | MATERNITY OUT PATIENT MEDICAL (MOMS) [300002] | $10,687.96 | $83,320.05 | $83,320.05 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID [3000] | PLAN FIRST FAMILY PLANNING [300003] | $10,687.96 | $83,320.05 | $83,320.05 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MCLAREN HEALTH PLAN [9006] | MCLAREN HEALTH PLAN [900601] | $10,687.96 | $83,320.05 | $83,320.05 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MERIDIAN HEALTH PLAN [9007] | MERIDIAN MICHILD [900702] | $10,687.96 | $83,320.05 | $83,320.05 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | HEALTH ALLIANCE PLAN MEDICAID [9012] | HAP CARESOURCE [901202] | $10,687.96 | $83,320.05 | $83,320.05 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | HARBOR HEALTH PLAN [9016] | HARBOR HEALTH PLAN [901601] | $10,687.96 | $83,320.05 | $83,320.05 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID HEALTHY MICHIGAN [3007] | MEDICAID HEALTHY MICHIGAN [300701] | $10,687.96 | $83,320.05 | $83,320.05 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | CHILDRENS SPECIAL HEALTH SERVICES ALT [3009] | CHILDRENS SPECIAL HEALTHCARE SERVICES [300901] | $10,687.96 | $83,320.05 | $83,320.05 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | UNITED HEALTH CARE COMMUNITY PLAN MEDICAID [9004] | UNITED HEALTH CARE MEDICAID [900401] | $10,687.96 | $83,320.05 | $83,320.05 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | COVENTRY CARES MEDICAID [9009] | OMNICARE HEALTH PLAN MEDICAID [900901] | $10,687.96 | $83,320.05 | $83,320.05 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID [3000] | MEDICAID [300001] | $10,687.96 | $83,320.05 | $83,320.05 | 2026-03-23 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | UHC COMMUNITY MEDICAID [2175] | HB XR UNITED HEALTHCARE MGD MEDICAID OHIO | $10,711.12 | $52,377.74 | $31,426.64 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | HUMANA MEDICAID OH [3102] | HB XR HUMANA 103% OHIO MEDICAID | $10,711.12 | $52,377.74 | $31,426.64 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | AMERIHEALTH CARITAS [2230] | HB XR AMERIHEALTH CARITAS OH 103% | $10,711.12 | $52,377.74 | $31,426.64 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | MOLINA MEDICAID [2058] | HB XR MOLINA MGD MEDICAID OH 107% | $10,711.12 | $52,377.74 | $31,426.64 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | BUCKEYE COMMUNITY HEALTH [2028] | HB XR BUCKEYE MGD MEDICAID OH 106% | $10,711.12 | $52,377.74 | $31,426.64 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | AETNA BETTER HEALTH OHIO MEDICAID [2183] | HB XR AETNA BETTER HLTH MGD MEDICAID OH 108% | $10,711.12 | $52,377.74 | $31,426.64 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | CARESOURCE [2031] | HB XR CARESOURCE MGD MEDICAID OHIO 103% | $10,711.12 | $52,377.74 | $31,426.64 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | ANTHEM MEDICAID OHIO [2192] | HB XR ANTHEM OH MEDICAID 103% | $10,711.12 | $52,377.74 | $31,426.64 | 2025-12-19 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | Health Partners | Managed Medicaid | $10,962.57 | — | — | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | Health Partners | Managed Medicaid | $10,962.57 | — | — | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | Amerihealth | Managed Medicaid | $10,962.57 | — | — | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | Amerihealth | Managed Medicaid | $10,962.57 | — | — | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | UPMC for You | Managed Medicaid | $11,012.14 | — | — | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | UPMC for You | Managed Medicaid | $11,012.14 | — | — | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | Geisinger | Managed Medicaid | $11,181.83 | — | — | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | Geisinger | Managed Medicaid | $11,181.83 | — | — | 2026-02-12 | MRF ↗ |
| MEADVILLE MEDICAL CENTER Inpatient | Geisinger | Managed Medicaid | $11,232.38 | — | — | 2026-02-12 | MRF ↗ |
| MEADVILLE MEDICAL CENTER Inpatient | Geisinger | Managed Medicaid | $11,232.38 | — | — | 2025-02-18 | MRF ↗ |
| MEADVILLE MEDICAL CENTER Inpatient | Geisinger | Managed Medicaid | $11,232.38 | — | — | 2025-02-18 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS InpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $11,286.58 | $53,221.89 | — | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS InpatientFacility | MEDICAID [20240] | HB STLO CAPE IL MEDICAID | $11,286.58 | $53,221.89 | — | 2026-03-12 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $11,430.87 | — | — | 2026-04-14 | MRF ↗ |
| HERITAGE VALLEY SEWICKLEY Inpatient | GATEWAY HEALTH PLAN | GATEWAY MEDICAID DBA HIGHMARK WHOLECARE | — | — | — | 2026-03-27 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $11,430.87 | — | — | 2026-04-14 | MRF ↗ |
| HERITAGE VALLEY SEWICKLEY Inpatient | UPMC HEALTH PLAN | UPMC MEDICAID | — | — | — | 2026-03-27 | MRF ↗ |
| HERITAGE VALLEY SEWICKLEY Inpatient | HIGHMARK CHOICE COMPANY (BCBS) | BC HIGHMARK WHOLECARE MEDICAID | — | — | — | 2026-03-27 | MRF ↗ |
| HERITAGE VALLEY SEWICKLEY Inpatient | AETNA HEALTH INC | AETNA BETTER HEALTH MEDICAID | — | — | — | 2026-03-27 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $11,430.87 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Aetna | Aetna Better Health CHIP | $11,430.87 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Aetna | Aetna Better Health CHIP | $11,430.87 | — | — | 2026-04-14 | MRF ↗ |
| HERITAGE VALLEY SEWICKLEY Inpatient | UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID | — | — | — | 2026-03-27 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $11,430.87 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Aetna | Aetna Better Health CHIP | $11,430.87 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Aetna | Aetna Better Health CHIP | $11,430.87 | — | — | 2026-04-14 | MRF ↗ |
| HERITAGE VALLEY SEWICKLEY Inpatient | GATEWAY HEALTH PLAN | GATEWAY MEDICAID DBA HIGHMARK WHOLECARE | — | — | — | 2026-03-27 | MRF ↗ |
| HERITAGE VALLEY SEWICKLEY Inpatient | UPMC HEALTH PLAN | UPMC MEDICAID | — | — | — | 2026-03-27 | MRF ↗ |
| HERITAGE VALLEY SEWICKLEY Inpatient | AETNA HEALTH INC | AETNA BETTER HEALTH MEDICAID | — | — | — | 2026-03-27 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Aetna | Aetna Better Health CHIP | $11,430.87 | — | — | 2026-04-14 | MRF ↗ |
| HERITAGE VALLEY SEWICKLEY Inpatient | UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID | — | — | — | 2026-03-27 | MRF ↗ |
| HERITAGE VALLEY SEWICKLEY Inpatient | HIGHMARK CHOICE COMPANY (BCBS) | BC HIGHMARK WHOLECARE MEDICAID | — | — | — | 2026-03-27 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $11,430.87 | — | — | 2026-04-14 | MRF ↗ |
| RIVERSIDE UNIVERSITY HEALTH SYSTEM-MEDICAL CENTER Inpatient | LA CARE HEALTH PLAN | MCAL HMO | $11,765.84 | $221,587.32 | — | 2026-01-01 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | UCARE [1148] | UCARE MSHO [3304] | — | $109,130.66 | $57,511.86 | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | 0 | 0 | — | $109,130.66 | $57,511.86 | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | ALLINA HEALTH-AETNA [2201] | ALLINA HEALTH-AETNA MEDICARE [4353] | — | $109,130.66 | — | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | UNITED HEALTHCARE [2204] | UHC COMMERCIAL [4358] | — | $109,130.66 | — | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | BLUE CROSS [1021] | BCBS MEDICARE ADVANTAGE [4278] | — | $109,130.66 | $57,511.86 | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | HEALTH PARTNERS [1061] | HEALTHPARTNERS CARE [3108] | — | $109,130.66 | — | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | HEALTH PARTNERS [1061] | HEALTHPARTNERS MSHO [3118] | — | $109,130.66 | — | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | HEALTH PARTNERS [1061] | HEALTHPARTNERS OPEN ACCESS/CHOICE [3119] | — | $109,130.66 | — | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | UCARE [1148] | UCARE MEDICARE ADVANTAGE [3303] | — | $109,130.66 | $57,511.86 | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | UCARE [1148] | UCARE IFB [4293] | — | $109,130.66 | — | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | CIGNA HEALTH PARTNERS [1242] | HEALTHPARTNERS CIGNA [3540] | — | $109,130.66 | — | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | BLUE CROSS [1021] | BCBS PMAP/MNCARE [4483] | $11,868.96 | $109,130.66 | $57,511.86 | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | BLUE CROSS [1021] | BCBS FEDERAL EMPLOYEE [3033] | — | $109,130.66 | $57,511.86 | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | MEDICA [1086] | MEDICA PMAP/MNCARE [4467] | — | $109,130.66 | — | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | BLUE CROSS [1021] | BCBS STRIVE COMMERCIAL [4342] | — | $109,130.66 | $57,511.86 | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | HENNEPIN HEALTH [1096] | HENNEPIN HEALTH SNBC [4275] | — | $109,130.66 | — | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | UNITED HEALTHCARE [2204] | UHC MEDICARE ADVANTAGE [4360] | — | $109,130.66 | — | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | MEDICA [1086] | MEDICA DUAL SOLUTION/MSHO [3178] | — | $109,130.66 | — | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | AMERICA'S PPO [1010] | AMERICA'S PPO [3015] | — | $109,130.66 | — | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | MEDICA [1086] | MEDICA VANTAGE PLUS [4205] | — | $109,130.66 | — | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | NATIONAL PREFERRED PROV NETWRK [1230] | NAT PREF PROV NETWORK GENERIC [3512] | — | $109,130.66 | — | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | HEALTH PAYORS ORG, LTD [1146] | HEALTH PAYORS ORG GENERIC [3459] | — | $109,130.66 | — | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | HEALTH SOUTH [1234] | HEALTH SOUTH GENERIC [3514] | — | $109,130.66 | — | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | MEDICA [1086] | MEDICA NORTH MEMORIAL ACCLAIM [4206] | — | $109,130.66 | — | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | AMERICA'S PPO [1010] | HEALTHEZ AMERICA'S PPO [3438] | — | $109,130.66 | — | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | BEECH STREET [1171] | BEECH ST GENERIC [3353] | — | $109,130.66 | — | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | MEDICA [1086] | MEDICA COMMERCIAL [3453] | — | $109,130.66 | — | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | HENNEPIN HEALTH [1096] | HENNEPIN HEALTH PMAP [3212] | — | $109,130.66 | — | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | ALLINA HEALTH-AETNA [2201] | ALLINA HEALTH-AETNA COMMERCIAL [4352] | — | $109,130.66 | — | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | HEALTH PARTNERS [1061] | HEALTHPARTNERS FREEDOM [3106] | — | $109,130.66 | — | 2024-12-31 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL Inpatient | PHCS [1172] | ALLIED BENEFIT SYSTEMS PHCS [3378] | — | $109,130.66 | — | 2024-12-31 | MRF ↗ |
| MAPLE GROVE HOSPITAL Inpatient | BLUE CROSS [1021] | MGH BCBS PMAP | $11,971.73 | $40,704.35 | — | 2026-04-30 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Aetna | Aetna Better Health CHIP | $12,002.42 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $12,002.42 | — | — | 2026-04-14 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL InpatientFacility | BLUE CROSS [1021] | NMH BCBS PMAP | $12,263.23 | $62,545.80 | — | 2026-04-30 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $12,313.33 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $12,313.33 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $12,313.33 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $12,440.51 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $12,440.51 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $12,440.51 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Amerihealth | Amerihealth Medicaid HC | $12,573.95 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Amerihealth | Amerihealth Medicaid HC | $12,573.95 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Amerihealth | Amerihealth Medicaid CHC | $12,573.95 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Amerihealth | Amerihealth Medicaid HC | $12,573.95 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Amerihealth | Amerihealth Medicaid CHC | $12,573.95 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Amerihealth | Amerihealth Medicaid CHC | $12,573.95 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Amerihealth | Amerihealth Medicaid CHC | $12,573.95 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Amerihealth | Amerihealth Medicaid HC | $12,573.95 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Amerihealth | Amerihealth Medicaid CHC | $12,573.95 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Amerihealth | Amerihealth Medicaid HC | $12,573.95 | — | — | 2026-04-14 | 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.