325 — Non-elective Or Complex Knee Joint Replacement
Cite this view
HANK Price Transparency. (n.d.). NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT (APR_DRG 325) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/325?code_type=APR_DRG
“NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT (APR_DRG 325) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/325?code_type=APR_DRG. Accessed .
“NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT (APR_DRG 325) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/325?code_type=APR_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $21,756–$40,700 (25th–75th percentile) across 42 hospitals · 194 payers.
“Negotiated” is the hospital’s negotiated rate for the entire inpatient stay under APR_DRG 325 — 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 SELECT | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | AMERIGROUP | AMERIGROUP | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | — | — | — | 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 | AETNA | AETNA BETTER HEALTH OF VIRGINIA | — | — | — | 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 CARE | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | BLUE CROSS | TENNCARE BLUE SELECT | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | AMERIGROUP | AMERIGROUP | — | — | — | 2026-03-23 | MRF ↗ |
| BETHESDA HOSPITAL EAST Inpatient | SUNSHINE STATE | SUNSHINE ST MD HMONC | — | — | — | 2026-03-30 | MRF ↗ |
| BETHESDA HOSPITAL EAST Inpatient | WELLCARE | WELL CARE MD HMONC | — | — | — | 2026-03-30 | MRF ↗ |
| BETHESDA HOSPITAL EAST Inpatient | MEDICAID | SIMPLYHLTH MD HMO NC | — | — | — | 2026-03-30 | MRF ↗ |
| BETHESDA HOSPITAL EAST Inpatient | VISTA | COVENTRY MEDICAID | — | — | — | 2026-03-30 | MRF ↗ |
| BETHESDA HOSPITAL EAST Inpatient | UNITED HEALTHCARE | UNITED MD HMO | — | — | — | 2026-03-30 | MRF ↗ |
| BETHESDA HOSPITAL EAST Inpatient | MEDICAID | PRESTIGE MD HMO NC | — | — | — | 2026-03-30 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | UHC COMMUNITY MEDICAID [2175] | HB XR UHC INDIANA PATHWAYS MEDICAID | $8,138.70 | $50,544.91 | $30,326.95 | 2025-12-19 | MRF ↗ |
| MERCY MEDICAL CTR InpatientFacility | TUFTS HEALTH PUBLIC PLANS | TUFTS MEDICAID | $8,212.55 | — | — | 2026-03-31 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | UHC COMMUNITY MEDICAID [2175] | HB XR UHC INDIANA PATHWAYS MEDICAID | $10,659.36 | $148,909.83 | $89,345.90 | 2025-12-19 | MRF ↗ |
| RIVERSIDE UNIVERSITY HEALTH SYSTEM-MEDICAL CENTER Inpatient | LA CARE HEALTH PLAN | MCAL HMO | $12,689.82 | $237,032.86 | — | 2026-01-01 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | Amerihealth | Managed Medicaid | $13,471.38 | — | — | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | Health Partners | Managed Medicaid | $13,471.38 | — | — | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | Health Partners | Managed Medicaid | $13,471.38 | — | — | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | Amerihealth | Managed Medicaid | $13,471.38 | — | — | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | Geisinger | Managed Medicaid | $13,740.81 | — | — | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | Geisinger | Managed Medicaid | $13,740.81 | — | — | 2026-02-12 | MRF ↗ |
| MAPLE GROVE HOSPITAL Inpatient | BLUE CROSS [1021] | MGH BCBS PMAP | $13,837.14 | $68,332.44 | — | 2026-04-30 | MRF ↗ |
| HSHS St. Francis Hospital Inpatient | WEXFORD | WEXFORD HEALTH SOURCES | $13,917.59 | $88,742.48 | $63,894.59 | 2026-01-15 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Independent Health | Independent Health State Products | $13,944.45 | — | — | 2026-04-14 | MRF ↗ |
| ST JOHNS HOSPITAL Inpatient | MERIDIAN HEALTH PLAN | MERIDIAN HMO MCD | — | — | — | 2026-03-24 | MRF ↗ |
| ST JOHNS HOSPITAL Inpatient | WEXFORD | WEXFORD HEALTH SOURCES | — | — | — | 2026-03-24 | MRF ↗ |
| ST JOHNS HOSPITAL Inpatient | MOLINA HEALTHCARE | MOLINA MEDICAID | — | — | — | 2026-03-24 | MRF ↗ |
| ST JOHNS HOSPITAL Inpatient | MERIDIAN HEALTH PLAN | MERIDIAN HMO MCD | — | — | — | 2026-03-24 | MRF ↗ |
| ST JOHNS HOSPITAL Inpatient | MOLINA HEALTHCARE | MOLINA MEDICAID | — | — | — | 2026-03-24 | MRF ↗ |
| ST JOHNS HOSPITAL Inpatient | WEXFORD | WEXFORD HEALTH SOURCES | — | — | — | 2026-03-24 | MRF ↗ |
| NEWTON MEDICAL CENTER Inpatient | SEAFARERS HEALTH AND BENEFITS PLAN [5343] | NMC CIGNA | — | $185,820.55 | — | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Inpatient | SEAFARERS HEALTH AND BENEFITS PLAN [5343] | NMC CIGNA | — | $185,820.55 | — | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Inpatient | LUMINARE HEALTH AHS RETIREE [5013] | NMC AETNA AHS EMPLOYEE | — | $159,139.12 | — | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Inpatient | LUMINARE HEALTH AHS RETIREE [5013] | NMC AETNA AHS EMPLOYEE | — | $159,139.12 | — | 2026-01-01 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL InpatientFacility | BLUE CROSS [1021] | NMH BCBS PMAP | $14,174.07 | $78,433.69 | — | 2026-04-30 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | UHC COMMUNITY MEDICAID [2175] | HB XR UNITED HEALTHCARE MGD MEDICAID OHIO | $14,219.43 | $148,909.83 | $89,345.90 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | AMERIHEALTH CARITAS [2230] | HB XR AMERIHEALTH CARITAS OH 103% | $14,219.43 | $148,909.83 | $89,345.90 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | ANTHEM MEDICAID OHIO [2192] | HB XR ANTHEM OH MEDICAID 103% | $14,219.43 | $148,909.83 | $89,345.90 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | BUCKEYE COMMUNITY HEALTH [2028] | HB XR BUCKEYE MGD MEDICAID OH 106% | $14,219.43 | $148,909.83 | $89,345.90 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | CARESOURCE [2031] | HB XR CARESOURCE MGD MEDICAID OHIO 103% | $14,219.43 | $148,909.83 | $89,345.90 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | AETNA BETTER HEALTH OHIO MEDICAID [2183] | HB XR AETNA BETTER HLTH MGD MEDICAID OH 108% | $14,219.43 | $148,909.83 | $89,345.90 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | MOLINA MEDICAID [2058] | HB XR MOLINA MGD MEDICAID OH 107% | $14,219.43 | $148,909.83 | $89,345.90 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | HUMANA MEDICAID OH [3102] | HB XR HUMANA 103% OHIO MEDICAID | $14,219.43 | $148,909.83 | $89,345.90 | 2025-12-19 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | UPMC for You | Managed Medicaid | $14,557.20 | — | — | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | UPMC for You | Managed Medicaid | $14,557.20 | — | — | 2026-02-12 | MRF ↗ |
| HSHS St. Francis Hospital Inpatient | MOLINA HEALTHCARE | MOLINA MEDICAID | $14,613.47 | $88,742.48 | $63,894.59 | 2026-01-15 | MRF ↗ |
| ST MARYS HOSPITAL Inpatient | MOLINA HEALTHCARE | MOLINA MEDICAID | $14,613.47 | $141,807.85 | $102,101.65 | 2026-01-15 | MRF ↗ |
| MEADVILLE MEDICAL CENTER Inpatient | Geisinger | Managed Medicaid | $14,848.35 | — | — | 2026-02-12 | MRF ↗ |
| MEADVILLE MEDICAL CENTER Inpatient | Geisinger | Managed Medicaid | $14,848.35 | — | — | 2025-02-18 | MRF ↗ |
| MEADVILLE MEDICAL CENTER Inpatient | Geisinger | Managed Medicaid | $14,848.35 | — | — | 2025-02-18 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Aetna | Aetna Better Health CHIP | $15,091.38 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $15,091.38 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $15,091.38 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Aetna | Aetna Better Health CHIP | $15,091.38 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Aetna | Aetna Better Health CHIP | $15,091.38 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Aetna | Aetna Better Health CHIP | $15,091.38 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Aetna | Aetna Better Health CHIP | $15,091.38 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $15,091.38 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $15,091.38 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $15,091.38 | — | — | 2026-04-14 | MRF ↗ |
| ST MARYS HOSPITAL Inpatient | MERIDIAN HEALTH PLAN | MERIDIAN HMO MCD | $15,309.35 | $141,807.85 | $102,101.65 | 2026-01-15 | MRF ↗ |
| HSHS St. Francis Hospital Inpatient | MERIDIAN HEALTH PLAN | MERIDIAN HMO MCD | $15,309.35 | $88,742.48 | $63,894.59 | 2026-01-15 | MRF ↗ |
| RIVERSIDE UNIVERSITY HEALTH SYSTEM-MEDICAL CENTER Inpatient | LA CARE HEALTH PLAN | MCAL HMO | $15,309.53 | $304,870.57 | — | 2026-01-01 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Aetna | Aetna Better Health CHIP | $15,845.96 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $15,845.96 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $16,256.43 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $16,256.43 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $16,256.43 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $16,424.34 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $16,424.34 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $16,424.34 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Amerihealth | Amerihealth Medicaid HC | $16,600.52 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Amerihealth | Amerihealth Medicaid CHC | $16,600.52 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Amerihealth | Amerihealth Medicaid HC | $16,600.52 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Amerihealth | Amerihealth Medicaid HC | $16,600.52 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Amerihealth | Amerihealth Medicaid CHC | $16,600.52 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Amerihealth | Amerihealth Medicaid CHC | $16,600.52 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Amerihealth | Amerihealth Medicaid CHC | $16,600.52 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Amerihealth | Amerihealth Medicaid HC | $16,600.52 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Amerihealth | Amerihealth Medicaid CHC | $16,600.52 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Amerihealth | Amerihealth Medicaid HC | $16,600.52 | — | — | 2026-04-14 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID [3000] | MATERNITY OUT PATIENT MEDICAL (MOMS) [300002] | $17,032.23 | $135,630.55 | $135,630.55 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | ABW COVERAGE NO HMO LISTED [3003] | ABW COVERAGE NO HMO LISTED [300301] | $17,032.23 | $135,630.55 | $135,630.55 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | OUT OF STATE MEDICAID [3004] | OUT OF STATE MEDICAID [300401] | $17,032.23 | $135,630.55 | $135,630.55 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID [3000] | BCCCP/WISEWOMAN [300006] | $17,032.23 | $135,630.55 | $135,630.55 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | AETNA BETTER HEALTH PLAN [9018] | AETNA BETTER HEALTH PLAN [901801] | $17,032.23 | $135,630.55 | $135,630.55 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID [3000] | PLAN FIRST FAMILY PLANNING [300003] | $17,032.23 | $135,630.55 | $135,630.55 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID [3000] | MEDICAID QMB [300007] | $17,032.23 | $135,630.55 | $135,630.55 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | HEALTH PARTNERS MEDICAID [9017] | HEALTH PARTNERS MEDICAID [901701] | $17,032.23 | $135,630.55 | $135,630.55 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID [3000] | MEDICAID [300001] | $17,032.23 | $135,630.55 | $135,630.55 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | OUT OF STATE MEDICAID [3004] | OUT OF STATE MEDICAID GENERIC [300402] | $17,032.23 | $135,630.55 | $135,630.55 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | CHILDRENS SPECIAL HEALTH SERVICES ALT [3009] | CHILDRENS SPECIAL HEALTHCARE SERVICES [300901] | $17,032.23 | $135,630.55 | $135,630.55 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | UNITED HEALTH CARE COMMUNITY PLAN MEDICAID [9004] | UNITED HEALTH CARE MEDICAID [900401] | $17,032.23 | $135,630.55 | $135,630.55 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | COVENTRY CARES MEDICAID [9009] | OMNICARE HEALTH PLAN MEDICAID [900901] | $17,032.23 | $135,630.55 | $135,630.55 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | BLUE CROSS COMPLETE [9001] | BLUE CROSS COMPLETE [900102] | $17,032.23 | $135,630.55 | $135,630.55 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | GENERIC MEDICAID HMO [9000] | GENERIC MEDICAID HMO [900001] | $17,032.23 | $135,630.55 | $135,630.55 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID [3000] | MEDICAID MICHILD [300008] | $17,032.23 | $135,630.55 | $135,630.55 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID [3000] | EMERGENCY MEDICAID [300004] | $17,032.23 | $135,630.55 | $135,630.55 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID [3000] | MEDICAID TEMPORARY PRESUMPTIVE [300005] | $17,032.23 | $135,630.55 | $135,630.55 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | HEALTH ALLIANCE PLAN MEDICAID [9012] | HAP CARESOURCE [901202] | $17,032.23 | $135,630.55 | $135,630.55 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID DEDUCTIBLE/SPENDDOWN [3001] | MEDICAID DEDUCTIBLE/SPENDDOWN [300101] | $17,032.23 | $135,630.55 | $135,630.55 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MCLAREN HEALTH PLAN [9006] | MCLAREN HEALTH PLAN [900601] | $17,032.23 | $135,630.55 | $135,630.55 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MERIDIAN HEALTH PLAN [9007] | MERIDIAN HEALTH PLAN [900701] | $17,032.23 | $135,630.55 | $135,630.55 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MOLINA HEALTH CARE [9008] | MOLINA HEALTH CARE [900801] | $17,032.23 | $135,630.55 | $135,630.55 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | HARBOR HEALTH PLAN [9016] | HARBOR HEALTH PLAN [901601] | $17,032.23 | $135,630.55 | $135,630.55 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | UPPER PENINSULA HEALTH PLAN MEDICAID [9015] | UPPER PENINSULA HEALTH [901501] | $17,032.23 | $135,630.55 | $135,630.55 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MERIDIAN HEALTH PLAN [9007] | MERIDIAN MICHILD [900702] | $17,032.23 | $135,630.55 | $135,630.55 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID HEALTHY MICHIGAN [3007] | MEDICAID HEALTHY MICHIGAN [300701] | $17,032.23 | $135,630.55 | $135,630.55 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | PRIORITY HEALTH PLAN MEDICAID [9013] | PRIORITY HEALTH PLAN MEDICAID [901301] | $17,032.23 | $135,630.55 | $135,630.55 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | CHILDRENS SPECIAL HEALTHCARE SERVICES (CSHCS) [3002] | CHILDRENS SPECIAL HEALTHCARE SERVICES [300201] | $17,032.23 | $135,630.55 | $135,630.55 | 2026-03-23 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Highmark Wholecare | Highmark Wholecare Medicaid HC | $17,204.17 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Highmark Wholecare | Highmark Wholecare Medicaid HC | $17,204.17 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Highmark Wholecare | Highmark Wholecare Medicaid HC | $17,204.17 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Highmark Wholecare | Highmark Wholecare Medicaid HC | $17,204.17 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Highmark Wholecare | Highmark Wholecare Medicaid HC | $17,204.17 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Independent Health | Independent Health State Products | $17,271.33 | — | — | 2026-04-14 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL InpatientFacility | BLUE CROSS [1021] | NMH BCBS PMAP | $17,326.86 | $248,290.22 | — | 2026-04-30 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Amerihealth | Amerihealth Medicaid HC | $17,430.56 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Amerihealth | Amerihealth Medicaid CHC | $17,430.56 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Aetna | Aetna Better Health CHIP | $17,430.56 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $17,430.56 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $17,495.44 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $17,495.44 | — | — | 2026-04-14 | MRF ↗ |
| GENESIS HOSPITAL InpatientFacility | PERRY MULTI-COUNTY JUVENILE FACILITY [1013216] | HB OHIO MEDICAID | $17,623.06 | $39,830.71 | — | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL InpatientFacility | MUSKINGUM COUNTY SHERIFF [101324] | HB OHIO MEDICAID | $17,623.06 | $39,830.71 | — | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL InpatientFacility | MUSKINGUM COUNTY JUVENILE DETENTION CTR [1013217] | HB OHIO MEDICAID | $17,623.06 | $39,830.71 | — | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL InpatientFacility | MORGAN COUNTY SHERIFFS DEPARTMENT [1013218] | HB OHIO MEDICAID | $17,623.06 | $39,830.71 | — | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL InpatientFacility | MOLINA [100110] | HB MC MOLINA | $17,623.06 | $39,830.71 | — | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL InpatientFacility | MEDICAID [10031] | HB OHIO MEDICAID | $17,623.06 | $39,830.71 | — | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL InpatientFacility | HUMANA HEALTHY HORIZONS [111112] | HB MC HUMANA HEALTHY HORIZONS | $17,623.06 | $39,830.71 | — | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL InpatientFacility | GENERIC MEDICAID [10035] | HB OHIO MEDICAID | $17,623.06 | $39,830.71 | — | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL InpatientFacility | FRANKLIN COUNTY CHILDREN SERVICES [1013219] | HB OHIO MEDICAID | $17,623.06 | $39,830.71 | — | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL InpatientFacility | CITY OF ZANESVILLE [101323] | HB OHIO MEDICAID | $17,623.06 | $39,830.71 | — | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL InpatientFacility | CARESOURCE [100115] | HB MC CARESOURCE | $17,623.06 | $39,830.71 | — | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL InpatientFacility | CAID ALT BEHAVIORAL HEALTH [99912003] | HB OHIO MEDICAID | $17,623.06 | $39,830.71 | — | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL InpatientFacility | ANTHEM BC BS OHIO MEDICAID [111113] | HB ANTHEM MEDICAID | $17,623.06 | $39,830.71 | — | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL InpatientFacility | AMERIHEALTH CARITAS OHIO [111111] | HB MC AMERIHEALTH CARITAS OHIO | $17,623.06 | $39,830.71 | — | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL InpatientFacility | COSHOCTON COUNTY SHERIFF DEPARTMENT [1013221] | HB OHIO MEDICAID | $17,623.06 | $39,830.71 | — | 2026-03-27 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Geisinger | Geisinger Medicaid HC | $17,656.91 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Geisinger | Geisinger Medicaid HC | $17,656.91 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Geisinger | Geisinger CHIP | $17,656.91 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Geisinger | Geisinger Medicaid HC | $17,656.91 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Geisinger | Geisinger CHIP | $17,656.91 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Geisinger | Geisinger CHIP | $17,656.91 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Geisinger | Geisinger CHIP | $17,656.91 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Geisinger | Geisinger CHIP | $17,656.91 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Geisinger | Geisinger Medicaid HC | $17,656.91 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Geisinger | Geisinger Medicaid HC | $17,656.91 | — | — | 2026-04-14 | MRF ↗ |
| HUNTINGTON HOSPITAL Inpatient | Kaiser Foundation Hospitals on behalf of its Southern California Region | Medi-Cal | $17,675.05 | — | — | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | AIDS Healthcare Foundation and AHF Healthcare Centers | PHC California/Medi-Cal HMO | $17,675.05 | — | — | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | Prospect Health Plan, Inc. | Medi-Cal | $17,675.05 | — | — | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | VENTURA COUNTY MEDI-CAL MANAGED CARE COMMISSION (dba Gold Coast Health Plan) | Medi-Cal | $17,675.05 | — | — | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | Molina Healthcare of California | Medi-Cal | $17,675.05 | — | — | 2025-11-26 | MRF ↗ |
| HOLLYWOOD PRESBYTERIAN MEDICAL CENTER Inpatient | Kern Health Systems | Medi-Cal | — | — | — | 2025-11-19 | MRF ↗ |
| HOLLYWOOD PRESBYTERIAN MEDICAL CENTER Inpatient | LA Care | PASC-SEIU | — | — | — | 2025-11-19 | MRF ↗ |
| HOLLYWOOD PRESBYTERIAN MEDICAL CENTER Inpatient | LA Care | Medi-Cal | — | — | — | 2025-11-19 | MRF ↗ |
| HOLLYWOOD PRESBYTERIAN MEDICAL CENTER Inpatient | Valley Presbyterian Medical Center | Medi-Cal | — | — | — | 2025-11-19 | MRF ↗ |
| HOLLYWOOD PRESBYTERIAN MEDICAL CENTER Inpatient | Alta Hospital Systems | Medi-Cal | — | — | — | 2025-11-19 | MRF ↗ |
| HOLLYWOOD PRESBYTERIAN MEDICAL CENTER Inpatient | Pipeline formerly Avanti | Medi-Cal | — | — | — | 2025-11-19 | MRF ↗ |
| HOLLYWOOD PRESBYTERIAN MEDICAL CENTER Inpatient | Blue Shield of California | Medi-Cal | — | — | — | 2025-11-19 | MRF ↗ |
| HOLLYWOOD PRESBYTERIAN MEDICAL CENTER Inpatient | Medicaid | Medicaid | — | — | — | 2025-11-19 | MRF ↗ |
| HOLLYWOOD PRESBYTERIAN MEDICAL CENTER Inpatient | Brand New Day | Medi-Cal | — | — | — | 2025-11-19 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Highmark Wholecare | Highmark Wholecare Medicaid HC | $18,064.40 | — | — | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Inpatient | Aetna | Aetna Better Health CHIP | $18,260.56 | — | — | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $18,260.56 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Aetna | Aetna Better Health CHIP | $18,260.56 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $18,260.56 | — | — | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Inpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $18,339.08 | — | — | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Inpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $18,339.08 | — | — | 2026-04-14 | MRF ↗ |
| PARK NICOLLET METHODIST HOSPITAL InpatientFacility | UHC MEDICAID REPLACEMENT [950280] | UHC WI COMMUNITY PLAN [50274] | $18,451.26 | $34,391.45 | — | 2026-03-31 | MRF ↗ |
| PARK NICOLLET METHODIST HOSPITAL InpatientFacility | MA WISCONSIN REPLACEMENT [950271] | GHC OF EAU CLAIRE MA HMO [50261] | $18,451.26 | $34,391.45 | — | 2026-03-31 | MRF ↗ |
| PARK NICOLLET METHODIST HOSPITAL InpatientFacility | MA WISCONSIN REPLACEMENT [950271] | GHC OF EAU CLAIRE MA HMO [50261] | $18,451.26 | $34,391.45 | — | 2026-03-31 | MRF ↗ |
| PARK NICOLLET METHODIST HOSPITAL InpatientFacility | UHC MEDICAID REPLACEMENT [950280] | UHC WI COMMUNITY PLAN [50274] | $18,451.26 | $34,391.45 | — | 2026-03-31 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Geisinger | Geisinger Medicaid HC | $18,539.78 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Geisinger | Geisinger CHIP | $18,539.78 | — | — | 2026-04-14 | MRF ↗ |
| RIVERSIDE UNIVERSITY HEALTH SYSTEM-MEDICAL CENTER Inpatient | LA CARE HEALTH PLAN | MCAL HMO | $18,614.98 | $259,319.93 | — | 2026-01-01 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $18,691.89 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $18,691.89 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $18,691.89 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Aetna | Aetna Better Health CHIP | $18,691.89 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Aetna | Aetna Better Health CHIP | $18,691.89 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Aetna | Aetna Better Health CHIP | $18,691.89 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $18,691.89 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Aetna | Aetna Better Health CHIP | $18,691.89 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $18,691.89 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Aetna | Aetna Better Health CHIP | $18,691.89 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $18,753.54 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $18,753.54 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Jefferson Health Plans | Jefferson Health Plans | $18,864.23 | — | — | 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.