403 — Lymphoma & Non-acute Leukemia W Cc
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Lymphoma & non-acute leukemia w CC (MS_DRG 403) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/403?code_type=MS_DRG
MLA (9th ed.)
“Lymphoma & non-acute leukemia w CC (MS_DRG 403) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/403?code_type=MS_DRG. Accessed .
Chicago (notes-bibliography)
“Lymphoma & non-acute leukemia w CC (MS_DRG 403) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/403?code_type=MS_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $10,548–$27,644 (25th–75th percentile) across 134 hospitals · 135 payers.
“Negotiated” is the hospital’s negotiated rate for the entire inpatient stay under MS_DRG 403 — 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 |
|---|---|---|---|---|---|---|---|
| Uh Geauga Medical Center InpatientFacility | Anthem | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Molina | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | SummaCare | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Devoted Health | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | The Health Plan | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Cigna | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | WellCare by AllWell | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Medical Mutual of Ohio | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Aetna | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Humana | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Primetime Health Plan | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | United Healthcare | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Paramount | Medicare Advantage | $52.19 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Valor Health Plans | Medicare Advantage | $53.20 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Perennial Advantage of Ohio | Medicare Advantage | $53.20 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Aetna CVSHealth QHP | Commercial | $90.19 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | CareSource | Marketplace | $91.21 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Ambetter | Commercial | $91.21 | — | — | 2025-05-16 | MRF ↗ |
| METHODIST JENNIE EDMUNDSON | Oscar Health | — | $150.00 | — | — | 2026-07-30 | MRF ↗ |
| METHODIST FREMONT HEALTH | Oscar Health | — | $150.00 | — | — | 2026-07-30 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Bluechoice Medicaid | — | $1,069.05 | $54,238.00 | $35,254.70 | 2026-07-05 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Inpatient | SEAFARERS HEALTH AND BENEFITS PLAN [5343] | CSMC CIGNA | — | $53,392.28 | — | 2026-01-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Bcbs Upstate Reedy (Greenville Co Only) | — | $3,541.00 | $54,238.00 | $35,254.70 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Bcbs Exchange | — | $3,647.00 | $54,238.00 | $35,254.70 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Tricare Humana Military | — | $3,818.05 | $54,238.00 | $35,254.70 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Tricare | — | $3,818.05 | $54,238.00 | $35,254.70 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Tricare | — | $3,838.08 | $54,238.00 | $35,255.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Tricare | — | $3,838.08 | $54,238.00 | $35,255.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Tricare Humana Military | — | $3,838.08 | $54,238.00 | $35,255.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Tricare Humana Military | — | $3,841.95 | $54,238.00 | $35,254.70 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Tricare Humana Military | — | $3,862.58 | $54,238.00 | $35,254.70 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Tricare Humana Military | — | $3,892.20 | $54,238.00 | $35,254.70 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Tricare | — | $3,892.20 | $54,238.00 | $35,254.70 | 2026-07-05 | MRF ↗ |
| MOUNT SINAI WEST InpatientFacility | Empire Healthplus | Medicaid Advantage | — | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI WEST InpatientFacility | Affinity | Medicaid Advantage | — | — | — | 2026-04-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Tricare Humana Military | — | $4,200.01 | $54,238.00 | $35,254.70 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Tricare | — | $4,200.01 | $54,238.00 | $35,254.70 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Tricare Humana Military | — | $4,443.21 | $54,238.00 | $35,254.70 | 2026-07-05 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | LUMINARE HEALTH AHS RETIREE [5013] | HMC AETNA AHS EMPLOYEE | — | $53,392.28 | — | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Inpatient | LUMINARE HEALTH AHS RETIREE [5013] | CMC AETNA AHS EMPLOYEE | — | $53,392.28 | — | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | LUMINARE HEALTH AHS RETIREE [5013] | HMC AETNA AHS EMPLOYEE | — | $53,392.28 | — | 2026-01-01 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Champus/Tricare | — | $5,627.75 | $54,238.00 | $37,966.60 | 2026-06-20 | MRF ↗ |
| The Queen's Medical Center Inpatient | University Health Alliance | Commercial | $5,753.00 | — | — | 2026-07-15 | MRF ↗ |
| THE QUEENS MEDICAL CENTER Inpatient | University Health Alliance | Commercial | $5,753.00 | — | — | 2026-07-15 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Mhs In | Managed Care Medicaid Plan | $6,073.99 | $69,586.30 | $35,489.01 | 2026-07-18 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Anthem In | Managed Care Medicaid Plan | $6,073.99 | $69,586.30 | $35,489.01 | 2026-07-18 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Caresource In | Managed Care Medicaid Plan | $6,073.99 | $69,586.30 | $35,489.01 | 2026-07-18 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Inpatient | BLUE CROSS BLUE SHIELD MEDICAID [16007] | BCBS BLUE PLUS MA [1600701] | $6,102.48 | $36,664.19 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Inpatient | BLUE CROSS BLUE SHIELD MEDICAID [16007] | BCBS BLUE PLUS MA [1600701] | $6,102.48 | $36,664.19 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Inpatient | BLUE CROSS BLUE SHIELD MEDICAID [16007] | BCBS BLUE PLUS MN CARE [1600702] | $6,102.48 | $36,664.19 | — | 2026-01-01 | MRF ↗ |
| THE QUEENS MEDICAL CENTER Inpatient | Hawaii Western Management Group | Commercial | $6,149.00 | — | — | 2026-07-15 | MRF ↗ |
| The Queen's Medical Center Inpatient | Hawaii Western Management Group | Commercial | $6,149.00 | — | — | 2026-07-15 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC InpatientFacility | Aetna | NC+ Preferred | $6,527.00 | — | — | 2025-10-08 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | MEDICAID TENNESSEE [325] | PHU HB 100% OF MEDICAID - HMH | $6,552.20 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | MEDICAID GEORGIA-CARESOURCE [3228] | PHU HB 100% OF MEDICAID - HMH | $6,552.20 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | MEDICAID GEORGIA-AMERIGROUP [3009] | PHU HB 100% OF MEDICAID - HMH | $6,552.20 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | MEDICAID FLORIDA [315] | PHU HB 100% OF MEDICAID - HMH | $6,552.20 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | MEDICAID NEW YORK [320] | PHU HB 100% OF MEDICAID - HMH | $6,552.20 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | PENDING MEDICAID DET [333] | PHU HB SC MEDICAID - HMH | $6,644.29 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | MEDICAID SC [300] | PHU HB SC MEDICAID - HMH | $6,644.29 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | MEDICAID SELECT HEALTH OF SC [400] | PHU HB 103% OF MEDICAID - HMH | $6,748.77 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | MEDICAID MOLINA HEALTHCARE SC [440] | PHU HB 103% OF MEDICAID - HMH | $6,748.77 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | MEDICAID BLUECHOICE [420] | PHU HB BLUECHOICE MEDICAID 104% - HMH | $6,814.29 | — | — | 2026-03-01 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC InpatientFacility | Aetna | Whole Health | $6,955.00 | — | — | 2025-10-08 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | MEDICAID ABSOLUTE TOTAL CARE [410] | PHU HB ABSOLUTE TOTAL CARE MEDICAID - HMH | $6,976.50 | — | — | 2026-03-01 | MRF ↗ |
| MH ST JOSEPH WARREN HOSPITAL Inpatient | ANTHEM OH MEDICAID [6565] | ANTHEM OH MEDICAID [656501] | $7,015.89 | — | — | 2026-04-01 | MRF ↗ |
| MH ST JOSEPH WARREN HOSPITAL Inpatient | HUMANA MEDICAID OH [4455] | HUMANA MEDICAID OH [4455001] | $7,015.89 | — | — | 2026-04-01 | MRF ↗ |
| MH ST JOSEPH WARREN HOSPITAL Inpatient | CARESOURCE [2002] | CARESOURCE OH MEDICAID [2002001] | $7,015.89 | — | — | 2026-04-01 | MRF ↗ |
| MH ST JOSEPH WARREN HOSPITAL Inpatient | BUCKEYE COMMUNITY HEALTH PLAN [2001] | BUCKEYE COMMUNITY HEALTH PLAN [2001001] | $7,015.89 | — | — | 2026-04-01 | MRF ↗ |
| MH ST JOSEPH WARREN HOSPITAL Inpatient | AMERIHEALTH CARITAS OH [4813] | AMERIHEALTH CARITAS OH [4813001] | $7,015.89 | — | — | 2026-04-01 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | MEDICAID HUMANA HEALTHY HORIZONS [6110] | PHU HB 107% OF MEDICAID - HMH | $7,109.39 | — | — | 2026-03-01 | MRF ↗ |
| MH ST JOSEPH WARREN HOSPITAL Inpatient | MOLINA HEALTHCARE OH MEDICAID [3070] | MOLINA HEALTHCARE OHIO MEDICA [3070001] | $7,149.53 | — | — | 2026-04-01 | MRF ↗ |
| MH ST JOSEPH WARREN HOSPITAL Inpatient | UNITED HEALTHCARE COMMUNITY PL [3519] | UNITED HEALTHCARE COMMUNITY PLAN OH [3519001] | $7,149.53 | — | — | 2026-04-01 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Inpatient | CARESOURCE [2002] | CARESOURCE OH MEDICAID [2002001] | $7,180.47 | — | — | 2026-04-01 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Anthem In | Managed Care Medicaid Plan | $7,320.78 | $62,586.90 | $31,919.32 | 2026-07-18 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Mhs In | Managed Care Medicaid Plan | $7,320.78 | $62,586.90 | $31,919.32 | 2026-07-18 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Caresource In | Managed Care Medicaid Plan | $7,320.78 | $62,586.90 | $31,919.32 | 2026-07-18 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Inpatient | BUCKEYE COMMUNITY HEALTH PLAN [2001] | BUCKEYE COMMUNITY HEALTH PLAN [2001001] | $7,322.66 | — | — | 2026-04-01 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Inpatient | UNITED HEALTHCARE COMMUNITY PL [3519] | UNITED HEALTHCARE COMMUNITY PLAN OH [3519001] | $7,464.85 | — | — | 2026-04-01 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Inpatient | ANTHEM OH MEDICAID [6565] | ANTHEM OH MEDICAID [656501] | $7,464.85 | — | — | 2026-04-01 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Inpatient | AMERIHEALTH CARITAS OH [4813] | AMERIHEALTH CARITAS OH [4813001] | $7,464.85 | — | — | 2026-04-01 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Inpatient | HUMANA MEDICAID OH [4455] | HUMANA MEDICAID OH [4455001] | $7,464.85 | — | — | 2026-04-01 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Inpatient | MOLINA HEALTHCARE OH MEDICAID [3070] | MOLINA HEALTHCARE OHIO MEDICA [3070001] | $7,464.85 | — | — | 2026-04-01 | MRF ↗ |
| MH ST JOSEPH WARREN HOSPITAL Inpatient | ANTHEM OH MEDICAID [6565] | ANTHEM OH MEDICAID [656501] | $7,763.46 | — | — | 2026-04-01 | MRF ↗ |
| MH ST JOSEPH WARREN HOSPITAL Inpatient | HUMANA MEDICAID OH [4455] | HUMANA MEDICAID OH [4455001] | $7,763.46 | — | — | 2026-04-01 | MRF ↗ |
| MH ST JOSEPH WARREN HOSPITAL Inpatient | BUCKEYE COMMUNITY HEALTH PLAN [2001] | BUCKEYE COMMUNITY HEALTH PLAN [2001001] | $7,763.46 | — | — | 2026-04-01 | MRF ↗ |
| MH ST JOSEPH WARREN HOSPITAL Inpatient | CARESOURCE [2002] | CARESOURCE OH MEDICAID [2002001] | $7,763.46 | — | — | 2026-04-01 | MRF ↗ |
| MH ST JOSEPH WARREN HOSPITAL Inpatient | AMERIHEALTH CARITAS OH [4813] | AMERIHEALTH CARITAS OH [4813001] | $7,763.46 | — | — | 2026-04-01 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL InpatientFacility | Security Health Plan Of Wisconsin, Inc. | Security Health Plan Wisconsin Medicaid Plans | $7,875.36 | — | — | 2025-07-01 | MRF ↗ |
| MH ST JOSEPH WARREN HOSPITAL Inpatient | UNITED HEALTHCARE COMMUNITY PL [3519] | UNITED HEALTHCARE COMMUNITY PLAN OH [3519001] | $7,911.33 | — | — | 2026-04-01 | MRF ↗ |
| MH ST JOSEPH WARREN HOSPITAL Inpatient | MOLINA HEALTHCARE OH MEDICAID [3070] | MOLINA HEALTHCARE OHIO MEDICA [3070001] | $7,911.33 | — | — | 2026-04-01 | MRF ↗ |
| Charlton Memorial Hospital Inpatient | TUFTS HEALTH PUBLIC PLANS [1010213] | TUFTS HEALTH DIRECT [101021302] | $8,004.62 | $42,362.20 | $21,181.10 | 2025-12-15 | MRF ↗ |
| Tobey Hospital Inpatient | TUFTS HEALTH PUBLIC PLANS [1010213] | TUFTS HEALTH DIRECT [101021302] | $8,004.62 | $63,358.19 | $31,679.10 | 2025-12-15 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL InpatientFacility | Anthem Blue Cross Blue Shield Wisconsin | Anthem Wisconsin Medicaid Plans | $8,032.87 | — | — | 2025-07-01 | MRF ↗ |
| THE JEWISH HOSPITAL-MERCY HEALTH Inpatient | CARESOURCE [2002] | CARESOURCE OH MEDICAID [2002001] | $8,138.82 | — | — | 2026-04-01 | MRF ↗ |
| MERCY HEALTH-ST RITA'S MEDICAL CENTER Inpatient | BUCKEYE COMMUNITY HEALTH PLAN [2001] | BUCKEYE COMMUNITY HEALTH PLAN [2001001] | $8,231.83 | — | — | 2026-04-01 | MRF ↗ |
| THE JEWISH HOSPITAL-MERCY HEALTH Inpatient | AMERIHEALTH CARITAS OH [4813] | AMERIHEALTH CARITAS OH [4813001] | $8,256.77 | — | — | 2026-04-01 | MRF ↗ |
| THE JEWISH HOSPITAL-MERCY HEALTH Inpatient | ANTHEM OH MEDICAID [6565] | ANTHEM OH MEDICAID [656501] | $8,256.77 | — | — | 2026-04-01 | MRF ↗ |
| THE JEWISH HOSPITAL-MERCY HEALTH Inpatient | HUMANA MEDICAID OH [4455] | HUMANA MEDICAID OH [4455001] | $8,256.77 | — | — | 2026-04-01 | MRF ↗ |
| THE JEWISH HOSPITAL-MERCY HEALTH Inpatient | UNITED HEALTHCARE COMMUNITY PL [3519] | UNITED HEALTHCARE COMMUNITY PLAN OH [3519001] | $8,256.77 | — | — | 2026-04-01 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | CARESOURCE [2002] | CARESOURCE OH MEDICAID [2002001] | $8,354.79 | — | — | 2026-04-01 | MRF ↗ |
| MERCY HEALTH-ST RITA'S MEDICAL CENTER Inpatient | UNITED HEALTHCARE COMMUNITY PL [3519] | UNITED HEALTHCARE COMMUNITY PLAN OH [3519001] | $8,391.67 | — | — | 2026-04-01 | MRF ↗ |
| MERCY HEALTH-ST RITA'S MEDICAL CENTER Inpatient | ANTHEM OH MEDICAID [6565] | ANTHEM OH MEDICAID [656501] | $8,391.67 | — | — | 2026-04-01 | MRF ↗ |
| MERCY HEALTH-ST RITA'S MEDICAL CENTER Inpatient | AMERIHEALTH CARITAS OH [4813] | AMERIHEALTH CARITAS OH [4813001] | $8,391.67 | — | — | 2026-04-01 | MRF ↗ |
| MERCY HEALTH-ST RITA'S MEDICAL CENTER Inpatient | HUMANA MEDICAID OH [4455] | HUMANA MEDICAID OH [4455001] | $8,391.67 | — | — | 2026-04-01 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL InpatientFacility | United Healthcare Of Wisconsin, Inc. | United Healthcare Wisconsin Medicaid Plans | — | — | — | 2026-04-01 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC InpatientFacility | Aetna | Broad Network | $8,452.00 | — | — | 2025-10-08 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | AMERIHEALTH CARITAS OH [4813] | AMERIHEALTH CARITAS OH [4813001] | $8,475.87 | — | — | 2026-04-01 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | HUMANA MEDICAID OH [4455] | HUMANA MEDICAID OH [4455001] | $8,475.87 | — | — | 2026-04-01 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | UNITED HEALTHCARE COMMUNITY PL [3519] | UNITED HEALTHCARE COMMUNITY PLAN OH [3519001] | $8,475.87 | — | — | 2026-04-01 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | ANTHEM OH MEDICAID [6565] | ANTHEM OH MEDICAID [656501] | $8,475.87 | — | — | 2026-04-01 | MRF ↗ |
| THE JEWISH HOSPITAL-MERCY HEALTH Inpatient | MOLINA HEALTHCARE OH MEDICAID [3070] | MOLINA HEALTHCARE OHIO MEDICA [3070001] | $8,571.31 | — | — | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | TUFTS HEALTH PUBLIC PLAN CONNECTORCARE [100264] | HB XR THPP CONNECTOR PLANS QHP SUBSIDIZED LGH | $8,640.95 | $18,964.02 | $13,274.81 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | TUFTS HEALTH PUBLIC PLAN CONNECTORCARE [100264] | HB XR THPP CONNECTOR PLANS QHP SUBSIDIZED LGH | $8,640.95 | $22,007.64 | $15,405.35 | 2026-04-01 | MRF ↗ |
| THE JEWISH HOSPITAL-MERCY HEALTH Inpatient | BUCKEYE COMMUNITY HEALTH PLAN [2001] | BUCKEYE COMMUNITY HEALTH PLAN [2001001] | $8,649.95 | — | — | 2026-04-01 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL InpatientFacility | Security Health Plan Of Wisconsin, Inc. | Security Health Plan Wisconsin Medicaid Plans | — | — | — | 2026-04-01 | MRF ↗ |
| SALEM HOSPITAL Inpatient | MASSHEALTH [3001] | HB SLM MEDICAID | $8,712.37 | $35,459.23 | — | 2026-03-27 | MRF ↗ |
| MASSACHUSETTS GENERAL HOSPITAL Inpatient | MASSHEALTH [3001] | HB MGH MEDICAID | $8,712.83 | $47,594.90 | — | 2026-03-27 | MRF ↗ |
| BRIGHAM AND WOMEN'S HOSPITAL Inpatient | MASSHEALTH [3001] | HB BWH MEDICAID | $8,712.83 | $58,696.52 | — | 2026-03-27 | MRF ↗ |
| BRIGHAM AND WOMEN'S HOSPITAL Inpatient | WELLSENSE [1003] | HB BWH WELLSENSE MCO | $8,712.83 | $58,696.52 | — | 2026-03-27 | MRF ↗ |
| BRIGHAM AND WOMEN FAULKNER HOSPITAL Inpatient | WELLSENSE [1003] | HB BWF WELLSENSE MCO | $8,712.83 | $36,076.83 | — | 2026-03-27 | MRF ↗ |
| NEWTON-WELLESLEY HOSPITAL Inpatient | WELLSENSE [1003] | HB NWH WELLSENSE MCO | $8,712.83 | $24,945.50 | — | 2026-03-27 | MRF ↗ |
| MASSACHUSETTS GENERAL HOSPITAL Inpatient | WELLSENSE [1003] | HB MGH WELLSENSE MCO | $8,712.83 | $47,594.90 | — | 2026-03-27 | MRF ↗ |
| SALEM HOSPITAL Inpatient | WELLSENSE [1003] | HB SLM WELLSENSE MCO | $8,712.83 | $35,459.23 | — | 2026-03-27 | MRF ↗ |
| BRIGHAM AND WOMEN FAULKNER HOSPITAL Inpatient | MGB HEALTH PLAN [150001] | HB BWF MGBHP MEDICAID | $8,712.83 | $36,076.83 | — | 2026-03-27 | MRF ↗ |
| NEWTON-WELLESLEY HOSPITAL Inpatient | MASSHEALTH [3001] | HB NWH MEDICAID | $8,712.83 | $27,291.30 | — | 2026-03-27 | MRF ↗ |
| NEWTON-WELLESLEY HOSPITAL Inpatient | TUFTS HEALTH PUBLIC PLANS [1013] | HB NWH MEDICAID | $8,712.83 | $24,945.50 | — | 2026-03-27 | MRF ↗ |
| SPRINGFIELD REGIONAL MEDICAL CENTER Inpatient | CARESOURCE [2002] | CARESOURCE OH MEDICAID [2002001] | $8,786.83 | — | — | 2026-04-01 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | MOLINA HEALTHCARE OH MEDICAID [3070] | MOLINA HEALTHCARE OHIO MEDICA [3070001] | $8,798.76 | — | — | 2026-04-01 | MRF ↗ |
| MERCY HEALTH-ST RITA'S MEDICAL CENTER Inpatient | MOLINA HEALTHCARE OH MEDICAID [3070] | MOLINA HEALTHCARE OHIO MEDICA [3070001] | $8,843.66 | — | — | 2026-04-01 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | BUCKEYE COMMUNITY HEALTH PLAN [2001] | BUCKEYE COMMUNITY HEALTH PLAN [2001001] | $8,879.49 | — | — | 2026-04-01 | MRF ↗ |
| SPRINGFIELD REGIONAL MEDICAL CENTER Inpatient | MOLINA HEALTHCARE OH MEDICAID [3070] | MOLINA HEALTHCARE OHIO MEDICA [3070001] | $8,914.17 | — | — | 2026-04-01 | MRF ↗ |
| SPRINGFIELD REGIONAL MEDICAL CENTER Inpatient | HUMANA MEDICAID OH [4455] | HUMANA MEDICAID OH [4455001] | $8,914.17 | — | — | 2026-04-01 | MRF ↗ |
| SPRINGFIELD REGIONAL MEDICAL CENTER Inpatient | UNITED HEALTHCARE COMMUNITY PL [3519] | UNITED HEALTHCARE COMMUNITY PLAN OH [3519001] | $8,914.17 | — | — | 2026-04-01 | MRF ↗ |
| SPRINGFIELD REGIONAL MEDICAL CENTER Inpatient | AMERIHEALTH CARITAS OH [4813] | AMERIHEALTH CARITAS OH [4813001] | $8,914.17 | — | — | 2026-04-01 | MRF ↗ |
| SPRINGFIELD REGIONAL MEDICAL CENTER Inpatient | ANTHEM OH MEDICAID [6565] | ANTHEM OH MEDICAID [656501] | $8,914.17 | — | — | 2026-04-01 | MRF ↗ |
| SPRINGFIELD REGIONAL MEDICAL CENTER Inpatient | BUCKEYE COMMUNITY HEALTH PLAN [2001] | BUCKEYE COMMUNITY HEALTH PLAN [2001001] | $8,914.17 | — | — | 2026-04-01 | MRF ↗ |
| MERCY HEALTH-ST RITA'S MEDICAL CENTER Inpatient | CARESOURCE [2002] | CARESOURCE OH MEDICAID [2002001] | $8,932.10 | — | — | 2026-04-01 | MRF ↗ |
| THE JEWISH HOSPITAL-MERCY HEALTH Inpatient | CARESOURCE [2002] | CARESOURCE OH MEDICAID [2002001] | $9,006.04 | — | — | 2026-04-01 | MRF ↗ |
| ST FRANCIS-DOWNTOWN Inpatient | SELECT HEALTH OF SC [4890] | SELECT HEALTH OF SC [4890001] | $9,074.40 | — | — | 2026-05-06 | MRF ↗ |
| ST FRANCIS-DOWNTOWN Inpatient | BLUE CHOICE MEDICAID SC [4807] | BLUE CHOICE HEALTHPLAN MEDICAID SC [4807001] | $9,074.40 | — | — | 2026-05-06 | MRF ↗ |
| ARCHBOLD MEMORIAL HOSPITAL InpatientFacility | Peach State | Cmo Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MERCY HEALTH-ST RITA'S MEDICAL CENTER Inpatient | BUCKEYE COMMUNITY HEALTH PLAN [2001] | BUCKEYE COMMUNITY HEALTH PLAN [2001001] | $9,108.97 | — | — | 2026-04-01 | MRF ↗ |
| THE JEWISH HOSPITAL-MERCY HEALTH Inpatient | AMERIHEALTH CARITAS OH [4813] | AMERIHEALTH CARITAS OH [4813001] | $9,136.56 | — | — | 2026-04-01 | MRF ↗ |
| THE JEWISH HOSPITAL-MERCY HEALTH Inpatient | UNITED HEALTHCARE COMMUNITY PL [3519] | UNITED HEALTHCARE COMMUNITY PLAN OH [3519001] | $9,136.56 | — | — | 2026-04-01 | MRF ↗ |
| THE JEWISH HOSPITAL-MERCY HEALTH Inpatient | ANTHEM OH MEDICAID [6565] | ANTHEM OH MEDICAID [656501] | $9,136.56 | — | — | 2026-04-01 | MRF ↗ |
| THE JEWISH HOSPITAL-MERCY HEALTH Inpatient | HUMANA MEDICAID OH [4455] | HUMANA MEDICAID OH [4455001] | $9,136.56 | — | — | 2026-04-01 | MRF ↗ |
| UPMC BEDFORD MEMORIAL InpatientFacility | UPMC Work Partners | Workers Comp | $9,223.57 | — | — | 2026-03-06 | MRF ↗ |
| UPMC NORTHWEST InpatientFacility | UPMC Work Partners | Workers Comp | $9,223.57 | — | — | 2026-03-06 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | CARESOURCE [2002] | CARESOURCE OH MEDICAID [2002001] | $9,245.02 | — | — | 2026-04-01 | MRF ↗ |
| ST FRANCIS-DOWNTOWN Inpatient | HUMANA MEDICAID SC [4884] | HUMANA MEDICAID SC [4884001] | $9,255.89 | — | — | 2026-05-06 | MRF ↗ |
| MERCY HEALTH-ST RITA'S MEDICAL CENTER Inpatient | HUMANA MEDICAID OH [4455] | HUMANA MEDICAID OH [4455001] | $9,285.84 | — | — | 2026-04-01 | MRF ↗ |
| MERCY HEALTH-ST RITA'S MEDICAL CENTER Inpatient | UNITED HEALTHCARE COMMUNITY PL [3519] | UNITED HEALTHCARE COMMUNITY PLAN OH [3519001] | $9,285.84 | — | — | 2026-04-01 | MRF ↗ |
| MERCY HEALTH-ST RITA'S MEDICAL CENTER Inpatient | ANTHEM OH MEDICAID [6565] | ANTHEM OH MEDICAID [656501] | $9,285.84 | — | — | 2026-04-01 | MRF ↗ |
| MERCY HEALTH-ST RITA'S MEDICAL CENTER Inpatient | AMERIHEALTH CARITAS OH [4813] | AMERIHEALTH CARITAS OH [4813001] | $9,285.84 | — | — | 2026-04-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Inpatient | UCARE MEDICAID [16041] | UCARE MN CARE [1604103] | $9,348.40 | $36,664.19 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Inpatient | UCARE MEDICAID [16041] | UCARE CONNECT [1604101] | $9,348.40 | $36,664.19 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Inpatient | UCARE MEDICAID [16041] | UCARE MA [1604102] | $9,348.40 | $36,664.19 | — | 2026-01-01 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | ANTHEM OH MEDICAID [6565] | ANTHEM OH MEDICAID [656501] | $9,379.01 | — | — | 2026-04-01 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | HUMANA MEDICAID OH [4455] | HUMANA MEDICAID OH [4455001] | $9,379.01 | — | — | 2026-04-01 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | AMERIHEALTH CARITAS OH [4813] | AMERIHEALTH CARITAS OH [4813001] | $9,379.01 | — | — | 2026-04-01 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | UNITED HEALTHCARE COMMUNITY PL [3519] | UNITED HEALTHCARE COMMUNITY PLAN OH [3519001] | $9,379.01 | — | — | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | TEWKSBURY HOSPITAL [950008] | HB XR MASSHEALTH NON-CONTRACTED LGH | $9,386.81 | $22,007.64 | $15,405.35 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | MASS GENERAL BRIGHAM HEALTH PLAN MEDICAID REPLACEM | HB XR MGBHP ACO COMPLETE SELECT LGH | $9,386.81 | $22,007.64 | $15,405.35 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | GENERIC PRISON [500099] | HB XR MASSHEALTH NON-CONTRACTED MWF | $9,386.81 | $24,735.96 | $17,315.17 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | FALLON HEALTH MEDICAID REPLACEMENT [350008] | HB XR MASSHEALTH 100% MWF | $9,386.81 | $24,735.96 | $17,315.17 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | GENERIC PRISON [500099] | HB XR MASSHEALTH NON-CONTRACTED LGH | $9,386.81 | $22,007.64 | $15,405.35 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | MASS GENERAL BRIGHAM HEALTH PLAN MEDICAID REPLACEM | HB XR MGBHP ACO COMPLETE SELECT MWF | $9,386.81 | $24,735.96 | $17,315.17 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | MEDICAID MASSHEALTH [300001] | HB XR MASSHEALTH 100% MWF | $9,386.81 | $24,735.96 | $17,315.17 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | MIDDLESEX COUNTY [500015] | HB XR MASSHEALTH NON-CONTRACTED MWF | $9,386.81 | $24,735.96 | $17,315.17 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | MEDICAID MASSHEALTH [300001] | HB XR MASSHEALTH 100% MWF | $9,386.81 | $24,735.96 | $17,315.17 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | SUFFOLK COUNTY [500014] | HB XR MASSHEALTH NON-CONTRACTED MWF | $9,386.81 | $24,735.96 | $17,315.17 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | WELLSENSE MEDICAID REPLACEMENT [350011] | HB XR WELLSENSE MEDICAID MCO ACO LGH | $9,386.81 | $22,007.64 | $15,405.35 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | WELLSENSE NH [350010] | HB XR MASSHEALTH 100% MWF | $9,386.81 | $24,735.96 | $17,315.17 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | FALLON HEALTH MEDICAID REPLACEMENT [350008] | HB XR MASSHEALTH 100% MWF | $9,386.81 | $24,735.96 | $17,315.17 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | FALLON HEALTH MEDICAID REPLACEMENT [350008] | HB XR MASSHEALTH 100% LGH | $9,386.81 | $22,007.64 | $15,405.35 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | TEWKSBURY HOSPITAL [950008] | HB XR MASSHEALTH NON-CONTRACTED MWF | $9,386.81 | $24,735.96 | $17,315.17 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | MIDDLESEX COUNTY [500015] | HB XR MASSHEALTH NON-CONTRACTED MWF | $9,386.81 | $24,735.96 | $17,315.17 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | SUFFOLK COUNTY [500014] | HB XR MASSHEALTH NON-CONTRACTED MWF | $9,386.81 | $24,735.96 | $17,315.17 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | GENERIC PRISON [500099] | HB XR MASSHEALTH NON-CONTRACTED MWF | $9,386.81 | $24,735.96 | $17,315.17 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | TEWKSBURY HOSPITAL [950008] | HB XR MASSHEALTH NON-CONTRACTED MWF | $9,386.81 | $24,735.96 | $17,315.17 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | TUFTS HEALTH PUBLIC PLAN [350009] | HB XR THPP MCO ACO MWF | $9,386.81 | $24,735.96 | $17,315.17 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | MIDDLESEX COUNTY [500015] | HB XR MASSHEALTH NON-CONTRACTED LGH | $9,386.81 | $22,007.64 | $15,405.35 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | MASS GENERAL BRIGHAM HEALTH PLAN MEDICAID REPLACEM | HB XR MGBHP ACO COMPLETE SELECT MWF | $9,386.81 | $24,735.96 | $17,315.17 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | SUFFOLK COUNTY [500014] | HB XR MASSHEALTH NON-CONTRACTED LGH | $9,386.81 | $22,007.64 | $15,405.35 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | MEDICAID MASSHEALTH [300001] | HB XR MASSHEALTH 100% LGH | $9,386.81 | $22,007.64 | $15,405.35 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | TUFTS HEALTH PUBLIC PLAN [350009] | HB XR THPP MCO ACO MWF | $9,386.81 | $24,735.96 | $17,315.17 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | WELLSENSE NH [350010] | HB XR MASSHEALTH 100% MWF | $9,386.81 | $24,735.96 | $17,315.17 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | TUFTS HEALTH PUBLIC PLAN [350009] | HB XR THPP MCO ACO LGH | $9,410.83 | $22,007.64 | $15,405.35 | 2026-04-01 | MRF ↗ |
| Tobey Hospital Inpatient | WELLSENSE HEALTH PLAN [1010202] | WELLSENSE HEALTH PLAN SOUTHCOAST ALLIANCE ACO [101 | $9,411.47 | $45,167.46 | $22,583.73 | 2025-12-15 | MRF ↗ |
| Charlton Memorial Hospital Inpatient | WELLSENSE HEALTH PLAN [1010202] | WELLSENSE HEALTH PLAN SOUTHCOAST ALLIANCE ACO [101 | $9,411.47 | $42,362.20 | $21,181.10 | 2025-12-15 | MRF ↗ |
| UPMC HORIZON InpatientFacility | UPMC Work Partners | Workers Comp | $9,470.42 | — | — | 2026-03-06 | MRF ↗ |
| THE JEWISH HOSPITAL-MERCY HEALTH Inpatient | MOLINA HEALTHCARE OH MEDICAID [3070] | MOLINA HEALTHCARE OHIO MEDICA [3070001] | $9,484.62 | — | — | 2026-04-01 | MRF ↗ |
| UPMC HAMOT InpatientFacility | UPMC Work Partners | Workers Comp | $9,495.41 | — | — | 2026-03-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST Inpatient | MEDICAID SC [300] | PHM HB SC MEDICAID - BAPTIST | $9,502.24 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST Inpatient | PENDING MEDICAID DET [333] | PHM HB SC MEDICAID - BAPTIST | $9,502.24 | — | — | 2026-03-01 | MRF ↗ |
| ST FRANCIS-DOWNTOWN Inpatient | MOLINA HEALTHCARE SC MEDICAID [4847] | MOLINA HEALTHCARE SC MEDICAID [4847001] | $9,528.12 | — | — | 2026-05-06 | MRF ↗ |
| SALEM HOSPITAL Inpatient | MASSHEALTH [3001] | HB SLM MEDICAID | $9,539.40 | $42,620.85 | — | 2026-03-27 | MRF ↗ |
| BRIGHAM AND WOMEN FAULKNER HOSPITAL Inpatient | MASSHEALTH [3001] | HB BWF MEDICAID | $9,539.90 | $46,210.22 | — | 2026-03-27 | MRF ↗ |
| BRIGHAM AND WOMEN FAULKNER HOSPITAL Inpatient | MGB HEALTH PLAN [150001] | HB BWF MGBHP MEDICAID | $9,539.90 | $46,210.22 | — | 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.