404 — Lymphoma & Non-acute Leukemia Without Cc
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Lymphoma & Non-Acute Leukemia w/o CC (MS_DRG 404) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/404?code_type=MS_DRG
MLA (9th ed.)
“Lymphoma & Non-Acute Leukemia w/o CC (MS_DRG 404) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/404?code_type=MS_DRG. Accessed .
Chicago (notes-bibliography)
“Lymphoma & Non-Acute Leukemia w/o CC (MS_DRG 404) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/404?code_type=MS_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $9,209–$23,274 (25th–75th percentile) across 84 hospitals · 108 payers.
“Negotiated” is the hospital’s negotiated facility rate for this MS_DRG 404 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees 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 | Humana | 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 | Anthem | 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 | Medical Mutual of Ohio | 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 | WellCare by AllWell | 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 | United Healthcare | 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 | Cigna | 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 | 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 | Ambetter | Commercial | $91.21 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | CareSource | Marketplace | $91.21 | — | — | 2025-05-16 | MRF ↗ |
| MOUNT SINAI SOUTH NASSAU InpatientFacility | Fidelis | Fidelis Essential 1&2 - Snch | — | — | — | 2026-04-01 | MRF ↗ |
| COX MEDICAL CENTERS InpatientFacility | None | — | — | — | — | 2026-04-24 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL InpatientFacility | United Healthcare Of Wisconsin, Inc. | United Healthcare Medicaid Plans | — | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL InpatientFacility | Managed Health Services Insurance Corp. | Managed Health Wisconsin Medicaid Plans | $2,663.85 | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL InpatientFacility | Managed Health Services Insurance Corp. | Managed Health Wisconsin Medicaid Plans | — | — | — | 2025-07-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | MEDICAID GEORGIA-CARESOURCE [3228] | PHU HB 100% OF MEDICAID - GMH | $4,621.06 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | MEDICAID GEORGIA-CARESOURCE [3228] | PHU HB 100% OF MEDICAID - GMH | $4,621.06 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | MEDICAID TENNESSEE [325] | PHU HB 100% OF MEDICAID - GMH | $4,621.06 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | MEDICAID GEORGIA-AMERIGROUP [3009] | PHU HB 100% OF MEDICAID - GMH | $4,621.06 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | MEDICAID GEORGIA-AMERIGROUP [3009] | PHU HB 100% OF MEDICAID - GMH | $4,621.06 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | MEDICAID TENNESSEE [325] | PHU HB 100% OF MEDICAID - GMH | $4,621.06 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | MEDICAID FLORIDA [315] | PHU HB 100% OF MEDICAID - GMH | $4,621.06 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | MEDICAID NEW YORK [320] | PHU HB 100% OF MEDICAID - GMH | $4,621.06 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | MEDICAID FLORIDA [315] | PHU HB 100% OF MEDICAID - GMH | $4,621.06 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | MEDICAID NEW YORK [320] | PHU HB 100% OF MEDICAID - GMH | $4,621.06 | — | — | 2026-03-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | LUMINARE HEALTH AHS RETIREE [5013] | HMC AETNA AHS EMPLOYEE | — | $36,580.01 | — | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | LUMINARE HEALTH AHS RETIREE [5013] | HMC AETNA AHS EMPLOYEE | — | $36,580.01 | — | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Inpatient | ALLSTATE [5047] | CMC HORIZON CASUALTY PIP | — | $36,580.01 | — | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | ALLSTATE [5047] | HMC HORIZON CASUALTY PIP | — | $36,580.01 | — | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Inpatient | LUMINARE HEALTH AHS RETIREE [5013] | CMC AETNA AHS EMPLOYEE | — | $36,580.01 | — | 2026-01-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Inpatient | ALLSTATE [5047] | CSMC HORIZON CASUALTY PIP | — | $36,580.01 | — | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | ALLSTATE [5047] | HMC HORIZON CASUALTY PIP | — | $36,580.01 | — | 2026-01-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | MEDICAID MOLINA HEALTHCARE SC [440] | PHU HB 103% OF MEDICAID - GMH | $4,759.69 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | MEDICAID SELECT HEALTH OF SC [400] | PHU HB 103% OF MEDICAID - GMH | $4,759.69 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | MEDICAID MOLINA HEALTHCARE SC [440] | PHU HB 103% OF MEDICAID - GMH | $4,759.69 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | MEDICAID SELECT HEALTH OF SC [400] | PHU HB 103% OF MEDICAID - GMH | $4,759.69 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | MEDICAID BLUECHOICE [420] | PHU HB BLUECHOICE MEDICAID 104% - GMH | $4,805.90 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | MEDICAID BLUECHOICE [420] | PHU HB BLUECHOICE MEDICAID 104% - GMH | $4,805.90 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | MEDICAID SC [300] | PHU HB SC MEDICAID - GREENVILLE | $5,478.99 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | MEDICAID SC [300] | PHU HB SC MEDICAID - GREENVILLE | $5,478.99 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | PENDING MEDICAID DET [333] | PHU HB SC MEDICAID - GREENVILLE | $5,478.99 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | PENDING MEDICAID DET [333] | PHU HB SC MEDICAID - GREENVILLE | $5,478.99 | — | — | 2026-03-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Inpatient | BLUE CROSS BLUE SHIELD MEDICAID [16007] | BCBS BLUE PLUS MA [1600701] | $5,675.59 | $25,007.85 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Inpatient | BLUE CROSS BLUE SHIELD MEDICAID [16007] | BCBS BLUE PLUS MN CARE [1600702] | $5,675.59 | $25,007.85 | — | 2026-01-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | MEDICAID ABSOLUTE TOTAL CARE [410] | PHU HB ABSOLUTE TOTAL CARE MEDICAID - GMH | $5,752.94 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | MEDICAID ABSOLUTE TOTAL CARE [410] | PHU HB ABSOLUTE TOTAL CARE MEDICAID - GMH | $5,752.94 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | MEDICAID HUMANA HEALTHY HORIZONS [6110] | PHU HB 107% OF MEDICAID - GMH | $5,862.52 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | MEDICAID HUMANA HEALTHY HORIZONS [6110] | PHU HB 107% OF MEDICAID - GMH | $5,862.52 | — | — | 2026-03-01 | MRF ↗ |
| MOUNT SINAI SOUTH NASSAU InpatientFacility | Fidelis | Fidelis Medicaid / Chp / Harp - Snch | — | — | — | 2026-04-01 | MRF ↗ |
| UPPER VALLEY MEDICAL CENTER InpatientFacility | Contracted Commercial | Private Healthcare Systems | $6,335.33 | — | — | 2026-04-01 | MRF ↗ |
| MIAMI VALLEY HOSPITAL InpatientFacility | Contracted Commercial | Faith Based - Phcs | $6,335.33 | — | — | 2026-04-01 | MRF ↗ |
| MIAMI VALLEY HOSPITAL InpatientFacility | Contracted Commercial | Private Healthcare Systems | $6,335.33 | — | — | 2026-04-01 | MRF ↗ |
| ATRIUM MEDICAL CENTER InpatientFacility | Contracted Commercial | Private Healthcare Systems | $6,335.33 | — | — | 2026-04-01 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC InpatientFacility | Aetna | NC+ Preferred | $6,527.00 | — | — | 2025-10-08 | MRF ↗ |
| UPMC JAMESON InpatientFacility | UPMC Work Partners | Workers Comp | $6,551.44 | — | — | 2026-03-06 | MRF ↗ |
| MERCY HEALTH-ST RITA'S MEDICAL CENTER Inpatient | MOLINA HEALTHCARE OH MEDICAID [3070] | MOLINA HEALTHCARE OHIO MEDICA [3070001] | $6,882.39 | — | — | 2026-04-01 | MRF ↗ |
| UPMC Lock Haven InpatientFacility | UPMC Work Partners | Workers Comp | $6,892.77 | — | — | 2026-03-06 | MRF ↗ |
| MERCY HEALTH-ST RITA'S MEDICAL CENTER Inpatient | CARESOURCE [2002] | CARESOURCE OH MEDICAID [2002001] | $6,951.21 | — | — | 2026-04-01 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC InpatientFacility | Aetna | Whole Health | $6,955.00 | — | — | 2025-10-08 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Inpatient | BLUE CROSS BLUE SHIELD MEDICAID [16007] | BCBS BLUE PLUS MA [1600701] | $6,997.79 | $35,294.05 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Inpatient | BLUE CROSS BLUE SHIELD MEDICAID [16007] | BCBS BLUE PLUS MN CARE [1600702] | $6,997.79 | $35,294.05 | — | 2026-01-01 | MRF ↗ |
| UPMC SOMERSET InpatientFacility | UPMC Work Partners | Workers Comp | $7,110.75 | — | — | 2026-03-06 | MRF ↗ |
| ANDERSON HOSPITAL Inpatient | CARESOURCE [2002] | CARESOURCE OH MEDICAID [2002001] | $7,157.12 | — | — | 2026-04-01 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MSMC | $7,187.92 | $34,753.65 | $17,376.83 | 2026-03-23 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MSMC | $7,187.92 | $34,753.65 | $17,376.83 | 2026-03-23 | MRF ↗ |
| ST FRANCIS-DOWNTOWN Inpatient | SELECT HEALTH OF SC [4890] | SELECT HEALTH OF SC [4890001] | $7,224.33 | — | — | 2026-05-06 | MRF ↗ |
| ST FRANCIS-DOWNTOWN Inpatient | BLUE CHOICE MEDICAID SC [4807] | BLUE CHOICE HEALTHPLAN MEDICAID SC [4807001] | $7,224.33 | — | — | 2026-05-06 | MRF ↗ |
| MERCY HEALTH-ST RITA'S MEDICAL CENTER Inpatient | AMERIHEALTH CARITAS OH [4813] | AMERIHEALTH CARITAS OH [4813001] | $7,226.51 | — | — | 2026-04-01 | MRF ↗ |
| MERCY HEALTH-ST RITA'S MEDICAL CENTER Inpatient | UNITED HEALTHCARE COMMUNITY PL [3519] | UNITED HEALTHCARE COMMUNITY PLAN OH [3519001] | $7,226.51 | — | — | 2026-04-01 | MRF ↗ |
| MERCY HEALTH-ST RITA'S MEDICAL CENTER Inpatient | HUMANA MEDICAID OH [4455] | HUMANA MEDICAID OH [4455001] | $7,226.51 | — | — | 2026-04-01 | MRF ↗ |
| ANDERSON HOSPITAL Inpatient | HUMANA MEDICAID OH [4455] | HUMANA MEDICAID OH [4455001] | $7,260.84 | — | — | 2026-04-01 | MRF ↗ |
| ANDERSON HOSPITAL Inpatient | ANTHEM OH MEDICAID [6565] | ANTHEM OH MEDICAID [656501] | $7,260.84 | — | — | 2026-04-01 | MRF ↗ |
| ANDERSON HOSPITAL Inpatient | AMERIHEALTH CARITAS OH [4813] | AMERIHEALTH CARITAS OH [4813001] | $7,260.84 | — | — | 2026-04-01 | MRF ↗ |
| ST LUKE'S HOSPITAL Inpatient | WELLSENSE HEALTH PLAN CLARITY CONNECTORCARE & META | WELLSENSE HEALTH PLAN CLARITY CONNECTORCARE & META | $7,261.06 | $22,862.28 | $11,431.14 | 2025-12-15 | MRF ↗ |
| UPMC MEMORIAL InpatientFacility | UPMC Work Partners | Workers Comp | $7,293.55 | — | — | 2026-03-06 | MRF ↗ |
| UPMC HANOVER InpatientFacility | UPMC Work Partners | Workers Comp | $7,293.55 | — | — | 2026-03-06 | MRF ↗ |
| UPMC HANOVER InpatientFacility | UPMC Work Partners | Workers Comp | $7,293.55 | — | — | 2026-03-06 | MRF ↗ |
| ST FRANCIS-DOWNTOWN Inpatient | HUMANA MEDICAID SC [4884] | HUMANA MEDICAID SC [4884001] | $7,368.82 | — | — | 2026-05-06 | MRF ↗ |
| METHODIST MIDLOTHIAN MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MLMC | $7,379.91 | $34,753.65 | $17,376.83 | 2026-03-21 | MRF ↗ |
| METHODIST MANSFIELD MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MMMC | $7,380.10 | $34,753.65 | $17,376.83 | 2026-03-21 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MRMC | $7,448.52 | $34,753.65 | $17,376.83 | 2026-03-21 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MRMC | $7,448.52 | $34,753.65 | $17,376.83 | 2026-03-21 | MRF ↗ |
| UPMC LITITZ InpatientFacility | UPMC Work Partners | Workers Comp | $7,485.32 | — | — | 2026-03-06 | MRF ↗ |
| ANDERSON HOSPITAL Inpatient | MOLINA HEALTHCARE OH MEDICAID [3070] | MOLINA HEALTHCARE OHIO MEDICA [3070001] | $7,537.45 | — | — | 2026-04-01 | MRF ↗ |
| ST FRANCIS-DOWNTOWN Inpatient | MOLINA HEALTHCARE SC MEDICAID [4847] | MOLINA HEALTHCARE SC MEDICAID [4847001] | $7,585.55 | — | — | 2026-05-06 | MRF ↗ |
| ANDERSON HOSPITAL Inpatient | BUCKEYE COMMUNITY HEALTH PLAN [2001] | BUCKEYE COMMUNITY HEALTH PLAN [2001001] | $7,606.60 | — | — | 2026-04-01 | MRF ↗ |
| UPMC Lock Haven InpatientFacility | Multiplan | Worker's Compensation | $7,614.10 | — | — | 2026-03-06 | MRF ↗ |
| METHODIST CHARLTON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MCMC | $7,617.88 | $34,753.65 | $17,376.83 | 2026-03-21 | MRF ↗ |
| UPMC CARLISLE InpatientFacility | UPMC Work Partners | Workers Comp | $7,644.54 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE InpatientFacility | UPMC Work Partners | Workers Comp | $7,644.54 | — | — | 2026-03-06 | MRF ↗ |
| UPMC JAMESON InpatientFacility | UPMC Work Partners | Workers Comp | $7,792.49 | — | — | 2026-03-06 | MRF ↗ |
| MASSACHUSETTS EYE AND EAR INFIRMARY - Inpatient | WELLSENSE [1003] | HB MEE MEDICAID | $7,793.22 | $42,125.86 | — | 2026-03-27 | MRF ↗ |
| MASSACHUSETTS EYE AND EAR INFIRMARY - Inpatient | TUFTS HEALTH PUBLIC PLANS [1013] | HB MEE MEDICAID | $7,793.22 | $42,125.86 | — | 2026-03-27 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Inpatient | UCARE MEDICAID [16041] | UCARE MA [1604102] | $7,794.13 | $25,007.85 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Inpatient | UCARE MEDICAID [16041] | UCARE CONNECT [1604101] | $7,794.13 | $25,007.85 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Inpatient | UCARE MEDICAID [16041] | UCARE MN CARE [1604103] | $7,794.13 | $25,007.85 | — | 2026-01-01 | MRF ↗ |
| ST LUKE'S HOSPITAL Inpatient | TUFTS HEALTH PUBLIC PLANS [1010213] | TUFTS HEALTH DIRECT [101021302] | $8,004.62 | $22,862.28 | $11,431.14 | 2025-12-15 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Inpatient | SCHA [16032] | SCHA [1603201] | $8,239.28 | $25,007.85 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Inpatient | SCHA [16032] | SCHA MN CARE [1603202] | $8,239.28 | $25,007.85 | — | 2026-01-01 | MRF ↗ |
| Tyler Memorial Hospital InpatientFacility | None | — | — | — | — | 2026-01-01 | MRF ↗ |
| LOWER BUCKS HOSPITAL Inpatient | Worker Compensation | Worker Compensation | $8,336.22 | — | — | 2024-12-19 | MRF ↗ |
| ROXBOROUGH MEMORIAL HOSPITAL Inpatient | Worker Compensation | Worker Compensation | $8,336.22 | — | — | 2024-12-19 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | MIDDLESEX COUNTY [500015] | HB XR MASSHEALTH NON-CONTRACTED MWF | $8,396.07 | $34,733.92 | $24,313.74 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | WELLSENSE NH [350010] | HB XR MASSHEALTH 100% MWF | $8,396.07 | $34,733.92 | $24,313.74 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | TUFTS HEALTH PUBLIC PLAN [350009] | HB XR THPP MCO ACO MWF | $8,396.07 | $34,733.92 | $24,313.74 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | TEWKSBURY HOSPITAL [950008] | HB XR MASSHEALTH NON-CONTRACTED LGH | $8,396.07 | $34,733.92 | $24,313.74 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | MEDICAID MASSHEALTH [300001] | HB XR MEDICAID LIMITED CMSP 100% | — | $34,733.92 | $24,313.74 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | TEWKSBURY HOSPITAL [950008] | HB XR MASSHEALTH NON-CONTRACTED MWF | $8,396.07 | $34,733.92 | $24,313.74 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | SUFFOLK COUNTY [500014] | HB XR MASSHEALTH NON-CONTRACTED MWF | $8,396.07 | $34,733.92 | $24,313.74 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | MIDDLESEX COUNTY [500015] | HB XR MASSHEALTH NON-CONTRACTED MWF | $8,396.07 | $34,733.92 | $24,313.74 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | MEDICAID MASSHEALTH [300001] | HB XR MASSHEALTH 100% MWF | $8,396.07 | $34,733.92 | $24,313.74 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | MASS GENERAL BRIGHAM HEALTH PLAN MEDICAID REPLACEM | HB XR MGBHP ACO COMPLETE SELECT MWF | $8,396.07 | $34,733.92 | $24,313.74 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | WELLSENSE MEDICAID REPLACEMENT [350011] | HB XR WELLSENSE MEDICAID MCO ACO LGH | $8,396.07 | $34,733.92 | $24,313.74 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | GENERIC PRISON [500099] | HB XR MASSHEALTH NON-CONTRACTED MWF | $8,396.07 | $34,733.92 | $24,313.74 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | WELLSENSE NH [350010] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES LGH | — | $34,733.92 | $24,313.74 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | FALLON HEALTH MEDICAID REPLACEMENT [350008] | HB XR MASSHEALTH 100% MWF | $8,396.07 | $34,733.92 | $24,313.74 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | FALLON HEALTH MEDICAID REPLACEMENT [350008] | HB XR MASSHEALTH 100% MWF | $8,396.07 | $34,733.92 | $24,313.74 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | GENERIC PRISON [500099] | HB XR MASSHEALTH NON-CONTRACTED LGH | $8,396.07 | $34,733.92 | $24,313.74 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | FALLON HEALTH MEDICAID REPLACEMENT [350008] | HB XR MASSHEALTH 100% LGH | $8,396.07 | $34,733.92 | $24,313.74 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | MEDICAID MASSHEALTH [300001] | HB XR MASSHEALTH 100% MWF | $8,396.07 | $34,733.92 | $24,313.74 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | MASS GENERAL BRIGHAM HEALTH PLAN MEDICAID REPLACEM | HB XR MGBHP ACO COMPLETE SELECT LGH | $8,396.07 | $34,733.92 | $24,313.74 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | MEDICAID MASSHEALTH [300001] | HB XR MEDICAID LIMITED CMSP 100% | — | $34,733.92 | $24,313.74 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | GENERIC PRISON [500099] | HB XR MASSHEALTH NON-CONTRACTED MWF | $8,396.07 | $34,733.92 | $24,313.74 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | MASS GENERAL BRIGHAM HEALTH PLAN MEDICAID REPLACEM | HB XR MGBHP ACO COMPLETE SELECT MWF | $8,396.07 | $34,733.92 | $24,313.74 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | MIDDLESEX COUNTY [500015] | HB XR MASSHEALTH NON-CONTRACTED LGH | $8,396.07 | $34,733.92 | $24,313.74 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | TUFTS HEALTH PUBLIC PLAN [350009] | HB XR THPP MCO ACO MWF | $8,396.07 | $34,733.92 | $24,313.74 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | MEDICAID MASSHEALTH [300001] | HB XR MEDICAID LIMITED CMSP 100% | — | $34,733.92 | $24,313.74 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | TEWKSBURY HOSPITAL [950008] | HB XR MASSHEALTH NON-CONTRACTED MWF | $8,396.07 | $34,733.92 | $24,313.74 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | WELLSENSE NH [350010] | HB XR MASSHEALTH 100% MWF | $8,396.07 | $34,733.92 | $24,313.74 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | SUFFOLK COUNTY [500014] | HB XR MASSHEALTH NON-CONTRACTED LGH | $8,396.07 | $34,733.92 | $24,313.74 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | MEDICAID MASSHEALTH [300001] | HB XR MASSHEALTH 100% LGH | $8,396.07 | $34,733.92 | $24,313.74 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | SUFFOLK COUNTY [500014] | HB XR MASSHEALTH NON-CONTRACTED MWF | $8,396.07 | $34,733.92 | $24,313.74 | 2026-04-01 | MRF ↗ |
| METHODIST CELINA MEDICAL CENTER Inpatient | SUPERIOR MEDICAID MANAGED CARE [5007] | MHS HB MEDICAID 110% STAR PLUS MCEL | $8,402.08 | $34,753.65 | $17,376.83 | 2026-03-23 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | TUFTS HEALTH PUBLIC PLAN [350009] | HB XR THPP MCO ACO LGH | $8,417.56 | $34,733.92 | $24,313.74 | 2026-04-01 | MRF ↗ |
| ST LUKE'S HOSPITAL Inpatient | WELLSENSE HEALTH PLAN [1010202] | WELLSENSE HEALTH PLAN SOUTHCOAST ALLIANCE ACO [101 | $8,418.12 | $22,862.28 | $11,431.14 | 2025-12-15 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC InpatientFacility | Aetna | Broad Network | $8,452.00 | — | — | 2025-10-08 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | MASS GENERAL BRIGHAM HEALTH PLAN MEDICAID REPLACEM | HB XR MGBHP ACO COMPLETE SELECT TMC | $8,616.60 | $34,733.92 | $24,313.74 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | SUFFOLK COUNTY [500014] | HB XR MASSHEALTH NON-CONTRACTED TMC | $8,616.60 | $34,733.92 | $24,313.74 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | MEDICAID MASSHEALTH [300001] | HB XR MEDICAID LIMITED CMSP 100% | — | $34,733.92 | $24,313.74 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | MIDDLESEX COUNTY [500015] | HB XR MASSHEALTH NON-CONTRACTED TMC | $8,616.60 | $34,733.92 | $24,313.74 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | GENERIC PRISON [500099] | HB XR MASSHEALTH NON-CONTRACTED TMC | $8,616.60 | $34,733.92 | $24,313.74 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | TEWKSBURY HOSPITAL [950008] | HB XR MASSHEALTH NON-CONTRACTED TMC | $8,616.60 | $34,733.92 | $24,313.74 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | MEDICAID MASSHEALTH [300001] | HB XR MASSHEALTH 100% TMC | $8,616.60 | $34,733.92 | $24,313.74 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | MASS GENERAL BRIGHAM HEALTH PLAN MEDICAID REPLACEM | HB XR MASSHEALTH 100% TMC | $8,616.60 | $34,733.92 | $24,313.74 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | FALLON HEALTH MEDICAID REPLACEMENT [350008] | HB XR MASSHEALTH 100% TMC | $8,616.60 | $34,733.92 | $24,313.74 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | WELLSENSE NH [350010] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES TMC | — | $34,733.92 | $24,313.74 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | TUFTS HEALTH PUBLIC PLAN [350009] | HB XR THPP MCO ACO TMC | $8,616.60 | $34,733.92 | $24,313.74 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | WELLSENSE MEDICAID REPLACEMENT [350011] | HB XR WELLSENSE MEDICAID MCO ACO TMC | $8,616.60 | $34,733.92 | $24,313.74 | 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 | $34,733.92 | $24,313.74 | 2026-04-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Inpatient | PRIME WEST MEDICAID [16029] | PRIME WEST HEALTH [1602901] | $8,643.17 | $25,007.85 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Inpatient | PRIME WEST MEDICAID [16029] | PRIME WEST MN CARE [1602902] | $8,643.17 | $25,007.85 | — | 2026-01-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | WELLSENSE MEDICAID REPLACEMENT [350011] | HB XR WELLSENSE MEDICAID MCO ACO MWF | $8,815.87 | $34,733.92 | $24,313.74 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | WELLSENSE MEDICAID REPLACEMENT [350011] | HB XR WELLSENSE MEDICAID MCO ACO MWF | $8,815.87 | $34,733.92 | $24,313.74 | 2026-04-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Inpatient | HEALTHPARTNERS MEDICARE [16019] | HEALTHPARTNERS MSHO [1601903] | $8,885.50 | $25,007.85 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Inpatient | HEALTHPARTNERS MEDICAID [16020] | HEALTHPARTNERS MN CARE [1602001] | $8,885.50 | $25,007.85 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Inpatient | HEALTHPARTNERS MEDICAID [16020] | HEALTHPARTNERS CARE SNBC [1602003] | $8,885.50 | $25,007.85 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Inpatient | HEALTHPARTNERS MEDICAID [16020] | HEALTHPARTNERS CARE [1602002] | $8,885.50 | $25,007.85 | — | 2026-01-01 | MRF ↗ |
| THE JEWISH HOSPITAL-MERCY HEALTH Inpatient | CARESOURCE [2002] | CARESOURCE OH MEDICAID [2002001] | $8,970.20 | — | — | 2026-04-01 | MRF ↗ |
| UPMC PASSAVANT InpatientFacility | Private Health Care Systems | Workers' Comp | $9,061.03 | — | — | 2026-03-07 | MRF ↗ |
| Upmc Presbyterian Shadyside InpatientFacility | Multiplan | Worker's Compensation | $9,061.03 | — | — | 2026-03-06 | MRF ↗ |
| UPMC PASSAVANT InpatientFacility | Private Health Care Systems | Workers' Comp | $9,061.03 | — | — | 2026-03-07 | MRF ↗ |
| THE JEWISH HOSPITAL-MERCY HEALTH Inpatient | AMERIHEALTH CARITAS OH [4813] | AMERIHEALTH CARITAS OH [4813001] | $9,100.20 | — | — | 2026-04-01 | MRF ↗ |
| THE JEWISH HOSPITAL-MERCY HEALTH Inpatient | ANTHEM OH MEDICAID [6565] | ANTHEM OH MEDICAID [656501] | $9,100.20 | — | — | 2026-04-01 | MRF ↗ |
| THE JEWISH HOSPITAL-MERCY HEALTH Inpatient | HUMANA MEDICAID OH [4455] | HUMANA MEDICAID OH [4455001] | $9,100.20 | — | — | 2026-04-01 | MRF ↗ |
| WELLMONT HOLSTON VALLEY MEDICAL CENTER Inpatient | OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | — | — | — | 2026-03-23 | MRF ↗ |
| WELLMONT HOLSTON VALLEY MEDICAL CENTER Inpatient | OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | — | — | — | 2026-03-23 | MRF ↗ |
| UPMC NORTHWEST InpatientFacility | UPMC Work Partners | Workers Comp | $9,223.57 | — | — | 2026-03-06 | MRF ↗ |
| UPMC BEDFORD MEMORIAL InpatientFacility | UPMC Work Partners | Workers Comp | $9,223.57 | — | — | 2026-03-06 | MRF ↗ |
| THE JEWISH HOSPITAL-MERCY HEALTH Inpatient | MOLINA HEALTHCARE OH MEDICAID [3070] | MOLINA HEALTHCARE OHIO MEDICA [3070001] | $9,446.88 | — | — | 2026-04-01 | MRF ↗ |
| UPMC HORIZON InpatientFacility | UPMC Work Partners | Workers Comp | $9,470.42 | — | — | 2026-03-06 | MRF ↗ |
| UPMC HAMOT InpatientFacility | UPMC Work Partners | Workers Comp | $9,495.41 | — | — | 2026-03-06 | MRF ↗ |
| THE JEWISH HOSPITAL-MERCY HEALTH Inpatient | BUCKEYE COMMUNITY HEALTH PLAN [2001] | BUCKEYE COMMUNITY HEALTH PLAN [2001001] | $9,533.55 | — | — | 2026-04-01 | MRF ↗ |
| UPMC ALTOONA InpatientFacility | UPMC Work Partners | Workers Comp | $9,674.01 | — | — | 2026-03-06 | MRF ↗ |
| UPMC ALTOONA InpatientFacility | UPMC Work Partners | Workers Comp | $9,674.01 | — | — | 2026-03-06 | MRF ↗ |
| ST LUKE'S HOSPITAL Inpatient | TUFTS HEALTH PUBLIC PLANS [1010213] | TUFTS HEALTH TOGETHER [101021301] | $9,680.84 | $22,862.28 | $11,431.14 | 2025-12-15 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL InpatientFacility | United Healthcare Of Wisconsin, Inc. | United Healthcare Medicaid Plans | $9,903.52 | — | — | 2025-07-01 | MRF ↗ |
| MOUNT SINAI WEST InpatientFacility | Amida Care | Amida Care Medicaid - Slw | — | — | — | 2026-04-01 | MRF ↗ |
| METHODIST DALLAS MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MDMC | $10,119.12 | $34,753.65 | $17,376.83 | 2026-03-20 | MRF ↗ |
| UPMC PASSAVANT InpatientFacility | UPMC Work Partners | Workers Comp | $10,292.55 | — | — | 2026-03-07 | MRF ↗ |
| UPMC MERCY InpatientFacility | UPMC Work Partners | Workers Comp | $10,292.55 | — | — | 2026-03-06 | MRF ↗ |
| UPMC EAST InpatientFacility | UPMC Work Partners | Workers Comp | $10,292.55 | — | — | 2026-03-06 | MRF ↗ |
| UPMC MCKEESPORT HOSPITAL InpatientFacility | UPMC Work Partners | Workers Comp | $10,292.55 | — | — | 2026-03-06 | MRF ↗ |
| Upmc Presbyterian Shadyside InpatientFacility | UPMC Work Partners | Workers Comp | $10,292.55 | — | — | 2026-03-06 | MRF ↗ |
| UPMC MERCY InpatientFacility | UPMC Work Partners | Workers Comp | $10,292.55 | — | — | 2026-03-06 | MRF ↗ |
| UPMC PASSAVANT InpatientFacility | UPMC Work Partners | Workers Comp | $10,292.55 | — | — | 2026-03-07 | MRF ↗ |
| UPMC PINNACLE HOSPITALS InpatientFacility | UPMC Work Partners | Workers Comp | $10,450.52 | — | — | 2026-03-06 | MRF ↗ |
| ST LUKE'S HOSPITAL Inpatient | WELLSENSE HEALTH PLAN CLARITY CONNECTORCARE & META | WELLSENSE HEALTH PLAN CLARITY CONNECTORCARE & META | $10,553.78 | $33,229.78 | $16,614.89 | 2025-12-15 | MRF ↗ |
| MOUNT SINAI WEST InpatientFacility | Metroplus | Metroplus Medicaid - Slw | — | — | — | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | WELLSENSE CLARITY CONNECTORCARE [100256] | HB XR WELLSENSE CLARITY SILVER PLAN LGH | $10,914.89 | $34,733.92 | $24,313.74 | 2026-04-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Inpatient | PRIME WEST MEDICARE [16030] | PRIME WEST MSHO [1603001] | $11,147.76 | $35,294.05 | — | 2026-01-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Inpatient | ANTHEM BCBSNY MEDICAID [5511] | CSMC MEDICAID | $11,180.24 | $36,579.55 | — | 2026-04-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Inpatient | WELLPOINT MANAGED MEDICAID [5006] | CSMC WELLPOINT MANAGED MEDICAID | $11,180.24 | $36,579.55 | — | 2026-04-01 | 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.