405 — Other Procedures For Endocrine, Nutritional And Metabolic Disorders
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS (APR_DRG 405) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/405?code_type=APR_DRG
MLA (9th ed.)
“OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS (APR_DRG 405) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/405?code_type=APR_DRG. Accessed .
Chicago (notes-bibliography)
“OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS (APR_DRG 405) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/405?code_type=APR_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $13,321–$33,349 (25th–75th percentile) across 50 hospitals · 230 payers.
“Negotiated” is the hospital’s negotiated rate for the entire inpatient stay under APR_DRG 405 — 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 |
|---|---|---|---|---|---|---|---|
| CASCADE VALLEY HOSPITAL Inpatient | CHPW | Medicaid | $1.86 | $63,874.52 | $51,099.62 | 2026-03-26 | MRF ↗ |
| SKAGIT VALLEY HOSPITAL Inpatient | CHPW | Medicaid | $1.86 | $63,874.52 | $51,099.62 | 2026-03-26 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Inpatient | TEXAS REHABILITATION COMM [50038] | TEXAS REHABILITATION COMM [5003801] | $165.82 | $252,321.22 | $50,464.24 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Inpatient | POLICE DEPARTMENTS [50065] | POLICE DEPTS [5006501] | $1,000.00 | $252,321.22 | $50,464.24 | 2026-03-31 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Allwell | Arkansas Health And Wellness | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Centene Home State Health | Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Justice Furniture And Bedding Co | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | United Healthcare | All Payer | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Src Holdings Corporation | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Provider Partners Health Plan | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Cox Healthplans | Medicare Advantage | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Healthy Blue Mo | Medicaid Managed Care | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Missouri Affiliated School Consortium (Masc) | Missouri Affiliated School Consortium (Masc) | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Architectural Systems Inc | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Flora Farms | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Bjc Health Solutions | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Coastal Energy Corporation | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Merril Iron And Steel | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Mirma Health | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Springfieldgreene Co Library | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Cigna | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Texas Co Memorial Hospital | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | United Healthcare | Core Payer | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Show Me Benefit Consortium | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | First Health | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Mihlfeld & Associates | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Custom Powder Systems | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | City Of Lebanon | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Centene Wellcare | Medicare Advantage | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Town And Country Super Market | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Parkcrest Dental Group | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Anthem | Pathway/Pathway X | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | United Healthcare | Medicare | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Heart Of America Beverage Company | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Humana | Medicare Advantage | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Health Net Federal Services | Tricare | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | United Behavioral Health | Optum Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Ozark County | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Medrisk Llc | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Anthem | Blue Preferred | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | The Durham Company | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Advanced Concrete Technology | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Anthem | Medicare Advantage | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Devoted | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Loren Cook | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | Ozarks Cocacola | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Inpatient | United Healthcare | Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | UHC COMMUNITY MEDICAID [2175] | HB XR UHC INDIANA PATHWAYS MEDICAID | $5,693.90 | $46,742.61 | $28,045.57 | 2025-12-19 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis Child Health Plus | $5,973.68 | — | — | 2026-04-14 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $6,352.70 | $121,309.16 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $6,352.70 | $121,309.16 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $6,352.70 | $121,309.16 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $6,352.70 | $121,309.16 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $6,352.70 | $121,309.16 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $6,352.70 | $121,309.16 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $6,352.70 | $121,309.16 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $6,352.70 | $121,309.16 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $6,352.70 | $121,309.16 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $6,352.70 | $121,309.16 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $6,352.70 | $121,309.16 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $6,352.70 | $121,309.16 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $6,352.70 | $121,309.16 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $6,352.70 | $121,309.16 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $6,352.70 | $121,309.16 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $6,352.70 | $121,309.16 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $6,352.70 | $121,309.16 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $6,352.70 | $121,309.16 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $6,352.70 | $121,309.16 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $6,352.70 | $121,309.16 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $6,352.70 | $121,309.16 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $6,352.70 | $121,309.16 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $6,352.70 | $121,309.16 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $6,352.70 | $121,309.16 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $6,352.70 | $121,309.16 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $6,352.70 | $121,309.16 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $6,352.70 | $121,309.16 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $6,352.70 | $121,309.16 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $6,352.70 | $121,309.16 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $6,352.70 | $121,309.16 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $6,352.70 | $121,309.16 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $6,352.70 | $121,309.16 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $6,352.70 | $121,309.16 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $6,352.70 | $121,309.16 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $6,352.70 | $121,309.16 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $6,352.70 | $121,309.16 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $6,352.70 | $121,309.16 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $6,352.70 | $121,309.16 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $6,352.70 | $121,309.16 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $6,352.70 | $121,309.16 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $6,352.70 | $121,309.16 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $6,352.70 | $121,309.16 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $6,352.70 | $121,309.16 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $6,352.70 | $121,309.16 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $6,352.70 | $121,309.16 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $6,352.70 | $121,309.16 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $6,352.70 | $121,309.16 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $6,352.70 | $121,309.16 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $6,352.70 | $121,309.16 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $6,352.70 | $121,309.16 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $6,352.70 | $121,309.16 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $6,352.70 | $121,309.16 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $6,352.70 | $121,309.16 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $6,352.70 | $121,309.16 | — | 2026-03-26 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis HARP | $6,493.13 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis Medicaid | $6,493.13 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Fidelis | Fidelis QHP | $7,754.81 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Fidelis | Fidelis QHP | $7,754.81 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Fidelis | Fidelis QHP | $7,754.81 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Fidelis | Fidelis QHP | $7,754.81 | — | — | 2026-04-14 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | UHC COMMUNITY MEDICAID [2175] | HB XR UNITED HEALTHCARE MGD MEDICAID OHIO | $8,010.02 | $46,742.61 | $28,045.57 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | AETNA BETTER HEALTH OHIO MEDICAID [2183] | HB XR AETNA BETTER HLTH MGD MEDICAID OH 108% | $8,010.02 | $46,742.61 | $28,045.57 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | AMERIHEALTH CARITAS [2230] | HB XR AMERIHEALTH CARITAS OH 103% | $8,010.02 | $46,742.61 | $28,045.57 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | BUCKEYE COMMUNITY HEALTH [2028] | HB XR BUCKEYE MGD MEDICAID OH 106% | $8,010.02 | $46,742.61 | $28,045.57 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | HUMANA MEDICAID OH [3102] | HB XR HUMANA 103% OHIO MEDICAID | $8,010.02 | $46,742.61 | $28,045.57 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | MOLINA MEDICAID [2058] | HB XR MOLINA MGD MEDICAID OH 107% | $8,010.02 | $46,742.61 | $28,045.57 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | ANTHEM MEDICAID OHIO [2192] | HB XR ANTHEM OH MEDICAID 103% | $8,010.02 | $46,742.61 | $28,045.57 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | CARESOURCE [2031] | HB XR CARESOURCE MGD MEDICAID OHIO 103% | $8,010.02 | $46,742.61 | $28,045.57 | 2025-12-19 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Fidelis | Fidelis QHP | $8,142.56 | — | — | 2026-04-14 | MRF ↗ |
| MERCY MEDICAL CTR InpatientFacility | TUFTS HEALTH PUBLIC PLANS | TUFTS MEDICAID | $8,212.55 | — | — | 2026-03-31 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis Child Health Plus | $8,678.19 | — | — | 2026-04-14 | MRF ↗ |
| RIVERSIDE UNIVERSITY HEALTH SYSTEM-MEDICAL CENTER Inpatient | LA CARE HEALTH PLAN | MCAL HMO | $8,840.18 | $145,254.52 | — | 2026-01-01 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Independent Health | Independent Health State Products | $8,888.75 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis QHP | $8,956.81 | — | — | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Inpatient | Fidelis | Fidelis QHP | $9,383.31 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis Medicaid | $9,432.81 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis HARP | $9,432.81 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Aetna | Aetna Better Health CHIP | $9,619.85 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $9,619.85 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $9,619.85 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Aetna | Aetna Better Health CHIP | $9,619.85 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $9,619.85 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $9,619.85 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Aetna | Aetna Better Health CHIP | $9,619.85 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Aetna | Aetna Better Health CHIP | $9,619.85 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $9,619.85 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Aetna | Aetna Better Health CHIP | $9,619.85 | — | — | 2026-04-14 | MRF ↗ |
| HUNTINGTON HOSPITAL Inpatient | Kaiser Foundation Hospitals on behalf of its Southern California Region | Medi-Cal | $9,904.51 | — | — | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | AIDS Healthcare Foundation and AHF Healthcare Centers | PHC California/Medi-Cal HMO | $9,904.51 | — | — | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | Prospect Health Plan, Inc. | Medi-Cal | $9,904.51 | — | — | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | Molina Healthcare of California | Medi-Cal | $9,904.51 | — | — | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | VENTURA COUNTY MEDI-CAL MANAGED CARE COMMISSION (dba Gold Coast Health Plan) | Medi-Cal | $9,904.51 | — | — | 2025-11-26 | MRF ↗ |
| GENESIS HOSPITAL InpatientFacility | AMERIHEALTH CARITAS OHIO [111111] | HB MC AMERIHEALTH CARITAS OHIO | $9,927.44 | $15,170.30 | — | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL InpatientFacility | ANTHEM BC BS OHIO MEDICAID [111113] | HB ANTHEM MEDICAID | $9,927.44 | $15,170.30 | — | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL InpatientFacility | CAID ALT BEHAVIORAL HEALTH [99912003] | HB OHIO MEDICAID | $9,927.44 | $15,170.30 | — | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL InpatientFacility | CITY OF ZANESVILLE [101323] | HB OHIO MEDICAID | $9,927.44 | $15,170.30 | — | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL InpatientFacility | COSHOCTON COUNTY SHERIFF DEPARTMENT [1013221] | HB OHIO MEDICAID | $9,927.44 | $15,170.30 | — | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL InpatientFacility | FRANKLIN COUNTY CHILDREN SERVICES [1013219] | HB OHIO MEDICAID | $9,927.44 | $15,170.30 | — | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL InpatientFacility | GENERIC MEDICAID [10035] | HB OHIO MEDICAID | $9,927.44 | $15,170.30 | — | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL InpatientFacility | HUMANA HEALTHY HORIZONS [111112] | HB MC HUMANA HEALTHY HORIZONS | $9,927.44 | $15,170.30 | — | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL InpatientFacility | MEDICAID [10031] | HB OHIO MEDICAID | $9,927.44 | $15,170.30 | — | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL InpatientFacility | MOLINA [100110] | HB MC MOLINA | $9,927.44 | $15,170.30 | — | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL InpatientFacility | MORGAN COUNTY SHERIFFS DEPARTMENT [1013218] | HB OHIO MEDICAID | $9,927.44 | $15,170.30 | — | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL InpatientFacility | MUSKINGUM COUNTY JUVENILE DETENTION CTR [1013217] | HB OHIO MEDICAID | $9,927.44 | $15,170.30 | — | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL InpatientFacility | MUSKINGUM COUNTY SHERIFF [101324] | HB OHIO MEDICAID | $9,927.44 | $15,170.30 | — | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL InpatientFacility | PERRY MULTI-COUNTY JUVENILE FACILITY [1013216] | HB OHIO MEDICAID | $9,927.44 | $15,170.30 | — | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL InpatientFacility | CARESOURCE [100115] | HB MC CARESOURCE | $9,927.44 | $15,170.30 | — | 2026-03-27 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $10,100.85 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Aetna | Aetna Better Health CHIP | $10,100.85 | — | — | 2026-04-14 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | Health Partners | Managed Medicaid | $10,283.04 | — | — | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | Amerihealth | Managed Medicaid | $10,283.04 | — | — | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | Health Partners | Managed Medicaid | $10,283.04 | — | — | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | Amerihealth | Managed Medicaid | $10,283.04 | — | — | 2026-02-12 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $10,362.50 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $10,362.50 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $10,362.50 | — | — | 2026-04-14 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | UPMC for You | Managed Medicaid | $10,379.56 | — | — | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | UPMC for You | Managed Medicaid | $10,379.56 | — | — | 2026-02-12 | MRF ↗ |
| FORBES HOSPITAL Inpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $10,469.53 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $10,469.53 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $10,469.53 | — | — | 2026-04-14 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | Geisinger | Managed Medicaid | $10,488.70 | — | — | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | Geisinger | Managed Medicaid | $10,488.70 | — | — | 2026-02-12 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Amerihealth | Amerihealth Medicaid HC | $10,581.83 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Amerihealth | Amerihealth Medicaid HC | $10,581.83 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Amerihealth | Amerihealth Medicaid CHC | $10,581.83 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Amerihealth | Amerihealth Medicaid HC | $10,581.83 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Amerihealth | Amerihealth Medicaid CHC | $10,581.83 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Amerihealth | Amerihealth Medicaid CHC | $10,581.83 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Amerihealth | Amerihealth Medicaid HC | $10,581.83 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Amerihealth | Amerihealth Medicaid CHC | $10,581.83 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Amerihealth | Amerihealth Medicaid HC | $10,581.83 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Amerihealth | Amerihealth Medicaid CHC | $10,581.83 | — | — | 2026-04-14 | MRF ↗ |
| MEADVILLE MEDICAL CENTER Inpatient | Geisinger | Managed Medicaid | $10,587.15 | — | — | 2026-02-12 | MRF ↗ |
| MEADVILLE MEDICAL CENTER Inpatient | Geisinger | Managed Medicaid | $10,587.15 | — | — | 2025-02-18 | MRF ↗ |
| MEADVILLE MEDICAL CENTER Inpatient | Geisinger | Managed Medicaid | $10,587.15 | — | — | 2025-02-18 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Independent Health | Independent Health State Products | $10,797.14 | — | — | 2026-04-14 | MRF ↗ |
| HUNTINGTON HOSPITAL Inpatient | Blue Cross of California | Medi-Cal | $10,894.96 | — | — | 2025-11-26 | MRF ↗ |
| HUNTINGTON HOSPITAL Inpatient | California PhysiciansÆ Service, dba Blue Shield of California | Medi-Cal | $10,894.96 | — | — | 2025-11-26 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Highmark Wholecare | Highmark Wholecare Medicaid HC | $10,966.63 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Highmark Wholecare | Highmark Wholecare Medicaid HC | $10,966.63 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Highmark Wholecare | Highmark Wholecare Medicaid HC | $10,966.63 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Highmark Wholecare | Highmark Wholecare Medicaid HC | $10,966.63 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Highmark Wholecare | Highmark Wholecare Medicaid HC | $10,966.63 | — | — | 2026-04-14 | MRF ↗ |
| HOLLYWOOD PRESBYTERIAN MEDICAL CENTER Inpatient | LA Care | Medi-Cal | — | — | — | 2025-11-19 | MRF ↗ |
| HOLLYWOOD PRESBYTERIAN MEDICAL CENTER Inpatient | LA Care | PASC-SEIU | — | — | — | 2025-11-19 | MRF ↗ |
| HOLLYWOOD PRESBYTERIAN MEDICAL CENTER Inpatient | Brand New Day | Medi-Cal | — | — | — | 2025-11-19 | MRF ↗ |
| HOLLYWOOD PRESBYTERIAN MEDICAL CENTER Inpatient | Medicaid | Medicaid | — | — | — | 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 ↗ |
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.