43 — Hyphema
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Hyphema (MS_DRG 43) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/43?code_type=MS_DRG
MLA (9th ed.)
“Hyphema (MS_DRG 43) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/43?code_type=MS_DRG. Accessed .
Chicago (notes-bibliography)
“Hyphema (MS_DRG 43) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/43?code_type=MS_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $9,540–$19,232 (25th–75th percentile) across 111 hospitals · 121 payers.
“Negotiated” is the hospital’s negotiated rate for the entire inpatient stay under MS_DRG 43 — 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 | 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 | Molina | 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 | The Health Plan | 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 | Anthem | 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 | Devoted Health | 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 | 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 ↗ |
| Mount Sinai Behavioral Health Center InpatientFacility | Healthfirst | Healthfirst Essential Plan 1&2 -Msq | — | — | — | 2026-04-01 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Regence Blue Shield | Commercial | — | — | — | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Premerafirst | Global/Heritage | — | — | — | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Kaiser Northwest | Managed Medicaid | — | — | — | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Premerafirst | Heritage Prime | — | — | — | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Regence Blue Shield | Ump | — | — | — | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Premerafirst | Lifewise Primary | — | — | — | 2026-07-31 | MRF ↗ |
| TANNER MEDICAL CENTER VILLA RICA Inpatient | Amerigroup | Medicaid Cmo | — | — | — | 2026-09-21 | MRF ↗ |
| TANNER MEDICAL CENTER VILLA RICA Inpatient | Peachstate | Medicaid Cmo | — | — | — | 2026-09-21 | MRF ↗ |
| TANNER MEDICAL CENTER VILLA RICA Inpatient | Southwire | Employer Plan | — | — | — | 2026-09-21 | MRF ↗ |
| TANNER MEDICAL CENTER VILLA RICA Inpatient | Humana Government | Tricare Prime | — | — | — | 2026-09-21 | MRF ↗ |
| TANNER MEDICAL CENTER VILLA RICA Inpatient | Caresource | Medicaid Cmo | — | — | — | 2026-09-21 | MRF ↗ |
| MOUNT SINAI SOUTH NASSAU InpatientFacility | Fidelis | Fidelis Medicaid / Chp / Harp - Snch | — | — | — | 2026-04-01 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Inpatient | Anthem Blue Cross - Medi | Cal | — | — | — | 2026-08-01 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Inpatient | Intervalley Healthcare | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Inpatient | Kaiser | Medical | — | — | — | 2026-08-01 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Inpatient | Lasalle Medical Associates | Medical | — | — | — | 2026-08-01 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Inpatient | Aetna | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Inpatient | Health Net | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Inpatient | Epic Management- Medi | Cal Managed Care | — | — | — | 2026-08-01 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Inpatient | Molina Healthcare | Molina Healthcare | — | — | — | 2026-08-01 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Inpatient | Inland Empire Health Plan - Medi | Cal | — | — | — | 2026-08-01 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Inpatient | Blue Shield | Non Epn | — | — | — | 2026-08-01 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Inpatient | UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | — | — | — | 2026-03-23 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Inpatient | AETNA | AETNA BETTER HEALTH OF VIRGINIA | — | — | — | 2026-03-23 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Inpatient | BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | — | — | — | 2026-03-23 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Inpatient | MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | — | — | — | 2026-03-23 | MRF ↗ |
| Mount Sinai Behavioral Health Center InpatientFacility | Fidelis | Fidelis Medicaid - Brook | — | — | — | 2026-04-01 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | Heritage Provider Network - Sierra Medi | Cal | — | — | — | 2026-07-15 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | Health Net Of California | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | Kaiser Foundation Hospitals | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | Heritage Provider Network - Medi | Cal High Desert | — | — | — | 2026-07-15 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | Aetna | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| UPMC JAMESON InpatientFacility | UPMC Work Partners | Workers Comp | $2,942.13 | — | — | 2026-03-06 | MRF ↗ |
| MARINHEALTH MEDICAL CENTER Inpatient | Unitedhealthcare Hmo Hill Physicians | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| MARINHEALTH MEDICAL CENTER Inpatient | Kaiser Medical | Managed Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| MARINHEALTH MEDICAL CENTER Inpatient | Anthem Blue Cross | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| MARINHEALTH MEDICAL CENTER Inpatient | United Healthcare Epo | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| MARINHEALTH MEDICAL CENTER Inpatient | United Healthcare Hmo | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| MARINHEALTH MEDICAL CENTER Inpatient | Anthem Blue Cross Hill Physicians | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| MARINHEALTH MEDICAL CENTER Inpatient | Anthem Blue Connection | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| MARINHEALTH MEDICAL CENTER Inpatient | Western Health Advantage | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| MARINHEALTH MEDICAL CENTER Inpatient | Partnership Health Plan | Managed Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| UPMC Lock Haven InpatientFacility | UPMC Work Partners | Workers Comp | $3,095.42 | — | — | 2026-03-06 | MRF ↗ |
| UPMC SOMERSET InpatientFacility | UPMC Work Partners | Workers Comp | $3,193.31 | — | — | 2026-03-06 | MRF ↗ |
| UPMC MEMORIAL InpatientFacility | UPMC Work Partners | Workers Comp | $3,275.40 | — | — | 2026-03-06 | MRF ↗ |
| UPMC HANOVER InpatientFacility | UPMC Work Partners | Workers Comp | $3,275.40 | — | — | 2026-03-06 | MRF ↗ |
| UPMC HANOVER InpatientFacility | UPMC Work Partners | Workers Comp | $3,275.40 | — | — | 2026-03-06 | MRF ↗ |
| UPMC LITITZ InpatientFacility | UPMC Work Partners | Workers Comp | $3,361.52 | — | — | 2026-03-06 | MRF ↗ |
| READING HOSPITAL Inpatient | Upmc | Workpartners | $3,365.10 | — | — | 2026-07-15 | MRF ↗ |
| UPMC Lock Haven InpatientFacility | Multiplan | Worker's Compensation | $3,419.36 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE InpatientFacility | UPMC Work Partners | Workers Comp | $3,433.02 | — | — | 2026-03-06 | MRF ↗ |
| READING HOSPITAL Inpatient | Corvel | Workers Comp | $3,471.37 | — | — | 2026-07-15 | MRF ↗ |
| READING HOSPITAL Inpatient | Aetna | Workers Comp | $3,471.37 | — | — | 2026-07-15 | MRF ↗ |
| UPMC JAMESON InpatientFacility | UPMC Work Partners | Workers Comp | $3,499.47 | — | — | 2026-03-06 | MRF ↗ |
| LOWER BUCKS HOSPITAL Inpatient | Worker Compensation | Worker Compensation | $3,743.65 | — | — | 2024-12-19 | MRF ↗ |
| ROXBOROUGH MEMORIAL HOSPITAL Inpatient | Worker Compensation | Worker Compensation | $3,743.65 | — | — | 2024-12-19 | MRF ↗ |
| UPMC PASSAVANT InpatientFacility | Private Health Care Systems | Workers' Comp | $4,069.15 | — | — | 2026-03-07 | MRF ↗ |
| UPMC Shadyside InpatientFacility | Multiplan | Worker's Compensation | $4,069.15 | — | — | 2026-03-06 | MRF ↗ |
| PHOENIXVILLE HOSPITAL Inpatient | Health America | Workers Comp | $4,105.62 | — | — | 2026-07-17 | MRF ↗ |
| HMHP ST ELIZABETH BOARDMAN HEALTH CENTER Inpatient | HUMANA MEDICAID OH [4455] | HUMANA MEDICAID OH [4455001] | $4,343.84 | — | — | 2026-04-01 | MRF ↗ |
| HMHP ST ELIZABETH BOARDMAN HEALTH CENTER Inpatient | AMERIHEALTH CARITAS OH [4813] | AMERIHEALTH CARITAS OH [4813001] | $4,343.84 | — | — | 2026-04-01 | MRF ↗ |
| HMHP ST ELIZABETH BOARDMAN HEALTH CENTER Inpatient | CARESOURCE [2002] | CARESOURCE OH MEDICAID [2002001] | $4,343.84 | — | — | 2026-04-01 | MRF ↗ |
| HMHP ST ELIZABETH BOARDMAN HEALTH CENTER Inpatient | MOLINA HEALTHCARE OH MEDICAID [3070] | MOLINA HEALTHCARE OHIO MEDICA [3070001] | $4,426.58 | — | — | 2026-04-01 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Inpatient | Pnoa | Workers Comp | $4,456.12 | — | — | 2026-07-19 | MRF ↗ |
| UPPER VALLEY MEDICAL CENTER InpatientFacility | Contracted Commercial | Private Healthcare Systems | $4,580.21 | — | — | 2026-04-01 | MRF ↗ |
| MIAMI VALLEY HOSPITAL InpatientFacility | Contracted Commercial | Private Healthcare Systems | $4,580.21 | — | — | 2026-04-01 | MRF ↗ |
| ATRIUM MEDICAL CENTER InpatientFacility | Contracted Commercial | Private Healthcare Systems | $4,580.21 | — | — | 2026-04-01 | MRF ↗ |
| MIAMI VALLEY HOSPITAL InpatientFacility | Contracted Commercial | Faith Based - Phcs | $4,580.21 | — | — | 2026-04-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | LUMINARE HEALTH AHS RETIREE [5013] | HMC AETNA AHS EMPLOYEE | — | $98,362.23 | — | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Inpatient | LUMINARE HEALTH AHS RETIREE [5013] | CMC AETNA AHS EMPLOYEE | — | $98,362.23 | — | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | LUMINARE HEALTH AHS RETIREE [5013] | HMC AETNA AHS EMPLOYEE | — | $98,362.23 | — | 2026-01-01 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Inpatient | Workers Comp | Other | $4,740.94 | — | — | 2026-07-19 | MRF ↗ |
| SPRINGFIELD REGIONAL MEDICAL CENTER Inpatient | CARESOURCE [2002] | CARESOURCE OH MEDICAID [2002001] | $5,099.99 | — | — | 2026-04-01 | MRF ↗ |
| MERCY HEALTH - CLERMONT HOSPITAL Inpatient | CARESOURCE [2002] | CARESOURCE OH MEDICAID [2002001] | $5,163.97 | — | — | 2026-04-01 | MRF ↗ |
| SPRINGFIELD REGIONAL MEDICAL CENTER Inpatient | HUMANA MEDICAID OH [4455] | HUMANA MEDICAID OH [4455001] | $5,173.91 | — | — | 2026-04-01 | MRF ↗ |
| SPRINGFIELD REGIONAL MEDICAL CENTER Inpatient | AMERIHEALTH CARITAS OH [4813] | AMERIHEALTH CARITAS OH [4813001] | $5,173.91 | — | — | 2026-04-01 | MRF ↗ |
| SPRINGFIELD REGIONAL MEDICAL CENTER Inpatient | MOLINA HEALTHCARE OH MEDICAID [3070] | MOLINA HEALTHCARE OHIO MEDICA [3070001] | $5,173.91 | — | — | 2026-04-01 | MRF ↗ |
| SPRINGFIELD REGIONAL MEDICAL CENTER Inpatient | UNITED HEALTHCARE COMMUNITY PL [3519] | UNITED HEALTHCARE COMMUNITY PLAN OH [3519001] | $5,173.91 | — | — | 2026-04-01 | MRF ↗ |
| SPRINGFIELD REGIONAL MEDICAL CENTER Inpatient | ANTHEM OH MEDICAID [6565] | ANTHEM OH MEDICAID [656501] | $5,173.91 | — | — | 2026-04-01 | MRF ↗ |
| SPRINGFIELD REGIONAL MEDICAL CENTER Inpatient | BUCKEYE COMMUNITY HEALTH PLAN [2001] | BUCKEYE COMMUNITY HEALTH PLAN [2001001] | $5,173.91 | — | — | 2026-04-01 | MRF ↗ |
| MERCY HEALTH - CLERMONT HOSPITAL Inpatient | UNITED HEALTHCARE COMMUNITY PL [3519] | UNITED HEALTHCARE COMMUNITY PLAN OH [3519001] | $5,238.81 | — | — | 2026-04-01 | MRF ↗ |
| MERCY HEALTH - CLERMONT HOSPITAL Inpatient | ANTHEM OH MEDICAID [6565] | ANTHEM OH MEDICAID [656501] | $5,238.81 | — | — | 2026-04-01 | MRF ↗ |
| MERCY HEALTH - CLERMONT HOSPITAL Inpatient | AMERIHEALTH CARITAS OH [4813] | AMERIHEALTH CARITAS OH [4813001] | $5,238.81 | — | — | 2026-04-01 | MRF ↗ |
| MERCY HEALTH - CLERMONT HOSPITAL Inpatient | HUMANA MEDICAID OH [4455] | HUMANA MEDICAID OH [4455001] | $5,238.81 | — | — | 2026-04-01 | MRF ↗ |
| MERCY HEALTH - CLERMONT HOSPITAL Inpatient | MOLINA HEALTHCARE OH MEDICAID [3070] | MOLINA HEALTHCARE OHIO MEDICA [3070001] | $5,438.38 | — | — | 2026-04-01 | MRF ↗ |
| MERCY HEALTH - CLERMONT HOSPITAL Inpatient | BUCKEYE COMMUNITY HEALTH PLAN [2001] | BUCKEYE COMMUNITY HEALTH PLAN [2001001] | $5,488.27 | — | — | 2026-04-01 | 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 ↗ |
| The Queen's Medical Center Inpatient | Hawaii Western Management Group | Commercial | $6,149.00 | — | — | 2026-07-15 | MRF ↗ |
| THE QUEENS MEDICAL CENTER Inpatient | Hawaii Western Management Group | Commercial | $6,149.00 | — | — | 2026-07-15 | MRF ↗ |
| FIRELANDS REGIONAL MEDICAL CENTER InpatientFacility | Caresource | Medicaid | — | — | — | 2025-03-01 | MRF ↗ |
| FIRELANDS REGIONAL MEDICAL CENTER InpatientFacility | Anthem | Medicaid | — | — | — | 2025-03-01 | MRF ↗ |
| Mercy Health - St Charles Hospital Inpatient | CARESOURCE [2002] | CARESOURCE OH MEDICAID [2002001] | $6,247.66 | — | — | 2026-04-01 | MRF ↗ |
| Mercy Health - St Charles Hospital Inpatient | BUCKEYE COMMUNITY HEALTH PLAN [2001] | BUCKEYE COMMUNITY HEALTH PLAN [2001001] | $6,277.85 | — | — | 2026-04-01 | MRF ↗ |
| Mercy Health - St Charles Hospital Inpatient | ANTHEM OH MEDICAID [6565] | ANTHEM OH MEDICAID [656501] | $6,338.21 | — | — | 2026-04-01 | MRF ↗ |
| Mercy Health - St Charles Hospital Inpatient | HUMANA MEDICAID OH [4455] | HUMANA MEDICAID OH [4455001] | $6,338.21 | — | — | 2026-04-01 | MRF ↗ |
| Mercy Health - St Charles Hospital Inpatient | AMERIHEALTH CARITAS OH [4813] | AMERIHEALTH CARITAS OH [4813001] | $6,338.21 | — | — | 2026-04-01 | MRF ↗ |
| Mercy Health - St Charles Hospital Inpatient | MOLINA HEALTHCARE OH MEDICAID [3070] | MOLINA HEALTHCARE OHIO MEDICA [3070001] | $6,338.21 | — | — | 2026-04-01 | MRF ↗ |
| Mercy Health - St Charles Hospital Inpatient | UNITED HEALTHCARE COMMUNITY PL [3519] | UNITED HEALTHCARE COMMUNITY PLAN OH [3519001] | $6,458.94 | — | — | 2026-04-01 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC InpatientFacility | Aetna | NC+ Preferred | $6,527.00 | — | — | 2025-10-08 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC InpatientFacility | Aetna | Whole Health | $6,955.00 | — | — | 2025-10-08 | MRF ↗ |
| FROEDTERT SOUTH INC. Inpatient | UHC COMM HP MEDICAID [35249] | FS Medicaid HMO - United Health Care | $7,028.36 | $28,525.12 | — | 2026-07-01 | MRF ↗ |
| HMHP ST ELIZABETH BOARDMAN HEALTH CENTER Inpatient | HUMANA MEDICAID OH [4455] | HUMANA MEDICAID OH [4455001] | $7,061.23 | — | — | 2026-04-01 | MRF ↗ |
| HMHP ST ELIZABETH BOARDMAN HEALTH CENTER Inpatient | AMERIHEALTH CARITAS OH [4813] | AMERIHEALTH CARITAS OH [4813001] | $7,061.23 | — | — | 2026-04-01 | MRF ↗ |
| HMHP ST ELIZABETH BOARDMAN HEALTH CENTER Inpatient | CARESOURCE [2002] | CARESOURCE OH MEDICAID [2002001] | $7,061.23 | — | — | 2026-04-01 | MRF ↗ |
| HMHP ST ELIZABETH BOARDMAN HEALTH CENTER Inpatient | BUCKEYE COMMUNITY HEALTH PLAN [2001] | BUCKEYE COMMUNITY HEALTH PLAN [2001001] | $7,061.23 | — | — | 2026-04-01 | MRF ↗ |
| HMHP ST ELIZABETH BOARDMAN HEALTH CENTER Inpatient | ANTHEM OH MEDICAID [6565] | ANTHEM OH MEDICAID [656501] | $7,061.23 | — | — | 2026-04-01 | MRF ↗ |
| FROEDTERT SOUTH INC. Inpatient | MOLINA MEDICAID [35101] | FS Medicaid HMO - T19 Molina | $7,077.56 | $28,525.12 | — | 2026-07-01 | MRF ↗ |
| METHODIST CELINA MEDICAL CENTER Inpatient | SUPERIOR MEDICAID MANAGED CARE [5007] | MHS HB MEDICAID 110% STAR PLUS MCEL | $7,100.84 | $37,722.00 | $11,316.60 | 2026-03-23 | MRF ↗ |
| ST ELIZABETH YOUNGSTOWN HOSPITAL Inpatient | CARESOURCE [2002] | CARESOURCE OH MEDICAID [2002001] | $7,169.81 | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH YOUNGSTOWN HOSPITAL Inpatient | AMERIHEALTH CARITAS OH [4813] | AMERIHEALTH CARITAS OH [4813001] | $7,169.81 | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH YOUNGSTOWN HOSPITAL Inpatient | BUCKEYE COMMUNITY HEALTH PLAN [2001] | BUCKEYE COMMUNITY HEALTH PLAN [2001001] | $7,169.81 | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH YOUNGSTOWN HOSPITAL Inpatient | ANTHEM OH MEDICAID [6565] | ANTHEM OH MEDICAID [656501] | $7,169.81 | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH YOUNGSTOWN HOSPITAL Inpatient | HUMANA MEDICAID OH [4455] | HUMANA MEDICAID OH [4455001] | $7,169.81 | — | — | 2026-04-01 | MRF ↗ |
| HMHP ST ELIZABETH BOARDMAN HEALTH CENTER Inpatient | UNITED HEALTHCARE COMMUNITY PL [3519] | UNITED HEALTHCARE COMMUNITY PLAN OH [3519001] | $7,195.73 | — | — | 2026-04-01 | MRF ↗ |
| HMHP ST ELIZABETH BOARDMAN HEALTH CENTER Inpatient | MOLINA HEALTHCARE OH MEDICAID [3070] | MOLINA HEALTHCARE OHIO MEDICA [3070001] | $7,195.73 | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH YOUNGSTOWN HOSPITAL Inpatient | UNITED HEALTHCARE COMMUNITY PL [3519] | UNITED HEALTHCARE COMMUNITY PLAN OH [3519001] | $7,306.38 | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH YOUNGSTOWN HOSPITAL Inpatient | MOLINA HEALTHCARE OH MEDICAID [3070] | MOLINA HEALTHCARE OHIO MEDICA [3070001] | $7,306.38 | — | — | 2026-04-01 | MRF ↗ |
| MH ST JOSEPH WARREN HOSPITAL Inpatient | AMERIHEALTH CARITAS OH [4813] | AMERIHEALTH CARITAS OH [4813001] | $7,324.85 | — | — | 2026-04-01 | MRF ↗ |
| MH ST JOSEPH WARREN HOSPITAL Inpatient | HUMANA MEDICAID OH [4455] | HUMANA MEDICAID OH [4455001] | $7,324.85 | — | — | 2026-04-01 | MRF ↗ |
| MH ST JOSEPH WARREN HOSPITAL Inpatient | ANTHEM OH MEDICAID [6565] | ANTHEM OH MEDICAID [656501] | $7,324.85 | — | — | 2026-04-01 | MRF ↗ |
| MH ST JOSEPH WARREN HOSPITAL Inpatient | BUCKEYE COMMUNITY HEALTH PLAN [2001] | BUCKEYE COMMUNITY HEALTH PLAN [2001001] | $7,324.85 | — | — | 2026-04-01 | MRF ↗ |
| MH ST JOSEPH WARREN HOSPITAL Inpatient | CARESOURCE [2002] | CARESOURCE OH MEDICAID [2002001] | $7,324.85 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI HOSPITAL InpatientFacility | Metroplus | Metroplus Medicaid - Tmsh | — | — | — | 2026-04-01 | MRF ↗ |
| MH ST JOSEPH WARREN HOSPITAL Inpatient | UNITED HEALTHCARE COMMUNITY PL [3519] | UNITED HEALTHCARE COMMUNITY PLAN OH [3519001] | $7,464.37 | — | — | 2026-04-01 | MRF ↗ |
| MH ST JOSEPH WARREN HOSPITAL Inpatient | MOLINA HEALTHCARE OH MEDICAID [3070] | MOLINA HEALTHCARE OHIO MEDICA [3070001] | $7,464.37 | — | — | 2026-04-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | MEDICAID HUMANA HEALTHY HORIZONS [6110] | PHM HB HUMANA MEDICAID - RICHLAND | $7,757.48 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | MEDICAID HUMANA HEALTHY HORIZONS [6110] | PHM HB HUMANA MEDICAID - RICHLAND | $7,757.48 | — | — | 2026-03-01 | MRF ↗ |
| ST MARYS HOSPITAL MEDICAL CTR Inpatient | CONTINUUS MEDICAID MANAGED | CONTINUUS MEDICAID MANAGED | $7,840.83 | $50,649.85 | $33,428.90 | 2026-01-15 | MRF ↗ |
| ST MARYS HOSPITAL MEDICAL CTR Inpatient | COMMUNITY CARE FAMILY CARE | COMMUNITY CARE FAMILY CARE MEDICAID MANAGED | $7,840.83 | $50,649.85 | $33,428.90 | 2026-01-15 | MRF ↗ |
| ST MARYS HOSPITAL MEDICAL CTR Inpatient | ANTHEM | ANTEHM MEDICAID | $7,840.83 | $50,649.85 | $33,428.90 | 2026-01-15 | MRF ↗ |
| ST MARYS HOSPITAL MEDICAL CTR Inpatient | MANAGED HEALTH SERVICES | MANAGED HEALTH SERVICES MEDICAID | $7,840.83 | $50,649.85 | $33,428.90 | 2026-01-15 | MRF ↗ |
| ST MARYS HOSPITAL MEDICAL CTR Inpatient | MERIDIAN HEALTH PLAN | MERIDIAN HMO MCD | $7,840.83 | $50,649.85 | $33,428.90 | 2026-01-15 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Inpatient | SEAFARERS HEALTH AND BENEFITS PLAN [5343] | CSMC CIGNA | — | $237,374.82 | — | 2026-01-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | MEDICAID SELECT HEALTH OF SC [400] | PHM HB SELECT HEALTH MEDICAID - RICHLAND | $7,974.98 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | MEDICAID SELECT HEALTH OF SC [400] | PHM HB SELECT HEALTH MEDICAID - RICHLAND | $7,974.98 | — | — | 2026-03-01 | MRF ↗ |
| Charlton Memorial Hospital Inpatient | TUFTS HEALTH PUBLIC PLANS [1010213] | TUFTS HEALTH DIRECT [101021302] | $8,004.62 | $41,922.05 | $20,961.03 | 2025-12-15 | MRF ↗ |
| ST LUKE'S HOSPITAL Inpatient | TUFTS HEALTH PUBLIC PLANS [1010213] | TUFTS HEALTH DIRECT [101021302] | $8,004.62 | $29,165.58 | $14,582.79 | 2025-12-15 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | MEDICAID BLUECHOICE [420] | PHM HB BLUECHOICE MEDICAID - RICHLAND | $8,264.98 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | MEDICAID BLUECHOICE [420] | PHM HB BLUECHOICE MEDICAID - RICHLAND | $8,264.98 | — | — | 2026-03-01 | MRF ↗ |
| ST MARYS HOSPITAL MEDICAL CTR Inpatient | MOLINA HEALTHCARE | MOLINA MEDICAID | $8,311.28 | $50,649.85 | $33,428.90 | 2026-01-15 | MRF ↗ |
| MERCY HEALTH-ST RITA'S MEDICAL CENTER Inpatient | MOLINA HEALTHCARE OH MEDICAID [3070] | MOLINA HEALTHCARE OHIO MEDICA [3070001] | $8,344.02 | — | — | 2026-04-01 | MRF ↗ |
| MERCY HEALTH-ST RITA'S MEDICAL CENTER Inpatient | CARESOURCE [2002] | CARESOURCE OH MEDICAID [2002001] | $8,427.46 | — | — | 2026-04-01 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Inpatient | OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | — | — | — | 2026-03-23 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC InpatientFacility | Aetna | Broad Network | $8,452.00 | — | — | 2025-10-08 | MRF ↗ |
| NEWTON MEDICAL CENTER Inpatient | LUMINARE HEALTH AHS RETIREE [5013] | NMC AETNA AHS EMPLOYEE | $8,495.04 | $73,824.56 | — | 2026-04-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | LUMINARE HEALTH AHS RETIREE [5013] | HMC AETNA AHS EMPLOYEE | $8,495.04 | $73,824.56 | — | 2026-04-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Inpatient | LUMINARE HEALTH AHS RETIREE [5013] | CMC AETNA AHS EMPLOYEE | $8,495.04 | $73,824.56 | — | 2026-04-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Inpatient | LUMINARE HEALTH AHS RETIREE [5013] | MMC AETNA AHS EMPLOYEE | $8,495.04 | $73,824.56 | — | 2026-04-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | LUMINARE HEALTH AHS RETIREE [5013] | OMC AETNA AHS EMPLOYEE | $8,495.04 | $73,824.56 | — | 2026-04-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | MEDICAID MOLINA HEALTHCARE SC [440] | PHM HB MOLINA MEDICAID - RICHLAND | $8,554.98 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | MEDICAID MOLINA HEALTHCARE SC [440] | PHM HB MOLINA MEDICAID - RICHLAND | $8,554.98 | — | — | 2026-03-01 | MRF ↗ |
| MERCY HEALTH-ST RITA'S MEDICAL CENTER Inpatient | BUCKEYE COMMUNITY HEALTH PLAN [2001] | BUCKEYE COMMUNITY HEALTH PLAN [2001001] | $8,594.34 | — | — | 2026-04-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | MEDICAID FLORIDA [315] | PHU HB 100% OF MEDICAID - GMH | $8,626.61 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | MEDICAID GEORGIA-AMERIGROUP [3009] | PHU HB 100% OF MEDICAID - GMH | $8,626.61 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | MEDICAID GEORGIA-AMERIGROUP [3009] | PHU HB 100% OF MEDICAID - GMH | $8,626.61 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | MEDICAID GEORGIA-CARESOURCE [3228] | PHU HB 100% OF MEDICAID - GMH | $8,626.61 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | MEDICAID TENNESSEE [325] | PHU HB 100% OF MEDICAID - GMH | $8,626.61 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | MEDICAID NEW YORK [320] | PHU HB 100% OF MEDICAID - GMH | $8,626.61 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | MEDICAID GEORGIA-CARESOURCE [3228] | PHU HB 100% OF MEDICAID - GMH | $8,626.61 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | MEDICAID NEW YORK [320] | PHU HB 100% OF MEDICAID - GMH | $8,626.61 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | MEDICAID TENNESSEE [325] | PHU HB 100% OF MEDICAID - GMH | $8,626.61 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | MEDICAID FLORIDA [315] | PHU HB 100% OF MEDICAID - GMH | $8,626.61 | — | — | 2026-03-01 | MRF ↗ |
| MASSACHUSETTS EYE AND EAR INFIRMARY - Inpatient | MGB HEALTH PLAN [150001] | HB MEE MEDICAID | $8,628.29 | $12,081.39 | — | 2026-03-27 | MRF ↗ |
| BRIGHAM AND WOMEN'S HOSPITAL Inpatient | WELLSENSE [1003] | HB BWH WELLSENSE MCO | $8,628.29 | $49,408.44 | — | 2026-03-27 | MRF ↗ |
| MASSACHUSETTS GENERAL HOSPITAL Inpatient | WELLSENSE [1003] | HB MGH WELLSENSE MCO | $8,628.29 | $42,690.35 | — | 2026-03-27 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | TUFTS HEALTH PUBLIC PLAN CONNECTORCARE [100264] | HB XR THPP CONNECTOR PLANS QHP SUBSIDIZED LGH | $8,640.95 | $17,348.56 | $12,143.99 | 2026-04-01 | MRF ↗ |
| ST MARYS HOSPITAL MEDICAL CTR Inpatient | TRIOLOGY | TRILOGY MEDICAID | $8,702.91 | $50,649.85 | $33,428.90 | 2026-01-15 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Inpatient | ABSOLUTE TOTAL CARE [20109] | Absolute Total Care | $8,731.32 | $60,669.63 | $18,200.89 | 2026-07-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Inpatient | ABSOLUTE TOTAL CARE [20109] | Absolute Total Care | $8,731.32 | $60,669.63 | $18,200.89 | 2026-04-01 | MRF ↗ |
| MERCY HEALTH-ST RITA'S MEDICAL CENTER Inpatient | UNITED HEALTHCARE COMMUNITY PL [3519] | UNITED HEALTHCARE COMMUNITY PLAN OH [3519001] | $8,761.22 | — | — | 2026-04-01 | MRF ↗ |
| MERCY HEALTH-ST RITA'S MEDICAL CENTER Inpatient | ANTHEM OH MEDICAID [6565] | ANTHEM OH MEDICAID [656501] | $8,761.22 | — | — | 2026-04-01 | MRF ↗ |
| MERCY HEALTH-ST RITA'S MEDICAL CENTER Inpatient | AMERIHEALTH CARITAS OH [4813] | AMERIHEALTH CARITAS OH [4813001] | $8,761.22 | — | — | 2026-04-01 | MRF ↗ |
| MERCY HEALTH-ST RITA'S MEDICAL CENTER Inpatient | HUMANA MEDICAID OH [4455] | HUMANA MEDICAID OH [4455001] | $8,761.22 | — | — | 2026-04-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | MEDICAID SC [300] | PHM HB SC MEDICAID - RICHLAND | $8,801.19 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | PENDING MEDICAID DET [333] | PHM HB SC MEDICAID - RICHLAND | $8,801.19 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | MEDICAID SC [300] | PHM HB SC MEDICAID - RICHLAND | $8,801.19 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | PENDING MEDICAID DET [333] | PHM HB SC MEDICAID - RICHLAND | $8,801.19 | — | — | 2026-03-01 | MRF ↗ |
| ANDERSON HOSPITAL Inpatient | ANTHEM OH MEDICAID [6565] | ANTHEM OH MEDICAID [656501] | $8,802.85 | — | — | 2026-04-01 | MRF ↗ |
| ANDERSON HOSPITAL Inpatient | AMERIHEALTH CARITAS OH [4813] | AMERIHEALTH CARITAS OH [4813001] | $8,802.85 | — | — | 2026-04-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | MEDICAID MOLINA HEALTHCARE SC [440] | PHU HB 103% OF MEDICAID - GMH | $8,885.41 | — | — | 2026-03-01 | MRF ↗ |
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