45 — Neurological Eye Disorders
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Neurological eye disorders (MS_DRG 45) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/45?code_type=MS_DRG
MLA (9th ed.)
“Neurological eye disorders (MS_DRG 45) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/45?code_type=MS_DRG. Accessed .
Chicago (notes-bibliography)
“Neurological eye disorders (MS_DRG 45) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/45?code_type=MS_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $7,591–$21,529 (25th–75th percentile) across 144 hospitals · 145 payers.
“Negotiated” is the hospital’s negotiated rate for the entire inpatient stay under MS_DRG 45 — 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 | Cigna | 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 | The Health Plan | 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 | Humana | 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 | WellCare by AllWell | 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 | Aetna | 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 | 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 | 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 ↗ |
| BOTHWELL REGIONAL HEALTH CENTER Inpatient | Tri West | Tri West | — | — | — | 2026-07-15 | MRF ↗ |
| BOTHWELL REGIONAL HEALTH CENTER Inpatient | United Healthcare | Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| BOTHWELL REGIONAL HEALTH CENTER Inpatient | Tricare Health Net | Tricare Health Net | — | — | — | 2026-07-15 | MRF ↗ |
| BOTHWELL REGIONAL HEALTH CENTER Inpatient | Home State | Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Regence Blue Shield | Commercial | — | — | — | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Premerafirst | Lifewise Primary | — | — | — | 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 | Global/Heritage | — | — | — | 2026-07-31 | MRF ↗ |
| TANNER MEDICAL CENTER VILLA RICA Inpatient | Caresource | 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 | Amerigroup | 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 ↗ |
| MOUNT SINAI SOUTH NASSAU InpatientFacility | Fidelis | Fidelis Medicaid / Chp / Harp - Snch | — | — | — | 2026-04-01 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Inpatient | Lasalle Medical Associates | Medical | — | — | — | 2026-08-01 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Inpatient | Anthem Blue Cross - Medi | Cal | — | — | — | 2026-08-01 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Inpatient | Health Net | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Inpatient | Blue Shield | Non Epn | — | — | — | 2026-08-01 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Inpatient | Molina Healthcare | Molina Healthcare | — | — | — | 2026-08-01 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Inpatient | Intervalley Healthcare | 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 | Aetna | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Inpatient | Kaiser | Medical | — | — | — | 2026-08-01 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Inpatient | Inland Empire Health Plan - Medi | Cal | — | — | — | 2026-08-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Bluechoice Medicaid | — | $1,086.97 | $79,098.57 | $51,414.07 | 2026-07-05 | MRF ↗ |
| PAGE MEMORIAL HOSPITAL, INC Inpatient | OPTIMA | OPTIMA MEDICAID | — | — | — | 2026-03-25 | MRF ↗ |
| PAGE MEMORIAL HOSPITAL, INC Inpatient | MAGELLAN | MAGELLAN MEDICAID | — | — | — | 2026-03-25 | MRF ↗ |
| PAGE MEMORIAL HOSPITAL, INC Inpatient | UNITED HEALTH CARE | UNITED HEALTH CARE MEDICAID | — | — | — | 2026-03-25 | MRF ↗ |
| PAGE MEMORIAL HOSPITAL, INC Inpatient | BLUECROSS &/OR BLUESHIELD | ANTHEM BCBS MEDICAID | — | — | — | 2026-03-25 | MRF ↗ |
| PAGE MEMORIAL HOSPITAL, INC Inpatient | AETNA | AETNA MEDICAID | — | — | — | 2026-03-25 | MRF ↗ |
| JAMAICA HOSPITAL MEDICAL CENTER Inpatient | Hotel Trades Council | Dental Or | $1,912.00 | — | — | 2026-07-15 | MRF ↗ |
| SMYTH COUNTY COMMUNITY HOSPITAL Inpatient | UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | AETNA | AETNA BETTER HEALTH OF VIRGINIA | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | AETNA | AETNA BETTER HEALTH OF VIRGINIA | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | — | — | — | 2026-03-23 | MRF ↗ |
| SMYTH COUNTY COMMUNITY HOSPITAL Inpatient | AETNA | AETNA BETTER HEALTH OF VIRGINIA | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | — | — | — | 2026-03-23 | MRF ↗ |
| SMYTH COUNTY COMMUNITY HOSPITAL Inpatient | AETNA | AETNA BETTER HEALTH OF VIRGINIA | — | — | — | 2026-03-23 | MRF ↗ |
| SMYTH COUNTY COMMUNITY HOSPITAL Inpatient | MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | — | — | — | 2026-03-23 | MRF ↗ |
| SMYTH COUNTY COMMUNITY HOSPITAL Inpatient | MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | — | — | — | 2026-03-23 | MRF ↗ |
| SMYTH COUNTY COMMUNITY HOSPITAL Inpatient | UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | — | — | — | 2026-03-23 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Inpatient | SEAFARERS HEALTH AND BENEFITS PLAN [5343] | MMC CIGNA OAP | $2,101.00 | $86,932.92 | — | 2026-04-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Inpatient | SEAFARERS HEALTH AND BENEFITS PLAN [5343] | MMC CIGNA | $2,101.00 | $303,164.41 | — | 2026-01-01 | MRF ↗ |
| HENRY MAYO NEWHALL HOSPITAL Inpatient | Kaiser | Medical | — | — | — | 2026-08-01 | MRF ↗ |
| HENRY MAYO NEWHALL HOSPITAL Inpatient | Heritage Provider Network | Medi Cal | — | — | — | 2026-08-01 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | Heritage Provider Network - Sierra Medi | Cal | — | — | — | 2026-07-15 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | Aetna | 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 | Health Net Of California | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | MEDICAID TENNESSEE [325] | PHU HB 100% OF MEDICAID - GMH | $2,500.29 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | MEDICAID NEW YORK [320] | PHU HB 100% OF MEDICAID - GMH | $2,500.29 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | MEDICAID FLORIDA [315] | PHU HB 100% OF MEDICAID - GMH | $2,500.29 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | MEDICAID GEORGIA-AMERIGROUP [3009] | PHU HB 100% OF MEDICAID - GMH | $2,500.29 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | MEDICAID GEORGIA-CARESOURCE [3228] | PHU HB 100% OF MEDICAID - GMH | $2,500.29 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | MEDICAID GEORGIA-AMERIGROUP [3009] | PHU HB 100% OF MEDICAID - GMH | $2,500.29 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | MEDICAID GEORGIA-CARESOURCE [3228] | PHU HB 100% OF MEDICAID - GMH | $2,500.29 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | MEDICAID NEW YORK [320] | PHU HB 100% OF MEDICAID - GMH | $2,500.29 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | MEDICAID FLORIDA [315] | PHU HB 100% OF MEDICAID - GMH | $2,500.29 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | MEDICAID TENNESSEE [325] | PHU HB 100% OF MEDICAID - GMH | $2,500.29 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | MEDICAID SELECT HEALTH OF SC [400] | PHU HB 103% OF MEDICAID - GMH | $2,575.30 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | MEDICAID MOLINA HEALTHCARE SC [440] | PHU HB 103% OF MEDICAID - GMH | $2,575.30 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | MEDICAID MOLINA HEALTHCARE SC [440] | PHU HB 103% OF MEDICAID - GMH | $2,575.30 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | MEDICAID SELECT HEALTH OF SC [400] | PHU HB 103% OF MEDICAID - GMH | $2,575.30 | — | — | 2026-03-01 | MRF ↗ |
| ST FRANCIS-DOWNTOWN Inpatient | SELECT HEALTH OF SC [4890] | SELECT HEALTH OF SC [4890001] | $2,586.49 | — | — | 2026-05-06 | MRF ↗ |
| ST FRANCIS-DOWNTOWN Inpatient | BLUE CHOICE MEDICAID SC [4807] | BLUE CHOICE HEALTHPLAN MEDICAID SC [4807001] | $2,586.49 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | MEDICAID BLUECHOICE [420] | PHU HB BLUECHOICE MEDICAID 104% - GMH | $2,600.30 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | MEDICAID BLUECHOICE [420] | PHU HB BLUECHOICE MEDICAID 104% - GMH | $2,600.30 | — | — | 2026-03-01 | MRF ↗ |
| ST FRANCIS-DOWNTOWN Inpatient | HUMANA MEDICAID SC [4884] | HUMANA MEDICAID SC [4884001] | $2,638.22 | — | — | 2026-05-06 | MRF ↗ |
| JOHNSON CITY MEDICAL CENTER Inpatient | BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | — | — | — | 2026-03-23 | MRF ↗ |
| ST FRANCIS-DOWNTOWN Inpatient | MOLINA HEALTHCARE SC MEDICAID [4847] | MOLINA HEALTHCARE SC MEDICAID [4847001] | $2,715.81 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Inpatient | MEDICAID MOLINA HEALTHCARE SC [440] | PHM HB MOLINA MEDICAID - TUOMEY | $2,733.65 | — | — | 2026-03-01 | MRF ↗ |
| NEWPORT HOSPITAL InpatientFacility | Neighborhood Health Plan Of Rhode Island | Medicaid Managed Care Plan | $2,753.00 | — | — | 2025-01-01 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Inpatient | CARESOURCE [2002] | CARESOURCE OH MEDICAID [2002001] | $2,775.26 | — | — | 2026-04-01 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Inpatient | MEDICAID SELECT HEALTH OF SC [400] | PHM HB SELECT HEALTH MEDICAID - TUOMEY | $2,786.73 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Inpatient | MEDICAID BLUECHOICE [420] | PHM HB BLUECHOICE MEDICAID - TUOMEY | $2,786.73 | — | — | 2026-03-01 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Inpatient | BUCKEYE COMMUNITY HEALTH PLAN [2001] | BUCKEYE COMMUNITY HEALTH PLAN [2001001] | $2,830.21 | — | — | 2026-04-01 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Inpatient | MEDICAID HUMANA HEALTHY HORIZONS [6110] | PHM HB HUMANA MEDICAID - TUOMEY | $2,839.81 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Inpatient | MEDICAID SC [300] | PHM HB SC MEDICAID - TUOMEY | $2,845.15 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Inpatient | PENDING MEDICAID DET [333] | PHM HB SC MEDICAID - TUOMEY | $2,845.15 | — | — | 2026-03-01 | MRF ↗ |
| SINGING RIVER GULFPORT Inpatient | United Healthcare | Medicaid Mscan | — | — | — | 2026-07-15 | MRF ↗ |
| SINGING RIVER GULFPORT Inpatient | United Healthcare Children'S | Managed Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| SINGING RIVER GULFPORT Inpatient | Aetna | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| SINGING RIVER GULFPORT Inpatient | Molina Children'S | Managed Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| SINGING RIVER GULFPORT Inpatient | Tricare Humana & Behavior Health | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| SINGING RIVER GULFPORT Inpatient | Magnolia | Medicaid Mscan | — | — | — | 2026-07-15 | MRF ↗ |
| SINGING RIVER GULFPORT Inpatient | Truecare – Medicaid Mscan | Truecare – Medicaid Mscan | — | — | — | 2026-07-15 | MRF ↗ |
| SINGING RIVER GULFPORT Inpatient | Molina | Medicaid Mscan | — | — | — | 2026-07-15 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Inpatient | ANTHEM OH MEDICAID [6565] | ANTHEM OH MEDICAID [656501] | $2,885.17 | — | — | 2026-04-01 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Inpatient | UNITED HEALTHCARE COMMUNITY PL [3519] | UNITED HEALTHCARE COMMUNITY PLAN OH [3519001] | $2,885.17 | — | — | 2026-04-01 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Inpatient | AMERIHEALTH CARITAS OH [4813] | AMERIHEALTH CARITAS OH [4813001] | $2,885.17 | — | — | 2026-04-01 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Inpatient | MOLINA HEALTHCARE OH MEDICAID [3070] | MOLINA HEALTHCARE OHIO MEDICA [3070001] | $2,885.17 | — | — | 2026-04-01 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Inpatient | HUMANA MEDICAID OH [4455] | HUMANA MEDICAID OH [4455001] | $2,885.17 | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH YOUNGSTOWN HOSPITAL Inpatient | CARESOURCE [2002] | CARESOURCE OH MEDICAID [2002001] | $2,937.07 | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH YOUNGSTOWN HOSPITAL Inpatient | BUCKEYE COMMUNITY HEALTH PLAN [2001] | BUCKEYE COMMUNITY HEALTH PLAN [2001001] | $2,937.07 | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH YOUNGSTOWN HOSPITAL Inpatient | HUMANA MEDICAID OH [4455] | HUMANA MEDICAID OH [4455001] | $2,937.07 | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH YOUNGSTOWN HOSPITAL Inpatient | AMERIHEALTH CARITAS OH [4813] | AMERIHEALTH CARITAS OH [4813001] | $2,937.07 | — | — | 2026-04-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | PENDING MEDICAID DET [333] | PHU HB SC MEDICAID - GREENVILLE | $2,964.49 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | MEDICAID SC [300] | PHU HB SC MEDICAID - GREENVILLE | $2,964.49 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | PENDING MEDICAID DET [333] | PHU HB SC MEDICAID - GREENVILLE | $2,964.49 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | MEDICAID SC [300] | PHU HB SC MEDICAID - GREENVILLE | $2,964.49 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Inpatient | MEDICAID ABSOLUTE TOTAL CARE [410] | PHM HB ABSOLUTE TOTAL CARE MEDICAID - TUOMEY | $2,987.41 | — | — | 2026-03-01 | MRF ↗ |
| ST ELIZABETH YOUNGSTOWN HOSPITAL Inpatient | MOLINA HEALTHCARE OH MEDICAID [3070] | MOLINA HEALTHCARE OHIO MEDICA [3070001] | $2,993.01 | — | — | 2026-04-01 | MRF ↗ |
| MARINHEALTH MEDICAL CENTER Inpatient | Western Health Advantage | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| MARINHEALTH MEDICAL CENTER Inpatient | United Healthcare Hmo | Commercial | — | — | — | 2026-07-15 | 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 | Partnership Health Plan | 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 | Anthem Blue Cross Hill Physicians | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| MARINHEALTH MEDICAL CENTER Inpatient | Anthem Blue Connection | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | MEDICAID ABSOLUTE TOTAL CARE [410] | PHU HB ABSOLUTE TOTAL CARE MEDICAID - GMH | $3,112.71 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | MEDICAID ABSOLUTE TOTAL CARE [410] | PHU HB ABSOLUTE TOTAL CARE MEDICAID - GMH | $3,112.71 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | MEDICAID HUMANA HEALTHY HORIZONS [6110] | PHU HB 107% OF MEDICAID - GMH | $3,172.00 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | MEDICAID HUMANA HEALTHY HORIZONS [6110] | PHU HB 107% OF MEDICAID - GMH | $3,172.00 | — | — | 2026-03-01 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MSMC | $3,378.76 | $72,725.25 | $36,362.63 | 2026-03-23 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MSMC | $3,378.76 | $72,725.25 | $36,362.63 | 2026-03-23 | MRF ↗ |
| MERCY HEALTH - WEST HOSPITAL Inpatient | CARESOURCE [2002] | CARESOURCE OH MEDICAID [2002001] | $3,390.61 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI WEST InpatientFacility | Metroplus | Metroplus Ep 1-2 - Slw | — | — | — | 2026-04-01 | MRF ↗ |
| MERCY HEALTH - WEST HOSPITAL Inpatient | HUMANA MEDICAID OH [4455] | HUMANA MEDICAID OH [4455001] | $3,439.75 | — | — | 2026-04-01 | MRF ↗ |
| MERCY HEALTH - WEST HOSPITAL Inpatient | AMERIHEALTH CARITAS OH [4813] | AMERIHEALTH CARITAS OH [4813001] | $3,439.75 | — | — | 2026-04-01 | MRF ↗ |
| MERCY HEALTH - WEST HOSPITAL Inpatient | ANTHEM OH MEDICAID [6565] | ANTHEM OH MEDICAID [656501] | $3,439.75 | — | — | 2026-04-01 | MRF ↗ |
| MERCY HEALTH - WEST HOSPITAL Inpatient | UNITED HEALTHCARE COMMUNITY PL [3519] | UNITED HEALTHCARE COMMUNITY PLAN OH [3519001] | $3,439.75 | — | — | 2026-04-01 | MRF ↗ |
| SPRINGFIELD REGIONAL MEDICAL CENTER Inpatient | AMERIHEALTH CARITAS OH [4813] | AMERIHEALTH CARITAS OH [4813001] | $3,445.33 | — | — | 2026-04-01 | MRF ↗ |
| SPRINGFIELD REGIONAL MEDICAL CENTER Inpatient | UNITED HEALTHCARE COMMUNITY PL [3519] | UNITED HEALTHCARE COMMUNITY PLAN OH [3519001] | $3,445.33 | — | — | 2026-04-01 | MRF ↗ |
| METHODIST MIDLOTHIAN MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MLMC | $3,469.00 | $91,887.00 | $45,943.50 | 2026-03-21 | MRF ↗ |
| METHODIST MANSFIELD MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MMMC | $3,469.10 | $91,887.00 | $45,943.50 | 2026-03-21 | MRF ↗ |
| THE JEWISH HOSPITAL-MERCY HEALTH Inpatient | CARESOURCE [2002] | CARESOURCE OH MEDICAID [2002001] | $3,480.84 | — | — | 2026-04-01 | MRF ↗ |
| THE JEWISH HOSPITAL-MERCY HEALTH Inpatient | AMERIHEALTH CARITAS OH [4813] | AMERIHEALTH CARITAS OH [4813001] | $3,531.29 | — | — | 2026-04-01 | MRF ↗ |
| THE JEWISH HOSPITAL-MERCY HEALTH Inpatient | HUMANA MEDICAID OH [4455] | HUMANA MEDICAID OH [4455001] | $3,531.29 | — | — | 2026-04-01 | MRF ↗ |
| THE JEWISH HOSPITAL-MERCY HEALTH Inpatient | UNITED HEALTHCARE COMMUNITY PL [3519] | UNITED HEALTHCARE COMMUNITY PLAN OH [3519001] | $3,531.29 | — | — | 2026-04-01 | MRF ↗ |
| THE JEWISH HOSPITAL-MERCY HEALTH Inpatient | ANTHEM OH MEDICAID [6565] | ANTHEM OH MEDICAID [656501] | $3,531.29 | — | — | 2026-04-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Bcbs Upstate Reedy (Greenville Co Only) | — | $3,541.00 | $79,098.57 | $51,414.07 | 2026-07-05 | MRF ↗ |
| ANDERSON HOSPITAL Inpatient | CARESOURCE [2002] | CARESOURCE OH MEDICAID [2002001] | $3,554.52 | — | — | 2026-04-01 | MRF ↗ |
| MERCY HEALTH - WEST HOSPITAL Inpatient | MOLINA HEALTHCARE OH MEDICAID [3070] | MOLINA HEALTHCARE OHIO MEDICA [3070001] | $3,570.79 | — | — | 2026-04-01 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | CARESOURCE [2002] | CARESOURCE OH MEDICAID [2002001] | $3,573.20 | — | — | 2026-04-01 | MRF ↗ |
| METHODIST CHARLTON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MCMC | $3,580.86 | $91,887.00 | $45,943.50 | 2026-03-21 | MRF ↗ |
| MERCY HEALTH - WEST HOSPITAL Inpatient | BUCKEYE COMMUNITY HEALTH PLAN [2001] | BUCKEYE COMMUNITY HEALTH PLAN [2001001] | $3,603.55 | — | — | 2026-04-01 | MRF ↗ |
| ANDERSON HOSPITAL Inpatient | ANTHEM OH MEDICAID [6565] | ANTHEM OH MEDICAID [656501] | $3,606.04 | — | — | 2026-04-01 | MRF ↗ |
| ANDERSON HOSPITAL Inpatient | AMERIHEALTH CARITAS OH [4813] | AMERIHEALTH CARITAS OH [4813001] | $3,606.04 | — | — | 2026-04-01 | MRF ↗ |
| ANDERSON HOSPITAL Inpatient | UNITED HEALTHCARE COMMUNITY PL [3519] | UNITED HEALTHCARE COMMUNITY PLAN OH [3519001] | $3,606.04 | — | — | 2026-04-01 | MRF ↗ |
| ANDERSON HOSPITAL Inpatient | HUMANA MEDICAID OH [4455] | HUMANA MEDICAID OH [4455001] | $3,606.04 | — | — | 2026-04-01 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | HUMANA MEDICAID OH [4455] | HUMANA MEDICAID OH [4455001] | $3,624.99 | — | — | 2026-04-01 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | ANTHEM OH MEDICAID [6565] | ANTHEM OH MEDICAID [656501] | $3,624.99 | — | — | 2026-04-01 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | AMERIHEALTH CARITAS OH [4813] | AMERIHEALTH CARITAS OH [4813001] | $3,624.99 | — | — | 2026-04-01 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | UNITED HEALTHCARE COMMUNITY PL [3519] | UNITED HEALTHCARE COMMUNITY PLAN OH [3519001] | $3,624.99 | — | — | 2026-04-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Bcbs Exchange | — | $3,647.00 | $79,098.57 | $51,414.07 | 2026-07-05 | MRF ↗ |
| THE JEWISH HOSPITAL-MERCY HEALTH Inpatient | MOLINA HEALTHCARE OH MEDICAID [3070] | MOLINA HEALTHCARE OHIO MEDICA [3070001] | $3,665.81 | — | — | 2026-04-01 | MRF ↗ |
| THE JEWISH HOSPITAL-MERCY HEALTH Inpatient | BUCKEYE COMMUNITY HEALTH PLAN [2001] | BUCKEYE COMMUNITY HEALTH PLAN [2001001] | $3,699.44 | — | — | 2026-04-01 | MRF ↗ |
| ANDERSON HOSPITAL Inpatient | MOLINA HEALTHCARE OH MEDICAID [3070] | MOLINA HEALTHCARE OHIO MEDICA [3070001] | $3,743.41 | — | — | 2026-04-01 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | MOLINA HEALTHCARE OH MEDICAID [3070] | MOLINA HEALTHCARE OHIO MEDICA [3070001] | $3,763.08 | — | — | 2026-04-01 | MRF ↗ |
| ANDERSON HOSPITAL Inpatient | BUCKEYE COMMUNITY HEALTH PLAN [2001] | BUCKEYE COMMUNITY HEALTH PLAN [2001001] | $3,777.75 | — | — | 2026-04-01 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | BUCKEYE COMMUNITY HEALTH PLAN [2001] | BUCKEYE COMMUNITY HEALTH PLAN [2001001] | $3,797.61 | — | — | 2026-04-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Inpatient | BLUE CROSS BLUE SHIELD MEDICAID [16007] | BCBS BLUE PLUS MN CARE [1600702] | $3,890.82 | $28,481.50 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Inpatient | BLUE CROSS BLUE SHIELD MEDICAID [16007] | BCBS BLUE PLUS MA [1600701] | $3,890.82 | $28,463.00 | — | 2026-01-01 | MRF ↗ |
| METHODIST CELINA MEDICAL CENTER Inpatient | SUPERIOR MEDICAID MANAGED CARE [5007] | MHS HB MEDICAID 110% STAR PLUS MCEL | $3,949.48 | $72,725.25 | $21,817.58 | 2026-03-23 | MRF ↗ |
| FIRELANDS REGIONAL MEDICAL CENTER InpatientFacility | Caresource | Medicaid | — | — | — | 2025-03-01 | MRF ↗ |
| FIRELANDS REGIONAL MEDICAL CENTER InpatientFacility | Humana | Medicaid | — | — | — | 2025-03-01 | MRF ↗ |
| FIRELANDS REGIONAL MEDICAL CENTER InpatientFacility | Molina | Medicaid | — | — | — | 2025-03-01 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Inpatient | CARESOURCE [2002] | CARESOURCE OH MEDICAID [2002001] | $4,475.26 | — | — | 2026-04-01 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Inpatient | BUCKEYE COMMUNITY HEALTH PLAN [2001] | BUCKEYE COMMUNITY HEALTH PLAN [2001001] | $4,563.88 | — | — | 2026-04-01 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MRMC | $4,636.06 | $72,078.00 | $36,039.00 | 2026-03-21 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MRMC | $4,636.06 | $72,078.00 | $36,039.00 | 2026-03-21 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Inpatient | UNITED HEALTHCARE COMMUNITY PL [3519] | UNITED HEALTHCARE COMMUNITY PLAN OH [3519001] | $4,652.50 | — | — | 2026-04-01 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Inpatient | MOLINA HEALTHCARE OH MEDICAID [3070] | MOLINA HEALTHCARE OHIO MEDICA [3070001] | $4,652.50 | — | — | 2026-04-01 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Inpatient | ANTHEM OH MEDICAID [6565] | ANTHEM OH MEDICAID [656501] | $4,652.50 | — | — | 2026-04-01 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Inpatient | AMERIHEALTH CARITAS OH [4813] | AMERIHEALTH CARITAS OH [4813001] | $4,652.50 | — | — | 2026-04-01 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Inpatient | HUMANA MEDICAID OH [4455] | HUMANA MEDICAID OH [4455001] | $4,652.50 | — | — | 2026-04-01 | MRF ↗ |
| HMHP ST ELIZABETH BOARDMAN HEALTH CENTER Inpatient | AMERIHEALTH CARITAS OH [4813] | AMERIHEALTH CARITAS OH [4813001] | $4,664.47 | — | — | 2026-04-01 | MRF ↗ |
| HMHP ST ELIZABETH BOARDMAN HEALTH CENTER Inpatient | CARESOURCE [2002] | CARESOURCE OH MEDICAID [2002001] | $4,664.47 | — | — | 2026-04-01 | MRF ↗ |
| HMHP ST ELIZABETH BOARDMAN HEALTH CENTER Inpatient | HUMANA MEDICAID OH [4455] | HUMANA MEDICAID OH [4455001] | $4,664.47 | — | — | 2026-04-01 | MRF ↗ |
| HMHP ST ELIZABETH BOARDMAN HEALTH CENTER Inpatient | ANTHEM OH MEDICAID [6565] | ANTHEM OH MEDICAID [656501] | $4,664.47 | — | — | 2026-04-01 | MRF ↗ |
| HMHP ST ELIZABETH BOARDMAN HEALTH CENTER Inpatient | BUCKEYE COMMUNITY HEALTH PLAN [2001] | BUCKEYE COMMUNITY HEALTH PLAN [2001001] | $4,664.47 | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH YOUNGSTOWN HOSPITAL Inpatient | ANTHEM OH MEDICAID [6565] | ANTHEM OH MEDICAID [656501] | $4,736.19 | — | — | 2026-04-01 | MRF ↗ |
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