531 — Spinal Procedures W Cc
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Spinal Procedures w CC (MS_DRG 531) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/531?code_type=MS_DRG
MLA (9th ed.)
“Spinal Procedures w CC (MS_DRG 531) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/531?code_type=MS_DRG. Accessed .
Chicago (notes-bibliography)
“Spinal Procedures w CC (MS_DRG 531) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/531?code_type=MS_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $5,802–$14,095 (25th–75th percentile) across 94 hospitals · 158 payers.
“Negotiated” is the hospital’s negotiated rate for the entire inpatient stay under MS_DRG 531 — 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 | Primetime 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 | The Health Plan | 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 | United Healthcare | 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 | 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 | SummaCare | 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 | Paramount | Medicare Advantage | $52.19 | — | — | 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 | Valor Health Plans | 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 ↗ |
| ASPIRUS WAUSAU HOSPITAL InpatientFacility | Group Health Cooperative Of Eau Claire | Group Health Wisconsin Medicaid Hmo | — | — | — | 2026-04-01 | 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 | Commercial | — | — | — | 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 ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Kaiser Northwest | Managed Medicaid | — | — | — | 2026-07-31 | 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 ↗ |
| TANNER MEDICAL CENTER - CARROLLTON Inpatient | Humana Government | Tricare Prime | — | — | — | 2026-07-15 | MRF ↗ |
| TANNER MEDICAL CENTER - CARROLLTON Inpatient | Amerigroup | Medicaid Cmo | — | — | — | 2026-07-15 | MRF ↗ |
| TANNER MEDICAL CENTER VILLA RICA Inpatient | Amerigroup | Medicaid Cmo | — | — | — | 2026-09-21 | MRF ↗ |
| TANNER MEDICAL CENTER - CARROLLTON Inpatient | Caresource | Medicaid Cmo | — | — | — | 2026-07-15 | MRF ↗ |
| TANNER MEDICAL CENTER - CARROLLTON Inpatient | Peachstate | Medicaid Cmo | — | — | — | 2026-07-15 | MRF ↗ |
| TANNER MEDICAL CENTER VILLA RICA Inpatient | Southwire | Employer Plan | — | — | — | 2026-09-21 | MRF ↗ |
| TANNER MEDICAL CENTER VILLA RICA Inpatient | Peachstate | Medicaid Cmo | — | — | — | 2026-09-21 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Inpatient | Inland Empire Health Plan - Medi | Cal | — | — | — | 2026-08-01 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Inpatient | Molina Healthcare | Molina Healthcare | — | — | — | 2026-08-01 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Inpatient | Blue Shield | Non Epn | — | — | — | 2026-08-01 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Inpatient | Anthem Blue Cross - Medi | Cal | — | — | — | 2026-08-01 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Inpatient | Aetna | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Inpatient | Intervalley Healthcare | 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 | Kaiser | Medical | — | — | — | 2026-08-01 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Inpatient | Lasalle Medical Associates | Medical | — | — | — | 2026-08-01 | MRF ↗ |
| SMYTH COUNTY COMMUNITY HOSPITAL Inpatient | AETNA | AETNA BETTER HEALTH OF VIRGINIA | — | — | — | 2026-03-23 | MRF ↗ |
| SMYTH COUNTY COMMUNITY HOSPITAL Inpatient | BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | — | — | — | 2026-03-23 | MRF ↗ |
| SMYTH COUNTY COMMUNITY HOSPITAL Inpatient | UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | — | — | — | 2026-03-23 | MRF ↗ |
| SMYTH COUNTY COMMUNITY HOSPITAL Inpatient | UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | — | — | — | 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 ↗ |
| SMYTH COUNTY COMMUNITY 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 | BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | — | — | — | 2026-03-23 | MRF ↗ |
| SMYTH COUNTY COMMUNITY HOSPITAL Inpatient | AETNA | AETNA BETTER HEALTH OF VIRGINIA | — | — | — | 2026-03-23 | MRF ↗ |
| SMYTH COUNTY COMMUNITY HOSPITAL Inpatient | BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | — | — | — | 2026-03-23 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MSMC | $1,977.96 | $68,600.05 | $34,300.03 | 2026-03-23 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MSMC | $1,977.96 | $68,600.05 | $34,300.03 | 2026-03-23 | MRF ↗ |
| METHODIST MIDLOTHIAN MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MLMC | $2,030.79 | $68,600.05 | $34,300.03 | 2026-03-21 | MRF ↗ |
| METHODIST MANSFIELD MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MMMC | $2,030.85 | $68,600.05 | $34,300.03 | 2026-03-21 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MRMC | $2,049.67 | $68,600.05 | $34,300.03 | 2026-03-21 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MRMC | $2,049.67 | $68,600.05 | $34,300.03 | 2026-03-21 | MRF ↗ |
| METHODIST CHARLTON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MCMC | $2,096.28 | $68,600.05 | $34,300.03 | 2026-03-21 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Inpatient | SEAFARERS HEALTH AND BENEFITS PLAN [5343] | MMC CIGNA OAP | $2,101.00 | $204,135.21 | — | 2026-04-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Inpatient | SEAFARERS HEALTH AND BENEFITS PLAN [5343] | MMC CIGNA | $2,101.00 | $204,067.17 | — | 2026-01-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Bluechoice Medicaid | — | $2,108.79 | $152,879.40 | $99,371.61 | 2026-07-05 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | Aetna | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | Health Net Of California | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | Heritage Provider Network - Medi | Cal High Desert | — | — | — | 2026-07-15 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | Heritage Provider Network - Sierra Medi | Cal | — | — | — | 2026-07-15 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | Kaiser Foundation Hospitals | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| METHODIST CELINA MEDICAL CENTER Inpatient | SUPERIOR MEDICAID MANAGED CARE [5007] | MHS HB MEDICAID 110% STAR PLUS MCEL | $2,312.07 | $68,600.05 | $20,580.02 | 2026-03-23 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Inpatient | CARESOURCE [2002] | CARESOURCE OH MEDICAID [2002001] | $2,498.46 | — | — | 2026-04-01 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Inpatient | BUCKEYE COMMUNITY HEALTH PLAN [2001] | BUCKEYE COMMUNITY HEALTH PLAN [2001001] | $2,547.93 | — | — | 2026-04-01 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Inpatient | UNITED HEALTHCARE COMMUNITY PL [3519] | UNITED HEALTHCARE COMMUNITY PLAN OH [3519001] | $2,597.41 | — | — | 2026-04-01 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Inpatient | AMERIHEALTH CARITAS OH [4813] | AMERIHEALTH CARITAS OH [4813001] | $2,597.41 | — | — | 2026-04-01 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Inpatient | HUMANA MEDICAID OH [4455] | HUMANA MEDICAID OH [4455001] | $2,597.41 | — | — | 2026-04-01 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Inpatient | MOLINA HEALTHCARE OH MEDICAID [3070] | MOLINA HEALTHCARE OHIO MEDICA [3070001] | $2,597.41 | — | — | 2026-04-01 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Inpatient | ANTHEM OH MEDICAID [6565] | ANTHEM OH MEDICAID [656501] | $2,597.41 | — | — | 2026-04-01 | MRF ↗ |
| HMHP ST ELIZABETH BOARDMAN HEALTH CENTER Inpatient | AMERIHEALTH CARITAS OH [4813] | AMERIHEALTH CARITAS OH [4813001] | $2,604.08 | — | — | 2026-04-01 | MRF ↗ |
| HMHP ST ELIZABETH BOARDMAN HEALTH CENTER Inpatient | BUCKEYE COMMUNITY HEALTH PLAN [2001] | BUCKEYE COMMUNITY HEALTH PLAN [2001001] | $2,604.08 | — | — | 2026-04-01 | MRF ↗ |
| HMHP ST ELIZABETH BOARDMAN HEALTH CENTER Inpatient | HUMANA MEDICAID OH [4455] | HUMANA MEDICAID OH [4455001] | $2,604.08 | — | — | 2026-04-01 | MRF ↗ |
| HMHP ST ELIZABETH BOARDMAN HEALTH CENTER Inpatient | ANTHEM OH MEDICAID [6565] | ANTHEM OH MEDICAID [656501] | $2,604.08 | — | — | 2026-04-01 | MRF ↗ |
| HMHP ST ELIZABETH BOARDMAN HEALTH CENTER Inpatient | CARESOURCE [2002] | CARESOURCE OH MEDICAID [2002001] | $2,604.08 | — | — | 2026-04-01 | MRF ↗ |
| HMHP ST ELIZABETH BOARDMAN HEALTH CENTER Inpatient | MOLINA HEALTHCARE OH MEDICAID [3070] | MOLINA HEALTHCARE OHIO MEDICA [3070001] | $2,653.69 | — | — | 2026-04-01 | MRF ↗ |
| HMHP ST ELIZABETH BOARDMAN HEALTH CENTER Inpatient | UNITED HEALTHCARE COMMUNITY PL [3519] | UNITED HEALTHCARE COMMUNITY PLAN OH [3519001] | $2,653.69 | — | — | 2026-04-01 | MRF ↗ |
| MH ST JOSEPH WARREN HOSPITAL Inpatient | BUCKEYE COMMUNITY HEALTH PLAN [2001] | BUCKEYE COMMUNITY HEALTH PLAN [2001001] | $2,701.30 | — | — | 2026-04-01 | MRF ↗ |
| MH ST JOSEPH WARREN HOSPITAL Inpatient | HUMANA MEDICAID OH [4455] | HUMANA MEDICAID OH [4455001] | $2,701.30 | — | — | 2026-04-01 | MRF ↗ |
| MH ST JOSEPH WARREN HOSPITAL Inpatient | ANTHEM OH MEDICAID [6565] | ANTHEM OH MEDICAID [656501] | $2,701.30 | — | — | 2026-04-01 | MRF ↗ |
| MH ST JOSEPH WARREN HOSPITAL Inpatient | CARESOURCE [2002] | CARESOURCE OH MEDICAID [2002001] | $2,701.30 | — | — | 2026-04-01 | MRF ↗ |
| MH ST JOSEPH WARREN HOSPITAL Inpatient | AMERIHEALTH CARITAS OH [4813] | AMERIHEALTH CARITAS OH [4813001] | $2,701.30 | — | — | 2026-04-01 | MRF ↗ |
| MH ST JOSEPH WARREN HOSPITAL Inpatient | UNITED HEALTHCARE COMMUNITY PL [3519] | UNITED HEALTHCARE COMMUNITY PLAN OH [3519001] | $2,752.76 | — | — | 2026-04-01 | MRF ↗ |
| MH ST JOSEPH WARREN HOSPITAL Inpatient | MOLINA HEALTHCARE OH MEDICAID [3070] | MOLINA HEALTHCARE OHIO MEDICA [3070001] | $2,752.76 | — | — | 2026-04-01 | MRF ↗ |
| METHODIST DALLAS MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MDMC | $2,784.57 | $68,600.05 | $34,300.03 | 2026-03-20 | MRF ↗ |
| MARINHEALTH MEDICAL CENTER Inpatient | Partnership Health Plan | Managed Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| MARINHEALTH MEDICAL CENTER Inpatient | Anthem Blue Connection | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| MARINHEALTH MEDICAL CENTER Inpatient | Anthem Blue Cross | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| MARINHEALTH MEDICAL CENTER Inpatient | Unitedhealthcare Hmo Hill Physicians | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| MARINHEALTH MEDICAL CENTER Inpatient | United Healthcare Epo | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| MARINHEALTH MEDICAL CENTER Inpatient | Kaiser Medical | Managed Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| MARINHEALTH MEDICAL CENTER Inpatient | Anthem Blue Cross Hill Physicians | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| MARINHEALTH MEDICAL CENTER Inpatient | United Healthcare Hmo | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| HMHP ST ELIZABETH BOARDMAN HEALTH CENTER Inpatient | CARESOURCE [2002] | CARESOURCE OH MEDICAID [2002001] | $3,252.33 | — | — | 2026-04-01 | MRF ↗ |
| HMHP ST ELIZABETH BOARDMAN HEALTH CENTER Inpatient | AMERIHEALTH CARITAS OH [4813] | AMERIHEALTH CARITAS OH [4813001] | $3,252.33 | — | — | 2026-04-01 | MRF ↗ |
| HMHP ST ELIZABETH BOARDMAN HEALTH CENTER Inpatient | ANTHEM OH MEDICAID [6565] | ANTHEM OH MEDICAID [656501] | $3,252.33 | — | — | 2026-04-01 | MRF ↗ |
| HMHP ST ELIZABETH BOARDMAN HEALTH CENTER Inpatient | HUMANA MEDICAID OH [4455] | HUMANA MEDICAID OH [4455001] | $3,252.33 | — | — | 2026-04-01 | MRF ↗ |
| HMHP ST ELIZABETH BOARDMAN HEALTH CENTER Inpatient | BUCKEYE COMMUNITY HEALTH PLAN [2001] | BUCKEYE COMMUNITY HEALTH PLAN [2001001] | $3,252.33 | — | — | 2026-04-01 | MRF ↗ |
| HSHS ST ELIZABETH'S HOSPITAL Inpatient | WEXFORD | WEXFORD HEALTH SOURCES | $3,258.95 | $19,249.78 | $13,859.84 | 2026-01-15 | MRF ↗ |
| HMHP ST ELIZABETH BOARDMAN HEALTH CENTER Inpatient | MOLINA HEALTHCARE OH MEDICAID [3070] | MOLINA HEALTHCARE OHIO MEDICA [3070001] | $3,314.28 | — | — | 2026-04-01 | MRF ↗ |
| HMHP ST ELIZABETH BOARDMAN HEALTH CENTER Inpatient | UNITED HEALTHCARE COMMUNITY PL [3519] | UNITED HEALTHCARE COMMUNITY PLAN OH [3519001] | $3,314.28 | — | — | 2026-04-01 | MRF ↗ |
| MH ST JOSEPH WARREN HOSPITAL Inpatient | AMERIHEALTH CARITAS OH [4813] | AMERIHEALTH CARITAS OH [4813001] | $3,373.76 | — | — | 2026-04-01 | MRF ↗ |
| MH ST JOSEPH WARREN HOSPITAL Inpatient | CARESOURCE [2002] | CARESOURCE OH MEDICAID [2002001] | $3,373.76 | — | — | 2026-04-01 | MRF ↗ |
| MH ST JOSEPH WARREN HOSPITAL Inpatient | HUMANA MEDICAID OH [4455] | HUMANA MEDICAID OH [4455001] | $3,373.76 | — | — | 2026-04-01 | MRF ↗ |
| MH ST JOSEPH WARREN HOSPITAL Inpatient | ANTHEM OH MEDICAID [6565] | ANTHEM OH MEDICAID [656501] | $3,373.76 | — | — | 2026-04-01 | MRF ↗ |
| MH ST JOSEPH WARREN HOSPITAL Inpatient | BUCKEYE COMMUNITY HEALTH PLAN [2001] | BUCKEYE COMMUNITY HEALTH PLAN [2001001] | $3,373.76 | — | — | 2026-04-01 | MRF ↗ |
| HSHS ST ELIZABETH'S HOSPITAL Inpatient | MOLINA HEALTHCARE | MOLINA MEDICAID | $3,421.90 | $19,249.78 | $13,859.84 | 2026-01-15 | MRF ↗ |
| MH ST JOSEPH WARREN HOSPITAL Inpatient | MOLINA HEALTHCARE OH MEDICAID [3070] | MOLINA HEALTHCARE OHIO MEDICA [3070001] | $3,438.02 | — | — | 2026-04-01 | MRF ↗ |
| MH ST JOSEPH WARREN HOSPITAL Inpatient | UNITED HEALTHCARE COMMUNITY PL [3519] | UNITED HEALTHCARE COMMUNITY PLAN OH [3519001] | $3,438.02 | — | — | 2026-04-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Bcbs Upstate Reedy (Greenville Co Only) | — | $3,541.00 | $152,879.40 | $99,371.61 | 2026-07-05 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL InpatientFacility | Security Health Plan Of Wisconsin, Inc. | Security Health Plan Wisconsin Medicaid Plans | $3,572.43 | — | — | 2025-07-01 | MRF ↗ |
| HSHS ST ELIZABETH'S HOSPITAL Inpatient | MERIDIAN HEALTH PLAN | MERIDIAN HMO MCD | $3,584.85 | $19,249.78 | $13,859.84 | 2026-01-15 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Bcbs Exchange | — | $3,647.00 | $152,879.40 | $99,371.61 | 2026-07-05 | MRF ↗ |
| MERCY ST VINCENT MEDICAL CENTER Inpatient | CARESOURCE [2002] | CARESOURCE OH MEDICAID [2002001] | $3,745.41 | — | — | 2026-04-01 | MRF ↗ |
| MERCY ST VINCENT MEDICAL CENTER Inpatient | BUCKEYE COMMUNITY HEALTH PLAN [2001] | BUCKEYE COMMUNITY HEALTH PLAN [2001001] | $3,763.50 | — | — | 2026-04-01 | MRF ↗ |
| MERCY ST VINCENT MEDICAL CENTER Inpatient | HUMANA MEDICAID OH [4455] | HUMANA MEDICAID OH [4455001] | $3,799.69 | — | — | 2026-04-01 | MRF ↗ |
| MERCY ST VINCENT MEDICAL CENTER Inpatient | ANTHEM OH MEDICAID [6565] | ANTHEM OH MEDICAID [656501] | $3,799.69 | — | — | 2026-04-01 | MRF ↗ |
| MERCY ST VINCENT MEDICAL CENTER Inpatient | AMERIHEALTH CARITAS OH [4813] | AMERIHEALTH CARITAS OH [4813001] | $3,799.69 | — | — | 2026-04-01 | MRF ↗ |
| MERCY ST VINCENT MEDICAL CENTER Inpatient | MOLINA HEALTHCARE OH MEDICAID [3070] | MOLINA HEALTHCARE OHIO MEDICA [3070001] | $3,799.69 | — | — | 2026-04-01 | MRF ↗ |
| MERCY ST VINCENT MEDICAL CENTER Inpatient | UNITED HEALTHCARE COMMUNITY PL [3519] | UNITED HEALTHCARE COMMUNITY PLAN OH [3519001] | $3,872.06 | — | — | 2026-04-01 | MRF ↗ |
| FROEDTERT SOUTH INC. Inpatient | ANTHEM BCBS MEDICAID [35119] | FS Medicaid HMO - Anthem | $3,914.41 | $63,101.28 | — | 2026-07-01 | MRF ↗ |
| FROEDTERT SOUTH INC. Inpatient | UHC COMM HP MEDICAID [35249] | FS Medicaid HMO - United Health Care | $3,914.41 | $63,101.28 | — | 2026-07-01 | MRF ↗ |
| FROEDTERT SOUTH INC. Inpatient | MOLINA MEDICAID [35101] | FS Medicaid HMO - T19 Molina | $3,941.81 | $63,101.28 | — | 2026-07-01 | MRF ↗ |
| ST MARYS HOSPITAL MEDICAL CTR Inpatient | TRIOLOGY | TRILOGY MEDICAID | — | — | — | 2026-03-24 | MRF ↗ |
| ST MARYS HOSPITAL MEDICAL CTR Inpatient | MANAGED HEALTH SERVICES | MANAGED HEALTH SERVICES MEDICAID | — | — | — | 2026-03-24 | MRF ↗ |
| ST MARYS HOSPITAL MEDICAL CTR Inpatient | MERIDIAN HEALTH PLAN | MERIDIAN HMO MCD | — | — | — | 2026-03-24 | MRF ↗ |
| ST MARYS HOSPITAL MEDICAL CTR Inpatient | COMMUNITY CARE FAMILY CARE | COMMUNITY CARE FAMILY CARE MEDICAID MANAGED | — | — | — | 2026-03-24 | MRF ↗ |
| ST MARYS HOSPITAL MEDICAL CTR Inpatient | MOLINA HEALTHCARE | MOLINA MEDICAID | — | — | — | 2026-03-24 | MRF ↗ |
| ST MARYS HOSPITAL MEDICAL CTR Inpatient | CONTINUUS MEDICAID MANAGED | CONTINUUS MEDICAID MANAGED | — | — | — | 2026-03-24 | MRF ↗ |
| ST MARYS HOSPITAL MEDICAL CTR Inpatient | ANTHEM | ANTEHM MEDICAID | — | — | — | 2026-03-24 | MRF ↗ |
| ANDERSON HOSPITAL Inpatient | CARESOURCE [2002] | CARESOURCE OH MEDICAID [2002001] | $3,996.59 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER InpatientFacility | Healthnet | Medi-Cal Medicaid Managed Care Plan | $4,015.49 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER InpatientFacility | Caloptima | Medi-Cal Medicaid Managed Care Plan | $4,015.49 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER InpatientFacility | Caloptima | Medi-Cal Medicaid Managed Care Plan | $4,015.49 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER InpatientFacility | Healthnet | Medi-Cal Medicaid Managed Care Plan | $4,015.49 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER InpatientFacility | Healthnet | Medi-Cal Medicaid Managed Care Plan | $4,015.49 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER InpatientFacility | Caloptima | Medi-Cal Medicaid Managed Care Plan | $4,015.49 | — | — | 2026-04-01 | MRF ↗ |
| ANDERSON HOSPITAL Inpatient | AMERIHEALTH CARITAS OH [4813] | AMERIHEALTH CARITAS OH [4813001] | $4,054.51 | — | — | 2026-04-01 | MRF ↗ |
| ANDERSON HOSPITAL Inpatient | HUMANA MEDICAID OH [4455] | HUMANA MEDICAID OH [4455001] | $4,054.51 | — | — | 2026-04-01 | MRF ↗ |
| ANDERSON HOSPITAL Inpatient | ANTHEM OH MEDICAID [6565] | ANTHEM OH MEDICAID [656501] | $4,054.51 | — | — | 2026-04-01 | MRF ↗ |
| ANDERSON HOSPITAL Inpatient | UNITED HEALTHCARE COMMUNITY PL [3519] | UNITED HEALTHCARE COMMUNITY PLAN OH [3519001] | $4,054.51 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB InpatientFacility | Healthcare La | Ancillary Medi-Cal Medicaid Managed Care Plan | $4,061.09 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB InpatientFacility | Citrus Valley | Ipa Medi-Cal Medicaid Managed Care Plan | $4,061.09 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Healthnet | Medi-Cal Medicaid Managed Care Plan | $4,061.09 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB InpatientFacility | St. Francis Medical Center | Medi-Cal Medicaid Managed Care Plan | $4,061.09 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Global Care Medical Group | Ancillary Medi-Cal Medicaid Managed Care Plan | $4,061.09 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB InpatientFacility | Healthcare Partners | Medi-Cal Medicaid Managed Care Plan | $4,061.09 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Healthnet | Medi-Cal Select Health Medicaid Managed Care Plan | $4,061.09 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Healthcare Partners | Medi-Cal Medicaid Managed Care Plan | $4,061.09 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB InpatientFacility | Cal Care | Ancillary Medi-Cal Ipa Medicaid Managed Care Plan | $4,061.09 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Blue Cross | Medi-Cal Medicaid Managed Care Plan | $4,061.09 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Molina | Medi-Cal Medicaid Managed Care Plan | $4,061.09 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Blue Shield | Promise Health Plan Medicaid Managed Care Plan | $4,061.09 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB InpatientFacility | Global Care Medical Group | Ancillary Medi-Cal Medicaid Managed Care Plan | $4,061.09 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB InpatientFacility | La Care | Medi-Cal Medicaid Managed Care Plan | $4,061.09 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Beverly Community Hospital Association | Medi-Cal Medicaid Managed Care Plan | $4,061.09 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB InpatientFacility | Healthnet | Medi-Cal Medicaid Managed Care Plan | $4,061.09 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB InpatientFacility | Healthnet | Medi-Cal Select Health Medicaid Managed Care Plan | $4,061.09 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | La Care | Medi-Cal Medicaid Managed Care Plan | $4,061.09 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Citrus Valley | Ipa Medi-Cal Medicaid Managed Care Plan | $4,061.09 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Blue Shield | Promise Health Plan Medicaid Managed Care Plan | $4,061.09 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Molina | Medi-Cal Medicaid Managed Care Plan | $4,061.09 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Blue Cross | Medi-Cal Medicaid Managed Care Plan | $4,061.09 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Cal Care | Ancillary Medi-Cal Ipa Medicaid Managed Care Plan | $4,061.09 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB InpatientFacility | Molina | Medi-Cal Medicaid Managed Care Plan | $4,061.09 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Citrus Valley | Ipa Medi-Cal Medicaid Managed Care Plan | $4,061.09 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB InpatientFacility | Blue Shield | Promise Health Plan Medicaid Managed Care Plan | $4,061.09 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Healthcare Partners | Medi-Cal Medicaid Managed Care Plan | $4,061.09 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Global Care Medical Group | Ancillary Medi-Cal Medicaid Managed Care Plan | $4,061.09 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Avanti Health System | Medi-Cal Medicaid Managed Care Plan | $4,061.09 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Cal Care | Ancillary Medi-Cal Ipa Medicaid Managed Care Plan | $4,061.09 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Beverly Community Hospital Association | Medi-Cal Medicaid Managed Care Plan | $4,061.09 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Healthcare La | Ancillary Medi-Cal Medicaid Managed Care Plan | $4,061.09 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB InpatientFacility | Avanti Health System | Medi-Cal Medicaid Managed Care Plan | $4,061.09 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | La Care | Medi-Cal Medicaid Managed Care Plan | $4,061.09 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Healthcare La | Ancillary Medi-Cal Medicaid Managed Care Plan | $4,061.09 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Healthnet | Medi-Cal Select Health Medicaid Managed Care Plan | $4,061.09 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB InpatientFacility | Blue Cross | Medi-Cal Medicaid Managed Care Plan | $4,061.09 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Avanti Health System | Medi-Cal Medicaid Managed Care Plan | $4,061.09 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB InpatientFacility | Heritage Provider Network | Medi-Cal Medicaid Managed Care Plan | $4,061.09 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Healthnet | Medi-Cal Medicaid Managed Care Plan | $4,061.09 | — | — | 2026-04-01 | MRF ↗ |
| ANDERSON HOSPITAL Inpatient | MOLINA HEALTHCARE OH MEDICAID [3070] | MOLINA HEALTHCARE OHIO MEDICA [3070001] | $4,208.97 | — | — | 2026-04-01 | MRF ↗ |
| ANDERSON HOSPITAL Inpatient | BUCKEYE COMMUNITY HEALTH PLAN [2001] | BUCKEYE COMMUNITY HEALTH PLAN [2001001] | $4,247.58 | — | — | 2026-04-01 | MRF ↗ |
| SALEM HOSPITAL Inpatient | MASSHEALTH [3001] | HB SLM MEDICAID | $4,429.86 | $19,509.89 | — | 2026-03-27 | MRF ↗ |
| NEWTON-WELLESLEY HOSPITAL Inpatient | MASSHEALTH [3001] | HB NWH MEDICAID | $4,430.10 | $23,016.85 | — | 2026-03-27 | MRF ↗ |
| SALEM HOSPITAL Inpatient | WELLSENSE [1003] | HB SLM WELLSENSE MCO | $4,430.10 | $19,509.89 | — | 2026-03-27 | MRF ↗ |
| MASSACHUSETTS GENERAL HOSPITAL Inpatient | MASSHEALTH [3001] | HB MGH MEDICAID | $4,430.10 | $31,306.30 | — | 2026-03-27 | MRF ↗ |
| BRIGHAM AND WOMEN'S HOSPITAL Inpatient | MASSHEALTH [3001] | HB BWH MEDICAID | $4,430.10 | $43,190.09 | — | 2026-03-27 | MRF ↗ |
| Mercy Health - St Charles Hospital Inpatient | CARESOURCE [2002] | CARESOURCE OH MEDICAID [2002001] | $4,677.77 | — | — | 2026-04-01 | MRF ↗ |
| MERCY ST VINCENT MEDICAL CENTER Inpatient | CARESOURCE [2002] | CARESOURCE OH MEDICAID [2002001] | $4,677.77 | — | — | 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.