540 — Cesarean Section Without Sterilization
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). CESAREAN SECTION WITHOUT STERILIZATION (APR_DRG 540) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/540?code_type=APR_DRG
MLA (9th ed.)
“CESAREAN SECTION WITHOUT STERILIZATION (APR_DRG 540) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/540?code_type=APR_DRG. Accessed .
Chicago (notes-bibliography)
“CESAREAN SECTION WITHOUT STERILIZATION (APR_DRG 540) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/540?code_type=APR_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $7,505–$16,870 (25th–75th percentile) across 81 hospitals · 218 payers.
“Negotiated” is the hospital’s negotiated rate for the entire inpatient stay under APR_DRG 540 — 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.
Also priced as a different code
The same procedure is billed under different code systems depending on the setting. These facilities price it under a code you won’t see in the APR_DRG 540 table above — including hospitals that only publish the bundled version.
2,981 facilities · 2,894 not in the APR_DRG table
- ABBEVILLE GENERAL HOSPITAL, ABBEVILLE • only here
- ABBOTT NORTHWESTERN HOSPITAL, MINNEAPOLIS • only here
- ABRAHAM LINCOLN MEMORIAL HOSPITAL, LINCOLN • only here
- ABRAZO ARROWHEAD HOSPITAL, GLENDALE • only here
- ACADIAN MEDICAL CENTER, EUNICE • only here
- Acuity Specialty Hospital Of New Jersey, Atlantic City • only here
3,041 facilities · 2,951 not in the APR_DRG table
- ABBEVILLE GENERAL HOSPITAL, ABBEVILLE • only here
- ABBOTT NORTHWESTERN HOSPITAL, MINNEAPOLIS • only here
- ABRAHAM LINCOLN MEMORIAL HOSPITAL, LINCOLN • only here
- ABRAZO ARROWHEAD HOSPITAL, GLENDALE • only here
- ACADIAN MEDICAL CENTER, EUNICE • only here
- Acuity Specialty Hospital Of New Jersey, Atlantic City • only here
3,052 facilities · 2,962 not in the APR_DRG table
- ABBEVILLE GENERAL HOSPITAL, ABBEVILLE • only here
- ABBOTT NORTHWESTERN HOSPITAL, MINNEAPOLIS • only here
- ABRAHAM LINCOLN MEMORIAL HOSPITAL, LINCOLN • only here
- ABRAZO ARROWHEAD HOSPITAL, GLENDALE • only here
- ACADIAN MEDICAL CENTER, EUNICE • only here
- Acuity Specialty Hospital Of New Jersey, Atlantic City • only here
1,715 facilities · 1,693 not in the APR_DRG table
- ABRAZO ARROWHEAD HOSPITAL, GLENDALE • only here
- ACADIAN MEDICAL CENTER, EUNICE • only here
- ADENA REGIONAL MEDICAL CENTER, CHILLICOTHE • only here
- ADIRONDACK MEDICAL CENTER - SARANAC LAKE, SARANAC LAKE • only here
- ADVENTHEALTH AVISTA, LOUISVILLE • only here
- ADVENTHEALTH CASTLE ROCK, CASTLE ROCK • only here
An MS-DRG / APR-DRG price is the hospital’s single bundled charge for the entire inpatient stay — operating room, room & board, recovery, imaging, anesthesia (facility), implants and supplies — so it’s a broader, usually higher figure than the APR_DRG 540 line above, which prices the procedure alone. Neither includes the surgeon’s or anesthesiologist’s professional fees, which are billed separately.
Estimated complete episode
What the whole episode might cost
Your hospital facility price plus the separately-billed professional fees a complete episode adds. The facility figure is an actual negotiated rate from our data; the surgeon and anesthesia fees are estimated from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$7,505
$11,162 typical
$16,870
The middle 50% of negotiated facility rates for this procedure, measured across 81 hospitals. The surgeon and anesthesia fees are modeled estimates added on top.
What you’ll likely be billed
| Surgeon (professional fee) Estimate national typical Medicare $2,473 × 1.4 commercial. | $3,463 |
| Inpatient stay bundle (APR-DRG 540) Actual inpatient bundle The negotiated inpatient APR-DRG 540 price — one bundled charge for the whole admission (operating room, room & board, recovery, imaging, implants, supplies). The surgeon's and anesthesiologist's fees below are billed separately and are NOT part of this bundle. | $11,162 |
| Likely subtotal | $14,625 |
You might also be billed (if it applies to your case)
| Anesthesia Estimate ~97% of cases · modeled 01961, ~75 min typical. Medicare $246 × 3.14 commercial. | $772 |
| Newborn care Estimate ~50% of cases · modeled Medicare $81 × 1.22 commercial. | $99 |
| Assistant surgeon Estimate ~20% of cases · modeled 16% of the surgeon's fee (CMS modifier convention). | $554 |
| Typical added cost weighted by how often each applies | ~$909 |
Surgical episode (typical)
~$15,534
Not included in this estimate:
- Rehab, physical therapy, and other post-acute care after discharge (see the recovery plan below)
- Complications, revisions, or readmissions
- Out-of-network provider choices you make yourself (the No Surprises Act only covers providers you can't choose)
The biggest swing: which insurer's rate applies — negotiated prices here run $7,505–$16,870.
Your recovery plan — adjust to what your doctor told you
After your procedure, recovery care is billed separately. We pre-fill the typical plan; change it to your situation.
Recovery cost modeled
~$3,785
With your recovery plan (typical)
~$19,319
- Some components show how often they typically apply (modeled from clinical/coding literature, not claims-measured); the total is the expected typical cost.
How each figure is sourced
- Surgeon (professional fee) (estimate)
- rvu_version: RVU26A (updated 2025-12-29) · gpci: National (unadjusted, GPCI = 1.000) · cf_rule: CMS-1832-F ($33.40) · multiplier_source: Urban (OB/gen-surg proxy) 1.4x
- Anesthesia (estimate)
- base_units_version: CY2022 file (base units unchanged for CY2026 per CMS) · anesthesia_cf: $20.49754 (National) · cf_rule: CMS-1832-F · multiplier_source: AJMC/Duffy 2016-2017 (PMID 34156223) national
- Newborn care (estimate)
- rvu_version: RVU26A (updated 2025-12-29) · gpci: National (unadjusted, GPCI = 1.000) · cf_rule: CMS-1832-F ($33.40) · multiplier_source: HCCI all-professional 1.22x
- Assistant surgeon (estimate)
- rule: 16% of primary surgeon (CMS Pub 100-04)
- Inpatient stay bundle (APR-DRG 540) (actual)
- source: Hospital MRF (45 CFR 180) · published_form: APR-DRG 540
Estimates use CMS Medicare Physician Fee Schedule reference data (RVU × GPCI × conversion factor; anesthesia base+time × CF) scaled by a sourced commercial multiplier, weighted by how often each component is billed. See the methodology. Your real total appears on your insurer’s Explanation of Benefits (EOB).
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 | $0.50 | $41,362.62 | $33,090.10 | 2026-03-26 | MRF ↗ |
| SKAGIT VALLEY HOSPITAL Inpatient | CHPW | Medicaid | $0.50 | $41,362.62 | $33,090.10 | 2026-03-26 | MRF ↗ |
| MAPLE GROVE HOSPITAL Inpatient | UCARE [1148] | UCARE PMAP/MNCARE [3301] | $5.00 | $29,870.95 | $15,741.99 | 2024-12-31 | MRF ↗ |
| BETHESDA HOSPITAL EAST Inpatient | VISTA | COVENTRY MEDICAID | — | — | — | 2026-03-30 | MRF ↗ |
| BETHESDA HOSPITAL EAST Inpatient | WELLCARE | WELL CARE MD HMONC | — | — | — | 2026-03-30 | MRF ↗ |
| BETHESDA HOSPITAL EAST Inpatient | UNITED HEALTHCARE | UNITED MD HMO | — | — | — | 2026-03-30 | MRF ↗ |
| BETHESDA HOSPITAL EAST Inpatient | MEDICAID | PRESTIGE MD HMO NC | — | — | — | 2026-03-30 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | AMERIGROUP | AMERIGROUP | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | BLUE CROSS | TENNCARE BLUE SELECT | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | BLUE CROSS | TENNCARE BLUE CARE | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | BLUE CROSS | TENNCARE BLUE SELECT | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | BLUE CROSS | TENNCARE BLUE CARE | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | AMERIGROUP | AMERIGROUP | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | — | — | — | 2026-03-23 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $2,287.29 | $32,512.25 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $2,287.29 | $32,512.25 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $2,287.29 | $32,512.25 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $2,287.29 | $32,502.60 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $2,287.29 | $32,512.25 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $2,287.29 | $32,957.90 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $2,287.29 | $32,512.25 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $2,287.29 | $32,512.25 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $2,287.29 | $32,512.25 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $2,287.29 | $32,512.25 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $2,287.29 | $32,512.25 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $2,287.29 | $32,502.60 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $2,287.29 | $32,512.25 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $2,287.29 | $32,512.25 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $2,287.29 | $31,437.10 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $2,287.29 | $32,957.90 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $2,287.29 | $32,502.60 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $2,287.29 | $32,512.25 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $2,287.29 | $32,502.60 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $2,287.29 | $32,957.90 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $2,287.29 | $32,502.60 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $2,287.29 | $32,512.25 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $2,287.29 | $31,437.10 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $2,287.29 | $31,437.10 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $2,287.29 | $32,512.25 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $2,287.29 | $32,512.25 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $2,287.29 | $32,502.60 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $2,287.29 | $32,512.25 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $2,287.29 | $32,502.60 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $2,287.29 | $32,512.25 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $2,287.29 | $32,512.25 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $2,287.29 | $32,512.25 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $2,287.29 | $32,512.25 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $2,287.29 | $31,437.10 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $2,287.29 | $32,512.25 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $2,287.29 | $32,512.25 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $2,287.29 | $32,957.90 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $2,287.29 | $32,512.25 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $2,287.29 | $32,512.25 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $2,287.29 | $32,512.25 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $2,287.29 | $32,502.60 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $2,287.29 | $32,512.25 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $2,287.29 | $32,512.25 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $2,287.29 | $31,437.10 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $2,287.29 | $32,512.25 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $2,287.29 | $32,512.25 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $2,287.29 | $32,957.90 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $2,287.29 | $32,957.90 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $2,287.29 | $32,512.25 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $2,287.29 | $31,437.10 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $2,287.29 | $32,957.90 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $2,287.29 | $32,957.90 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $2,287.29 | $31,437.10 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $2,287.29 | $31,437.10 | — | 2026-03-26 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | UHC COMMUNITY MEDICAID [2175] | HB XR UHC INDIANA PATHWAYS MEDICAID | $2,392.18 | $16,055.42 | $9,633.25 | 2025-12-19 | MRF ↗ |
| JOHNSON CITY MEDICAL CENTER Inpatient | OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | — | — | — | 2026-03-23 | MRF ↗ |
| INDIAN PATH COMMUNITY HOSPITAL Inpatient | UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | — | — | — | 2026-03-23 | MRF ↗ |
| INDIAN PATH COMMUNITY HOSPITAL Inpatient | BLUE CROSS | TENNCARE BLUE SELECT | — | — | — | 2026-03-23 | MRF ↗ |
| INDIAN PATH COMMUNITY HOSPITAL Inpatient | AMERIGROUP | AMERIGROUP | — | — | — | 2026-03-23 | MRF ↗ |
| INDIAN PATH COMMUNITY HOSPITAL Inpatient | MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | — | — | — | 2026-03-23 | MRF ↗ |
| INDIAN PATH COMMUNITY HOSPITAL Inpatient | BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | — | — | — | 2026-03-23 | MRF ↗ |
| UNION GENERAL HOSPITAL Inpatient | AMERIGROUP COMMUNITY CARE | AMERIGROUP MEDICAID | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSON CITY MEDICAL CENTER Inpatient | BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSON CITY MEDICAL CENTER Inpatient | BLUE CROSS | TENNCARE BLUE SELECT | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSON CITY MEDICAL CENTER Inpatient | MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | — | — | — | 2026-03-23 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $2,922.90 | $36,056.15 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $2,922.90 | $40,567.50 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $2,922.90 | $39,753.40 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $2,922.90 | $39,753.40 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $2,922.90 | $39,753.40 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $2,922.90 | $39,753.40 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $2,922.90 | $39,727.40 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $2,922.90 | $39,753.40 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $2,922.90 | $39,727.40 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $2,922.90 | $39,753.40 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $2,922.90 | $39,727.40 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $2,922.90 | $39,727.40 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $2,922.90 | $39,753.40 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $2,922.90 | $40,567.50 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $2,922.90 | $39,753.40 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $2,922.90 | $39,753.40 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $2,922.90 | $39,753.40 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $2,922.90 | $39,753.40 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $2,922.90 | $39,753.40 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $2,922.90 | $36,056.15 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $2,922.90 | $39,753.40 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $2,922.90 | $39,753.40 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $2,922.90 | $39,753.40 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $2,922.90 | $40,567.50 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $2,922.90 | $39,753.40 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $2,922.90 | $40,567.50 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $2,922.90 | $39,753.40 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $2,922.90 | $39,753.40 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $2,922.90 | $39,753.40 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $2,922.90 | $39,727.40 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $2,922.90 | $39,753.40 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $2,922.90 | $39,753.40 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $2,922.90 | $39,753.40 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $2,922.90 | $39,753.40 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $2,922.90 | $40,567.50 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $2,922.90 | $39,727.40 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $2,922.90 | $39,727.40 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $2,922.90 | $39,727.40 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $2,922.90 | $39,753.40 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $2,922.90 | $39,753.40 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $2,922.90 | $40,567.50 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $2,922.90 | $39,753.40 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $2,922.90 | $40,567.50 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $2,922.90 | $36,056.15 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $2,922.90 | $39,753.40 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $2,922.90 | $36,056.15 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $2,922.90 | $36,056.15 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $2,922.90 | $39,753.40 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $2,922.90 | $39,753.40 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $2,922.90 | $36,056.15 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $2,922.90 | $36,056.15 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $2,922.90 | $40,567.50 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $2,922.90 | $36,056.15 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $2,922.90 | $39,753.40 | — | 2026-03-26 | MRF ↗ |
| BETHESDA HOSPITAL EAST Inpatient | MEDICAID | SIMPLYHLTH MD HMO NC | — | — | — | 2026-03-30 | MRF ↗ |
| BETHESDA HOSPITAL EAST Inpatient | SUNSHINE STATE | SUNSHINE ST MD HMONC | — | — | — | 2026-03-30 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | UHC COMMUNITY MEDICAID [2175] | HB XR UHC INDIANA PATHWAYS MEDICAID | $3,225.14 | $19,558.76 | $11,735.26 | 2025-12-19 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | WELLPOINT [1007] | ABOVE FPIL WELLPOINT CHIP PERINATE [100709] | $3,225.90 | $30,469.83 | $12,187.93 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | WELLPOINT [1007] | WELLPOINT CHIP PERINATE POST PARTUM [100704] | $3,225.90 | $30,469.83 | $12,187.93 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | WELLPOINT [1007] | BELOW FPIL WELLPOINT CHIP PERINATE [100708] | $3,225.90 | $30,469.83 | $12,187.93 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | SUPERIOR HEALTH PLAN [1402] | SUPERIOR STAR HEALTH FOSTER CARE [140200] | $3,322.67 | $30,469.83 | $12,187.93 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | COOK CHILDREN HEALTH PLAN [1380] | COOK CHILDREN STAR MEDICAID [138000] | $3,387.19 | $30,469.83 | $12,187.93 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | PARKLAND CHIP PERINATE [1320] | BELOW FPIL CHIP PERINATE [132001] | $3,387.19 | $30,469.83 | $12,187.93 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | PARKLAND CHIP PERINATE [1320] | ABOVE FPIL CHIP PERINATE [132002] | $3,387.19 | $30,469.83 | $12,187.93 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | COOK CHILDREN HEALTH PLAN [1380] | BELOW FPIL COOK CHIP PERINATE [138004] | $3,387.19 | $30,469.83 | $12,187.93 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | COOK CHILDREN HEALTH PLAN [1380] | ABOVE FPIL COOK CHIP PERINATE [138003] | $3,387.19 | $30,469.83 | $12,187.93 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | COOK CHILDREN HEALTH PLAN [1380] | COOK CHILDRENS CHIP [138006] | $3,387.19 | $30,469.83 | $12,187.93 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | COOK CHILDREN HEALTH PLAN [1380] | COOK CHILDRENS STAR KIDS [138005] | $3,387.19 | $30,469.83 | $12,187.93 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | COOK CHILDREN HEALTH PLAN [1380] | COOK CHILDREN CHIP PERINATE POST PARTUM [138002] | $3,387.19 | $30,469.83 | $12,187.93 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | AETNA BETTER HEALTH [1317] | BELOW FPIL AETNA CHIP PERINATE [131702] | $3,387.19 | $30,469.83 | $12,187.93 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | AETNA BETTER HEALTH [1317] | ABOVE FPIL AETNA CHIP PERINATE [131703] | $3,387.19 | $30,469.83 | $12,187.93 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | PARKLAND COMMUNITY HEALTH PLAN [1056] | Parkland CHIP [105606] | $3,387.19 | $30,469.83 | $12,187.93 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | AETNA BETTER HEALTH [1317] | AETNA BETTER HEALTH CHIP [131701] | $3,387.19 | $30,469.83 | $12,187.93 | 2026-05-29 | MRF ↗ |
| RIVERSIDE UNIVERSITY HEALTH SYSTEM-MEDICAL CENTER Inpatient | LA CARE HEALTH PLAN | MCAL HMO | $3,517.80 | $77,895.50 | — | 2026-01-01 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | POINT COMFORT UNDERWRITERS [1801] | POINT COMFORT UNDERWRITERS [180100] | $3,548.49 | $30,469.83 | $12,187.93 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | MOLINA [1382] | MOLINA CHIP [138201] | $3,548.49 | $30,469.83 | $12,187.93 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | MOLINA [1382] | POST PARTUM VST-MOLINA CHIP [138205] | $3,548.49 | $30,469.83 | $12,187.93 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | MOLINA [1382] | BELOW FPIL MOLINA CHIP PERINATE [138211] | $3,548.49 | $30,469.83 | $12,187.93 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | MOLINA [1382] | ABOVE FPIL MOLINA CHIP PERINATE [138210] | $3,548.49 | $30,469.83 | $12,187.93 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | MOLINA [1382] | MOLINA RSA MEDICAID [138203] | $3,548.49 | $30,469.83 | $12,187.93 | 2026-05-29 | MRF ↗ |
| GREENEVILLE COMMUNITY HOSPITAL Inpatient | AMERIGROUP | AMERIGROUP | — | — | — | 2026-03-23 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST InpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $3,564.34 | $31,572.84 | — | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST InpatientFacility | MEDICAID [20240] | HB STLO CAPE IL MEDICAID | $3,564.34 | $31,572.84 | — | 2026-03-18 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Inpatient | BLUE CROSS | TENNCARE BLUE CARE | — | — | — | 2026-03-23 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST InpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $3,730.73 | $31,572.84 | — | 2026-03-18 | MRF ↗ |
| GREENEVILLE COMMUNITY HOSPITAL Inpatient | BLUE CROSS | TENNCARE BLUE CARE | — | — | — | 2026-03-23 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Independent Health | Independent Health State Products | $3,887.28 | — | — | 2026-04-14 | MRF ↗ |
| HSHS St. Francis Hospital Inpatient | MERIDIAN HEALTH PLAN | MERIDIAN HMO MCD | — | — | — | 2026-03-24 | MRF ↗ |
| HSHS St. Francis Hospital Inpatient | WEXFORD | WEXFORD HEALTH SOURCES | — | — | — | 2026-03-24 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | WELLPOINT [1007] | ABOVE FPIL WELLPOINT CHIP PERINATE [100709] | $3,999.03 | $34,847.84 | $13,939.14 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | WELLPOINT [1007] | BELOW FPIL WELLPOINT CHIP PERINATE [100708] | $3,999.03 | $34,847.84 | $13,939.14 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | WELLPOINT [1007] | WELLPOINT CHIP PERINATE POST PARTUM [100704] | $3,999.03 | $34,847.84 | $13,939.14 | 2026-05-29 | MRF ↗ |
| ST NICHOLAS HOSPITAL Inpatient | ANTHEM | ANTEHM MEDICAID | — | — | — | 2026-03-24 | MRF ↗ |
| ST NICHOLAS HOSPITAL Inpatient | MANAGED HEALTH SERVICES | MANAGED HEALTH SERVICES MEDICAID | — | — | — | 2026-03-24 | MRF ↗ |
| ST VINCENT HOSPITAL Inpatient | MANAGED HEALTH SERVICES | MANAGED HEALTH SERVICES MEDICAID | — | — | — | 2026-03-24 | MRF ↗ |
| ST VINCENT HOSPITAL Inpatient | ANTHEM | ANTEHM MEDICAID | — | — | — | 2026-03-24 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | Amerihealth | Managed Medicaid | $4,051.13 | — | — | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | Health Partners | Managed Medicaid | $4,051.13 | — | — | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | Amerihealth | Managed Medicaid | $4,051.13 | — | — | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | Health Partners | Managed Medicaid | $4,051.13 | — | — | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | UPMC for You | Managed Medicaid | $4,072.65 | — | — | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | UPMC for You | Managed Medicaid | $4,072.65 | — | — | 2026-02-12 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis Child Health Plus | $4,104.92 | — | — | 2026-04-14 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | CARESOURCE [2031] | HB XR CARESOURCE MGD MEDICAID OHIO 103% | $4,108.29 | $16,055.42 | $9,633.25 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | ANTHEM MEDICAID OHIO [2192] | HB XR ANTHEM OH MEDICAID 103% | $4,108.29 | $16,055.42 | $9,633.25 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | MOLINA MEDICAID [2058] | HB XR MOLINA MGD MEDICAID OH 107% | $4,108.29 | $16,055.42 | $9,633.25 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | AETNA BETTER HEALTH OHIO MEDICAID [2183] | HB XR AETNA BETTER HLTH MGD MEDICAID OH 108% | $4,108.29 | $16,055.42 | $9,633.25 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | BUCKEYE COMMUNITY HEALTH [2028] | HB XR BUCKEYE MGD MEDICAID OH 106% | $4,108.29 | $16,055.42 | $9,633.25 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | HUMANA MEDICAID OH [3102] | HB XR HUMANA 103% OHIO MEDICAID | $4,108.29 | $16,055.42 | $9,633.25 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | AMERIHEALTH CARITAS [2230] | HB XR AMERIHEALTH CARITAS OH 103% | $4,108.29 | $16,055.42 | $9,633.25 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | UHC COMMUNITY MEDICAID [2175] | HB XR UNITED HEALTHCARE MGD MEDICAID OHIO | $4,108.29 | $16,055.42 | $9,633.25 | 2025-12-19 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | SUPERIOR HEALTH PLAN [1402] | SUPERIOR STAR HEALTH FOSTER CARE [140200] | $4,118.99 | $34,847.84 | $13,939.14 | 2026-05-29 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | Geisinger | Managed Medicaid | $4,132.15 | — | — | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | Geisinger | Managed Medicaid | $4,132.15 | — | — | 2026-02-12 | MRF ↗ |
| MEADVILLE MEDICAL CENTER Inpatient | Geisinger | Managed Medicaid | $4,154.10 | — | — | 2025-02-18 | MRF ↗ |
| MEADVILLE MEDICAL CENTER Inpatient | Geisinger | Managed Medicaid | $4,154.10 | — | — | 2025-02-18 | MRF ↗ |
| MEADVILLE MEDICAL CENTER Inpatient | Geisinger | Managed Medicaid | $4,154.10 | — | — | 2026-09-11 | MRF ↗ |
| MEADVILLE MEDICAL CENTER Inpatient | Geisinger | Managed Medicaid | $4,154.10 | — | — | 2026-02-12 | MRF ↗ |
| HSHS St. Francis Hospital Inpatient | MOLINA HEALTHCARE | MOLINA MEDICAID | — | — | — | 2026-03-24 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | PARKLAND CHIP PERINATE [1320] | BELOW FPIL CHIP PERINATE [132001] | $4,198.98 | $34,847.84 | $13,939.14 | 2026-05-29 | 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.