5464 — Other O.r. Proc For Obstetric Diagnoses Except Delivery Diagnoses
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Other O.R. proc for obstetric diagnoses except delivery diagnoses (APR_DRG 5464) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/5464?code_type=APR_DRG
MLA (9th ed.)
“Other O.R. proc for obstetric diagnoses except delivery diagnoses (APR_DRG 5464) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/5464?code_type=APR_DRG. Accessed .
Chicago (notes-bibliography)
“Other O.R. proc for obstetric diagnoses except delivery diagnoses (APR_DRG 5464) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/5464?code_type=APR_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $32,666–$72,783 (25th–75th percentile) across 166 hospitals · 129 payers.
“Negotiated” is the hospital’s negotiated rate for the entire inpatient stay under APR_DRG 5464 — 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 |
|---|---|---|---|---|---|---|---|
| ELIZABETHTOWN COMMUNITY HOSPITAL InpatientFacility | — | — | — | — | — | 2025-01-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Medicaid Other | — | $1,328.05 | $56,892.34 | $36,980.02 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Medicaid Sc | — | $1,337.75 | $56,892.34 | $36,980.02 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Bluechoice Medicaid (Greenville County Only) | — | $1,359.70 | $56,892.34 | $36,980.02 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Molina Medicaid | — | $1,377.88 | $56,892.34 | $36,980.02 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Blue Choice Medicaid (Greenville County Only) | — | $1,383.94 | $56,892.34 | $36,980.02 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Absolute Total Care Medicaid | — | $1,404.64 | $56,892.34 | $36,980.02 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Select Health Medicaid | — | $1,404.64 | $56,892.34 | $36,980.02 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Bluechoice Medicaid | — | $1,404.64 | $56,892.34 | $36,980.02 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Blue Choice Medicaid (Greenville County Only) | — | $1,427.23 | $56,892.34 | $36,980.02 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Medicaid Other | — | $1,446.48 | $56,892.34 | $36,980.02 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Medicaid | — | $1,446.48 | $56,892.34 | $36,980.02 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Absolute Total Care Medicaid | — | $1,460.66 | $56,892.34 | $36,980.02 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bluechoice Medicaid | — | $1,472.27 | $56,892.34 | $36,980.02 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Blue Choice Medicaid (Greenville County Only) | — | $1,473.80 | $56,892.00 | $36,980.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Blue Choice Medicaid (Greenville County Only) | — | $1,485.27 | $56,892.34 | $36,980.02 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Select Health Medicaid | — | $1,501.62 | $56,892.34 | $36,980.02 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Molina Medicaid | — | $1,516.44 | $56,892.34 | $36,980.02 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Select Health Medicaid | — | $1,516.44 | $56,892.34 | $36,980.02 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Bluechoice Medicaid | — | $1,518.33 | $56,892.34 | $36,980.02 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Medicaid Sc | — | $1,543.77 | $56,892.34 | $36,980.02 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Medicaid | — | $1,544.75 | $56,892.34 | $36,980.02 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Absolute Total Care Medicaid | — | $1,545.89 | $56,892.34 | $36,980.02 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Humana Healthy Horizons Medicaid | — | $1,547.74 | $56,892.34 | $36,980.02 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Bluechoice Medicaid | — | $1,556.22 | $56,892.34 | $36,980.02 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Molina Medicaid | — | $1,563.88 | $56,892.34 | $36,980.02 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Select Health Medicaid | — | $1,563.88 | $56,892.34 | $36,980.02 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Medicare Advantage Non Contracted | — | $1,567.87 | $56,892.00 | $36,980.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Bluechoice Medicaid | — | $1,567.87 | $56,892.00 | $36,980.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Medicaid | — | $1,567.87 | $56,892.00 | $36,980.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Bluechoice Medicaid | — | $1,580.07 | $56,892.34 | $36,980.02 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Medicaid Other | — | $1,582.17 | $56,892.34 | $36,980.02 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Select Health Medicaid | — | $1,591.13 | $56,892.34 | $36,980.02 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Absolute Total Care Medicaid | — | $1,594.25 | $56,892.34 | $36,980.02 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Bluechoice Medicaid | — | $1,605.60 | $56,892.34 | $36,980.02 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Molina Medicaid | — | $1,610.83 | $56,892.34 | $36,980.02 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Select Health Medicaid | — | $1,614.91 | $56,892.00 | $36,980.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Molina Medicaid | — | $1,614.91 | $56,892.00 | $36,980.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Medicaid | — | $1,618.26 | $56,892.34 | $36,980.02 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Medicaid Other | — | $1,618.26 | $56,892.34 | $36,980.02 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Absolute Total Care Medicaid | — | $1,620.96 | $56,892.34 | $36,980.02 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Select Health Medicaid | — | $1,627.47 | $56,892.34 | $36,980.02 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Molina Medicaid | — | $1,627.47 | $56,892.34 | $36,980.02 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Medicaid Sc | — | $1,632.51 | $56,892.34 | $36,980.02 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Absolute Total Care Medicaid | — | $1,646.27 | $56,892.00 | $36,980.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Humana Healthy Horizons Medicaid | — | $1,651.83 | $56,892.34 | $36,980.02 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Humana Healthy Horizons Medicaid | — | $1,652.88 | $56,892.34 | $36,980.02 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Absolute Total Care Medicaid | — | $1,659.07 | $56,892.34 | $36,980.02 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Molina Medicaid | — | $1,663.46 | $56,892.34 | $36,980.02 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Humana Healthy Horizons Medicaid | — | $1,677.62 | $56,892.00 | $36,980.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Absolute Total Care Medicaid | — | $1,692.39 | $56,892.34 | $36,980.02 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Select Health Medicaid | — | $1,698.15 | $56,892.34 | $36,980.02 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Medicaid | — | $1,699.69 | $56,892.34 | $36,980.02 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Humana Healthy Horizons Medicaid | — | $1,731.54 | $56,892.34 | $36,980.02 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Humana Healthy Horizons Medicaid | — | $1,746.79 | $56,892.34 | $36,980.02 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Humana Healthy Horizons Medicaid | — | $1,746.79 | $56,892.34 | $36,980.02 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Humana Healthy Horizons Medicaid | — | $1,818.67 | $56,892.34 | $36,980.02 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Molina Medicaid | — | $1,821.65 | $56,892.34 | $36,980.02 | 2026-07-05 | MRF ↗ |
| FLUSHING HOSPITAL MEDICAL CENTER Inpatient | Hotel Trades Council | Dental Or | $1,912.00 | — | — | 2026-07-15 | MRF ↗ |
| Prisma Health North Greenville Ltach | First Health-Wc | — | $2,014.60 | $56,892.34 | $36,980.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Humana Gold Plus Medicare Advantage Hmo | — | $2,050.71 | $56,892.34 | $36,980.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Medicare | — | $2,050.71 | $56,892.34 | $36,980.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Bcbs Medicare Advantage | — | $2,055.71 | $56,892.34 | $36,980.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Aetna Medicare Prime Hmo | — | $2,055.71 | $56,892.34 | $36,980.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Wellcare Medicare | — | $2,055.71 | $56,892.34 | $36,980.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Cigna Hmo Ppo | — | $2,646.00 | $56,892.34 | $36,980.02 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Medicaid Other | — | $3,644.82 | $56,892.34 | $36,980.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Humana Healthy Horizons Medicaid | — | $3,899.95 | $56,892.34 | $36,980.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Blue Choice Medicaid (Greenville County Only) | — | $3,974.90 | $56,892.34 | $36,980.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Bluechoice Medicaid | — | $4,228.62 | $56,892.34 | $36,980.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Medicaid | — | $4,228.62 | $56,892.34 | $36,980.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Molina Medicaid | — | $4,355.48 | $56,892.34 | $36,980.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Select Health Medicaid | — | $4,355.48 | $56,892.34 | $36,980.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Absolute Total Care Medicaid | — | $4,440.05 | $56,892.34 | $36,980.00 | 2026-07-05 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Emblem Essential Health Plans 3/4 | Managed Medicaid | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Healthfirst | Child Health Plus | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Empire Blue Cross Blue Shield Healthplus | Mgd Medi | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Emblem Essential Health Plans 1/2 | Managed Medicaid | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Empire Blue Cross Blue Shield Individual | Comm | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Fidelis Care - Essential Plans 1 | 5 | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Centerlight | Commerical | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Fidelis Care | Exchange (Hbx) | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Aetna Ppo | Medicare Advantage | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | United Healthcare Va Behavioral Health | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Fidelis Care Ny Harp | Managed Medicaid | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Empire Blue Cross Blue Shield | Medicare Advantage | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Emblemhealth Hip Of Ny | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Sedgwick Government Solutions | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Molina Essential 1 And 2 | Managed Medicaid | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Emblemhealth Ghi | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Empire Blue Cross Blue Shield Chp | Managed Medicaid | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Empire Blue Cross Blue Shield Essential Plan | Comm | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Elderplan | Medicare Advantage | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | United Healthcare Community Plan | Managed Medicaid | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | United Healthcare Va | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Healthfirst Essential Plan 3/4 | Commerial | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Fidelis Care Ny | Managed Medicaid | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Emblemhealth Hip Of Ny | Managed Medicaid | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Healthfirst Health Plan | Medicare Advantage | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Aetna | Medicare Advantage | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Agewell New York | Medicare Advantage | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Emblemhealth Hip Of Ny Select Care | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Empire Blue Cross Blue Shield Harp | Managed Medi | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Emblemhealth Hip Of Ny | Medicare Advantage | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Molina Chp/Harp | Managed Medicaid | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Fidelis Care Ny Chp | Managed Medicaid | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Healthfirst Essential Plan 1/2 | Healthfirst Essential Plan 1/2 | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Fidelis Care | Medicare (Including Dual) | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Partners Health Plan | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER InpatientFacility | Molina | Medicaid | $4,839.28 | — | — | 2025-07-23 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER InpatientFacility | MyCompass | Medicaid | $5,226.42 | — | — | 2025-07-23 | MRF ↗ |
| MONTEFIORE ST LUKE'S CORNWALL Inpatient | Anthem | Exchange | $5,410.47 | — | — | 2026-04-01 | MRF ↗ |
| ELMHURST HOSPITAL CENTER InpatientFacility | Healthfirst | Small Group | $5,534.75 | — | — | 2025-09-05 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Molina Medicaid | — | $5,581.71 | $56,892.34 | $39,824.64 | 2026-06-20 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Aetna Medicaid | — | $5,581.71 | $56,892.34 | $39,824.64 | 2026-06-20 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Inpatient | Mdwise | Hip | $7,170.91 | — | — | 2026-07-17 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Anthem Blue Cross Blue Shield | Managed Medicaid | $7,279.36 | — | — | 2025-04-24 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | United Healthcare of Indiana | Managed Medicaid | $7,279.36 | — | — | 2026-06-03 | MRF ↗ |
| REID HEALTH InpatientFacility | Anthem Blue Cross Blue Shield | Managed Medicaid | $7,279.36 | — | — | 2025-07-21 | MRF ↗ |
| REID HEALTH InpatientFacility | MHS | Managed Medicaid | $7,279.36 | — | — | 2025-07-21 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Humana | Managed Medicaid | $7,279.36 | — | — | 2025-04-24 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | CareSource Indiana Healthy Indiana Plan (HIP) | Managed Medicaid | $7,279.36 | — | — | 2026-06-03 | MRF ↗ |
| REID HEALTH InpatientFacility | Humana of Indiana | Pathways for Aging/Managed Medicaid | $7,279.36 | — | — | 2025-07-21 | MRF ↗ |
| REID HEALTH InpatientFacility | Caresource of Indiana | Managed Medicaid | $7,279.36 | — | — | 2025-07-21 | MRF ↗ |
| REID HEALTH InpatientFacility | MDWise | Managed Medicaid | $7,279.36 | — | — | 2025-07-21 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Managed Health Services (MHS) Hoosier Care Connect | Managed Medicaid | $7,279.36 | — | — | 2025-04-24 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | Managed Health Services (MHS) Hoosier Care Connect | Managed Medicaid | $7,279.36 | — | — | 2026-06-03 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | Managed Health Services (MHS) | Managed Medicaid | $7,279.36 | — | — | 2026-06-03 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | CareSource Indiana Healthy Indiana Plan (HIP) | Managed Medicaid | $7,279.36 | — | — | 2025-04-24 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Managed Health Services (MHS) Hoosier Healthwise (HHW) | Managed Medicaid | $7,279.36 | — | — | 2025-04-24 | MRF ↗ |
| REID HEALTH InpatientFacility | Anthem Blue Cross Blue Shield | Pathways for Aging/Managed Medicaid | $7,279.36 | — | — | 2025-07-21 | MRF ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC InpatientFacility | CareSource Indiana of IN | Hoosier Healthwise/HIP | $7,294.16 | — | — | 2026-02-18 | MRF ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC InpatientFacility | Managed Health Services | Medicaid | $7,294.16 | — | — | 2026-02-18 | MRF ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC InpatientFacility | Anthem Blue Cross of IN | Medicaid | $7,294.16 | — | — | 2026-02-18 | MRF ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC InpatientFacility | MDWise | Medicaid | $7,294.16 | — | — | 2026-02-18 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | CareSource Indiana Hoosier Healthwise (HHW) | Managed Medicaid | $7,352.15 | — | — | 2026-06-03 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Humana Choicecare Medicare Advantage Pffs | — | $7,403.77 | $56,892.34 | $36,980.02 | 2026-07-05 | MRF ↗ |
| REID HEALTH InpatientFacility | United Healthcare | Pathways for Aging/Managed Medicaid | $7,424.96 | — | — | 2025-07-21 | MRF ↗ |
| REID HEALTH InpatientFacility | United Healthcare | Managed Medicaid | $7,424.96 | — | — | 2025-07-21 | MRF ↗ |
| MONROE HOSPITAL Inpatient | Non-Contracted Medicaid | Non-Contracted Medicaid | $7,487.18 | — | — | 2024-12-19 | MRF ↗ |
| MONROE HOSPITAL Inpatient | United Healthcare | UHC Medicaid CHIP - Hoosier Care | $7,487.18 | — | — | 2024-12-19 | MRF ↗ |
| MONROE HOSPITAL Inpatient | Care Source | Care Source Medicaid - Healthy Indiana Plan - HIP | $7,487.18 | — | — | 2024-12-19 | MRF ↗ |
| MONROE HOSPITAL Inpatient | Care Source | Care Source Medicaid - Hoosier Healthwise | $7,487.18 | — | — | 2024-12-19 | MRF ↗ |
| MONROE HOSPITAL Inpatient | Traditional Medicaid | Traditional Medicaid | $7,487.18 | — | — | 2024-12-19 | MRF ↗ |
| MONROE HOSPITAL Inpatient | BCBS | BCBS Medicaid - Hoosier Healthwise | $7,487.18 | — | — | 2024-12-19 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | United Healthcare | Managed Medicaid | $7,497.74 | — | — | 2025-04-24 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | CareSource Indiana Hoosier Healthwise (HHW) | Managed Medicaid | $7,497.74 | — | — | 2025-04-24 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Humana Gold Plus Medicare Advantage Hmo | — | $7,553.51 | $56,892.34 | $36,980.02 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Tricare Humana Military | — | $7,638.24 | $56,892.34 | $36,980.02 | 2026-07-05 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | MDwise Hoosier Healthwise (HHW) | Managed Medicaid | $7,643.33 | — | — | 2026-06-03 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Mdwise Hoosier Healthwise (HHW) | Managed Medicaid | $7,643.33 | — | — | 2025-04-24 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Molina Healthcare of Indiana | Managed Medicaid | $7,716.12 | — | — | 2025-04-24 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Molina Dual Options | — | $7,812.63 | $56,892.34 | $36,980.02 | 2026-07-05 | MRF ↗ |
| METHODIST HOSPITAL UNION COUNTY InpatientFacility | MHS IN MCO | Managed Medicaid | $7,879.21 | — | — | 2026-02-13 | MRF ↗ |
| METHODIST HOSPITAL UNION COUNTY InpatientFacility | CareSource IN | Managed Medicaid | $7,879.21 | — | — | 2026-02-13 | MRF ↗ |
| DEACONESS HENDERSON HOSPITAL InpatientFacility | MHS IN Medicaid Product (IN) | Managed Medicaid | $7,879.21 | — | — | 2026-02-09 | MRF ↗ |
| DEACONESS HENDERSON HOSPITAL InpatientFacility | United Healthcare IN | Managed Medicaid | $7,879.21 | — | — | 2026-02-09 | MRF ↗ |
| DEACONESS HENDERSON HOSPITAL InpatientFacility | Anthem IN | Managed Medicaid | $7,879.21 | — | — | 2026-02-09 | MRF ↗ |
| DEACONESS HENDERSON HOSPITAL InpatientFacility | Caresource IN | Managed Medicaid | $7,879.21 | — | — | 2026-02-09 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | United Healthcare Medicare | — | $7,942.67 | $56,892.34 | $36,980.02 | 2026-07-05 | MRF ↗ |
| NORTON-KING'S DAUGHTERS' HEALTH InpatientFacility | Anthem of Indiana | Managed Medicaid | $8,372.48 | — | — | 2026-05-05 | MRF ↗ |
| NORTON-KING'S DAUGHTERS' HEALTH InpatientFacility | Managed Health Services of Indiana | Managed Medicaid | $8,372.48 | — | — | 2026-05-05 | MRF ↗ |
| NORTON-KING'S DAUGHTERS' HEALTH InpatientFacility | United Healthcare of Indiana | Managed Medicaid | $8,372.48 | — | — | 2026-05-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Medicare | — | $8,799.58 | $56,892.34 | $36,980.02 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Wellcare Medicare | — | $9,311.72 | $56,892.34 | $36,980.02 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Select Health First Choice Vip | — | $9,323.26 | $56,892.34 | $36,980.02 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Medicare | — | $9,347.79 | $56,892.00 | $36,980.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Medicare | — | $9,352.93 | $56,892.34 | $36,980.02 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Select Health First Choice Vip | — | $9,405.99 | $56,892.34 | $36,980.02 | 2026-07-05 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER InpatientFacility | MVP Health Care of NY | Essential Plan | $10,404.45 | — | — | 2025-07-23 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Medicare Advantage Non Contracted | — | $10,577.66 | $56,892.34 | $36,980.02 | 2026-05-28 | MRF ↗ |
| THE WOMEN'S HOSPITAL InpatientFacility | Anthem IN | Managed Medicaid | $10,638.52 | — | — | 2026-02-13 | MRF ↗ |
| THE WOMEN'S HOSPITAL InpatientFacility | Anthem IN Pathways for Aging | Managed Medicaid | $10,638.52 | — | — | 2026-02-13 | MRF ↗ |
| THE WOMEN'S HOSPITAL InpatientFacility | Caresource HIP | Managed Medicaid | $10,638.52 | — | — | 2026-02-13 | MRF ↗ |
| THE WOMEN'S HOSPITAL InpatientFacility | Anthem HIP | Managed Medicaid | $10,638.52 | — | — | 2026-02-13 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Aetna Medicare Prime Hmo | — | $10,647.10 | $56,892.34 | $36,980.02 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Medicare | — | $10,667.44 | $56,892.34 | $36,980.02 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Medicare Advantage Non Contracted | — | $10,670.84 | $56,892.34 | $36,980.02 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | United Healthcare Medicare | — | $10,752.51 | $56,892.34 | $36,980.02 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bcbs Medicare Advantage | — | $10,752.51 | $56,892.34 | $36,980.02 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Aetna Medicare Prime Hmo | — | $10,777.56 | $56,892.34 | $36,980.02 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Bcbs Medicare Advantage | — | $10,862.21 | $56,892.34 | $36,980.02 | 2026-07-05 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER InpatientFacility | Molina | Essential Plans | $10,888.38 | — | — | 2025-07-23 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Humana Gold Plus Medicare Advantage Hmo | — | $10,906.94 | $56,892.34 | $36,980.02 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Medicare | — | $11,067.90 | $56,892.34 | $36,980.02 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Wellcare Medicare | — | $11,068.76 | $56,892.34 | $36,980.02 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Select Health First Choice Vip | — | $11,116.68 | $56,892.34 | $36,980.02 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Wellcare Medicare | — | $11,181.69 | $56,892.34 | $36,980.02 | 2026-07-05 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Inpatient | Meridian Il | Medicaid | $11,895.30 | — | — | 2026-07-17 | MRF ↗ |
| CARLE HEALTH METHODIST HOSPITAL InpatientFacility | Meridian | Managed Medicaid | $13,532.41 | — | — | 2026-04-15 | MRF ↗ |
| CARLE HEALTH METHODIST HOSPITAL InpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $13,532.41 | — | — | 2026-04-15 | MRF ↗ |
| CARLE RICHLAND MEMORIAL HOSPITAL InpatientFacility | Meridian | Managed Medicaid | $13,532.41 | — | — | 2026-04-15 | MRF ↗ |
| CARLE HOOPESTON REGIONAL HEALTH CENTER InpatientFacility | Molina | Managed Medicaid | $13,532.41 | — | — | 2026-04-15 | MRF ↗ |
| CARLE HOOPESTON REGIONAL HEALTH CENTER InpatientFacility | Aetna Better Health | Managed Medicaid | $13,532.41 | — | — | 2026-04-15 | MRF ↗ |
| CARLE RICHLAND MEMORIAL HOSPITAL InpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $13,532.41 | — | — | 2026-04-15 | MRF ↗ |
| CARLE HEALTH METHODIST HOSPITAL InpatientFacility | Aetna Better Health | Managed Medicaid | $13,532.41 | — | — | 2026-04-15 | MRF ↗ |
| CARLE HOOPESTON REGIONAL HEALTH CENTER InpatientFacility | Meridian | Managed Medicaid | $13,532.41 | — | — | 2026-04-15 | MRF ↗ |
| CARLE HEALTH METHODIST HOSPITAL InpatientFacility | Molina | Managed Medicaid | $13,532.41 | — | — | 2026-04-15 | MRF ↗ |
| CARLE HEALTH PEKIN HOSPITAL InpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $13,532.41 | — | — | 2026-04-15 | MRF ↗ |
| CARLE HEALTH PEKIN HOSPITAL InpatientFacility | Meridian | Managed Medicaid | $13,532.41 | — | — | 2026-04-15 | 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.