7504 — Schizophrenia
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). SCHIZOPHRENIA (APR_DRG 7504) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/7504?code_type=APR_DRG
MLA (9th ed.)
“SCHIZOPHRENIA (APR_DRG 7504) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/7504?code_type=APR_DRG. Accessed .
Chicago (notes-bibliography)
“SCHIZOPHRENIA (APR_DRG 7504) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/7504?code_type=APR_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $12,856–$30,659 (25th–75th percentile) across 1,106 hospitals · 615 payers.
“Negotiated” is the hospital’s negotiated rate for the entire inpatient stay under APR_DRG 7504 — 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 |
|---|---|---|---|---|---|---|---|
| LOMA LINDA UNIVERSITY MEDICAL CENTER-MURRIETA InpatientFacility | Inland Empire Health Plan (IEHP) | Medi-Cal | $2.32 | — | — | 2026-02-19 | MRF ↗ |
| Memorial Regional Hospital South InpatientFacility | OptumHealth Care Solutions | Transplants - Medicaid | $3.01 | — | — | 2026-05-27 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Molina | CHIP/Medicaid | $3.47 | — | — | 2026-04-15 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Amerigroup | CHIP/Medicaid | $3.47 | — | — | 2026-04-15 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Superior Health Plan | CHIP/Medicaid | $3.47 | — | — | 2026-04-15 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Cigna | Medicaid | $3.47 | — | — | 2026-04-15 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Parkland | Medicaid | $3.47 | — | — | 2026-04-15 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Inpatient | Aetna Better Health | Aetna Better Health (Medicaid Managed Care) | $253.32 | — | — | 2026-08-17 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Medicaid Other | — | $299.74 | $705,248.35 | $458,411.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Medicaid Sc | — | $301.92 | $705,248.35 | $458,411.43 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Bluechoice Medicaid (Greenville County Only) | — | $306.87 | $705,248.35 | $458,411.43 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Molina Medicaid | — | $310.98 | $705,248.35 | $458,411.43 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Blue Choice Medicaid (Greenville County Only) | — | $312.34 | $705,248.35 | $458,411.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Absolute Total Care Medicaid | — | $317.01 | $705,248.35 | $458,411.43 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Bluechoice Medicaid | — | $317.01 | $705,248.35 | $458,411.43 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Select Health Medicaid | — | $317.01 | $705,248.35 | $458,411.43 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Blue Choice Medicaid (Greenville County Only) | — | $322.12 | $705,248.35 | $458,411.43 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Medicaid | — | $326.46 | $705,248.35 | $458,411.43 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Medicaid Other | — | $326.46 | $705,248.35 | $458,411.43 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Absolute Total Care Medicaid | — | $329.66 | $705,248.35 | $458,411.43 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bluechoice Medicaid | — | $332.29 | $705,248.35 | $458,411.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Blue Choice Medicaid (Greenville County Only) | — | $332.63 | $705,248.00 | $458,411.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Blue Choice Medicaid (Greenville County Only) | — | $335.22 | $705,248.35 | $458,411.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Select Health Medicaid | — | $338.91 | $705,248.35 | $458,411.43 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Molina Medicaid | — | $342.25 | $705,248.35 | $458,411.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Select Health Medicaid | — | $342.25 | $705,248.35 | $458,411.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Bluechoice Medicaid | — | $342.68 | $705,248.35 | $458,411.43 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Medicaid Sc | — | $348.42 | $705,248.35 | $458,411.43 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Medicaid | — | $348.64 | $705,248.35 | $458,411.43 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Absolute Total Care Medicaid | — | $348.90 | $705,248.35 | $458,411.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Humana Healthy Horizons Medicaid | — | $349.32 | $705,248.35 | $458,411.43 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Bluechoice Medicaid | — | $351.23 | $705,248.35 | $458,411.43 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL InpatientFacility | — | — | — | — | — | 2024-12-16 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Select Health Medicaid | — | $352.96 | $705,248.35 | $458,411.43 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Molina Medicaid | — | $352.96 | $705,248.35 | $458,411.43 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Medicare Advantage Non Contracted | — | $353.86 | $705,248.00 | $458,411.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Bluechoice Medicaid | — | $353.86 | $705,248.00 | $458,411.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Medicaid | — | $353.86 | $705,248.00 | $458,411.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Bluechoice Medicaid | — | $356.61 | $705,248.35 | $458,411.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Medicaid Other | — | $357.09 | $705,248.35 | $458,411.43 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Select Health Medicaid | — | $359.11 | $705,248.35 | $458,411.43 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Absolute Total Care Medicaid | — | $359.81 | $705,248.35 | $458,411.43 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Bluechoice Medicaid | — | $362.38 | $705,248.35 | $458,411.43 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Molina Medicaid | — | $363.56 | $705,248.35 | $458,411.43 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Molina Medicaid | — | $364.47 | $705,248.00 | $458,411.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Select Health Medicaid | — | $364.47 | $705,248.00 | $458,411.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Medicaid Other | — | $365.23 | $705,248.35 | $458,411.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Medicaid | — | $365.23 | $705,248.35 | $458,411.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Absolute Total Care Medicaid | — | $365.85 | $705,248.35 | $458,411.43 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Molina Medicaid | — | $367.31 | $705,248.35 | $458,411.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Select Health Medicaid | — | $367.31 | $705,248.35 | $458,411.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Medicaid Sc | — | $368.45 | $705,248.35 | $458,411.43 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Absolute Total Care Medicaid | — | $371.55 | $705,248.00 | $458,411.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Humana Healthy Horizons Medicaid | — | $372.81 | $705,248.35 | $458,411.43 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Humana Healthy Horizons Medicaid | — | $373.04 | $705,248.35 | $458,411.43 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Absolute Total Care Medicaid | — | $374.44 | $705,248.35 | $458,411.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Molina Medicaid | — | $375.44 | $705,248.35 | $458,411.43 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Humana Healthy Horizons Medicaid | — | $378.63 | $705,248.00 | $458,411.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Absolute Total Care Medicaid | — | $381.97 | $705,248.35 | $458,411.43 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Select Health Medicaid | — | $383.27 | $705,248.35 | $458,411.43 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Medicaid | — | $383.61 | $705,248.35 | $458,411.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Humana Healthy Horizons Medicaid | — | $390.80 | $705,248.35 | $458,411.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Humana Healthy Horizons Medicaid | — | $394.24 | $705,248.35 | $458,411.43 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Humana Healthy Horizons Medicaid | — | $394.24 | $705,248.35 | $458,411.43 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Humana Healthy Horizons Medicaid | — | $410.46 | $705,248.35 | $458,411.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Molina Medicaid | — | $411.14 | $705,248.35 | $458,411.43 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Medicaid Other | Medicaid Other | $506.64 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $543.72 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $563.72 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Select Health | Select Health Medicaid | $572.85 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Molina | Molina Medicaid | $572.85 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $578.42 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $583.98 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL InpatientFacility | — | — | — | — | — | 2024-12-10 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $603.19 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL InpatientFacility | — | — | — | — | — | 2024-12-12 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL InpatientFacility | — | — | — | — | — | 2024-12-07 | MRF ↗ |
| ELIZABETHTOWN COMMUNITY HOSPITAL InpatientFacility | — | — | — | — | — | 2025-01-01 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL InpatientFacility | — | — | — | — | — | 2024-12-13 | MRF ↗ |
| UNITY HOSPITAL Inpatient | HIGHMARK [114] | HIGHMARK MEDICAID|HIGHMARK ESSENTIALS|HIGHMARK CHP | $694.65 | $3,392.86 | $2,714.29 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Inpatient | MVP [109] | MVP ESSENTIAL 1&2|MVP ESSENTIAL 3&4 | $694.65 | $3,392.86 | $2,714.29 | 2024-12-30 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL InpatientFacility | — | — | — | — | — | 2024-12-13 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER | Fidelis Essential Plan | — | $750.00 | $175,183.31 | $21,701.54 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE InpatientFacility | — | — | — | — | — | 2025-03-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST InpatientFacility | — | — | — | — | — | 2025-03-06 | MRF ↗ |
| Prisma Health North Greenville Ltach | Medicaid Other | — | $822.62 | $705,248.35 | $458,411.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Humana Healthy Horizons Medicaid | — | $880.20 | $705,248.35 | $458,411.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Blue Choice Medicaid (Greenville County Only) | — | $897.11 | $705,248.35 | $458,411.00 | 2026-07-05 | MRF ↗ |
| CHAN SOON- SHIONG MEDICAL CENTER AT WINDBER Inpatient | Geisinger | Geisinger Medicaid | $910.82 | — | — | 2026-07-15 | MRF ↗ |
| CHAN SOON- SHIONG MEDICAL CENTER AT WINDBER Inpatient | Amerihealth Caritas | Amerihealth Caritas Medicaid | $910.82 | — | — | 2026-07-15 | MRF ↗ |
| CHAN SOON- SHIONG MEDICAL CENTER AT WINDBER Inpatient | Upmc Health Plan | Upmc Medicaid | $910.82 | — | — | 2026-07-15 | MRF ↗ |
| CHAN SOON- SHIONG MEDICAL CENTER AT WINDBER Inpatient | Upmc Health Plan | Upmc Chip | $910.82 | — | — | 2026-07-15 | MRF ↗ |
| CHAN SOON- SHIONG MEDICAL CENTER AT WINDBER Inpatient | Highmark Wholecare | Highmark Wholecare Medicaid | $910.82 | — | — | 2026-07-15 | MRF ↗ |
| PUNXSUTAWNEY AREA HOSPITAL Inpatient | Upmc Health Plan | Upmc Chip | $910.82 | — | — | 2026-07-15 | MRF ↗ |
| HUNTINGTON HOSPITAL Inpatient | HealthPlus | HealthPlus (FHP) Medicaid | $950.65 | — | $493,506.00 | 2026-03-31 | MRF ↗ |
| Prisma Health North Greenville Ltach | Bluechoice Medicaid | — | $954.37 | $705,248.35 | $458,411.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Medicaid | — | $954.37 | $705,248.35 | $458,411.00 | 2026-07-05 | MRF ↗ |
| PUNXSUTAWNEY AREA HOSPITAL Inpatient | Upmc Health Plan | Upmc Medicaid | $956.36 | — | — | 2026-07-15 | MRF ↗ |
| PUNXSUTAWNEY AREA HOSPITAL Inpatient | Amerihealth Caritas | Amerihealth Caritas Medicaid | $956.36 | — | — | 2026-07-15 | MRF ↗ |
| CHAN SOON- SHIONG MEDICAL CENTER AT WINDBER Inpatient | Pa Health & Wellness | Pa Health Wellness- Medicaid | $956.36 | — | — | 2026-07-15 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Inpatient | Caresource | Caresource In Medicaid | $963.20 | — | — | 2026-07-15 | MRF ↗ |
| KOSCIUSKO COMMUNITY HOSPITAL Inpatient | Caresource | Caresource In Medicaid | $963.20 | — | — | 2026-07-15 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Inpatient | Medicaid | Medicaid Out Of State | $963.20 | — | — | 2026-07-17 | MRF ↗ |
| PUNXSUTAWNEY AREA HOSPITAL Inpatient | Centene Corporation | Pa H And W Medicaid | $965.47 | — | — | 2026-07-15 | MRF ↗ |
| CONEMAUGH MEYERSDALE MEDICAL CENTER Inpatient | Upmc Health Plan | Upmc For Best | $979.01 | — | — | 2026-08-17 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Inpatient | Gateway Health Plan | Gateway Medicaid | $979.01 | — | — | 2026-08-17 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Inpatient | Unison Administrative Services | Unison Medicaid | $979.01 | — | — | 2026-08-17 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Inpatient | Department Of Public Welfare | Medical Assistance | $979.01 | — | — | 2026-08-17 | MRF ↗ |
| CONEMAUGH MEYERSDALE MEDICAL CENTER Inpatient | Gateway Health Plan | Gateway Medicaid | $979.01 | — | — | 2026-08-17 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Inpatient | Upmc Health Plan | Upmc For You | $979.01 | — | — | 2026-08-17 | MRF ↗ |
| CONEMAUGH MEYERSDALE MEDICAL CENTER Inpatient | Department Of Public Welfare | Medical Assistance | $979.01 | — | — | 2026-08-17 | MRF ↗ |
| CONEMAUGH MEYERSDALE MEDICAL CENTER Inpatient | Upmc Health Plan | Upmc For You | $979.01 | — | — | 2026-08-17 | MRF ↗ |
| Prisma Health North Greenville Ltach | Molina Medicaid | — | $983.01 | $705,248.35 | $458,411.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Select Health Medicaid | — | $983.01 | $705,248.35 | $458,411.00 | 2026-07-05 | MRF ↗ |
| PUNXSUTAWNEY AREA HOSPITAL Inpatient | Geisinger Health Plan | Geisinger Medicaid | $1,001.90 | — | — | 2026-07-15 | MRF ↗ |
| PUNXSUTAWNEY AREA HOSPITAL Inpatient | Geisinger Health Plan | Geisinger Chip | $1,001.90 | — | — | 2026-07-15 | MRF ↗ |
| Prisma Health North Greenville Ltach | Absolute Total Care Medicaid | — | $1,002.10 | $705,248.35 | $458,411.00 | 2026-07-05 | MRF ↗ |
| JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON Inpatient | United | United - Essential 3&4 | $1,008.00 | — | $493,506.00 | 2026-03-31 | MRF ↗ |
| JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON Inpatient | United | United - Essential 1&2 | $1,008.00 | — | $493,506.00 | 2026-03-31 | MRF ↗ |
| JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON Inpatient | United | United Medicaid | $1,008.00 | — | $493,506.00 | 2026-03-31 | MRF ↗ |
| UNITY HOSPITAL Inpatient | MOLINA HEALTHCARE OF NY [188] | MOLINA MEDICAID MANAGED CARE|MOLINA CHILD HEALTH PLUS | $1,011.31 | $3,392.86 | $2,714.29 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Inpatient | MOLINA HEALTHCARE OF NY [188] | MOLINA ESSENTIALS 1&2 | $1,011.31 | $3,392.86 | $2,714.29 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Inpatient | MOLINA HEALTHCARE OF NY [188] | MOLINA ESSENTIALS 3&4 | $1,011.31 | $3,392.86 | $2,714.29 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Inpatient | UNITED HEALTHCARE [101] | UHC COMMUNITY PLAN|UHC COMMUNITY MEDICAID DENTAL|UHC ESSENTIAL 1&2|UHC CHPS|UHC ESSENTIAL 3&4 | $1,011.31 | $3,392.86 | $2,714.29 | 2024-12-30 | MRF ↗ |
| MESA SPRINGS Inpatient | Molina | Managed Medicaid | $1,085.45 | $2,920.88 | $1,080.00 | 2025-09-22 | MRF ↗ |
| MESA SPRINGS Inpatient | Scott and White Health Plan | Managed Medicaid | $1,085.45 | $2,920.88 | $1,080.00 | 2025-09-22 | MRF ↗ |
| MESA SPRINGS Inpatient | Scott and White Health Plan | Managed Medicaid | $1,085.45 | $2,920.88 | $1,080.00 | 2025-09-22 | MRF ↗ |
| MESA SPRINGS Inpatient | Molina | Managed Medicaid | $1,085.45 | $2,920.88 | $1,080.00 | 2025-09-22 | MRF ↗ |
| SHARON REGIONAL MEDICAL CENTER Inpatient | Medicaid Other | Medicaid Other | $1,087.79 | — | — | 2026-07-15 | MRF ↗ |
| SHARON REGIONAL MEDICAL CENTER Inpatient | Medicaid | Medicaid | $1,087.79 | — | — | 2026-07-15 | MRF ↗ |
| SHARON REGIONAL MEDICAL CENTER Inpatient | Gateway | Gateway Medicaid | $1,087.79 | — | — | 2026-07-15 | MRF ↗ |
| PUNXSUTAWNEY AREA HOSPITAL Inpatient | Upmc Health Plan | Upmc Chip | $1,087.79 | — | — | 2026-07-17 | MRF ↗ |
| PUNXSUTAWNEY AREA HOSPITAL Inpatient | Medicaid-Pa | Medicaid-Pa | $1,087.79 | — | — | 2026-07-17 | MRF ↗ |
| SHARON REGIONAL MEDICAL CENTER Inpatient | Upmc | Upmc For You | $1,088.88 | — | — | 2026-07-15 | MRF ↗ |
| ROCK SPRINGS Inpatient | Molina | Managed Medicaid | $1,095.56 | $2,920.88 | $975.00 | 2025-09-22 | MRF ↗ |
| ROCK SPRINGS Inpatient | Scott and White Health Plan | Managed Medicaid | $1,095.56 | $2,920.88 | $975.00 | 2025-09-22 | MRF ↗ |
| WELLBRIDGE HEALTHCARE FORT WORTH Inpatient | Molina | Managed Medicaid | $1,095.56 | $2,781.00 | $950.00 | 2025-09-25 | MRF ↗ |
| WELLBRIDGE HEALTHCARE FORT WORTH Inpatient | BCBS | Managed Medicaid | $1,095.56 | $2,781.00 | $950.00 | 2025-09-25 | MRF ↗ |
| WOODLAND SPRINGS Inpatient | Molina | Managed Medicaid | $1,095.56 | $2,920.88 | $1,040.00 | 2025-09-22 | MRF ↗ |
| WESTPARK SPRINGS LLC Inpatient | Molina | Managed Medicaid | $1,095.56 | $2,920.88 | $1,040.00 | 2025-09-22 | MRF ↗ |
| CARROLLTON SPRINGS Inpatient | Molina | Managed Medicaid | $1,095.56 | $2,920.88 | $975.00 | 2025-09-23 | MRF ↗ |
| PHELPS HOSPITAL Inpatient | HealthPlus | HealthPlus (FHP) Medicaid | $1,103.00 | — | $170,383.00 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Inpatient | HealthPlus | HealthPlus (FHP) Medicaid | $1,103.00 | — | $493,506.00 | 2026-03-31 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Inpatient | MOLINA HEALTHCARE OF NY [188] | MOLINA ESSENTIALS 3&4 | $1,107.73 | $30,695.43 | $19,952.03 | 2024-12-30 | MRF ↗ |
| Penn Medicine Lancaster General Health Inpatient | United Healthcare | United Healthcare Medicaid Mco | $1,109.38 | — | — | 2026-07-15 | MRF ↗ |
| Penn Medicine Lancaster General Health Inpatient | Medicaid Managed Generic | Medicaid Managed Generic | $1,109.38 | — | — | 2026-07-15 | MRF ↗ |
| Penn Medicine Lancaster General Health Inpatient | Amerihealth Caritas | Amerihealth Caritas Medicaid Hmo | $1,109.38 | — | — | 2026-07-15 | MRF ↗ |
| Penn Medicine Lancaster General Health Inpatient | Keystone First Medicaid | Keystone First Medicaid | $1,109.38 | — | — | 2026-07-15 | MRF ↗ |
| SHARON REGIONAL MEDICAL CENTER Inpatient | Aetna | Aetna Better Health | $1,120.42 | — | — | 2026-07-15 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | Superior Health Plan | CHPFC | $1,139.00 | — | — | 2024-10-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | Superior Health Plan | STAR | $1,139.00 | — | — | 2024-10-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | Superior Health Plan | CHIP | $1,139.00 | — | — | 2024-10-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | Superior Health Plan | STARKids | $1,139.00 | — | — | 2024-10-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | Superior Health Plan | STARPLUS | $1,139.00 | — | — | 2024-10-01 | MRF ↗ |
| Moses Taylor Hospital Inpatient | Pa Medicaid Non Par | Pa Medicaid Non Par | $1,140.78 | — | — | 2026-07-15 | MRF ↗ |
| Moses Taylor Hospital Inpatient | Pa Medicaid | Pa Medicaid | $1,140.78 | — | — | 2026-07-15 | MRF ↗ |
| REGIONAL HOSPITAL OF SCRANTON Inpatient | Pa Medicaid Non Par | Pa Medicaid Non Par | $1,140.78 | — | — | 2026-07-15 | MRF ↗ |
| REGIONAL HOSPITAL OF SCRANTON Inpatient | Pa Medicaid | Pa Medicaid | $1,140.78 | — | — | 2026-07-15 | MRF ↗ |
| HUNTINGTON HOSPITAL Inpatient | HealthPlus | HealthPlus (CHP) Medicaid | $1,141.65 | — | $493,506.00 | 2026-03-31 | MRF ↗ |
| SHARON REGIONAL MEDICAL CENTER Inpatient | Pa Health & Wellness Medicaid | Pa Health Wellness Medicaid | $1,142.18 | — | — | 2026-07-15 | MRF ↗ |
| PUNXSUTAWNEY AREA HOSPITAL Inpatient | Upmc Health Plan | Upmc Medicaid | $1,142.18 | — | — | 2026-07-17 | MRF ↗ |
| PUNXSUTAWNEY AREA HOSPITAL Inpatient | Amerihealth Caritas | Amerihealth Caritas Medicaid | $1,142.18 | — | — | 2026-07-17 | MRF ↗ |
| SHARON REGIONAL MEDICAL CENTER Inpatient | Amerihealth | Amerihealth | $1,142.18 | — | — | 2026-07-15 | MRF ↗ |
| PUNXSUTAWNEY AREA HOSPITAL Inpatient | Highmark Wholecare | Highmark Wholecare Medicaid | $1,146.89 | — | — | 2026-07-15 | MRF ↗ |
| PUNXSUTAWNEY AREA HOSPITAL Inpatient | Highmark Wholecare | Highmark Wholecare Medicaid | $1,146.89 | — | — | 2026-07-17 | MRF ↗ |
| PUNXSUTAWNEY AREA HOSPITAL Inpatient | Centene Corporation | Pa H And W Medicaid | $1,153.06 | — | — | 2026-07-17 | MRF ↗ |
| Penn Medicine Lancaster General Health Inpatient | Gateway | Highmark Wholecare Medicaid (Fka Gateway Medicaid) | $1,153.76 | — | — | 2026-07-15 | MRF ↗ |
| Moses Taylor Hospital Inpatient | Amerihealth Mercy | Amerihealth Mercy Medicaid Pa | $1,163.60 | — | — | 2026-07-15 | MRF ↗ |
| REGIONAL HOSPITAL OF SCRANTON Inpatient | Amerihealth Mercy | Amerihealth Mercy Medicaid Pa | $1,163.60 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER InpatientFacility | MVP Health Care of NY | Small Large Group Commercial | $1,180.93 | — | — | 2025-07-23 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER InpatientFacility | MVP Health Care of NY | Individual Commercial/Student Health | $1,180.93 | — | — | 2025-07-23 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Inpatient | Metroplus | MetroPlus Medicaid & FHP | $1,182.00 | — | $493,506.00 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Inpatient | Metroplus | MetroPlus Medicaid & FHP | $1,182.65 | — | $493,506.00 | 2026-03-31 | MRF ↗ |
| MESA SPRINGS Inpatient | BCBS | Managed Medicaid | $1,193.99 | $2,920.88 | $1,080.00 | 2025-09-22 | MRF ↗ |
| MESA SPRINGS Inpatient | BCBS | Managed Medicaid | $1,193.99 | $2,920.88 | $1,080.00 | 2025-09-22 | MRF ↗ |
| SHARON REGIONAL MEDICAL CENTER Inpatient | Health Partners Plans Medicaid | Health Partners Plans Medicaid | $1,196.57 | — | — | 2026-07-15 | MRF ↗ |
| PUNXSUTAWNEY AREA HOSPITAL Inpatient | Geisinger Health Plan | Geisinger Medicaid | $1,196.57 | — | — | 2026-07-17 | MRF ↗ |
| PUNXSUTAWNEY AREA HOSPITAL Inpatient | Geisinger Health Plan | Geisinger Chip | $1,196.57 | — | — | 2026-07-17 | MRF ↗ |
| Moses Taylor Hospital Inpatient | Geisinger | Geisinger Medicaid Pa | $1,197.82 | — | — | 2026-07-15 | MRF ↗ |
| REGIONAL HOSPITAL OF SCRANTON Inpatient | Geisinger | Geisinger Medicaid Pa | $1,197.82 | — | — | 2026-07-15 | MRF ↗ |
| HIALEAH HOSPITAL Inpatient | Molina Managed Medicaid | Molina Managed Medicaid | $1,200.00 | — | — | 2026-07-15 | MRF ↗ |
| PALMETTO GENERAL HOSPITAL Inpatient | Molina Managed Medicaid | Molina Managed Medicaid | $1,200.00 | — | — | 2026-07-15 | MRF ↗ |
| NORTH SHORE MEDICAL CENTER Inpatient | Molina Managed Medicaid | Molina Managed Medicaid | $1,200.00 | — | — | 2026-07-15 | MRF ↗ |
| Florida Medical Center Inpatient | Molina Managed Medicaid | Molina Managed Medicaid | $1,200.00 | — | — | 2026-07-15 | MRF ↗ |
| ROCK SPRINGS Inpatient | BCBS | Managed Medicaid | $1,205.12 | $2,920.88 | $975.00 | 2025-09-22 | MRF ↗ |
| WOODLAND SPRINGS Inpatient | BCBS | Managed Medicaid | $1,205.12 | $2,920.88 | $1,040.00 | 2025-09-22 | MRF ↗ |
| CARROLLTON SPRINGS Inpatient | BCBS | Managed Medicaid | $1,205.12 | $2,920.88 | $975.00 | 2025-09-23 | MRF ↗ |
| WESTPARK SPRINGS LLC Inpatient | BCBS | Managed Medicaid | $1,205.12 | $2,920.88 | $1,040.00 | 2025-09-22 | MRF ↗ |
| PHELPS HOSPITAL Inpatient | Fidelis | Fidelis Medicaid - FHP | $1,207.00 | — | $170,383.00 | 2026-03-31 | MRF ↗ |
| PENN PRESBYTERIAN MEDICAL CENTER Inpatient | Pa Medical Assistance | Medicaid | $1,242.30 | — | — | 2026-07-15 | MRF ↗ |
| The Hospital of the University of Pennsylvania Inpatient | Gateway Health Plan Medicaid | Gateway Health Plan Medicaid | $1,250.34 | — | — | 2026-07-15 | MRF ↗ |
| The Hospital of the University of Pennsylvania Inpatient | Pa Medical Assistance | Medicaid | $1,250.34 | — | — | 2026-07-15 | MRF ↗ |
| WILKES-BARRE GENERAL HOSPITAL Inpatient | Medicaid | Medicaid Non Par Pa | $1,256.40 | — | — | 2026-07-15 | MRF ↗ |
| WILKES-BARRE GENERAL HOSPITAL Inpatient | Medicaid | Pa Medicaid | $1,256.40 | — | — | 2026-07-15 | MRF ↗ |
| HUNTINGTON HOSPITAL Inpatient | United | United - Essential 1&2 | $1,264.65 | — | $493,506.00 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Inpatient | United | United Medicaid | $1,264.65 | — | $493,506.00 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Inpatient | United | United - Essential 3&4 | $1,264.65 | — | $493,506.00 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Inpatient | Fidelis | Fidelis Medicaid - FHP | $1,265.00 | — | $493,506.00 | 2026-03-31 | MRF ↗ |
| WILKES-BARRE GENERAL HOSPITAL Inpatient | Amerihealth Caritas | Amerihealth Caritas Medicaid Pa | $1,281.53 | — | — | 2026-07-15 | MRF ↗ |
| PHELPS HOSPITAL Inpatient | Metroplus | MetroPlus CHP | $1,297.00 | — | $170,383.00 | 2026-03-31 | 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.