7531 — Bipolar Disorders
Cite this view
HANK Price Transparency. (n.d.). BIPOLAR DISORDERS (APR_DRG 7531) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/7531?code_type=APR_DRG
“BIPOLAR DISORDERS (APR_DRG 7531) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/7531?code_type=APR_DRG. Accessed .
“BIPOLAR DISORDERS (APR_DRG 7531) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/7531?code_type=APR_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,929–$6,530 (25th–75th percentile) across 1,148 hospitals · 689 payers.
“Negotiated” is the hospital’s negotiated rate for the entire inpatient stay under APR_DRG 7531 — 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 |
|---|---|---|---|---|---|---|---|
| WHITE ROCK MEDICAL CENTER InpatientFacility | Superior Health Plan | CHIP/Medicaid | $0.48 | — | — | 2026-04-15 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Cigna | Medicaid | $0.48 | — | — | 2026-04-15 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Parkland | Medicaid | $0.48 | — | — | 2026-04-15 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Amerigroup | CHIP/Medicaid | $0.48 | — | — | 2026-04-15 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Molina | CHIP/Medicaid | $0.48 | — | — | 2026-04-15 | MRF ↗ |
| MEMORIAL HOSPITAL WEST InpatientFacility | OptumHealth Care Solutions | Transplants - Medicaid | $0.54 | — | — | 2026-05-27 | MRF ↗ |
| MESA SPRINGS Inpatient | Molina | Managed Medicaid | $193.82 | $2,920.88 | $1,080.00 | 2025-09-22 | MRF ↗ |
| MESA SPRINGS Inpatient | Molina | Managed Medicaid | $193.82 | $2,920.88 | $1,080.00 | 2025-09-22 | MRF ↗ |
| MESA SPRINGS Inpatient | Scott and White Health Plan | Managed Medicaid | $193.82 | $2,920.88 | $1,080.00 | 2025-09-22 | MRF ↗ |
| MESA SPRINGS Inpatient | Scott and White Health Plan | Managed Medicaid | $193.82 | $2,920.88 | $1,080.00 | 2025-09-22 | MRF ↗ |
| WESTPARK SPRINGS LLC Inpatient | Molina | Managed Medicaid | $195.63 | $2,920.88 | $1,040.00 | 2025-09-22 | MRF ↗ |
| WOODLAND SPRINGS Inpatient | Molina | Managed Medicaid | $195.63 | $2,920.88 | $1,040.00 | 2025-09-22 | MRF ↗ |
| ROCK SPRINGS Inpatient | Molina | Managed Medicaid | $195.63 | $2,920.88 | $975.00 | 2025-09-22 | MRF ↗ |
| CARROLLTON SPRINGS Inpatient | Molina | Managed Medicaid | $195.63 | $2,920.88 | $975.00 | 2025-09-23 | MRF ↗ |
| ROCK SPRINGS Inpatient | Scott and White Health Plan | Managed Medicaid | $195.63 | $2,920.88 | $975.00 | 2025-09-22 | MRF ↗ |
| WELLBRIDGE HEALTHCARE FORT WORTH Inpatient | BCBS | Managed Medicaid | $195.63 | $2,781.00 | $950.00 | 2025-09-25 | MRF ↗ |
| WELLBRIDGE HEALTHCARE FORT WORTH Inpatient | Molina | Managed Medicaid | $195.63 | $2,781.00 | $950.00 | 2025-09-25 | MRF ↗ |
| MESA SPRINGS Inpatient | BCBS | Managed Medicaid | $213.21 | $2,920.88 | $1,080.00 | 2025-09-22 | MRF ↗ |
| MESA SPRINGS Inpatient | BCBS | Managed Medicaid | $213.21 | $2,920.88 | $1,080.00 | 2025-09-22 | MRF ↗ |
| ROCK SPRINGS Inpatient | BCBS | Managed Medicaid | $215.19 | $2,920.88 | $975.00 | 2025-09-22 | MRF ↗ |
| WESTPARK SPRINGS LLC Inpatient | BCBS | Managed Medicaid | $215.19 | $2,920.88 | $1,040.00 | 2025-09-22 | MRF ↗ |
| CARROLLTON SPRINGS Inpatient | BCBS | Managed Medicaid | $215.19 | $2,920.88 | $975.00 | 2025-09-23 | MRF ↗ |
| WOODLAND SPRINGS Inpatient | BCBS | Managed Medicaid | $215.19 | $2,920.88 | $1,040.00 | 2025-09-22 | MRF ↗ |
| WESTPARK SPRINGS LLC Inpatient | Driscoll Health Plan | Managed Medicaid | $244.54 | $2,920.88 | $1,040.00 | 2025-09-22 | MRF ↗ |
| OAKWOOD SPRINGS, LLC Inpatient | Humana Behavioral Health | Managed Medicaid | $245.62 | $2,920.88 | $850.00 | 2025-09-22 | MRF ↗ |
| OAKWOOD SPRINGS, LLC Inpatient | Oklahoma Complete Health | Managed Medicaid | $245.62 | $2,920.88 | $850.00 | 2025-09-22 | MRF ↗ |
| OAKWOOD SPRINGS, LLC Inpatient | Aetna Better Health | Managed Medicaid | $245.62 | $2,920.88 | $850.00 | 2025-09-22 | MRF ↗ |
| Copper Springs Inpatient | Mercy Maricopa Integrated Care (MMIC)/MercyCare | Mercy Care Advantage | $287.93 | $2,920.88 | $1,186.00 | 2025-09-23 | MRF ↗ |
| Copper Springs Inpatient | Mercy Maricopa Integrated Care (MMIC)/MercyCare | Managed Medicaid | $287.93 | $2,920.88 | $1,186.00 | 2025-09-23 | MRF ↗ |
| Copper Springs Inpatient | Mercy Maricopa Integrated Care (MMIC)/MercyCare | Managed Medicaid | $287.93 | $2,920.88 | $1,186.00 | 2025-09-23 | MRF ↗ |
| Copper Springs Inpatient | Mercy Maricopa Integrated Care (MMIC)/MercyCare | Mercy Care Advantage | $287.93 | $2,920.88 | $1,186.00 | 2025-09-23 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Medicaid Other | — | $293.59 | $92,702.45 | $60,256.59 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Medicaid Sc | — | $296.31 | $92,702.45 | $60,256.59 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Bluechoice Medicaid (Greenville County Only) | — | $301.17 | $92,702.45 | $60,256.59 | 2026-07-05 | MRF ↗ |
| Copper Springs Inpatient | AZ Complete Health | Managed Medicaid | $303.08 | $2,920.88 | $1,186.00 | 2025-09-23 | MRF ↗ |
| Copper Springs Inpatient | Magellan | Managed Medicaid | $303.08 | $2,920.88 | $1,186.00 | 2025-09-23 | MRF ↗ |
| Copper Springs Inpatient | Banner Health Plan | Managed Medicaid | $303.08 | $2,920.88 | $1,186.00 | 2025-09-23 | MRF ↗ |
| Copper Springs Inpatient | Banner Health Plan | Managed Medicaid | $303.08 | $2,920.88 | $1,186.00 | 2025-09-23 | MRF ↗ |
| Copper Springs Inpatient | Magellan | Managed Medicaid | $303.08 | $2,920.88 | $1,186.00 | 2025-09-23 | MRF ↗ |
| Copper Springs Inpatient | AZ Complete Health | Managed Medicaid | $303.08 | $2,920.88 | $1,186.00 | 2025-09-23 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Molina Medicaid | — | $305.20 | $92,702.45 | $60,256.59 | 2026-07-05 | MRF ↗ |
| EL DORADO SPRINGS Inpatient | Care 1st | Managed Medicaid | $306.10 | $2,920.88 | $1,186.00 | 2025-09-22 | MRF ↗ |
| EL DORADO SPRINGS Inpatient | Banner Health Plan | Managed Medicaid | $306.10 | $2,920.88 | $1,186.00 | 2025-09-22 | MRF ↗ |
| EL DORADO SPRINGS Inpatient | AZ Complete Health | Managed Medicaid | $306.10 | $2,920.88 | $1,186.00 | 2025-09-22 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Blue Choice Medicaid (Greenville County Only) | — | $306.54 | $92,702.45 | $60,256.59 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Absolute Total Care Medicaid | — | $311.13 | $92,702.45 | $60,256.59 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Select Health Medicaid | — | $311.13 | $92,702.45 | $60,256.59 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Bluechoice Medicaid | — | $311.13 | $92,702.45 | $60,256.59 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Blue Choice Medicaid (Greenville County Only) | — | $316.13 | $92,702.45 | $60,256.59 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Medicaid Other | — | $320.40 | $92,702.45 | $60,256.59 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Medicaid | — | $320.40 | $92,702.45 | $60,256.59 | 2026-07-05 | MRF ↗ |
| BRENTWOOD MEADOWS LLC Inpatient | MHS | Hoosier Healthwise, Hoosier Care Connect | $322.71 | $2,920.88 | $900.00 | 2025-09-22 | MRF ↗ |
| BRENTWOOD MEADOWS LLC Inpatient | Anthem | Managed Medicaid | $322.71 | $2,920.88 | $900.00 | 2025-09-22 | MRF ↗ |
| BRENTWOOD MEADOWS LLC Inpatient | MD Wise | Hoosier Healthwise, Hoosier Care Connect | $322.71 | $2,920.88 | $900.00 | 2025-09-22 | MRF ↗ |
| BRENTWOOD MEADOWS LLC Inpatient | CareSource | Hoosier Healthwise | $322.71 | $2,920.88 | $900.00 | 2025-09-22 | MRF ↗ |
| Columbus Springs East Inpatient | Paramount | Managed Medicaid | $323.15 | $2,920.88 | $1,050.00 | 2025-09-23 | MRF ↗ |
| Columbus Springs East Inpatient | United Behavioral Health | Managed Medicaid | $323.15 | $2,920.88 | $1,050.00 | 2025-09-23 | MRF ↗ |
| Columbus Springs East Inpatient | Molina | Managed Medicaid | $323.15 | $2,920.88 | $1,050.00 | 2025-09-23 | MRF ↗ |
| Columbus Springs East Inpatient | CareSource | Managed Medicaid | $323.15 | $2,920.88 | $1,050.00 | 2025-09-23 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Absolute Total Care Medicaid | — | $323.54 | $92,702.45 | $60,256.59 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bluechoice Medicaid | — | $326.11 | $92,702.45 | $60,256.59 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Blue Choice Medicaid (Greenville County Only) | — | $326.44 | $92,702.00 | $60,257.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Blue Choice Medicaid (Greenville County Only) | — | $328.99 | $92,702.45 | $60,256.59 | 2026-05-28 | MRF ↗ |
| BRENTWOOD MEADOWS LLC Inpatient | Humana Behavioral Health | Managed Medicaid - Pathways for Aging | $332.39 | $2,920.88 | $900.00 | 2025-09-22 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Select Health Medicaid | — | $332.61 | $92,702.45 | $60,256.59 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Molina Medicaid | — | $335.89 | $92,702.45 | $60,256.59 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Select Health Medicaid | — | $335.89 | $92,702.45 | $60,256.59 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Bluechoice Medicaid | — | $336.31 | $92,702.45 | $60,256.59 | 2026-07-05 | MRF ↗ |
| Columbus Springs East Inpatient | AETNA Better Health | OhioRISE | $339.31 | $2,920.88 | $1,050.00 | 2025-09-23 | MRF ↗ |
| Columbus Springs East Inpatient | Anthem | Managed Medicaid | $339.31 | $2,920.88 | $1,050.00 | 2025-09-23 | MRF ↗ |
| BECKETT SPRINGS Inpatient | United Behavioral Health | Managed Medicaid | $341.74 | $2,920.88 | $850.00 | 2025-09-25 | MRF ↗ |
| BECKETT SPRINGS Inpatient | United Behavioral Health | Managed Medicaid | $341.74 | $2,920.88 | $850.00 | 2025-09-25 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Medicaid Sc | — | $341.94 | $92,702.45 | $60,256.59 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Medicaid | — | $342.16 | $92,702.45 | $60,256.59 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Absolute Total Care Medicaid | — | $342.41 | $92,702.45 | $60,256.59 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Humana Healthy Horizons Medicaid | — | $342.82 | $92,702.45 | $60,256.59 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Bluechoice Medicaid | — | $344.70 | $92,702.45 | $60,256.59 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL InpatientFacility | — | — | — | — | — | 2024-12-16 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Select Health Medicaid | — | $346.40 | $92,702.45 | $60,256.59 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Molina Medicaid | — | $346.40 | $92,702.45 | $60,256.59 | 2026-07-05 | MRF ↗ |
| RAINIER SPRINGS Inpatient | Amerigroup | Managed Medicaid | $346.54 | $2,920.88 | $1,365.00 | 2025-09-22 | MRF ↗ |
| RAINIER SPRINGS Inpatient | Molina | Managed Medicaid | $346.54 | $2,920.88 | $1,365.00 | 2025-09-22 | MRF ↗ |
| RAINIER SPRINGS Inpatient | United Behavioral Health | Managed Medicaid | $346.54 | $2,920.88 | $1,365.00 | 2025-09-22 | MRF ↗ |
| RAINIER SPRINGS Inpatient | Spokane County | County Indigent | $346.54 | $2,920.88 | $1,365.00 | 2025-09-22 | MRF ↗ |
| RAINIER SPRINGS Inpatient | NPN | Managed Medicaid | $346.54 | $2,920.88 | $1,365.00 | 2025-09-22 | MRF ↗ |
| RAINIER SPRINGS Inpatient | Kaiser | Managed Medicaid | $346.54 | $2,920.88 | $1,365.00 | 2025-09-22 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Medicare Advantage Non Contracted | — | $346.61 | $92,702.00 | $60,257.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Medicaid | — | $347.28 | $92,702.00 | $60,257.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Bluechoice Medicaid | — | $347.28 | $92,702.00 | $60,257.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Medicaid Other | — | $349.77 | $92,702.45 | $60,256.59 | 2026-07-05 | MRF ↗ |
| HIGHLAND SPRINGS Inpatient | Paramount | Managed Medicaid | $349.78 | $2,920.88 | $950.00 | 2025-10-14 | MRF ↗ |
| HIGHLAND SPRINGS Inpatient | Paramount | Managed Medicaid | $349.78 | $2,920.88 | $950.00 | 2025-10-14 | MRF ↗ |
| HIGHLAND SPRINGS Inpatient | CareSource | Managed Medicaid | $349.78 | $2,920.88 | $950.00 | 2025-10-14 | MRF ↗ |
| HIGHLAND SPRINGS Inpatient | CareSource | Managed Medicaid | $349.78 | $2,920.88 | $950.00 | 2025-10-14 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Bluechoice Medicaid | — | $349.98 | $92,702.45 | $60,256.59 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Select Health Medicaid | — | $352.43 | $92,702.45 | $60,256.59 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Absolute Total Care Medicaid | — | $353.13 | $92,702.45 | $60,256.59 | 2026-07-05 | MRF ↗ |
| Columbus Springs East Inpatient | Humana Behavioral Health | Managed Medicaid | $355.47 | $2,920.88 | $1,050.00 | 2025-09-23 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Bluechoice Medicaid | — | $355.64 | $92,702.45 | $60,256.59 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Molina Medicaid | — | $356.80 | $92,702.45 | $60,256.59 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Select Health Medicaid | — | $357.70 | $92,702.00 | $60,257.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Molina Medicaid | — | $357.70 | $92,702.00 | $60,257.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Medicaid Other | — | $357.75 | $92,702.45 | $60,256.59 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Medicaid | — | $358.44 | $92,702.45 | $60,256.59 | 2026-05-28 | MRF ↗ |
| BECKETT SPRINGS Inpatient | Anthem | Managed Medicaid | $358.83 | $2,920.88 | $850.00 | 2025-09-25 | MRF ↗ |
| BECKETT SPRINGS Inpatient | AETNA Better Health | OhioRISE | $358.83 | $2,920.88 | $850.00 | 2025-09-25 | MRF ↗ |
| BECKETT SPRINGS Inpatient | Anthem | Managed Medicaid | $358.83 | $2,920.88 | $850.00 | 2025-09-25 | MRF ↗ |
| BECKETT SPRINGS Inpatient | AETNA Better Health | OhioRISE | $358.83 | $2,920.88 | $850.00 | 2025-09-25 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Absolute Total Care Medicaid | — | $359.04 | $92,702.45 | $60,256.59 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Select Health Medicaid | — | $360.48 | $92,702.45 | $60,256.59 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Molina Medicaid | — | $360.48 | $92,702.45 | $60,256.59 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Medicaid Sc | — | $361.60 | $92,702.45 | $60,256.59 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Absolute Total Care Medicaid | — | $364.65 | $92,702.00 | $60,257.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Humana Healthy Horizons Medicaid | — | $365.88 | $92,702.45 | $60,256.59 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Humana Healthy Horizons Medicaid | — | $366.11 | $92,702.45 | $60,256.59 | 2026-07-05 | MRF ↗ |
| HIGHLAND SPRINGS Inpatient | Anthem | Managed Medicaid | $367.27 | $2,920.88 | $950.00 | 2025-10-14 | MRF ↗ |
| HIGHLAND SPRINGS Inpatient | AETNA Better Health | OhioRISE | $367.27 | $2,920.88 | $950.00 | 2025-10-14 | MRF ↗ |
| HIGHLAND SPRINGS Inpatient | Anthem | Managed Medicaid | $367.27 | $2,920.88 | $950.00 | 2025-10-14 | MRF ↗ |
| HIGHLAND SPRINGS Inpatient | AETNA Better Health | OhioRISE | $367.27 | $2,920.88 | $950.00 | 2025-10-14 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Absolute Total Care Medicaid | — | $367.48 | $92,702.45 | $60,256.59 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Molina Medicaid | — | $368.45 | $92,702.45 | $60,256.59 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Humana Healthy Horizons Medicaid | — | $371.59 | $92,702.00 | $60,257.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Absolute Total Care Medicaid | — | $374.86 | $92,702.45 | $60,256.59 | 2026-07-05 | MRF ↗ |
| BECKETT SPRINGS Inpatient | Humana Behavioral Health | Managed Medicaid | $375.91 | $2,920.88 | $850.00 | 2025-09-25 | MRF ↗ |
| BECKETT SPRINGS Inpatient | Humana Behavioral Health | Managed Medicaid | $375.91 | $2,920.88 | $850.00 | 2025-09-25 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Select Health Medicaid | — | $376.14 | $92,702.45 | $60,256.59 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Medicaid | — | $376.48 | $92,702.45 | $60,256.59 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Humana Healthy Horizons Medicaid | — | $383.53 | $92,702.45 | $60,256.59 | 2026-05-28 | MRF ↗ |
| HIGHLAND SPRINGS Inpatient | Humana Behavioral Health | Managed Medicaid | $384.76 | $2,920.88 | $950.00 | 2025-10-14 | MRF ↗ |
| HIGHLAND SPRINGS Inpatient | Humana Behavioral Health | Managed Medicaid | $384.76 | $2,920.88 | $950.00 | 2025-10-14 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Humana Healthy Horizons Medicaid | — | $386.91 | $92,702.45 | $60,256.59 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Humana Healthy Horizons Medicaid | — | $386.91 | $92,702.45 | $60,256.59 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Humana Healthy Horizons Medicaid | — | $402.83 | $92,702.45 | $60,256.59 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Molina Medicaid | — | $403.49 | $92,702.45 | $60,256.59 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Medicaid Other | Medicaid Other | $497.23 | — | — | 2026-09-21 | MRF ↗ |
| SYCAMORE SPRINGS Inpatient | MD Wise | Hoosier Healthwise, Hoosier Care Connect | $506.71 | $2,920.88 | $800.00 | 2025-09-22 | MRF ↗ |
| SYCAMORE SPRINGS Inpatient | CareSource | Hoosier Healthwise | $506.71 | $2,920.88 | $800.00 | 2025-09-22 | MRF ↗ |
| SYCAMORE SPRINGS Inpatient | Anthem | Managed Medicaid | $506.71 | $2,920.88 | $800.00 | 2025-09-22 | MRF ↗ |
| SYCAMORE SPRINGS Inpatient | MHS | Hoosier Healthwise, Hoosier Care Connect | $506.71 | $2,920.88 | $800.00 | 2025-09-22 | MRF ↗ |
| SYCAMORE SPRINGS Inpatient | Humana Behavioral Health | Managed Medicaid - Pathways for Aging | $521.91 | $2,920.88 | $800.00 | 2025-09-22 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $533.61 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $553.25 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Select Health | Select Health Medicaid | $562.21 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Molina | Molina Medicaid | $562.21 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $567.67 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $573.12 | — | — | 2026-09-21 | MRF ↗ |
| EAST COOPER MEDICAL CENTER InpatientFacility | Select Health | Medicaid | $580.27 | — | — | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER InpatientFacility | Humana | Medicaid | $580.27 | — | — | 2026-03-12 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Inpatient | MOLINA HEALTHCARE OF NY [188] | MOLINA ESSENTIALS 3&4 | $583.08 | $20,803.28 | $13,522.13 | 2024-12-30 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL InpatientFacility | — | — | — | — | — | 2024-12-10 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $591.97 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL InpatientFacility | — | — | — | — | — | 2024-12-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER InpatientFacility | Absolute Total Care | Medicaid | $609.28 | — | — | 2026-03-12 | 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 ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL InpatientFacility | — | — | — | — | — | 2024-12-13 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Inpatient | Aetna Better Health | Aetna Better Health (Medicaid Managed Care) | $693.51 | — | — | 2026-08-17 | MRF ↗ |
| PUNXSUTAWNEY AREA HOSPITAL Inpatient | Highmark Wholecare | Highmark Wholecare Medicaid | $704.66 | — | — | 2026-07-17 | MRF ↗ |
| PUNXSUTAWNEY AREA HOSPITAL Inpatient | Highmark Wholecare | Highmark Wholecare Medicaid | $704.66 | — | — | 2026-07-15 | MRF ↗ |
| PUNXSUTAWNEY AREA HOSPITAL Inpatient | Medicaid-Pa | Medicaid-Pa | $710.78 | — | — | 2026-07-17 | MRF ↗ |
| PUNXSUTAWNEY AREA HOSPITAL Inpatient | Upmc Health Plan | Upmc Chip | $710.78 | — | — | 2026-07-17 | MRF ↗ |
| SHARON REGIONAL MEDICAL CENTER Inpatient | Medicaid | Medicaid | $710.78 | — | — | 2026-07-15 | MRF ↗ |
| SHARON REGIONAL MEDICAL CENTER Inpatient | Medicaid Other | Medicaid Other | $710.78 | — | — | 2026-07-15 | MRF ↗ |
| SHARON REGIONAL MEDICAL CENTER Inpatient | Gateway | Gateway Medicaid | $710.78 | — | — | 2026-07-15 | MRF ↗ |
| SHARON REGIONAL MEDICAL CENTER Inpatient | Upmc | Upmc For You | $711.49 | — | — | 2026-07-15 | MRF ↗ |
| PUNXSUTAWNEY AREA HOSPITAL Inpatient | Upmc Health Plan | Upmc Chip | $729.15 | — | — | 2026-07-15 | MRF ↗ |
| CHAN SOON- SHIONG MEDICAL CENTER AT WINDBER Inpatient | Amerihealth Caritas | Amerihealth Caritas Medicaid | $729.15 | — | — | 2026-07-15 | MRF ↗ |
| CHAN SOON- SHIONG MEDICAL CENTER AT WINDBER Inpatient | Upmc Health Plan | Upmc Chip | $729.15 | — | — | 2026-07-15 | MRF ↗ |
| CHAN SOON- SHIONG MEDICAL CENTER AT WINDBER Inpatient | Geisinger | Geisinger Medicaid | $729.15 | — | — | 2026-07-15 | MRF ↗ |
| CHAN SOON- SHIONG MEDICAL CENTER AT WINDBER Inpatient | Highmark Wholecare | Highmark Wholecare Medicaid | $729.15 | — | — | 2026-07-15 | MRF ↗ |
| CHAN SOON- SHIONG MEDICAL CENTER AT WINDBER Inpatient | Upmc Health Plan | Upmc Medicaid | $729.15 | — | — | 2026-07-15 | MRF ↗ |
| SHARON REGIONAL MEDICAL CENTER Inpatient | Aetna | Aetna Better Health | $732.10 | — | — | 2026-07-15 | MRF ↗ |
| CONEMAUGH MEYERSDALE MEDICAL CENTER Inpatient | Upmc Health Plan | Upmc For You | $741.40 | — | — | 2026-08-17 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Inpatient | Unison Administrative Services | Unison Medicaid | $741.40 | — | — | 2026-08-17 | MRF ↗ |
| CONEMAUGH MEYERSDALE MEDICAL CENTER Inpatient | Upmc Health Plan | Upmc For Best | $741.40 | — | — | 2026-08-17 | MRF ↗ |
| CONEMAUGH MEYERSDALE MEDICAL CENTER Inpatient | Gateway Health Plan | Gateway Medicaid | $741.40 | — | — | 2026-08-17 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Inpatient | Upmc Health Plan | Upmc For You | $741.40 | — | — | 2026-08-17 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Inpatient | Department Of Public Welfare | Medical Assistance | $741.40 | — | — | 2026-08-17 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Inpatient | Gateway Health Plan | Gateway Medicaid | $741.40 | — | — | 2026-08-17 | MRF ↗ |
| CONEMAUGH MEYERSDALE MEDICAL CENTER Inpatient | Department Of Public Welfare | Medical Assistance | $741.40 | — | — | 2026-08-17 | MRF ↗ |
| Moses Taylor Hospital Inpatient | Pa Medicaid | Pa Medicaid | $745.40 | — | — | 2026-07-15 | MRF ↗ |
| Moses Taylor Hospital Inpatient | Pa Medicaid Non Par | Pa Medicaid Non Par | $745.40 | — | — | 2026-07-15 | MRF ↗ |
| REGIONAL HOSPITAL OF SCRANTON Inpatient | Pa Medicaid Non Par | Pa Medicaid Non Par | $745.40 | — | — | 2026-07-15 | MRF ↗ |
| REGIONAL HOSPITAL OF SCRANTON Inpatient | Pa Medicaid | Pa Medicaid | $745.40 | — | — | 2026-07-15 | MRF ↗ |
| PUNXSUTAWNEY AREA HOSPITAL Inpatient | Upmc Health Plan | Upmc Medicaid | $746.32 | — | — | 2026-07-17 | MRF ↗ |
| SHARON REGIONAL MEDICAL CENTER Inpatient | Amerihealth | Amerihealth | $746.32 | — | — | 2026-07-15 | MRF ↗ |
| PUNXSUTAWNEY AREA HOSPITAL Inpatient | Amerihealth Caritas | Amerihealth Caritas Medicaid | $746.32 | — | — | 2026-07-17 | MRF ↗ |
| SHARON REGIONAL MEDICAL CENTER Inpatient | Pa Health & Wellness Medicaid | Pa Health Wellness Medicaid | $746.32 | — | — | 2026-07-15 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER | Fidelis Essential Plan | — | $750.00 | $18,757.14 | $7,362.79 | 2026-07-05 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Inpatient | MOLINA HEALTHCARE OF NY [188] | MOLINA ESSENTIALS 1&2 | $750.95 | $20,803.28 | $13,522.13 | 2024-12-30 | MRF ↗ |
| PRISMA HEALTH BAPTIST InpatientFacility | — | — | — | — | — | 2025-03-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE InpatientFacility | — | — | — | — | — | 2025-03-06 | MRF ↗ |
| PUNXSUTAWNEY AREA HOSPITAL Inpatient | Centene Corporation | Pa H And W Medicaid | $753.43 | — | — | 2026-07-17 | MRF ↗ |
| Moses Taylor Hospital Inpatient | Amerihealth Mercy | Amerihealth Mercy Medicaid Pa | $760.31 | — | — | 2026-07-15 | MRF ↗ |
| REGIONAL HOSPITAL OF SCRANTON Inpatient | Amerihealth Mercy | Amerihealth Mercy Medicaid Pa | $760.31 | — | — | 2026-07-15 | MRF ↗ |
| PUNXSUTAWNEY AREA HOSPITAL Inpatient | Upmc Health Plan | Upmc Medicaid | $765.61 | — | — | 2026-07-15 | MRF ↗ |
| CHAN SOON- SHIONG MEDICAL CENTER AT WINDBER Inpatient | Pa Health & Wellness | Pa Health Wellness- Medicaid | $765.61 | — | — | 2026-07-15 | MRF ↗ |
| PUNXSUTAWNEY AREA HOSPITAL Inpatient | Amerihealth Caritas | Amerihealth Caritas Medicaid | $765.61 | — | — | 2026-07-15 | MRF ↗ |
| PUNXSUTAWNEY AREA HOSPITAL Inpatient | Centene Corporation | Pa H And W Medicaid | $772.90 | — | — | 2026-07-15 | 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.