7534 — Bipolar Disorders
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). BIPOLAR DISORDERS (APR_DRG 7534) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/7534?code_type=APR_DRG
MLA (9th ed.)
“BIPOLAR DISORDERS (APR_DRG 7534) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/7534?code_type=APR_DRG. Accessed .
Chicago (notes-bibliography)
“BIPOLAR DISORDERS (APR_DRG 7534) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/7534?code_type=APR_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $9,946–$21,900 (25th–75th percentile) across 1,103 hospitals · 610 payers.
“Negotiated” is the hospital’s negotiated rate for the entire inpatient stay under APR_DRG 7534 — 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 | $1.79 | — | — | 2026-02-19 | MRF ↗ |
| Memorial Regional Hospital South InpatientFacility | OptumHealth Care Solutions | Transplants - Medicaid | $2.28 | — | — | 2026-05-27 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Amerigroup | CHIP/Medicaid | $2.76 | — | — | 2026-04-15 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Parkland | Medicaid | $2.76 | — | — | 2026-04-15 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Molina | CHIP/Medicaid | $2.76 | — | — | 2026-04-15 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Cigna | Medicaid | $2.76 | — | — | 2026-04-15 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Superior Health Plan | CHIP/Medicaid | $2.76 | — | — | 2026-04-15 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Inpatient | Aetna Better Health | Aetna Better Health (Medicaid Managed Care) | $224.00 | — | — | 2026-08-17 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Medicaid Other | — | $303.65 | $25,284.70 | $16,435.06 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Medicaid Sc | — | $341.69 | $25,284.70 | $16,435.06 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Bluechoice Medicaid (Greenville County Only) | — | $347.30 | $25,284.70 | $16,435.06 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Molina Medicaid | — | $351.95 | $25,284.70 | $16,435.06 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Blue Choice Medicaid (Greenville County Only) | — | $353.49 | $25,284.70 | $16,435.06 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Medicare Advantage Non Contracted | — | $358.49 | $25,285.00 | $16,435.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Absolute Total Care Medicaid | — | $358.78 | $25,284.70 | $16,435.06 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Bluechoice Medicaid | — | $358.78 | $25,284.70 | $16,435.06 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Select Health Medicaid | — | $358.78 | $25,284.70 | $16,435.06 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Medicaid Other | — | $361.76 | $25,284.70 | $16,435.06 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Blue Choice Medicaid (Greenville County Only) | — | $364.55 | $25,284.70 | $16,435.06 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Medicaid Other | — | $369.47 | $25,284.70 | $16,435.06 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Medicaid | — | $369.47 | $25,284.70 | $16,435.06 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Medicaid Other | — | $370.01 | $25,284.70 | $16,435.06 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Absolute Total Care Medicaid | — | $373.09 | $25,284.70 | $16,435.06 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bluechoice Medicaid | — | $376.06 | $25,284.70 | $16,435.06 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Blue Choice Medicaid (Greenville County Only) | — | $376.45 | $25,285.00 | $16,435.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Blue Choice Medicaid (Greenville County Only) | — | $379.37 | $25,284.70 | $16,435.06 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Select Health Medicaid | — | $383.55 | $25,284.70 | $16,435.06 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Select Health Medicaid | — | $387.34 | $25,284.70 | $16,435.06 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Molina Medicaid | — | $387.34 | $25,284.70 | $16,435.06 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Bluechoice Medicaid | — | $387.82 | $25,284.70 | $16,435.06 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Medicaid Sc | — | $394.32 | $25,284.70 | $16,435.06 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Medicaid | — | $394.57 | $25,284.70 | $16,435.06 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Absolute Total Care Medicaid | — | $394.86 | $25,284.70 | $16,435.06 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Humana Healthy Horizons Medicaid | — | $395.33 | $25,284.70 | $16,435.06 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Bluechoice Medicaid | — | $397.50 | $25,284.70 | $16,435.06 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL InpatientFacility | — | — | — | — | — | 2024-12-16 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Select Health Medicaid | — | $399.45 | $25,284.70 | $16,435.06 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Molina Medicaid | — | $399.45 | $25,284.70 | $16,435.06 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Bluechoice Medicaid | — | $400.47 | $25,285.00 | $16,435.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Medicaid | — | $400.47 | $25,285.00 | $16,435.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Bluechoice Medicaid | — | $403.59 | $25,284.70 | $16,435.06 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Select Health Medicaid | — | $406.42 | $25,284.70 | $16,435.06 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Absolute Total Care Medicaid | — | $407.21 | $25,284.70 | $16,435.06 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Bluechoice Medicaid | — | $410.11 | $25,284.70 | $16,435.06 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Molina Medicaid | — | $411.45 | $25,284.70 | $16,435.06 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Select Health Medicaid | — | $412.49 | $25,285.00 | $16,435.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Molina Medicaid | — | $412.49 | $25,285.00 | $16,435.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Medicaid | — | $413.34 | $25,284.70 | $16,435.06 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Absolute Total Care Medicaid | — | $414.03 | $25,284.70 | $16,435.06 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Select Health Medicaid | — | $415.70 | $25,284.70 | $16,435.06 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Molina Medicaid | — | $415.70 | $25,284.70 | $16,435.06 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Medicaid Sc | — | $416.98 | $25,284.70 | $16,435.06 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Absolute Total Care Medicaid | — | $420.50 | $25,285.00 | $16,435.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Humana Healthy Horizons Medicaid | — | $421.92 | $25,284.70 | $16,435.06 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Humana Healthy Horizons Medicaid | — | $422.19 | $25,284.70 | $16,435.06 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Absolute Total Care Medicaid | — | $423.77 | $25,284.70 | $16,435.06 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Molina Medicaid | — | $424.89 | $25,284.70 | $16,435.06 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Humana Healthy Horizons Medicaid | — | $428.51 | $25,285.00 | $16,435.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Absolute Total Care Medicaid | — | $432.28 | $25,284.70 | $16,435.06 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Select Health Medicaid | — | $433.75 | $25,284.70 | $16,435.06 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Medicaid | — | $434.14 | $25,284.70 | $16,435.06 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Humana Healthy Horizons Medicaid | — | $442.28 | $25,284.70 | $16,435.06 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Humana Healthy Horizons Medicaid | — | $446.17 | $25,284.70 | $16,435.06 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Humana Healthy Horizons Medicaid | — | $446.17 | $25,284.70 | $16,435.06 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Humana Healthy Horizons Medicaid | — | $464.53 | $25,284.70 | $16,435.06 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Molina Medicaid | — | $465.29 | $25,284.70 | $16,435.06 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Medicaid Other | Medicaid Other | $573.38 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $615.34 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $637.98 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Select Health | Select Health Medicaid | $648.32 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Molina | Molina Medicaid | $648.32 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $654.61 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $660.91 | — | — | 2026-09-21 | MRF ↗ |
| ELIZABETHTOWN COMMUNITY HOSPITAL InpatientFacility | — | — | — | — | — | 2025-01-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL InpatientFacility | — | — | — | — | — | 2024-12-10 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $682.64 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL InpatientFacility | — | — | — | — | — | 2024-12-12 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL InpatientFacility | — | — | — | — | — | 2024-12-07 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER | Fidelis Essential Plan | — | $750.00 | $46,133.29 | $13,896.54 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL InpatientFacility | — | — | — | — | — | 2024-12-13 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL InpatientFacility | — | — | — | — | — | 2024-12-13 | MRF ↗ |
| MESA SPRINGS Inpatient | Scott and White Health Plan | Managed Medicaid | $821.68 | $2,920.88 | $1,080.00 | 2025-09-22 | MRF ↗ |
| MESA SPRINGS Inpatient | Molina | Managed Medicaid | $821.68 | $2,920.88 | $1,080.00 | 2025-09-22 | MRF ↗ |
| MESA SPRINGS Inpatient | Scott and White Health Plan | Managed Medicaid | $821.68 | $2,920.88 | $1,080.00 | 2025-09-22 | MRF ↗ |
| MESA SPRINGS Inpatient | Molina | Managed Medicaid | $821.68 | $2,920.88 | $1,080.00 | 2025-09-22 | MRF ↗ |
| ROCK SPRINGS Inpatient | Molina | Managed Medicaid | $829.34 | $2,920.88 | $975.00 | 2025-09-22 | MRF ↗ |
| ROCK SPRINGS Inpatient | Scott and White Health Plan | Managed Medicaid | $829.34 | $2,920.88 | $975.00 | 2025-09-22 | MRF ↗ |
| WELLBRIDGE HEALTHCARE FORT WORTH Inpatient | Molina | Managed Medicaid | $829.34 | $2,781.00 | $950.00 | 2025-09-25 | MRF ↗ |
| WELLBRIDGE HEALTHCARE FORT WORTH Inpatient | BCBS | Managed Medicaid | $829.34 | $2,781.00 | $950.00 | 2025-09-25 | MRF ↗ |
| CARROLLTON SPRINGS Inpatient | Molina | Managed Medicaid | $829.34 | $2,920.88 | $975.00 | 2025-09-23 | MRF ↗ |
| WESTPARK SPRINGS LLC Inpatient | Molina | Managed Medicaid | $829.34 | $2,920.88 | $1,040.00 | 2025-09-22 | MRF ↗ |
| WOODLAND SPRINGS Inpatient | Molina | Managed Medicaid | $829.34 | $2,920.88 | $1,040.00 | 2025-09-22 | MRF ↗ |
| Prisma Health North Greenville Ltach | Medicaid Other | — | $833.37 | $25,284.70 | $16,435.00 | 2026-07-05 | MRF ↗ |
| CHAN SOON- SHIONG MEDICAL CENTER AT WINDBER Inpatient | Upmc Health Plan | Upmc Chip | $851.29 | — | — | 2026-07-15 | MRF ↗ |
| CHAN SOON- SHIONG MEDICAL CENTER AT WINDBER Inpatient | Amerihealth Caritas | Amerihealth Caritas Medicaid | $851.29 | — | — | 2026-07-15 | MRF ↗ |
| PUNXSUTAWNEY AREA HOSPITAL Inpatient | Upmc Health Plan | Upmc Chip | $851.29 | — | — | 2026-07-15 | MRF ↗ |
| CHAN SOON- SHIONG MEDICAL CENTER AT WINDBER Inpatient | Upmc Health Plan | Upmc Medicaid | $851.29 | — | — | 2026-07-15 | MRF ↗ |
| CHAN SOON- SHIONG MEDICAL CENTER AT WINDBER Inpatient | Highmark Wholecare | Highmark Wholecare Medicaid | $851.29 | — | — | 2026-07-15 | MRF ↗ |
| CHAN SOON- SHIONG MEDICAL CENTER AT WINDBER Inpatient | Geisinger | Geisinger Medicaid | $851.29 | — | — | 2026-07-15 | MRF ↗ |
| PRISMA HEALTH BAPTIST InpatientFacility | — | — | — | — | — | 2025-03-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE InpatientFacility | — | — | — | — | — | 2025-03-06 | MRF ↗ |
| PUNXSUTAWNEY AREA HOSPITAL Inpatient | Upmc Health Plan | Upmc Medicaid | $893.85 | — | — | 2026-07-15 | MRF ↗ |
| CHAN SOON- SHIONG MEDICAL CENTER AT WINDBER Inpatient | Pa Health & Wellness | Pa Health Wellness- Medicaid | $893.85 | — | — | 2026-07-15 | MRF ↗ |
| PUNXSUTAWNEY AREA HOSPITAL Inpatient | Amerihealth Caritas | Amerihealth Caritas Medicaid | $893.85 | — | — | 2026-07-15 | MRF ↗ |
| PUNXSUTAWNEY AREA HOSPITAL Inpatient | Centene Corporation | Pa H And W Medicaid | $902.37 | — | — | 2026-07-15 | MRF ↗ |
| MESA SPRINGS Inpatient | BCBS | Managed Medicaid | $903.85 | $2,920.88 | $1,080.00 | 2025-09-22 | MRF ↗ |
| MESA SPRINGS Inpatient | BCBS | Managed Medicaid | $903.85 | $2,920.88 | $1,080.00 | 2025-09-22 | MRF ↗ |
| ROCK SPRINGS Inpatient | BCBS | Managed Medicaid | $912.27 | $2,920.88 | $975.00 | 2025-09-22 | MRF ↗ |
| WESTPARK SPRINGS LLC Inpatient | BCBS | Managed Medicaid | $912.27 | $2,920.88 | $1,040.00 | 2025-09-22 | MRF ↗ |
| CARROLLTON SPRINGS Inpatient | BCBS | Managed Medicaid | $912.27 | $2,920.88 | $975.00 | 2025-09-23 | MRF ↗ |
| WOODLAND SPRINGS Inpatient | BCBS | Managed Medicaid | $912.27 | $2,920.88 | $1,040.00 | 2025-09-22 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Tricare Humana Military | — | $923.31 | $25,284.70 | $16,435.06 | 2026-07-05 | MRF ↗ |
| PUNXSUTAWNEY AREA HOSPITAL Inpatient | Highmark Wholecare | Highmark Wholecare Medicaid | $927.34 | — | — | 2026-07-15 | MRF ↗ |
| PUNXSUTAWNEY AREA HOSPITAL Inpatient | Highmark Wholecare | Highmark Wholecare Medicaid | $927.34 | — | — | 2026-07-17 | MRF ↗ |
| PUNXSUTAWNEY AREA HOSPITAL Inpatient | Geisinger Health Plan | Geisinger Chip | $936.42 | — | — | 2026-07-15 | MRF ↗ |
| PUNXSUTAWNEY AREA HOSPITAL Inpatient | Geisinger Health Plan | Geisinger Medicaid | $936.42 | — | — | 2026-07-15 | MRF ↗ |
| HUNTINGTON HOSPITAL Inpatient | HealthPlus | HealthPlus (FHP) Medicaid | $950.65 | — | $90,754.00 | 2026-03-31 | MRF ↗ |
| SHARON REGIONAL MEDICAL CENTER Inpatient | Medicaid | Medicaid | $959.25 | — | — | 2026-07-15 | MRF ↗ |
| SHARON REGIONAL MEDICAL CENTER Inpatient | Medicaid Other | Medicaid Other | $959.25 | — | — | 2026-07-15 | MRF ↗ |
| SHARON REGIONAL MEDICAL CENTER Inpatient | Gateway | Gateway Medicaid | $959.25 | — | — | 2026-07-15 | MRF ↗ |
| PUNXSUTAWNEY AREA HOSPITAL Inpatient | Medicaid-Pa | Medicaid-Pa | $959.25 | — | — | 2026-07-17 | MRF ↗ |
| PUNXSUTAWNEY AREA HOSPITAL Inpatient | Upmc Health Plan | Upmc Chip | $959.25 | — | — | 2026-07-17 | MRF ↗ |
| SHARON REGIONAL MEDICAL CENTER Inpatient | Upmc | Upmc For You | $960.21 | — | — | 2026-07-15 | MRF ↗ |
| KOSCIUSKO COMMUNITY HOSPITAL Inpatient | Caresource | Caresource In Medicaid | $963.20 | — | — | 2026-07-15 | MRF ↗ |
| DUKES MEMORIAL 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 ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Inpatient | Unison Administrative Services | Unison Medicaid | $970.97 | — | — | 2026-08-17 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Inpatient | Department Of Public Welfare | Medical Assistance | $970.97 | — | — | 2026-08-17 | MRF ↗ |
| CONEMAUGH MEYERSDALE MEDICAL CENTER Inpatient | Gateway Health Plan | Gateway Medicaid | $970.97 | — | — | 2026-08-17 | MRF ↗ |
| CONEMAUGH MEYERSDALE MEDICAL CENTER Inpatient | Upmc Health Plan | Upmc For Best | $970.97 | — | — | 2026-08-17 | MRF ↗ |
| CONEMAUGH MEYERSDALE MEDICAL CENTER Inpatient | Upmc Health Plan | Upmc For You | $970.97 | — | — | 2026-08-17 | MRF ↗ |
| CONEMAUGH MEYERSDALE MEDICAL CENTER Inpatient | Department Of Public Welfare | Medical Assistance | $970.97 | — | — | 2026-08-17 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Inpatient | Upmc Health Plan | Upmc For You | $970.97 | — | — | 2026-08-17 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Inpatient | Gateway Health Plan | Gateway Medicaid | $970.97 | — | — | 2026-08-17 | MRF ↗ |
| SHARON REGIONAL MEDICAL CENTER Inpatient | Aetna | Aetna Better Health | $988.03 | — | — | 2026-07-15 | MRF ↗ |
| Prisma Health North Greenville Ltach | Humana Healthy Horizons Medicaid | — | $996.15 | $25,284.70 | $16,435.00 | 2026-07-05 | MRF ↗ |
| REGIONAL HOSPITAL OF SCRANTON Inpatient | Pa Medicaid Non Par | Pa Medicaid Non Par | $1,005.98 | — | — | 2026-07-15 | MRF ↗ |
| REGIONAL HOSPITAL OF SCRANTON Inpatient | Pa Medicaid | Pa Medicaid | $1,005.98 | — | — | 2026-07-15 | MRF ↗ |
| Moses Taylor Hospital Inpatient | Pa Medicaid Non Par | Pa Medicaid Non Par | $1,005.98 | — | — | 2026-07-15 | MRF ↗ |
| Moses Taylor Hospital Inpatient | Pa Medicaid | Pa Medicaid | $1,005.98 | — | — | 2026-07-15 | MRF ↗ |
| PUNXSUTAWNEY AREA HOSPITAL Inpatient | Amerihealth Caritas | Amerihealth Caritas Medicaid | $1,007.21 | — | — | 2026-07-17 | MRF ↗ |
| SHARON REGIONAL MEDICAL CENTER Inpatient | Amerihealth | Amerihealth | $1,007.21 | — | — | 2026-07-15 | MRF ↗ |
| PUNXSUTAWNEY AREA HOSPITAL Inpatient | Upmc Health Plan | Upmc Medicaid | $1,007.21 | — | — | 2026-07-17 | MRF ↗ |
| SHARON REGIONAL MEDICAL CENTER Inpatient | Pa Health & Wellness Medicaid | Pa Health Wellness Medicaid | $1,007.21 | — | — | 2026-07-15 | MRF ↗ |
| JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON Inpatient | United | United - Essential 3&4 | $1,008.00 | — | $409,511.00 | 2026-03-31 | MRF ↗ |
| JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON Inpatient | United | United - Essential 1&2 | $1,008.00 | — | $409,511.00 | 2026-03-31 | MRF ↗ |
| JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON Inpatient | United | United Medicaid | $1,008.00 | — | $409,511.00 | 2026-03-31 | MRF ↗ |
| Prisma Health North Greenville Ltach | Blue Choice Medicaid (Greenville County Only) | — | $1,015.29 | $25,284.70 | $16,435.00 | 2026-07-05 | MRF ↗ |
| PUNXSUTAWNEY AREA HOSPITAL Inpatient | Centene Corporation | Pa H And W Medicaid | $1,016.81 | — | — | 2026-07-17 | MRF ↗ |
| REGIONAL HOSPITAL OF SCRANTON Inpatient | Amerihealth Mercy | Amerihealth Mercy Medicaid Pa | $1,026.10 | — | — | 2026-07-15 | MRF ↗ |
| Moses Taylor Hospital Inpatient | Amerihealth Mercy | Amerihealth Mercy Medicaid Pa | $1,026.10 | — | — | 2026-07-15 | MRF ↗ |
| WESTPARK SPRINGS LLC Inpatient | Driscoll Health Plan | Managed Medicaid | $1,036.67 | $2,920.88 | $1,040.00 | 2025-09-22 | MRF ↗ |
| Penn Medicine Lancaster General Health Inpatient | United Healthcare | United Healthcare Medicaid Mco | $1,036.88 | — | — | 2026-07-15 | MRF ↗ |
| Penn Medicine Lancaster General Health Inpatient | Medicaid Managed Generic | Medicaid Managed Generic | $1,036.88 | — | — | 2026-07-15 | MRF ↗ |
| Penn Medicine Lancaster General Health Inpatient | Keystone First Medicaid | Keystone First Medicaid | $1,036.88 | — | — | 2026-07-15 | MRF ↗ |
| Penn Medicine Lancaster General Health Inpatient | Medicaid | Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| Penn Medicine Lancaster General Health Inpatient | Amerihealth Caritas | Amerihealth Caritas Medicaid Hmo | $1,036.88 | — | — | 2026-07-15 | MRF ↗ |
| OAKWOOD SPRINGS, LLC Inpatient | Humana Behavioral Health | Managed Medicaid | $1,041.25 | $2,920.88 | $850.00 | 2025-09-22 | MRF ↗ |
| OAKWOOD SPRINGS, LLC Inpatient | Oklahoma Complete Health | Managed Medicaid | $1,041.25 | $2,920.88 | $850.00 | 2025-09-22 | MRF ↗ |
| OAKWOOD SPRINGS, LLC Inpatient | Aetna Better Health | Managed Medicaid | $1,041.25 | $2,920.88 | $850.00 | 2025-09-22 | MRF ↗ |
| SHARON REGIONAL MEDICAL CENTER Inpatient | Health Partners Plans Medicaid | Health Partners Plans Medicaid | $1,055.18 | — | — | 2026-07-15 | MRF ↗ |
| PUNXSUTAWNEY AREA HOSPITAL Inpatient | Geisinger Health Plan | Geisinger Medicaid | $1,055.18 | — | — | 2026-07-17 | MRF ↗ |
| PUNXSUTAWNEY AREA HOSPITAL Inpatient | Geisinger Health Plan | Geisinger Chip | $1,055.18 | — | — | 2026-07-17 | MRF ↗ |
| Moses Taylor Hospital Inpatient | Geisinger | Geisinger Medicaid Pa | $1,056.28 | — | — | 2026-07-15 | MRF ↗ |
| REGIONAL HOSPITAL OF SCRANTON Inpatient | Geisinger | Geisinger Medicaid Pa | $1,056.28 | — | — | 2026-07-15 | MRF ↗ |
| Penn Medicine Lancaster General Health Inpatient | Gateway | Highmark Wholecare Medicaid (Fka Gateway Medicaid) | $1,078.35 | — | — | 2026-07-15 | MRF ↗ |
| Prisma Health North Greenville Ltach | Medicaid | — | $1,080.09 | $25,284.70 | $16,435.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Bluechoice Medicaid | — | $1,080.09 | $25,284.70 | $16,435.00 | 2026-07-05 | MRF ↗ |
| PHELPS HOSPITAL Inpatient | HealthPlus | HealthPlus (FHP) Medicaid | $1,103.00 | — | $193,744.00 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Inpatient | HealthPlus | HealthPlus (FHP) Medicaid | $1,103.00 | — | $409,511.00 | 2026-03-31 | MRF ↗ |
| WILKES-BARRE GENERAL HOSPITAL Inpatient | Medicaid | Pa Medicaid | $1,107.94 | — | — | 2026-07-15 | MRF ↗ |
| WILKES-BARRE GENERAL HOSPITAL Inpatient | Medicaid | Medicaid Non Par Pa | $1,107.94 | — | — | 2026-07-15 | MRF ↗ |
| Prisma Health North Greenville Ltach | Select Health Medicaid | — | $1,112.50 | $25,284.70 | $16,435.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Molina Medicaid | — | $1,112.50 | $25,284.70 | $16,435.00 | 2026-07-05 | MRF ↗ |
| WILKES-BARRE GENERAL HOSPITAL Inpatient | Amerihealth Caritas | Amerihealth Caritas Medicaid Pa | $1,130.10 | — | — | 2026-07-15 | MRF ↗ |
| Prisma Health North Greenville Ltach | Absolute Total Care Medicaid | — | $1,134.10 | $25,284.70 | $16,435.00 | 2026-07-05 | 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 | CHIP | $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 | STARPLUS | $1,139.00 | — | — | 2024-10-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | Superior Health Plan | CHPFC | $1,139.00 | — | — | 2024-10-01 | MRF ↗ |
| HUNTINGTON HOSPITAL Inpatient | HealthPlus | HealthPlus (CHP) Medicaid | $1,141.65 | — | $90,754.00 | 2026-03-31 | MRF ↗ |
| Moses Taylor Hospital Inpatient | Upmchp | Upmchp Medicaid Pa | $1,156.88 | — | — | 2026-07-15 | MRF ↗ |
| Moses Taylor Hospital Inpatient | Pa Health And Wellness | Hw Medicaid Pa | $1,156.88 | — | — | 2026-07-15 | MRF ↗ |
| REGIONAL HOSPITAL OF SCRANTON Inpatient | Abh Coventry Cares | Abh Coventry Cares Medicaid Pa | $1,156.88 | — | — | 2026-07-15 | MRF ↗ |
| REGIONAL HOSPITAL OF SCRANTON Inpatient | Pa Health And Wellness | Hw Medicaid Pa | $1,156.88 | — | — | 2026-07-15 | MRF ↗ |
| Moses Taylor Hospital Inpatient | Health Partners Medicaid Pa | Health Partners Medicaid Pa | $1,156.88 | — | — | 2026-07-15 | MRF ↗ |
| REGIONAL HOSPITAL OF SCRANTON Inpatient | Upmchp | Upmchp Medicaid Pa | $1,156.88 | — | — | 2026-07-15 | MRF ↗ |
| Moses Taylor Hospital Inpatient | Abh Coventry Cares | Abh Coventry Cares Medicaid Pa | $1,156.88 | — | — | 2026-07-15 | MRF ↗ |
| REGIONAL HOSPITAL OF SCRANTON Inpatient | Health Partners Medicaid Pa | Health Partners Medicaid Pa | $1,156.88 | — | — | 2026-07-15 | MRF ↗ |
| WILKES-BARRE GENERAL HOSPITAL Inpatient | United Health Care | Uhc Community Plan | $1,163.34 | — | — | 2026-07-15 | MRF ↗ |
| WILKES-BARRE GENERAL HOSPITAL Inpatient | Geisinger Indemnity | Geisinger Medicaid Pa | $1,163.34 | — | — | 2026-07-15 | MRF ↗ |
| The Hospital of the University of Pennsylvania Inpatient | Pa Medical Assistance | Medicaid | $1,168.62 | — | — | 2026-07-15 | MRF ↗ |
| The Hospital of the University of Pennsylvania Inpatient | Gateway Health Plan Medicaid | Gateway Health Plan Medicaid | $1,168.62 | — | — | 2026-07-15 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Inpatient | Metroplus | MetroPlus Medicaid & FHP | $1,182.00 | — | $409,511.00 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Inpatient | Metroplus | MetroPlus Medicaid & FHP | $1,182.65 | — | $90,754.00 | 2026-03-31 | MRF ↗ |
| HIALEAH HOSPITAL 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 ↗ |
| 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 ↗ |
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.