757-4 — Organic Mental Health Disturbances
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). ORGANIC MENTAL HEALTH DISTURBANCES (OTHER 757-4) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/757-4?code_type=OTHER
MLA (9th ed.)
“ORGANIC MENTAL HEALTH DISTURBANCES (OTHER 757-4) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/757-4?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“ORGANIC MENTAL HEALTH DISTURBANCES (OTHER 757-4) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/757-4?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $16,426–$27,860 (25th–75th percentile) across 156 hospitals · 367 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 757-4 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees 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 |
|---|---|---|---|---|---|---|---|
| PRISMA HEALTH PATEWOOD HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $436.93 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Medicaid Other | Medicaid Other | $629.21 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $675.25 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $700.10 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Molina | Molina Medicaid | $711.44 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Select Health | Select Health Medicaid | $711.44 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $718.35 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $725.26 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | Medicaid Other | Medicaid Other | $744.49 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $749.11 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Inpatient | Medicaid Sc | Medicaid Sc | $749.93 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Inpatient | Select Health | Select Health Medicaid | $754.13 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Inpatient | Molina | Molina Medicaid | $754.13 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $761.45 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $768.78 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Inpatient | Molina Healthcare | Molina Medicaid | $772.43 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Inpatient | Select Health | Select Health Medicaid | $787.43 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Inpatient | Bluechoice | Bluechoice Medicaid | $787.43 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Inpatient | Absolute Total Care | Absolute Total Care Medicaid | $787.43 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $792.72 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $798.40 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $806.86 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Inpatient | Medicaid Other | Medicaid Other | $808.83 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | Medicaid | Medicaid | $810.89 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $816.70 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | Absolute Total Care | Absolute Total Care Medicaid | $818.84 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $832.10 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $832.10 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | Select Health | Select Health Medicaid | $841.79 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | Select Health | Select Health Medicaid | $850.10 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | Molina | Molina Medicaid | $850.10 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $851.43 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $858.36 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $859.25 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $859.25 | — | — | 2026-05-14 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $865.93 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $866.61 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $867.65 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | Bluechoice Medicaid | Bluechoice Medicaid | $872.40 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Select Health | Select Health Medicaid | $876.70 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Molina | Molina Medicaid | $876.70 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Select Health | Select Health Medicaid | $876.70 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Molina | Molina Medicaid | $876.70 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $885.21 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $885.21 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Medicaid Other | Medicaid Other | $886.95 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Medicaid Other | Medicaid Other | $886.95 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | Select Health | Select Health Medicaid | $891.98 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $893.72 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $893.72 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid | $900.08 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | Molina Healthcare Of Sc | Molina Medicaid | $903.01 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Molina | Molina Medicaid | $905.30 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Molina | Molina Medicaid | $905.30 | — | — | 2026-05-14 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Select Health | Select Health Medicaid | $905.30 | — | — | 2026-05-14 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Select Health | Select Health Medicaid | $905.30 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Inpatient | Medicaid Other | Medicaid Other | $907.18 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Inpatient | Select Health | Select Health Medicaid | $912.35 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Inpatient | Molina | Molina Medicaid | $912.35 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $914.09 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $914.09 | — | — | 2026-05-14 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | Medicaid Sc | Medicaid Sc | $915.17 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $919.74 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $919.96 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $919.96 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $921.20 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $922.88 | — | — | 2026-05-14 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $922.88 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $926.59 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $926.59 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $930.06 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | Molina | Molina Medicaid | $932.52 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $940.46 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $940.46 | — | — | 2026-05-14 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | Medicaid Sc | Medicaid Sc | $951.87 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST Inpatient | Medicaid Sc | Medicaid Sc | $951.87 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $952.83 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | Absolute Total Care | Absolute Total Care Medicaid | $960.99 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST Inpatient | Absolute Total Care | Absolute Total Care Medicaid | $960.99 | — | — | 2026-05-06 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Inpatient | Caresource | Caresource In Medicaid | $963.20 | — | — | 2026-05-13 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Inpatient | Caresource | Caresource Medicaid | $963.20 | — | — | 2026-05-27 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Inpatient | Medicaid | Medicaid Out Of State | $963.20 | — | — | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | Caresource | Caresource Medicaid | $963.20 | — | — | 2026-05-09 | MRF ↗ |
| KOSCIUSKO COMMUNITY HOSPITAL Inpatient | Caresource | Caresource In Medicaid | $963.20 | — | — | 2026-05-08 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $970.69 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $979.23 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $979.23 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST Inpatient | Select Health | Select Health Medicaid | $1,006.75 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | Select Health | Select Health Medicaid | $1,006.75 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $1,018.50 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $1,018.50 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $1,019.53 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | Bluechoice Medicaid | Bluechoice Medicaid | $1,043.36 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST Inpatient | Bluechoice Medicaid | Bluechoice Medicaid | $1,043.36 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST Inpatient | Molina Healthcare Of Sc | Molina Medicaid | $1,079.97 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | Molina Healthcare Of Sc | Molina Medicaid | $1,079.97 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $1,123.35 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $1,123.35 | — | — | 2026-05-14 | MRF ↗ |
| HIALEAH HOSPITAL Inpatient | Molina Managed Medicaid | Molina Managed Medicaid | $1,200.00 | — | — | 2026-05-24 | MRF ↗ |
| Florida Medical Center Inpatient | Beacon Health Strategies Medicaid | Beacon Health Strategies Medicaid | — | — | — | 2026-05-24 | MRF ↗ |
| Florida Medical Center Inpatient | Molina Managed Medicaid | Molina Managed Medicaid | $1,200.00 | — | — | 2026-05-24 | MRF ↗ |
| Florida Medical Center Inpatient | Molina Managed Medicaid | Molina Managed Medicaid | $1,200.00 | — | — | 2026-05-13 | MRF ↗ |
| HIALEAH HOSPITAL Inpatient | Molina Managed Medicaid | Molina Managed Medicaid | $1,200.00 | — | — | 2026-05-07 | MRF ↗ |
| NORTH SHORE MEDICAL CENTER Inpatient | Beacon Health Strategies Medicaid | Beacon Health Strategies Medicaid | — | — | — | 2026-05-08 | MRF ↗ |
| Florida Medical Center Inpatient | Beacon Health Strategies Medicaid | Beacon Health Strategies Medicaid | — | — | — | 2026-05-13 | MRF ↗ |
| PALMETTO GENERAL HOSPITAL Inpatient | Beacon Health Strategies Medicaid | Beacon Health Strategies Medicaid | — | — | — | 2026-05-08 | MRF ↗ |
| NORTH SHORE MEDICAL CENTER Inpatient | Molina Managed Medicaid | Molina Managed Medicaid | $1,200.00 | — | — | 2026-05-08 | MRF ↗ |
| PALMETTO GENERAL HOSPITAL Inpatient | Molina Managed Medicaid | Molina Managed Medicaid | $1,200.00 | — | — | 2026-05-08 | MRF ↗ |
| CORAL GABLES HOSPITAL Inpatient | Molina Managed Medicaid | Molina Managed Medicaid | $1,200.00 | — | — | 2026-05-08 | MRF ↗ |
| NORTHWEST HEALTH - PORTER Inpatient | Managed Health Services | Mhs Hhw In Medicaid | $1,371.70 | — | — | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH - PORTER Inpatient | Anthem | Anthem In Medicaid | $1,371.70 | — | — | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH - PORTER Inpatient | Indiana Medicaid | In Medicaid | $1,371.70 | — | — | 2026-05-27 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Inpatient | Mhs | Mhs In Hip | $1,371.70 | — | — | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH - PORTER Inpatient | Mhs | Mhs Hcc In Medicaid | $1,371.70 | — | — | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Inpatient | Humana Pathways In Medicaid | Humana Pathways In Medicaid | $1,371.70 | — | — | 2026-05-27 | MRF ↗ |
| LUTHERAN HOSPITAL Inpatient | Anthem Bcbs | Anthem In Medicaid | $1,371.70 | — | — | 2026-05-27 | MRF ↗ |
| LUTHERAN HOSPITAL Inpatient | Humana Pathways In Medicaid | Humana Pathways In Medicaid | $1,371.70 | — | — | 2026-05-27 | MRF ↗ |
| LUTHERAN HOSPITAL Inpatient | Uhc | Uhc Hcc In Medicaid | $1,371.70 | — | — | 2026-05-27 | MRF ↗ |
| LUTHERAN HOSPITAL Inpatient | Care Source | Care Source Hhw In Medicaid | $1,371.70 | — | — | 2026-05-27 | MRF ↗ |
| LUTHERAN HOSPITAL Inpatient | Care Source | Caresource In Hip | $1,371.70 | — | — | 2026-05-27 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Inpatient | Managed Health Services | Mhs Hhw In Medicaid | $1,371.70 | — | — | 2026-05-27 | MRF ↗ |
| LUTHERAN HOSPITAL Inpatient | Uhc | Uhc Pathways In Medicaid | $1,371.70 | — | — | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Inpatient | Anthem | Anthem In Medicaid | $1,371.70 | — | — | 2026-05-27 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Inpatient | Humana Pathways In Medicaid | Humana Pathways In Medicaid | $1,371.70 | — | — | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH - PORTER Inpatient | Managed Health Services | Mhs In Hip | $1,371.70 | — | — | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH - PORTER Inpatient | Caresource | Caresource In Hip | $1,371.70 | — | — | 2026-05-27 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Inpatient | Medicaid Non-Par | In Medicaid Non-Par | $1,371.70 | — | — | 2026-05-27 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Inpatient | Uhc Pathways In Medicaid | Uhc Pathways In Medicaid | $1,371.70 | — | — | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH - PORTER Inpatient | Humana Pathways In Medicaid | Humana Pathways In Medicaid | $1,371.70 | — | — | 2026-05-27 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Inpatient | Anthem | Anthem In Medicaid | $1,371.70 | — | — | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Inpatient | Caresource | Caresource Hhw In Medicaid | $1,371.70 | — | — | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Inpatient | Caresource | Caresource In Hip | $1,371.70 | — | — | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Inpatient | Mhs | Mhs Hhw In Medicaid | $1,371.70 | — | — | 2026-05-27 | MRF ↗ |
| LUTHERAN HOSPITAL Inpatient | Managed Health Services | Mhs In Hip | $1,371.70 | — | — | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH - PORTER Inpatient | Indiana Medicaid Non Par | In Medicaid Non Par | $1,371.70 | — | — | 2026-05-27 | MRF ↗ |
| LUTHERAN HOSPITAL Inpatient | Managed Health Services | Mhs Hhw In Medicaid | $1,371.70 | — | — | 2026-05-27 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Inpatient | Medicaid | In Medicaid | $1,371.70 | — | — | 2026-05-27 | MRF ↗ |
| LUTHERAN HOSPITAL Inpatient | Managed Health Services | Mhs Hcc In Medicaid | $1,371.70 | — | — | 2026-05-27 | MRF ↗ |
| DUPONT HOSPITAL LLC Inpatient | Humana Pathways In Medicaid | Humana Pathways In Medicaid | $1,371.70 | — | — | 2026-05-27 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Inpatient | Humana Pathways In Medicaid | Humana Pathways In Medicaid | $1,371.70 | — | — | 2026-05-13 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Inpatient | Mhs | Mhs Hcc In Medicaid | $1,371.70 | — | — | 2026-05-13 | MRF ↗ |
| LUTHERAN HOSPITAL Inpatient | Medicaid Non-Par | In Medicaid Non-Par | $1,371.70 | — | — | 2026-05-27 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Inpatient | Uhc Pathways In Medicaid | Uhc Pathways In Medicaid | $1,371.70 | — | — | 2026-05-13 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Inpatient | Managed Health Services | Mhs Hhw In Medicaid | $1,371.70 | — | — | 2026-05-13 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Inpatient | Uhc | Uhc Hcc In Medicaid | $1,371.70 | — | — | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Inpatient | Mhs | Mhs Hcc In Medicaid | $1,371.70 | — | — | 2026-05-27 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Inpatient | Uhc | Uhc Hcc In Medicaid | $1,371.70 | — | — | 2026-05-13 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Inpatient | Caresource | Caresource In Hip | $1,371.70 | — | — | 2026-05-13 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Inpatient | Anthem Blue Cross Blue Shield | Anthem In Medicaid | $1,371.70 | — | — | 2026-05-13 | MRF ↗ |
| KOSCIUSKO COMMUNITY HOSPITAL Inpatient | Anthem Blue Cross Blue Shield | Anthem In Medicaid | $1,371.70 | — | — | 2026-05-08 | MRF ↗ |
| KOSCIUSKO COMMUNITY HOSPITAL Inpatient | Managed Health Services | Mhs In Hip | $1,371.70 | — | — | 2026-05-08 | MRF ↗ |
| KOSCIUSKO COMMUNITY HOSPITAL Inpatient | Mhs | Mhs Hhw In Medicaid | $1,371.70 | — | — | 2026-05-08 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Inpatient | Managed Health Services | Mhs In Hip | $1,371.70 | — | — | 2026-05-27 | MRF ↗ |
| DUPONT HOSPITAL LLC Inpatient | Managed Health Services | Mhs Hcc In Medicaid | $1,371.70 | — | — | 2026-05-27 | MRF ↗ |
| KOSCIUSKO COMMUNITY HOSPITAL Inpatient | Caresource | Caresource In Hip | $1,371.70 | — | — | 2026-05-08 | MRF ↗ |
| ST JOSEPH HEALTH SYSTEM, LLC Inpatient | Humana Pathways In Medicaid | Humana Pathways In Medicaid | $1,371.70 | — | — | 2026-05-09 | MRF ↗ |
| KOSCIUSKO COMMUNITY HOSPITAL Inpatient | Caresource | Caresource Hhw In Medicaid | $1,371.70 | — | — | 2026-05-08 | MRF ↗ |
| ST JOSEPH HEALTH SYSTEM, LLC Inpatient | Managed Health Services | Mhs Hhw In Medicaid | $1,371.70 | — | — | 2026-05-09 | MRF ↗ |
| KOSCIUSKO COMMUNITY HOSPITAL Inpatient | Uhc | Uhc Hcc In Medicaid | $1,371.70 | — | — | 2026-05-08 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | Mhs | Mhs Hhw In Medicaid | $1,371.70 | — | — | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | Caresource | Caresource Hhw In Medicaid | $1,371.70 | — | — | 2026-05-09 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Inpatient | Caresource | Caresource Hhw In Medicaid | $1,371.70 | — | — | 2026-05-13 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | Mhs | Mhs Hcc In Medicaid | $1,371.70 | — | — | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | Anthem | Anthem In Medicaid | $1,371.70 | — | — | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | Uhc | Uhc Hcc In Medicaid | $1,371.70 | — | — | 2026-05-09 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Inpatient | Medicaid Non Par | In Medicaid Non-Par | $1,371.70 | — | — | 2026-05-13 | MRF ↗ |
| KOSCIUSKO COMMUNITY HOSPITAL Inpatient | Uhc Pathways In Medicaid | Uhc Pathways In Medicaid | $1,371.70 | — | — | 2026-05-08 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Inpatient | Managed Health Services | Mhs In Hip | $1,371.70 | — | — | 2026-05-13 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | Managed Health Services | Mhs In Hip | $1,371.70 | — | — | 2026-05-09 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Inpatient | Medicaid In | In Medicaid | $1,371.70 | — | — | 2026-05-13 | MRF ↗ |
| KOSCIUSKO COMMUNITY HOSPITAL Inpatient | Medicaid | In Medicaid | $1,371.70 | — | — | 2026-05-08 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | Caresource | Caresource In Hip | $1,371.70 | — | — | 2026-05-09 | MRF ↗ |
| KOSCIUSKO COMMUNITY HOSPITAL Inpatient | In Medicaid | In Medicaid Non-Par | $1,371.70 | — | — | 2026-05-08 | MRF ↗ |
| ST JOSEPH HEALTH SYSTEM, LLC Inpatient | Uhc | Uhc Pathways In Medicaid | $1,371.70 | — | — | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | Indiana Medicaid | In Medicaid | $1,371.70 | — | — | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | Humana Pathways In Medicaid | Humana Pathways In Medicaid | $1,371.70 | — | — | 2026-05-09 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Inpatient | Managed Health Services | Mhs Hcc In Medicaid | $1,371.70 | — | — | 2026-05-27 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Inpatient | Caresource | Caresource Hhw In Medicaid | $1,371.70 | — | — | 2026-05-27 | MRF ↗ |
| KOSCIUSKO COMMUNITY HOSPITAL Inpatient | Mhs | Mhs Hcc In Medicaid | $1,371.70 | — | — | 2026-05-08 | MRF ↗ |
| KOSCIUSKO COMMUNITY HOSPITAL Inpatient | Humana Pathways In Medicaid | Humana Pathways In Medicaid | $1,371.70 | — | — | 2026-05-08 | MRF ↗ |
| ST JOSEPH HEALTH SYSTEM, LLC Inpatient | Managed Health Services | Mhs Hcc In Medicaid | $1,371.70 | — | — | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | In Medicaid | In Medicaid Non-Par | $1,371.70 | — | — | 2026-05-09 | MRF ↗ |
| ST JOSEPH HEALTH SYSTEM, LLC Inpatient | Managed Health Services | Mhs In Hip | $1,371.70 | — | — | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | Uhc Pathways In Medicaid | Uhc Pathways In Medicaid | $1,371.70 | — | — | 2026-05-09 | MRF ↗ |
| ST JOSEPH HEALTH SYSTEM, LLC Inpatient | Caresource | Caresource Hhw In Medicaid | $1,371.70 | — | — | 2026-05-09 | MRF ↗ |
| ST JOSEPH HEALTH SYSTEM, LLC Inpatient | Medicaid Non-Par | In Medicaid Non-Par | $1,371.70 | — | — | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH - PORTER Inpatient | Uhc Pathways In Medicaid | Uhc Pathways In Medicaid | $1,371.70 | — | — | 2026-05-27 | MRF ↗ |
| ST JOSEPH HEALTH SYSTEM, LLC Inpatient | Anthem Bcbs | Anthem In Medicaid | $1,371.70 | — | — | 2026-05-09 | MRF ↗ |
| ST JOSEPH HEALTH SYSTEM, LLC Inpatient | Caresource | Caresource In Hip | $1,371.70 | — | — | 2026-05-09 | MRF ↗ |
| ST JOSEPH HEALTH SYSTEM, LLC Inpatient | Uhc | Uhc Hcc In Medicaid | $1,371.70 | — | — | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Inpatient | Indiana Medicaid | In Medicaid | $1,371.70 | — | — | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH - PORTER Inpatient | Uhc | Uhc Hcc In Medicaid | $1,371.70 | — | — | 2026-05-27 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Inpatient | Caresource | Caresource In Hip | $1,371.70 | — | — | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH - PORTER Inpatient | Caresource | Caresource Hhw In Medicaid | $1,371.70 | — | — | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Inpatient | Uhc | Uhc Hcc In Medicaid | $1,371.70 | — | — | 2026-05-27 | MRF ↗ |
| DUPONT HOSPITAL LLC Inpatient | Managed Health Services | Mhs Hhw In Medicaid | $1,371.70 | — | — | 2026-05-27 | MRF ↗ |
| DUPONT HOSPITAL LLC Inpatient | Managed Health Services | Mhs In Hip | $1,371.70 | — | — | 2026-05-27 | MRF ↗ |
| DUPONT HOSPITAL LLC Inpatient | Medicaid Non-Par | In Medicaid Non-Par | $1,371.70 | — | — | 2026-05-27 | MRF ↗ |
| DUPONT HOSPITAL LLC Inpatient | Anthem Bcbs | Anthem In Medicaid | $1,371.70 | — | — | 2026-05-27 | MRF ↗ |
| DUPONT HOSPITAL LLC Inpatient | Medicaid | In Medicaid | $1,371.70 | — | — | 2026-05-27 | 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.