7574 — Organic Mental Health Disturbances
Cite this view
HANK Price Transparency. (n.d.). ORGANIC MENTAL HEALTH DISTURBANCES (APR_DRG 7574) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/7574?code_type=APR_DRG
“ORGANIC MENTAL HEALTH DISTURBANCES (APR_DRG 7574) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/7574?code_type=APR_DRG. Accessed .
“ORGANIC MENTAL HEALTH DISTURBANCES (APR_DRG 7574) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/7574?code_type=APR_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $12,014–$24,343 (25th–75th percentile) across 1,126 hospitals · 610 payers.
“Negotiated” is the hospital’s negotiated rate for the entire inpatient stay under APR_DRG 7574 — 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 | $1.92 | — | — | 2026-02-19 | MRF ↗ |
| Memorial Regional Hospital South InpatientFacility | OptumHealth Care Solutions | Transplants - Medicaid | $3.65 | — | — | 2026-05-27 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Amerigroup | CHIP/Medicaid | $4.11 | — | — | 2026-04-15 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Cigna | Medicaid | $4.11 | — | — | 2026-04-15 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Superior Health Plan | CHIP/Medicaid | $4.11 | — | — | 2026-04-15 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Molina | CHIP/Medicaid | $4.11 | — | — | 2026-04-15 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Parkland | Medicaid | $4.11 | — | — | 2026-04-15 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Medicaid Other | — | $372.25 | $38,466.00 | $25,002.90 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Medicaid Sc | — | $374.97 | $38,466.00 | $25,002.90 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Bluechoice Medicaid (Greenville County Only) | — | $381.12 | $38,466.00 | $25,002.90 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Molina Medicaid | — | $386.21 | $38,466.00 | $25,002.90 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Blue Choice Medicaid (Greenville County Only) | — | $387.91 | $38,466.00 | $25,002.90 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Select Health Medicaid | — | $393.71 | $38,466.00 | $25,002.90 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Absolute Total Care Medicaid | — | $393.71 | $38,466.00 | $25,002.90 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Bluechoice Medicaid | — | $393.71 | $38,466.00 | $25,002.90 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Blue Choice Medicaid (Greenville County Only) | — | $400.05 | $38,466.00 | $25,002.90 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Medicaid | — | $405.44 | $38,466.00 | $25,002.90 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Medicaid Other | — | $405.44 | $38,466.00 | $25,002.90 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Absolute Total Care Medicaid | — | $409.42 | $38,466.00 | $25,002.90 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bluechoice Medicaid | — | $412.67 | $38,466.00 | $25,002.90 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Blue Choice Medicaid (Greenville County Only) | — | $413.10 | $38,466.00 | $25,003.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Blue Choice Medicaid (Greenville County Only) | — | $416.31 | $38,466.00 | $25,002.90 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Select Health Medicaid | — | $420.90 | $38,466.00 | $25,002.90 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Molina Medicaid | — | $425.05 | $38,466.00 | $25,002.90 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Select Health Medicaid | — | $425.05 | $38,466.00 | $25,002.90 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Bluechoice Medicaid | — | $425.58 | $38,466.00 | $25,002.90 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Medicaid Sc | — | $432.71 | $38,466.00 | $25,002.90 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Medicaid | — | $432.99 | $38,466.00 | $25,002.90 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Absolute Total Care Medicaid | — | $433.31 | $38,466.00 | $25,002.90 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Humana Healthy Horizons Medicaid | — | $433.82 | $38,466.00 | $25,002.90 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Bluechoice Medicaid | — | $436.20 | $38,466.00 | $25,002.90 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL InpatientFacility | — | — | — | — | — | 2024-12-16 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Molina Medicaid | — | $438.35 | $38,466.00 | $25,002.90 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Select Health Medicaid | — | $438.35 | $38,466.00 | $25,002.90 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Bluechoice Medicaid | — | $439.47 | $38,466.00 | $25,003.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Medicare Advantage Non Contracted | — | $439.47 | $38,466.00 | $25,003.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Medicaid | — | $439.47 | $38,466.00 | $25,003.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Bluechoice Medicaid | — | $442.89 | $38,466.00 | $25,002.90 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Medicaid Other | — | $443.48 | $38,466.00 | $25,002.90 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Select Health Medicaid | — | $445.99 | $38,466.00 | $25,002.90 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Absolute Total Care Medicaid | — | $446.86 | $38,466.00 | $25,002.90 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Bluechoice Medicaid | — | $450.04 | $38,466.00 | $25,002.90 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Molina Medicaid | — | $451.51 | $38,466.00 | $25,002.90 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Select Health Medicaid | — | $452.65 | $38,466.00 | $25,003.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Molina Medicaid | — | $452.65 | $38,466.00 | $25,003.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Medicaid Other | — | $453.59 | $38,466.00 | $25,002.90 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Medicaid | — | $453.59 | $38,466.00 | $25,002.90 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Absolute Total Care Medicaid | — | $454.35 | $38,466.00 | $25,002.90 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Molina Medicaid | — | $456.17 | $38,466.00 | $25,002.90 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Select Health Medicaid | — | $456.17 | $38,466.00 | $25,002.90 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Medicaid Sc | — | $457.59 | $38,466.00 | $25,002.90 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Absolute Total Care Medicaid | — | $461.44 | $38,466.00 | $25,003.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Humana Healthy Horizons Medicaid | — | $463.00 | $38,466.00 | $25,002.90 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Humana Healthy Horizons Medicaid | — | $463.29 | $38,466.00 | $25,002.90 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Absolute Total Care Medicaid | — | $465.03 | $38,466.00 | $25,002.90 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Molina Medicaid | — | $466.26 | $38,466.00 | $25,002.90 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Humana Healthy Horizons Medicaid | — | $470.23 | $38,466.00 | $25,003.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Absolute Total Care Medicaid | — | $474.37 | $38,466.00 | $25,002.90 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Select Health Medicaid | — | $475.98 | $38,466.00 | $25,002.90 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Medicaid | — | $476.42 | $38,466.00 | $25,002.90 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Humana Healthy Horizons Medicaid | — | $485.34 | $38,466.00 | $25,002.90 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Humana Healthy Horizons Medicaid | — | $489.62 | $38,466.00 | $25,002.90 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Humana Healthy Horizons Medicaid | — | $489.62 | $38,466.00 | $25,002.90 | 2026-07-05 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Inpatient | Aetna Better Health | Aetna Better Health (Medicaid Managed Care) | $509.72 | — | — | 2026-08-17 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Humana Healthy Horizons Medicaid | — | $509.77 | $38,466.00 | $25,002.90 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Molina Medicaid | — | $510.60 | $38,466.00 | $25,002.90 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Medicaid Other | Medicaid Other | $629.21 | — | — | 2026-09-21 | MRF ↗ |
| ELIZABETHTOWN COMMUNITY HOSPITAL InpatientFacility | — | — | — | — | — | 2025-01-01 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $675.25 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $700.10 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Select Health | Select Health Medicaid | $711.44 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Molina | Molina Medicaid | $711.44 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $718.35 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Tricare Humana Military | — | $722.65 | $38,466.00 | $25,002.90 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $725.26 | — | — | 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 | $749.11 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL InpatientFacility | — | — | — | — | — | 2024-12-12 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL InpatientFacility | — | — | — | — | — | 2024-12-07 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL InpatientFacility | — | — | — | — | — | 2024-12-13 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL InpatientFacility | — | — | — | — | — | 2024-12-13 | MRF ↗ |
| HUNTINGTON HOSPITAL Inpatient | HealthPlus | HealthPlus (FHP) Medicaid | $950.65 | — | $55,064.00 | 2026-03-31 | MRF ↗ |
| PRISMA HEALTH BAPTIST InpatientFacility | — | — | — | — | — | 2025-03-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE InpatientFacility | — | — | — | — | — | 2025-03-06 | 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 ↗ |
| JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON Inpatient | United | United Medicaid | $1,008.00 | — | $226,397.00 | 2026-03-31 | MRF ↗ |
| JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON Inpatient | United | United - Essential 1&2 | $1,008.00 | — | $226,397.00 | 2026-03-31 | MRF ↗ |
| JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON Inpatient | United | United - Essential 3&4 | $1,008.00 | — | $226,397.00 | 2026-03-31 | MRF ↗ |
| Prisma Health North Greenville Ltach | Medicaid Other | — | $1,021.63 | $38,466.00 | $25,003.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Humana Healthy Horizons Medicaid | — | $1,093.14 | $38,466.00 | $25,003.00 | 2026-07-05 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Inpatient | HealthPlus | HealthPlus (FHP) Medicaid | $1,103.00 | — | $85,273.00 | 2026-03-31 | MRF ↗ |
| Prisma Health North Greenville Ltach | Blue Choice Medicaid (Greenville County Only) | — | $1,114.15 | $38,466.00 | $25,003.00 | 2026-07-05 | 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 | 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 | 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 ↗ |
| HUNTINGTON HOSPITAL Inpatient | HealthPlus | HealthPlus (CHP) Medicaid | $1,141.65 | — | $55,064.00 | 2026-03-31 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER InpatientFacility | MVP Health Care of NY | Small Large Group Commercial | $1,154.15 | — | — | 2025-07-23 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER InpatientFacility | MVP Health Care of NY | Individual Commercial/Student Health | $1,154.15 | — | — | 2025-07-23 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Inpatient | Metroplus | MetroPlus Medicaid & FHP | $1,182.00 | — | $85,273.00 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Inpatient | Metroplus | MetroPlus Medicaid & FHP | $1,182.65 | — | $55,064.00 | 2026-03-31 | MRF ↗ |
| Prisma Health North Greenville Ltach | Medicaid | — | $1,185.26 | $38,466.00 | $25,003.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Bluechoice Medicaid | — | $1,185.26 | $38,466.00 | $25,003.00 | 2026-07-05 | MRF ↗ |
| Florida Medical Center 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 ↗ |
| PALMETTO GENERAL HOSPITAL Inpatient | Molina Managed Medicaid | Molina Managed Medicaid | $1,200.00 | — | — | 2026-07-15 | MRF ↗ |
| HIALEAH HOSPITAL Inpatient | Molina Managed Medicaid | Molina Managed Medicaid | $1,200.00 | — | — | 2026-07-15 | MRF ↗ |
| MONTEFIORE ST LUKE'S CORNWALL Inpatient | Anthem | Exchange | $1,210.41 | — | — | 2026-04-01 | MRF ↗ |
| Prisma Health North Greenville Ltach | Select Health Medicaid | — | $1,220.82 | $38,466.00 | $25,003.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Molina Medicaid | — | $1,220.82 | $38,466.00 | $25,003.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Absolute Total Care Medicaid | — | $1,244.53 | $38,466.00 | $25,003.00 | 2026-07-05 | MRF ↗ |
| HUNTINGTON HOSPITAL Inpatient | United | United Medicaid | $1,264.65 | — | $55,064.00 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Inpatient | United | United - Essential 3&4 | $1,264.65 | — | $55,064.00 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Inpatient | United | United - Essential 1&2 | $1,264.65 | — | $55,064.00 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Inpatient | Fidelis | Fidelis Medicaid - FHP | $1,265.00 | — | $85,273.00 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Inpatient | Metroplus | MetroPlus CHP | $1,297.00 | — | $85,273.00 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Inpatient | Metroplus | MetroPlus CHP | $1,297.65 | — | $55,064.00 | 2026-03-31 | MRF ↗ |
| JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON Inpatient | Fidelis | Fidelis Medicaid - FHP | $1,305.00 | — | $226,397.00 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Inpatient | Fidelis | Fidelis Medicaid - FHP | $1,305.65 | — | $55,064.00 | 2026-03-31 | MRF ↗ |
| MESA SPRINGS Inpatient | Molina | Managed Medicaid | $1,316.58 | $2,920.88 | $1,080.00 | 2025-09-22 | MRF ↗ |
| MESA SPRINGS Inpatient | Scott and White Health Plan | Managed Medicaid | $1,316.58 | $2,920.88 | $1,080.00 | 2025-09-22 | MRF ↗ |
| MESA SPRINGS Inpatient | Molina | Managed Medicaid | $1,316.58 | $2,920.88 | $1,080.00 | 2025-09-22 | MRF ↗ |
| MESA SPRINGS Inpatient | Scott and White Health Plan | Managed Medicaid | $1,316.58 | $2,920.88 | $1,080.00 | 2025-09-22 | MRF ↗ |
| ROCK SPRINGS Inpatient | Molina | Managed Medicaid | $1,328.85 | $2,920.88 | $975.00 | 2025-09-22 | MRF ↗ |
| ROCK SPRINGS Inpatient | Scott and White Health Plan | Managed Medicaid | $1,328.85 | $2,920.88 | $975.00 | 2025-09-22 | MRF ↗ |
| WELLBRIDGE HEALTHCARE FORT WORTH Inpatient | BCBS | Managed Medicaid | $1,328.85 | $2,781.00 | $950.00 | 2025-09-25 | MRF ↗ |
| CARROLLTON SPRINGS Inpatient | Molina | Managed Medicaid | $1,328.85 | $2,920.88 | $975.00 | 2025-09-23 | MRF ↗ |
| WOODLAND SPRINGS Inpatient | Molina | Managed Medicaid | $1,328.85 | $2,920.88 | $1,040.00 | 2025-09-22 | MRF ↗ |
| WESTPARK SPRINGS LLC Inpatient | Molina | Managed Medicaid | $1,328.85 | $2,920.88 | $1,040.00 | 2025-09-22 | MRF ↗ |
| WELLBRIDGE HEALTHCARE FORT WORTH Inpatient | Molina | Managed Medicaid | $1,328.85 | $2,781.00 | $950.00 | 2025-09-25 | MRF ↗ |
| DUPONT HOSPITAL LLC Inpatient | Anthem Bcbs | Anthem In Medicaid | $1,371.70 | — | — | 2026-07-15 | MRF ↗ |
| BLUFFTON REGIONAL MEDICAL CENTER Inpatient | In Medicaid | In Medicaid Non-Par | $1,371.70 | — | — | 2026-07-15 | MRF ↗ |
| NORTHWEST HEALTH - PORTER Inpatient | Indiana Medicaid Non Par | In Medicaid Non Par | $1,371.70 | — | — | 2026-07-15 | MRF ↗ |
| BLUFFTON REGIONAL MEDICAL CENTER Inpatient | Uhc | Uhc Hcc In Medicaid | $1,371.70 | — | — | 2026-07-15 | MRF ↗ |
| ST JOSEPH HEALTH SYSTEM, LLC Inpatient | Managed Health Services | Mhs In Hip | $1,371.70 | — | — | 2026-07-15 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH PAOLI HOSPITAL Inpatient | Managed Health Services | All Government Medicaid HIP | $1,371.70 | — | — | 2026-03-25 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Inpatient | Uhc | Uhc Hcc In Medicaid | $1,371.70 | — | — | 2026-07-15 | MRF ↗ |
| BLUFFTON REGIONAL MEDICAL CENTER Inpatient | Caresource | Caresource In Hip | $1,371.70 | — | — | 2026-07-15 | MRF ↗ |
| ST JOSEPH HEALTH SYSTEM, LLC Inpatient | Managed Health Services | Mhs Hhw In Medicaid | $1,371.70 | — | — | 2026-07-15 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Inpatient | Uhc Pathways In Medicaid | Uhc Pathways In Medicaid | $1,371.70 | — | — | 2026-07-17 | MRF ↗ |
| ST JOSEPH HEALTH SYSTEM, LLC Inpatient | Anthem Bcbs | Anthem In Medicaid | $1,371.70 | — | — | 2026-07-15 | MRF ↗ |
| ST JOSEPH HEALTH SYSTEM, LLC Inpatient | Uhc | Uhc Pathways In Medicaid | $1,371.70 | — | — | 2026-07-15 | MRF ↗ |
| BLUFFTON REGIONAL MEDICAL CENTER Inpatient | Caresource | Caresource Hhw In Medicaid | $1,371.70 | — | — | 2026-07-15 | MRF ↗ |
| KOSCIUSKO COMMUNITY HOSPITAL Inpatient | Mhs | Mhs Hcc In Medicaid | $1,371.70 | — | — | 2026-07-15 | MRF ↗ |
| DUPONT HOSPITAL LLC Inpatient | Medicaid Non-Par | In Medicaid Non-Par | $1,371.70 | — | — | 2026-07-15 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Inpatient | Caresource | Caresource Hhw In Medicaid | $1,371.70 | — | — | 2026-07-15 | MRF ↗ |
| DUPONT HOSPITAL LLC Inpatient | Managed Health Services | Mhs Hhw In Medicaid | $1,371.70 | — | — | 2026-07-15 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Inpatient | Medicaid Non Par | In Medicaid Non-Par | $1,371.70 | — | — | 2026-07-15 | MRF ↗ |
| NORTHWEST HEALTH - PORTER Inpatient | Uhc Pathways In Medicaid | Uhc Pathways In Medicaid | $1,371.70 | — | — | 2026-07-15 | MRF ↗ |
| ST JOSEPH HEALTH SYSTEM, LLC Inpatient | Medicaid Non-Par | In Medicaid Non-Par | $1,371.70 | — | — | 2026-07-15 | MRF ↗ |
| KOSCIUSKO COMMUNITY HOSPITAL Inpatient | Caresource | Caresource Hhw In Medicaid | $1,371.70 | — | — | 2026-07-15 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Inpatient | Uhc | Uhc Hcc In Medicaid | $1,371.70 | — | — | 2026-07-17 | MRF ↗ |
| BLUFFTON REGIONAL MEDICAL CENTER Inpatient | Mhs | Mhs Hcc In Medicaid | $1,371.70 | — | — | 2026-07-15 | MRF ↗ |
| DUPONT HOSPITAL LLC Inpatient | Humana Pathways In Medicaid | Humana Pathways In Medicaid | $1,371.70 | — | — | 2026-07-15 | MRF ↗ |
| BLUFFTON REGIONAL MEDICAL CENTER Inpatient | Humana Pathways In Medicaid | Humana Pathways In Medicaid | $1,371.70 | — | — | 2026-07-15 | MRF ↗ |
| ST JOSEPH HEALTH SYSTEM, LLC Inpatient | Managed Health Services | Mhs Hcc In Medicaid | $1,371.70 | — | — | 2026-07-15 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Inpatient | Uhc Pathways In Medicaid | Uhc Pathways In Medicaid | $1,371.70 | — | — | 2026-07-15 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH PAOLI HOSPITAL Inpatient | Managed Health Services | All Government Medicaid | $1,371.70 | — | — | 2026-03-25 | MRF ↗ |
| NORTHWEST HEALTH - PORTER Inpatient | Humana Pathways In Medicaid | Humana Pathways In Medicaid | $1,371.70 | — | — | 2026-07-15 | MRF ↗ |
| BLUFFTON REGIONAL MEDICAL CENTER Inpatient | Mhs | Mhs Hhw In Medicaid | $1,371.70 | — | — | 2026-07-15 | MRF ↗ |
| KOSCIUSKO COMMUNITY HOSPITAL Inpatient | Managed Health Services | Mhs In Hip | $1,371.70 | — | — | 2026-07-15 | MRF ↗ |
| DUPONT HOSPITAL LLC Inpatient | Caresource | Caresource In Hip | $1,371.70 | — | — | 2026-07-15 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Inpatient | Managed Health Services | Mhs In Hip | $1,371.70 | — | — | 2026-07-15 | MRF ↗ |
| DUPONT HOSPITAL LLC Inpatient | Medicaid | In Medicaid | $1,371.70 | — | — | 2026-07-15 | MRF ↗ |
| BLUFFTON REGIONAL MEDICAL CENTER Inpatient | Anthem Medicaid | Anthem In Medicaid | $1,371.70 | — | — | 2026-07-15 | MRF ↗ |
| KOSCIUSKO COMMUNITY HOSPITAL Inpatient | Mhs | Mhs Hhw In Medicaid | $1,371.70 | — | — | 2026-07-15 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH FRANKFORT INC Inpatient | Elevance Health | All Government Medicaid HIP | $1,371.70 | — | — | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH PAOLI HOSPITAL Inpatient | United Healthcare | All Managed Medicaid | $1,371.70 | — | — | 2026-03-25 | MRF ↗ |
| DUPONT HOSPITAL LLC Inpatient | Managed Health Services | Mhs In Hip | $1,371.70 | — | — | 2026-07-15 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH PAOLI HOSPITAL Inpatient | Caresource | All Government Medicaid HIP | $1,371.70 | — | — | 2026-03-25 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Inpatient | Caresource | Caresource In Hip | $1,371.70 | — | — | 2026-07-15 | MRF ↗ |
| NORTHWEST HEALTH - PORTER Inpatient | Anthem | Anthem In Medicaid | $1,371.70 | — | — | 2026-07-15 | MRF ↗ |
| ST JOSEPH HEALTH SYSTEM, LLC Inpatient | Humana Pathways In Medicaid | Humana Pathways In Medicaid | $1,371.70 | — | — | 2026-07-15 | MRF ↗ |
| KOSCIUSKO COMMUNITY HOSPITAL Inpatient | Uhc | Uhc Hcc In Medicaid | $1,371.70 | — | — | 2026-07-15 | MRF ↗ |
| LUTHERAN HOSPITAL Inpatient | Managed Health Services | Mhs In Hip | $1,371.70 | — | — | 2026-07-17 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH FRANKFORT INC Inpatient | United Healthcare | All Managed Medicaid | $1,371.70 | — | — | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH FRANKFORT INC Inpatient | Caresource | All Managed Medicaid | $1,371.70 | — | — | 2026-03-25 | MRF ↗ |
| KOSCIUSKO COMMUNITY HOSPITAL Inpatient | Humana Pathways In Medicaid | Humana Pathways In Medicaid | $1,371.70 | — | — | 2026-07-15 | MRF ↗ |
| KOSCIUSKO COMMUNITY HOSPITAL Inpatient | In Medicaid | In Medicaid Non-Par | $1,371.70 | — | — | 2026-07-15 | MRF ↗ |
| KOSCIUSKO COMMUNITY HOSPITAL Inpatient | Uhc Pathways In Medicaid | Uhc Pathways In Medicaid | $1,371.70 | — | — | 2026-07-15 | MRF ↗ |
| LUTHERAN HOSPITAL Inpatient | Managed Health Services | Mhs Hcc In Medicaid | $1,371.70 | — | — | 2026-07-17 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH BEDFORD HOSPITAL Inpatient | Elevance Health | All Managed Medicaid | $1,371.70 | — | — | 2026-03-25 | MRF ↗ |
| LUTHERAN HOSPITAL Inpatient | Managed Health Services | Mhs Hhw In Medicaid | $1,371.70 | — | — | 2026-07-17 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH BEDFORD HOSPITAL Inpatient | Managed Health Services | All Government Medicaid | $1,371.70 | — | — | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH BEDFORD HOSPITAL Inpatient | Elevance Health | All Government Medicaid HIP | $1,371.70 | — | — | 2026-03-25 | MRF ↗ |
| DUPONT HOSPITAL LLC Inpatient | Uhc | Uhc Pathways In Medicaid | $1,371.70 | — | — | 2026-07-15 | MRF ↗ |
| ST JOSEPH HEALTH SYSTEM, LLC Inpatient | Caresource | Caresource Hhw In Medicaid | $1,371.70 | — | — | 2026-07-15 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Inpatient | Anthem | Anthem In Medicaid | $1,371.70 | — | — | 2026-07-17 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH BEDFORD HOSPITAL Inpatient | Caresource | All Managed Medicaid | $1,371.70 | — | — | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH BEDFORD HOSPITAL Inpatient | Caresource | All Government Medicaid HIP | $1,371.70 | — | — | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH PAOLI HOSPITAL Inpatient | Caresource | All Managed Medicaid | $1,371.70 | — | — | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH BEDFORD HOSPITAL Inpatient | United Healthcare | All Managed Medicaid | $1,371.70 | — | — | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH FRANKFORT INC Inpatient | Managed Health Services | All Government Medicaid | $1,371.70 | — | — | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH BEDFORD HOSPITAL Inpatient | Managed Health Services | All Government Medicaid HIP | $1,371.70 | — | — | 2026-03-25 | MRF ↗ |
| INDIANA UNIVERSITY HEALTH FRANKFORT INC Inpatient | Elevance Health | All Managed Medicaid | $1,371.70 | — | — | 2026-03-25 | MRF ↗ |
| DUPONT HOSPITAL LLC Inpatient | Uhc | Uhc Hcc In Medicaid | $1,371.70 | — | — | 2026-07-15 | MRF ↗ |
| NORTHWEST HEALTH - PORTER Inpatient | Indiana Medicaid | In Medicaid | $1,371.70 | — | — | 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.