758-4 — Behavioral Disorders
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). BEHAVIORAL DISORDERS (OTHER 758-4) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/758-4?code_type=OTHER
MLA (9th ed.)
“BEHAVIORAL DISORDERS (OTHER 758-4) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/758-4?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“BEHAVIORAL DISORDERS (OTHER 758-4) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/758-4?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $8,766–$24,706 (25th–75th percentile) across 156 hospitals · 369 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 758-4 — 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 | $136.95 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Medicaid Other | Medicaid Other | $197.21 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $211.64 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $219.43 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Select Health | Select Health Medicaid | $222.98 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Molina | Molina Medicaid | $222.98 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $225.14 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $227.31 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | Medicaid Other | Medicaid Other | $233.34 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $234.78 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Inpatient | Medicaid Sc | Medicaid Sc | $235.05 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Inpatient | Select Health | Select Health Medicaid | $236.36 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Inpatient | Molina | Molina Medicaid | $236.36 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $238.66 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $240.95 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Inpatient | Molina Healthcare | Molina Medicaid | $242.09 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Inpatient | Select Health | Select Health Medicaid | $246.80 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Inpatient | Absolute Total Care | Absolute Total Care Medicaid | $246.80 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Inpatient | Bluechoice | Bluechoice Medicaid | $246.80 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $248.46 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $250.24 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $252.89 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Inpatient | Medicaid Other | Medicaid Other | $253.51 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | Medicaid | Medicaid | $254.15 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $255.97 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | Absolute Total Care | Absolute Total Care Medicaid | $256.64 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $260.80 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $260.80 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | Select Health | Select Health Medicaid | $263.84 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | Molina | Molina Medicaid | $266.44 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | Select Health | Select Health Medicaid | $266.44 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $266.86 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $269.03 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $269.31 | — | — | 2026-05-14 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $269.31 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $271.40 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $271.61 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $271.94 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | Bluechoice Medicaid | Bluechoice Medicaid | $273.43 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Select Health | Select Health Medicaid | $274.77 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Select Health | Select Health Medicaid | $274.77 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Molina | Molina Medicaid | $274.77 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Molina | Molina Medicaid | $274.77 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $277.44 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $277.44 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Medicaid Other | Medicaid Other | $277.99 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Medicaid Other | Medicaid Other | $277.99 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | Select Health | Select Health Medicaid | $279.57 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $280.11 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $280.11 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid | $282.11 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | Molina Healthcare Of Sc | Molina Medicaid | $283.03 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Select Health | Select Health Medicaid | $283.74 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Molina | Molina Medicaid | $283.74 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Molina | Molina Medicaid | $283.74 | — | — | 2026-05-14 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Select Health | Select Health Medicaid | $283.74 | — | — | 2026-05-14 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Inpatient | Medicaid Other | Medicaid Other | $284.33 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Inpatient | Select Health | Select Health Medicaid | $285.95 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Inpatient | Molina | Molina Medicaid | $285.95 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $286.50 | — | — | 2026-05-14 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $286.50 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | Medicaid Sc | Medicaid Sc | $286.84 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $288.27 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $288.34 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $288.34 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $288.73 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $289.25 | — | — | 2026-05-14 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $289.25 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $290.41 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $290.41 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $291.51 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | Molina | Molina Medicaid | $292.27 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $294.76 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $294.76 | — | — | 2026-05-14 | MRF ↗ |
| PRISMA HEALTH BAPTIST Inpatient | Medicaid Sc | Medicaid Sc | $298.34 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | Medicaid Sc | Medicaid Sc | $298.34 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $298.64 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST Inpatient | Absolute Total Care | Absolute Total Care Medicaid | $301.20 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | Absolute Total Care | Absolute Total Care Medicaid | $301.20 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $304.23 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $306.91 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $306.91 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST Inpatient | Select Health | Select Health Medicaid | $315.54 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | Select Health | Select Health Medicaid | $315.54 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $319.22 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $319.22 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $319.55 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | Bluechoice Medicaid | Bluechoice Medicaid | $327.01 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST Inpatient | Bluechoice Medicaid | Bluechoice Medicaid | $327.01 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST Inpatient | Molina Healthcare Of Sc | Molina Medicaid | $338.49 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | Molina Healthcare Of Sc | Molina Medicaid | $338.49 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $352.09 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $352.09 | — | — | 2026-05-14 | MRF ↗ |
| Prisma Health North Greenville Ltach Inpatient | Medicaid Other | Medicaid Other | $640.40 | — | — | 2026-05-06 | MRF ↗ |
| Prisma Health North Greenville Ltach Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $685.23 | — | — | 2026-05-06 | MRF ↗ |
| Prisma Health North Greenville Ltach Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $726.33 | — | — | 2026-05-06 | MRF ↗ |
| Prisma Health North Greenville Ltach Inpatient | Medicaid Of South Carolina | Medicaid | $742.98 | — | — | 2026-05-06 | MRF ↗ |
| Prisma Health North Greenville Ltach Inpatient | Molina | Molina Medicaid | $765.27 | — | — | 2026-05-06 | MRF ↗ |
| Prisma Health North Greenville Ltach Inpatient | Select Health | Select Health Medicaid | $765.27 | — | — | 2026-05-06 | MRF ↗ |
| Prisma Health North Greenville Ltach Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $772.70 | — | — | 2026-05-06 | MRF ↗ |
| Prisma Health North Greenville Ltach Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $780.12 | — | — | 2026-05-06 | MRF ↗ |
| KOSCIUSKO COMMUNITY HOSPITAL Inpatient | Caresource | Caresource In Medicaid | $963.20 | — | — | 2026-05-08 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | Caresource | Caresource Medicaid | $963.20 | — | — | 2026-05-09 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Inpatient | Medicaid | Medicaid Out Of State | $963.20 | — | — | 2026-05-27 | 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 ↗ |
| PALMETTO GENERAL HOSPITAL Inpatient | Molina Managed Medicaid | Molina Managed Medicaid | $1,200.00 | — | — | 2026-05-08 | MRF ↗ |
| Florida Medical Center 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 ↗ |
| NORTH SHORE MEDICAL CENTER Inpatient | Molina Managed Medicaid | Molina Managed Medicaid | $1,200.00 | — | — | 2026-05-08 | 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 ↗ |
| Florida Medical Center Inpatient | Molina Managed Medicaid | Molina Managed Medicaid | $1,200.00 | — | — | 2026-05-13 | MRF ↗ |
| CORAL GABLES HOSPITAL Inpatient | Molina Managed Medicaid | Molina Managed Medicaid | $1,200.00 | — | — | 2026-05-08 | MRF ↗ |
| HIALEAH HOSPITAL Inpatient | Molina Managed Medicaid | Molina Managed Medicaid | $1,200.00 | — | — | 2026-05-24 | MRF ↗ |
| HIALEAH HOSPITAL Inpatient | Molina Managed Medicaid | Molina Managed Medicaid | $1,200.00 | — | — | 2026-05-07 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Inpatient | Managed Health Services | Mhs 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 ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Inpatient | Mhs | Mhs In Hip | $1,371.70 | — | — | 2026-05-27 | MRF ↗ |
| LUTHERAN HOSPITAL Inpatient | Care Source | Caresource In Hip | $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 ↗ |
| DUPONT HOSPITAL LLC Inpatient | Managed Health Services | Mhs In Hip | $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 ↗ |
| LUTHERAN HOSPITAL Inpatient | Managed Health Services | Mhs Hcc In Medicaid | $1,371.70 | — | — | 2026-05-27 | MRF ↗ |
| LUTHERAN HOSPITAL Inpatient | Uhc | Uhc 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 | Medicaid Non-Par | In Medicaid Non-Par | $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 ↗ |
| DUPONT HOSPITAL LLC Inpatient | Medicaid Non-Par | In Medicaid Non-Par | $1,371.70 | — | — | 2026-05-27 | MRF ↗ |
| DUPONT HOSPITAL LLC Inpatient | Uhc | Uhc Hcc In Medicaid | $1,371.70 | — | — | 2026-05-27 | MRF ↗ |
| DUPONT HOSPITAL LLC Inpatient | Uhc | Uhc Pathways In Medicaid | $1,371.70 | — | — | 2026-05-27 | MRF ↗ |
| DUPONT HOSPITAL LLC Inpatient | Caresource | Caresource Hhw In Medicaid | $1,371.70 | — | — | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH - PORTER Inpatient | Uhc Pathways In Medicaid | Uhc Pathways In Medicaid | $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 ↗ |
| NORTHWEST HEALTH - PORTER Inpatient | Humana Pathways In Medicaid | Humana Pathways 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 ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Inpatient | Managed Health Services | Mhs Hhw In Medicaid | $1,371.70 | — | — | 2026-05-27 | MRF ↗ |
| LUTHERAN HOSPITAL Inpatient | Uhc | Uhc Hcc In Medicaid | $1,371.70 | — | — | 2026-05-27 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Inpatient | Anthem | Anthem In Medicaid | $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 | Caresource | Caresource In Hip | $1,371.70 | — | — | 2026-05-27 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Inpatient | Uhc | Uhc 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 ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Inpatient | Medicaid | In Medicaid | $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 ↗ |
| LUTHERAN HOSPITAL Inpatient | Managed Health Services | Mhs In Hip | $1,371.70 | — | — | 2026-05-27 | MRF ↗ |
| DUPONT HOSPITAL LLC Inpatient | Caresource | Caresource In Hip | $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 ↗ |
| KOSCIUSKO COMMUNITY HOSPITAL Inpatient | Caresource | Caresource Hhw In Medicaid | $1,371.70 | — | — | 2026-05-08 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Inpatient | Uhc Pathways In Medicaid | Uhc Pathways In Medicaid | $1,371.70 | — | — | 2026-05-13 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Inpatient | Humana Pathways In Medicaid | Humana Pathways In Medicaid | $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 ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | Indiana Medicaid | In Medicaid | $1,371.70 | — | — | 2026-05-09 | 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 | Managed Health Services | Mhs Hhw In Medicaid | $1,371.70 | — | — | 2026-05-13 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | Caresource | Caresource In Hip | $1,371.70 | — | — | 2026-05-09 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Inpatient | Managed Health Services | Mhs In Hip | $1,371.70 | — | — | 2026-05-13 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | Uhc | Uhc Hcc In Medicaid | $1,371.70 | — | — | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | Mhs | Mhs Hcc 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 ↗ |
| NORTHWEST HEALTH - STARKE Inpatient | Uhc Pathways In Medicaid | Uhc Pathways In Medicaid | $1,371.70 | — | — | 2026-05-27 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Inpatient | Medicaid Non Par | In Medicaid Non-Par | $1,371.70 | — | — | 2026-05-13 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Inpatient | Uhc | Uhc Hcc In Medicaid | $1,371.70 | — | — | 2026-05-13 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | Anthem | Anthem 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 ↗ |
| 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 ↗ |
| DUKES MEMORIAL HOSPITAL Inpatient | Mhs | Mhs Hcc In Medicaid | $1,371.70 | — | — | 2026-05-13 | MRF ↗ |
| KOSCIUSKO COMMUNITY HOSPITAL Inpatient | In Medicaid | In Medicaid Non-Par | $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 ↗ |
| KOSCIUSKO COMMUNITY HOSPITAL Inpatient | Mhs | Mhs Hhw In Medicaid | $1,371.70 | — | — | 2026-05-08 | MRF ↗ |
| KOSCIUSKO COMMUNITY HOSPITAL Inpatient | Caresource | Caresource In Hip | $1,371.70 | — | — | 2026-05-08 | MRF ↗ |
| KOSCIUSKO COMMUNITY HOSPITAL Inpatient | Mhs | Mhs Hcc In Medicaid | $1,371.70 | — | — | 2026-05-08 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Inpatient | Medicaid In | In Medicaid | $1,371.70 | — | — | 2026-05-13 | MRF ↗ |
| KOSCIUSKO COMMUNITY HOSPITAL Inpatient | Managed Health Services | Mhs In Hip | $1,371.70 | — | — | 2026-05-08 | MRF ↗ |
| KOSCIUSKO COMMUNITY HOSPITAL Inpatient | Medicaid | In Medicaid | $1,371.70 | — | — | 2026-05-08 | MRF ↗ |
| KOSCIUSKO COMMUNITY HOSPITAL Inpatient | Uhc | Uhc Hcc In Medicaid | $1,371.70 | — | — | 2026-05-08 | MRF ↗ |
| KOSCIUSKO COMMUNITY HOSPITAL Inpatient | Anthem Blue Cross Blue Shield | Anthem In Medicaid | $1,371.70 | — | — | 2026-05-08 | 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 ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | In Medicaid | In Medicaid Non-Par | $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 Pathways In Medicaid | $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 ↗ |
| ST JOSEPH HEALTH SYSTEM, LLC Inpatient | Anthem Bcbs | Anthem 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 ↗ |
| ST JOSEPH HEALTH SYSTEM, LLC Inpatient | Managed Health Services | Mhs Hhw In Medicaid | $1,371.70 | — | — | 2026-05-09 | MRF ↗ |
| ST JOSEPH HEALTH SYSTEM, LLC Inpatient | Managed Health Services | Mhs Hcc In Medicaid | $1,371.70 | — | — | 2026-05-09 | 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 | Uhc Pathways In Medicaid | Uhc Pathways In Medicaid | $1,371.70 | — | — | 2026-05-08 | MRF ↗ |
| ST JOSEPH HEALTH SYSTEM, LLC Inpatient | Managed Health Services | Mhs In Hip | $1,371.70 | — | — | 2026-05-09 | MRF ↗ |
| DUPONT HOSPITAL LLC Inpatient | Medicaid | In Medicaid | $1,371.70 | — | — | 2026-05-27 | MRF ↗ |
| DUPONT HOSPITAL LLC Inpatient | Anthem Bcbs | Anthem In Medicaid | $1,371.70 | — | — | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Inpatient | In Medicaid | In Medicaid Non-Par | $1,371.70 | — | — | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Inpatient | Mhs | Mhs Hhw 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 ↗ |
| NORTHWEST HEALTH - STARKE Inpatient | Indiana Medicaid | In Medicaid | $1,371.70 | — | — | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Inpatient | Managed Health Services | Mhs In Hip | $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.