7704 — Drug And Alcohol Abuse Or Dependence, Left Against Medical Advice
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE (APR_DRG 7704) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/7704?code_type=APR_DRG
MLA (9th ed.)
“DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE (APR_DRG 7704) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/7704?code_type=APR_DRG. Accessed .
Chicago (notes-bibliography)
“DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE (APR_DRG 7704) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/7704?code_type=APR_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $6,695–$14,506 (25th–75th percentile) across 720 hospitals · 435 payers.
“Negotiated” is the hospital’s negotiated facility rate for this APR_DRG 7704 — 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 |
|---|---|---|---|---|---|---|---|
| LOMA LINDA UNIVERSITY MEDICAL CENTER-MURRIETA InpatientFacility | Inland Empire Health Plan (IEHP) | Medi-Cal | $1.27 | — | — | 2026-02-19 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Molina | CHIP/Medicaid | $1.68 | — | — | 2026-04-15 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Parkland | Medicaid | $1.68 | — | — | 2026-04-15 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Cigna | Medicaid | $1.68 | — | — | 2026-04-15 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Amerigroup | CHIP/Medicaid | $1.68 | — | — | 2026-04-15 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Superior Health Plan | CHIP/Medicaid | $1.68 | — | — | 2026-04-15 | MRF ↗ |
| PHELPS HOSPITAL Inpatient | HealthPlus | HealthPlus (FHP) Medicaid | $773.00 | — | $103,271.00 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Inpatient | United | United - Essential 1&2 | $884.00 | — | $103,271.00 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Inpatient | United | United Medicaid | $884.00 | — | $103,271.00 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Inpatient | United | United - Essential 3&4 | $884.00 | — | $103,271.00 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Inpatient | Fidelis | Fidelis MCD - CHP | $925.00 | — | $103,271.00 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Inpatient | Fidelis | Fidelis Medicaid - FHP | $925.00 | — | $103,271.00 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Inpatient | Affinity | Affinity Health Plan - MCD | $955.00 | — | $103,271.00 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Inpatient | HealthPlus | Blue Cross HealthPlus - Essential 1&2 | $1,018.00 | — | $103,271.00 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Inpatient | Affinity | Affinity Health Plan - CHP | $1,023.00 | — | $103,271.00 | 2026-03-31 | MRF ↗ |
| HIGHLINE MEDICAL CENTER Inpatient | Aetna | Commercial|Rental | — | — | — | 2026-02-28 | MRF ↗ |
| HIGHLINE MEDICAL CENTER Inpatient | Kaiser | Commercial|HMO | — | — | — | 2026-02-28 | MRF ↗ |
| HIGHLINE MEDICAL CENTER Inpatient | MultiPlan | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| HIGHLINE MEDICAL CENTER Inpatient | Kaiser | Commercial|PPO | — | — | — | 2026-02-28 | MRF ↗ |
| ST CLARE HOSPITAL Inpatient | Aetna | Commercial|Rental | — | — | — | 2026-02-28 | MRF ↗ |
| ST ANTHONY HOSPITAL Inpatient | MultiPlan | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| ST ANTHONY HOSPITAL Inpatient | Aetna | Commercial|Rental | — | — | — | 2026-02-28 | MRF ↗ |
| HIGHLINE MEDICAL CENTER Inpatient | Aetna | Commercial|Rental | — | — | — | 2026-02-28 | MRF ↗ |
| ST CLARE HOSPITAL Inpatient | MultiPlan | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| HIGHLINE MEDICAL CENTER Inpatient | MultiPlan | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| ST JOSEPH MEDICAL CENTER Inpatient | MultiPlan | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| ST JOSEPH MEDICAL CENTER Inpatient | Aetna | Commercial|Rental | — | — | — | 2026-02-28 | MRF ↗ |
| HARRISON MEDICAL CENTER Inpatient | United | Commercial|All Other Plans | — | — | — | 2026-02-28 | MRF ↗ |
| HARRISON MEDICAL CENTER Inpatient | United | Commercial|Cascade Care | — | — | — | 2026-02-28 | MRF ↗ |
| HARRISON MEDICAL CENTER Inpatient | Cigna | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| HARRISON MEDICAL CENTER Inpatient | Aetna | Commercial|Rental | — | — | — | 2026-02-28 | MRF ↗ |
| HARRISON MEDICAL CENTER Inpatient | Aetna | Commercial|All Other Plans | — | — | — | 2026-02-28 | MRF ↗ |
| HARRISON MEDICAL CENTER Inpatient | MultiPlan | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| HARRISON MEDICAL CENTER Inpatient | Aetna | Commercial|AWH | — | — | — | 2026-02-28 | MRF ↗ |
| HARRISON MEDICAL CENTER Inpatient | Aetna | Commercial|Sound Health | — | — | — | 2026-02-28 | MRF ↗ |
| HARRISON MEDICAL CENTER Inpatient | Aetna | Commercial|WEA | — | — | — | 2026-02-28 | MRF ↗ |
| HARRISON MEDICAL CENTER Inpatient | First Choice | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| ST FRANCIS COMMUNITY HOSPITAL Inpatient | Aetna | Commercial|Rental | — | — | — | 2026-02-28 | MRF ↗ |
| ST FRANCIS COMMUNITY HOSPITAL Inpatient | MultiPlan | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| ST FRANCIS COMMUNITY HOSPITAL Inpatient | MultiPlan | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| ST FRANCIS COMMUNITY HOSPITAL Inpatient | Aetna | Commercial|Rental | — | — | — | 2026-02-28 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER InpatientFacility | MVP Health Care of NY | Individual Commercial/Student Health | $1,082.32 | — | — | 2025-07-23 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER InpatientFacility | MVP Health Care of NY | Small Large Group Commercial | $1,082.32 | — | — | 2025-07-23 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Inpatient | HealthPlus | Blue Cross HealthPlus - Essential 1&2 | $1,086.09 | — | $34,019.00 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Inpatient | Metroplus | MetroPlus Medicaid & FHP | $1,096.00 | — | $103,271.00 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Inpatient | HealthPlus | HealthPlus (FHP) Medicaid | $1,103.00 | — | $103,271.00 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Inpatient | Fidelis | Fidelis - Essential 1&2 | $1,110.00 | — | $103,271.00 | 2026-03-31 | MRF ↗ |
| MONTEFIORE ST LUKE'S CORNWALL Inpatient | Anthem | Exchange | $1,122.49 | — | — | 2026-04-01 | 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 | STARPLUS | $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 | CHPFC | $1,139.00 | — | — | 2024-10-01 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Inpatient | Metroplus | MetroPlus Medicaid & FHP | $1,182.00 | — | $103,271.00 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Inpatient | Fidelis | Fidelis Medicaid - FHP | $1,265.00 | — | $103,271.00 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Inpatient | Metroplus | MetroPlus CHP | $1,297.00 | — | $103,271.00 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Inpatient | Metroplus | MetroPlus CHP | $1,297.00 | — | $103,271.00 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Inpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network | $1,371.76 | — | $103,271.00 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Inpatient | HealthPlus | Blue Cross HealthPlus - Essential 1&2 | $1,375.00 | — | $103,271.00 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Inpatient | HealthPlus | HealthPlus (CHP) Medicaid | $1,445.00 | — | $103,271.00 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Inpatient | HealthPlus | HealthPlus (CHP) Medicaid | $1,445.00 | — | $103,271.00 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Inpatient | United | United Medicaid | $1,450.80 | — | $103,271.00 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Inpatient | United | United - Essential 3&4 | $1,450.80 | — | $103,271.00 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Inpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network | $1,450.80 | — | $103,271.00 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Inpatient | Metroplus | Metroplus - Exchange | $1,450.80 | — | $103,271.00 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Inpatient | United | United - Essential 1&2 | $1,450.80 | — | $103,271.00 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Inpatient | HealthPlus | Blue Cross HealthPlus - Essential 1&2 | $1,456.27 | — | $103,271.00 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Inpatient | HealthPlus | Blue Cross HealthPlus - Essential 1&2 | $1,456.27 | — | $103,271.00 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Inpatient | Fidelis | Fidelis - Essential 1&2 | $1,517.00 | — | $103,271.00 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Inpatient | MVP | Mohawk Valley Plan (MVP) - HMO/PPO | $1,534.00 | — | $103,271.00 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Inpatient | Emblem | Emblem - Essential 3&4 | $1,540.00 | — | $103,271.00 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Inpatient | Emblem | HIP Medicaid | $1,540.00 | — | $103,271.00 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Inpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network - CHP | $1,577.52 | — | $103,271.00 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Inpatient | Emblem | Emblem - Essential 1&2 | $1,585.00 | — | $103,271.00 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Inpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network - CHP | $1,668.42 | — | $103,271.00 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Inpatient | Fidelis | Fidelis MCD - CHP | $1,671.00 | — | $103,271.00 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Inpatient | HealthFirst | Healthfirst - Exchange Intra-Network | $1,920.46 | — | $103,271.00 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Inpatient | HealthFirst | Healthfirst - Exchange Intra-Network | $2,031.12 | — | $103,271.00 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Inpatient | HealthPlus | HealthPlus (FHP) Medicaid | $2,104.71 | — | $34,019.00 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Inpatient | Affinity | Affinity Health Plan - MCD | $2,157.00 | — | $103,271.00 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Inpatient | Fidelis | Fidelis Medicaid - FHP | $2,248.71 | — | $34,019.00 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Inpatient | Fidelis | Fidelis MCD - CHP | $2,284.71 | — | $34,019.00 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Inpatient | Affinity | Affinity Health Plan - MCD | $2,284.71 | — | $34,019.00 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Inpatient | HealthPlus | HealthPlus (CHP) Medicaid | $2,302.71 | — | $34,019.00 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Inpatient | Emblem | Emblem - Essential 3&4 | $2,303.00 | — | $103,271.00 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Inpatient | Emblem | HIP Medicaid | $2,303.00 | — | $103,271.00 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Inpatient | HealthFirst | Healthfirst - Exchange Small Group Intra-Network | $2,304.55 | — | $103,271.00 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Inpatient | Affinity | Affinity Health Plan - CHP | $2,352.71 | — | $34,019.00 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Inpatient | Emblem | Emblem - Essential 1&2 | $2,370.00 | — | $103,271.00 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Inpatient | Affinity | Affinity Health Plan - CHP | $2,373.00 | — | $103,271.00 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Inpatient | Fidelis | Fidelis - Essential 1&2 | $2,404.71 | — | $34,019.00 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Inpatient | United | United Medicaid | $2,421.71 | — | $34,019.00 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Inpatient | United | United - Essential 3&4 | $2,421.71 | — | $34,019.00 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Inpatient | United | United - Essential 1&2 | $2,421.71 | — | $34,019.00 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Inpatient | HealthFirst | Healthfirst - Exchange Small Group Intra-Network | $2,437.34 | — | $103,271.00 | 2026-03-31 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | CareSource Indiana Healthy Indiana Plan (HIP) | Managed Medicaid | $2,485.30 | — | — | 2025-03-27 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | United Healthcare of Indiana | Managed Medicaid | $2,485.30 | — | — | 2025-03-27 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | Managed Health Services (MHS) | Managed Medicaid | $2,485.30 | — | — | 2025-03-27 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | Managed Health Services (MHS) Hoosier Care Connect | Managed Medicaid | $2,485.30 | — | — | 2025-03-27 | MRF ↗ |
| REID HEALTH InpatientFacility | Anthem Blue Cross Blue Shield | Pathways for Aging/Managed Medicaid | $2,485.30 | — | — | 2025-07-21 | MRF ↗ |
| REID HEALTH InpatientFacility | MDWise | Managed Medicaid | $2,485.30 | — | — | 2025-07-21 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Humana | Managed Medicaid | $2,485.30 | — | — | 2025-04-24 | MRF ↗ |
| REID HEALTH InpatientFacility | Caresource of Indiana | Managed Medicaid | $2,485.30 | — | — | 2025-07-21 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Managed Health Services (MHS) Hoosier Healthwise (HHW) | Managed Medicaid | $2,485.30 | — | — | 2025-04-24 | MRF ↗ |
| REID HEALTH InpatientFacility | Humana of Indiana | Pathways for Aging/Managed Medicaid | $2,485.30 | — | — | 2025-07-21 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Managed Health Services (MHS) Hoosier Care Connect | Managed Medicaid | $2,485.30 | — | — | 2025-04-24 | MRF ↗ |
| REID HEALTH InpatientFacility | MHS | Managed Medicaid | $2,485.30 | — | — | 2025-07-21 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Anthem Blue Cross Blue Shield | Managed Medicaid | $2,485.30 | — | — | 2025-04-24 | MRF ↗ |
| REID HEALTH InpatientFacility | Anthem Blue Cross Blue Shield | Managed Medicaid | $2,485.30 | — | — | 2025-07-21 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | CareSource Indiana Healthy Indiana Plan (HIP) | Managed Medicaid | $2,485.30 | — | — | 2025-04-24 | MRF ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC InpatientFacility | Managed Health Services | Medicaid | $2,501.86 | — | — | 2026-02-18 | MRF ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC InpatientFacility | CareSource Indiana of IN | Hoosier Healthwise/HIP | $2,501.86 | — | — | 2026-02-18 | MRF ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC InpatientFacility | MDWise | Medicaid | $2,501.86 | — | — | 2026-02-18 | MRF ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC InpatientFacility | Anthem Blue Cross of IN | Medicaid | $2,501.86 | — | — | 2026-02-18 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | CareSource Indiana Hoosier Healthwise (HHW) | Managed Medicaid | $2,510.15 | — | — | 2025-03-27 | MRF ↗ |
| REID HEALTH InpatientFacility | United Healthcare | Pathways for Aging/Managed Medicaid | $2,535.01 | — | — | 2025-07-21 | MRF ↗ |
| REID HEALTH InpatientFacility | United Healthcare | Managed Medicaid | $2,535.01 | — | — | 2025-07-21 | MRF ↗ |
| MONROE HOSPITAL Inpatient | Traditional Medicaid | Traditional Medicaid | $2,537.04 | — | — | 2024-12-19 | MRF ↗ |
| MONROE HOSPITAL Inpatient | Care Source | Care Source Medicaid - Healthy Indiana Plan - HIP | $2,537.04 | — | — | 2024-12-19 | MRF ↗ |
| MONROE HOSPITAL Inpatient | Non-Contracted Medicaid | Non-Contracted Medicaid | $2,537.04 | — | — | 2024-12-19 | MRF ↗ |
| MONROE HOSPITAL Inpatient | BCBS | BCBS Medicaid - Hoosier Healthwise | $2,537.04 | — | — | 2024-12-19 | MRF ↗ |
| MONROE HOSPITAL Inpatient | Care Source | Care Source Medicaid - Hoosier Healthwise | $2,537.04 | — | — | 2024-12-19 | MRF ↗ |
| MONROE HOSPITAL Inpatient | BCBS | BCBS Medicaid - Hoosier Healthwise | $2,537.04 | — | — | 2026-03-17 | MRF ↗ |
| MONROE HOSPITAL Inpatient | Traditional Medicaid | Traditional Medicaid | $2,537.04 | — | — | 2026-03-17 | MRF ↗ |
| MONROE HOSPITAL Inpatient | United Healthcare | UHC Medicaid CHIP - Hoosier Care | $2,537.04 | — | — | 2024-12-19 | MRF ↗ |
| MONROE HOSPITAL Inpatient | United Healthcare | UHC Medicaid CHIP - Hoosier Care | $2,537.04 | — | — | 2026-03-17 | MRF ↗ |
| MONROE HOSPITAL Inpatient | Care Source | Care Source Medicaid - Healthy Indiana Plan - HIP | $2,537.04 | — | — | 2026-03-17 | MRF ↗ |
| MONROE HOSPITAL Inpatient | Care Source | Care Source Medicaid - Hoosier Healthwise | $2,537.04 | — | — | 2026-03-17 | MRF ↗ |
| MONROE HOSPITAL Inpatient | Monroe Medical Group and Managed Health Services | Monroe Medical Group Medicaid | $2,537.04 | — | — | 2026-03-17 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | United Healthcare | Managed Medicaid | $2,559.86 | — | — | 2025-04-24 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | CareSource Indiana Hoosier Healthwise (HHW) | Managed Medicaid | $2,559.86 | — | — | 2025-04-24 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Inpatient | Metroplus | MetroPlus Medicaid & FHP | $2,561.71 | — | $34,019.00 | 2026-03-31 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | MDwise Hoosier Healthwise (HHW) | Managed Medicaid | $2,609.57 | — | — | 2025-03-27 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Mdwise Hoosier Healthwise (HHW) | Managed Medicaid | $2,609.57 | — | — | 2025-04-24 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Molina Healthcare of Indiana | Managed Medicaid | $2,634.42 | — | — | 2025-04-24 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Inpatient | Metroplus | MetroPlus CHP | $2,658.71 | — | $34,019.00 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Inpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network | $2,777.75 | — | $34,019.00 | 2026-03-31 | MRF ↗ |
| METHODIST HOSPITAL UNION COUNTY InpatientFacility | MHS IN MCO | Managed Medicaid | $2,840.05 | — | — | 2026-02-13 | MRF ↗ |
| METHODIST HOSPITAL UNION COUNTY InpatientFacility | CareSource IN | Managed Medicaid | $2,840.05 | — | — | 2026-02-13 | MRF ↗ |
| DEACONESS HENDERSON HOSPITAL InpatientFacility | United Healthcare IN | Managed Medicaid | $2,840.05 | — | — | 2026-02-09 | MRF ↗ |
| DEACONESS HENDERSON HOSPITAL InpatientFacility | MHS IN Medicaid Product (IN) | Managed Medicaid | $2,840.05 | — | — | 2026-02-09 | MRF ↗ |
| DEACONESS HENDERSON HOSPITAL InpatientFacility | Caresource IN | Managed Medicaid | $2,840.05 | — | — | 2026-02-09 | MRF ↗ |
| DEACONESS HENDERSON HOSPITAL InpatientFacility | Anthem IN | Managed Medicaid | $2,840.05 | — | — | 2026-02-09 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Inpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network - CHP | $2,974.55 | — | $34,019.00 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Inpatient | Fidelis | Fidelis - Essential 3&4 | $3,086.46 | — | $103,271.00 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Inpatient | HealthFirst | Healthfirst - Essential Intra-Network 1&2 | $3,086.46 | — | $103,271.00 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Inpatient | HealthFirst | Healthfirst - Essential Intra-Network 3&4 | $3,086.46 | — | $103,271.00 | 2026-03-31 | MRF ↗ |
| NORTON-KING'S DAUGHTERS' HEALTH InpatientFacility | United Healthcare of Indiana | Managed Medicaid | $3,131.77 | — | — | 2026-05-05 | MRF ↗ |
| NORTON-KING'S DAUGHTERS' HEALTH InpatientFacility | Managed Health Services of Indiana | Managed Medicaid | $3,131.77 | — | — | 2026-05-05 | MRF ↗ |
| NORTON-KING'S DAUGHTERS' HEALTH InpatientFacility | Anthem of Indiana | Managed Medicaid | $3,131.77 | — | — | 2026-05-05 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Inpatient | Fidelis | Fidelis - Essential 3&4 | $3,264.30 | — | $103,271.00 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Inpatient | HealthFirst | Healthfirst - Essential Intra-Network 3&4 | $3,264.30 | — | $103,271.00 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Inpatient | HealthFirst | Healthfirst - Essential Intra-Network 1&2 | $3,264.30 | — | $103,271.00 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Inpatient | HealthFirst | Healthfirst - Exchange Intra-Network | $3,302.56 | — | $34,019.00 | 2026-03-31 | MRF ↗ |
| NYACK HOSPITAL Inpatient | HealthFirst | Exchange Product - Enrollees | $3,521.68 | — | $7,043.36 | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Inpatient | HealthFirst | Exchange Product - Enrollees | $3,521.68 | — | $7,043.36 | 2025-06-27 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Inpatient | HealthPlus | HealthPlus (FHP) Medicaid | $3,663.66 | — | $103,271.00 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Inpatient | HealthPlus | HealthPlus (FHP) Medicaid | $3,663.66 | — | $103,271.00 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Inpatient | HealthFirst | Healthfirst - Exchange Small Group Intra-Network | $3,669.93 | — | $34,019.00 | 2026-03-31 | MRF ↗ |
| SAMARITAN MEDICAL CENTER InpatientFacility | MVP | Essential Plan 3-4 | $3,827.25 | — | — | 2026-02-02 | MRF ↗ |
| SAMARITAN MEDICAL CENTER InpatientFacility | Capital District Physician's Health Plan, Inc (CDPHP) | Managed Medicaid | $3,827.25 | — | — | 2026-02-02 | MRF ↗ |
| SAMARITAN MEDICAL CENTER InpatientFacility | Excellus | Managed Medicaid | $3,827.25 | — | — | 2026-02-02 | MRF ↗ |
| SAMARITAN MEDICAL CENTER InpatientFacility | Fidelis | Medicaid Managed Care/Child Health Plus and Family Health Plus | $3,827.25 | — | — | 2026-02-02 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Inpatient | Affinity | Affinity Health Plan - Essential 1&2 | $3,836.00 | — | $103,271.00 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Inpatient | Metroplus | Metroplus - Exchange | $3,840.92 | — | $103,271.00 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Inpatient | HealthPlus | HealthPlus (CHP) Medicaid | $3,854.66 | — | $103,271.00 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Inpatient | HealthPlus | HealthPlus (CHP) Medicaid | $3,854.66 | — | $103,271.00 | 2026-03-31 | MRF ↗ |
| THE SHRINERS' HOSPITAL FOR CHILDREN - BOSTON InpatientFacility | None | — | — | — | — | 2026-03-17 | MRF ↗ |
| SAMARITAN MEDICAL CENTER InpatientFacility | United Healthcare | Managed Medicaid | $3,942.07 | — | — | 2026-02-02 | MRF ↗ |
| ST BARNABAS HOSPITAL InpatientFacility | Fidelis | Qualified Health Plan | $3,979.06 | — | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL InpatientFacility | Fidelis | Qualified Health Plan | $3,979.06 | — | — | 2026-02-27 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Inpatient | Emblem | Emblem - Essential 3&4 | $3,995.71 | — | $34,019.00 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Inpatient | Emblem | HIP Medicaid | $3,995.71 | — | $34,019.00 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Inpatient | Metroplus | MetroPlus Medicaid & FHP | $4,064.66 | — | $103,271.00 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Inpatient | Metroplus | MetroPlus Medicaid & FHP | $4,064.66 | — | $103,271.00 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Inpatient | Emblem | Emblem - Essential 1&2 | $4,068.71 | — | $34,019.00 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Inpatient | United | United - Essential 3&4 | $4,157.66 | — | $103,271.00 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Inpatient | United | United - Essential 3&4 | $4,157.66 | — | $103,271.00 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Inpatient | United | United - Essential 1&2 | $4,157.66 | — | $103,271.00 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Inpatient | United | United - Essential 1&2 | $4,157.66 | — | $103,271.00 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Inpatient | United | United Medicaid | $4,157.66 | — | $103,271.00 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Inpatient | United | United Medicaid | $4,157.66 | — | $103,271.00 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Inpatient | Affinity | Affinity Health Plan - Essential 1&2 | $4,192.00 | — | $103,271.00 | 2026-03-31 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN InpatientFacility | None | — | — | — | — | 2026-03-18 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Inpatient | Peach State Ambetter | MCD | $4,208.00 | — | — | 2024-10-01 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Inpatient | Metroplus | MetroPlus CHP | $4,248.66 | — | $103,271.00 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Inpatient | Metroplus | MetroPlus CHP | $4,248.66 | — | $103,271.00 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Inpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network - CHP | $4,346.36 | — | $103,271.00 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Inpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network - CHP | $4,346.36 | — | $103,271.00 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Inpatient | HealthFirst | Healthfirst - Essential Intra-Network 1&2 | $4,417.80 | — | $34,019.00 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Inpatient | Fidelis | Fidelis - Essential 3&4 | $4,417.80 | — | $34,019.00 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Inpatient | HealthFirst | Healthfirst - Essential Intra-Network 3&4 | $4,417.80 | — | $34,019.00 | 2026-03-31 | MRF ↗ |
| THE WOMEN'S HOSPITAL InpatientFacility | Anthem IN Pathways for Aging | Managed Medicaid | $4,453.22 | — | — | 2026-02-13 | MRF ↗ |
| THE WOMEN'S HOSPITAL InpatientFacility | Caresource HIP | Managed Medicaid | $4,453.22 | — | — | 2026-02-13 | MRF ↗ |
| THE WOMEN'S HOSPITAL InpatientFacility | Anthem HIP | Managed Medicaid | $4,453.22 | — | — | 2026-02-13 | MRF ↗ |
| THE WOMEN'S HOSPITAL InpatientFacility | Anthem IN | Managed Medicaid | $4,453.22 | — | — | 2026-02-13 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | UHC Medicaid NY | Medicaid | $4,538.26 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | Beacon | Managed Medicaid | $4,538.26 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | Fidelis | Child Health Plus | $4,538.26 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | Beacon | Managed Medicaid | $4,538.26 | — | — | 2026-03-06 | 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.