7914 — O.r. Procedure For Other Complications Of Treatment
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). O.R. procedure for other complications of treatment (APR_DRG 7914) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/7914?code_type=APR_DRG
MLA (9th ed.)
“O.R. procedure for other complications of treatment (APR_DRG 7914) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/7914?code_type=APR_DRG. Accessed .
Chicago (notes-bibliography)
“O.R. procedure for other complications of treatment (APR_DRG 7914) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/7914?code_type=APR_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $51,791–$117,690 (25th–75th percentile) across 141 hospitals · 115 payers.
“Negotiated” is the hospital’s negotiated rate for the entire inpatient stay under APR_DRG 7914 — 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 |
|---|---|---|---|---|---|---|---|
| ELIZABETHTOWN COMMUNITY HOSPITAL InpatientFacility | — | — | — | — | — | 2025-01-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Medicaid Other | — | $1,086.64 | $242,219.90 | $157,442.93 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Medicaid Sc | — | $1,094.58 | $242,219.90 | $157,442.93 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Bluechoice Medicaid (Greenville County Only) | — | $1,112.54 | $242,219.90 | $157,442.93 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Molina Medicaid | — | $1,127.42 | $242,219.90 | $157,442.93 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Blue Choice Medicaid (Greenville County Only) | — | $1,132.37 | $242,219.90 | $157,442.93 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Bluechoice Medicaid | — | $1,149.31 | $242,219.90 | $157,442.93 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Absolute Total Care Medicaid | — | $1,149.31 | $242,219.90 | $157,442.93 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Select Health Medicaid | — | $1,149.31 | $242,219.90 | $157,442.93 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Blue Choice Medicaid (Greenville County Only) | — | $1,167.80 | $242,219.90 | $157,442.93 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Medicaid | — | $1,183.55 | $242,219.90 | $157,442.93 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Medicaid Other | — | $1,183.55 | $242,219.90 | $157,442.93 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Absolute Total Care Medicaid | — | $1,195.15 | $242,219.90 | $157,442.94 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bluechoice Medicaid | — | $1,204.65 | $242,219.90 | $157,442.93 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Blue Choice Medicaid (Greenville County Only) | — | $1,205.90 | $242,220.00 | $157,443.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Blue Choice Medicaid (Greenville County Only) | — | $1,215.28 | $242,219.90 | $157,442.93 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Select Health Medicaid | — | $1,228.66 | $242,219.90 | $157,442.94 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Molina Medicaid | — | $1,240.79 | $242,219.90 | $157,442.93 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Select Health Medicaid | — | $1,240.79 | $242,219.90 | $157,442.93 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Bluechoice Medicaid | — | $1,242.34 | $242,219.90 | $157,442.93 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Medicaid Sc | — | $1,263.15 | $242,219.90 | $157,442.93 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Medicaid | — | $1,263.95 | $242,219.90 | $157,442.93 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Absolute Total Care Medicaid | — | $1,264.88 | $242,219.90 | $157,442.93 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Humana Healthy Horizons Medicaid | — | $1,266.40 | $242,219.90 | $157,442.93 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Bluechoice Medicaid | — | $1,273.34 | $242,219.90 | $157,442.94 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Select Health Medicaid | — | $1,279.61 | $242,219.90 | $157,442.93 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Molina Medicaid | — | $1,279.61 | $242,219.90 | $157,442.93 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Medicaid | — | $1,282.87 | $242,220.00 | $157,443.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Medicare Advantage Non Contracted | — | $1,282.87 | $242,220.00 | $157,443.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Bluechoice Medicaid | — | $1,282.87 | $242,220.00 | $157,443.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Bluechoice Medicaid | — | $1,292.85 | $242,219.90 | $157,442.93 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Medicaid Other | — | $1,294.57 | $242,219.90 | $157,442.93 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Select Health Medicaid | — | $1,301.90 | $242,219.90 | $157,442.93 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Absolute Total Care Medicaid | — | $1,304.45 | $242,219.90 | $157,442.93 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Bluechoice Medicaid | — | $1,313.74 | $242,219.90 | $157,442.93 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Molina Medicaid | — | $1,318.02 | $242,219.90 | $157,442.94 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Molina Medicaid | — | $1,321.36 | $242,220.00 | $157,443.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Select Health Medicaid | — | $1,321.36 | $242,220.00 | $157,443.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Medicaid | — | $1,324.10 | $242,219.90 | $157,442.93 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Medicaid Other | — | $1,324.10 | $242,219.90 | $157,442.93 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Absolute Total Care Medicaid | — | $1,326.31 | $242,219.90 | $157,442.93 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Select Health Medicaid | — | $1,331.64 | $242,219.90 | $157,442.93 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Molina Medicaid | — | $1,331.64 | $242,219.90 | $157,442.93 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Medicaid Sc | — | $1,335.76 | $242,219.90 | $157,442.94 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Absolute Total Care Medicaid | — | $1,347.02 | $242,220.00 | $157,443.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Humana Healthy Horizons Medicaid | — | $1,351.57 | $242,219.90 | $157,442.93 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Humana Healthy Horizons Medicaid | — | $1,352.43 | $242,219.90 | $157,442.93 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Absolute Total Care Medicaid | — | $1,357.50 | $242,219.90 | $157,442.93 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Molina Medicaid | — | $1,361.08 | $242,219.90 | $157,442.93 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Humana Healthy Horizons Medicaid | — | $1,372.67 | $242,220.00 | $157,443.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Absolute Total Care Medicaid | — | $1,384.75 | $242,219.90 | $157,442.93 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Select Health Medicaid | — | $1,389.47 | $242,219.90 | $157,442.93 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Medicaid | — | $1,390.73 | $242,219.90 | $157,442.93 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Humana Healthy Horizons Medicaid | — | $1,416.79 | $242,219.90 | $157,442.93 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Humana Healthy Horizons Medicaid | — | $1,429.27 | $242,219.90 | $157,442.93 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Humana Healthy Horizons Medicaid | — | $1,429.27 | $242,219.90 | $157,442.94 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Humana Healthy Horizons Medicaid | — | $1,488.08 | $242,219.90 | $157,442.93 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Molina Medicaid | — | $1,490.52 | $242,219.90 | $157,442.93 | 2026-07-05 | MRF ↗ |
| JAMAICA HOSPITAL MEDICAL CENTER Inpatient | Hotel Trades Council | Dental Or | $1,912.00 | — | — | 2026-07-15 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Cigna Hmo Ppo | — | $2,646.00 | $242,219.90 | $157,442.93 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Medicaid Other | — | $2,982.28 | $242,219.90 | $157,443.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Humana Healthy Horizons Medicaid | — | $3,191.04 | $242,219.90 | $157,443.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Blue Choice Medicaid (Greenville County Only) | — | $3,252.36 | $242,219.90 | $157,443.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Bluechoice Medicaid | — | $3,459.96 | $242,219.90 | $157,443.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Medicaid | — | $3,459.96 | $242,219.90 | $157,443.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Select Health Medicaid | — | $3,563.76 | $242,219.90 | $157,443.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Molina Medicaid | — | $3,563.76 | $242,219.90 | $157,443.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Absolute Total Care Medicaid | — | $3,632.96 | $242,219.90 | $157,443.00 | 2026-07-05 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Molina Chp/Harp | Managed Medicaid | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Emblemhealth Hip Of Ny | Managed Medicaid | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Empire Blue Cross Blue Shield | Medicare Advantage | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Emblemhealth Hip Of Ny | Medicare Advantage | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Healthfirst Essential Plan 1/2 | Healthfirst Essential Plan 1/2 | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Fidelis Care - Essential Plans 1 | 5 | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Fidelis Care | Medicare (Including Dual) | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Centerlight | Commerical | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | United Healthcare Community Plan | Managed Medicaid | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Elderplan | Medicare Advantage | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | United Healthcare Va Behavioral Health | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Empire Blue Cross Blue Shield Individual | Comm | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Healthfirst Health Plan | Medicare Advantage | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | United Healthcare Individual Exchange | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Empire Blue Cross Blue Shield Healthplus | Mgd Medi | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Aetna | Medicare Advantage | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | United Healthcare Va | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Aetna Ppo | Medicare Advantage | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Empire Blue Cross Blue Shield Essential Plan | Comm | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Empire Blue Cross Blue Shield Chp | Managed Medicaid | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Oxford Freedom And Liberty | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Molina Essential 1 And 2 | Managed Medicaid | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Emblem Essential Health Plans 1/2 | Managed Medicaid | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Partners Health Plan | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Emblemhealth Hip Of Ny Select Care | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Emblemhealth Hip Of Ny | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | United Healthcare | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Sedgwick Government Solutions | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Fidelis Care Ny Harp | Managed Medicaid | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Fidelis Care Ny Chp | Managed Medicaid | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Agewell New York | Medicare Advantage | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Empire Blue Cross Blue Shield Harp | Managed Medi | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Fidelis Care Ny | Managed Medicaid | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Emblem Essential Health Plans 3/4 | Managed Medicaid | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Healthfirst | Child Health Plus | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Emblemhealth Ghi | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Healthfirst Essential Plan 3/4 | Commerial | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Fidelis Care | Exchange (Hbx) | — | — | — | 2026-08-01 | MRF ↗ |
| MONTEFIORE ST LUKE'S CORNWALL Inpatient | Anthem | Exchange | $8,303.04 | — | — | 2026-04-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Tricare Humana Military | — | $14,375.32 | $242,219.90 | $157,442.93 | 2026-07-05 | MRF ↗ |
| ST MARY'S HEALTHCARE Inpatient | Bs Of Northeastern New York (Bsneny) | Bsneny Ppo/Ind | $20,360.47 | $20,360.47 | $14,584.20 | 2026-07-15 | MRF ↗ |
| ST MARY'S HEALTHCARE Inpatient | Bcbs Of New York | Bc/Bs Ppo/Ind | $20,360.47 | $20,360.47 | $14,584.20 | 2026-07-15 | MRF ↗ |
| ST MARY'S HEALTHCARE Inpatient | Bs Of Northeastern New York (Bsneny) | Bsneny Hmo/Custom/Pos | $20,360.47 | $20,360.47 | $14,584.20 | 2026-07-15 | MRF ↗ |
| ST MARY'S HEALTHCARE Inpatient | Mvp | Mvp Hmo | $20,360.47 | $20,360.47 | $14,584.20 | 2026-07-15 | MRF ↗ |
| ELMHURST HOSPITAL CENTER InpatientFacility | Healthfirst | Small Group | $22,380.61 | — | — | 2025-09-05 | MRF ↗ |
| NYACK HOSPITAL Inpatient | HealthFirst | Exchange Product - Enrollees | $24,438.96 | — | $48,877.91 | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Inpatient | HealthFirst | Exchange Product - Enrollees | $24,438.96 | — | $48,877.91 | 2025-06-27 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | United Healthcare Medicare | — | $25,436.13 | $242,219.90 | $157,442.93 | 2026-07-05 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER InpatientFacility | Molina | Medicaid | $26,231.55 | — | — | 2025-07-23 | MRF ↗ |
| SAMARITAN MEDICAL CENTER InpatientFacility | Fidelis | Medicaid Managed Care/Child Health Plus and Family Health Plus | $28,310.19 | — | — | 2026-02-02 | MRF ↗ |
| SAMARITAN MEDICAL CENTER InpatientFacility | Excellus | Managed Medicaid | $28,310.19 | — | — | 2026-02-02 | MRF ↗ |
| SAMARITAN MEDICAL CENTER InpatientFacility | MVP | Essential Plan 3-4 | $28,310.19 | — | — | 2026-02-02 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER InpatientFacility | MyCompass | Medicaid | $28,330.07 | — | — | 2025-07-23 | MRF ↗ |
| SAMARITAN MEDICAL CENTER InpatientFacility | United Healthcare | Managed Medicaid | $29,159.50 | — | — | 2026-02-02 | MRF ↗ |
| CLIFTON SPRINGS HOSPITAL AND CLINIC Inpatient | HIGHMARK [114] | HIGHMARK|HIGHMARK HMO BLUE|HIGHMARK OUT OF AREA | $29,514.13 | $19,539.41 | $12,700.62 | 2024-12-30 | MRF ↗ |
| CLIFTON SPRINGS HOSPITAL AND CLINIC Inpatient | EXCELLUS HMO [104] | CHILD HEALTH PLUS|EXCELLUS ESSENTIAL 1&2|EXCELLUS ESSENTIAL 3&4|UNIVERA MYHEALTH|UNIVERA ESSENTIAL 1&2|UNIVERA ESSENTIAL 1&2 | $30,050.33 | $19,539.41 | $12,700.62 | 2024-12-30 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Select Health First Choice Vip | — | $30,126.99 | $242,219.90 | $157,442.93 | 2026-07-05 | MRF ↗ |
| ST JAMES HOSPITAL Inpatient | FIDELIS 5155 | FIDELIS METAL TIERS 515501 | $30,676.21 | — | — | 2026-01-01 | MRF ↗ |
| CLIFTON SPRINGS HOSPITAL AND CLINIC Inpatient | MOLINA HEALTHCARE OF NY [188] | MOLINA MEDICAID MANAGED CARE|MOLINA CHILD HEALTH PLUS | $31,146.58 | $19,539.41 | $12,700.62 | 2024-12-30 | MRF ↗ |
| CLIFTON SPRINGS HOSPITAL AND CLINIC Inpatient | FIDELIS CARE NEW YORK [112] | FIDELIS CARE NEW YORK|FIDELIS FHP|FIDELIS CHP | $31,146.58 | $19,539.41 | $12,700.62 | 2024-12-30 | MRF ↗ |
| CLIFTON SPRINGS HOSPITAL AND CLINIC Inpatient | MVP [109] | MVP OPTION|MVP CHILD HEALTH PLUS | $31,146.58 | $19,539.41 | $12,700.62 | 2024-12-30 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Aetna | Commercial | $33,011.00 | — | — | 2026-08-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Inpatient | EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706, EXCELLUS BLUE CROSS BLUE SHIELD 2201 | BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL 1-2 200-250 2201, EXCELLUS ESSENTIAL 3-4 170604, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS HLTHY NY 220110 | $33,081.15 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Inpatient | HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 | HIGHMARK BCBS MEDICAID 170201, CHILD HEALTH PLUS 170204 | $33,081.15 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Inpatient | MOLINA HEALTHCARE 1723 | MOLINA MEDICAID 172301 | $33,081.15 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Inpatient | FIDELIS MEDICAID 1708, FIDELIS 5155 | FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502 | $33,081.15 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Inpatient | MVP MEDICAID 1712 | MVP OPTION MEDICAID 171201 | $33,081.15 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Inpatient | INDEPENDENT HEALTH ASSOC MEDICAID 1710 | INDEPENDENT HEALTH ASSOC MEDICAID 171001 | $33,081.15 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Inpatient | MOLINA HEALTHCARE 1723 | MOLINA ESSENTIAL 3-4 172302 | $33,081.15 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Inpatient | UNITED HEALTHCARE MEDICAID 1716, UNITED HEALTHCARE 5158 | UNITED HEALTHCARE MEDICAID 171601, UNITED HEALTHCARE ESSENTIAL 1-2 200-250 5158, UNITED HEALTHCARE ESSENTIAL 3-4 171602 | $33,081.15 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Inpatient | FIDELIS 5155 | FIDELIS METAL TIERS 515501 | $33,081.15 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Inpatient | AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 | AMERIGROUP (BSWNY ALTERNATE) 172001 | $33,081.15 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Inpatient | MOLINA HEALTHCARE 5189 | MOLINA ESSENTIAL 1-2 200-250 5189 | $33,081.15 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Inpatient | MOLINA HEALTHCARE 5189 | MOLINA CHILD HEALTH PLUS 518901 | $33,081.15 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Inpatient | MVP 2900 | MVP CHILD HEALTH PLUS 290004 | $33,103.74 | — | — | 2026-01-01 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | BCBS of Western NY | Medicaid | $33,569.53 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | Molina Healthcare of NY | CHIP (For Kids)/Medicaid | $33,569.53 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | CORVEL | WC | $33,569.53 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | Fidelis | Family Health Plus/Medicaid | $33,569.53 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | Beacon | Managed Medicaid | $33,569.53 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | BCBS of Western NY | Essential Plans 3&4 | $33,569.53 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | Fidelis | Child Health Plus | $33,569.53 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | Univera | Essential Plan | $33,569.53 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | UHC Medicaid NY | Medicaid | $33,569.53 | — | — | 2026-03-06 | MRF ↗ |
| UNITY HOSPITAL Inpatient | MVP [109] | MVP EXCHANGE-INDIVIDUAL | $33,769.37 | $31,905.78 | $25,524.62 | 2024-12-30 | MRF ↗ |
| SAMARITAN MEDICAL CENTER InpatientFacility | MVP | Essential Plan 1-2 and 5-6 | $33,972.23 | — | — | 2026-02-02 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | UPMC HEALTH PLAN 5138 | UPMC HEALTH PLAN 513801 | $34,375.64 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | UPMC HEALTH PLAN 5138 | UPMC HEALTH PLAN 513801 | $34,375.64 | — | — | 2026-01-01 | MRF ↗ |
| UNITY HOSPITAL Inpatient | HIGHMARK [114] | HIGHMARK MEDICAID|HIGHMARK ESSENTIALS|HIGHMARK CHP | $34,722.83 | $31,905.78 | $25,524.62 | 2024-12-30 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706, EXCELLUS BLUE CROSS BLUE SHIELD 2201 | BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL 1-2 200-250 2201, EXCELLUS ESSENTIAL 3-4 170604, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS HLTHY NY 220110 | $34,996.12 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | MOLINA HEALTHCARE 5189 | MOLINA CHILD HEALTH PLUS 518901 | $34,996.12 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | MOLINA HEALTHCARE 1723 | MOLINA ESSENTIAL 3-4 172302 | $34,996.12 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | MOLINA HEALTHCARE 1723 | MOLINA MEDICAID 172301 | $34,996.12 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | INDEPENDENT HEALTH ASSOC MEDICAID 1710 | INDEPENDENT HEALTH ASSOC MEDICAID 171001 | $34,996.12 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 | AMERIGROUP (BSWNY ALTERNATE) 172001 | $34,996.12 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | UNITED HEALTHCARE MEDICAID 1716, UNITED HEALTHCARE 5158 | UNITED HEALTHCARE MEDICAID 171601, UNITED HEALTHCARE ESSENTIAL 1-2 200-250 5158, UNITED HEALTHCARE ESSENTIAL 3-4 171602 | $34,996.12 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 | HIGHMARK BCBS MEDICAID 170201, CHILD HEALTH PLUS 170204 | $34,996.12 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706, EXCELLUS BLUE CROSS BLUE SHIELD 2201 | BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL 1-2 200-250 2201, EXCELLUS ESSENTIAL 3-4 170604, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS HLTHY NY 220110 | $34,996.12 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | MVP MEDICAID 1712 | MVP OPTION MEDICAID 171201 | $34,996.12 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | FIDELIS MEDICAID 1708, FIDELIS 5155 | FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502 | $34,996.12 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | FIDELIS MEDICAID 1708, FIDELIS 5155 | FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502 | $34,996.12 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | MOLINA HEALTHCARE 5189 | MOLINA CHILD HEALTH PLUS 518901 | $34,996.12 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | FIDELIS MEDICAID 1708 | FIDELIS ESSENTIAL 3-4 170804 | $34,996.12 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | MOLINA HEALTHCARE 1723 | MOLINA ESSENTIAL 3-4 172302 | $34,996.12 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | MOLINA HEALTHCARE 1723 | MOLINA MEDICAID 172301 | $34,996.12 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | MOLINA HEALTHCARE 5189 | MOLINA ESSENTIAL 1-2 200-250 5189 | $34,996.12 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 | AMERIGROUP (BSWNY ALTERNATE) 172001 | $34,996.12 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | INDEPENDENT HEALTH ASSOC MEDICAID 1710 | INDEPENDENT HEALTH ASSOC MEDICAID 171001 | $34,996.12 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | FIDELIS MEDICAID 1708 | FIDELIS ESSENTIAL 3-4 170804 | $34,996.12 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 | HIGHMARK BCBS MEDICAID 170201, CHILD HEALTH PLUS 170204 | $34,996.12 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | UNITED HEALTHCARE MEDICAID 1716, UNITED HEALTHCARE 5158 | UNITED HEALTHCARE MEDICAID 171601, UNITED HEALTHCARE ESSENTIAL 1-2 200-250 5158, UNITED HEALTHCARE ESSENTIAL 3-4 171602 | $34,996.12 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | MVP MEDICAID 1712 | MVP OPTION MEDICAID 171201 | $34,996.12 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | MOLINA HEALTHCARE 5189 | MOLINA ESSENTIAL 1-2 200-250 5189 | $34,996.12 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | MVP 2900 | MVP CHILD HEALTH PLUS 290004 | $35,046.30 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | MVP 2900 | MVP CHILD HEALTH PLUS 290004 | $35,046.30 | — | — | 2026-01-01 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | Univera | CHIP (For Kids)/HARP/NY Medicaid | $35,247.99 | — | — | 2026-03-06 | MRF ↗ |
| F F THOMPSON HOSPITAL Inpatient | EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706, EXCELLUS BLUE CROSS BLUE SHIELD 2201 | BLUE CHOICE OPTION MEDICAID 170601 | $35,350.10 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Inpatient | HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 | HIGHMARK BCBS MEDICAID 170201, CHILD HEALTH PLUS 170204 | $35,350.10 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Inpatient | MOLINA HEALTHCARE 1723 | MOLINA ESSENTIAL 3-4 172302 | $35,350.10 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Inpatient | MOLINA HEALTHCARE 1723 | MOLINA MEDICAID 172301 | $35,350.10 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Inpatient | UNITED HEALTHCARE MEDICAID 1716, UNITED HEALTHCARE 5158 | UNITED HEALTHCARE MEDICAID 171601, UNITED HEALTHCARE ESSENTIAL 1-2 200-250 5158, UNITED HEALTHCARE ESSENTIAL 3-4 171602 | $35,350.10 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Inpatient | MVP MEDICAID 1712 | MVP OPTION MEDICAID 171201 | $35,350.10 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Inpatient | AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 | AMERIGROUP (BSWNY ALTERNATE) 172001 | $35,350.10 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Inpatient | MOLINA HEALTHCARE 5189 | MOLINA ESSENTIAL 1-2 200-250 5189 | $35,350.10 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Inpatient | INDEPENDENT HEALTH ASSOC MEDICAID 1710 | INDEPENDENT HEALTH ASSOC MEDICAID 171001 | $35,350.10 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Inpatient | MOLINA HEALTHCARE 5189 | MOLINA CHILD HEALTH PLUS 518901 | $35,350.10 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Inpatient | FIDELIS MEDICAID 1708, FIDELIS 5155 | FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502 | $35,350.10 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Inpatient | MVP 2900 | MVP CHILD HEALTH PLUS 290004 | $35,377.84 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Inpatient | EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706, EXCELLUS BLUE CROSS BLUE SHIELD 2201 | EXCELLUS ESSENTIAL 1-2 200-250 2201, EXCELLUS ESSENTIAL 3-4 170604, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS HLTHY NY 220110 | $35,380.23 | — | — | 2026-01-01 | MRF ↗ |
| ST JAMES HOSPITAL Inpatient | EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706, EXCELLUS BLUE CROSS BLUE SHIELD 2201 | BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL 1-2 200-250 2201, EXCELLUS ESSENTIAL 3-4 170604, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS HLTHY NY 220110 | $36,089.66 | — | — | 2026-01-01 | MRF ↗ |
| ST JAMES HOSPITAL Inpatient | UNITED HEALTHCARE MEDICAID 1716, UNITED HEALTHCARE 5158 | UNITED HEALTHCARE MEDICAID 171601, UNITED HEALTHCARE ESSENTIAL 1-2 200-250 5158, UNITED HEALTHCARE ESSENTIAL 3-4 171602 | $36,089.66 | — | — | 2026-01-01 | MRF ↗ |
| ST JAMES HOSPITAL Inpatient | MOLINA HEALTHCARE 5189 | MOLINA CHILD HEALTH PLUS 518901 | $36,089.66 | — | — | 2026-01-01 | 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.