794 — Non-extensive O.r. Procedures For Other Complications Of Treatment
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT (APR_DRG 794) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/794?code_type=APR_DRG
MLA (9th ed.)
“NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT (APR_DRG 794) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/794?code_type=APR_DRG. Accessed .
Chicago (notes-bibliography)
“NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT (APR_DRG 794) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/794?code_type=APR_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $9,258–$22,939 (25th–75th percentile) across 41 hospitals · 171 payers.
“Negotiated” is the hospital’s negotiated rate for the entire inpatient stay under APR_DRG 794 — 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 |
|---|---|---|---|---|---|---|---|
| Driscoll Children's Hospital Transplant Center Inpatient | TEXAS REHABILITATION COMM [50038] | TEXAS REHABILITATION COMM [5003801] | $165.82 | $47,443.25 | $9,488.65 | 2026-03-31 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | AETNA | AETNA BETTER HEALTH OF VIRGINIA | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | AETNA | AETNA BETTER HEALTH OF VIRGINIA | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | BLUE CROSS | TENNCARE BLUE SELECT | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | BLUE CROSS | TENNCARE BLUE SELECT | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | BLUE CROSS | TENNCARE BLUE CARE | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | BLUE CROSS | TENNCARE BLUE CARE | — | — | — | 2026-03-23 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Inpatient | POLICE DEPARTMENTS [50065] | POLICE DEPTS [5006501] | $1,000.00 | $47,443.25 | $9,488.65 | 2026-03-31 | MRF ↗ |
| HSHS St. Francis Hospital Inpatient | MERIDIAN HEALTH PLAN | MERIDIAN HMO MCD | — | — | — | 2026-03-24 | MRF ↗ |
| HSHS St. Francis Hospital Inpatient | WEXFORD | WEXFORD HEALTH SOURCES | — | — | — | 2026-03-24 | MRF ↗ |
| HSHS St. Francis Hospital Inpatient | MOLINA HEALTHCARE | MOLINA MEDICAID | — | — | — | 2026-03-24 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST InpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $3,730.73 | $24,666.62 | — | 2026-03-18 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | UHC COMMUNITY MEDICAID [2175] | HB XR UHC INDIANA PATHWAYS MEDICAID | $3,731.45 | $24,430.30 | $14,658.18 | 2025-12-19 | MRF ↗ |
| HERITAGE VALLEY BEAVER Inpatient | PA HEALTH AND WELLNESS INC | PA HEALTH AND WELLNESS INC | $3,892.75 | $3,892.75 | — | 2025-01-14 | MRF ↗ |
| HERITAGE VALLEY BEAVER Inpatient | UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID | $3,892.75 | $3,892.75 | $3,892.75 | 2024-12-30 | MRF ↗ |
| HERITAGE VALLEY BEAVER Inpatient | GATEWAY HEALTH PLAN | GATEWAY MEDICAID DBA HIGHMARK WHOLECARE | $3,892.75 | $3,892.75 | $3,892.75 | 2024-12-30 | MRF ↗ |
| HERITAGE VALLEY BEAVER Inpatient | PA HEALTH AND WELLNESS INC | PA HEALTH AND WELLNESS INC | $3,892.75 | $3,892.75 | — | 2025-01-14 | MRF ↗ |
| HERITAGE VALLEY BEAVER Inpatient | PA HEALTH AND WELLNESS INC | PA HEALTH AND WELLNESS INC | $3,892.75 | $3,892.75 | $3,892.75 | 2024-12-30 | MRF ↗ |
| HERITAGE VALLEY BEAVER Inpatient | UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID | $3,892.75 | $3,892.75 | — | 2025-01-14 | MRF ↗ |
| HERITAGE VALLEY BEAVER Inpatient | GATEWAY HEALTH PLAN | GATEWAY MEDICAID DBA HIGHMARK WHOLECARE | $3,892.75 | $3,892.75 | — | 2025-01-14 | MRF ↗ |
| HERITAGE VALLEY BEAVER Inpatient | UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID | $3,892.75 | $3,892.75 | — | 2025-01-14 | MRF ↗ |
| HERITAGE VALLEY BEAVER Inpatient | GATEWAY HEALTH PLAN | GATEWAY MEDICAID DBA HIGHMARK WHOLECARE | $3,892.75 | $3,892.75 | — | 2025-01-14 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | SUPERIOR HEALTH PLAN [1402] | SUPERIOR STAR HEALTH FOSTER CARE [140200] | $4,295.13 | $73,657.45 | $29,462.98 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | COOK CHILDREN HEALTH PLAN [1380] | COOK CHILDRENS STAR KIDS [138005] | $4,378.54 | $73,657.45 | $29,462.98 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | COOK CHILDREN HEALTH PLAN [1380] | COOK CHILDRENS CHIP [138006] | $4,378.54 | $73,657.45 | $29,462.98 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | PARKLAND COMMUNITY HEALTH PLAN [1056] | Parkland CHIP [105606] | $4,378.54 | $73,657.45 | $29,462.98 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | COOK CHILDREN HEALTH PLAN [1380] | COOK CHILDREN STAR MEDICAID [138000] | $4,378.54 | $73,657.45 | $29,462.98 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | AETNA BETTER HEALTH [1317] | AETNA BETTER HEALTH CHIP [131701] | $4,378.54 | $73,657.45 | $29,462.98 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | POINT COMFORT UNDERWRITERS [1801] | POINT COMFORT UNDERWRITERS [180100] | $4,587.04 | $73,657.45 | $29,462.98 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | MOLINA [1382] | MOLINA RSA MEDICAID [138203] | $4,587.04 | $73,657.45 | $29,462.98 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | MOLINA [1382] | POST PARTUM VST-MOLINA CHIP [138205] | $4,587.04 | $73,657.45 | $29,462.98 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | MOLINA [1382] | MOLINA CHIP [138201] | $4,587.04 | $73,657.45 | $29,462.98 | 2026-05-29 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $4,881.06 | $80,925.55 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $4,881.06 | $80,925.55 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $4,881.06 | $80,925.55 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $4,881.06 | $80,925.55 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $4,881.06 | $80,925.55 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $4,881.06 | $80,925.55 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $4,881.06 | $80,925.55 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $4,881.06 | $80,925.55 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $4,881.06 | $80,925.55 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $4,881.06 | $80,925.55 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $4,881.06 | $80,925.55 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $4,881.06 | $80,925.55 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $4,881.06 | $80,925.55 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $4,881.06 | $80,925.55 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $4,881.06 | $80,925.55 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $4,881.06 | $80,925.55 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $4,881.06 | $80,925.55 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $4,881.06 | $80,925.55 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $4,881.06 | $80,925.55 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $4,881.06 | $80,925.55 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $4,881.06 | $80,925.55 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $4,881.06 | $80,925.55 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $4,881.06 | $80,925.55 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $4,881.06 | $80,925.55 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $4,881.06 | $80,925.55 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $4,881.06 | $80,925.55 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $4,881.06 | $80,925.55 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $4,881.06 | $80,925.55 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $4,881.06 | $80,925.55 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $4,881.06 | $80,925.55 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $4,881.06 | $80,925.55 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $4,881.06 | $80,925.55 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $4,881.06 | $80,925.55 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $4,881.06 | $80,925.55 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $4,881.06 | $80,925.55 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $4,881.06 | $80,925.55 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $4,881.06 | $80,925.55 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $4,881.06 | $80,925.55 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $4,881.06 | $80,925.55 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $4,881.06 | $80,925.55 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $4,881.06 | $80,925.55 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $4,881.06 | $80,925.55 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $4,881.06 | $80,925.55 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $4,881.06 | $80,925.55 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $4,881.06 | $80,925.55 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $4,881.06 | $80,925.55 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $4,881.06 | $80,925.55 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $4,881.06 | $80,925.55 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $4,881.06 | $80,925.55 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $4,881.06 | $80,925.55 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $4,881.06 | $80,925.55 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $4,881.06 | $80,925.55 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $4,881.06 | $80,925.55 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $4,881.06 | $80,925.55 | — | 2026-03-26 | MRF ↗ |
| RIVERSIDE UNIVERSITY HEALTH SYSTEM-MEDICAL CENTER Inpatient | LA CARE HEALTH PLAN | MCAL HMO | $5,072.73 | $117,521.33 | — | 2026-01-01 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST InpatientFacility | MEDICAID [20240] | HB STLO CAPE IL MEDICAID | $5,098.42 | $24,666.62 | — | 2026-03-18 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST InpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $5,098.42 | $24,666.62 | — | 2026-03-18 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | AETNA BETTER HEALTH OHIO MEDICAID [2183] | HB XR AETNA BETTER HLTH MGD MEDICAID OH 108% | $5,216.45 | $24,430.30 | $14,658.18 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | HUMANA MEDICAID OH [3102] | HB XR HUMANA 103% OHIO MEDICAID | $5,216.45 | $24,430.30 | $14,658.18 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | CARESOURCE [2031] | HB XR CARESOURCE MGD MEDICAID OHIO 103% | $5,216.45 | $24,430.30 | $14,658.18 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | MOLINA MEDICAID [2058] | HB XR MOLINA MGD MEDICAID OH 107% | $5,216.45 | $24,430.30 | $14,658.18 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | ANTHEM MEDICAID OHIO [2192] | HB XR ANTHEM OH MEDICAID 103% | $5,216.45 | $24,430.30 | $14,658.18 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | BUCKEYE COMMUNITY HEALTH [2028] | HB XR BUCKEYE MGD MEDICAID OH 106% | $5,216.45 | $24,430.30 | $14,658.18 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | UHC COMMUNITY MEDICAID [2175] | HB XR UNITED HEALTHCARE MGD MEDICAID OHIO | $5,216.45 | $24,430.30 | $14,658.18 | 2025-12-19 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | AMERIHEALTH CARITAS [2230] | HB XR AMERIHEALTH CARITAS OH 103% | $5,216.45 | $24,430.30 | $14,658.18 | 2025-12-19 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | AMERIGROUP | AMERIGROUP | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | AMERIGROUP | AMERIGROUP | — | — | — | 2026-03-23 | MRF ↗ |
| ST JOHNS HOSPITAL Inpatient | MERIDIAN HEALTH PLAN | MERIDIAN HMO MCD | — | — | — | 2026-03-24 | MRF ↗ |
| ST JOHNS HOSPITAL Inpatient | MOLINA HEALTHCARE | MOLINA MEDICAID | — | — | — | 2026-03-24 | MRF ↗ |
| ST JOHNS HOSPITAL Inpatient | WEXFORD | WEXFORD HEALTH SOURCES | — | — | — | 2026-03-24 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Independent Health | Independent Health State Products | $6,127.70 | — | — | 2026-04-14 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL InpatientFacility | BLUE CROSS [1021] | NMH BCBS PMAP | $6,249.92 | $23,499.29 | — | 2026-04-30 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | Amerihealth | Managed Medicaid | $6,419.73 | — | — | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | Health Partners | Managed Medicaid | $6,419.73 | — | — | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | Amerihealth | Managed Medicaid | $6,419.73 | — | — | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | Health Partners | Managed Medicaid | $6,419.73 | — | — | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | UPMC for You | Managed Medicaid | $6,521.46 | — | — | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | UPMC for You | Managed Medicaid | $6,521.46 | — | — | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | Geisinger | Managed Medicaid | $6,548.12 | — | — | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | Geisinger | Managed Medicaid | $6,548.12 | — | — | 2026-02-12 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $6,631.70 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $6,631.70 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Aetna | Aetna Better Health CHIP | $6,631.70 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Aetna | Aetna Better Health CHIP | $6,631.70 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $6,631.70 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $6,631.70 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Aetna | Aetna Better Health CHIP | $6,631.70 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $6,631.70 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Aetna | Aetna Better Health CHIP | $6,631.70 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Aetna | Aetna Better Health CHIP | $6,631.70 | — | — | 2026-04-14 | MRF ↗ |
| MEADVILLE MEDICAL CENTER Inpatient | Geisinger | Managed Medicaid | $6,651.89 | — | — | 2025-02-18 | MRF ↗ |
| MEADVILLE MEDICAL CENTER Inpatient | Geisinger | Managed Medicaid | $6,651.89 | — | — | 2026-02-12 | MRF ↗ |
| MEADVILLE MEDICAL CENTER Inpatient | Geisinger | Managed Medicaid | $6,651.89 | — | — | 2025-02-18 | MRF ↗ |
| RIVERSIDE UNIVERSITY HEALTH SYSTEM-MEDICAL CENTER Inpatient | LA CARE HEALTH PLAN | MCAL HMO | $6,698.44 | $123,779.44 | — | 2026-01-01 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $6,963.29 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Aetna | Aetna Better Health CHIP | $6,963.29 | — | — | 2026-04-14 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | AIDS Healthcare Foundation and AHF Healthcare Centers | PHC California/Medi-Cal HMO | $7,065.57 | — | — | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | Molina Healthcare of California | Medi-Cal | $7,065.57 | — | — | 2025-11-26 | MRF ↗ |
| HUNTINGTON HOSPITAL Inpatient | Kaiser Foundation Hospitals on behalf of its Southern California Region | Medi-Cal | $7,065.57 | — | — | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | VENTURA COUNTY MEDI-CAL MANAGED CARE COMMISSION (dba Gold Coast Health Plan) | Medi-Cal | $7,065.57 | — | — | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | Prospect Health Plan, Inc. | Medi-Cal | $7,065.57 | — | — | 2025-11-26 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $7,143.67 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $7,143.67 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $7,143.67 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $7,217.45 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $7,217.45 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $7,217.45 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Amerihealth | Amerihealth Medicaid HC | $7,294.87 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Amerihealth | Amerihealth Medicaid CHC | $7,294.87 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Amerihealth | Amerihealth Medicaid HC | $7,294.87 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Amerihealth | Amerihealth Medicaid CHC | $7,294.87 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Amerihealth | Amerihealth Medicaid CHC | $7,294.87 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Amerihealth | Amerihealth Medicaid HC | $7,294.87 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Amerihealth | Amerihealth Medicaid CHC | $7,294.87 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Amerihealth | Amerihealth Medicaid HC | $7,294.87 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Amerihealth | Amerihealth Medicaid HC | $7,294.87 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Amerihealth | Amerihealth Medicaid CHC | $7,294.87 | — | — | 2026-04-14 | MRF ↗ |
| HOLLYWOOD PRESBYTERIAN MEDICAL CENTER Inpatient | Medicaid | Medicaid | — | — | — | 2025-11-19 | MRF ↗ |
| HOLLYWOOD PRESBYTERIAN MEDICAL CENTER Inpatient | Valley Presbyterian Medical Center | Medi-Cal | — | — | — | 2025-11-19 | MRF ↗ |
| HOLLYWOOD PRESBYTERIAN MEDICAL CENTER Inpatient | Brand New Day | Medi-Cal | — | — | — | 2025-11-19 | MRF ↗ |
| HOLLYWOOD PRESBYTERIAN MEDICAL CENTER Inpatient | Alta Hospital Systems | Medi-Cal | — | — | — | 2025-11-19 | MRF ↗ |
| HOLLYWOOD PRESBYTERIAN MEDICAL CENTER Inpatient | Kern Health Systems | Medi-Cal | — | — | — | 2025-11-19 | MRF ↗ |
| HOLLYWOOD PRESBYTERIAN MEDICAL CENTER Inpatient | LA Care | PASC-SEIU | — | — | — | 2025-11-19 | MRF ↗ |
| HOLLYWOOD PRESBYTERIAN MEDICAL CENTER Inpatient | Blue Shield of California | Medi-Cal | — | — | — | 2025-11-19 | MRF ↗ |
| HOLLYWOOD PRESBYTERIAN MEDICAL CENTER Inpatient | LA Care | Medi-Cal | — | — | — | 2025-11-19 | MRF ↗ |
| HOLLYWOOD PRESBYTERIAN MEDICAL CENTER Inpatient | Pipeline formerly Avanti | Medi-Cal | — | — | — | 2025-11-19 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Highmark Wholecare | Highmark Wholecare Medicaid HC | $7,560.14 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Highmark Wholecare | Highmark Wholecare Medicaid HC | $7,560.14 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Highmark Wholecare | Highmark Wholecare Medicaid HC | $7,560.14 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Highmark Wholecare | Highmark Wholecare Medicaid HC | $7,560.14 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Highmark Wholecare | Highmark Wholecare Medicaid HC | $7,560.14 | — | — | 2026-04-14 | MRF ↗ |
| Saint Mary's Health Care InpatientFacility | MOLINA MEDICAID | MOLINA MEDICAID | $7,611.12 | — | — | 2026-03-31 | MRF ↗ |
| TRINITY HEALTH OAKLAND HOSPITAL InpatientFacility | MOLINA MEDICAID | MOLINA MEDICAID | $7,612.08 | — | — | 2026-03-31 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Amerihealth | Amerihealth Medicaid HC | $7,659.62 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Amerihealth | Amerihealth Medicaid CHC | $7,659.62 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Aetna | Aetna Better Health CHIP | $7,659.63 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $7,659.63 | — | — | 2026-04-14 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL Inpatient | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $7,677.30 | — | — | 2026-07-15 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $7,688.13 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $7,688.13 | — | — | 2026-04-14 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | — | — | — | 2026-03-23 | MRF ↗ |
| Saint Mary's Health Care InpatientFacility | BLUE CROSS COMPLETE - MI | BLUE CROSS COMPLETE MEDICAID | $7,727.39 | — | — | 2026-03-31 | MRF ↗ |
| Saint Mary's Health Care InpatientFacility | MCLAREN HEALTH MEDICAID | MCLAREN MEDICAID | $7,727.39 | — | — | 2026-03-31 | MRF ↗ |
| Saint Mary's Health Care InpatientFacility | HAP MEDICAID | HAP CARESOURCE MEDICAID | $7,727.39 | — | — | 2026-03-31 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Geisinger | Geisinger Medicaid HC | $7,759.09 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Geisinger | Geisinger CHIP | $7,759.09 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Geisinger | Geisinger CHIP | $7,759.09 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Geisinger | Geisinger Medicaid HC | $7,759.09 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Geisinger | Geisinger CHIP | $7,759.09 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Geisinger | Geisinger CHIP | $7,759.09 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Geisinger | Geisinger Medicaid HC | $7,759.09 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Geisinger | Geisinger Medicaid HC | $7,759.09 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Geisinger | Geisinger Medicaid HC | $7,759.09 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Geisinger | Geisinger CHIP | $7,759.09 | — | — | 2026-04-14 | MRF ↗ |
| HUNTINGTON HOSPITAL Inpatient | California PhysiciansÆ Service, dba Blue Shield of California | Medi-Cal | $7,772.13 | — | — | 2025-11-26 | MRF ↗ |
| HUNTINGTON HOSPITAL Inpatient | Blue Cross of California | Medi-Cal | $7,772.13 | — | — | 2025-11-26 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | SUPERIOR HEALTH PLAN [1402] | SUPERIOR STAR HEALTH FOSTER CARE [140200] | $7,830.42 | $52,661.44 | $21,064.58 | 2026-05-29 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | — | — | — | 2026-03-23 | MRF ↗ |
| HERITAGE VALLEY BEAVER Inpatient | AETNA HEALTH INC | AETNA BETTER HEALTH MEDICAID | $7,912.87 | $3,892.75 | — | 2025-01-14 | MRF ↗ |
| HERITAGE VALLEY BEAVER Inpatient | AETNA HEALTH INC | AETNA BETTER HEALTH MEDICAID | $7,912.87 | $3,892.75 | $3,892.75 | 2024-12-30 | MRF ↗ |
| HERITAGE VALLEY BEAVER Inpatient | AETNA HEALTH INC | AETNA BETTER HEALTH MEDICAID | $7,912.87 | $3,892.75 | — | 2025-01-14 | MRF ↗ |
| HERITAGE VALLEY BEAVER Inpatient | UPMC HEALTH PLAN | UPMC MEDICAID | $7,927.90 | $3,892.75 | $3,892.75 | 2024-12-30 | 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.