842-4 — Burns With Skin Graft Except Extensive Third Degree Burns
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS (OTHER 842-4) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/842-4?code_type=OTHER
MLA (9th ed.)
“BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS (OTHER 842-4) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/842-4?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS (OTHER 842-4) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/842-4?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $46,500–$122,160 (25th–75th percentile) across 154 hospitals · 330 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 842-4 — 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 |
|---|---|---|---|---|---|---|---|
| DUKES MEMORIAL HOSPITAL Inpatient | Humana Pathways In Medicaid | Humana Pathways In Medicaid | $919.50 | — | — | 2026-05-13 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Inpatient | Managed Health Services | Mhs Hcc In Medicaid | $919.50 | — | — | 2026-05-27 | MRF ↗ |
| KOSCIUSKO COMMUNITY HOSPITAL Inpatient | Caresource | Caresource In Hip | $919.50 | — | — | 2026-05-08 | MRF ↗ |
| DUPONT HOSPITAL LLC Inpatient | Uhc | Uhc Pathways In Medicaid | $919.50 | — | — | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH - PORTER Inpatient | Uhc Pathways In Medicaid | Uhc Pathways In Medicaid | $919.50 | — | — | 2026-05-27 | MRF ↗ |
| DUPONT HOSPITAL LLC Inpatient | Managed Health Services | Mhs Hcc In Medicaid | $919.50 | — | — | 2026-05-27 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Inpatient | Uhc Pathways In Medicaid | Uhc Pathways In Medicaid | $919.50 | — | — | 2026-05-27 | MRF ↗ |
| KOSCIUSKO COMMUNITY HOSPITAL Inpatient | Uhc | Uhc Hcc In Medicaid | $919.50 | — | — | 2026-05-08 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Inpatient | Mhs | Mhs In Hip | $919.50 | — | — | 2026-05-27 | MRF ↗ |
| DUPONT HOSPITAL LLC Inpatient | Medicaid Non-Par | In Medicaid Non-Par | $919.50 | — | — | 2026-05-27 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Inpatient | Medicaid In | In Medicaid | $919.50 | — | — | 2026-05-13 | MRF ↗ |
| KOSCIUSKO COMMUNITY HOSPITAL Inpatient | Mhs | Mhs Hcc In Medicaid | $919.50 | — | — | 2026-05-08 | MRF ↗ |
| NORTHWEST HEALTH - PORTER Inpatient | Indiana Medicaid Non Par | In Medicaid Non Par | $919.50 | — | — | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Inpatient | Mhs | Mhs Hcc In Medicaid | $919.50 | — | — | 2026-05-27 | MRF ↗ |
| DUPONT HOSPITAL LLC Inpatient | Managed Health Services | Mhs Hhw In Medicaid | $919.50 | — | — | 2026-05-27 | MRF ↗ |
| DUPONT HOSPITAL LLC Inpatient | Managed Health Services | Mhs In Hip | $919.50 | — | — | 2026-05-27 | MRF ↗ |
| DUPONT HOSPITAL LLC Inpatient | Caresource | Caresource Hhw In Medicaid | $919.50 | — | — | 2026-05-27 | MRF ↗ |
| DUPONT HOSPITAL LLC Inpatient | Humana Pathways In Medicaid | Humana Pathways In Medicaid | $919.50 | — | — | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH - PORTER Inpatient | Uhc | Uhc Hcc In Medicaid | $919.50 | — | — | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Inpatient | Uhc | Uhc Hcc In Medicaid | $919.50 | — | — | 2026-05-27 | MRF ↗ |
| ST JOSEPH HEALTH SYSTEM, LLC Inpatient | Medicaid Non-Par | In Medicaid Non-Par | $919.50 | — | — | 2026-05-09 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Inpatient | Uhc | Uhc Hcc In Medicaid | $919.50 | — | — | 2026-05-13 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Inpatient | In Medicaid | In Medicaid Non-Par | $919.50 | — | — | 2026-05-27 | MRF ↗ |
| DUPONT HOSPITAL LLC Inpatient | Uhc | Uhc Hcc In Medicaid | $919.50 | — | — | 2026-05-27 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Inpatient | Caresource | Caresource In Medicaid | $919.50 | — | — | 2026-05-13 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Inpatient | Uhc | Uhc Hcc In Medicaid | $919.50 | — | — | 2026-05-27 | MRF ↗ |
| DUPONT HOSPITAL LLC Inpatient | Anthem Bcbs | Anthem In Medicaid | $919.50 | — | — | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Inpatient | Mhs | Mhs Hhw In Medicaid | $919.50 | — | — | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Inpatient | Uhc Pathways In Medicaid | Uhc Pathways In Medicaid | $919.50 | — | — | 2026-05-27 | MRF ↗ |
| DUPONT HOSPITAL LLC Inpatient | Medicaid | In Medicaid | $919.50 | — | — | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH - PORTER Inpatient | Anthem | Anthem In Medicaid | $919.50 | — | — | 2026-05-27 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Inpatient | Medicaid Non-Par | In Medicaid Non-Par | $919.50 | — | — | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH - PORTER Inpatient | Humana Pathways In Medicaid | Humana Pathways In Medicaid | $919.50 | — | — | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Inpatient | Caresource | Caresource Medicaid | $919.50 | — | — | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Inpatient | Humana Pathways In Medicaid | Humana Pathways In Medicaid | $919.50 | — | — | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | Mhs | Mhs Hcc In Medicaid | $919.50 | — | — | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Inpatient | Caresource | Caresource Hhw In Medicaid | $919.50 | — | — | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | Caresource | Caresource In Hip | $919.50 | — | — | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Inpatient | Anthem | Anthem In Medicaid | $919.50 | — | — | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | Anthem | Anthem In Medicaid | $919.50 | — | — | 2026-05-09 | MRF ↗ |
| DUPONT HOSPITAL LLC Inpatient | Caresource | Caresource In Hip | $919.50 | — | — | 2026-05-27 | MRF ↗ |
| ST JOSEPH HEALTH SYSTEM, LLC Inpatient | Humana Pathways In Medicaid | Humana Pathways In Medicaid | $919.50 | — | — | 2026-05-09 | MRF ↗ |
| ST JOSEPH HEALTH SYSTEM, LLC Inpatient | Uhc | Uhc Hcc In Medicaid | $919.50 | — | — | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | Uhc Pathways In Medicaid | Uhc Pathways In Medicaid | $919.50 | — | — | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | Managed Health Services | Mhs In Hip | $919.50 | — | — | 2026-05-09 | MRF ↗ |
| ST JOSEPH HEALTH SYSTEM, LLC Inpatient | Managed Health Services | Mhs In Hip | $919.50 | — | — | 2026-05-09 | MRF ↗ |
| KOSCIUSKO COMMUNITY HOSPITAL Inpatient | Uhc Pathways In Medicaid | Uhc Pathways In Medicaid | $919.50 | — | — | 2026-05-08 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Inpatient | Caresource | Caresource Hhw In Medicaid | $919.50 | — | — | 2026-05-13 | MRF ↗ |
| KOSCIUSKO COMMUNITY HOSPITAL Inpatient | In Medicaid | In Medicaid Non-Par | $919.50 | — | — | 2026-05-08 | MRF ↗ |
| KOSCIUSKO COMMUNITY HOSPITAL Inpatient | Humana Pathways In Medicaid | Humana Pathways In Medicaid | $919.50 | — | — | 2026-05-08 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | In Medicaid | In Medicaid Non-Par | $919.50 | — | — | 2026-05-09 | MRF ↗ |
| KOSCIUSKO COMMUNITY HOSPITAL Inpatient | Managed Health Services | Mhs In Hip | $919.50 | — | — | 2026-05-08 | MRF ↗ |
| ST JOSEPH HEALTH SYSTEM, LLC Inpatient | Managed Health Services | Mhs Hcc In Medicaid | $919.50 | — | — | 2026-05-09 | MRF ↗ |
| KOSCIUSKO COMMUNITY HOSPITAL Inpatient | Mhs | Mhs Hhw In Medicaid | $919.50 | — | — | 2026-05-08 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Inpatient | Managed Health Services | Mhs In Hip | $919.50 | — | — | 2026-05-27 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Inpatient | Uhc Pathways In Medicaid | Uhc Pathways In Medicaid | $919.50 | — | — | 2026-05-13 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Inpatient | Managed Health Services | Mhs Hhw In Medicaid | $919.50 | — | — | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH - PORTER Inpatient | Managed Health Services | Mhs Hhw In Medicaid | $919.50 | — | — | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH - PORTER Inpatient | Caresource | Caresource In Hip | $919.50 | — | — | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH - PORTER Inpatient | Indiana Medicaid | In Medicaid | $919.50 | — | — | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH - PORTER Inpatient | Managed Health Services | Mhs In Hip | $919.50 | — | — | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Inpatient | Caresource | Caresource In Hip | $919.50 | — | — | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH - PORTER Inpatient | Mhs | Mhs Hcc In Medicaid | $919.50 | — | — | 2026-05-27 | MRF ↗ |
| KOSCIUSKO COMMUNITY HOSPITAL Inpatient | Caresource | Caresource In Medicaid | $919.50 | — | — | 2026-05-08 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Inpatient | Caresource | Caresource Hhw In Medicaid | $919.50 | — | — | 2026-05-27 | MRF ↗ |
| KOSCIUSKO COMMUNITY HOSPITAL Inpatient | Anthem Blue Cross Blue Shield | Anthem In Medicaid | $919.50 | — | — | 2026-05-08 | MRF ↗ |
| ST JOSEPH HEALTH SYSTEM, LLC Inpatient | Caresource | Caresource Hhw In Medicaid | $919.50 | — | — | 2026-05-09 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Inpatient | Medicaid | Medicaid Out Of State | $919.50 | — | — | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | Mhs | Mhs Hhw In Medicaid | $919.50 | — | — | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | Uhc | Uhc Hcc In Medicaid | $919.50 | — | — | 2026-05-09 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Inpatient | Anthem | Anthem In Medicaid | $919.50 | — | — | 2026-05-27 | MRF ↗ |
| ST JOSEPH HEALTH SYSTEM, LLC Inpatient | Uhc | Uhc Pathways In Medicaid | $919.50 | — | — | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | Humana Pathways In Medicaid | Humana Pathways In Medicaid | $919.50 | — | — | 2026-05-09 | MRF ↗ |
| ST JOSEPH HEALTH SYSTEM, LLC Inpatient | Caresource | Caresource In Hip | $919.50 | — | — | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH - PORTER Inpatient | Caresource | Caresource Hhw In Medicaid | $919.50 | — | — | 2026-05-27 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Inpatient | Humana Pathways In Medicaid | Humana Pathways In Medicaid | $919.50 | — | — | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | Caresource | Caresource Medicaid | $919.50 | — | — | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | Caresource | Caresource Hhw In Medicaid | $919.50 | — | — | 2026-05-09 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Inpatient | Medicaid | In Medicaid | $919.50 | — | — | 2026-05-27 | MRF ↗ |
| ST JOSEPH HEALTH SYSTEM, LLC Inpatient | Managed Health Services | Mhs Hhw In Medicaid | $919.50 | — | — | 2026-05-09 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Inpatient | Managed Health Services | Mhs Hhw In Medicaid | $919.50 | — | — | 2026-05-13 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Inpatient | Caresource | Caresource In Hip | $919.50 | — | — | 2026-05-27 | MRF ↗ |
| KOSCIUSKO COMMUNITY HOSPITAL Inpatient | Caresource | Caresource Hhw In Medicaid | $919.50 | — | — | 2026-05-08 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Inpatient | Indiana Medicaid | In Medicaid | $919.50 | — | — | 2026-05-27 | MRF ↗ |
| KOSCIUSKO COMMUNITY HOSPITAL Inpatient | Medicaid | In Medicaid | $919.50 | — | — | 2026-05-08 | MRF ↗ |
| ST JOSEPH HEALTH SYSTEM, LLC Inpatient | Anthem Bcbs | Anthem In Medicaid | $919.50 | — | — | 2026-05-09 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Inpatient | Medicaid Non Par | In Medicaid Non-Par | $919.50 | — | — | 2026-05-13 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Inpatient | Managed Health Services | Mhs In Hip | $919.50 | — | — | 2026-05-13 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | Indiana Medicaid | In Medicaid | $919.50 | — | — | 2026-05-09 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Inpatient | Anthem Blue Cross Blue Shield | Anthem In Medicaid | $919.50 | — | — | 2026-05-13 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Inpatient | Caresource | Caresource In Hip | $919.50 | — | — | 2026-05-13 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Inpatient | Mhs | Mhs Hcc In Medicaid | $919.50 | — | — | 2026-05-13 | MRF ↗ |
| ST JOSEPH HEALTH SYSTEM, LLC Inpatient | Medicaid | In Medicaid | $1,011.35 | — | — | 2026-05-09 | MRF ↗ |
| NEW ULM MEDICAL CENTER Inpatient | Medicaid | Medicaid Ma (N) | $1,421.14 | — | — | 2026-05-08 | MRF ↗ |
| NEW ULM MEDICAL CENTER Inpatient | South Country Health Alliance | Scha Pmap (N) | $1,470.00 | — | — | 2026-05-08 | MRF ↗ |
| MEMORIAL HOSPITAL Inpatient | Meridian Health Plan Of Mi | Meridian | $1,600.00 | — | — | 2026-05-22 | MRF ↗ |
| PROMEDICA MONROE REGIONAL HOSPITAL Inpatient | Meridian | Meridian | $1,600.00 | — | — | 2026-05-13 | MRF ↗ |
| BAY PARK COMMUNITY HOSPITAL Inpatient | Meridian Health Plan Of Mi | Meridian | $1,600.00 | — | — | 2026-05-14 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $1,640.44 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Medicaid Other | Medicaid Other | $2,362.36 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $2,535.20 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $2,628.51 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Molina | Molina Medicaid | $2,671.09 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Select Health | Select Health Medicaid | $2,671.09 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $2,697.03 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $2,722.96 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | Medicaid Other | Medicaid Other | $2,795.17 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $2,812.51 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Inpatient | Medicaid Sc | Medicaid Sc | $2,815.59 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Inpatient | Select Health | Select Health Medicaid | $2,831.36 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Inpatient | Molina | Molina Medicaid | $2,831.36 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $2,858.85 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $2,886.34 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Inpatient | Molina Healthcare | Molina Medicaid | $2,900.05 | — | — | 2026-05-06 | MRF ↗ |
| LUTHERAN HOSPITAL Inpatient | Managed Health Services | Mhs Hhw In Medicaid | $2,914.50 | — | — | 2026-05-27 | MRF ↗ |
| LUTHERAN HOSPITAL Inpatient | Managed Health Services | Mhs In Hip | $2,914.50 | — | — | 2026-05-27 | MRF ↗ |
| LUTHERAN HOSPITAL Inpatient | Managed Health Services | Mhs Hcc In Medicaid | $2,914.50 | — | — | 2026-05-27 | MRF ↗ |
| LUTHERAN HOSPITAL Inpatient | Care Source | Care Source Hhw In Medicaid | $2,914.50 | — | — | 2026-05-27 | MRF ↗ |
| LUTHERAN HOSPITAL Inpatient | Humana Pathways In Medicaid | Humana Pathways In Medicaid | $2,914.50 | — | — | 2026-05-27 | MRF ↗ |
| LUTHERAN HOSPITAL Inpatient | Care Source | Caresource In Hip | $2,914.50 | — | — | 2026-05-27 | MRF ↗ |
| LUTHERAN HOSPITAL Inpatient | Uhc | Uhc Hcc In Medicaid | $2,914.50 | — | — | 2026-05-27 | MRF ↗ |
| LUTHERAN HOSPITAL Inpatient | Medicaid Non-Par | In Medicaid Non-Par | $2,914.50 | — | — | 2026-05-27 | MRF ↗ |
| LUTHERAN HOSPITAL Inpatient | Anthem Bcbs | Anthem In Medicaid | $2,914.50 | — | — | 2026-05-27 | MRF ↗ |
| LUTHERAN HOSPITAL Inpatient | Uhc | Uhc Pathways In Medicaid | $2,914.50 | — | — | 2026-05-27 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Inpatient | Bluechoice | Bluechoice Medicaid | $2,956.37 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Inpatient | Absolute Total Care | Absolute Total Care Medicaid | $2,956.37 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Inpatient | Select Health | Select Health Medicaid | $2,956.37 | — | — | 2026-05-06 | MRF ↗ |
| LUTHERAN HOSPITAL Inpatient | Medicaid | In Medicaid | $2,963.52 | — | — | 2026-05-27 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $2,976.25 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $2,997.57 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $3,029.31 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Inpatient | Medicaid Other | Medicaid Other | $3,036.70 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | Medicaid | Medicaid | $3,044.44 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $3,066.25 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | Absolute Total Care | Absolute Total Care Medicaid | $3,074.28 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $3,124.07 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $3,124.07 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | Select Health | Select Health Medicaid | $3,160.48 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | Molina | Molina Medicaid | $3,191.68 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | Select Health | Select Health Medicaid | $3,191.68 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $3,196.67 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $3,222.67 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $3,226.01 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $3,226.01 | — | — | 2026-05-14 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $3,251.11 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $3,253.66 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $3,257.56 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | Bluechoice Medicaid | Bluechoice Medicaid | $3,275.41 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Molina | Molina Medicaid | $3,291.52 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Select Health | Select Health Medicaid | $3,291.52 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Select Health | Select Health Medicaid | $3,291.52 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Molina | Molina Medicaid | $3,291.52 | — | — | 2026-05-13 | MRF ↗ |
| RIVER FALLS AREA HOSPITAL Inpatient | South Country Health Alliance | Scha Pmap (R) | $3,319.06 | — | — | 2026-05-08 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $3,323.48 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $3,323.48 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Medicaid Other | Medicaid Other | $3,330.03 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Medicaid Other | Medicaid Other | $3,330.03 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | Select Health | Select Health Medicaid | $3,348.88 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $3,355.44 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $3,355.44 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid | $3,379.33 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | Molina Healthcare Of Sc | Molina Medicaid | $3,390.33 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Molina | Molina Medicaid | $3,398.93 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Select Health | Select Health Medicaid | $3,398.93 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Molina | Molina Medicaid | $3,398.93 | — | — | 2026-05-14 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Select Health | Select Health Medicaid | $3,398.93 | — | — | 2026-05-14 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Inpatient | Medicaid Other | Medicaid Other | $3,405.98 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Inpatient | Molina | Molina Medicaid | $3,425.37 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Inpatient | Select Health | Select Health Medicaid | $3,425.37 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $3,431.93 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $3,431.93 | — | — | 2026-05-14 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | Medicaid Sc | Medicaid Sc | $3,435.98 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $3,453.12 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $3,453.95 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $3,453.95 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $3,458.63 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $3,464.93 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $3,464.93 | — | — | 2026-05-14 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $3,478.84 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $3,478.84 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $3,491.88 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | Molina | Molina Medicaid | $3,501.11 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $3,530.93 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $3,530.93 | — | — | 2026-05-14 | MRF ↗ |
| PRISMA HEALTH BAPTIST Inpatient | Medicaid Sc | Medicaid Sc | $3,573.77 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | Medicaid Sc | Medicaid Sc | $3,573.77 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $3,577.37 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | Absolute Total Care | Absolute Total Care Medicaid | $3,607.99 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST Inpatient | Absolute Total Care | Absolute Total Care Medicaid | $3,607.99 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $3,644.40 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $3,676.50 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $3,676.50 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | Select Health | Select Health Medicaid | $3,779.79 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST Inpatient | Select Health | Select Health Medicaid | $3,779.79 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $3,823.93 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $3,823.93 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $3,827.79 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST Inpatient | Bluechoice Medicaid | Bluechoice Medicaid | $3,917.24 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | Bluechoice Medicaid | Bluechoice Medicaid | $3,917.24 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST Inpatient | Molina Healthcare Of Sc | Molina Medicaid | $4,054.69 | — | — | 2026-05-06 | 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.