890 — HIV With Multiple Major HIV Related Conditions,extreme
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS,EXTREME (MS_DRG 890) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/890?code_type=MS_DRG
MLA (9th ed.)
“HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS,EXTREME (MS_DRG 890) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/890?code_type=MS_DRG. Accessed .
Chicago (notes-bibliography)
“HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS,EXTREME (MS_DRG 890) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/890?code_type=MS_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $12,920–$35,261 (25th–75th percentile) across 60 hospitals · 86 payers.
“Negotiated” is the hospital’s negotiated rate for the entire inpatient stay under MS_DRG 890 — 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 |
|---|---|---|---|---|---|---|---|
| Uh Geauga Medical Center InpatientFacility | WellCare by AllWell | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | United Healthcare | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Devoted Health | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Primetime Health Plan | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Medical Mutual of Ohio | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | The Health Plan | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Aetna | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Anthem | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Cigna | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | SummaCare | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Humana | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Molina | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Paramount | Medicare Advantage | $52.19 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Perennial Advantage of Ohio | Medicare Advantage | $53.20 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Valor Health Plans | Medicare Advantage | $53.20 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Aetna CVSHealth QHP | Commercial | $90.19 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Ambetter | Commercial | $91.21 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | CareSource | Marketplace | $91.21 | — | — | 2025-05-16 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Premerafirst | Global/Heritage | — | — | — | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Premerafirst | Lifewise Primary | — | — | — | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Premerafirst | Heritage Prime | — | — | — | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Regence Blue Shield | Commercial | — | — | — | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Regence Blue Shield | Ump | — | — | — | 2026-07-31 | MRF ↗ |
| TANNER MEDICAL CENTER VILLA RICA Inpatient | Caresource | Medicaid Cmo | — | — | — | 2026-09-21 | MRF ↗ |
| TANNER MEDICAL CENTER VILLA RICA Inpatient | Peachstate | Medicaid Cmo | — | — | — | 2026-09-21 | MRF ↗ |
| TANNER MEDICAL CENTER VILLA RICA Inpatient | Amerigroup | Medicaid Cmo | — | — | — | 2026-09-21 | MRF ↗ |
| TANNER MEDICAL CENTER VILLA RICA Inpatient | Southwire | Employer Plan | — | — | — | 2026-09-21 | MRF ↗ |
| TANNER MEDICAL CENTER VILLA RICA Inpatient | Humana Government | Tricare Prime | — | — | — | 2026-09-21 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Inpatient | Blue Shield | Non Epn | — | — | — | 2026-08-01 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Inpatient | Inland Empire Health Plan - Medi | Cal | — | — | — | 2026-08-01 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Inpatient | Health Net | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Inpatient | Anthem Blue Cross - Medi | Cal | — | — | — | 2026-08-01 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Inpatient | Intervalley Healthcare | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Inpatient | Lasalle Medical Associates | Medical | — | — | — | 2026-08-01 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Inpatient | Aetna | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Inpatient | Molina Healthcare | Molina Healthcare | — | — | — | 2026-08-01 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Inpatient | Kaiser | Medical | — | — | — | 2026-08-01 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Inpatient | Epic Management- Medi | Cal Managed Care | — | — | — | 2026-08-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | MASS GENERAL BRIGHAM HEALTH PLAN MEDICAID REPLACEM | HB XR MGBHP ACO COMPLETE SELECT MWF | $954.59 | $20,040.90 | $14,028.63 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | FALLON HEALTH MEDICAID REPLACEMENT [350008] | HB XR MASSHEALTH 100% MWF | $954.59 | $20,040.90 | $14,028.63 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | FALLON HEALTH MEDICAID REPLACEMENT [350008] | HB XR MASSHEALTH 100% TMC | $954.59 | $20,040.90 | $14,028.63 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | MBHP ALTERNATE [300002] | HB XR MBHP LGH MWF TMC | $954.59 | $20,040.90 | $14,028.63 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | MASS GENERAL BRIGHAM HEALTH PLAN MEDICAID REPLACEM | HB XR MASSHEALTH 100% TMC | $954.59 | $20,040.90 | $14,028.63 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | WELLSENSE CLARITY CONNECTORCARE [100256] | HB XR WELLSENSE CLARITY SILVER PLAN MWH | $954.59 | $20,040.90 | $14,028.63 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | SUFFOLK COUNTY [500014] | HB XR MASSHEALTH NON-CONTRACTED MWF | $954.59 | $20,040.90 | $14,028.63 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | MASS GENERAL BRIGHAM HEALTH PLAN MEDICAID REPLACEM | HB XR MGBHP ACO COMPLETE SELECT MWF | $954.59 | $20,040.90 | $14,028.63 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | MIDDLESEX COUNTY [500015] | HB XR MASSHEALTH NON-CONTRACTED MWF | $954.59 | $20,040.90 | $14,028.63 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | GENERIC PRISON [500099] | HB XR MASSHEALTH NON-CONTRACTED MWF | $954.59 | $20,040.90 | $14,028.63 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | MEDICAID MASSHEALTH [300001] | HB XR MASSHEALTH 100% MWF | $954.59 | $20,040.90 | $14,028.63 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | WELLSENSE CLARITY CONNECTORCARE [100256] | HB XR WELLSENSE CLARITY NON-SILVER MWH | $954.59 | $20,040.90 | $14,028.63 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | WELLSENSE NH [350010] | HB XR MASSHEALTH 100% MWF | $954.59 | $20,040.90 | $14,028.63 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | GENERIC PRISON [500099] | HB XR MASSHEALTH NON-CONTRACTED MWF | $954.59 | $20,040.90 | $14,028.63 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | MEDICAID MASSHEALTH [300001] | HB XR MBHP LGH MWF TMC | $954.59 | $20,040.90 | $14,028.63 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | MEDICAID MASSHEALTH [300001] | HB XR MASSHEALTH 100% MWF | $954.59 | $20,040.90 | $14,028.63 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | MEDICAID MASSHEALTH [300001] | HB XR MBHP LGH MWF TMC | $954.59 | $20,040.90 | $14,028.63 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | WELLSENSE CLARITY CONNECTORCARE [100256] | HB XR WELLSENSE CLARITY SILVER PLAN MWH | $954.59 | $20,040.90 | $14,028.63 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | MIDDLESEX COUNTY [500015] | HB XR MASSHEALTH NON-CONTRACTED MWF | $954.59 | $20,040.90 | $14,028.63 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | MEDICAID MASSHEALTH [300001] | HB XR MBHP LGH MWF TMC | $954.59 | $20,040.90 | $14,028.63 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | FALLON HEALTH MEDICAID REPLACEMENT [350008] | HB XR MASSHEALTH 100% MWF | $954.59 | $20,040.90 | $14,028.63 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | TUFTS HEALTH PUBLIC PLAN [350009] | HB XR THPP MCO ACO MWF | $954.59 | $20,040.90 | $14,028.63 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | MEDICAID MASSHEALTH [300001] | HB XR MASSHEALTH 100% TMC | $954.59 | $20,040.90 | $14,028.63 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | MBHP ALTERNATE [300002] | HB XR MBHP LGH MWF TMC | $954.59 | $20,040.90 | $14,028.63 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | TEWKSBURY HOSPITAL [950008] | HB XR MASSHEALTH NON-CONTRACTED MWF | $954.59 | $20,040.90 | $14,028.63 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | TEWKSBURY HOSPITAL [950008] | HB XR MASSHEALTH NON-CONTRACTED MWF | $954.59 | $20,040.90 | $14,028.63 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | WELLSENSE CLARITY CONNECTORCARE [100256] | HB XR WELLSENSE CLARITY NON-SILVER MWH | $954.59 | $20,040.90 | $14,028.63 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | SUFFOLK COUNTY [500014] | HB XR MASSHEALTH NON-CONTRACTED MWF | $954.59 | $20,040.90 | $14,028.63 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | MBHP ALTERNATE [300002] | HB XR MBHP LGH MWF TMC | $954.59 | $20,040.90 | $14,028.63 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | TUFTS HEALTH PUBLIC PLAN [350009] | HB XR THPP MCO ACO MWF | $954.59 | $20,040.90 | $14,028.63 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | WELLSENSE NH [350010] | HB XR MASSHEALTH 100% MWF | $954.59 | $20,040.90 | $14,028.63 | 2026-04-01 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | Aetna | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | Heritage Provider Network - Sierra Medi | Cal | — | — | — | 2026-07-15 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | Heritage Provider Network - Medi | Cal High Desert | — | — | — | 2026-07-15 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | Kaiser Foundation Hospitals | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | Health Net Of California | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| MARINHEALTH MEDICAL CENTER Inpatient | Partnership Health Plan | Managed Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| MARINHEALTH MEDICAL CENTER Inpatient | Kaiser Medical | Managed Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| MARINHEALTH MEDICAL CENTER Inpatient | Unitedhealthcare Hmo Hill Physicians | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| MARINHEALTH MEDICAL CENTER Inpatient | Anthem Blue Cross | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| MARINHEALTH MEDICAL CENTER Inpatient | United Healthcare Hmo | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| MARINHEALTH MEDICAL CENTER Inpatient | Anthem Blue Cross Hill Physicians | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| MARINHEALTH MEDICAL CENTER Inpatient | United Healthcare Epo | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| MARINHEALTH MEDICAL CENTER Inpatient | Anthem Blue Connection | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| THE JEWISH HOSPITAL-MERCY HEALTH Inpatient | CARESOURCE [2002] | CARESOURCE OH MEDICAID [2002001] | $5,089.49 | — | — | 2026-04-01 | MRF ↗ |
| THE JEWISH HOSPITAL-MERCY HEALTH Inpatient | AMERIHEALTH CARITAS OH [4813] | AMERIHEALTH CARITAS OH [4813001] | $5,163.25 | — | — | 2026-04-01 | MRF ↗ |
| THE JEWISH HOSPITAL-MERCY HEALTH Inpatient | UNITED HEALTHCARE COMMUNITY PL [3519] | UNITED HEALTHCARE COMMUNITY PLAN OH [3519001] | $5,163.25 | — | — | 2026-04-01 | MRF ↗ |
| THE JEWISH HOSPITAL-MERCY HEALTH Inpatient | ANTHEM OH MEDICAID [6565] | ANTHEM OH MEDICAID [656501] | $5,163.25 | — | — | 2026-04-01 | MRF ↗ |
| THE JEWISH HOSPITAL-MERCY HEALTH Inpatient | HUMANA MEDICAID OH [4455] | HUMANA MEDICAID OH [4455001] | $5,163.25 | — | — | 2026-04-01 | MRF ↗ |
| THE JEWISH HOSPITAL-MERCY HEALTH Inpatient | MOLINA HEALTHCARE OH MEDICAID [3070] | MOLINA HEALTHCARE OHIO MEDICA [3070001] | $5,359.94 | — | — | 2026-04-01 | MRF ↗ |
| THE JEWISH HOSPITAL-MERCY HEALTH Inpatient | BUCKEYE COMMUNITY HEALTH PLAN [2001] | BUCKEYE COMMUNITY HEALTH PLAN [2001001] | $5,409.12 | — | — | 2026-04-01 | MRF ↗ |
| MERCY ST VINCENT MEDICAL CENTER Inpatient | CARESOURCE [2002] | CARESOURCE OH MEDICAID [2002001] | $6,083.03 | — | — | 2026-04-01 | MRF ↗ |
| MERCY ST VINCENT MEDICAL CENTER Inpatient | BUCKEYE COMMUNITY HEALTH PLAN [2001] | BUCKEYE COMMUNITY HEALTH PLAN [2001001] | $6,112.41 | — | — | 2026-04-01 | MRF ↗ |
| MERCY ST VINCENT MEDICAL CENTER Inpatient | MOLINA HEALTHCARE OH MEDICAID [3070] | MOLINA HEALTHCARE OHIO MEDICA [3070001] | $6,171.19 | — | — | 2026-04-01 | MRF ↗ |
| MERCY ST VINCENT MEDICAL CENTER Inpatient | AMERIHEALTH CARITAS OH [4813] | AMERIHEALTH CARITAS OH [4813001] | $6,171.19 | — | — | 2026-04-01 | MRF ↗ |
| MERCY ST VINCENT MEDICAL CENTER Inpatient | HUMANA MEDICAID OH [4455] | HUMANA MEDICAID OH [4455001] | $6,171.19 | — | — | 2026-04-01 | MRF ↗ |
| MERCY ST VINCENT MEDICAL CENTER Inpatient | ANTHEM OH MEDICAID [6565] | ANTHEM OH MEDICAID [656501] | $6,171.19 | — | — | 2026-04-01 | MRF ↗ |
| MERCY ST VINCENT MEDICAL CENTER Inpatient | UNITED HEALTHCARE COMMUNITY PL [3519] | UNITED HEALTHCARE COMMUNITY PLAN OH [3519001] | $6,288.73 | — | — | 2026-04-01 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC InpatientFacility | Aetna | NC+ Preferred | $6,527.00 | — | — | 2025-10-08 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC InpatientFacility | Aetna | Whole Health | $6,955.00 | — | — | 2025-10-08 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Inpatient | CARESOURCE [2002] | CARESOURCE OH MEDICAID [2002001] | $7,194.48 | — | — | 2026-04-01 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Inpatient | BUCKEYE COMMUNITY HEALTH PLAN [2001] | BUCKEYE COMMUNITY HEALTH PLAN [2001001] | $7,336.95 | — | — | 2026-04-01 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Inpatient | HUMANA MEDICAID OH [4455] | HUMANA MEDICAID OH [4455001] | $7,479.41 | — | — | 2026-04-01 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Inpatient | UNITED HEALTHCARE COMMUNITY PL [3519] | UNITED HEALTHCARE COMMUNITY PLAN OH [3519001] | $7,479.41 | — | — | 2026-04-01 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Inpatient | AMERIHEALTH CARITAS OH [4813] | AMERIHEALTH CARITAS OH [4813001] | $7,479.41 | — | — | 2026-04-01 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Inpatient | MOLINA HEALTHCARE OH MEDICAID [3070] | MOLINA HEALTHCARE OHIO MEDICA [3070001] | $7,479.41 | — | — | 2026-04-01 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Inpatient | ANTHEM OH MEDICAID [6565] | ANTHEM OH MEDICAID [656501] | $7,479.41 | — | — | 2026-04-01 | MRF ↗ |
| MH ST JOSEPH WARREN HOSPITAL Inpatient | BUCKEYE COMMUNITY HEALTH PLAN [2001] | BUCKEYE COMMUNITY HEALTH PLAN [2001001] | $7,778.60 | — | — | 2026-04-01 | MRF ↗ |
| MH ST JOSEPH WARREN HOSPITAL Inpatient | CARESOURCE [2002] | CARESOURCE OH MEDICAID [2002001] | $7,778.60 | — | — | 2026-04-01 | MRF ↗ |
| MH ST JOSEPH WARREN HOSPITAL Inpatient | HUMANA MEDICAID OH [4455] | HUMANA MEDICAID OH [4455001] | $7,778.60 | — | — | 2026-04-01 | MRF ↗ |
| MH ST JOSEPH WARREN HOSPITAL Inpatient | ANTHEM OH MEDICAID [6565] | ANTHEM OH MEDICAID [656501] | $7,778.60 | — | — | 2026-04-01 | MRF ↗ |
| MH ST JOSEPH WARREN HOSPITAL Inpatient | AMERIHEALTH CARITAS OH [4813] | AMERIHEALTH CARITAS OH [4813001] | $7,778.60 | — | — | 2026-04-01 | MRF ↗ |
| MH ST JOSEPH WARREN HOSPITAL Inpatient | UNITED HEALTHCARE COMMUNITY PL [3519] | UNITED HEALTHCARE COMMUNITY PLAN OH [3519001] | $7,926.76 | — | — | 2026-04-01 | MRF ↗ |
| MH ST JOSEPH WARREN HOSPITAL Inpatient | MOLINA HEALTHCARE OH MEDICAID [3070] | MOLINA HEALTHCARE OHIO MEDICA [3070001] | $7,926.76 | — | — | 2026-04-01 | MRF ↗ |
| Charlton Memorial Hospital Inpatient | TUFTS HEALTH PUBLIC PLANS [1010213] | TUFTS HEALTH DIRECT [101021302] | $8,004.62 | $303,690.85 | $151,845.42 | 2025-12-15 | MRF ↗ |
| ST LUKE'S HOSPITAL Inpatient | TUFTS HEALTH PUBLIC PLANS [1010213] | TUFTS HEALTH DIRECT [101021302] | $8,004.62 | $95,801.50 | $47,900.75 | 2025-12-15 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | MEDICAID HUMANA HEALTHY HORIZONS [6110] | PHM HB HUMANA MEDICAID - RICHLAND | $8,291.69 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | MEDICAID HUMANA HEALTHY HORIZONS [6110] | PHM HB HUMANA MEDICAID - RICHLAND | $8,291.69 | — | — | 2026-03-01 | MRF ↗ |
| METHODIST CELINA MEDICAL CENTER Inpatient | SUPERIOR MEDICAID MANAGED CARE [5007] | MHS HB MEDICAID 110% STAR PLUS MCEL | $8,443.62 | $33,501.75 | $10,050.53 | 2026-03-23 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC InpatientFacility | Aetna | Broad Network | $8,452.00 | — | — | 2025-10-08 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | MEDICAID SELECT HEALTH OF SC [400] | PHM HB SELECT HEALTH MEDICAID - RICHLAND | $8,524.16 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | MEDICAID SELECT HEALTH OF SC [400] | PHM HB SELECT HEALTH MEDICAID - RICHLAND | $8,524.16 | — | — | 2026-03-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | TUFTS HEALTH PUBLIC PLAN CONNECTORCARE [100264] | HB XR THPP CONNECTOR PLANS QHP SUBSIDIZED LGH | $8,640.95 | $30,192.14 | $21,134.50 | 2026-04-01 | MRF ↗ |
| MERCY HEALTH - WEST HOSPITAL Inpatient | CARESOURCE [2002] | CARESOURCE OH MEDICAID [2002001] | $8,789.71 | — | — | 2026-04-01 | MRF ↗ |
| SPRINGFIELD REGIONAL MEDICAL CENTER Inpatient | CARESOURCE [2002] | CARESOURCE OH MEDICAID [2002001] | $8,803.98 | — | — | 2026-04-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | MEDICAID BLUECHOICE [420] | PHM HB BLUECHOICE MEDICAID - RICHLAND | $8,834.13 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | MEDICAID BLUECHOICE [420] | PHM HB BLUECHOICE MEDICAID - RICHLAND | $8,834.13 | — | — | 2026-03-01 | MRF ↗ |
| MERCY HEALTH - CLERMONT HOSPITAL Inpatient | CARESOURCE [2002] | CARESOURCE OH MEDICAID [2002001] | $8,914.41 | — | — | 2026-04-01 | MRF ↗ |
| MERCY HEALTH - WEST HOSPITAL Inpatient | UNITED HEALTHCARE COMMUNITY PL [3519] | UNITED HEALTHCARE COMMUNITY PLAN OH [3519001] | $8,917.09 | — | — | 2026-04-01 | MRF ↗ |
| MERCY HEALTH - WEST HOSPITAL Inpatient | AMERIHEALTH CARITAS OH [4813] | AMERIHEALTH CARITAS OH [4813001] | $8,917.09 | — | — | 2026-04-01 | MRF ↗ |
| MERCY HEALTH - WEST HOSPITAL Inpatient | HUMANA MEDICAID OH [4455] | HUMANA MEDICAID OH [4455001] | $8,917.09 | — | — | 2026-04-01 | MRF ↗ |
| MERCY HEALTH - WEST HOSPITAL Inpatient | ANTHEM OH MEDICAID [6565] | ANTHEM OH MEDICAID [656501] | $8,917.09 | — | — | 2026-04-01 | MRF ↗ |
| SPRINGFIELD REGIONAL MEDICAL CENTER Inpatient | AMERIHEALTH CARITAS OH [4813] | AMERIHEALTH CARITAS OH [4813001] | $8,931.57 | — | — | 2026-04-01 | MRF ↗ |
| SPRINGFIELD REGIONAL MEDICAL CENTER Inpatient | BUCKEYE COMMUNITY HEALTH PLAN [2001] | BUCKEYE COMMUNITY HEALTH PLAN [2001001] | $8,931.57 | — | — | 2026-04-01 | MRF ↗ |
| SPRINGFIELD REGIONAL MEDICAL CENTER Inpatient | MOLINA HEALTHCARE OH MEDICAID [3070] | MOLINA HEALTHCARE OHIO MEDICA [3070001] | $8,931.57 | — | — | 2026-04-01 | MRF ↗ |
| SPRINGFIELD REGIONAL MEDICAL CENTER Inpatient | UNITED HEALTHCARE COMMUNITY PL [3519] | UNITED HEALTHCARE COMMUNITY PLAN OH [3519001] | $8,931.57 | — | — | 2026-04-01 | MRF ↗ |
| SPRINGFIELD REGIONAL MEDICAL CENTER Inpatient | HUMANA MEDICAID OH [4455] | HUMANA MEDICAID OH [4455001] | $8,931.57 | — | — | 2026-04-01 | MRF ↗ |
| SPRINGFIELD REGIONAL MEDICAL CENTER Inpatient | ANTHEM OH MEDICAID [6565] | ANTHEM OH MEDICAID [656501] | $8,931.57 | — | — | 2026-04-01 | MRF ↗ |
| THE JEWISH HOSPITAL-MERCY HEALTH Inpatient | CARESOURCE [2002] | CARESOURCE OH MEDICAID [2002001] | $9,023.61 | — | — | 2026-04-01 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Molina Oh | Managed Care Medicaid Plan | $9,040.32 | $57,032.66 | $29,086.66 | 2026-07-18 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Humana Oh | Managed Care Medicaid Plan | $9,040.32 | $57,032.66 | $29,086.66 | 2026-07-18 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Anthem Oh | Managed Care Medicaid Plan | $9,040.32 | $57,032.66 | $29,086.66 | 2026-07-18 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Amerihealth Caritas Oh | Managed Care Medicaid Plan | $9,040.32 | $57,032.66 | $29,086.66 | 2026-07-18 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Caresource Oh | Managed Care Medicaid Plan | $9,040.32 | $57,032.66 | $29,086.66 | 2026-07-18 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Buckeye Oh | Managed Care Medicaid Plan | $9,040.32 | $57,032.66 | $29,086.66 | 2026-07-18 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | United Health Care Oh | Managed Care Medicaid Plan | $9,040.32 | $57,032.66 | $29,086.66 | 2026-07-18 | MRF ↗ |
| MERCY HEALTH - CLERMONT HOSPITAL Inpatient | AMERIHEALTH CARITAS OH [4813] | AMERIHEALTH CARITAS OH [4813001] | $9,043.61 | — | — | 2026-04-01 | MRF ↗ |
| MERCY HEALTH - CLERMONT HOSPITAL Inpatient | UNITED HEALTHCARE COMMUNITY PL [3519] | UNITED HEALTHCARE COMMUNITY PLAN OH [3519001] | $9,043.61 | — | — | 2026-04-01 | MRF ↗ |
| MERCY HEALTH - CLERMONT HOSPITAL Inpatient | HUMANA MEDICAID OH [4455] | HUMANA MEDICAID OH [4455001] | $9,043.61 | — | — | 2026-04-01 | MRF ↗ |
| MERCY HEALTH - CLERMONT HOSPITAL Inpatient | ANTHEM OH MEDICAID [6565] | ANTHEM OH MEDICAID [656501] | $9,043.61 | — | — | 2026-04-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | MEDICAID MOLINA HEALTHCARE SC [440] | PHM HB MOLINA MEDICAID - RICHLAND | $9,144.10 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | MEDICAID MOLINA HEALTHCARE SC [440] | PHM HB MOLINA MEDICAID - RICHLAND | $9,144.10 | — | — | 2026-03-01 | MRF ↗ |
| THE JEWISH HOSPITAL-MERCY HEALTH Inpatient | HUMANA MEDICAID OH [4455] | HUMANA MEDICAID OH [4455001] | $9,154.38 | — | — | 2026-04-01 | MRF ↗ |
| THE JEWISH HOSPITAL-MERCY HEALTH Inpatient | AMERIHEALTH CARITAS OH [4813] | AMERIHEALTH CARITAS OH [4813001] | $9,154.38 | — | — | 2026-04-01 | MRF ↗ |
| THE JEWISH HOSPITAL-MERCY HEALTH Inpatient | ANTHEM OH MEDICAID [6565] | ANTHEM OH MEDICAID [656501] | $9,154.38 | — | — | 2026-04-01 | MRF ↗ |
| THE JEWISH HOSPITAL-MERCY HEALTH Inpatient | UNITED HEALTHCARE COMMUNITY PL [3519] | UNITED HEALTHCARE COMMUNITY PLAN OH [3519001] | $9,154.38 | — | — | 2026-04-01 | MRF ↗ |
| ANDERSON HOSPITAL Inpatient | CARESOURCE [2002] | CARESOURCE OH MEDICAID [2002001] | $9,214.62 | — | — | 2026-04-01 | MRF ↗ |
| MERCY HEALTH - WEST HOSPITAL Inpatient | MOLINA HEALTHCARE OH MEDICAID [3070] | MOLINA HEALTHCARE OHIO MEDICA [3070001] | $9,256.79 | — | — | 2026-04-01 | MRF ↗ |
| MERCY HEALTH - WEST HOSPITAL Inpatient | BUCKEYE COMMUNITY HEALTH PLAN [2001] | BUCKEYE COMMUNITY HEALTH PLAN [2001001] | $9,341.72 | — | — | 2026-04-01 | MRF ↗ |
| ANDERSON HOSPITAL Inpatient | AMERIHEALTH CARITAS OH [4813] | AMERIHEALTH CARITAS OH [4813001] | $9,348.16 | — | — | 2026-04-01 | MRF ↗ |
| ANDERSON HOSPITAL Inpatient | HUMANA MEDICAID OH [4455] | HUMANA MEDICAID OH [4455001] | $9,348.16 | — | — | 2026-04-01 | MRF ↗ |
| ANDERSON HOSPITAL Inpatient | UNITED HEALTHCARE COMMUNITY PL [3519] | UNITED HEALTHCARE COMMUNITY PLAN OH [3519001] | $9,348.16 | — | — | 2026-04-01 | MRF ↗ |
| ANDERSON HOSPITAL Inpatient | ANTHEM OH MEDICAID [6565] | ANTHEM OH MEDICAID [656501] | $9,348.16 | — | — | 2026-04-01 | MRF ↗ |
| MERCY HEALTH - CLERMONT HOSPITAL Inpatient | MOLINA HEALTHCARE OH MEDICAID [3070] | MOLINA HEALTHCARE OHIO MEDICA [3070001] | $9,388.13 | — | — | 2026-04-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | PENDING MEDICAID DET [333] | PHM HB SC MEDICAID - RICHLAND | $9,407.27 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | MEDICAID SC [300] | PHM HB SC MEDICAID - RICHLAND | $9,407.27 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | PENDING MEDICAID DET [333] | PHM HB SC MEDICAID - RICHLAND | $9,407.27 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | MEDICAID SC [300] | PHM HB SC MEDICAID - RICHLAND | $9,407.27 | — | — | 2026-03-01 | MRF ↗ |
| MERCY HEALTH - CLERMONT HOSPITAL Inpatient | BUCKEYE COMMUNITY HEALTH PLAN [2001] | BUCKEYE COMMUNITY HEALTH PLAN [2001001] | $9,474.26 | — | — | 2026-04-01 | MRF ↗ |
| THE JEWISH HOSPITAL-MERCY HEALTH Inpatient | MOLINA HEALTHCARE OH MEDICAID [3070] | MOLINA HEALTHCARE OHIO MEDICA [3070001] | $9,503.12 | — | — | 2026-04-01 | MRF ↗ |
| THE JEWISH HOSPITAL-MERCY HEALTH Inpatient | BUCKEYE COMMUNITY HEALTH PLAN [2001] | BUCKEYE COMMUNITY HEALTH PLAN [2001001] | $9,590.31 | — | — | 2026-04-01 | MRF ↗ |
| ANDERSON HOSPITAL Inpatient | MOLINA HEALTHCARE OH MEDICAID [3070] | MOLINA HEALTHCARE OHIO MEDICA [3070001] | $9,704.28 | — | — | 2026-04-01 | MRF ↗ |
| ANDERSON HOSPITAL Inpatient | BUCKEYE COMMUNITY HEALTH PLAN [2001] | BUCKEYE COMMUNITY HEALTH PLAN [2001001] | $9,793.31 | — | — | 2026-04-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | MEDICAID ABSOLUTE TOTAL CARE [410] | PHM HB ABSOLUTE TOTAL CARE MEDICAID - RICHLAND | $10,065.78 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | MEDICAID ABSOLUTE TOTAL CARE [410] | PHM HB ABSOLUTE TOTAL CARE MEDICAID - RICHLAND | $10,065.78 | — | — | 2026-03-01 | MRF ↗ |
| METHODIST JENNIE EDMUNDSON | Oscar Health | — | $10,176.96 | — | — | 2026-07-30 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | MASS GENERAL BRIGHAM HEALTH PLAN MEDICAID REPLACEM | HB XR MGBHP ACO COMPLETE SELECT TMC | $11,424.39 | $20,040.90 | $14,028.63 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | TUFTS HEALTH PUBLIC PLAN CONNECTORCARE [100264] | HB XR THPP CONNECTOR PLANS QHP NON-SUBSIDIZED LGH | $11,478.22 | $30,192.14 | $21,134.50 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | WELLSENSE MEDICAID REPLACEMENT [350011] | HB XR WELLSENSE MEDICAID MCO ACO MWF | $11,688.59 | $20,040.90 | $14,028.63 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | WELLSENSE MEDICAID REPLACEMENT [350011] | HB XR WELLSENSE MEDICAID MCO ACO MWF | $11,688.59 | $20,040.90 | $14,028.63 | 2026-04-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Inpatient | LUMINARE HEALTH AHS RETIREE [5013] | MMC AETNA AHS EMPLOYEE | $13,330.35 | $97,052.09 | — | 2026-04-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | LUMINARE HEALTH AHS RETIREE [5013] | OMC AETNA AHS EMPLOYEE | $13,330.35 | $97,052.09 | — | 2026-04-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | LUMINARE HEALTH AHS RETIREE [5013] | HMC AETNA AHS EMPLOYEE | $13,330.35 | $97,052.09 | — | 2026-04-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Inpatient | LUMINARE HEALTH AHS RETIREE [5013] | CMC AETNA AHS EMPLOYEE | $13,330.35 | $97,052.09 | — | 2026-04-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Inpatient | LUMINARE HEALTH AHS RETIREE [5013] | NMC AETNA AHS EMPLOYEE | $13,330.35 | $97,052.09 | — | 2026-04-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | MEDICAID HUMANA HEALTHY HORIZONS [6110] | PHM HB HUMANA MEDICAID - RICHLAND | $13,392.23 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | MEDICAID HUMANA HEALTHY HORIZONS [6110] | PHM HB HUMANA MEDICAID - RICHLAND | $13,392.23 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | MEDICAID SELECT HEALTH OF SC [400] | PHM HB SELECT HEALTH MEDICAID - RICHLAND | $13,767.71 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | MEDICAID SELECT HEALTH OF SC [400] | PHM HB SELECT HEALTH MEDICAID - RICHLAND | $13,767.71 | — | — | 2026-03-01 | MRF ↗ |
| METHODIST JENNIE EDMUNDSON | Bcbs Select Blue Choice | — | $14,233.53 | — | — | 2026-07-30 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | MEDICAID BLUECHOICE [420] | PHM HB BLUECHOICE MEDICAID - RICHLAND | $14,268.35 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | MEDICAID BLUECHOICE [420] | PHM HB BLUECHOICE MEDICAID - RICHLAND | $14,268.35 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | MEDICAID MOLINA HEALTHCARE SC [440] | PHM HB MOLINA MEDICAID - RICHLAND | $14,769.00 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | MEDICAID MOLINA HEALTHCARE SC [440] | PHM HB MOLINA MEDICAID - RICHLAND | $14,769.00 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | MEDICAID GEORGIA-AMERIGROUP [3009] | PHU HB 100% OF MEDICAID - GMH | $14,892.67 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | MEDICAID GEORGIA-CARESOURCE [3228] | PHU HB 100% OF MEDICAID - GMH | $14,892.67 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | MEDICAID FLORIDA [315] | PHU HB 100% OF MEDICAID - GMH | $14,892.67 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | MEDICAID TENNESSEE [325] | PHU HB 100% OF MEDICAID - GMH | $14,892.67 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | MEDICAID GEORGIA-AMERIGROUP [3009] | PHU HB 100% OF MEDICAID - GMH | $14,892.67 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | MEDICAID NEW YORK [320] | PHU HB 100% OF MEDICAID - GMH | $14,892.67 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | MEDICAID GEORGIA-CARESOURCE [3228] | PHU HB 100% OF MEDICAID - GMH | $14,892.67 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | MEDICAID TENNESSEE [325] | PHU HB 100% OF MEDICAID - GMH | $14,892.67 | — | — | 2026-03-01 | 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.