892 — HIV With Major HIV Related Condition,major
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). HIV WITH MAJOR HIV RELATED CONDITION,MAJOR (MS_DRG 892) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/892?code_type=MS_DRG
MLA (9th ed.)
“HIV WITH MAJOR HIV RELATED CONDITION,MAJOR (MS_DRG 892) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/892?code_type=MS_DRG. Accessed .
Chicago (notes-bibliography)
“HIV WITH MAJOR HIV RELATED CONDITION,MAJOR (MS_DRG 892) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/892?code_type=MS_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $12,239–$21,159 (25th–75th percentile) across 57 hospitals · 92 payers.
“Negotiated” is the hospital’s negotiated rate for the entire inpatient stay under MS_DRG 892 — 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 | Anthem | 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 | Medical Mutual of Ohio | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | WellCare by AllWell | 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 | Primetime Health Plan | 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 | Molina | 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 | Devoted Health | 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 | Paramount | Medicare Advantage | $52.19 | — | — | 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 | Perennial Advantage of Ohio | 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 | Regence Blue Shield | Ump | — | — | — | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Kaiser Northwest | Managed Medicaid | — | — | — | 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 | Premerafirst | Global/Heritage | — | — | — | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Regence Blue Shield | Commercial | — | — | — | 2026-07-31 | 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 ↗ |
| TANNER MEDICAL CENTER VILLA RICA Inpatient | Amerigroup | 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 | Caresource | Medicaid Cmo | — | — | — | 2026-09-21 | MRF ↗ |
| ROPER HOSPITAL Inpatient | BLUE CHOICE MEDICAID SC [4807] | BLUE CHOICE HEALTHPLAN MEDICAID SC [4807001] | $2,134.93 | — | — | 2026-04-01 | MRF ↗ |
| ROPER HOSPITAL Inpatient | MOLINA HEALTHCARE SC MEDICAID [4847] | MOLINA HEALTHCARE SC MEDICAID [4847001] | $2,134.93 | — | — | 2026-04-01 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | Heritage Provider Network - Sierra Medi | Cal | — | — | — | 2026-07-15 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | Kaiser Foundation Hospitals | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | Aetna | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | Health Net Of California | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | Heritage Provider Network - Medi | Cal High Desert | — | — | — | 2026-07-15 | MRF ↗ |
| ROPER HOSPITAL Inpatient | SELECT HEALTH OF SC [4890] | SELECT HEALTH OF SC [4890001] | $2,241.68 | — | — | 2026-04-01 | MRF ↗ |
| ROPER HOSPITAL Inpatient | HUMANA MEDICAID SC [4884] | HUMANA MEDICAID SC [4884001] | $2,241.68 | — | — | 2026-04-01 | MRF ↗ |
| MARINHEALTH MEDICAL CENTER Inpatient | Anthem Blue Cross Hill Physicians | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| MARINHEALTH MEDICAL CENTER Inpatient | United Healthcare Hmo | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| MARINHEALTH MEDICAL CENTER Inpatient | Partnership Health Plan | Managed Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| MARINHEALTH MEDICAL CENTER Inpatient | United Healthcare Epo | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| MARINHEALTH MEDICAL CENTER Inpatient | Western Health Advantage | Commercial | — | — | — | 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 | Anthem Blue Connection | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MSMC | $3,438.65 | $48,193.00 | $24,096.50 | 2026-03-23 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MSMC | $3,438.65 | $48,193.00 | $24,096.50 | 2026-03-23 | MRF ↗ |
| METHODIST MIDLOTHIAN MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MLMC | $3,530.49 | $39,896.25 | $19,948.13 | 2026-03-21 | MRF ↗ |
| METHODIST MANSFIELD MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MMMC | $3,530.58 | $39,896.25 | $19,948.13 | 2026-03-21 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MRMC | $3,563.31 | $39,896.25 | $19,948.13 | 2026-03-21 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MRMC | $3,563.31 | $39,896.25 | $19,948.13 | 2026-03-21 | MRF ↗ |
| METHODIST CHARLTON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MCMC | $3,644.33 | $39,896.25 | $19,948.13 | 2026-03-21 | MRF ↗ |
| METHODIST CELINA MEDICAL CENTER Inpatient | SUPERIOR MEDICAID MANAGED CARE [5007] | MHS HB MEDICAID 110% STAR PLUS MCEL | $4,019.49 | $48,193.00 | $14,457.90 | 2026-03-23 | MRF ↗ |
| METHODIST DALLAS MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MDMC | $4,840.91 | $39,896.25 | $19,948.13 | 2026-03-20 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MSMC | $5,348.49 | $39,297.25 | $19,648.63 | 2026-03-23 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MSMC | $5,348.49 | $39,297.25 | $19,648.63 | 2026-03-23 | MRF ↗ |
| METHODIST MIDLOTHIAN MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MLMC | $5,491.35 | $39,297.25 | $19,648.63 | 2026-03-21 | MRF ↗ |
| METHODIST MANSFIELD MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MMMC | $5,491.50 | $39,297.25 | $19,648.63 | 2026-03-21 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MRMC | $5,542.40 | $39,297.25 | $19,648.63 | 2026-03-21 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MRMC | $5,542.40 | $39,297.25 | $19,648.63 | 2026-03-21 | MRF ↗ |
| METHODIST CHARLTON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MCMC | $5,668.42 | $39,297.25 | $19,648.63 | 2026-03-21 | MRF ↗ |
| The Queen's Medical Center Inpatient | University Health Alliance | Commercial | $5,753.00 | — | — | 2026-07-15 | MRF ↗ |
| THE QUEENS MEDICAL CENTER Inpatient | University Health Alliance | Commercial | $5,753.00 | — | — | 2026-07-15 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | LUMINARE HEALTH AHS RETIREE [5013] | HMC AETNA AHS EMPLOYEE | — | $169,519.76 | — | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Inpatient | LUMINARE HEALTH AHS RETIREE [5013] | CMC AETNA AHS EMPLOYEE | — | $169,519.76 | — | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | LUMINARE HEALTH AHS RETIREE [5013] | HMC AETNA AHS EMPLOYEE | — | $169,519.76 | — | 2026-01-01 | MRF ↗ |
| METHODIST CELINA MEDICAL CENTER Inpatient | SUPERIOR MEDICAID MANAGED CARE [5007] | MHS HB MEDICAID 110% STAR PLUS MCEL | $6,251.94 | $39,297.25 | $11,789.18 | 2026-03-23 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC InpatientFacility | Aetna | NC+ Preferred | $6,527.00 | — | — | 2025-10-08 | MRF ↗ |
| METHODIST JENNIE EDMUNDSON | Oscar Health | — | $6,859.34 | — | — | 2026-07-30 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC InpatientFacility | Aetna | Whole Health | $6,955.00 | — | — | 2025-10-08 | MRF ↗ |
| METHODIST DALLAS MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MDMC | $7,529.58 | $39,297.25 | $19,648.63 | 2026-03-20 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Humana Oh | Managed Care Medicaid Plan | $7,840.69 | $65,426.55 | $33,367.54 | 2026-07-18 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Caresource Oh | Managed Care Medicaid Plan | $7,840.69 | $65,426.55 | $33,367.54 | 2026-07-18 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Amerihealth Caritas Oh | Managed Care Medicaid Plan | $7,840.69 | $65,426.55 | $33,367.54 | 2026-07-18 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Anthem Oh | Managed Care Medicaid Plan | $7,840.69 | $65,426.55 | $33,367.54 | 2026-07-18 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Buckeye Oh | Managed Care Medicaid Plan | $7,840.69 | $65,426.55 | $33,367.54 | 2026-07-18 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Molina Oh | Managed Care Medicaid Plan | $7,840.69 | $65,426.55 | $33,367.54 | 2026-07-18 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | United Health Care Oh | Managed Care Medicaid Plan | $7,840.69 | $65,426.55 | $33,367.54 | 2026-07-18 | MRF ↗ |
| BON SECOURS SOUTHSIDE MEDICAL CENTER Inpatient | AETNA BETTER HEALTH OF VA [4803] | AETNA BETTER HEALTH OF VA [4803001] | $7,999.90 | — | — | 2026-04-01 | MRF ↗ |
| BON SECOURS SOUTHSIDE MEDICAL CENTER Inpatient | BCBS VA MEDICAID [4863] | ANTHEM BCBS VA HEALTHKEEPERS PLUS [4863001] | $7,999.90 | — | — | 2026-04-01 | MRF ↗ |
| BON SECOURS SOUTHSIDE MEDICAL CENTER Inpatient | BCBS VA MEDICAID [4863] | ANTHEM BCBS VA CCCP HEALTHKEEPERS PLUS [4863003] | $7,999.90 | — | — | 2026-04-01 | MRF ↗ |
| BON SECOURS SOUTHSIDE MEDICAL CENTER Inpatient | SENTARA MEDICAID [4986] | SENTARA COMMUNITY PLAN CARDINAL CARE [4986001] | $7,999.90 | — | — | 2026-04-01 | MRF ↗ |
| ST LUKE'S HOSPITAL Inpatient | TUFTS HEALTH PUBLIC PLANS [1010213] | TUFTS HEALTH DIRECT [101021302] | $8,004.62 | $16,204.96 | $8,102.48 | 2025-12-15 | MRF ↗ |
| BON SECOURS SOUTHSIDE MEDICAL CENTER Inpatient | MOLINA COMPLETE CARE OF VA [4835] | CCCP MOLINA COMPLETE CARE OF VA [4835003] | $8,239.90 | — | — | 2026-04-01 | MRF ↗ |
| BON SECOURS SOUTHSIDE MEDICAL CENTER Inpatient | HUMANA MEDICAID VA [5113] | HUMANA HEALTHY HORIZONS VA [5113003] | $8,399.89 | — | — | 2026-04-01 | MRF ↗ |
| BON SECOURS SOUTHSIDE MEDICAL CENTER Inpatient | UNITED HEALTHCARE COMMUNITY PL [3519] | UHC MEDICAID COMMUNITY HEALTH PLAN VA [3519010] | $8,399.89 | — | — | 2026-04-01 | MRF ↗ |
| BON SECOURS ST MARYS HOSPITAL Inpatient | BCBS VA MEDICAID [4863] | ANTHEM BCBS VA HEALTHKEEPERS PLUS [4863001] | $8,448.43 | — | — | 2026-04-01 | MRF ↗ |
| BON SECOURS ST MARYS HOSPITAL Inpatient | BCBS VA MEDICAID [4863] | ANTHEM BCBS VA CCCP HEALTHKEEPERS PLUS [4863003] | $8,448.43 | — | — | 2026-04-01 | MRF ↗ |
| BON SECOURS ST MARYS HOSPITAL Inpatient | UNITED HEALTHCARE COMMUNITY PL [3519] | UHC MEDICAID COMMUNITY HEALTH PLAN VA [3519010] | $8,448.43 | — | — | 2026-04-01 | MRF ↗ |
| BON SECOURS ST MARYS HOSPITAL Inpatient | SENTARA MEDICAID [4986] | SENTARA COMMUNITY PLAN CARDINAL CARE [4986001] | $8,448.43 | — | — | 2026-04-01 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC InpatientFacility | Aetna | Broad Network | $8,452.00 | — | — | 2025-10-08 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | TUFTS HEALTH PUBLIC PLAN CONNECTORCARE [100264] | HB XR THPP CONNECTOR PLANS QHP SUBSIDIZED LGH | $8,640.95 | $7,890.88 | $5,523.62 | 2026-04-01 | MRF ↗ |
| BON SECOURS ST MARYS HOSPITAL Inpatient | MOLINA COMPLETE CARE OF VA [4835] | CCCP MOLINA COMPLETE CARE OF VA [4835003] | $8,701.89 | — | — | 2026-04-01 | MRF ↗ |
| SALEM HOSPITAL Inpatient | WELLSENSE [1003] | HB SLM WELLSENSE MCO | $8,710.54 | $22,201.73 | — | 2026-03-27 | MRF ↗ |
| BON SECOURS ST MARYS HOSPITAL Inpatient | HUMANA MEDICAID VA [5113] | HUMANA HEALTHY HORIZONS VA [5113003] | $8,870.86 | — | — | 2026-04-01 | MRF ↗ |
| BON SECOURS ST MARYS HOSPITAL Inpatient | AETNA BETTER HEALTH OF VA [4803] | AETNA BETTER HEALTH OF VA [4803001] | $8,870.86 | — | — | 2026-04-01 | MRF ↗ |
| METHODIST JENNIE EDMUNDSON | Bcbs Select Blue Choice | — | $9,593.50 | — | — | 2026-07-30 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | MEDICAID HUMANA HEALTHY HORIZONS [6110] | PHM HB HUMANA MEDICAID - RICHLAND | $9,699.49 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | MEDICAID HUMANA HEALTHY HORIZONS [6110] | PHM HB HUMANA MEDICAID - RICHLAND | $9,699.49 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | MEDICAID SELECT HEALTH OF SC [400] | PHM HB SELECT HEALTH MEDICAID - RICHLAND | $9,971.43 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | MEDICAID SELECT HEALTH OF SC [400] | PHM HB SELECT HEALTH MEDICAID - RICHLAND | $9,971.43 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | MEDICAID BLUECHOICE [420] | PHM HB BLUECHOICE MEDICAID - RICHLAND | $10,334.03 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | MEDICAID BLUECHOICE [420] | PHM HB BLUECHOICE MEDICAID - RICHLAND | $10,334.03 | — | — | 2026-03-01 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | WELLPOINT MEDICAID MANAGED CARE [5001] | MHS HB WELLPOINT MEDICAID STAR MSMC | $10,603.71 | $48,193.00 | $24,096.50 | 2026-03-23 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | WELLPOINT MEDICAID MANAGED CARE [5001] | MHS HB WELLPOINT MEDICAID STAR MSMC | $10,603.71 | $48,193.00 | $24,096.50 | 2026-03-23 | MRF ↗ |
| ROPER HOSPITAL Inpatient | MOLINA HEALTHCARE SC MEDICAID [4847] | MOLINA HEALTHCARE SC MEDICAID [4847001] | $10,661.10 | — | — | 2026-04-01 | MRF ↗ |
| ROPER HOSPITAL Inpatient | BLUE CHOICE MEDICAID SC [4807] | BLUE CHOICE HEALTHPLAN MEDICAID SC [4807001] | $10,661.10 | — | — | 2026-04-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | MEDICAID MOLINA HEALTHCARE SC [440] | PHM HB MOLINA MEDICAID - RICHLAND | $10,696.63 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | MEDICAID MOLINA HEALTHCARE SC [440] | PHM HB MOLINA MEDICAID - RICHLAND | $10,696.63 | — | — | 2026-03-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | LUMINARE HEALTH AHS RETIREE [5013] | OMC AETNA AHS EMPLOYEE | $10,717.96 | $117,256.99 | — | 2026-04-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | LUMINARE HEALTH AHS RETIREE [5013] | HMC AETNA AHS EMPLOYEE | $10,717.96 | $117,256.99 | — | 2026-04-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Inpatient | LUMINARE HEALTH AHS RETIREE [5013] | MMC AETNA AHS EMPLOYEE | $10,717.96 | $117,256.99 | — | 2026-04-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Inpatient | LUMINARE HEALTH AHS RETIREE [5013] | NMC AETNA AHS EMPLOYEE | $10,717.96 | $117,256.99 | — | 2026-04-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Inpatient | LUMINARE HEALTH AHS RETIREE [5013] | CMC AETNA AHS EMPLOYEE | $10,717.96 | $117,256.99 | — | 2026-04-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | MEDICAID GEORGIA-CARESOURCE [3228] | PHU HB 100% OF MEDICAID - GMH | $10,786.21 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | MEDICAID TENNESSEE [325] | PHU HB 100% OF MEDICAID - GMH | $10,786.21 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | MEDICAID NEW YORK [320] | PHU HB 100% OF MEDICAID - GMH | $10,786.21 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | MEDICAID FLORIDA [315] | PHU HB 100% OF MEDICAID - GMH | $10,786.21 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | MEDICAID GEORGIA-AMERIGROUP [3009] | PHU HB 100% OF MEDICAID - GMH | $10,786.21 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | MEDICAID GEORGIA-CARESOURCE [3228] | PHU HB 100% OF MEDICAID - GMH | $10,786.21 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | MEDICAID NEW YORK [320] | PHU HB 100% OF MEDICAID - GMH | $10,786.21 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | MEDICAID TENNESSEE [325] | PHU HB 100% OF MEDICAID - GMH | $10,786.21 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | MEDICAID FLORIDA [315] | PHU HB 100% OF MEDICAID - GMH | $10,786.21 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | MEDICAID GEORGIA-AMERIGROUP [3009] | PHU HB 100% OF MEDICAID - GMH | $10,786.21 | — | — | 2026-03-01 | MRF ↗ |
| METHODIST MANSFIELD MEDICAL CENTER Inpatient | WELLPOINT MEDICAID MANAGED CARE [5001] | MHS HB WELLPOINT MEDICAID STAR MMMC | $10,887.22 | $39,896.25 | $19,948.13 | 2026-03-21 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | PENDING MEDICAID DET [333] | PHM HB SC MEDICAID - RICHLAND | $11,004.49 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | MEDICAID SC [300] | PHM HB SC MEDICAID - RICHLAND | $11,004.49 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | PENDING MEDICAID DET [333] | PHM HB SC MEDICAID - RICHLAND | $11,004.49 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | MEDICAID SC [300] | PHM HB SC MEDICAID - RICHLAND | $11,004.49 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | MEDICAID SELECT HEALTH OF SC [400] | PHU HB 103% OF MEDICAID - GMH | $11,109.80 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | MEDICAID SELECT HEALTH OF SC [400] | PHU HB 103% OF MEDICAID - GMH | $11,109.80 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | MEDICAID MOLINA HEALTHCARE SC [440] | PHU HB 103% OF MEDICAID - GMH | $11,109.80 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | MEDICAID MOLINA HEALTHCARE SC [440] | PHU HB 103% OF MEDICAID - GMH | $11,109.80 | — | — | 2026-03-01 | MRF ↗ |
| ROPER HOSPITAL Inpatient | HUMANA MEDICAID SC [4884] | HUMANA MEDICAID SC [4884001] | $11,194.16 | — | — | 2026-04-01 | MRF ↗ |
| ROPER HOSPITAL Inpatient | SELECT HEALTH OF SC [4890] | SELECT HEALTH OF SC [4890001] | $11,194.16 | — | — | 2026-04-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | MEDICAID BLUECHOICE [420] | PHU HB BLUECHOICE MEDICAID 104% - GMH | $11,217.66 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | MEDICAID BLUECHOICE [420] | PHU HB BLUECHOICE MEDICAID 104% - GMH | $11,217.66 | — | — | 2026-03-01 | MRF ↗ |
| METHODIST JENNIE EDMUNDSON | Bcbs Network Blue | — | $11,286.47 | — | — | 2026-07-30 | 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 | $7,890.88 | $5,523.62 | 2026-04-01 | MRF ↗ |
| COLUMBUS REGIONAL HOSPITAL Inpatient | Anthem Medicaid | Crh Hb Medicaid | $11,714.43 | $24,753.84 | — | 2026-07-15 | MRF ↗ |
| COLUMBUS REGIONAL HOSPITAL Inpatient | Mdwise | Crh Hb Medicaid | $11,714.43 | $24,753.84 | — | 2026-07-15 | MRF ↗ |
| COLUMBUS REGIONAL HOSPITAL Inpatient | Mdwise | Crh Hb Healthy Indiana Plan (Hip) | $11,714.43 | $24,753.84 | — | 2026-07-15 | MRF ↗ |
| COLUMBUS REGIONAL HOSPITAL Inpatient | Caresource Medicaid | Crh Hb Medicaid | $11,714.43 | $24,753.84 | — | 2026-07-15 | MRF ↗ |
| COLUMBUS REGIONAL HOSPITAL Inpatient | Managed Health Services | Crh Hb Medicaid | $11,714.43 | $24,753.84 | — | 2026-07-15 | MRF ↗ |
| COLUMBUS REGIONAL HOSPITAL Inpatient | Caresource Medicaid | Crh Hb Healthy Indiana Plan (Hip) | $11,714.43 | $24,753.84 | — | 2026-07-15 | MRF ↗ |
| BRIGHAM AND WOMEN'S HOSPITAL Inpatient | MASSHEALTH [3001] | HB BWH MEDICAID | $11,749.23 | $58,034.64 | — | 2026-03-27 | MRF ↗ |
| MASSACHUSETTS GENERAL HOSPITAL Inpatient | WELLSENSE [1003] | HB MGH WELLSENSE MCO | $11,749.23 | $50,271.20 | — | 2026-03-27 | MRF ↗ |
| BRIGHAM AND WOMEN FAULKNER HOSPITAL Inpatient | MGB HEALTH PLAN [150001] | HB BWF MGBHP MEDICAID | $11,749.23 | $25,878.27 | — | 2026-03-27 | MRF ↗ |
| BRIGHAM AND WOMEN FAULKNER HOSPITAL Inpatient | WELLSENSE [1003] | HB BWF WELLSENSE MCO | $11,749.23 | $25,878.27 | — | 2026-03-27 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | MEDICAID ABSOLUTE TOTAL CARE [410] | PHM HB ABSOLUTE TOTAL CARE MEDICAID - RICHLAND | $11,774.80 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | MEDICAID ABSOLUTE TOTAL CARE [410] | PHM HB ABSOLUTE TOTAL CARE MEDICAID - RICHLAND | $11,774.80 | — | — | 2026-03-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | MEDICAID [5022] | HMC MEDICAID | $12,239.24 | $59,535.70 | — | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | UNTD HLTH COMMUNITY PLAN BEHAVIORAL HEALTH [5293] | HMC UNITED HEALTH COMMUNITY | $12,239.24 | $117,256.99 | — | 2026-04-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | UNTD HLTH COMMUNITY PLAN BEHAVIORAL HEALTH [5293] | HMC UNITED HEALTH COMMUNITY | $12,239.24 | $59,535.70 | — | 2026-01-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Inpatient | WELLPOINT MANAGED MEDICAID [5006] | CSMC WELLPOINT MANAGED MEDICAID | $12,239.24 | $117,256.99 | — | 2026-04-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | UNTD HLTH COMMUNITY PLAN BEHAVIORAL HEALTH [5293] | HMC UNITED HEALTH COMMUNITY | $12,239.24 | $59,535.70 | — | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | AETNA BETTER HEALTH [5005] | HMC AETNA BETTER HEALTH | $12,239.24 | $117,256.99 | — | 2026-04-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Inpatient | MEDICAID [5022] | CSMC MEDICAID | $12,239.24 | $117,256.99 | — | 2026-04-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | AETNA BETTER HEALTH [5005] | HMC AETNA BETTER HEALTH | $12,239.24 | $59,535.70 | — | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | FIDELIS CARE MEDICAID [5509] | HMC FEDELIS CARE MANAGED MEDICAID | $12,239.24 | $59,535.70 | — | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | ANTHEM BCBSNY MEDICAID [5511] | HMC MEDICAID | $12,239.24 | $117,256.99 | — | 2026-04-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | ANTHEM BCBSNY MEDICAID [5511] | HMC MEDICAID | $12,239.24 | $59,535.70 | — | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | ANTHEM BCBSNY MEDICAID [5511] | HMC MEDICAID | $12,239.24 | $59,535.70 | — | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | WELLPOINT MANAGED MEDICAID [5006] | HMC WELLPOINT MANAGED MEDICAID | $12,239.24 | $117,256.99 | — | 2026-04-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | MEDICAID [5022] | OMC MEDICAID | $12,239.24 | $59,535.70 | — | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | WELLPOINT MANAGED MEDICAID [5006] | HMC WELLPOINT MANAGED MEDICAID | $12,239.24 | $59,535.70 | — | 2026-01-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Inpatient | WELLPATH CORRECTIONAL [5485] | CSMC WELLPATH/ MONNOUTH CORRECTIONAL | $12,239.24 | $117,256.99 | — | 2026-04-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | MEDICAID [5022] | HMC MEDICAID | $12,239.24 | $117,256.99 | — | 2026-04-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Inpatient | AETNA BETTER HEALTH [5005] | CSMC AETNA BETTER HEALTH | $12,239.24 | $117,256.99 | — | 2026-04-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | MEDICAID [5022] | OMC MEDICAID | $12,239.24 | $117,256.99 | — | 2026-04-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | UNTD HLTH COMMUNITY PLAN BEHAVIORAL HEALTH [5293] | OMC UNITED HEALTH COMMUNITY | $12,239.24 | $59,535.70 | — | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | WELLPOINT MANAGED MEDICAID [5006] | HMC WELLPOINT MANAGED MEDICAID | $12,239.24 | $59,535.70 | — | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | UNTD HLTH COMMUNITY PLAN BEHAVIORAL HEALTH [5293] | OMC UNITED HEALTH COMMUNITY | $12,239.24 | $117,256.99 | — | 2026-04-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | AETNA BETTER HEALTH [5005] | OMC AETNA BETTER HEALTH | $12,239.24 | $59,535.70 | — | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | AETNA BETTER HEALTH [5005] | OMC AETNA BETTER HEALTH | $12,239.24 | $117,256.99 | — | 2026-04-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Inpatient | ANTHEM BCBSNY MEDICAID [5511] | CMC MEDICAID | $12,239.24 | $59,535.70 | — | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Inpatient | WELLPOINT MANAGED MEDICAID [5006] | CMC WELLPOINT MANAGED MEDICAID | $12,239.24 | $59,535.70 | — | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Inpatient | UNTD HLTH COMMUNITY PLAN BEHAVIORAL HEALTH [5293] | CMC UNITED HEALTH COMMUNITY | $12,239.24 | $59,535.70 | — | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Inpatient | AETNA BETTER HEALTH [5005] | CMC AETNA BETTER HEALTH | $12,239.24 | $59,535.70 | — | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | UNTD HLTH COMMUNITY PLAN [5034] | OMC UNITED HEALTH COMMUNITY | $12,239.24 | $117,256.99 | — | 2026-04-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | UNTD HLTH COMMUNITY PLAN [5034] | HMC UNITED HEALTH COMMUNITY | $12,239.24 | $59,535.70 | — | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Inpatient | UNTD HLTH COMMUNITY PLAN [5034] | CMC UNITED HEALTH COMMUNITY | $12,239.24 | $59,535.70 | — | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | UNTD HLTH COMMUNITY PLAN [5034] | HMC UNITED HEALTH COMMUNITY | $12,239.24 | $59,535.70 | — | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | UNTD HLTH COMMUNITY PLAN [5034] | HMC UNITED HEALTH COMMUNITY | $12,239.24 | $117,256.99 | — | 2026-04-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | UNTD HLTH COMMUNITY PLAN [5034] | OMC UNITED HEALTH COMMUNITY | $12,239.24 | $59,535.70 | — | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | AETNA BETTER HEALTH [5005] | HMC AETNA BETTER HEALTH | $12,239.24 | $59,535.70 | — | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Inpatient | FIDELIS CARE MEDICAID [5509] | CMC FEDELIS CARE MANAGED MEDICAID | $12,239.24 | $59,535.70 | — | 2026-01-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Inpatient | UNTD HLTH COMMUNITY PLAN [5034] | CSMC UNITED HEALTH COMMUNITY | $12,239.24 | $117,256.99 | — | 2026-04-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | FIDELIS CARE MEDICAID [5509] | OMC FEDELIS CARE MANAGED MEDICAID | $12,239.24 | $117,256.99 | — | 2026-04-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | ANTHEM BCBSNY MEDICAID [5511] | OMC MEDICAID | $12,239.24 | $59,535.70 | — | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | ANTHEM BCBSNY MEDICAID [5511] | OMC MEDICAID | $12,239.24 | $117,256.99 | — | 2026-04-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | FIDELIS CARE MEDICAID [5509] | OMC FEDELIS CARE MANAGED MEDICAID | $12,239.24 | $59,535.70 | — | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | WELLPOINT MANAGED MEDICAID [5006] | OMC WELLPOINT MANAGED MEDICAID | $12,239.24 | $117,256.99 | — | 2026-04-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | WELLPOINT MANAGED MEDICAID [5006] | OMC WELLPOINT MANAGED MEDICAID | $12,239.24 | $59,535.70 | — | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | WELLPOINT MANAGED MEDICAID [5006] | OMC WELLPOINT MANAGED MEDICAID | $12,239.24 | $59,535.70 | — | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Inpatient | MEDICAID [5022] | CMC MEDICAID | $12,239.24 | $59,535.70 | — | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | ANTHEM BCBSNY MEDICAID [5511] | OMC MEDICAID | $12,239.24 | $59,535.70 | — | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | FIDELIS CARE MEDICAID [5509] | OMC FEDELIS CARE MANAGED MEDICAID | $12,239.24 | $59,535.70 | — | 2026-01-01 | MRF ↗ |
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