904 — Major Larynx Trachea Procedures
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Major larynx trachea procedures (APR_DRG 904) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/904?code_type=APR_DRG
MLA (9th ed.)
“Major larynx trachea procedures (APR_DRG 904) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/904?code_type=APR_DRG. Accessed .
Chicago (notes-bibliography)
“Major larynx trachea procedures (APR_DRG 904) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/904?code_type=APR_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $83,076–$171,782 (25th–75th percentile) across 74 hospitals · 62 payers.
“Negotiated” is the hospital’s negotiated facility rate for this APR_DRG 904 — 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 |
|---|---|---|---|---|---|---|---|
| TITUSVILLE AREA HOSPITAL Inpatient | United Healthcare Medicare | Medicare Advantage | $35.02 | — | — | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Inpatient | United Healthcare Medicare | Medicare Advantage | $35.02 | — | — | 2026-02-12 | MRF ↗ |
| MONTEFIORE ST LUKE'S CORNWALL Inpatient | Anthem | Exchange | $14,105.38 | — | — | 2026-04-01 | MRF ↗ |
| SANFORD MEDICAL CENTER ABERDEEN InpatientFacility | Sanford Health Plan | SD Exchange True | $35,788.04 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD MEDICAL CENTER ABERDEEN InpatientFacility | Sanford Health Plan | Group Health/True | $40,807.37 | — | — | 2026-03-04 | MRF ↗ |
| NYACK HOSPITAL Inpatient | HealthFirst | Exchange Product - Enrollees | $41,341.45 | — | $82,682.89 | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Inpatient | HealthFirst | Exchange Product - Enrollees | $41,341.45 | — | $82,682.89 | 2025-06-27 | MRF ↗ |
| SANFORD MEDICAL CENTER ABERDEEN InpatientFacility | Sanford Health Plan | SD Exchange Commercial | $42,103.61 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD MEDICAL CENTER ABERDEEN InpatientFacility | Health Partners | State Employees | $44,331.00 | — | — | 2026-03-04 | MRF ↗ |
| LONGMONT UNITED HOSPITAL InpatientFacility | Denver Health | Managed Medicaid | $46,243.95 | — | — | 2024-12-02 | MRF ↗ |
| LONGMONT UNITED HOSPITAL InpatientFacility | Colorado Access | Managed Medicaid | $46,243.95 | — | — | 2024-12-02 | MRF ↗ |
| ST FRANCIS HOSPITAL - INTERQUEST InpatientFacility | Rocky Mountain Health Plan | Managed Medicaid | $46,730.86 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES InpatientFacility | Rocky Mountain Health Plan | Managed Medicaid | $46,730.86 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES InpatientFacility | Denver Health | Managed Medicaid | $46,730.86 | — | — | 2024-12-02 | MRF ↗ |
| ST FRANCIS HOSPITAL - INTERQUEST InpatientFacility | Naphcare | Managed Medicaid | $46,730.86 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES InpatientFacility | Colorado Access | Managed Medicaid | $46,730.86 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES InpatientFacility | Colorado Access | Managed Medicaid | $46,730.86 | — | — | 2024-12-02 | MRF ↗ |
| ST FRANCIS HOSPITAL - INTERQUEST InpatientFacility | Colorado Access | Managed Medicaid | $46,730.86 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES InpatientFacility | Denver Health | Managed Medicaid | $46,730.86 | — | — | 2024-12-02 | MRF ↗ |
| ST FRANCIS HOSPITAL - INTERQUEST InpatientFacility | Kaiser | Managed Medicaid | $46,730.86 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES InpatientFacility | Rocky Mountain Health Plan | Managed Medicaid | $46,730.86 | — | — | 2024-12-02 | MRF ↗ |
| ST FRANCIS HOSPITAL - INTERQUEST InpatientFacility | Denver Health | Managed Medicaid | $46,730.86 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL InpatientFacility | Rocky Mountain Health Plan | Managed Medicaid | $47,761.93 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL InpatientFacility | Naphcare | Managed Medicaid | $47,761.93 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL InpatientFacility | Denver Health | Managed Medicaid | $47,761.93 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL InpatientFacility | Colorado Access | Managed Medicaid | $47,761.93 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL InpatientFacility | Kaiser | Managed Medicaid | $47,761.93 | — | — | 2024-12-02 | MRF ↗ |
| SANFORD MEDICAL CENTER ABERDEEN InpatientFacility | Sanford Health Plan | Commercial | $48,008.67 | — | — | 2026-03-04 | MRF ↗ |
| SAMARITAN MEDICAL CENTER InpatientFacility | Excellus | Managed Medicaid | $48,093.96 | — | — | 2026-02-02 | MRF ↗ |
| SAMARITAN MEDICAL CENTER InpatientFacility | Capital District Physician's Health Plan, Inc (CDPHP) | Managed Medicaid | $48,093.96 | — | — | 2026-02-02 | MRF ↗ |
| SAMARITAN MEDICAL CENTER InpatientFacility | MVP | Essential Plan 3-4 | $48,093.96 | — | — | 2026-02-02 | MRF ↗ |
| SAMARITAN MEDICAL CENTER InpatientFacility | Fidelis | Medicaid Managed Care/Child Health Plus and Family Health Plus | $48,093.96 | — | — | 2026-02-02 | MRF ↗ |
| SAMARITAN MEDICAL CENTER InpatientFacility | United Healthcare | Managed Medicaid | $49,536.78 | — | — | 2026-02-02 | MRF ↗ |
| ST ANTHONY SUMMIT MEDICAL CENTER InpatientFacility | Denver Health | Managed Medicaid | $50,733.04 | — | — | 2024-12-02 | MRF ↗ |
| ST ANTHONY SUMMIT MEDICAL CENTER InpatientFacility | Colorado Access | Managed Medicaid | $50,733.04 | — | — | 2024-12-02 | MRF ↗ |
| ST ANTHONY SUMMIT MEDICAL CENTER InpatientFacility | Rocky Mountain Health Plan | Managed Medicaid | $50,733.04 | — | — | 2024-12-02 | MRF ↗ |
| UCHEALTH BROOMFIELD HOSPITAL InpatientFacility | Denver Health Medical Plan | Medicaid Choice | $50,957.98 | — | — | 2025-11-01 | MRF ↗ |
| SANFORD MEDICAL CENTER ABERDEEN InpatientFacility | Health Partners | Commercial | $51,346.00 | — | — | 2026-03-04 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS InpatientFacility | Colorado Access | Managed Medicaid | $51,955.69 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS InpatientFacility | Denver Health | Managed Medicaid | $51,955.69 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS InpatientFacility | Rocky Mountain Health Plan | Managed Medicaid | $51,955.69 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS InpatientFacility | Kaiser | Managed Medicaid | $51,955.69 | — | — | 2024-12-02 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER InpatientFacility | EmblemHealth | Enhanced Care Prime Network (including HARP) | $52,098.90 | — | — | 2025-07-23 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER InpatientFacility | Excellus | Government Programs and Special Products | $52,098.90 | — | — | 2025-07-23 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER InpatientFacility | Fidelis | Medicaid | $52,098.90 | — | — | 2025-07-23 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER InpatientFacility | EmblemHealth | Essential Plan 3&4 | $52,098.90 | — | — | 2025-07-23 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER InpatientFacility | Molina | Medicaid | $52,098.90 | — | — | 2025-07-23 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER InpatientFacility | Capital District Physicians Health Plan (CDPHP) | Medicaid | $52,619.89 | — | — | 2025-07-23 | MRF ↗ |
| BOULDER COMMUNITY HEALTH InpatientFacility | Rocky Mountain Health Maintenance Organization | Managed Medicaid | $53,250.92 | — | — | 2025-12-23 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER InpatientFacility | iCircle of the Finger Lakes | Medicaid | $54,703.84 | — | — | 2025-07-23 | MRF ↗ |
| ST MARY-CORWIN HOSPITAL InpatientFacility | Colorado Access | Managed Medicaid | $54,859.27 | — | — | 2024-12-02 | MRF ↗ |
| ST MARY-CORWIN HOSPITAL InpatientFacility | Denver Health | Managed Medicaid | $54,859.27 | — | — | 2024-12-02 | MRF ↗ |
| ST MARY-CORWIN HOSPITAL InpatientFacility | Naphcare | Managed Medicaid | $54,859.27 | — | — | 2024-12-02 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER InpatientFacility | Denver Health | Managed Medicaid | $55,734.48 | — | — | 2024-12-02 | MRF ↗ |
| ST ELIZABETH HOSPITAL InpatientFacility | Colorado Access | Managed Medicaid | $55,734.48 | — | — | 2024-12-02 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER InpatientFacility | Rocky Mountain Health Plan | Managed Medicaid | $55,734.48 | — | — | 2024-12-02 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER InpatientFacility | MyCompass | Medicaid | $56,266.81 | — | — | 2025-07-23 | MRF ↗ |
| ST BARNABAS HOSPITAL InpatientFacility | Healthfirst | QHP | $56,520.00 | — | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL InpatientFacility | Healthfirst | QHP | $56,520.00 | — | — | 2026-02-27 | MRF ↗ |
| BOULDER COMMUNITY HEALTH InpatientFacility | Colorado Access | CHP+ | $56,869.91 | — | — | 2025-12-23 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | BCBS of Western NY | Medicaid | $57,028.65 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | BCBS of Western NY | Medicaid | $57,028.65 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | Fidelis | Family Health Plus/Medicaid | $57,028.65 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | Univera | Essential Plan | $57,028.65 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | Fidelis | Child Health Plus | $57,028.65 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | CORVEL | WC | $57,028.65 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | BCBS of Western NY | Essential Plans 3&4 | $57,028.65 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | UHC Medicaid NY | Medicaid | $57,028.65 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | UHC Medicaid NY | Medicaid | $57,028.65 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | Beacon | Managed Medicaid | $57,028.65 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | Beacon | Managed Medicaid | $57,028.65 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | Univera | Essential Plan | $57,028.65 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | Molina Healthcare of NY | CHIP (For Kids)/Medicaid | $57,028.65 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | Fidelis | Child Health Plus | $57,028.65 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | Fidelis | Family Health Plus/Medicaid | $57,028.65 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | CORVEL | WC | $57,028.65 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | Molina Healthcare of NY | CHIP (For Kids)/Medicaid | $57,028.65 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | BCBS of Western NY | Essential Plans 3&4 | $57,028.65 | — | — | 2026-03-06 | MRF ↗ |
| SAMARITAN MEDICAL CENTER InpatientFacility | MVP | Essential Plan 1-2 and 5-6 | $57,712.75 | — | — | 2026-02-02 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | Univera | CHIP (For Kids)/HARP/NY Medicaid | $59,880.04 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | Univera | CHIP (For Kids)/HARP/NY Medicaid | $59,880.04 | — | — | 2026-03-06 | MRF ↗ |
| GENEVA GENERAL HOSPITAL InpatientFacility | MVP Health Care | Managed Medicaid | $61,177.02 | — | — | 2025-08-07 | MRF ↗ |
| GENEVA GENERAL HOSPITAL InpatientFacility | Fidelis | Managed Medicaid | $61,177.02 | — | — | 2025-08-07 | MRF ↗ |
| GENEVA GENERAL HOSPITAL InpatientFacility | United Healthcare | Managed Medicaid | $61,177.02 | — | — | 2025-08-07 | MRF ↗ |
| GENEVA GENERAL HOSPITAL InpatientFacility | Aetna | Managed Medicaid | $61,177.02 | — | — | 2025-08-07 | MRF ↗ |
| GENEVA GENERAL HOSPITAL InpatientFacility | Fidelis | Commercial | $61,177.02 | — | — | 2025-08-07 | MRF ↗ |
| GENEVA GENERAL HOSPITAL InpatientFacility | Excellus Blue Choice Options | Managed Medicaid | $61,177.02 | — | — | 2025-08-07 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER InpatientFacility | EmblemHealth | Essential Plan 1&2 | $62,518.68 | — | — | 2025-07-23 | MRF ↗ |
| COLLETON MEDICAL CENTER Inpatient | United | MCD | $63,560.12 | — | — | 2026-03-01 | MRF ↗ |
| COLLETON MEDICAL CENTER Inpatient | BLUE CHOICE | MGMCD | $63,560.12 | — | — | 2026-03-01 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Inpatient | HealthFirst | Healthfirst - Exchange Small Group Intra-Network | $65,159.47 | — | $1,007,799.00 | 2026-03-31 | MRF ↗ |
| UNIV. OF VERMONT - FLETCHER ALLEN HEALTH CARE InpatientFacility | United Healthcare | Managed Medicaid/Essential Plans | $65,893.67 | — | — | 2026-02-19 | MRF ↗ |
| UNIV. OF VERMONT - FLETCHER ALLEN HEALTH CARE InpatientFacility | MVP | Managed Medicaid | $65,893.67 | — | — | 2026-02-19 | MRF ↗ |
| SAINT CLARE'S HOSPITAL/ DENVILLE CAMPUS Inpatient | Non-Contracted Medicaid | Non-Contracted Medicaid - 90 Percent | $68,215.60 | — | — | 2025-08-07 | MRF ↗ |
| SAINT CLARE'S HOSPITAL/ DENVILLE CAMPUS Inpatient | Non-Contracted Medicaid | Non-Contracted Medicaid - 90 Percent | $68,215.60 | — | — | 2025-08-07 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | BCBS of Western NY | Essential Plans 1&2 | $68,434.35 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | BCBS of Western NY | Essential Plans 1&2 | $68,434.35 | — | — | 2026-03-06 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $68,455.68 | — | — | 2024-11-21 | MRF ↗ |
| NEWBERRY COUNTY MEMORIAL HOSPITAL InpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $71,474.29 | — | — | 2025-09-15 | MRF ↗ |
| UPMC HAMOT InpatientFacility | Fidelis | Child Health Plus/Family Health Plus/Medicaid | $72,874.07 | — | — | 2026-03-06 | MRF ↗ |
| NEWBERRY COUNTY MEMORIAL HOSPITAL InpatientFacility | Select Health | Managed Medicaid | $72,903.78 | — | — | 2025-09-15 | MRF ↗ |
| NEWBERRY COUNTY MEMORIAL HOSPITAL InpatientFacility | United Healthcare | Managed Medicaid | $72,903.78 | — | — | 2025-09-15 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Inpatient | BLUE CHOICE | MGMCD | $73,532.78 | — | — | 2026-03-01 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Inpatient | BLUE CHOICE | MGMCD | $73,532.78 | — | — | 2024-10-01 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR InpatientFacility | MVP | Managed Medicaid | $74,228.68 | — | — | 2026-02-19 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR InpatientFacility | Fidelis Care | Managed Medicaid | $74,228.68 | — | — | 2026-02-19 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR InpatientFacility | Capital District Physicians' Health Plan | Managed Medicaid | $74,228.68 | — | — | 2026-02-19 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR InpatientFacility | United Healthcare | Managed Medicaid/Essential Plans | $74,228.68 | — | — | 2026-02-19 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR InpatientFacility | Excellus BlueCross BlueShield | Managed Medicaid/Essential Plans | $74,228.68 | — | — | 2026-02-19 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $74,508.62 | — | — | 2024-11-21 | MRF ↗ |
| ST MARY'S GENERAL HOSPITAL Inpatient | Non-Contracted Medicaid | Non-Contracted Medicaid - 90 Percent | $75,037.20 | — | — | 2024-12-19 | MRF ↗ |
| SAINT MICHAEL'S MEDICAL CENTER Inpatient | Non-Contracted Medicaid | Non-Contracted Medicaid - 90 Percent | $75,037.20 | — | — | 2024-12-19 | MRF ↗ |
| ST MARY'S GENERAL HOSPITAL Inpatient | Non-Contracted Medicaid | Non-Contracted Medicaid - 90 Percent | $75,037.20 | — | — | 2024-12-19 | MRF ↗ |
| NEWBERRY COUNTY MEMORIAL HOSPITAL InpatientFacility | Molina | Managed Medicaid | $75,048.00 | — | — | 2025-09-15 | MRF ↗ |
| NEWBERRY COUNTY MEMORIAL HOSPITAL InpatientFacility | Absolute Total Care | Managed Medicaid | $75,048.00 | — | — | 2025-09-15 | MRF ↗ |
| SAINT CLARE'S HOSPITAL/ DENVILLE CAMPUS Inpatient | Wellcare | Wellcare Medicaid | $75,795.10 | — | — | 2025-08-07 | MRF ↗ |
| SAINT CLARE'S HOSPITAL/ DENVILLE CAMPUS Inpatient | UHC | UHC Medicaid | $75,795.10 | — | — | 2025-08-07 | MRF ↗ |
| SAINT CLARE'S HOSPITAL/ DENVILLE CAMPUS Inpatient | Traditional Medicaid | Traditional Medicaid | $75,795.10 | — | — | 2025-08-07 | MRF ↗ |
| SAINT CLARE'S HOSPITAL/ DENVILLE CAMPUS Inpatient | Wellpoint Amerigroup | Wellpoint Amerigroup Medicaid | $75,795.10 | — | — | 2025-08-07 | MRF ↗ |
| SAINT CLARE'S HOSPITAL/ DENVILLE CAMPUS Inpatient | UHC | UHC Medicaid | $75,795.10 | — | — | 2025-08-07 | MRF ↗ |
| SAINT CLARE'S HOSPITAL/ DENVILLE CAMPUS Inpatient | Wellpoint Amerigroup | Wellpoint Amerigroup Medicaid | $75,795.10 | — | — | 2025-08-07 | MRF ↗ |
| SAINT CLARE'S HOSPITAL/ DENVILLE CAMPUS Inpatient | Traditional Medicaid | Traditional Medicaid | $75,795.10 | — | — | 2025-08-07 | MRF ↗ |
| SAINT CLARE'S HOSPITAL/ DENVILLE CAMPUS Inpatient | Wellcare | Wellcare Medicaid | $75,795.10 | — | — | 2025-08-07 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Inpatient | HealthFirst | Healthfirst - Exchange Small Group Intra-Network | $76,366.90 | — | $1,007,799.00 | 2026-03-31 | MRF ↗ |
| NYACK HOSPITAL Inpatient | Molina Healthcare of NY Affinity | Molina HC Aff CHP | $76,426.69 | — | $82,179.24 | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Inpatient | Molina Healthcare of NY Affinity | Molina_HC_Aff_CHP | $76,895.09 | — | $82,682.89 | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Inpatient | Molina Healthcare of NY Affinity | Molina_HC_Aff_CHP | $76,895.09 | — | $82,682.89 | 2025-06-27 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Humana | Managed Medicaid | $77,003.05 | — | — | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Centene | Managed Medicaid | $77,003.05 | — | — | 2024-11-21 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Inpatient | UHC | NY CHIP | $77,127.36 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Inpatient | MVP | Medicaid and CHP | $77,127.36 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Inpatient | Anthem Healthplus | HARP | $77,127.36 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Inpatient | MVP | Essential 3 & 4 | $77,127.36 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Inpatient | MetroPlus | Gold Goldcare2 | $77,127.36 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Inpatient | HealthFirst | Medicaid HARP | $77,127.36 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Inpatient | HealthFirst | Medicaid | $77,127.36 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Inpatient | Amidacare | HIV Primary Care and Care Management Services | $77,127.36 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Inpatient | HealthFirst | Essential Plan 3 & 4 | $77,127.36 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Inpatient | MetroPlus | Medicaid | $77,127.36 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Inpatient | MetroPlus | Essential Plan 3 & 4 | $77,127.36 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Inpatient | Emblem | Essential Plan 3 & 4 | $77,127.36 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Inpatient | Molina Healthcare of NY Affinity | Medicaid | $77,127.36 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Inpatient | UHC | HARP | $77,127.36 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Inpatient | MetroPlus | HARP | $77,127.36 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Inpatient | MetroPlus | Child Health Plus | $77,127.36 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Inpatient | Molina Healthcare of NY Affinity | HARP | $77,127.36 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Inpatient | MetroPlus | HIV_SNP | $77,127.36 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Inpatient | UHC | NY Essential | $77,127.36 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Inpatient | Wellcare | Medicaid | $77,127.36 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Inpatient | Medicaid | Medicaid | $77,127.36 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Inpatient | Anthem Healthplus | Medicaid | $77,127.36 | — | — | 2026-04-01 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Inpatient | Absolute Total Care | MCD | $77,209.42 | — | — | 2024-10-01 | MRF ↗ |
| NYACK HOSPITAL Inpatient | Molina Healthcare of NY Affinity | Medicaid | $77,248.49 | — | $82,179.24 | 2026-04-01 | MRF ↗ |
| PHELPS HOSPITAL Inpatient | HealthFirst | Healthfirst - Exchange Small Group Intra-Network | $77,461.11 | — | $1,007,799.00 | 2026-03-31 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Humana | Managed Medicaid | $77,598.67 | — | — | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Centene | Managed Medicaid | $77,598.67 | — | — | 2024-11-21 | MRF ↗ |
| NYACK HOSPITAL Inpatient | Molina Healthcare of NY Affinity | Medicaid | $77,721.92 | — | $82,682.89 | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Inpatient | Molina Healthcare of NY Affinity | Medicaid | $77,721.92 | — | $82,682.89 | 2025-06-27 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR InpatientFacility | Empire BlueCross BlueShield | Managed Medicaid Aliessa | $77,940.11 | — | — | 2026-02-19 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Inpatient | Emblem | Medicaid FHP CHP | $79,441.18 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Inpatient | Fidelis | Medicaid | $79,441.18 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Inpatient | Fidelis | HARP | $79,441.18 | — | — | 2026-04-01 | MRF ↗ |
| RHODE ISLAND HOSPITAL InpatientFacility | Harvard Pilgrim Health Care | Hmo/Ppo | $79,605.05 | — | — | 2026-04-01 | MRF ↗ |
| RHODE ISLAND HOSPITAL InpatientFacility | Harvard Pilgrim Health Care | Hmo/Ppo | $79,605.05 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE ST LUKE'S CORNWALL Inpatient | Anthem | Medicaid | $79,752.74 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE ST LUKE'S CORNWALL Inpatient | Anthem | HARP | $79,752.74 | — | — | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Inpatient | Molina Healthcare of NY Affinity | HARP | $80,535.66 | — | $82,179.24 | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Inpatient | Molina Healthcare of NY Affinity | Essential Plan 3 & 4 | $80,535.66 | — | $82,179.24 | 2026-04-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Inpatient | United | MCD | $80,810.82 | — | — | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Inpatient | BLUE CHOICE | MGMCD | $80,810.82 | — | — | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Inpatient | BLUE CHOICE | MGMCD | $80,810.82 | — | — | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Inpatient | United | MCD | $80,810.82 | — | — | 2026-03-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Inpatient | Hamaspik | Medicaid | $80,983.73 | — | — | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Inpatient | Molina Healthcare of NY Affinity | Essentials Plan 3 & 4 | $81,029.23 | — | $82,682.89 | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Inpatient | Molina Healthcare of NY Affinity | HARP | $81,029.23 | — | $82,682.89 | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Inpatient | Molina Healthcare of NY Affinity | Essentials Plan 3 & 4 | $81,029.23 | — | $82,682.89 | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Inpatient | Molina Healthcare of NY Affinity | HARP | $81,029.23 | — | $82,682.89 | 2025-06-27 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER InpatientFacility | Healthfirst | Exchange Plan Silver | $81,072.00 | — | — | 2026-04-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER InpatientFacility | Healthfirst | Exchange Plan Bronze | $81,072.00 | — | — | 2026-04-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER InpatientFacility | Healthfirst | Exchange Plan Platinum | $81,072.00 | — | — | 2026-04-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER InpatientFacility | Healthfirst | Exchange Plan Gold | $81,072.00 | — | — | 2026-04-01 | MRF ↗ |
| KALEIDA HEALTH InpatientFacility | Independent Health Association | Medisource Medicaid Managed Care Plan | $81,813.46 | — | — | 2026-04-01 | MRF ↗ |
| BLYTHEDALE CHILDREN'S HOSPITAL InpatientFacility | Independent Health Association | State Medicaid Managed Care Plan | $81,813.46 | — | — | 2026-04-01 | MRF ↗ |
| BLYTHEDALE CHILDREN'S HOSPITAL InpatientFacility | Independent Health Association | Essential Plan Medicaid Managed Care Plan | $81,813.46 | — | — | 2026-04-01 | MRF ↗ |
| BLYTHEDALE CHILDREN'S HOSPITAL InpatientFacility | Independent Health Association | Medisource Medicaid Managed Care Plan | $81,813.46 | — | — | 2026-04-01 | MRF ↗ |
| KALEIDA HEALTH InpatientFacility | Independent Health Association | Essential Plan Medicaid Managed Care Plan | $81,813.46 | — | — | 2026-04-01 | MRF ↗ |
| KALEIDA HEALTH InpatientFacility | Independent Health Association | State Medicaid Managed Care Plan | $81,813.46 | — | — | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Inpatient | Medicaid | Medicaid | $82,179.24 | — | $82,179.24 | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Inpatient | HealthFirst | Essential Plan 3 & 4 | $82,179.24 | — | $82,179.24 | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Inpatient | UHC | CHIP | $82,179.24 | — | $82,179.24 | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Inpatient | UHC | NY Essential | $82,179.24 | — | $82,179.24 | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Inpatient | Emblem | Essential Plan 3 & 4 | $82,179.24 | — | $82,179.24 | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Inpatient | MVP | Essential Plan 3 & 4 | $82,179.24 | — | $82,179.24 | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Inpatient | Anthem | Medicaid | $82,179.24 | — | $82,179.24 | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Inpatient | UHC | HARP | $82,179.24 | — | $82,179.24 | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Inpatient | Anthem | HARP | $82,179.24 | — | $82,179.24 | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Inpatient | Wellcare | Medicaid | $82,179.24 | — | $82,179.24 | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Inpatient | HealthFirst | Medicaid HARP | $82,179.24 | — | $82,179.24 | 2026-04-01 | MRF ↗ |
| RHODE ISLAND HOSPITAL InpatientFacility | Tufts Health Plan | Hmo/Ppo | $82,571.47 | — | — | 2026-04-01 | MRF ↗ |
| RHODE ISLAND HOSPITAL InpatientFacility | Tufts Health Plan | Hmo/Ppo | $82,571.47 | — | — | 2026-04-01 | 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.