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 $86,860–$194,645 (25th–75th percentile) across 136 hospitals · 106 payers.
“Negotiated” is the hospital’s negotiated rate for the entire inpatient stay under APR_DRG 904 — 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 |
|---|---|---|---|---|---|---|---|
| ELIZABETHTOWN COMMUNITY HOSPITAL InpatientFacility | — | — | — | — | — | 2025-01-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Medicaid Other | — | $1,264.14 | $169,766.04 | $110,347.93 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Medicaid Sc | — | $1,273.37 | $169,766.04 | $110,347.93 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Bluechoice Medicaid (Greenville County Only) | — | $1,294.26 | $169,766.04 | $110,347.93 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Molina Medicaid | — | $1,311.58 | $169,766.04 | $110,347.93 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Blue Choice Medicaid (Greenville County Only) | — | $1,317.34 | $169,766.04 | $110,347.93 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Bluechoice Medicaid | — | $1,337.04 | $169,766.04 | $110,347.93 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Absolute Total Care Medicaid | — | $1,337.04 | $169,766.04 | $110,347.93 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Select Health Medicaid | — | $1,337.04 | $169,766.04 | $110,347.93 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Blue Choice Medicaid (Greenville County Only) | — | $1,358.55 | $169,766.04 | $110,347.93 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Medicaid | — | $1,376.88 | $169,766.04 | $110,347.93 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Medicaid Other | — | $1,376.88 | $169,766.04 | $110,347.93 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Absolute Total Care Medicaid | — | $1,390.37 | $169,766.04 | $110,347.93 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bluechoice Medicaid | — | $1,401.42 | $169,766.04 | $110,347.93 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Blue Choice Medicaid (Greenville County Only) | — | $1,402.88 | $169,766.00 | $110,348.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Blue Choice Medicaid (Greenville County Only) | — | $1,413.79 | $169,766.04 | $110,347.93 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Select Health Medicaid | — | $1,429.36 | $169,766.04 | $110,347.93 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Molina Medicaid | — | $1,443.47 | $169,766.04 | $110,347.93 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Select Health Medicaid | — | $1,443.47 | $169,766.04 | $110,347.93 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Bluechoice Medicaid | — | $1,445.26 | $169,766.04 | $110,347.93 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Medicaid Sc | — | $1,469.48 | $169,766.04 | $110,347.93 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Medicaid | — | $1,470.41 | $169,766.04 | $110,347.93 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Absolute Total Care Medicaid | — | $1,471.50 | $169,766.04 | $110,347.93 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Humana Healthy Horizons Medicaid | — | $1,473.26 | $169,766.04 | $110,347.93 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Bluechoice Medicaid | — | $1,481.33 | $169,766.04 | $110,347.93 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Select Health Medicaid | — | $1,488.62 | $169,766.04 | $110,347.93 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Molina Medicaid | — | $1,488.62 | $169,766.04 | $110,347.93 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Medicaid | — | $1,492.42 | $169,766.00 | $110,348.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Bluechoice Medicaid | — | $1,492.42 | $169,766.00 | $110,348.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Medicare Advantage Non Contracted | — | $1,492.42 | $169,766.00 | $110,348.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Bluechoice Medicaid | — | $1,504.03 | $169,766.04 | $110,347.93 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Medicaid Other | — | $1,506.04 | $169,766.04 | $110,347.93 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Select Health Medicaid | — | $1,514.56 | $169,766.04 | $110,347.93 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Absolute Total Care Medicaid | — | $1,517.53 | $169,766.04 | $110,347.93 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Bluechoice Medicaid | — | $1,528.33 | $169,766.04 | $110,347.93 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Molina Medicaid | — | $1,533.31 | $169,766.04 | $110,347.93 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Select Health Medicaid | — | $1,537.20 | $169,766.00 | $110,348.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Molina Medicaid | — | $1,537.20 | $169,766.00 | $110,348.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Medicaid | — | $1,540.39 | $169,766.04 | $110,347.93 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Medicaid Other | — | $1,540.39 | $169,766.04 | $110,347.93 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Absolute Total Care Medicaid | — | $1,542.95 | $169,766.04 | $110,347.93 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Molina Medicaid | — | $1,549.15 | $169,766.04 | $110,347.93 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Select Health Medicaid | — | $1,549.15 | $169,766.04 | $110,347.93 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Medicaid Sc | — | $1,553.95 | $169,766.04 | $110,347.93 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Absolute Total Care Medicaid | — | $1,567.04 | $169,766.00 | $110,348.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Humana Healthy Horizons Medicaid | — | $1,572.34 | $169,766.04 | $110,347.93 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Humana Healthy Horizons Medicaid | — | $1,573.34 | $169,766.04 | $110,347.93 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Absolute Total Care Medicaid | — | $1,579.24 | $169,766.04 | $110,347.93 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Molina Medicaid | — | $1,583.41 | $169,766.04 | $110,347.93 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Humana Healthy Horizons Medicaid | — | $1,596.89 | $169,766.00 | $110,348.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Absolute Total Care Medicaid | — | $1,610.95 | $169,766.04 | $110,347.93 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Select Health Medicaid | — | $1,616.43 | $169,766.04 | $110,347.93 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Medicaid | — | $1,617.90 | $169,766.04 | $110,347.93 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Humana Healthy Horizons Medicaid | — | $1,648.21 | $169,766.04 | $110,347.93 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Humana Healthy Horizons Medicaid | — | $1,662.73 | $169,766.04 | $110,347.93 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Humana Healthy Horizons Medicaid | — | $1,662.73 | $169,766.04 | $110,347.93 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Humana Healthy Horizons Medicaid | — | $1,731.15 | $169,766.04 | $110,347.93 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Molina Medicaid | — | $1,733.99 | $169,766.04 | $110,347.93 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Cigna Hmo Ppo | — | $2,646.00 | $169,766.04 | $110,347.93 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Medicaid Other | — | $3,469.42 | $169,766.04 | $110,348.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Humana Healthy Horizons Medicaid | — | $3,712.28 | $169,766.04 | $110,348.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Blue Choice Medicaid (Greenville County Only) | — | $3,783.62 | $169,766.04 | $110,348.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Medicaid | — | $4,025.13 | $169,766.04 | $110,348.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Bluechoice Medicaid | — | $4,025.13 | $169,766.04 | $110,348.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Select Health Medicaid | — | $4,145.88 | $169,766.04 | $110,348.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Molina Medicaid | — | $4,145.88 | $169,766.04 | $110,348.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Absolute Total Care Medicaid | — | $4,226.38 | $169,766.04 | $110,348.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | United Healthcare Medicare | — | $5,623.59 | $169,766.04 | $110,347.93 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Select Health First Choice Vip | — | $6,659.05 | $169,766.04 | $110,347.93 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Tricare Humana Military | — | $12,465.98 | $169,766.04 | $110,347.93 | 2026-07-05 | MRF ↗ |
| MONTEFIORE ST LUKE'S CORNWALL Inpatient | Anthem | Exchange | $14,105.38 | — | — | 2026-04-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | United Healthcare | — | $14,970.03 | $169,766.04 | $110,347.93 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | United Healthcare | — | $14,970.03 | $169,766.04 | $110,347.93 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | United Healthcare | — | $14,970.03 | $169,766.04 | $110,347.93 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | United Healthcare | — | $14,970.03 | $169,766.04 | $110,348.00 | 2026-07-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER InpatientFacility | Healthfirst | Small Group | $18,427.76 | — | — | 2025-09-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Humana Gold Plus Medicare Advantage Hmo | — | $19,690.74 | $169,766.04 | $110,347.93 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Medicare Advantage Non Contracted | — | $19,900.16 | $169,766.04 | $110,347.93 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Aetna Medicare Prime Hmo | — | $20,073.46 | $169,766.04 | $110,347.93 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Medicare | — | $20,127.36 | $169,766.04 | $110,347.93 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | United Healthcare Medicare | — | $20,272.21 | $169,766.04 | $110,347.93 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bcbs Medicare Advantage | — | $20,272.21 | $169,766.04 | $110,347.93 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Humana Gold Plus Medicare Advantage Hmo | — | $20,505.38 | $169,766.04 | $110,347.93 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Wellcare Medicare | — | $20,868.46 | $169,766.04 | $110,347.93 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Select Health First Choice Vip | — | $20,899.71 | $169,766.04 | $110,347.93 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Medicare | — | $22,246.69 | $169,766.04 | $110,347.93 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Medicare Advantage Non Contracted | — | $22,392.99 | $169,766.04 | $110,347.93 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Aetna Medicare Prime Hmo | — | $22,616.92 | $169,766.04 | $110,347.93 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Molina Dual Options | — | $22,816.56 | $169,766.04 | $110,347.93 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Bcbs Medicare Advantage | — | $22,825.26 | $169,766.04 | $110,347.93 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Wellcare Medicare | — | $23,496.59 | $169,766.04 | $110,347.93 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | First Health-Wc | — | $23,751.03 | $169,766.04 | $110,348.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Medicare | — | $24,008.95 | $169,766.04 | $110,348.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Humana Gold Plus Medicare Advantage Hmo | — | $24,008.95 | $169,766.04 | $110,348.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Bcbs Medicare Advantage | — | $24,235.75 | $169,766.04 | $110,348.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Aetna Medicare Prime Hmo | — | $24,235.75 | $169,766.04 | $110,348.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Wellcare Medicare | — | $24,235.75 | $169,766.04 | $110,348.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | First Health-Wc | — | $27,303.02 | $169,766.04 | $110,347.93 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Humana Choicecare Medicare Advantage Pffs | — | $28,810.45 | $169,766.04 | $110,347.93 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Medicare | — | $29,516.12 | $169,766.04 | $110,347.93 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | United Healthcare Options Ppo | — | $29,923.82 | $169,766.04 | $110,347.93 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | United Healthcare Options Ppo | — | $29,923.82 | $169,766.04 | $110,347.93 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Medicare | — | $30,640.05 | $169,766.04 | $110,347.93 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | First Health-Wc | — | $30,723.18 | $169,766.04 | $110,347.93 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Select Health First Choice Vip | — | $31,284.05 | $169,766.04 | $110,347.93 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Wellcare Medicare | — | $31,285.17 | $169,766.04 | $110,347.93 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Medicare | — | $34,262.84 | $169,766.00 | $110,348.00 | 2026-07-05 | MRF ↗ |
| SANFORD MEDICAL CENTER ABERDEEN InpatientFacility | Sanford Health Plan | SD Exchange True | $35,788.04 | — | — | 2026-03-04 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Molina Medicaid | — | $36,342.41 | $169,766.04 | $118,836.23 | 2026-06-20 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Aetna Medicaid | — | $36,342.41 | $169,766.04 | $118,836.23 | 2026-06-20 | 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 | Kaiser | Managed Medicaid | $46,730.86 | — | — | 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 | Denver Health | 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 | 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-PENROSE ST FRANCIS HEALTH SERVICES InpatientFacility | Rocky Mountain Health Plan | 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 | Denver Health | 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-ST ANTHONY HOSPITAL InpatientFacility | Naphcare | 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 ↗ |
| 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 | Colorado Access | 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 ↗ |
| 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 | 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 | 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 ↗ |
| ST ANTHONY SUMMIT MEDICAL CENTER InpatientFacility | Denver Health | 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 ↗ |
| ST JAMES HOSPITAL Inpatient | FIDELIS 5155 | FIDELIS METAL TIERS 515501 | $51,632.74 | — | — | 2026-01-01 | 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 | Kaiser | 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 | Denver Health | Managed Medicaid | $51,955.69 | — | — | 2024-12-02 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER InpatientFacility | Molina | Medicaid | $52,098.90 | — | — | 2025-07-23 | MRF ↗ |
| BOULDER COMMUNITY HEALTH InpatientFacility | Rocky Mountain Health Maintenance Organization | Managed Medicaid | $53,250.92 | — | — | 2025-12-23 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Ambetter-Atc Exchange | — | $54,543.70 | $169,766.04 | $110,347.93 | 2026-07-05 | 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 ↗ |
| ST MARY-CORWIN HOSPITAL InpatientFacility | Colorado Access | Managed Medicaid | $54,859.27 | — | — | 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 ↗ |
| MERCY REGIONAL MEDICAL CENTER InpatientFacility | Denver Health | Managed Medicaid | $55,734.48 | — | — | 2024-12-02 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Inpatient | UNITED HEALTHCARE MEDICAID 1716, UNITED HEALTHCARE 5158 | UNITED HEALTHCARE MEDICAID 171601, UNITED HEALTHCARE ESSENTIAL 1-2 200-250 5158, UNITED HEALTHCARE ESSENTIAL 3-4 171602 | $55,938.37 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Inpatient | AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 | AMERIGROUP (BSWNY ALTERNATE) 172001 | $55,938.37 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Inpatient | FIDELIS MEDICAID 1708, FIDELIS 5155 | FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502 | $55,938.37 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Inpatient | HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 | HIGHMARK BCBS MEDICAID 170201, CHILD HEALTH PLUS 170204 | $55,938.37 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Inpatient | EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706, EXCELLUS BLUE CROSS BLUE SHIELD 2201 | BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL 1-2 200-250 2201, EXCELLUS ESSENTIAL 3-4 170604, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS HLTHY NY 220110 | $55,938.37 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Inpatient | MOLINA HEALTHCARE 5189 | MOLINA CHILD HEALTH PLUS 518901 | $55,938.37 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Inpatient | MOLINA HEALTHCARE 5189 | MOLINA ESSENTIAL 1-2 200-250 5189 | $55,938.37 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Inpatient | INDEPENDENT HEALTH ASSOC MEDICAID 1710 | INDEPENDENT HEALTH ASSOC MEDICAID 171001 | $55,938.37 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Inpatient | MOLINA HEALTHCARE 1723 | MOLINA MEDICAID 172301 | $55,938.37 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Inpatient | MOLINA HEALTHCARE 1723 | MOLINA ESSENTIAL 3-4 172302 | $55,938.37 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Inpatient | FIDELIS 5155 | FIDELIS METAL TIERS 515501 | $55,938.37 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Inpatient | MVP MEDICAID 1712 | MVP OPTION MEDICAID 171201 | $55,938.37 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Inpatient | MVP 2900 | MVP CHILD HEALTH PLUS 290004 | $55,962.02 | — | — | 2026-01-01 | 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 | UHC Medicaid 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 | Molina Healthcare of NY | CHIP (For Kids)/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 | 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 | 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 | BCBS of Western NY | Essential Plans 3&4 | $57,028.65 | — | — | 2026-03-06 | MRF ↗ |
| UNITY HOSPITAL Inpatient | MVP [109] | MVP EXCHANGE-INDIVIDUAL | $57,368.14 | $20,204.22 | $16,163.38 | 2024-12-30 | MRF ↗ |
| SAMARITAN MEDICAL CENTER InpatientFacility | MVP | Essential Plan 1-2 and 5-6 | $57,712.75 | — | — | 2026-02-02 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | UPMC HEALTH PLAN 5138 | UPMC HEALTH PLAN 513801 | $58,398.08 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | UPMC HEALTH PLAN 5138 | UPMC HEALTH PLAN 513801 | $58,398.08 | — | — | 2026-01-01 | MRF ↗ |
| UNITY HOSPITAL Inpatient | HIGHMARK [114] | HIGHMARK MEDICAID|HIGHMARK ESSENTIALS|HIGHMARK CHP | $58,987.90 | $20,204.22 | $16,163.38 | 2024-12-30 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | INDEPENDENT HEALTH ASSOC MEDICAID 1710 | INDEPENDENT HEALTH ASSOC MEDICAID 171001 | $59,130.49 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | MOLINA HEALTHCARE 1723 | MOLINA ESSENTIAL 3-4 172302 | $59,130.49 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706, EXCELLUS BLUE CROSS BLUE SHIELD 2201 | BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL 1-2 200-250 2201, EXCELLUS ESSENTIAL 3-4 170604, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS HLTHY NY 220110 | $59,130.49 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | MOLINA HEALTHCARE 5189 | MOLINA CHILD HEALTH PLUS 518901 | $59,130.49 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 | HIGHMARK BCBS MEDICAID 170201, CHILD HEALTH PLUS 170204 | $59,130.49 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | MOLINA HEALTHCARE 1723 | MOLINA ESSENTIAL 3-4 172302 | $59,130.49 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 | AMERIGROUP (BSWNY ALTERNATE) 172001 | $59,130.49 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | INDEPENDENT HEALTH ASSOC MEDICAID 1710 | INDEPENDENT HEALTH ASSOC MEDICAID 171001 | $59,130.49 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | MOLINA HEALTHCARE 1723 | MOLINA MEDICAID 172301 | $59,130.49 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | MOLINA HEALTHCARE 5189 | MOLINA ESSENTIAL 1-2 200-250 5189 | $59,130.49 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | MOLINA HEALTHCARE 5189 | MOLINA CHILD HEALTH PLUS 518901 | $59,130.49 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706, EXCELLUS BLUE CROSS BLUE SHIELD 2201 | BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL 1-2 200-250 2201, EXCELLUS ESSENTIAL 3-4 170604, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS HLTHY NY 220110 | $59,130.49 | — | — | 2026-01-01 | 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.