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Pick a procedure and (optionally) a state or payer. Rates come from each hospital's federally-mandated machine-readable file.

ProcedureHospital (name or CCN)State

Payer

Rate type

Hospitals

Payers

Negotiated range

$42.00 – $41,416

Negotiated median

$13,301

MS-DRG 065 Intracranial hemorrhage/CVA w CC · Showing 200 of 261 rate rows

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Hospital	ST	Payer	Plan	Setting	Type	Rate
Southern Regional Medical Center	GA	Cash pay	N/A	inpatient	cash	$13,142
Emory University Hospital	GA	[De-identified Min]	—	inpatient	min	$10,489
Emory Decatur	GA	[De-identified Min]	—	inpatient	min	$10,489
Northeast Georgia Medical Center	GA	[De-identified Min]	—	inpatient	min	$9,804.90
Ngmc Barrow	GA	[De-identified Min]	—	inpatient	min	$9,804.90
Ngmc Lumpkin Llc	GA	[De-identified Min]	—	inpatient	min	$9,804.90
Southern Regional Medical Center	GA	[De-identified Min]	—	inpatient	min	$3,870.72
Union General Hospital	GA	[De-identified Min]	—	inpatient	min	$1,600.00
West Central Ga Regional Hospital	GA	[De-identified Min]	—	inpatient	min	$42.00
West Central Ga Regional Hospital	GA	UnitedHealthcare	Commercial\|All Other Plans	inpatient	negotiated	$41,416
West Central Ga Regional Hospital	GA	UnitedHealthcare	Commercial\|Choice	inpatient	negotiated	$41,416
Northeast Georgia Medical Center	GA	healthpartners	Kaiser Ppo All Commercial Plans	inpatient	negotiated	$31,752
Ngmc Lumpkin Llc	GA	healthpartners	Kaiser Ppo All Commercial Plans	inpatient	negotiated	$31,752
Northeast Georgia Medical Center	GA	Blue Cross Blue Shield	Anthem Hmo	inpatient	negotiated	$30,718
Northeast Georgia Medical Center	GA	Blue Cross Blue Shield	Anthem Ppo	inpatient	negotiated	$30,718
Ngmc Barrow	GA	Blue Cross Blue Shield	Anthem Hmo	inpatient	negotiated	$30,718
Ngmc Barrow	GA	Blue Cross Blue Shield	Anthem Ppo	inpatient	negotiated	$30,718
Ngmc Lumpkin Llc	GA	Blue Cross Blue Shield	Anthem Hmo	inpatient	negotiated	$30,718
Ngmc Lumpkin Llc	GA	Blue Cross Blue Shield	Anthem Ppo	inpatient	negotiated	$30,718
Northeast Georgia Medical Center	GA	Cigna	All Commercial Plans	inpatient	negotiated	$29,078
Ngmc Barrow	GA	Cigna	All Commercial Plans	inpatient	negotiated	$29,078
Ngmc Lumpkin Llc	GA	Cigna	All Commercial Plans	inpatient	negotiated	$29,078
Northeast Georgia Medical Center	GA	Humana	Choicecare All Commercial Plans	inpatient	negotiated	$26,354
Ngmc Barrow	GA	Humana	Choicecare All Commercial Plans	inpatient	negotiated	$26,354
Ngmc Lumpkin Llc	GA	Humana	Choicecare All Commercial Plans	inpatient	negotiated	$26,354
Emory University Hospital	GA	Ambetter	Peach State Exchange	inpatient	negotiated	$26,335
Northeast Georgia Medical Center	GA	Aetna	All Commercial Plans	inpatient	negotiated	$25,003
Ngmc Barrow	GA	Aetna	All Commercial Plans	inpatient	negotiated	$25,003
Ngmc Lumpkin Llc	GA	Aetna	All Commercial Plans	inpatient	negotiated	$25,003
Northeast Georgia Medical Center	GA	healthpartners	Young Harris College All Commercial Plans	inpatient	negotiated	$23,803
Southern Regional Medical Center	GA	CareSource	Caresource Exchange	inpatient	negotiated	$22,999
Northeast Georgia Medical Center	GA	healthpartners	Anesthesia Associates Of Gainesville Llc All Commercial Plans	inpatient	negotiated	$22,455
Northeast Georgia Medical Center	GA	healthpartners	Atex Inc All Commercial Plans	inpatient	negotiated	$22,455
Northeast Georgia Medical Center	GA	healthpartners	Gainesville Radiolgy Group All Commercial Plans	inpatient	negotiated	$22,455
Northeast Georgia Medical Center	GA	healthpartners	Indigo Energy Partners, Llc All Commercial Plans	inpatient	negotiated	$22,455
Northeast Georgia Medical Center	GA	healthpartners	Local Personnel Llc All Commercial Plans	inpatient	negotiated	$22,455
Northeast Georgia Medical Center	GA	healthpartners	Nega Plastic Surgery Assoc All Commercial Plans	inpatient	negotiated	$22,455
Northeast Georgia Medical Center	GA	healthpartners	Original Appalachian Artworks All Commercial Plans	inpatient	negotiated	$22,455
Northeast Georgia Medical Center	GA	healthpartners	Protein Products All Commercial Plans	inpatient	negotiated	$22,455
Northeast Georgia Medical Center	GA	healthpartners	Shoreline Transfer Inc All Commercial Plans	inpatient	negotiated	$22,455
Northeast Georgia Medical Center	GA	healthpartners	Specialty Management Inc All Commercial Plans	inpatient	negotiated	$22,455
Northeast Georgia Medical Center	GA	healthpartners	Towns County Ga All Commercial Plans	inpatient	negotiated	$22,455
Northeast Georgia Medical Center	GA	healthpartners	Union County Ga All Commercial Plans	inpatient	negotiated	$22,455
Northeast Georgia Medical Center	GA	healthpartners	Union General Hospital All Commercial Plans	inpatient	negotiated	$22,455
Ngmc Barrow	GA	healthpartners	Anesthesia Associates Of Gainesville Llc All Commercial Plans	inpatient	negotiated	$22,455
Ngmc Barrow	GA	healthpartners	Local Personnel Llc All Commercial Plans	inpatient	negotiated	$22,455
Ngmc Barrow	GA	healthpartners	Specialty Management Inc All Commercial Plans	inpatient	negotiated	$22,455
Ngmc Lumpkin Llc	GA	healthpartners	Anesthesia Associates Of Gainesville Llc All Commercial Plans	inpatient	negotiated	$22,455
Ngmc Lumpkin Llc	GA	healthpartners	Atex Inc All Commercial Plans	inpatient	negotiated	$22,455
Ngmc Lumpkin Llc	GA	healthpartners	Local Personnel Llc All Commercial Plans	inpatient	negotiated	$22,455
Ngmc Lumpkin Llc	GA	healthpartners	Nega Plastic Surgery Assoc All Commercial Plans	inpatient	negotiated	$22,455
Ngmc Lumpkin Llc	GA	healthpartners	Union General Hospital All Commercial Plans	inpatient	negotiated	$22,455
Northeast Georgia Medical Center	GA	Cigna	Local Plus Other Commercial Plan	inpatient	negotiated	$22,389
Ngmc Barrow	GA	Cigna	Local Plus Other Commercial Plan	inpatient	negotiated	$22,389
Ngmc Lumpkin Llc	GA	Cigna	Local Plus Other Commercial Plan	inpatient	negotiated	$22,389
Emory University Hospital	GA	UnitedHealthcare	Hmo/Pos	inpatient	negotiated	$21,591
Southern Regional Medical Center	GA	national healthcare solutions, inc.	National Healthcare Solutions Commercial	inpatient	negotiated	$21,027
Northeast Georgia Medical Center	GA	healthpartners	Pharma Tech Industries All Commercial Plans	inpatient	negotiated	$20,451
Ngmc Barrow	GA	healthpartners	Pharma Tech Industries All Commercial Plans	inpatient	negotiated	$20,451
Southern Regional Medical Center	GA	naphcare	Naphcare Prison	inpatient	negotiated	$20,370
Emory University Hospital	GA	Cigna	Hmo/Pos	inpatient	negotiated	$20,308
Emory University Hospital	GA	Aetna	Hmo/Pos	inpatient	negotiated	$20,014
Southern Regional Medical Center	GA	centurion	Centurion	inpatient	negotiated	$19,713
Emory University Hospital	GA	Blue Cross Blue Shield	Hmo	inpatient	negotiated	$19,663
Emory University Hospital	GA	Aetna	Hpn Whole Health Other Commercial Plan	inpatient	negotiated	$19,434
Northeast Georgia Medical Center	GA	healthpartners	Brenau University All Commercial Plans	inpatient	negotiated	$19,293
Northeast Georgia Medical Center	GA	healthpartners	James A Walters Management Co All Commercial Plans	inpatient	negotiated	$19,293
Northeast Georgia Medical Center	GA	healthpartners	Stephens County Hospital All Commercial Plans	inpatient	negotiated	$19,293
Emory University Hospital	GA	UnitedHealthcare	Core/Charter/Nexus Other Commercial Plan	inpatient	negotiated	$18,353
Northeast Georgia Medical Center	GA	healthpartners	Banks County Boc All Commercial Plans	inpatient	negotiated	$18,200
Northeast Georgia Medical Center	GA	healthpartners	Cottrell Inc All Commercial Plans	inpatient	negotiated	$18,200
Northeast Georgia Medical Center	GA	healthpartners	Lumpkin County Boc All Commercial Plans	inpatient	negotiated	$18,200
Northeast Georgia Medical Center	GA	healthpartners	Syfan Logistics Inc All Commercial Plans	inpatient	negotiated	$18,200
Ngmc Barrow	GA	healthpartners	Banks County Boc All Commercial Plans	inpatient	negotiated	$18,200
Ngmc Barrow	GA	healthpartners	Cottrell Inc All Commercial Plans	inpatient	negotiated	$18,200
Ngmc Lumpkin Llc	GA	healthpartners	Cottrell Inc All Commercial Plans	inpatient	negotiated	$18,200
Ngmc Lumpkin Llc	GA	healthpartners	Lumpkin County Boc All Commercial Plans	inpatient	negotiated	$18,200
Ngmc Lumpkin Llc	GA	healthpartners	Syfan Logistics Inc All Commercial Plans	inpatient	negotiated	$18,200
Emory University Hospital	GA	Blue Cross Blue Shield	Hpn Other Commercial Plan	inpatient	negotiated	$17,340
Southern Regional Medical Center	GA	employer direct healthcare	Employer Direct Healthcare Commercial	inpatient	negotiated	$17,085
Southern Regional Medical Center	GA	Oscar Health	Oscar Health Plan Commercial Exchange	inpatient	negotiated	$17,085
Emory University Hospital	GA	Humana	Hmo/Pos	inpatient	negotiated	$17,008
Emory University Hospital	GA	Humana	Medicare Managed Care Plan	inpatient	negotiated	$17,008
Emory University Hospital	GA	Aetna	Exchange	inpatient	negotiated	$16,542
Emory Decatur	GA	Aetna	Exchange	inpatient	negotiated	$16,542
Northeast Georgia Medical Center	GA	healthpartners	City Of Gainesville All Commercial Plans	inpatient	negotiated	$16,331
Ngmc Barrow	GA	healthpartners	City Of Gainesville All Commercial Plans	inpatient	negotiated	$16,331
Ngmc Lumpkin Llc	GA	healthpartners	City Of Gainesville All Commercial Plans	inpatient	negotiated	$16,331
Southern Regional Medical Center	GA	Cigna	Cigna Commercial	inpatient	negotiated	$15,402
Emory University Hospital	GA	Oscar Health	Exchange	inpatient	negotiated	$14,108
Southern Regional Medical Center	GA	sonder health plan	Sonder Health Plan Duals	inpatient	negotiated	$13,815
Southern Regional Medical Center	GA	sonder health plan	Sonder Health Plan Medicare	inpatient	negotiated	$13,815
Ngmc Barrow	GA	Humana	Medicare Managed Care Plan	inpatient	negotiated	$13,758
Southern Regional Medical Center	GA	CareSource	Caresource Duals	inpatient	negotiated	$13,552
Southern Regional Medical Center	GA	CareSource	Caresource Medicare	inpatient	negotiated	$13,552
Southern Regional Medical Center	GA	peach state	Peach State Medicare	inpatient	negotiated	$13,552
Southern Regional Medical Center	GA	WellCare	Wellcare Medicare	inpatient	negotiated	$13,552
Southern Regional Medical Center	GA	devoted health	Devoted Health	inpatient	negotiated	$13,536
Ngmc Barrow	GA	Cigna	Healthspring Medicare Managed Care Plan	inpatient	negotiated	$13,432
Southern Regional Medical Center	GA	Aetna	Aetna PPO	inpatient	negotiated	$13,383
Ngmc Barrow	GA	Aetna	Medicare Managed Care Plan	inpatient	negotiated	$13,301
Southern Regional Medical Center	GA	Blue Cross Blue Shield	BCBS PPO Adhoc	inpatient	negotiated	$13,249
Southern Regional Medical Center	GA	Blue Cross Blue Shield	BCBS PPO	inpatient	negotiated	$13,249
Emory University Hospital	GA	WellCare	Medicare Managed Care Plan	inpatient	negotiated	$13,168
Southern Regional Medical Center	GA	Aetna	Aetna Medicare	inpatient	negotiated	$13,157
Southern Regional Medical Center	GA	Blue Cross Blue Shield	BCBSGA Medicare	inpatient	negotiated	$13,157
Southern Regional Medical Center	GA	Cigna	Cigna Healthspring Medicare	inpatient	negotiated	$13,157
Southern Regional Medical Center	GA	riverwood behavioral health	Riverwood Behavioral Health Medicare	inpatient	negotiated	$13,157
Southern Regional Medical Center	GA	ubh optum	UBH Medicare Optum	inpatient	negotiated	$13,157
Southern Regional Medical Center	GA	UnitedHealthcare	UHC Medicare	inpatient	negotiated	$13,157
Southern Regional Medical Center	GA	clear spring health plan	Clear Spring Health Plan	inpatient	negotiated	$13,142
Southern Regional Medical Center	GA	riverwood behavioral health	Riverwood Behavioral Health Commercial	inpatient	negotiated	$13,142
Southern Regional Medical Center	GA	Medicare	Traditional Medicare	inpatient	negotiated	$13,142
Southern Regional Medical Center	GA	UnitedHealthcare	UHC VA CCN	inpatient	negotiated	$13,142
Emory University Hospital	GA	clover health	Medicare Managed Care Plan	inpatient	negotiated	$13,043
Emory University Hospital	GA	sonder health plans	Medicare Managed Care Plan	inpatient	negotiated	$13,043
Ngmc Barrow	GA	Blue Cross Blue Shield	State Health Benefit Plan Medicare Managed Care Plan	inpatient	negotiated	$13,041
Ngmc Barrow	GA	UnitedHealthcare	Optum Community Care Network Government	inpatient	negotiated	$13,041
Ngmc Barrow	GA	UnitedHealthcare	State Health Benefit Plan Medicare Managed Care Plan	inpatient	negotiated	$13,041
Northeast Georgia Medical Center	GA	healthpartners	Caresource Exchange	inpatient	negotiated	$12,974
Ngmc Barrow	GA	healthpartners	Caresource Exchange	inpatient	negotiated	$12,974
Ngmc Lumpkin Llc	GA	healthpartners	Caresource Exchange	inpatient	negotiated	$12,974
Southern Regional Medical Center	GA	Humana	Humana Medicare	inpatient	negotiated	$12,894
Emory University Hospital	GA	Cigna	Healthspring Medicare Managed Care Plan	inpatient	negotiated	$12,795
Southern Regional Medical Center	GA	Blue Cross Blue Shield	BCBS HMO Adhoc	inpatient	negotiated	$12,759
Southern Regional Medical Center	GA	Blue Cross Blue Shield	BCBS HMO	inpatient	negotiated	$12,759
Emory University Hospital	GA	Aetna	Medicare Managed Care Plan	inpatient	negotiated	$12,671
Emory University Hospital	GA	Blue Cross Blue Shield	Blue Value Secure Medicare Managed Care Plan	inpatient	negotiated	$12,546
Southern Regional Medical Center	GA	Blue Cross Blue Shield	BCBS Pathway Adhoc	inpatient	negotiated	$12,498
Southern Regional Medical Center	GA	Blue Cross Blue Shield	BCBS Pathway	inpatient	negotiated	$12,498
Emory University Hospital	GA	devoted health	Medicare Managed Care Plan	inpatient	negotiated	$12,422
Emory University Hospital	GA	Kaiser Permanente	Medicare Managed Care Plan	inpatient	negotiated	$12,422
Emory University Hospital	GA	optum	Ccn Government	inpatient	negotiated	$12,422
Emory University Hospital	GA	UnitedHealthcare	Medicare Managed Care Plan	inpatient	negotiated	$12,422
Emory University Hospital	GA	va community care network	Government	inpatient	negotiated	$12,422
Southern Regional Medical Center	GA	Aetna	Aetna HMO	inpatient	negotiated	$12,167
Northeast Georgia Medical Center	GA	Cigna	Connect Hix Ifp Exchange	inpatient	negotiated	$11,543
Ngmc Barrow	GA	Cigna	Connect Hix Ifp Exchange	inpatient	negotiated	$11,543
Ngmc Lumpkin Llc	GA	Cigna	Connect Hix Ifp Exchange	inpatient	negotiated	$11,543
Northeast Georgia Medical Center	GA	Humana	Medicare Managed Care Plan	inpatient	negotiated	$11,233
Ngmc Lumpkin Llc	GA	Humana	Medicare Managed Care Plan	inpatient	negotiated	$11,132
Northeast Georgia Medical Center	GA	Cigna	Healthspring Medicare Managed Care Plan	inpatient	negotiated	$10,967
Ngmc Lumpkin Llc	GA	Cigna	Healthspring Medicare Managed Care Plan	inpatient	negotiated	$10,868
Northeast Georgia Medical Center	GA	Aetna	Medicare Managed Care Plan	inpatient	negotiated	$10,861
Southern Regional Medical Center	GA	Humana	Humana Tricare	inpatient	negotiated	$10,773
Ngmc Lumpkin Llc	GA	Aetna	Medicare Managed Care Plan	inpatient	negotiated	$10,763
Northeast Georgia Medical Center	GA	Blue Cross Blue Shield	State Health Benefit Plan Medicare Managed Care Plan	inpatient	negotiated	$10,648
Northeast Georgia Medical Center	GA	UnitedHealthcare	Optum Community Care Network Government	inpatient	negotiated	$10,648
Northeast Georgia Medical Center	GA	UnitedHealthcare	State Health Benefit Plan Medicare Managed Care Plan	inpatient	negotiated	$10,648
Ngmc Lumpkin Llc	GA	Blue Cross Blue Shield	State Health Benefit Plan Medicare Managed Care Plan	inpatient	negotiated	$10,552
Ngmc Lumpkin Llc	GA	UnitedHealthcare	Optum Community Care Network Government	inpatient	negotiated	$10,552
Ngmc Lumpkin Llc	GA	UnitedHealthcare	State Health Benefit Plan Medicare Managed Care Plan	inpatient	negotiated	$10,552
Emory University Hospital	GA	Blue Cross Blue Shield	Blue Pathways Exchange	inpatient	negotiated	$10,489
Southern Regional Medical Center	GA	UnitedHealthcare	UHC Commercial	inpatient	negotiated	$10,433
Southern Regional Medical Center	GA	georgia workers’ compensation	Worker Compensation	inpatient	negotiated	$9,863.49
Northeast Georgia Medical Center	GA	healthpartners	Alliant All Commercial Plans	inpatient	negotiated	$9,804.90
Ngmc Barrow	GA	healthpartners	Alliant All Commercial Plans	inpatient	negotiated	$9,804.90
Ngmc Lumpkin Llc	GA	healthpartners	Alliant All Commercial Plans	inpatient	negotiated	$9,804.90
Southern Regional Medical Center	GA	peach state	Peach State Ambetter Comm	inpatient	negotiated	$9,794.78
Southern Regional Medical Center	GA	provider select	Provider Select Workers Compensation	inpatient	negotiated	$9,764.86
Southern Regional Medical Center	GA	TRICARE	Tricare	inpatient	negotiated	$9,757.27
Southern Regional Medical Center	GA	americas choice provider network	Americas Choice Provider Network Workers Compensation	inpatient	negotiated	$9,567.59
Southern Regional Medical Center	GA	Multiplan	Multiplan Workers Compensation	inpatient	negotiated	$9,567.59
Southern Regional Medical Center	GA	prime health services	Prime Health Services Workers Compensation	inpatient	negotiated	$9,567.59
Southern Regional Medical Center	GA	three rivers	Three Rivers Workers Compensation	inpatient	negotiated	$9,567.59
Southern Regional Medical Center	GA	corvel	Corvel Workers Compensation	inpatient	negotiated	$9,370.32
Southern Regional Medical Center	GA	novanet	Novanet Workers Compensation	inpatient	negotiated	$9,370.32
West Central Ga Regional Hospital	GA	devoted health	Medicare\|All Plans	inpatient	negotiated	$8,092.08
West Central Ga Regional Hospital	GA	imperial insurance	Medicare\|All Plans	inpatient	negotiated	$8,015.74
West Central Ga Regional Hospital	GA	WellCare	Medicare\|All Plans	inpatient	negotiated	$8,015.74
West Central Ga Regional Hospital	GA	UnitedHealthcare	Medicare\|All Plans	inpatient	negotiated	$7,824.89
West Central Ga Regional Hospital	GA	Blue Cross Blue Shield	Medicare\|All Plans	inpatient	negotiated	$7,710.38
West Central Ga Regional Hospital	GA	Aetna	Medicare\|All Plans	inpatient	negotiated	$7,634.03
West Central Ga Regional Hospital	GA	arizona medical network	Medicare\|All Plans	inpatient	negotiated	$7,634.03
West Central Ga Regional Hospital	GA	banner health	Medicare\|All Plans	inpatient	negotiated	$7,634.03
West Central Ga Regional Hospital	GA	bridgeway health solutions	Medicare\|All Plans	inpatient	negotiated	$7,634.03
West Central Ga Regional Hospital	GA	Cigna	Medicare\|All Plans	inpatient	negotiated	$7,634.03
West Central Ga Regional Hospital	GA	First Health	Medicare\|All Plans	inpatient	negotiated	$7,634.03
West Central Ga Regional Hospital	GA	health choice pathway	Medicare\|All Plans	inpatient	negotiated	$7,634.03
West Central Ga Regional Hospital	GA	health management network	Medicare\|All Plans	inpatient	negotiated	$7,634.03
West Central Ga Regional Hospital	GA	Health Net	Medicare\|Allwell	inpatient	negotiated	$7,634.03
West Central Ga Regional Hospital	GA	Humana	Medicare\|All Plans	inpatient	negotiated	$7,634.03
West Central Ga Regional Hospital	GA	rural arizona network	Medicare\|All Plans	inpatient	negotiated	$7,634.03
West Central Ga Regional Hospital	GA	united mine workers of america	Medicare\|All Plans	inpatient	negotiated	$7,634.03
West Central Ga Regional Hospital	GA	WellCare	Medicare\|All Plans	inpatient	negotiated	$7,634.03
Southern Regional Medical Center	GA	Humana	Humana Commercial	inpatient	negotiated	$3,870.72
West Central Ga Regional Hospital	GA	Health Net	Commercial\|All Plans	inpatient	negotiated	$97.00
West Central Ga Regional Hospital	GA	First Health	Commercial\|All Plans	inpatient	negotiated	$95.00
West Central Ga Regional Hospital	GA	Aetna	Commercial\|All Other Plans	inpatient	negotiated	$90.00
West Central Ga Regional Hospital	GA	Aetna	Commercial\|PPO	inpatient	negotiated	$90.00
West Central Ga Regional Hospital	GA	Cigna	Commercial\|All Other Plans	inpatient	negotiated	$87.30
West Central Ga Regional Hospital	GA	Cigna	Commercial\|IFP	inpatient	negotiated	$85.00
West Central Ga Regional Hospital	GA	Blue Cross Blue Shield	Commercial\|All Plans	inpatient	negotiated	$42.00
West Central Ga Regional Hospital	GA	[De-identified Max]	—	inpatient	max	$41,416
Northeast Georgia Medical Center	GA	[De-identified Max]	—	inpatient	max	$31,752
Ngmc Lumpkin Llc	GA	[De-identified Max]	—	inpatient	max	$31,752
Ngmc Barrow	GA	[De-identified Max]	—	inpatient	max	$30,718
Emory University Hospital	GA	[De-identified Max]	—	inpatient	max	$26,335
Southern Regional Medical Center	GA	[De-identified Max]	—	inpatient	max	$22,999
Union General Hospital	GA	[De-identified Max]	—	inpatient	max	$17,124

Rates are point-in-time snapshots from each hospital's machine-readable file. Payers can negotiate different rates for different plans within the same network — this view shows the latest snapshot per (hospital, payer, plan, rate type).