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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

$83.00 – $121,646

Negotiated median

$34,812

MS-DRG 480 Hip & femur procedures except major joint w MCC · Showing 200 of 319 rate rows

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Hospital	ST	Payer	Plan	Setting	Type	Rate
Southern Regional Medical Center	GA	Cash pay	N/A	inpatient	cash	$26,778
Emory University Hospital	GA	[De-identified Min]	—	inpatient	min	$27,571
Ngmc Barrow	GA	[De-identified Min]	—	inpatient	min	$27,006
Northeast Georgia Medical Center	GA	[De-identified Min]	—	inpatient	min	$26,194
Ngmc Lumpkin Llc	GA	[De-identified Min]	—	inpatient	min	$25,197
St. Marys Sacred Heart Hospital	GA	[De-identified Min]	—	inpatient	min	$18,265
Southern Regional Medical Center	GA	[De-identified Min]	—	inpatient	min	$5,302.70
West Central Ga Regional Hospital	GA	[De-identified Min]	—	inpatient	min	$83.00
West Central Ga Regional Hospital	GA	UnitedHealthcare	Commercial\|All Other Plans	inpatient	negotiated	$121,646
West Central Ga Regional Hospital	GA	UnitedHealthcare	Commercial\|Choice	inpatient	negotiated	$121,646
Northeast Georgia Medical Center	GA	healthpartners	Kaiser Ppo All Commercial Plans	inpatient	negotiated	$91,821
Ngmc Lumpkin Llc	GA	healthpartners	Kaiser Ppo All Commercial Plans	inpatient	negotiated	$91,821
Northeast Georgia Medical Center	GA	Blue Cross Blue Shield	Anthem Hmo	inpatient	negotiated	$88,831
Northeast Georgia Medical Center	GA	Blue Cross Blue Shield	Anthem Ppo	inpatient	negotiated	$88,831
Ngmc Barrow	GA	Blue Cross Blue Shield	Anthem Hmo	inpatient	negotiated	$88,831
Ngmc Barrow	GA	Blue Cross Blue Shield	Anthem Ppo	inpatient	negotiated	$88,831
Ngmc Lumpkin Llc	GA	Blue Cross Blue Shield	Anthem Hmo	inpatient	negotiated	$88,831
Ngmc Lumpkin Llc	GA	Blue Cross Blue Shield	Anthem Ppo	inpatient	negotiated	$88,831
Northeast Georgia Medical Center	GA	Cigna	All Commercial Plans	inpatient	negotiated	$84,089
Ngmc Barrow	GA	Cigna	All Commercial Plans	inpatient	negotiated	$84,089
Ngmc Lumpkin Llc	GA	Cigna	All Commercial Plans	inpatient	negotiated	$84,089
Northeast Georgia Medical Center	GA	Humana	Choicecare All Commercial Plans	inpatient	negotiated	$76,210
Ngmc Barrow	GA	Humana	Choicecare All Commercial Plans	inpatient	negotiated	$76,210
Ngmc Lumpkin Llc	GA	Humana	Choicecare All Commercial Plans	inpatient	negotiated	$76,210
Northeast Georgia Medical Center	GA	Aetna	All Commercial Plans	inpatient	negotiated	$72,304
Ngmc Barrow	GA	Aetna	All Commercial Plans	inpatient	negotiated	$72,304
Ngmc Lumpkin Llc	GA	Aetna	All Commercial Plans	inpatient	negotiated	$72,304
Northeast Georgia Medical Center	GA	healthpartners	Young Harris College All Commercial Plans	inpatient	negotiated	$68,834
Northeast Georgia Medical Center	GA	healthpartners	Anesthesia Associates Of Gainesville Llc All Commercial Plans	inpatient	negotiated	$64,937
Northeast Georgia Medical Center	GA	healthpartners	Atex Inc All Commercial Plans	inpatient	negotiated	$64,937
Northeast Georgia Medical Center	GA	healthpartners	Gainesville Radiolgy Group All Commercial Plans	inpatient	negotiated	$64,937
Northeast Georgia Medical Center	GA	healthpartners	Indigo Energy Partners, Llc All Commercial Plans	inpatient	negotiated	$64,937
Northeast Georgia Medical Center	GA	healthpartners	Local Personnel Llc All Commercial Plans	inpatient	negotiated	$64,937
Northeast Georgia Medical Center	GA	healthpartners	Nega Plastic Surgery Assoc All Commercial Plans	inpatient	negotiated	$64,937
Northeast Georgia Medical Center	GA	healthpartners	Original Appalachian Artworks All Commercial Plans	inpatient	negotiated	$64,937
Northeast Georgia Medical Center	GA	healthpartners	Protein Products All Commercial Plans	inpatient	negotiated	$64,937
Northeast Georgia Medical Center	GA	healthpartners	Shoreline Transfer Inc All Commercial Plans	inpatient	negotiated	$64,937
Northeast Georgia Medical Center	GA	healthpartners	Specialty Management Inc All Commercial Plans	inpatient	negotiated	$64,937
Northeast Georgia Medical Center	GA	healthpartners	Towns County Ga All Commercial Plans	inpatient	negotiated	$64,937
Northeast Georgia Medical Center	GA	healthpartners	Union County Ga All Commercial Plans	inpatient	negotiated	$64,937
Northeast Georgia Medical Center	GA	healthpartners	Union General Hospital All Commercial Plans	inpatient	negotiated	$64,937
Ngmc Barrow	GA	healthpartners	Anesthesia Associates Of Gainesville Llc All Commercial Plans	inpatient	negotiated	$64,937
Ngmc Barrow	GA	healthpartners	Local Personnel Llc All Commercial Plans	inpatient	negotiated	$64,937
Ngmc Barrow	GA	healthpartners	Specialty Management Inc All Commercial Plans	inpatient	negotiated	$64,937
Ngmc Lumpkin Llc	GA	healthpartners	Anesthesia Associates Of Gainesville Llc All Commercial Plans	inpatient	negotiated	$64,937
Ngmc Lumpkin Llc	GA	healthpartners	Atex Inc All Commercial Plans	inpatient	negotiated	$64,937
Ngmc Lumpkin Llc	GA	healthpartners	Local Personnel Llc All Commercial Plans	inpatient	negotiated	$64,937
Ngmc Lumpkin Llc	GA	healthpartners	Nega Plastic Surgery Assoc All Commercial Plans	inpatient	negotiated	$64,937
Ngmc Lumpkin Llc	GA	healthpartners	Union General Hospital All Commercial Plans	inpatient	negotiated	$64,937
Northeast Georgia Medical Center	GA	Cigna	Local Plus Other Commercial Plan	inpatient	negotiated	$64,746
Ngmc Barrow	GA	Cigna	Local Plus Other Commercial Plan	inpatient	negotiated	$64,746
Ngmc Lumpkin Llc	GA	Cigna	Local Plus Other Commercial Plan	inpatient	negotiated	$64,746
Emory University Hospital	GA	UnitedHealthcare	Hmo/Pos	inpatient	negotiated	$62,437
Emory University Hospital	GA	Cigna	Hmo/Pos	inpatient	negotiated	$58,729
Emory University Hospital	GA	Ambetter	Peach State Exchange	inpatient	negotiated	$58,450
Emory University Hospital	GA	Aetna	Hmo/Pos	inpatient	negotiated	$57,876
Emory University Hospital	GA	Blue Cross Blue Shield	Hmo	inpatient	negotiated	$56,861
Emory University Hospital	GA	Aetna	Hpn Whole Health Other Commercial Plan	inpatient	negotiated	$56,200
Emory University Hospital	GA	UnitedHealthcare	Core/Charter/Nexus Other Commercial Plan	inpatient	negotiated	$53,073
Emory University Hospital	GA	Blue Cross Blue Shield	Hpn Other Commercial Plan	inpatient	negotiated	$50,145
Emory University Hospital	GA	Humana	Hmo/Pos	inpatient	negotiated	$49,186
Emory University Hospital	GA	Humana	Medicare Managed Care Plan	inpatient	negotiated	$49,186
Emory University Hospital	GA	Aetna	Exchange	inpatient	negotiated	$47,835
Northeast Georgia Medical Center	GA	healthpartners	City Of Gainesville All Commercial Plans	inpatient	negotiated	$47,227
Ngmc Barrow	GA	healthpartners	City Of Gainesville All Commercial Plans	inpatient	negotiated	$47,227
Ngmc Lumpkin Llc	GA	healthpartners	City Of Gainesville All Commercial Plans	inpatient	negotiated	$47,227
Southern Regional Medical Center	GA	CareSource	Caresource Exchange	inpatient	negotiated	$46,863
Southern Regional Medical Center	GA	Cigna	Cigna Commercial	inpatient	negotiated	$44,398
Southern Regional Medical Center	GA	national healthcare solutions, inc.	National Healthcare Solutions Commercial	inpatient	negotiated	$42,846
Southern Regional Medical Center	GA	naphcare	Naphcare Prison	inpatient	negotiated	$41,507
Northeast Georgia Medical Center	GA	healthpartners	Pharma Tech Industries All Commercial Plans	inpatient	negotiated	$41,288
Ngmc Barrow	GA	healthpartners	Pharma Tech Industries All Commercial Plans	inpatient	negotiated	$41,288
Emory University Hospital	GA	Oscar Health	Exchange	inpatient	negotiated	$40,798
Southern Regional Medical Center	GA	centurion	Centurion	inpatient	negotiated	$40,168
Northeast Georgia Medical Center	GA	healthpartners	Brenau University All Commercial Plans	inpatient	negotiated	$38,950
Northeast Georgia Medical Center	GA	healthpartners	James A Walters Management Co All Commercial Plans	inpatient	negotiated	$38,950
Northeast Georgia Medical Center	GA	healthpartners	Stephens County Hospital All Commercial Plans	inpatient	negotiated	$38,950
Southern Regional Medical Center	GA	Aetna	Aetna PPO	inpatient	negotiated	$38,707
Southern Regional Medical Center	GA	TRICARE	Tricare	inpatient	negotiated	$38,246
Northeast Georgia Medical Center	GA	healthpartners	Caresource Exchange	inpatient	negotiated	$37,518
Ngmc Barrow	GA	healthpartners	Caresource Exchange	inpatient	negotiated	$37,518
Ngmc Lumpkin Llc	GA	healthpartners	Caresource Exchange	inpatient	negotiated	$37,518
Southern Regional Medical Center	GA	Blue Cross Blue Shield	BCBS PPO Adhoc	inpatient	negotiated	$37,509
Southern Regional Medical Center	GA	Blue Cross Blue Shield	BCBS PPO	inpatient	negotiated	$37,509
Northeast Georgia Medical Center	GA	healthpartners	Banks County Boc All Commercial Plans	inpatient	negotiated	$36,744
Northeast Georgia Medical Center	GA	healthpartners	Cottrell Inc All Commercial Plans	inpatient	negotiated	$36,744
Northeast Georgia Medical Center	GA	healthpartners	Lumpkin County Boc All Commercial Plans	inpatient	negotiated	$36,744
Northeast Georgia Medical Center	GA	healthpartners	Syfan Logistics Inc All Commercial Plans	inpatient	negotiated	$36,744
Ngmc Barrow	GA	healthpartners	Banks County Boc All Commercial Plans	inpatient	negotiated	$36,744
Ngmc Barrow	GA	healthpartners	Cottrell Inc All Commercial Plans	inpatient	negotiated	$36,744
Ngmc Lumpkin Llc	GA	healthpartners	Cottrell Inc All Commercial Plans	inpatient	negotiated	$36,744
Ngmc Lumpkin Llc	GA	healthpartners	Lumpkin County Boc All Commercial Plans	inpatient	negotiated	$36,744
Ngmc Lumpkin Llc	GA	healthpartners	Syfan Logistics Inc All Commercial Plans	inpatient	negotiated	$36,744
Southern Regional Medical Center	GA	Humana	Humana Tricare	inpatient	negotiated	$36,407
Southern Regional Medical Center	GA	Blue Cross Blue Shield	BCBS HMO Adhoc	inpatient	negotiated	$36,122
Southern Regional Medical Center	GA	Blue Cross Blue Shield	BCBS HMO	inpatient	negotiated	$36,122
Southern Regional Medical Center	GA	Blue Cross Blue Shield	BCBS Pathway Adhoc	inpatient	negotiated	$35,382
Southern Regional Medical Center	GA	Blue Cross Blue Shield	BCBS Pathway	inpatient	negotiated	$35,382
Southern Regional Medical Center	GA	Aetna	Aetna HMO	inpatient	negotiated	$35,189
Southern Regional Medical Center	GA	employer direct healthcare	Employer Direct Healthcare Commercial	inpatient	negotiated	$34,812
Southern Regional Medical Center	GA	Oscar Health	Oscar Health Plan Commercial Exchange	inpatient	negotiated	$34,812
Northeast Georgia Medical Center	GA	Cigna	Connect Hix Ifp Exchange	inpatient	negotiated	$33,380
Ngmc Barrow	GA	Cigna	Connect Hix Ifp Exchange	inpatient	negotiated	$33,380
Ngmc Lumpkin Llc	GA	Cigna	Connect Hix Ifp Exchange	inpatient	negotiated	$33,380
Emory University Hospital	GA	Blue Cross Blue Shield	Blue Pathways Exchange	inpatient	negotiated	$30,332
Southern Regional Medical Center	GA	UnitedHealthcare	UHC Commercial	inpatient	negotiated	$30,075
Emory University Hospital	GA	WellCare	Medicare Managed Care Plan	inpatient	negotiated	$29,225
Emory University Hospital	GA	clover health	Medicare Managed Care Plan	inpatient	negotiated	$28,949
Emory University Hospital	GA	sonder health plans	Medicare Managed Care Plan	inpatient	negotiated	$28,949
Southern Regional Medical Center	GA	georgia workers’ compensation	Worker Compensation	inpatient	negotiated	$28,617
Ngmc Barrow	GA	Humana	Medicare Managed Care Plan	inpatient	negotiated	$28,491
Emory University Hospital	GA	Cigna	Healthspring Medicare Managed Care Plan	inpatient	negotiated	$28,398
Northeast Georgia Medical Center	GA	healthpartners	Alliant All Commercial Plans	inpatient	negotiated	$28,354
Ngmc Barrow	GA	healthpartners	Alliant All Commercial Plans	inpatient	negotiated	$28,354
Ngmc Lumpkin Llc	GA	healthpartners	Alliant All Commercial Plans	inpatient	negotiated	$28,354
Southern Regional Medical Center	GA	provider select	Provider Select Workers Compensation	inpatient	negotiated	$28,331
Southern Regional Medical Center	GA	peach state	Peach State Ambetter Comm	inpatient	negotiated	$28,328
Southern Regional Medical Center	GA	sonder health plan	Sonder Health Plan Duals	inpatient	negotiated	$28,163
Southern Regional Medical Center	GA	sonder health plan	Sonder Health Plan Medicare	inpatient	negotiated	$28,163
Emory University Hospital	GA	Aetna	Medicare Managed Care Plan	inpatient	negotiated	$28,122
Emory University Hospital	GA	Blue Cross Blue Shield	Blue Value Secure Medicare Managed Care Plan	inpatient	negotiated	$27,846
Ngmc Barrow	GA	Cigna	Healthspring Medicare Managed Care Plan	inpatient	negotiated	$27,816
Southern Regional Medical Center	GA	americas choice provider network	Americas Choice Provider Network Workers Compensation	inpatient	negotiated	$27,759
Southern Regional Medical Center	GA	Multiplan	Multiplan Workers Compensation	inpatient	negotiated	$27,759
Southern Regional Medical Center	GA	prime health services	Prime Health Services Workers Compensation	inpatient	negotiated	$27,759
Southern Regional Medical Center	GA	three rivers	Three Rivers Workers Compensation	inpatient	negotiated	$27,759
Northeast Georgia Medical Center	GA	Humana	Medicare Managed Care Plan	inpatient	negotiated	$27,635
Southern Regional Medical Center	GA	CareSource	Caresource Duals	inpatient	negotiated	$27,627
Southern Regional Medical Center	GA	CareSource	Caresource Medicare	inpatient	negotiated	$27,627
Southern Regional Medical Center	GA	peach state	Peach State Medicare	inpatient	negotiated	$27,627
Southern Regional Medical Center	GA	WellCare	Wellcare Medicare	inpatient	negotiated	$27,627
Southern Regional Medical Center	GA	devoted health	Devoted Health	inpatient	negotiated	$27,582
Emory University Hospital	GA	devoted health	Medicare Managed Care Plan	inpatient	negotiated	$27,571
Emory University Hospital	GA	Kaiser Permanente	Medicare Managed Care Plan	inpatient	negotiated	$27,571
Emory University Hospital	GA	optum	Ccn Government	inpatient	negotiated	$27,571
Emory University Hospital	GA	UnitedHealthcare	Medicare Managed Care Plan	inpatient	negotiated	$27,571
Emory University Hospital	GA	va community care network	Government	inpatient	negotiated	$27,571
Ngmc Barrow	GA	Aetna	Medicare Managed Care Plan	inpatient	negotiated	$27,546
Southern Regional Medical Center	GA	corvel	Corvel Workers Compensation	inpatient	negotiated	$27,186
Southern Regional Medical Center	GA	novanet	Novanet Workers Compensation	inpatient	negotiated	$27,186
Ngmc Barrow	GA	Blue Cross Blue Shield	State Health Benefit Plan Medicare Managed Care Plan	inpatient	negotiated	$27,006
Ngmc Barrow	GA	UnitedHealthcare	Optum Community Care Network Government	inpatient	negotiated	$27,006
Ngmc Barrow	GA	UnitedHealthcare	State Health Benefit Plan Medicare Managed Care Plan	inpatient	negotiated	$27,006
Northeast Georgia Medical Center	GA	Cigna	Healthspring Medicare Managed Care Plan	inpatient	negotiated	$26,980
Southern Regional Medical Center	GA	Aetna	Aetna Medicare	inpatient	negotiated	$26,822
Southern Regional Medical Center	GA	Blue Cross Blue Shield	BCBSGA Medicare	inpatient	negotiated	$26,822
Southern Regional Medical Center	GA	Cigna	Cigna Healthspring Medicare	inpatient	negotiated	$26,822
Southern Regional Medical Center	GA	riverwood behavioral health	Riverwood Behavioral Health Medicare	inpatient	negotiated	$26,822
Southern Regional Medical Center	GA	ubh optum	UBH Medicare Optum	inpatient	negotiated	$26,822
Southern Regional Medical Center	GA	UnitedHealthcare	UHC Medicare	inpatient	negotiated	$26,822
Southern Regional Medical Center	GA	clear spring health plan	Clear Spring Health Plan	inpatient	negotiated	$26,779
Southern Regional Medical Center	GA	riverwood behavioral health	Riverwood Behavioral Health Commercial	inpatient	negotiated	$26,779
Southern Regional Medical Center	GA	Medicare	Traditional Medicare	inpatient	negotiated	$26,779
Southern Regional Medical Center	GA	UnitedHealthcare	UHC VA CCN	inpatient	negotiated	$26,779
Northeast Georgia Medical Center	GA	Aetna	Medicare Managed Care Plan	inpatient	negotiated	$26,718
Ngmc Lumpkin Llc	GA	Humana	Medicare Managed Care Plan	inpatient	negotiated	$26,583
Southern Regional Medical Center	GA	Humana	Humana Medicare	inpatient	negotiated	$26,286
Northeast Georgia Medical Center	GA	Blue Cross Blue Shield	State Health Benefit Plan Medicare Managed Care Plan	inpatient	negotiated	$26,194
Northeast Georgia Medical Center	GA	UnitedHealthcare	Optum Community Care Network Government	inpatient	negotiated	$26,194
Northeast Georgia Medical Center	GA	UnitedHealthcare	State Health Benefit Plan Medicare Managed Care Plan	inpatient	negotiated	$26,194
Ngmc Lumpkin Llc	GA	Cigna	Healthspring Medicare Managed Care Plan	inpatient	negotiated	$25,953
Ngmc Lumpkin Llc	GA	Aetna	Medicare Managed Care Plan	inpatient	negotiated	$25,701
Ngmc Lumpkin Llc	GA	Blue Cross Blue Shield	State Health Benefit Plan Medicare Managed Care Plan	inpatient	negotiated	$25,197
Ngmc Lumpkin Llc	GA	UnitedHealthcare	Optum Community Care Network Government	inpatient	negotiated	$25,197
Ngmc Lumpkin Llc	GA	UnitedHealthcare	State Health Benefit Plan Medicare Managed Care Plan	inpatient	negotiated	$25,197
West Central Ga Regional Hospital	GA	devoted health	Medicare\|All Plans	inpatient	negotiated	$23,403
West Central Ga Regional Hospital	GA	imperial insurance	Medicare\|All Plans	inpatient	negotiated	$23,182
West Central Ga Regional Hospital	GA	WellCare	Medicare\|All Plans	inpatient	negotiated	$23,182
West Central Ga Regional Hospital	GA	UnitedHealthcare	Medicare\|All Plans	inpatient	negotiated	$22,631
West Central Ga Regional Hospital	GA	Blue Cross Blue Shield	Medicare\|All Plans	inpatient	negotiated	$22,299
West Central Ga Regional Hospital	GA	Aetna	Medicare\|All Plans	inpatient	negotiated	$22,079
West Central Ga Regional Hospital	GA	arizona medical network	Medicare\|All Plans	inpatient	negotiated	$22,079
West Central Ga Regional Hospital	GA	banner health	Medicare\|All Plans	inpatient	negotiated	$22,079
West Central Ga Regional Hospital	GA	bridgeway health solutions	Medicare\|All Plans	inpatient	negotiated	$22,079
West Central Ga Regional Hospital	GA	Cigna	Medicare\|All Plans	inpatient	negotiated	$22,079
West Central Ga Regional Hospital	GA	First Health	Medicare\|All Plans	inpatient	negotiated	$22,079
West Central Ga Regional Hospital	GA	health choice pathway	Medicare\|All Plans	inpatient	negotiated	$22,079
West Central Ga Regional Hospital	GA	health management network	Medicare\|All Plans	inpatient	negotiated	$22,079
West Central Ga Regional Hospital	GA	Health Net	Medicare\|Allwell	inpatient	negotiated	$22,079
West Central Ga Regional Hospital	GA	Humana	Medicare\|All Plans	inpatient	negotiated	$22,079
West Central Ga Regional Hospital	GA	rural arizona network	Medicare\|All Plans	inpatient	negotiated	$22,079
West Central Ga Regional Hospital	GA	united mine workers of america	Medicare\|All Plans	inpatient	negotiated	$22,079
West Central Ga Regional Hospital	GA	WellCare	Medicare\|All Plans	inpatient	negotiated	$22,079
St. Marys Sacred Heart Hospital	GA	blue mcr replacement	2597_MEDICARE ADVANTAGE BLUE INPATIENT PSH 20251001	inpatient	negotiated	$18,265
St. Marys Sacred Heart Hospital	GA	facility billing - op	2595_FACILITY BILLING INPATIENT PSH 20251001	inpatient	negotiated	$18,265
Southern Regional Medical Center	GA	Humana	Humana Commercial	inpatient	negotiated	$5,302.70
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	$83.00
West Central Ga Regional Hospital	GA	[De-identified Max]	—	inpatient	max	$121,646
Northeast Georgia Medical Center	GA	[De-identified Max]	—	inpatient	max	$91,821
Ngmc Lumpkin Llc	GA	[De-identified Max]	—	inpatient	max	$91,821
Ngmc Barrow	GA	[De-identified Max]	—	inpatient	max	$88,831
Emory University Hospital	GA	[De-identified Max]	—	inpatient	max	$62,437
Southern Regional Medical Center	GA	[De-identified Max]	—	inpatient	max	$46,863
St. Marys Sacred Heart Hospital	GA	[De-identified Max]	—	inpatient	max	$41,096

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).