133 — Other Ear, Nose, Mouth & Throat O.r. Procedures W Cc/Mcc
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Other Ear, Nose, Mouth & Throat O.R. Procedures W Cc/Mcc (MS_DRG 133) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/133?code_type=MS_DRG
MLA (9th ed.)
“Other Ear, Nose, Mouth & Throat O.R. Procedures W Cc/Mcc (MS_DRG 133) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/133?code_type=MS_DRG. Accessed .
Chicago (notes-bibliography)
“Other Ear, Nose, Mouth & Throat O.R. Procedures W Cc/Mcc (MS_DRG 133) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/133?code_type=MS_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $9,295–$20,075 (25th–75th percentile) across 338 hospitals · 467 payers.
“Negotiated” is the hospital’s negotiated rate for the entire inpatient stay under MS_DRG 133 — 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.
Also priced as a different code
The same procedure is billed under different code systems depending on the setting. These facilities price it under a code you won’t see in the MS_DRG 133 table above — including hospitals that only publish the bundled version.
1,808 facilities · 1,259 not in the MS_DRG table
- ABRAZO ARROWHEAD HOSPITAL, GLENDALE • only here
- ADENA PIKE MEDICAL CENTER, WAVERLY • only here
- ADENA REGIONAL MEDICAL CENTER, CHILLICOTHE • only here
- ADVENTIST HEALTH SONORA, SONORA • only here
- ADVENTIST HEALTH TEHACHAPI VALLEY, TEHACHAPI • only here
- ADVENTIST HEALTH TILLAMOOK, TILLAMOOK • only here
1,820 facilities · 1,276 not in the MS_DRG table
- ABRAZO ARROWHEAD HOSPITAL, GLENDALE • only here
- ADENA PIKE MEDICAL CENTER, WAVERLY • only here
- ADENA REGIONAL MEDICAL CENTER, CHILLICOTHE • only here
- ADVENTIST HEALTH SONORA, SONORA • only here
- ADVENTIST HEALTH TEHACHAPI VALLEY, TEHACHAPI • only here
- ADVENTIST HEALTH TILLAMOOK, TILLAMOOK • only here
MS-DRG 133 covers more than one procedure (Parotidectomy (parotid gland excision) and Submandibular gland excision). The professional-fee estimate below uses the 42415 anchor; the facility figure is the published DRG either way.
Estimated complete episode
What the whole episode might cost
Your hospital facility price plus the separately-billed professional fees a complete episode adds. The facility figure is an actual negotiated rate from our data; the surgeon and anesthesia fees are estimated from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$9,295
$14,489 typical
$20,075
The middle 50% of negotiated facility rates for this procedure, measured across 338 hospitals. The surgeon and anesthesia fees are modeled estimates added on top.
What you’ll likely be billed
| Surgeon (professional fee) Estimate national typical Medicare $920 × 1.22 commercial. | $1,123 |
| Anesthesia Estimate national typical Generic anesthesia (~90 min typical, median CMS base units). Medicare $225 × 3.14 commercial. Approximate — no procedure-specific anesthesia mapping for this code. | $708 |
| Inpatient stay bundle (MS-DRG 133) Actual inpatient bundle The negotiated inpatient MS-DRG 133 price — one bundled charge for the whole admission (operating room, room & board, recovery, imaging, implants, supplies). The surgeon's and anesthesiologist's fees below are billed separately and are NOT part of this bundle. | $14,489 |
| Likely subtotal | $16,319 |
Surgical episode (typical)
~$16,319
Not included in this estimate:
- Rehab, physical therapy, and other post-acute care after discharge (see the recovery plan below)
- Complications, revisions, or readmissions
- Out-of-network provider choices you make yourself (the No Surprises Act only covers providers you can't choose)
The biggest swing: which insurer's rate applies — negotiated prices here run $9,295–$20,075.
Your recovery plan — adjust to what your doctor told you
After your procedure, recovery care is billed separately. We pre-fill the typical plan; change it to your situation.
Recovery cost modeled
~$3,785
With your recovery plan (typical)
~$20,104
- The anesthesia component is a generic, approximate estimate — no procedure-specific anesthesia mapping exists for this code, so a typical anesthesia for this procedure type is shown.
How each figure is sourced
- Surgeon (professional fee) (estimate)
- rvu_version: RVU26A (updated 2025-12-29) · gpci: National (unadjusted, GPCI = 1.000) · cf_rule: CMS-1832-F ($33.40) · multiplier_source: HCCI 2017 national
- Anesthesia (estimate)
- base_units_version: CY2022 file (base units unchanged for CY2026 per CMS) · anesthesia_cf: $20.49754 (National) · cf_rule: CMS-1832-F · multiplier_source: AJMC/Duffy 2016-2017 (PMID 34156223) national · basis: generic surgical anesthesia — 5 base units (typical CMS value) × ~90 min; approximate, NOT a procedure-specific crosswalk
- Inpatient stay bundle (MS-DRG 133) (actual)
- source: Hospital MRF (45 CFR 180) · published_form: MS-DRG 133
Estimates use CMS Medicare Physician Fee Schedule reference data (RVU × GPCI × conversion factor; anesthesia base+time × CF) scaled by a sourced commercial multiplier, weighted by how often each component is billed. See the methodology. Your real total appears on your insurer’s Explanation of Benefits (EOB).
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| Uh Geauga Medical Center InpatientFacility | Anthem | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Cigna | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Medical Mutual of Ohio | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | WellCare by AllWell | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | The Health Plan | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | United Healthcare | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Molina | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | SummaCare | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Humana | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Devoted Health | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Aetna | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Primetime Health Plan | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Paramount | Medicare Advantage | $52.19 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Perennial Advantage of Ohio | Medicare Advantage | $53.20 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Valor Health Plans | Medicare Advantage | $53.20 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Aetna CVSHealth QHP | Commercial | $90.19 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | CareSource | Marketplace | $91.21 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Ambetter | Commercial | $91.21 | — | — | 2025-05-16 | MRF ↗ |
| HSHS ST ELIZABETH'S HOSPITAL Inpatient | BLUE CROSS BLUE SHIELD OF ILLINOIS | BCBS IL MMAI | $118.21 | $33,722.55 | $24,280.24 | 2026-01-15 | MRF ↗ |
| HSHS ST ELIZABETH'S HOSPITAL Inpatient | BLUE CROSS BLUE SHIELD OF ILLINOIS | BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV | $118.21 | $33,722.55 | $24,280.24 | 2026-01-15 | MRF ↗ |
| HSHS ST ELIZABETH'S HOSPITAL Inpatient | CLAIM DOC | ALL COMMERCIAL CLAIM DOC | $283.70 | $33,722.55 | $24,280.24 | 2026-01-15 | MRF ↗ |
| HSHS ST ELIZABETH'S HOSPITAL Inpatient | HOPETRUST | ALL COMMERCIAL HOPETRUST | $295.52 | $33,722.55 | $24,280.24 | 2026-01-15 | MRF ↗ |
| LAKE VIEW MEMORIAL HOSPITAL InpatientFacility | Blue Cross Blue Shield Minnesota | Blue Cross Minnesota Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| Ascension Borgess Pipp Hospital Both | COVENTRY CARES | 3337_BOMC MEDICAID REPLACEMENT COVENTRY CARES INPATIENT 20231001 | $1,007.16 | — | — | 2024-12-17 | MRF ↗ |
| Ascension Borgess Pipp Hospital Both | COVENTRY CARES | 3337_BOMC MEDICAID REPLACEMENT COVENTRY CARES INPATIENT 20231001 | $1,007.16 | — | — | 2024-12-17 | MRF ↗ |
| FROEDTERT SOUTH INC. Inpatient | — | — | — | $70,699.72 | — | 2026-02-27 | MRF ↗ |
| Ascension Borgess Pipp Hospital Both | COVENTRY CARES | 3337_BOMC MEDICAID REPLACEMENT COVENTRY CARES INPATIENT 20231001 | $1,086.00 | — | — | 2024-12-17 | MRF ↗ |
| Ascension Borgess Pipp Hospital Both | COVENTRY CARES | 3337_BOMC MEDICAID REPLACEMENT COVENTRY CARES INPATIENT 20231001 | $1,086.00 | — | — | 2024-12-17 | MRF ↗ |
| Ascension Borgess Pipp Hospital Both | COVENTRY CARES | 3337_BOMC MEDICAID REPLACEMENT COVENTRY CARES INPATIENT 20231001 | $1,125.91 | — | — | 2024-12-17 | MRF ↗ |
| Ascension Borgess Pipp Hospital Both | COVENTRY CARES | 3337_BOMC MEDICAID REPLACEMENT COVENTRY CARES INPATIENT 20231001 | $1,125.91 | — | — | 2024-12-17 | MRF ↗ |
| Ascension Borgess Pipp Hospital Both | COVENTRY CARES | 3337_BOMC MEDICAID REPLACEMENT COVENTRY CARES INPATIENT 20231001 | $1,378.73 | — | — | 2024-12-17 | MRF ↗ |
| Ascension Borgess Pipp Hospital Both | COVENTRY CARES | 3337_BOMC MEDICAID REPLACEMENT COVENTRY CARES INPATIENT 20231001 | $1,378.73 | — | — | 2024-12-17 | MRF ↗ |
| ASPIRUS STEVENS POINT HOSPITAL & CLINICS, INC. InpatientFacility | Managed Health Services Insurance Corp. | Managed Health Wisconsin Medicaid Plans | — | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS STEVENS POINT HOSPITAL & CLINICS, INC. InpatientFacility | United Healthcare Of Wisconsin, Inc. | United Healthcare Medicaid Plans | — | — | — | 2025-07-01 | MRF ↗ |
| ASPIRUS STEVENS POINT HOSPITAL & CLINICS, INC. InpatientFacility | Group Health Cooperative Of Eau Claire | Group Health Wisconsin Medicaid Hmo | — | — | — | 2025-07-01 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MANAGED CARE | HUMANA COMM IP | $1,560.81 | — | — | 2025-12-04 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MANAGED CARE | HUMANA COMM OP | $1,560.81 | — | — | 2025-12-04 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | MEDICAID HUMANA HEALTHY HORIZONS [6110] | PHM HB HUMANA MEDICAID - RICHLAND | $1,629.66 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | MEDICAID HUMANA HEALTHY HORIZONS [6110] | PHM HB HUMANA MEDICAID - RICHLAND | $1,629.66 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | MEDICAID SELECT HEALTH OF SC [400] | PHM HB SELECT HEALTH MEDICAID - RICHLAND | $1,675.36 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | MEDICAID SELECT HEALTH OF SC [400] | PHM HB SELECT HEALTH MEDICAID - RICHLAND | $1,675.36 | — | — | 2026-03-01 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MANAGED CARE | COCA COLA BOTTLING OP | $1,734.24 | — | — | 2025-12-04 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MANAGED CARE | PHCS IP | $1,734.24 | — | — | 2025-12-04 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MANAGED CARE | MCR 150 MISC OP | $1,734.24 | — | — | 2025-12-04 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MANAGED CARE | MCR 150 MISC IP | $1,734.24 | — | — | 2025-12-04 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MANAGED CARE | COCA COLA BOTTLING CO IP | $1,734.24 | — | — | 2025-12-04 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | MEDICAID BLUECHOICE [420] | PHM HB BLUECHOICE MEDICAID - RICHLAND | $1,736.28 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | MEDICAID BLUECHOICE [420] | PHM HB BLUECHOICE MEDICAID - RICHLAND | $1,736.28 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | MEDICAID MOLINA HEALTHCARE SC [440] | PHM HB MOLINA MEDICAID - RICHLAND | $1,797.20 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | MEDICAID MOLINA HEALTHCARE SC [440] | PHM HB MOLINA MEDICAID - RICHLAND | $1,797.20 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | MEDICAID GEORGIA-AMERIGROUP [3009] | PHU HB 100% OF MEDICAID - GMH | $1,812.25 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | MEDICAID TENNESSEE [325] | PHU HB 100% OF MEDICAID - GMH | $1,812.25 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | MEDICAID GEORGIA-AMERIGROUP [3009] | PHU HB 100% OF MEDICAID - GMH | $1,812.25 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | MEDICAID NEW YORK [320] | PHU HB 100% OF MEDICAID - GMH | $1,812.25 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | MEDICAID FLORIDA [315] | PHU HB 100% OF MEDICAID - GMH | $1,812.25 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | MEDICAID GEORGIA-CARESOURCE [3228] | PHU HB 100% OF MEDICAID - GMH | $1,812.25 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | MEDICAID TENNESSEE [325] | PHU HB 100% OF MEDICAID - GMH | $1,812.25 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | MEDICAID FLORIDA [315] | PHU HB 100% OF MEDICAID - GMH | $1,812.25 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | MEDICAID NEW YORK [320] | PHU HB 100% OF MEDICAID - GMH | $1,812.25 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | MEDICAID GEORGIA-CARESOURCE [3228] | PHU HB 100% OF MEDICAID - GMH | $1,812.25 | — | — | 2026-03-01 | MRF ↗ |
| KERALTY HOSPITAL Both | UNITED HOMECARE MCAID | UNITED HOMECARE MCAID | $1,841.61 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | PENDING MEDICAID | PENDING MEDICAID | $1,841.61 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | MISC MEDICAID HMO | MISC MCAID HMO | $1,841.61 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | SO FL COMMUNITY MEDICAID | SO FL COMMUNITY CARE NETW | $1,841.61 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | SUNSHINE STATE HEALTH | SUNSHINE STATE HEALTH | $1,841.61 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | UNIVERSAL HLTH | UNIVERSAL HLTH | $1,841.61 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | SUNSHINE STATE HEALTH | SUNSHINE STATE HEALTH | $1,841.61 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | MOLINA MEDICAID | MOLINA MCAID | $1,841.61 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | UNITED HLTH MCAID | UNITED MEDICAID | $1,841.61 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | FLORIDA PACE MEDICAID | FLORIDA PACE MD | $1,841.61 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | CARESOURCE MEDICAID | CARESOURCE MEDICAID | $1,841.61 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | HUMANA MEDICAID | HUMANA MEDICAID | $1,841.61 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | BETTER HEALTH HMO | BETTER HEALTH | $1,841.61 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | MOLINA BEHAV MCD | MOLINA BEHAV MCD | $1,841.61 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AMERIHLTH N.CAROLINA | AMERIHLTH CARITAS N CAROL | $1,841.61 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | MOLINA OUT OF STATE MCD | MOLINA OUT OF STATE MCD | $1,841.61 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | UNITED HLTH MCAID | UNITED MEDICAID | $1,841.61 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AMERIHEALTH CARITAS FL | AMERIHEALTH CARITAS FL | $1,841.61 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | COMMUNITY CARE PLANS MCD | COMMUNITY CARE PLANS MCD | $1,841.61 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | CIGNA MEDICAID | CIGNA MEDICAID | $1,841.61 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | FIRST COAST ADVANTAGE LLC | FIRST COAST ADVANTAGE LLC | $1,841.61 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | STAYWELL MEDICAID | STAYWELL MCAID | $1,841.61 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | WELLCARE MEDICAID | WELLCARE MCAID | $1,841.61 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | FLORIDA HEALTH PARTNERS | FLORIDA HEALTH PARTNERS | $1,841.61 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | POSITIVE HEALTHCARE FLA | POSITIVE MCD | $1,841.61 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | MOLINA MEDICAID | MOLINA MCAID | $1,841.61 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AMERIHEALTH CARITAS FL | AMERIHEALTH CARITAS FL | $1,841.61 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | CARESOURCE MEDICAID | CARESOURCE MEDICAID | $1,841.61 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AMERIHLTH N.CAROLINA | AMERIHLTH CARITAS N CAROL | $1,841.61 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | UNITED HOMECARE MCAID | UNITED HOMECARE MCAID | $1,841.61 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | COMMUNITY CARE PLANS MCD | COMMUNITY CARE PLANS MCD | $1,841.61 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | MOLINA BEHAV MCD | MOLINA BEHAV MCD | $1,841.61 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | MOLINA OUT OF STATE MCD | MOLINA OUT OF STATE MCD | $1,841.61 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | HUMANA MEDICAID | HUMANA MEDICAID | $1,841.61 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | WELLCARE MEDICAID | WELLCARE MCAID | $1,841.61 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AMERIGROUP MCAID | AMERIGROUP MCAID | $1,841.61 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | MEDICAID | MEDICAID | $1,841.61 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | FLORIDA COMMUNITY CARE | FLORIDA COMMUNITY CARE | $1,841.61 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | OSCAR MEDICAID | OSCAR MEDICAID | $1,841.61 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | POSITIVE HEALTHCARE FLA | POSITIVE MCD | $1,841.61 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | FLORIDA HEALTH PARTNERS | FLORIDA HEALTH PARTNERS | $1,841.61 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | CIGNA MEDICAID | CIGNA MEDICAID | $1,841.61 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | DOCTORS HEALTHCARE PLAN | DOCTORS HEALTHCARE MCD | $1,841.61 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | CLEAR HEALTH ALLIANCE | CLEAR HEALTH ALLIANCE | $1,841.61 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | OSCAR MEDICAID | OSCAR MEDICAID | $1,841.61 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AETNA SENIOR SUPPLEMENTAL | AETNA SENIOR SUPPLEMENTAL | $1,841.61 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | SIMPLY HEALTHCARE MCAID | SIMPLY HLTH MCAID | $1,841.61 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | FLORIDA PACE MEDICAID | FLORIDA PACE MD | $1,841.61 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | SO FL COMMUNITY MEDICAID | SO FL COMMUNITY CARE NETW | $1,841.61 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AMERIHLTH N.CAROLINA | AMERIHLTH N.CAROLINA | $1,841.61 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | BETTER HEALTH HMO | BETTER HEALTH | $1,841.61 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | MISC MEDICAID HMO | MISC MCAID HMO | $1,841.61 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | PENDING MEDICAID | PENDING MEDICAID | $1,841.61 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | MISC MEDICAID HMO | MISC MEDICAID HMO | $1,841.61 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | STAYWELL MEDICAID | STAYWELL MCAID | $1,841.61 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | FIRST COAST ADVANTAGE LLC | FIRST COAST ADVANTAGE LLC | $1,841.61 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AETNA SENIOR SUPPLEMENTAL | AETNA SENIOR SUPPLEMENTAL | $1,841.61 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AMERIHLTH N.CAROLINA | AMERIHLTH N.CAROLINA | $1,841.61 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | MEDICAID | MEDICAID | $1,841.61 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AETNA BETTER HEALTH | AETNA BETTER HEALTH | $1,841.61 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | UNIVERSAL HLTH | UNIVERSAL HLTH | $1,841.61 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | NEIGHBORHOOD MEDICAID | NHP MCAID | $1,841.61 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | SIMPLY HEALTHCARE MCAID | SIMPLY HLTH MCAID | $1,841.61 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | DOCTORS HEALTHCARE PLAN | DOCTORS HEALTHCARE MCD | $1,841.61 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AMERIGROUP MCAID | AMERIGROUP MCAID | $1,841.61 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | MISC MEDICAID HMO | MISC MEDICAID HMO | $1,841.61 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AETNA BETTER HEALTH | AETNA BETTER HEALTH | $1,841.61 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | CLEAR HEALTH ALLIANCE | CLEAR HEALTH ALLIANCE | $1,841.61 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | NEIGHBORHOOD MEDICAID | NHP MCAID | $1,841.61 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | FLORIDA COMMUNITY CARE | FLORIDA COMMUNITY CARE | $1,841.61 | — | — | 2024-06-28 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | PENDING MEDICAID DET [333] | PHM HB SC MEDICAID - RICHLAND | $1,848.93 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | MEDICAID SC [300] | PHM HB SC MEDICAID - RICHLAND | $1,848.93 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | MEDICAID SC [300] | PHM HB SC MEDICAID - RICHLAND | $1,848.93 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | PENDING MEDICAID DET [333] | PHM HB SC MEDICAID - RICHLAND | $1,848.93 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | MEDICAID SELECT HEALTH OF SC [400] | PHU HB 103% OF MEDICAID - GMH | $1,866.62 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | MEDICAID MOLINA HEALTHCARE SC [440] | PHU HB 103% OF MEDICAID - GMH | $1,866.62 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | MEDICAID MOLINA HEALTHCARE SC [440] | PHU HB 103% OF MEDICAID - GMH | $1,866.62 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | MEDICAID SELECT HEALTH OF SC [400] | PHU HB 103% OF MEDICAID - GMH | $1,866.62 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | MEDICAID BLUECHOICE [420] | PHU HB BLUECHOICE MEDICAID 104% - GMH | $1,884.74 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | MEDICAID BLUECHOICE [420] | PHU HB BLUECHOICE MEDICAID 104% - GMH | $1,884.74 | — | — | 2026-03-01 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | — | — | — | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Inpatient | BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | — | — | — | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Inpatient | MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | AETNA | AETNA BETTER HEALTH OF VIRGINIA | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | AMERIGROUP | AMERIGROUP | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | — | — | — | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Inpatient | AETNA | AETNA BETTER HEALTH OF VIRGINIA | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | AMERIGROUP | AMERIGROUP | — | — | — | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Inpatient | OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | — | — | — | 2026-03-23 | MRF ↗ |
| SMYTH COUNTY COMMUNITY HOSPITAL Inpatient | AETNA | AETNA BETTER HEALTH OF VIRGINIA | — | — | — | 2026-03-23 | MRF ↗ |
| SMYTH COUNTY COMMUNITY HOSPITAL Inpatient | BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | — | — | — | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Inpatient | MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | — | — | — | 2026-03-23 | MRF ↗ |
| RUSSELL COUNTY HOSPITAL Inpatient | MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | — | — | — | 2026-03-23 | MRF ↗ |
| SMYTH COUNTY COMMUNITY HOSPITAL Inpatient | MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | — | — | — | 2026-03-23 | MRF ↗ |
| SMYTH COUNTY COMMUNITY HOSPITAL Inpatient | OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | — | — | — | 2026-03-23 | MRF ↗ |
| RUSSELL COUNTY HOSPITAL Inpatient | MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | — | — | — | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Inpatient | AETNA | AETNA BETTER HEALTH OF VIRGINIA | — | — | — | 2026-03-23 | MRF ↗ |
| SMYTH COUNTY COMMUNITY HOSPITAL Inpatient | OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | — | — | — | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Inpatient | BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | — | — | — | 2026-03-23 | MRF ↗ |
| SMYTH COUNTY COMMUNITY HOSPITAL Inpatient | BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | — | — | — | 2026-03-23 | MRF ↗ |
| SMYTH COUNTY COMMUNITY HOSPITAL Inpatient | MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | — | — | — | 2026-03-23 | MRF ↗ |
| LEE COUNTY COMMUNITY HOSPITAL Inpatient | OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | — | — | — | 2026-03-23 | MRF ↗ |
| SMYTH COUNTY COMMUNITY HOSPITAL Inpatient | AETNA | AETNA BETTER HEALTH OF VIRGINIA | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | AETNA | AETNA BETTER HEALTH OF VIRGINIA | — | — | — | 2026-03-23 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MANAGED CARE | MCR 170 MISC OP | $1,965.47 | — | — | 2025-12-04 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MANAGED CARE | MCR 170 MISC IP | $1,965.47 | — | — | 2025-12-04 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | MEDICAID ABSOLUTE TOTAL CARE [410] | PHM HB ABSOLUTE TOTAL CARE MEDICAID - RICHLAND | $1,978.36 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | MEDICAID ABSOLUTE TOTAL CARE [410] | PHM HB ABSOLUTE TOTAL CARE MEDICAID - RICHLAND | $1,978.36 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Inpatient | MEDICAID MOLINA HEALTHCARE SC [440] | PHM HB MOLINA MEDICAID - TUOMEY | $1,990.04 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Inpatient | MEDICAID MOLINA HEALTHCARE SC [440] | PHM HB MOLINA MEDICAID - TUOMEY | $2,002.04 | — | — | 2026-03-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | TUFTS HEALTH PUBLIC PLAN CONNECTORCARE [100264] | HB XR THPP CONNECTOR PLANS QHP SUBSIDIZED LGH | $2,022.72 | $39,194.64 | $27,436.25 | 2026-04-01 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Inpatient | MEDICAID BLUECHOICE [420] | PHM HB BLUECHOICE MEDICAID - TUOMEY | $2,028.68 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Inpatient | MEDICAID SELECT HEALTH OF SC [400] | PHM HB SELECT HEALTH MEDICAID - TUOMEY | $2,028.68 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Inpatient | MEDICAID SELECT HEALTH OF SC [400] | PHM HB SELECT HEALTH MEDICAID - TUOMEY | $2,040.92 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Inpatient | MEDICAID BLUECHOICE [420] | PHM HB BLUECHOICE MEDICAID - TUOMEY | $2,040.92 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Inpatient | MEDICAID HUMANA HEALTHY HORIZONS [6110] | PHM HB HUMANA MEDICAID - TUOMEY | $2,067.33 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Inpatient | MEDICAID SC [300] | PHM HB SC MEDICAID - TUOMEY | $2,071.22 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Inpatient | PENDING MEDICAID DET [333] | PHM HB SC MEDICAID - TUOMEY | $2,071.22 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Inpatient | MEDICAID HUMANA HEALTHY HORIZONS [6110] | PHM HB HUMANA MEDICAID - TUOMEY | $2,079.79 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Inpatient | MEDICAID SC [300] | PHM HB SC MEDICAID - TUOMEY | $2,083.70 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Inpatient | PENDING MEDICAID DET [333] | PHM HB SC MEDICAID - TUOMEY | $2,083.70 | — | — | 2026-03-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Inpatient | SEAFARERS HEALTH AND BENEFITS PLAN [5343] | MMC CIGNA OAP | $2,101.00 | $92,182.57 | — | 2026-04-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Inpatient | SEAFARERS HEALTH AND BENEFITS PLAN [5343] | MMC CIGNA | $2,101.00 | $82,172.22 | — | 2026-01-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | MEDICAID SC [300] | PHU HB SC MEDICAID - GREENVILLE | $2,148.71 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | PENDING MEDICAID DET [333] | PHU HB SC MEDICAID - GREENVILLE | $2,148.71 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | MEDICAID SC [300] | PHU HB SC MEDICAID - GREENVILLE | $2,148.71 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | PENDING MEDICAID DET [333] | PHU HB SC MEDICAID - GREENVILLE | $2,148.71 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Inpatient | MEDICAID ABSOLUTE TOTAL CARE [410] | PHM HB ABSOLUTE TOTAL CARE MEDICAID - TUOMEY | $2,174.78 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Inpatient | MEDICAID ABSOLUTE TOTAL CARE [410] | PHM HB ABSOLUTE TOTAL CARE MEDICAID - TUOMEY | $2,187.89 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | MEDICAID ABSOLUTE TOTAL CARE [410] | PHU HB ABSOLUTE TOTAL CARE MEDICAID - GMH | $2,256.15 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | MEDICAID ABSOLUTE TOTAL CARE [410] | PHU HB ABSOLUTE TOTAL CARE MEDICAID - GMH | $2,256.15 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | MEDICAID HUMANA HEALTHY HORIZONS [6110] | PHU HB 107% OF MEDICAID - GMH | $2,299.12 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | MEDICAID HUMANA HEALTHY HORIZONS [6110] | PHU HB 107% OF MEDICAID - GMH | $2,299.12 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Inpatient | MEDICAID TENNESSEE [325] | PHU HB 100% OF MEDICAID - OMH | $2,352.86 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Inpatient | MEDICAID FLORIDA [315] | PHU HB 100% OF MEDICAID - OMH | $2,352.86 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Inpatient | MEDICAID GEORGIA-CARESOURCE [3228] | PHU HB 100% OF MEDICAID - OMH | $2,352.86 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Inpatient | MEDICAID NEW YORK [320] | PHU HB 100% OF MEDICAID - OMH | $2,352.86 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Inpatient | MEDICAID GEORGIA-AMERIGROUP [3009] | PHU HB 100% OF MEDICAID - OMH | $2,352.86 | — | — | 2026-03-01 | 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.