242 — Permanent Cardiac Pacemaker Implant With Mcc
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC (MS_DRG 242) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/242?code_type=MS_DRG
MLA (9th ed.)
“PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC (MS_DRG 242) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/242?code_type=MS_DRG. Accessed .
Chicago (notes-bibliography)
“PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC (MS_DRG 242) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/242?code_type=MS_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $25,196–$49,384 (25th–75th percentile) across 2,663 hospitals · 4,264 payers.
“Negotiated” is the hospital’s negotiated rate for the entire inpatient stay under MS_DRG 242 — 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 242 table above — including hospitals that only publish the bundled version.
2,785 facilities · 512 not in the MS_DRG table
- ABBEVILLE AREA MEDICAL CENTER, ABBEVILLE • only here
- ADENA FAYETTE MEDICAL CENTER, WASHINGTON CH • only here
- ADVENTIST HEALTH HOWARD MEMORIAL, WILLITS • only here
- ADVENTIST HEALTH LODI MEMORIAL, LODI • only here
- ADVENTIST HEALTH REEDLEY, REEDLEY • only here
- ADVENTIST HEALTH TEHACHAPI VALLEY, TEHACHAPI • only here
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
$25,196
$31,626 typical
$49,384
The middle 50% of negotiated facility rates for this procedure, measured across 2,663 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 $456 × 1.22 commercial. | $556 |
| 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 242) Actual inpatient bundle The negotiated inpatient MS-DRG 242 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. | $31,626 |
| Likely subtotal | $32,890 |
Surgical episode (typical)
~$32,890
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 $25,196–$49,384.
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)
~$36,675
- 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 242) (actual)
- source: Hospital MRF (45 CFR 180) · published_form: MS-DRG 242
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 |
|---|---|---|---|---|---|---|---|
| RHODE ISLAND HOSPITAL InpatientFacility | Va Community Care | Optum Government | — | — | — | 2026-04-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | — | — | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | Humana Health Plan, Inc. | Medicare Advantage | — | — | — | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | Medicare Advantage | — | — | — | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | Medicare Advantage | — | — | — | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | Health Net of California, Inc. | Medicare Advantage | — | — | — | 2025-11-26 | MRF ↗ |
| LOGAN HEALTH MEDICAL CENTER InpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| LOGAN HEALTH MEDICAL CENTER InpatientFacility | Bcbs | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST VINCENT MEDICAL CENTER InpatientFacility | Bcbs | Regence All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST. JOSEPH HOSPITAL InpatientFacility | Heritage Provider Network | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Memorial Hermann Hospital InpatientFacility | Aetna | Hmo/Pos | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL HERMANN - TEXAS MEDICAL CENTER InpatientFacility | Aetna | Hmo/Pos | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT ANNE'S HOSPITAL InpatientFacility | Fallon Health Community Care | Medicare Managed Care Plan - Dual (D-Snp) | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST VINCENT MEDICAL CENTER InpatientFacility | Moda | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC InpatientFacility | Cigna | Healthspring Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC InpatientFacility | Cigna | Healthspring Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| LEGACY MERIDIAN PARK MEDICAL CENTER InpatientFacility | Pacificsource | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| LEGACY MERIDIAN PARK MEDICAL CENTER InpatientFacility | Pacificsource | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SALEM HOSPITAL InpatientFacility | Pacificsource | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SALEM HOSPITAL InpatientFacility | Pacificsource | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ADVENTHEALTH TAMPA InpatientFacility | Devoted Health | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| WELLSTAR NORTH FULTON MEDICAL CENTER InpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| AUGUSTA HEALTH InpatientFacility | Bcbs | Anthem Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| AUGUSTA HEALTH InpatientFacility | Bcbs | Anthem Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH EDGEWOOD InpatientFacility | Aetna | First Health | — | — | — | 2026-04-01 | MRF ↗ |
| HOUSTON METHODIST THE WOODLANDS HOSPITAL InpatientFacility | Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| ADVENTHEALTH SEBRING InpatientFacility | Unitedhealthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SOUTHERN NH MEDICAL CENTER InpatientFacility | Bcbs | Anthem Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Select Specialty Hospital-tucson Northwest Inpatient | Windsor Health Plan | Medicare Advantage Hmo | — | — | — | 2026-07-17 | MRF ↗ |
| Select Specialty Hospital-tucson Northwest Inpatient | Carelon | Medicare Advantage Hmo | — | — | — | 2026-07-17 | MRF ↗ |
| Select Specialty Hospital-tucson Northwest Inpatient | Windsor Health Plan | Medicare Advantage Pos | — | — | — | 2026-07-17 | MRF ↗ |
| Select Specialty Hospital-tucson Northwest Inpatient | Alignment Health Plan | Medicare Advantage Ppo | — | — | — | 2026-07-17 | MRF ↗ |
| Select Specialty Hospital-tucson Northwest Inpatient | Usa Mco | Medicare Advantage | — | — | — | 2026-07-17 | MRF ↗ |
| Select Specialty Hospital-tucson Northwest Inpatient | Providers Networks Of America | Commercial Specialty Network | — | — | — | 2026-07-17 | MRF ↗ |
| Select Specialty Hospital-tucson Northwest Inpatient | Medincrease Health Plan | Workers Compensation Specialty Network | — | — | — | 2026-07-17 | MRF ↗ |
| Select Specialty Hospital-tucson Northwest Inpatient | Carelon | Medicare Advantage Ppo | — | — | — | 2026-07-17 | MRF ↗ |
| Select Specialty Hospital-tucson Northwest Inpatient | Uhc-United Healthcare Community | Managed Medicaid Dual-Eligible | — | — | — | 2026-07-17 | MRF ↗ |
| Select Specialty Hospital-tucson Northwest Inpatient | Fedmed | Workers Compensation Specialty Network | — | — | — | 2026-07-17 | MRF ↗ |
| Select Specialty Hospital-tucson Northwest Inpatient | Triwest-Ccn | Veterans / Military | — | — | — | 2026-07-17 | MRF ↗ |
| Select Specialty Hospital-tucson Northwest Inpatient | Banner Plan Administrators - Bpa | Medicare Advantage Ppo | — | — | — | 2026-07-17 | MRF ↗ |
| Select Specialty Hospital-tucson Northwest Inpatient | Banner Plan Administrators - Bpa | Medicare Advantage Hmo | — | — | — | 2026-07-17 | MRF ↗ |
| Select Specialty Hospital-tucson Northwest Inpatient | Health Choice | Medicare Advantage Dual-Eligible | — | — | — | 2026-07-17 | MRF ↗ |
| Select Specialty Hospital-tucson Northwest Inpatient | Alignment Health Plan | Medicare Advantage Hmo | — | — | — | 2026-07-17 | MRF ↗ |
| Select Specialty Hospital-tucson Northwest Inpatient | Gold Kidney Health Plans | Medicare Advantage Pos | — | — | — | 2026-07-17 | MRF ↗ |
| Select Specialty Hospital-tucson Northwest Inpatient | Healthnet Federal Services-Tricare | Veterans / Military | — | — | — | 2026-07-17 | MRF ↗ |
| Select Specialty Hospital-tucson Northwest Inpatient | Gold Kidney Health Plans | Medicare Advantage Ppo | — | — | — | 2026-07-17 | MRF ↗ |
| Select Specialty Hospital-tucson Northwest Inpatient | Carelon | Medicare Advantage Pos | — | — | — | 2026-07-17 | MRF ↗ |
| Select Specialty Hospital-tucson Northwest Inpatient | Windsor Health Plan | Medicare Advantage Ppo | — | — | — | 2026-07-17 | MRF ↗ |
| Select Specialty Hospital-tucson Northwest Inpatient | Mercy Care Plan | Medicare Advantage | — | — | — | 2026-07-17 | MRF ↗ |
| Select Specialty Hospital-tucson Northwest Inpatient | Banner Plan Administrators - Bpa | Medicare Advantage Dual-Eligible | — | — | — | 2026-07-17 | MRF ↗ |
| Select Specialty Hospital-tucson Northwest Inpatient | Humana | Medicare Advantage Hmo | — | — | — | 2026-07-17 | MRF ↗ |
| Select Specialty Hospital-tucson Northwest Inpatient | United Healthcare | Medicare Advantage | — | — | — | 2026-07-17 | MRF ↗ |
| Select Specialty Hospital-tucson Northwest Inpatient | Humana | Medicare Advantage Ppo | — | — | — | 2026-07-17 | MRF ↗ |
| Select Specialty Hospital-tucson Northwest Inpatient | Employers Choice Network | Workers Compensation | — | — | — | 2026-07-17 | MRF ↗ |
| Select Specialty Hospital-tucson Northwest Inpatient | Gold Kidney Health Plans | Medicare Advantage Dual-Eligible | — | — | — | 2026-07-17 | MRF ↗ |
| Select Specialty Hospital-tucson Northwest Inpatient | Contigo Health | Workers Compensation Specialty Network | — | — | — | 2026-07-17 | MRF ↗ |
| Select Specialty Hospital-tucson Northwest Inpatient | Wellpath | Prison / Correctional | — | — | — | 2026-07-17 | MRF ↗ |
| Select Specialty Hospital-tucson Northwest Inpatient | Arizona Priority Care | Medicare Advantage | — | — | — | 2026-07-17 | MRF ↗ |
| Select Specialty Hospital-tucson Northwest Inpatient | Contigo Health | Motor Vehicle Specialty Network | — | — | — | 2026-07-17 | MRF ↗ |
| Select Specialty Hospital-tucson Northwest Inpatient | Gold Kidney Health Plans | Medicare Advantage Hmo | — | — | — | 2026-07-17 | MRF ↗ |
| Select Specialty Hospital-tucson Northwest Inpatient | Prime Health Services | Medicare Advantage Specialty Network | — | — | — | 2026-07-17 | MRF ↗ |
| WILLAPA HARBOR HOSPITAL Inpatient | Coordinated Care Of Washington | Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| WILLAPA HARBOR HOSPITAL Inpatient | United Healthcare | Medicare Advantage | — | — | — | 2026-07-15 | MRF ↗ |
| WILLAPA HARBOR HOSPITAL Inpatient | Molina | Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| WILLAPA HARBOR HOSPITAL Inpatient | Community Health Network | Government Plans | — | — | — | 2026-07-15 | MRF ↗ |
| WILLAPA HARBOR HOSPITAL Inpatient | United Healthcare | Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| SAINT FRANCIS HOSPITAL, INC InpatientFacility | Community Care | Other Senior Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| HCA FLORIDA TRINITY HOSPITAL Inpatient | Truli | BSL | $5,275,960.00 | — | — | 2026-03-01 | MRF ↗ |
| NAPLES COMMUNITY HOSPITAL InpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-07-01 | MRF ↗ |
| Select Specialty Hospital-north Knoxville Inpatient | Cigna-Healthspring | Medicare Advantage | — | — | — | 2026-07-15 | MRF ↗ |
| Select Specialty Hospital-tricities Inpatient | Prime Health Services | Medicare Advantage Specialty Network | — | — | — | 2026-07-15 | MRF ↗ |
| Select Specialty Hospital-tricities Inpatient | Employers Choice Network | Workers Compensation | — | — | — | 2026-07-15 | MRF ↗ |
| Baptist Memorial Restorative Care Hospital Inpatient | Optum Health-Ccn | Veterans / Military | — | — | — | 2026-07-15 | MRF ↗ |
| Select Specialty Hospital-tricities Inpatient | Windsor Health Plan | Medicare Advantage Ppo | — | — | — | 2026-07-15 | MRF ↗ |
| Select Specialty Hospital-tricities Inpatient | Medincrease Health Plan | Workers Compensation Specialty Network | — | — | — | 2026-07-15 | MRF ↗ |
| Select Specialty Hospital-north Knoxville Inpatient | Fedmed | Workers Compensation Specialty Network | — | — | — | 2026-07-15 | MRF ↗ |
| Baptist Memorial Restorative Care Hospital Inpatient | Contigo Health | Motor Vehicle Specialty Network | — | — | — | 2026-07-15 | MRF ↗ |
| Select Specialty Hospital-tricities Inpatient | Bcbs | Medicare Advantage Ppo | — | — | — | 2026-07-15 | MRF ↗ |
| Baptist Memorial Restorative Care Hospital Inpatient | Wellpath | Prison / Correctional | — | — | — | 2026-07-15 | MRF ↗ |
| Select Specialty Hospital-tricities Inpatient | Bcbs | Medicare Advantage Hmo | — | — | — | 2026-07-15 | MRF ↗ |
| Baptist Memorial Restorative Care Hospital Inpatient | Bcbs | Medicare Advantage Ppo | — | — | — | 2026-07-15 | MRF ↗ |
| Select Specialty Hospital-tricities Inpatient | Windsor Health Plan | Medicare Advantage Pos | — | — | — | 2026-07-15 | MRF ↗ |
| Select Specialty Hospital-tricities Inpatient | Phcs-Multiplan | Motor Vehicle Specialty Network | — | — | — | 2026-07-15 | MRF ↗ |
| Select Specialty Hospital-tricities Inpatient | Wellpath | Prison / Correctional | — | — | — | 2026-07-15 | MRF ↗ |
| Select Specialty Hospital-tricities Inpatient | Upmc | Medicare Advantage Hmo | — | — | — | 2026-07-15 | MRF ↗ |
| Select Specialty Hospital-north Knoxville Inpatient | Medincrease Health Plan | Workers Compensation Specialty Network | — | — | — | 2026-07-15 | MRF ↗ |
| Select Specialty Hospital-north Knoxville Inpatient | Prime Health Services | Medicare Advantage Specialty Network | — | — | — | 2026-07-15 | MRF ↗ |
| Select Specialty Hospital-tricities Inpatient | Contigo Health | Workers Compensation Specialty Network | — | — | — | 2026-07-15 | MRF ↗ |
| Select Specialty Hospital-tricities Inpatient | Cigna-Healthspring | Medicare Advantage | — | — | — | 2026-07-15 | MRF ↗ |
| Baptist Memorial Restorative Care Hospital Inpatient | Phcs-Multiplan | Motor Vehicle Specialty Network | — | — | — | 2026-07-15 | MRF ↗ |
| Baptist Memorial Restorative Care Hospital Inpatient | Phcs-Multiplan | Workers Compensation Specialty Network | — | — | — | 2026-07-15 | MRF ↗ |
| Baptist Memorial Restorative Care Hospital Inpatient | Contigo Health | Workers Compensation Specialty Network | — | — | — | 2026-07-15 | MRF ↗ |
| Select Specialty Hospital-tricities Inpatient | Novanet | Workers Compensation Specialty Network | — | — | — | 2026-07-15 | MRF ↗ |
| Baptist Memorial Restorative Care Hospital Inpatient | Zing Health | Medicare Advantage Dual-Eligible | — | — | — | 2026-07-15 | MRF ↗ |
| Select Specialty Hospital-tricities Inpatient | Zing Health | Medicare Advantage Dual-Eligible | — | — | — | 2026-07-15 | MRF ↗ |
| Baptist Memorial Restorative Care Hospital Inpatient | Phcs-Multiplan | Motor Vehicle Ppo | — | — | — | 2026-07-15 | MRF ↗ |
| Select Specialty Hospital-north Knoxville Inpatient | Windsor Health Plan | Medicare Advantage Pos | — | — | — | 2026-07-15 | MRF ↗ |
| Select Specialty Hospital-tricities Inpatient | Phcs-Multiplan | Workers Compensation Ppo | — | — | — | 2026-07-15 | MRF ↗ |
| Select Specialty Hospital-tricities Inpatient | Humana | Medicare Advantage Ppo | — | — | — | 2026-07-15 | MRF ↗ |
| Baptist Memorial Restorative Care Hospital Inpatient | Upmc | Medicare Advantage Hmo | — | — | — | 2026-07-15 | MRF ↗ |
| Select Specialty Hospital-north Knoxville Inpatient | Wellpath | Prison / Correctional | — | — | — | 2026-07-15 | MRF ↗ |
| Baptist Memorial Restorative Care Hospital Inpatient | Novanet | Workers Compensation Specialty Network | — | — | — | 2026-07-15 | MRF ↗ |
| Select Specialty Hospital-north Knoxville Inpatient | Amerigroup | Medicare Advantage | — | — | — | 2026-07-15 | MRF ↗ |
| Select Specialty Hospital-tricities Inpatient | Amerigroup | Medicare Advantage | — | — | — | 2026-07-15 | MRF ↗ |
| Select Specialty Hospital-north Knoxville Inpatient | Employers Choice Network | Workers Compensation | — | — | — | 2026-07-15 | MRF ↗ |
| Select Specialty Hospital-tricities Inpatient | Windsor Health Plan | Medicare Advantage Hmo | — | — | — | 2026-07-15 | MRF ↗ |
| Select Specialty Hospital-tricities Inpatient | Phcs-Multiplan | Workers Compensation Specialty Network | — | — | — | 2026-07-15 | MRF ↗ |
| Select Specialty Hospital-tricities Inpatient | Phcs-Multiplan | Motor Vehicle Ppo | — | — | — | 2026-07-15 | MRF ↗ |
| Baptist Memorial Restorative Care Hospital Inpatient | Phcs-Multiplan | Workers Compensation Ppo | — | — | — | 2026-07-15 | MRF ↗ |
| Select Specialty Hospital-north Knoxville Inpatient | Humana Military-Tricare | Veterans / Military | — | — | — | 2026-07-15 | MRF ↗ |
| Select Specialty Hospital-north Knoxville Inpatient | Phcs-Multiplan | Motor Vehicle Ppo | — | — | — | 2026-07-15 | MRF ↗ |
| Select Specialty Hospital-north Knoxville Inpatient | Bcbs | Medicare Advantage Hmo | — | — | — | 2026-07-15 | MRF ↗ |
| Baptist Memorial Restorative Care Hospital Inpatient | Zing Health | Medicare Advantage Pos | — | — | — | 2026-07-15 | MRF ↗ |
| Select Specialty Hospital-north Knoxville Inpatient | Contigo Health | Motor Vehicle Specialty Network | — | — | — | 2026-07-15 | MRF ↗ |
| Baptist Memorial Restorative Care Hospital Inpatient | Windsor Health Plan | Medicare Advantage Ppo | — | — | — | 2026-07-15 | MRF ↗ |
| Baptist Memorial Restorative Care Hospital Inpatient | Bcbs | Medicare Advantage Hmo | — | — | — | 2026-07-15 | MRF ↗ |
| Baptist Memorial Restorative Care Hospital Inpatient | Windsor Health Plan | Medicare Advantage Pos | — | — | — | 2026-07-15 | MRF ↗ |
| Baptist Memorial Restorative Care Hospital Inpatient | Windsor Health Plan | Medicare Advantage Hmo | — | — | — | 2026-07-15 | MRF ↗ |
| Select Specialty Hospital-north Knoxville Inpatient | Bcbs | Medicare Advantage Ppo | — | — | — | 2026-07-15 | MRF ↗ |
| Select Specialty Hospital-tricities Inpatient | Wellcare | Managed Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| Baptist Memorial Restorative Care Hospital Inpatient | Employers Choice Network | Workers Compensation | — | — | — | 2026-07-15 | MRF ↗ |
| Baptist Memorial Restorative Care Hospital Inpatient | Prime Health Services | Medicare Advantage Specialty Network | — | — | — | 2026-07-15 | MRF ↗ |
| Baptist Memorial Restorative Care Hospital Inpatient | Humana Military-Tricare | Veterans / Military | — | — | — | 2026-07-15 | MRF ↗ |
| Select Specialty Hospital-north Knoxville Inpatient | Usa Mco | Medicare Advantage | — | — | — | 2026-07-15 | MRF ↗ |
| Select Specialty Hospital-north Knoxville Inpatient | Contigo Health | Workers Compensation Specialty Network | — | — | — | 2026-07-15 | MRF ↗ |
| Select Specialty Hospital-tricities Inpatient | Humana Military-Tricare | Veterans / Military | — | — | — | 2026-07-15 | MRF ↗ |
| Select Specialty Hospital-north Knoxville Inpatient | Phcs-Multiplan | Motor Vehicle Specialty Network | — | — | — | 2026-07-15 | MRF ↗ |
| Select Specialty Hospital-tricities Inpatient | Humana | Medicare Advantage Specialty Network | — | — | — | 2026-07-15 | MRF ↗ |
| Baptist Memorial Restorative Care Hospital Inpatient | Upmc | Medicare Advantage Ppo | — | — | — | 2026-07-15 | MRF ↗ |
| Select Specialty Hospital-north Knoxville Inpatient | Novanet | Workers Compensation Specialty Network | — | — | — | 2026-07-15 | MRF ↗ |
| Select Specialty Hospital-north Knoxville Inpatient | Humana | Medicare Advantage Specialty Network | — | — | — | 2026-07-15 | MRF ↗ |
| Select Specialty Hospital-north Knoxville Inpatient | Providers Networks Of America | Commercial Specialty Network | — | — | — | 2026-07-15 | MRF ↗ |
| Select Specialty Hospital-north Knoxville Inpatient | Humana | Medicare Advantage Ppo | — | — | — | 2026-07-15 | MRF ↗ |
| Select Specialty Hospital-tricities Inpatient | Zing Health | Medicare Advantage Pos | — | — | — | 2026-07-15 | MRF ↗ |
| Select Specialty Hospital-north Knoxville Inpatient | Optum Health-Ccn | Veterans / Military | — | — | — | 2026-07-15 | MRF ↗ |
| Select Specialty Hospital-north Knoxville Inpatient | Phcs-Multiplan | Workers Compensation Ppo | — | — | — | 2026-07-15 | MRF ↗ |
| Select Specialty Hospital-north Knoxville Inpatient | Zing Health | Medicare Advantage Ppo | — | — | — | 2026-07-15 | MRF ↗ |
| Select Specialty Hospital-north Knoxville Inpatient | Wellcare | Medicare Advantage | — | — | — | 2026-07-15 | MRF ↗ |
| Select Specialty Hospital-tricities Inpatient | Humana | Medicare Advantage Hmo | — | — | — | 2026-07-15 | MRF ↗ |
| Select Specialty Hospital-north Knoxville Inpatient | Zing Health | Medicare Advantage Pos | — | — | — | 2026-07-15 | MRF ↗ |
| Select Specialty Hospital-north Knoxville Inpatient | Windsor Health Plan | Medicare Advantage Hmo | — | — | — | 2026-07-15 | MRF ↗ |
| Select Specialty Hospital-tricities Inpatient | Aetna Better Health | Managed Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| Select Specialty Hospital-tricities Inpatient | Providers Networks Of America | Commercial Specialty Network | — | — | — | 2026-07-15 | MRF ↗ |
| Select Specialty Hospital-tricities Inpatient | Wellcare | Medicare Advantage | — | — | — | 2026-07-15 | MRF ↗ |
| Baptist Memorial Restorative Care Hospital Inpatient | Medincrease Health Plan | Workers Compensation Specialty Network | — | — | — | 2026-07-15 | MRF ↗ |
| Baptist Memorial Restorative Care Hospital Inpatient | Providers Networks Of America | Commercial Specialty Network | — | — | — | 2026-07-15 | MRF ↗ |
| Baptist Memorial Restorative Care Hospital Inpatient | Amerigroup | Medicare Advantage | — | — | — | 2026-07-15 | MRF ↗ |
| Baptist Memorial Restorative Care Hospital Inpatient | Fresenius Health Partners | Medicare Advantage | — | — | — | 2026-07-15 | MRF ↗ |
| Select Specialty Hospital-tricities Inpatient | Usa Mco | Medicare Advantage | — | — | — | 2026-07-15 | MRF ↗ |
| Select Specialty Hospital-tricities Inpatient | Contigo Health | Motor Vehicle Specialty Network | — | — | — | 2026-07-15 | MRF ↗ |
| Select Specialty Hospital-tricities Inpatient | Zing Health | Medicare Advantage Hmo | — | — | — | 2026-07-15 | MRF ↗ |
| Select Specialty Hospital-tricities Inpatient | Fedmed | Workers Compensation Specialty Network | — | — | — | 2026-07-15 | MRF ↗ |
| Select Specialty Hospital-tricities Inpatient | Upmc | Medicare Advantage Ppo | — | — | — | 2026-07-15 | MRF ↗ |
| Select Specialty Hospital-tricities Inpatient | Optum Health-Ccn | Veterans / Military | — | — | — | 2026-07-15 | MRF ↗ |
| Baptist Memorial Restorative Care Hospital Inpatient | Usa Mco | Medicare Advantage | — | — | — | 2026-07-15 | MRF ↗ |
| Baptist Memorial Restorative Care Hospital Inpatient | Cigna-Healthspring | Medicare Advantage | — | — | — | 2026-07-15 | MRF ↗ |
| Baptist Memorial Restorative Care Hospital Inpatient | Magnolia Health Plan | Medicare Advantage Hmo | — | — | — | 2026-07-15 | MRF ↗ |
| Baptist Memorial Restorative Care Hospital Inpatient | Magnolia Health Plan | Medicare Advantage Pos | — | — | — | 2026-07-15 | MRF ↗ |
| Baptist Memorial Restorative Care Hospital Inpatient | Fedmed | Workers Compensation Specialty Network | — | — | — | 2026-07-15 | MRF ↗ |
| Baptist Memorial Restorative Care Hospital Inpatient | Magnolia Health Plan | Medicare Advantage Dual-Eligible | — | — | — | 2026-07-15 | MRF ↗ |
| Select Specialty Hospital-tricities Inpatient | Zing Health | Medicare Advantage Ppo | — | — | — | 2026-07-15 | MRF ↗ |
| Select Specialty Hospital-north Knoxville Inpatient | Phcs-Multiplan | Workers Compensation Specialty Network | — | — | — | 2026-07-15 | MRF ↗ |
| Select Specialty Hospital-north Knoxville Inpatient | Windsor Health Plan | Medicare Advantage Ppo | — | — | — | 2026-07-15 | MRF ↗ |
| Select Specialty Hospital-north Knoxville Inpatient | Zing Health | Medicare Advantage Hmo | — | — | — | 2026-07-15 | MRF ↗ |
| Select Specialty Hospital-north Knoxville Inpatient | Zing Health | Medicare Advantage Dual-Eligible | — | — | — | 2026-07-15 | MRF ↗ |
| Baptist Memorial Restorative Care Hospital Inpatient | Zing Health | Medicare Advantage Hmo | — | — | — | 2026-07-15 | MRF ↗ |
| Select Specialty Hospital-north Knoxville Inpatient | Humana | Medicare Advantage Hmo | — | — | — | 2026-07-15 | MRF ↗ |
| Baptist Memorial Restorative Care Hospital Inpatient | Magnolia Health Plan | Medicare Advantage Ppo | — | — | — | 2026-07-15 | MRF ↗ |
| Baptist Memorial Restorative Care Hospital Inpatient | Wellcare | Medicare Advantage | — | — | — | 2026-07-15 | MRF ↗ |
| Baptist Memorial Restorative Care Hospital Inpatient | Zing Health | Medicare Advantage Ppo | — | — | — | 2026-07-15 | MRF ↗ |
| Select Specialty Hospital-north Knoxville Inpatient | Upmc | Medicare Advantage Hmo | — | — | — | 2026-07-15 | MRF ↗ |
| Select Specialty Hospital-north Knoxville Inpatient | Upmc | Medicare Advantage Ppo | — | — | — | 2026-07-15 | MRF ↗ |
| STANFORD HEALTH CARE TRI-VALLEY InpatientFacility | Healthnet | Wellcare Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI WEST InpatientFacility | Wellcare | Wellcare Medicare/Fida - Slw | — | — | — | 2026-04-01 | MRF ↗ |
| WELLMONT HOLSTON VALLEY MEDICAL CENTER Inpatient | MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | — | — | — | 2026-03-23 | MRF ↗ |
| WELLMONT HOLSTON VALLEY MEDICAL CENTER Inpatient | AETNA | AETNA BETTER HEALTH OF VIRGINIA | — | — | — | 2026-03-23 | MRF ↗ |
| WELLMONT HOLSTON VALLEY MEDICAL CENTER Inpatient | UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | — | — | — | 2026-03-23 | MRF ↗ |
| WELLMONT HOLSTON VALLEY MEDICAL CENTER Inpatient | BLUE CROSS | TENNCARE BLUE CARE | — | — | — | 2026-03-23 | MRF ↗ |
| WELLMONT HOLSTON VALLEY MEDICAL CENTER Inpatient | BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | — | — | — | 2026-03-23 | MRF ↗ |
| WELLMONT HOLSTON VALLEY MEDICAL CENTER Inpatient | AMERIGROUP | AMERIGROUP | — | — | — | 2026-03-23 | MRF ↗ |
| WELLMONT HOLSTON VALLEY MEDICAL CENTER Inpatient | BLUE CROSS | TENNCARE BLUE SELECT | — | — | — | 2026-03-23 | MRF ↗ |
| PROVIDENCE ST VINCENT MEDICAL CENTER InpatientFacility | Providence Health Plan | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Advanced Specialty Hospital Of Toledo Inpatient | Molina | Myohio Care (Dual Eligible Plans) | — | — | — | 2026-07-15 | MRF ↗ |
| Advanced Specialty Hospital Of Toledo Inpatient | Medical Mutual Of Ohio (Mmoh) | Medicare Advantage | — | — | — | 2026-07-15 | MRF ↗ |
| Advanced Specialty Hospital Of Toledo Inpatient | Meridian Mi | Commercial (Meridian Health Plan Commercial Hmo Network) | — | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF KENTUCKY HOSPITAL InpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Advanced Specialty Hospital Of Toledo Inpatient | Humana | Medicare Advantage | — | — | — | 2026-07-15 | MRF ↗ |
| Advanced Specialty Hospital Of Toledo Inpatient | Amerihealth Caritas | Managed Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| Advanced Specialty Hospital Of Toledo Inpatient | Aetna | Medicare Advantage Hmo | — | — | — | 2026-07-15 | MRF ↗ |
| Advanced Specialty Hospital Of Toledo Inpatient | Molina | Commercial Aca/Exchange | — | — | — | 2026-07-15 | MRF ↗ |
| Advanced Specialty Hospital Of Toledo Inpatient | Meridian Mi | Commercial Aca/Exchange (Uses The Commercial Hmo Network) | — | — | — | 2026-07-15 | MRF ↗ |
| Advanced Specialty Hospital Of Toledo Inpatient | Molina | Integrated Care Delivery System (Icds) | — | — | — | 2026-07-15 | MRF ↗ |
| Advanced Specialty Hospital Of Toledo Inpatient | Caresource | Medicare Advantage Dual Eligible | — | — | — | 2026-07-15 | MRF ↗ |
| Advanced Specialty Hospital Of Toledo Inpatient | Caresource | Medicare Advantage Dual Eligible (Dual Eligible Special Needs Plan (D-Snp)) | — | — | — | 2026-07-15 | MRF ↗ |
| Advanced Specialty Hospital Of Toledo Inpatient | Aetna | Medicare Advantage Pos | — | — | — | 2026-07-15 | MRF ↗ |
| Advanced Specialty Hospital Of Toledo Inpatient | Caresource | Managed Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| Advanced Specialty Hospital Of Toledo Inpatient | Zing Health | Medicare Advantage | — | — | — | 2026-07-15 | MRF ↗ |
| Advanced Specialty Hospital Of Toledo Inpatient | Aetna | Medicare Advantage Ppo | — | — | — | 2026-07-15 | MRF ↗ |
| Advanced Specialty Hospital Of Toledo Inpatient | Caresource | Commercial Aca/Exchange | — | — | — | 2026-07-15 | MRF ↗ |
| Advanced Specialty Hospital Of Toledo Inpatient | The Health Plan | Medicare Advantage Hmo | — | — | — | 2026-07-15 | 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.