245 — Aicd Generator Procedures
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). AICD GENERATOR PROCEDURES (MS_DRG 245) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/245?code_type=MS_DRG
MLA (9th ed.)
“AICD GENERATOR PROCEDURES (MS_DRG 245) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/245?code_type=MS_DRG. Accessed .
Chicago (notes-bibliography)
“AICD GENERATOR PROCEDURES (MS_DRG 245) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/245?code_type=MS_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $35,832–$68,650 (25th–75th percentile) across 2,024 hospitals · 4,553 payers.
“Negotiated” is the hospital’s negotiated facility rate for this MS_DRG 245 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | Health Net of California, 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 | Humana Health Plan, Inc. | Medicare Advantage | — | — | — | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | Medicare Advantage | — | — | — | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | — | — | 2025-11-26 | MRF ↗ |
| UPMC SOMERSET InpatientFacility | Aetna of PA | TPA/Carrier | $1.82 | — | — | 2026-03-06 | MRF ↗ |
| Rehabilitation Institute Of Michigan Inpatient | United Healthcare | UnitedNonOptions | $4.10 | — | — | 2025-01-31 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Inpatient | United Healthcare | UnitedNonOptions | $4.10 | — | — | 2024-12-08 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Inpatient | United Healthcare | UnitedChoicePlus | $4.10 | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Inpatient | United Healthcare | UnitedExchange | $4.10 | — | — | 2025-01-31 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Inpatient | United Healthcare | UnitedNonOptions | $4.10 | — | — | 2024-12-08 | MRF ↗ |
| Harper University Hospital Inpatient | United Healthcare | UnitedOptions | $4.10 | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Inpatient | United Healthcare | UnitedHealthcareNewBusiness | $4.10 | — | — | 2025-01-31 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Inpatient | United Healthcare | UnitedExchange | $4.10 | — | — | 2024-12-08 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Inpatient | United Healthcare | UnitedOptions | $4.10 | — | — | 2025-01-31 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Inpatient | United Healthcare | UnitedOptions | $4.10 | — | — | 2024-12-08 | MRF ↗ |
| Harper University Hospital Inpatient | United Healthcare | UnitedHealthcareNewBusiness | $4.10 | — | — | 2025-01-31 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Inpatient | United Healthcare | UnitedNonOptions | $4.10 | — | — | 2024-12-08 | MRF ↗ |
| Harper University Hospital Inpatient | United Healthcare | UnitedExchange | $4.10 | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Inpatient | United Healthcare | UnitedHealthcareHMO | $4.10 | — | — | 2025-01-31 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Inpatient | United Healthcare | UnitedOptions | $4.10 | — | — | 2024-12-08 | MRF ↗ |
| Rehabilitation Institute Of Michigan Inpatient | United Healthcare | UnitedOptions | $4.10 | — | — | 2025-01-31 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Inpatient | United Healthcare | UnitedExchange | $4.10 | — | — | 2024-12-08 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Inpatient | United Healthcare | UnitedExchange | $4.10 | — | — | 2025-01-31 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Inpatient | United Healthcare | UnitedOptions | $4.10 | — | — | 2024-12-08 | MRF ↗ |
| Harper University Hospital Inpatient | United Healthcare | UnitedNonOptions | $4.10 | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Inpatient | United Healthcare | UnitedNonOptions | $4.10 | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Inpatient | United Healthcare | UnitedOptions | $4.10 | — | — | 2025-01-31 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Inpatient | United Healthcare | UnitedExchange | $4.10 | — | — | 2024-12-08 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Inpatient | United Healthcare | UnitedHealthcareNewBusiness | $4.10 | — | — | 2025-01-31 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Inpatient | ALTERNATE HEALTHNET [1007] | HEALTH NET MEDICARE ADVANTAGE UC EMPLOYER GROUP | $4.56 | $467,961.06 | $257,378.58 | 2026-04-01 | MRF ↗ |
| PIEDMONT HOSPITAL, INC Inpatient | GEORGIA HEALTH ADVANTAGE [30143] | Georgia Health Medicare Advantage | $4.88 | $180,041.07 | $54,012.32 | 2026-04-01 | MRF ↗ |
| PIEDMONT HOSPITAL, INC Inpatient | CARESOURCE MEDICARE ADVANTAGE [30186] | Caresource Medicare Advantage | $4.88 | $180,041.07 | $54,012.32 | 2026-04-01 | MRF ↗ |
| Hospital Of The Fox Chase Cancer Center Inpatient | TUH UHC VA CC Network OPTUM | TUH UHC VA CC Network OPTUM | $4.89 | $287,364.27 | $53,160.47 | 2025-01-01 | MRF ↗ |
| Jeanes Hospital Inpatient | TUH UHC VA CC Network OPTUM | TUH UHC VA CC Network OPTUM | $4.89 | $287,364.27 | $53,160.47 | 2025-01-01 | MRF ↗ |
| TEMPLE HEALTH - CHESTNUT HILL HOSPITAL Inpatient | TUH UHC VA CC Network OPTUM | TUH UHC VA CC Network OPTUM | $4.89 | $287,364.27 | $53,160.47 | 2025-01-01 | MRF ↗ |
| Temple University Hospital - Northeastern Campus Inpatient | TUH UHC VA CC Network OPTUM | TUH UHC VA CC Network OPTUM | $4.89 | $287,364.27 | $53,160.47 | 2025-01-01 | MRF ↗ |
| TEMPLE UNIVERSITY HOSPITAL Inpatient | TUH UHC VA CC Network OPTUM | TUH UHC VA CC Network OPTUM | $4.89 | $287,364.27 | $53,160.47 | 2025-01-01 | MRF ↗ |
| TEMPLE UNIVERSITY HOSPITAL Inpatient | TUH UHC VA CC Network OPTUM | TUH UHC VA CC Network OPTUM | $4.89 | $287,364.27 | $53,160.47 | 2025-01-01 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MRMC | $6.98 | $161,637.61 | $80,818.80 | 2026-03-21 | MRF ↗ |
| METHODIST CHARLTON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MCMC | $6.98 | $161,637.61 | $80,818.80 | 2026-03-21 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MRMC | $6.98 | $161,637.61 | $80,818.80 | 2026-03-21 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MSMC | $6.98 | $161,637.61 | $80,818.80 | 2026-03-23 | MRF ↗ |
| METHODIST MIDLOTHIAN MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MLMC | $6.98 | $161,637.61 | $80,818.80 | 2026-03-21 | MRF ↗ |
| METHODIST DALLAS MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MDMC | $6.98 | $161,637.61 | $80,818.80 | 2026-03-20 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MSMC | $6.98 | $161,637.61 | $80,818.80 | 2026-03-23 | MRF ↗ |
| METHODIST MANSFIELD MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MMMC | $6.98 | $161,637.61 | $80,818.80 | 2026-03-21 | MRF ↗ |
| METHODIST CELINA MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MCEL | $6.98 | $161,637.61 | $80,818.80 | 2026-03-23 | MRF ↗ |
| METHODIST CHARLTON MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MCMC | $11.41 | $161,637.61 | $80,818.80 | 2026-03-21 | MRF ↗ |
| METHODIST CELINA MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MCEL | $11.41 | $161,637.61 | $80,818.80 | 2026-03-23 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MSMC | $11.41 | $161,637.61 | $80,818.80 | 2026-03-23 | MRF ↗ |
| METHODIST MANSFIELD MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MMMC | $11.41 | $161,637.61 | $80,818.80 | 2026-03-21 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MSMC | $11.41 | $161,637.61 | $80,818.80 | 2026-03-23 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MRMC | $11.41 | $161,637.61 | $80,818.80 | 2026-03-21 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MRMC | $11.41 | $161,637.61 | $80,818.80 | 2026-03-21 | MRF ↗ |
| METHODIST MIDLOTHIAN MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MLMC | $11.41 | $161,637.61 | $80,818.80 | 2026-03-21 | MRF ↗ |
| METHODIST DALLAS MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MDMC | $11.41 | $161,637.61 | $80,818.80 | 2026-03-20 | MRF ↗ |
| The Healthcenter InpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| LOGAN HEALTH MEDICAL CENTER InpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL InpatientFacility | MULTIPLAN, INC | COMMERCIAL | — | — | — | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL InpatientFacility | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | COMMERCIAL | — | — | — | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL InpatientFacility | AETNA HEALTH MANAGEMENT, LLC | RI PREFERRED | — | — | — | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL InpatientFacility | AETNA HEALTH MANAGEMENT, LLC | COMMERCIAL | — | — | — | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL InpatientFacility | HARVARD PILGRIM HEALTHCARE, INC. | COMMERCIAL | — | — | — | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL InpatientFacility | PRIVATE HEALTHCARE SYSTEM | COMMERCIAL | — | — | — | 2026-02-28 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | SummaCare | 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 | Humana | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Anthem | 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 | Cigna | 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 | Medical Mutual of Ohio | 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 | Molina | 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 | WellCare by AllWell | 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 | Valor Health Plans | Medicare Advantage | $53.20 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Perennial Advantage of Ohio | Medicare Advantage | $53.20 | — | — | 2025-05-16 | MRF ↗ |
| COREWELL HEALTH WAYNE HOSPITAL InpatientFacility | Amerihealth | Three Rivers Medicare Managed Care Plan | — | — | — | 2026-04-01 | 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 ↗ |
| Yavapai Regional Medical Center - East Inpatient | BCBS - AZ | Commercial|All Plans | $111.00 | — | — | 2026-02-28 | MRF ↗ |
| Yavapai Regional Medical Center - East Inpatient | BCBS - AZ | Commercial|All Plans | $111.00 | — | — | 2026-02-28 | MRF ↗ |
| HOUSTON METHODIST HOSPITAL InpatientFacility | Cigna | Pcp Optional/Pcp Required Benefit Plans Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | Texas Athletic Network | Premier | $250.00 | — | — | 2026-03-01 | MRF ↗ |
| WILLAPA HARBOR HOSPITAL InpatientFacility | None | — | — | — | — | 2026-02-24 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Inpatient | Molina | Molina - Cal Medi-Connect | $375.07 | $231,141.30 | $173,355.97 | 2026-04-01 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Claritev | Multiplan Complementary Network | — | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | First Health | First Health PPO | — | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Intergroup | Intergroup | — | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Claritev | PHCS Primary Network | — | — | — | 2026-04-14 | MRF ↗ |
| SENTARA RMH MEDICAL CENTER InpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | HEALTH SAFETY NET [500011] | HB XR HSN ER BAD DEBT MWF | $530.75 | $114,872.23 | $80,410.56 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | HEALTH SAFETY NET [500011] | HB XR HSN ER BAD DEBT MWF | $530.75 | $114,872.23 | $80,410.56 | 2026-04-01 | MRF ↗ |
| NEW YORK COMMUNITY HOSPITAL OF BROOKLYN, INC. InpatientFacility | Healthfirst | Medicare Advantage HMO | — | — | — | 2026-04-01 | MRF ↗ |
| NEW YORK COMMUNITY HOSPITAL OF BROOKLYN, INC. InpatientFacility | United Healthcare | Medicare Advantage HMO | — | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI SOUTH NASSAU InpatientFacility | Fidelis | Fidelis Medicaid / Chp / Harp - Snch | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT JOHN'S HEALTH CENTER InpatientFacility | La Care Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT JOHN'S HEALTH CENTER InpatientFacility | La Care Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ST MARYS HOSPITAL Inpatient | BLUE CROSS BLUE SHIELD OF ILLINOIS | BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV | $709.26 | $34,164.80 | $24,598.66 | 2026-01-15 | MRF ↗ |
| ST MARYS HOSPITAL Inpatient | BLUE CROSS BLUE SHIELD OF ILLINOIS | BCBS IL MMAI | $709.26 | $34,164.80 | $24,598.66 | 2026-01-15 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | Texas Athletic Network | PremierPlus | $750.00 | — | — | 2026-03-01 | MRF ↗ |
| SENTARA VIRGINIA BEACH GENERAL HOSPITAL InpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NICKLAUS CHILDREN'S HOSPITAL InpatientFacility | Simply | Healthy Kids | — | — | — | 2026-04-01 | MRF ↗ |
| Ascension Borgess Pipp Hospital Both | COVENTRY CARES | 3337_BOMC MEDICAID REPLACEMENT COVENTRY CARES INPATIENT 20231001 | $862.19 | — | — | 2024-12-17 | MRF ↗ |
| Ascension Borgess Pipp Hospital Both | COVENTRY CARES | 3337_BOMC MEDICAID REPLACEMENT COVENTRY CARES INPATIENT 20231001 | $862.19 | — | — | 2024-12-17 | MRF ↗ |
| Ascension Borgess Pipp Hospital Both | COVENTRY CARES | 3337_BOMC MEDICAID REPLACEMENT COVENTRY CARES INPATIENT 20231001 | $912.32 | — | — | 2024-12-17 | MRF ↗ |
| Ascension Borgess Pipp Hospital Both | COVENTRY CARES | 3337_BOMC MEDICAID REPLACEMENT COVENTRY CARES INPATIENT 20231001 | $912.32 | — | — | 2024-12-17 | MRF ↗ |
| Ascension Borgess Pipp Hospital Both | COVENTRY CARES | 3337_BOMC MEDICAID REPLACEMENT COVENTRY CARES INPATIENT 20231001 | $918.11 | — | — | 2024-12-17 | MRF ↗ |
| Ascension Borgess Pipp Hospital Both | COVENTRY CARES | 3337_BOMC MEDICAID REPLACEMENT COVENTRY CARES INPATIENT 20231001 | $918.11 | — | — | 2024-12-17 | MRF ↗ |
| Ascension Borgess Pipp Hospital Both | COVENTRY CARES | 3337_BOMC MEDICAID REPLACEMENT COVENTRY CARES INPATIENT 20231001 | $963.00 | — | — | 2024-12-17 | MRF ↗ |
| Ascension Borgess Pipp Hospital Both | COVENTRY CARES | 3337_BOMC MEDICAID REPLACEMENT COVENTRY CARES INPATIENT 20231001 | $963.00 | — | — | 2024-12-17 | MRF ↗ |
| WELLMONT HOLSTON VALLEY MEDICAL CENTER Inpatient | BLUE CROSS | TENNCARE BLUE SELECT | — | — | — | 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 | WELLCARE | WELLCARE MEDICAID | — | — | — | 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 | MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | — | — | — | 2026-03-23 | MRF ↗ |
| WELLMONT HOLSTON VALLEY MEDICAL CENTER Inpatient | AMERIGROUP | AMERIGROUP | — | — | — | 2026-03-23 | MRF ↗ |
| WELLMONT HOLSTON VALLEY MEDICAL CENTER Inpatient | MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | — | — | — | 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 ↗ |
| WELLMONT HOLSTON VALLEY MEDICAL CENTER Inpatient | BLUE CROSS | TENNCARE BLUE CARE | — | — | — | 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 | ANTHEM HLTHKEEP MEDICIAD | — | — | — | 2026-03-23 | MRF ↗ |
| WELLMONT HOLSTON VALLEY MEDICAL CENTER Inpatient | WELLCARE | WELLCARE MEDICAID | — | — | — | 2026-03-23 | MRF ↗ |
| FROEDTERT SOUTH INC. Inpatient | None | — | — | $76,165.85 | — | 2026-02-27 | MRF ↗ |
| RHODE ISLAND HOSPITAL InpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| RHODE ISLAND HOSPITAL InpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Mercy Hospital, Inc InpatientFacility | United Healthcare | Commercial | — | — | — | 2026-03-06 | MRF ↗ |
| Mercy Hospital, Inc InpatientFacility | United Healthcare | Exchange | — | — | — | 2026-03-06 | MRF ↗ |
| Mercy Hospital, Inc InpatientFacility | United Healthcare | Exchange | — | — | — | 2026-03-06 | MRF ↗ |
| Mercy Hospital, Inc InpatientFacility | United Healthcare | Commercial | — | — | — | 2026-03-06 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | BCBS MEDICAID REPLACEMENT [350011] | HB Bluecare Adult Contract | $1,215.00 | $208,880.26 | $45,953.66 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Inpatient | BCBS MEDICAID REPLACEMENT [350011] | HB MEDICAID TN - BCBS TennCare Select - MUH-MNH-MSH-MGH-MHM | $1,267.00 | $208,880.26 | $45,953.66 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Inpatient | TRANSPLANT BCBS TENNCARE SELECT [350032] | HB MEDICAID TN - BCBS TennCare Select - MUH-MNH-MSH-MGH-MHM | $1,267.00 | $208,880.26 | $45,953.66 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Inpatient | BCBS MEDICAID REPLACEMENT [350011] | HB MEDICAID TN - BCBS TennCare Select - MUH-MNH-MSH-MGH-MHM | $1,267.00 | $208,880.26 | $45,953.66 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Inpatient | BCBS MEDICAID REPLACEMENT [350011] | HB MEDICAID TN - BCBS TennCare Select - MUH-MNH-MSH-MGH-MHM | $1,267.00 | $208,880.26 | $45,953.66 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Inpatient | TRANSPLANT BCBS TENNCARE SELECT [350032] | HB MEDICAID TN - BCBS TennCare Select - MUH-MNH-MSH-MGH-MHM | $1,267.00 | $208,880.26 | $45,953.66 | 2026-03-19 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | BCBS MEDICAID REPLACEMENT [350011] | HB MEDICAID TN - BCBS TennCare Select - MUH-MNH-MSH-MGH-MHM | $1,267.00 | $208,880.26 | $45,953.66 | 2026-03-19 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | TRANSPLANT BCBS TENNCARE SELECT [350032] | HB MEDICAID TN - BCBS TennCare Select - MUH-MNH-MSH-MGH-MHM | $1,267.00 | $208,880.26 | $45,953.66 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Inpatient | TRANSPLANT BCBS TENNCARE SELECT [350032] | HB MEDICAID TN - BCBS TennCare Select - MUH-MNH-MSH-MGH-MHM | $1,267.00 | $208,880.26 | $45,953.66 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Inpatient | BCBS MEDICAID REPLACEMENT [350011] | HB BLUECARE TN - LeBonheur | $1,351.00 | $208,880.26 | $45,953.66 | 2026-03-19 | MRF ↗ |
| HCA FLORIDA WOODMONT HOSPITAL Inpatient | Medica HealthCare | MCR | $1,395.00 | — | — | 2026-03-01 | MRF ↗ |
| UNIVERSITY HOSPITAL AND MEDICAL CENTER Inpatient | Medica HealthCare | MCR | $1,395.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA AVENTURA HOSPITAL Inpatient | Medica HealthCare | MCR | $1,425.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA PALMS WEST HOSPITAL Inpatient | Medica HealthCare | MCR | $1,425.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTHWEST HOSPITAL Inpatient | Medica HealthCare | MCR | $1,425.00 | — | — | 2024-10-01 | MRF ↗ |
| WESTSIDE REGIONAL MEDICAL CENTER Inpatient | Medica HealthCare | MCR | $1,450.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MERCY HOSPITAL Inpatient | Medica HealthCare | MCR | $1,455.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA KENDALL HOSPITAL Inpatient | Medica HealthCare | MCR | $1,455.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTH FLORIDA HOSPITAL Inpatient | Medica HealthCare | MCR | $1,480.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA JFK HOSPITAL Inpatient | Medica HealthCare | MCR | $1,480.00 | — | — | 2024-10-01 | MRF ↗ |
| TRANSYLVANIA REGIONAL HOSPITAL, INC Inpatient | CarePartners Hospice | MCR | $1,527.20 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | MEDICAID HUMANA HEALTHY HORIZONS [6110] | PHM HB HUMANA MEDICAID - RICHLAND | $1,529.34 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | MEDICAID HUMANA HEALTHY HORIZONS [6110] | PHM HB HUMANA MEDICAID - RICHLAND | $1,529.34 | — | — | 2026-03-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Inpatient | Crescent Health Solutions | AppalachianBenefitAssociates | — | — | — | 2024-10-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Inpatient | Crescent Health Solutions | WNCHealthCoalition | — | — | — | 2024-10-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Inpatient | Multiplan | COMM | — | — | — | 2024-10-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Inpatient | Cigna | COMM | — | — | — | 2024-10-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Inpatient | United | NarrowNetworkIndivExchange | — | — | — | 2024-10-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Inpatient | Crescent Health Solutions | CommunityCarePartnersSmallGroup | — | — | — | 2024-10-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Inpatient | United | AllPayerAppendix | — | — | — | 2024-10-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Inpatient | Crescent Health Solutions | CommunityCarePartnersLargeGroup | — | — | — | 2024-10-01 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MANAGED CARE | HUMANA COMM OP | $1,560.81 | — | — | 2025-12-04 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MANAGED CARE | HUMANA COMM IP | $1,560.81 | — | — | 2025-12-04 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | MEDICAID SELECT HEALTH OF SC [400] | PHM HB SELECT HEALTH MEDICAID - RICHLAND | $1,572.22 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | MEDICAID SELECT HEALTH OF SC [400] | PHM HB SELECT HEALTH MEDICAID - RICHLAND | $1,572.22 | — | — | 2026-03-01 | MRF ↗ |
| HIGHLANDS CASHIERS HOSPITAL Inpatient | Apex Health | MCR | $1,592.00 | — | — | 2026-03-01 | MRF ↗ |
| HIGHLANDS CASHIERS HOSPITAL Inpatient | Aetna | MCR | $1,592.00 | — | — | 2026-03-01 | MRF ↗ |
| HIGHLANDS CASHIERS HOSPITAL Inpatient | Devoted Health | MCR | $1,623.84 | — | — | 2026-03-01 | MRF ↗ |
| HIGHLANDS CASHIERS HOSPITAL Inpatient | Alignment Health | MCR | $1,623.84 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | MEDICAID BLUECHOICE [420] | PHM HB BLUECHOICE MEDICAID - RICHLAND | $1,629.39 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | MEDICAID BLUECHOICE [420] | PHM HB BLUECHOICE MEDICAID - RICHLAND | $1,629.39 | — | — | 2026-03-01 | MRF ↗ |
| HIGHLANDS CASHIERS HOSPITAL Inpatient | Cigna Healthspring | MCR | $1,639.76 | — | — | 2026-03-01 | MRF ↗ |
| HIGHLANDS CASHIERS HOSPITAL Inpatient | Humana | StateEmployees | $1,639.76 | — | — | 2026-03-01 | MRF ↗ |
| HIGHLANDS CASHIERS HOSPITAL Inpatient | Wellcare | MCR | $1,639.76 | — | — | 2026-03-01 | MRF ↗ |
| HIGHLANDS CASHIERS HOSPITAL Inpatient | Humana | MCR | $1,655.68 | — | — | 2026-03-01 | MRF ↗ |
| HIGHLANDS CASHIERS HOSPITAL Inpatient | NHC Advantage | MCR | $1,655.68 | — | — | 2026-03-01 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER InpatientFacility | UBH | Medicare Advantage | $1,657.21 | — | — | 2025-08-06 | MRF ↗ |
| HIGHLANDS CASHIERS HOSPITAL Inpatient | Troy Healthcare | MCR | $1,671.60 | — | — | 2026-03-01 | MRF ↗ |
| HIGHLANDS CASHIERS HOSPITAL Inpatient | Provider Partners Health Plan | MCR | $1,671.60 | — | — | 2026-03-01 | MRF ↗ |
| HIGHLANDS CASHIERS HOSPITAL Inpatient | HealthTeam Advantage | MCR | $1,671.60 | — | — | 2026-03-01 | MRF ↗ |
| THE MIRIAM HOSPITAL InpatientFacility | Bcbs | Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| THE MIRIAM HOSPITAL InpatientFacility | Bcbs | Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | MEDICAID MOLINA HEALTHCARE SC [440] | PHM HB MOLINA MEDICAID - RICHLAND | $1,686.56 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | MEDICAID MOLINA HEALTHCARE SC [440] | PHM HB MOLINA MEDICAID - RICHLAND | $1,686.56 | — | — | 2026-03-01 | MRF ↗ |
| ST MARYS HOSPITAL Inpatient | CLAIM DOC | ALL COMMERCIAL CLAIM DOC | $1,702.20 | $34,164.80 | $24,598.66 | 2026-01-15 | MRF ↗ |
| HIGHLANDS CASHIERS HOSPITAL Inpatient | Longevity Health Plan | MCR | $1,703.44 | — | — | 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 | MCR 150 MISC OP | $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 ↗ |
| MINDEN MEDICAL CENTER Both | MANAGED CARE | PHCS IP | $1,734.24 | — | — | 2025-12-04 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MANAGED CARE | MCR 150 MISC IP | $1,734.24 | — | — | 2025-12-04 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | MEDICAID SC [300] | PHM HB SC MEDICAID - RICHLAND | $1,735.10 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | PENDING MEDICAID DET [333] | PHM HB SC MEDICAID - RICHLAND | $1,735.10 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | MEDICAID SC [300] | PHM HB SC MEDICAID - RICHLAND | $1,735.10 | — | — | 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.