249 — Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc
Cite this view
HANK Price Transparency. (n.d.). Percutaneous Cardiovascular Procedures With Non-Drug-Eluting Stent Without Mcc (MS_DRG 249) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/249?code_type=MS_DRG
“Percutaneous Cardiovascular Procedures With Non-Drug-Eluting Stent Without Mcc (MS_DRG 249) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/249?code_type=MS_DRG. Accessed .
“Percutaneous Cardiovascular Procedures With Non-Drug-Eluting Stent Without Mcc (MS_DRG 249) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/249?code_type=MS_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $10,156–$26,592 (25th–75th percentile) across 704 hospitals · 800 payers.
“Negotiated” is the hospital’s negotiated facility rate for this MS_DRG 249 — 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 | Humana Health Plan, Inc. | 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 ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | 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 ↗ |
| 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 | SummaCare | 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 | Cigna | 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 | Primetime Health Plan | 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 | Medical Mutual of Ohio | 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 | United Healthcare | 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 | 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 ↗ |
| RIVERVIEW REGIONAL MEDICAL CENTER Inpatient | BCBS | BCBS AL Commercial | $133.70 | — | — | 2024-12-19 | MRF ↗ |
| RIVERVIEW REGIONAL MEDICAL CENTER Inpatient | BCBS | BCBS AL Commercial | $133.70 | — | — | 2024-12-19 | MRF ↗ |
| MOUNT SINAI SOUTH NASSAU InpatientFacility | Fidelis | Fidelis Medicaid / Chp / Harp - Snch | — | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI SOUTH NASSAU InpatientFacility | Fidelis | Fidelis Essential 3&4 - Snch | — | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center InpatientFacility | United Healthcare | United Medicaid Family - Brook | — | — | — | 2026-04-01 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO Inpatient | US Department Of Labor | USDOLWC | — | — | — | 2025-01-31 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO Inpatient | Ambetter | AmbetterHIX | — | — | — | 2025-01-31 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO Inpatient | Sedgwick | SedgwickCMSWC | — | — | — | 2025-01-31 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO Inpatient | Baylor Scott and White | BSWMedicareAdvSENIORCARE | — | — | — | 2025-01-31 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO Inpatient | Blue Cross Blue Shield Of Texas | BCBSDFW | — | — | — | 2025-01-31 | MRF ↗ |
| Ascension Borgess Pipp Hospital Both | COVENTRY CARES | 3337_BOMC MEDICAID REPLACEMENT COVENTRY CARES INPATIENT 20231001 | $876.03 | — | — | 2024-12-17 | MRF ↗ |
| Ascension Borgess Pipp Hospital Both | COVENTRY CARES | 3337_BOMC MEDICAID REPLACEMENT COVENTRY CARES INPATIENT 20231001 | $876.03 | — | — | 2024-12-17 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Inpatient | WELLCARE | WELLCARE MEDICAID | — | — | — | 2026-03-23 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Inpatient | BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | — | — | — | 2026-03-23 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Inpatient | AMERIGROUP | AMERIGROUP | — | — | — | 2026-03-23 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Inpatient | MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | — | — | — | 2026-03-23 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Inpatient | AETNA | AETNA BETTER HEALTH OF VIRGINIA | — | — | — | 2026-03-23 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Inpatient | WELLCARE | WELLCARE MEDICAID | — | — | — | 2026-03-23 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Inpatient | MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | — | — | — | 2026-03-23 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Inpatient | AMERIGROUP | AMERIGROUP | — | — | — | 2026-03-23 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Inpatient | BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | — | — | — | 2026-03-23 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Inpatient | AETNA | AETNA BETTER HEALTH OF VIRGINIA | — | — | — | 2026-03-23 | MRF ↗ |
| Ascension Borgess Pipp Hospital Both | COVENTRY CARES | 3337_BOMC MEDICAID REPLACEMENT COVENTRY CARES INPATIENT 20231001 | $931.82 | — | — | 2024-12-17 | MRF ↗ |
| Ascension Borgess Pipp Hospital Both | COVENTRY CARES | 3337_BOMC MEDICAID REPLACEMENT COVENTRY CARES INPATIENT 20231001 | $931.82 | — | — | 2024-12-17 | MRF ↗ |
| Ascension Borgess Pipp Hospital Both | COVENTRY CARES | 3337_BOMC MEDICAID REPLACEMENT COVENTRY CARES INPATIENT 20231001 | $933.24 | — | — | 2024-12-17 | MRF ↗ |
| Ascension Borgess Pipp Hospital Both | COVENTRY CARES | 3337_BOMC MEDICAID REPLACEMENT COVENTRY CARES INPATIENT 20231001 | $933.24 | — | — | 2024-12-17 | MRF ↗ |
| FROEDTERT SOUTH INC. Inpatient | None | — | — | $15,216.83 | — | 2026-02-27 | MRF ↗ |
| Ascension Borgess Pipp Hospital Both | COVENTRY CARES | 3337_BOMC MEDICAID REPLACEMENT COVENTRY CARES INPATIENT 20231001 | $1,097.72 | — | — | 2024-12-17 | MRF ↗ |
| Ascension Borgess Pipp Hospital Both | COVENTRY CARES | 3337_BOMC MEDICAID REPLACEMENT COVENTRY CARES INPATIENT 20231001 | $1,097.72 | — | — | 2024-12-17 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MSMC | $1,364.27 | $30,892.75 | $15,446.38 | 2026-03-23 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MSMC | $1,364.27 | $30,892.75 | $15,446.38 | 2026-03-23 | MRF ↗ |
| METHODIST MIDLOTHIAN MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MLMC | $1,400.71 | $30,892.75 | $15,446.38 | 2026-03-21 | MRF ↗ |
| METHODIST MANSFIELD MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MMMC | $1,400.75 | $30,892.75 | $15,446.38 | 2026-03-21 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MRMC | $1,413.73 | $30,892.75 | $15,446.38 | 2026-03-21 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MRMC | $1,413.73 | $30,892.75 | $15,446.38 | 2026-03-21 | MRF ↗ |
| HCA FLORIDA AVENTURA HOSPITAL Inpatient | Medica HealthCare | MCR | $1,425.00 | — | — | 2024-10-01 | MRF ↗ |
| METHODIST CHARLTON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MCMC | $1,445.88 | $30,892.75 | $15,446.38 | 2026-03-21 | MRF ↗ |
| WESTSIDE REGIONAL MEDICAL CENTER Inpatient | Medica HealthCare | MCR | $1,450.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA KENDALL HOSPITAL Inpatient | Medica HealthCare | MCR | $1,455.00 | — | — | 2024-10-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | MEDICAID HUMANA HEALTHY HORIZONS [6110] | PHM HB HUMANA MEDICAID - RICHLAND | $1,458.60 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | MEDICAID HUMANA HEALTHY HORIZONS [6110] | PHM HB HUMANA MEDICAID - RICHLAND | $1,458.60 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA JFK HOSPITAL Inpatient | Medica HealthCare | MCR | $1,480.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTH FLORIDA HOSPITAL Inpatient | Medica HealthCare | MCR | $1,480.00 | — | — | 2024-10-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | MEDICAID SELECT HEALTH OF SC [400] | PHM HB SELECT HEALTH MEDICAID - RICHLAND | $1,499.50 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | MEDICAID SELECT HEALTH OF SC [400] | PHM HB SELECT HEALTH MEDICAID - RICHLAND | $1,499.50 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | MEDICAID BLUECHOICE [420] | PHM HB BLUECHOICE MEDICAID - RICHLAND | $1,554.03 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | MEDICAID BLUECHOICE [420] | PHM HB BLUECHOICE MEDICAID - RICHLAND | $1,554.03 | — | — | 2026-03-01 | 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 ↗ |
| METHODIST CELINA MEDICAL CENTER Inpatient | SUPERIOR MEDICAID MANAGED CARE [5007] | MHS HB MEDICAID 110% STAR PLUS MCEL | $1,594.72 | $30,892.75 | $15,446.38 | 2026-03-23 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | MEDICAID MOLINA HEALTHCARE SC [440] | PHM HB MOLINA MEDICAID - RICHLAND | $1,608.55 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | MEDICAID MOLINA HEALTHCARE SC [440] | PHM HB MOLINA MEDICAID - RICHLAND | $1,608.55 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | MEDICAID HUMANA HEALTHY HORIZONS [6110] | PHM HB HUMANA MEDICAID - RICHLAND | $1,617.08 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | MEDICAID HUMANA HEALTHY HORIZONS [6110] | PHM HB HUMANA MEDICAID - RICHLAND | $1,617.08 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | MEDICAID SC [300] | PHM HB SC MEDICAID - RICHLAND | $1,654.84 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | PENDING MEDICAID DET [333] | PHM HB SC MEDICAID - RICHLAND | $1,654.84 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | PENDING MEDICAID DET [333] | PHM HB SC MEDICAID - RICHLAND | $1,654.84 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | MEDICAID SC [300] | PHM HB SC MEDICAID - RICHLAND | $1,654.84 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | MEDICAID SELECT HEALTH OF SC [400] | PHM HB SELECT HEALTH MEDICAID - RICHLAND | $1,662.42 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | MEDICAID SELECT HEALTH OF SC [400] | PHM HB SELECT HEALTH MEDICAID - RICHLAND | $1,662.42 | — | — | 2026-03-01 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | MOLINA ESSENTIAL PLAN | MOLINA ESSENTIAL PLAN | $1,703.50 | — | — | 2026-04-07 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | COMM BLUE ESSENTIAL | COMMUNITY BLUE ESSENTIAL | $1,703.50 | — | — | 2026-04-07 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | UNIVERA HC MYHEALTH | UNIVERA HC MYHEALTH | $1,703.50 | — | — | 2026-04-07 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | BC/BS WNY MEDICAID | BC/BS WNY MEDICAID | $1,703.50 | — | — | 2026-04-07 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | GOWANDA CORRECTIONAL FAC | COLLINS CORRECTIONAL IP | $1,703.50 | — | — | 2026-04-07 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | UNITED HC - COMMUNITY PLN | UNITED HC - COMMUNITY PLN | $1,703.50 | — | — | 2026-04-07 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | YOURCARE | YOURCARE | $1,703.50 | — | — | 2026-04-07 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | SENECA NATION HEALTH DEPT | SENECA NATION HEALTH DEPT | $1,703.50 | — | — | 2026-04-07 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | COMMUNITY CARE - BC | COMMUNITY CARE - BC | $1,703.50 | — | — | 2026-04-07 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | COMMUNITY BLUE | COMMUNITY BLUE - BC | $1,703.50 | — | — | 2026-04-07 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | MEDICAID COMPUTER SCIENCE | MEDICAID | $1,703.50 | — | — | 2026-04-07 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | FIDELIS CARE OF NEW YORK | FIDELIS CARE NEW YORK | $1,703.50 | — | — | 2026-04-07 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | UNIVERA HC MYHEALTH+ | UNIVERA HC MYHEALTH+ | $1,703.50 | — | — | 2026-04-07 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | WELLCARE MEDICAID | WELLCARE MEDICAID | $1,703.50 | — | — | 2026-04-07 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | GHI MEDICAL | GROUP HEALTH INC. | $1,703.50 | — | — | 2026-04-07 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | GOWANDA CORRECTIONAL FAC | COLLINS CORRECTIONAL FAC | $1,703.50 | — | — | 2026-04-07 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | MOLINA HEATHCARE OF WNY | MOLINA HEALTHCARE OF WNY | $1,703.50 | — | — | 2026-04-07 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | UNITED HC ESSENTIAL PLAN | UNITED HC ESSENTIAL PLAN | $1,703.50 | — | — | 2026-04-07 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | MEDICAID BLUECHOICE [420] | PHM HB BLUECHOICE MEDICAID - RICHLAND | $1,722.87 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | MEDICAID BLUECHOICE [420] | PHM HB BLUECHOICE MEDICAID - RICHLAND | $1,722.87 | — | — | 2026-03-01 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MANAGED CARE | MCR 150 MISC 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 | COCA COLA BOTTLING 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 | MCR 150 MISC IP | $1,734.24 | — | — | 2025-12-04 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | MEDICAID ABSOLUTE TOTAL CARE [410] | PHM HB ABSOLUTE TOTAL CARE MEDICAID - RICHLAND | $1,770.68 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | MEDICAID ABSOLUTE TOTAL CARE [410] | PHM HB ABSOLUTE TOTAL CARE MEDICAID - RICHLAND | $1,770.68 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | MEDICAID MOLINA HEALTHCARE SC [440] | PHM HB MOLINA MEDICAID - RICHLAND | $1,783.32 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | MEDICAID MOLINA HEALTHCARE SC [440] | PHM HB MOLINA MEDICAID - RICHLAND | $1,783.32 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | PENDING MEDICAID DET [333] | PHM HB SC MEDICAID - RICHLAND | $1,834.65 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | MEDICAID SC [300] | PHM HB SC MEDICAID - RICHLAND | $1,834.65 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | PENDING MEDICAID DET [333] | PHM HB SC MEDICAID - RICHLAND | $1,834.65 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | MEDICAID SC [300] | PHM HB SC MEDICAID - RICHLAND | $1,834.65 | — | — | 2026-03-01 | MRF ↗ |
| KERALTY HOSPITAL Both | AMERIGROUP MCAID | AMERIGROUP MCAID | $1,863.88 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | MISC MEDICAID HMO | MISC MCAID HMO | $1,863.88 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | WELLCARE MEDICAID | WELLCARE MCAID | $1,863.88 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | BETTER HEALTH HMO | BETTER HEALTH | $1,863.88 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | MISC MEDICAID HMO | MISC MEDICAID HMO | $1,863.88 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | UNIVERSAL HLTH | UNIVERSAL HLTH | $1,863.88 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | UNITED HOMECARE MCAID | UNITED HOMECARE MCAID | $1,863.88 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | MEDICAID | MEDICAID | $1,863.88 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | SUNSHINE STATE HEALTH | SUNSHINE STATE HEALTH | $1,863.88 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | CIGNA MEDICAID | CIGNA MEDICAID | $1,863.88 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | FIRST COAST ADVANTAGE LLC | FIRST COAST ADVANTAGE LLC | $1,863.88 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | HUMANA MEDICAID | HUMANA MEDICAID | $1,863.88 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | MOLINA MEDICAID | MOLINA MCAID | $1,863.88 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | OSCAR MEDICAID | OSCAR MEDICAID | $1,863.88 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AETNA SENIOR SUPPLEMENTAL | AETNA SENIOR SUPPLEMENTAL | $1,863.88 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | CARESOURCE MEDICAID | CARESOURCE MEDICAID | $1,863.88 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | UNIVERSAL HLTH | UNIVERSAL HLTH | $1,863.88 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AETNA BETTER HEALTH | AETNA BETTER HEALTH | $1,863.88 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | STAYWELL MEDICAID | STAYWELL MCAID | $1,863.88 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | UNITED HOMECARE MCAID | UNITED HOMECARE MCAID | $1,863.88 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | PENDING MEDICAID | PENDING MEDICAID | $1,863.88 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | FLORIDA COMMUNITY CARE | FLORIDA COMMUNITY CARE | $1,863.88 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | MISC MEDICAID HMO | MISC MEDICAID HMO | $1,863.88 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | FIRST COAST ADVANTAGE LLC | FIRST COAST ADVANTAGE LLC | $1,863.88 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | NEIGHBORHOOD MEDICAID | NHP MCAID | $1,863.88 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | SUNSHINE STATE HEALTH | SUNSHINE STATE HEALTH | $1,863.88 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | FLORIDA HEALTH PARTNERS | FLORIDA HEALTH PARTNERS | $1,863.88 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | FLORIDA PACE MEDICAID | FLORIDA PACE MD | $1,863.88 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | CLEAR HEALTH ALLIANCE | CLEAR HEALTH ALLIANCE | $1,863.88 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | BETTER HEALTH HMO | BETTER HEALTH | $1,863.88 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | MISC MEDICAID HMO | MISC MCAID HMO | $1,863.88 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | SO FL COMMUNITY MEDICAID | SO FL COMMUNITY CARE NETW | $1,863.88 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | CIGNA MEDICAID | CIGNA MEDICAID | $1,863.88 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | UNITED HLTH MCAID | UNITED MEDICAID | $1,863.88 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | POSITIVE HEALTHCARE FLA | POSITIVE MCD | $1,863.88 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | DOCTORS HEALTHCARE PLAN | DOCTORS HEALTHCARE MCD | $1,863.88 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AMERIHLTH N.CAROLINA | AMERIHLTH CARITAS N CAROL | $1,863.88 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | COMMUNITY CARE PLANS MCD | COMMUNITY CARE PLANS MCD | $1,863.88 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AMERIHLTH N.CAROLINA | AMERIHLTH N.CAROLINA | $1,863.88 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | MOLINA OUT OF STATE MCD | MOLINA OUT OF STATE MCD | $1,863.88 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AMERIHEALTH CARITAS FL | AMERIHEALTH CARITAS FL | $1,863.88 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | MOLINA BEHAV MCD | MOLINA BEHAV MCD | $1,863.88 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | SIMPLY HEALTHCARE MCAID | SIMPLY HLTH MCAID | $1,863.88 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | PENDING MEDICAID | PENDING MEDICAID | $1,863.88 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | MOLINA MEDICAID | MOLINA MCAID | $1,863.88 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | HUMANA MEDICAID | HUMANA MEDICAID | $1,863.88 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | CARESOURCE MEDICAID | CARESOURCE MEDICAID | $1,863.88 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | WELLCARE MEDICAID | WELLCARE MCAID | $1,863.88 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AMERIGROUP MCAID | AMERIGROUP MCAID | $1,863.88 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | MEDICAID | MEDICAID | $1,863.88 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AETNA BETTER HEALTH | AETNA BETTER HEALTH | $1,863.88 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | UNITED HLTH MCAID | UNITED MEDICAID | $1,863.88 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | FLORIDA COMMUNITY CARE | FLORIDA COMMUNITY CARE | $1,863.88 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | STAYWELL MEDICAID | STAYWELL MCAID | $1,863.88 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | CLEAR HEALTH ALLIANCE | CLEAR HEALTH ALLIANCE | $1,863.88 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AETNA SENIOR SUPPLEMENTAL | AETNA SENIOR SUPPLEMENTAL | $1,863.88 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | SIMPLY HEALTHCARE MCAID | SIMPLY HLTH MCAID | $1,863.88 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AMERIHLTH N.CAROLINA | AMERIHLTH CARITAS N CAROL | $1,863.88 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | DOCTORS HEALTHCARE PLAN | DOCTORS HEALTHCARE MCD | $1,863.88 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AMERIHLTH N.CAROLINA | AMERIHLTH N.CAROLINA | $1,863.88 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | COMMUNITY CARE PLANS MCD | COMMUNITY CARE PLANS MCD | $1,863.88 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | MOLINA OUT OF STATE MCD | MOLINA OUT OF STATE MCD | $1,863.88 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | MOLINA BEHAV MCD | MOLINA BEHAV MCD | $1,863.88 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AMERIHEALTH CARITAS FL | AMERIHEALTH CARITAS FL | $1,863.88 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | OSCAR MEDICAID | OSCAR MEDICAID | $1,863.88 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | FLORIDA PACE MEDICAID | FLORIDA PACE MD | $1,863.88 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | POSITIVE HEALTHCARE FLA | POSITIVE MCD | $1,863.88 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | FLORIDA HEALTH PARTNERS | FLORIDA HEALTH PARTNERS | $1,863.88 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | NEIGHBORHOOD MEDICAID | NHP MCAID | $1,863.88 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | SO FL COMMUNITY MEDICAID | SO FL COMMUNITY CARE NETW | $1,863.88 | — | — | 2024-06-28 | MRF ↗ |
| SMYTH COUNTY COMMUNITY HOSPITAL Inpatient | UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | — | — | — | 2026-03-23 | MRF ↗ |
| SMYTH COUNTY COMMUNITY HOSPITAL Inpatient | OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | — | — | — | 2026-03-23 | MRF ↗ |
| SMYTH COUNTY COMMUNITY HOSPITAL Inpatient | BLUE CROSS | TENNCARE BLUE SELECT | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | — | — | — | 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 ↗ |
| JOHNSTON MEMORIAL HOSPITAL Inpatient | UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | — | — | — | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL 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 ↗ |
| 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 ↗ |
| SMYTH COUNTY COMMUNITY HOSPITAL Inpatient | MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | — | — | — | 2026-03-23 | MRF ↗ |
| SMYTH COUNTY COMMUNITY HOSPITAL Inpatient | AMERIGROUP | AMERIGROUP | — | — | — | 2026-03-23 | 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.