259 — Cardiac Pacemaker Device Replacement Without Mcc
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC (MS_DRG 259) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/259?code_type=MS_DRG
MLA (9th ed.)
“CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC (MS_DRG 259) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/259?code_type=MS_DRG. Accessed .
Chicago (notes-bibliography)
“CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC (MS_DRG 259) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/259?code_type=MS_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $14,918–$28,501 (25th–75th percentile) across 2,560 hospitals · 4,196 payers.
“Negotiated” is the hospital’s negotiated rate for the entire inpatient stay under MS_DRG 259 — 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.
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 |
|---|---|---|---|---|---|---|---|
| PIEDMONT MEDICAL CENTER InpatientFacility | BLUE CROSS/BLUE SHIELD | HMO BLUE (PREFERRED HEALTH SYSTEMS) | $0.89 | — | — | 2026-09-01 | 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 | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | — | — | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | Health Net of California, Inc. | Medicare Advantage | — | — | — | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | Humana Health Plan, Inc. | Medicare Advantage | — | — | — | 2025-11-26 | MRF ↗ |
| METROWEST MEDICAL CENTER InpatientFacility | AETNA | AETNA US HEALTHCARE | $1.00 | — | — | 2026-06-05 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | Medicare Advantage | — | — | — | 2025-11-26 | MRF ↗ |
| Temple University Hospital - Northeastern Campus Inpatient | TUH UHC VA CC Network OPTUM | TUH UHC VA CC Network OPTUM | $1.76 | $195,876.43 | $19,560.98 | 2025-01-01 | MRF ↗ |
| TEMPLE UNIVERSITY HOSPITAL Inpatient | TUH UHC VA CC Network OPTUM | TUH UHC VA CC Network OPTUM | $1.76 | $195,876.43 | $19,560.98 | 2025-01-01 | MRF ↗ |
| TEMPLE UNIVERSITY HOSPITAL Inpatient | TUH UHC VA CC Network OPTUM | TUH UHC VA CC Network OPTUM | $1.76 | $195,876.43 | $19,560.98 | 2025-01-01 | MRF ↗ |
| Hospital Of The Fox Chase Cancer Center Inpatient | TUH UHC VA CC Network OPTUM | TUH UHC VA CC Network OPTUM | $1.76 | $195,876.43 | $19,560.98 | 2025-01-01 | MRF ↗ |
| Jeanes Hospital Inpatient | TUH UHC VA CC Network OPTUM | TUH UHC VA CC Network OPTUM | $1.76 | $195,876.43 | $19,560.98 | 2025-01-01 | MRF ↗ |
| SHELBY BAPTIST MEDICAL CENTER Inpatient | Aetna | AetnaMgdMCare | $2.00 | — | — | 2024-12-11 | MRF ↗ |
| PRINCETON BAPTIST MEDICAL CENTER Inpatient | Aetna | AetnaMgdMCare | $2.00 | — | — | 2024-12-11 | MRF ↗ |
| CITIZENS BAPTIST MEDICAL CENTER Inpatient | Aetna | AetnaMgdMCare | $2.00 | — | — | 2024-12-11 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Inpatient | Aetna | AetnaMgdMCare | $2.00 | — | — | 2025-01-31 | MRF ↗ |
| SANTA CLARA VALLEY MEDICAL CENTER InpatientFacility | ONLOK [380] | ONLOK [380001] | $2.02 | $94,178.12 | $65,924.68 | 2026-09-01 | MRF ↗ |
| ASANTE THREE RIVERS MEDICAL CENTER Inpatient | KAISER MED ADV SENIOR NW [7028] | KAISER MED ADV SENIOR NW | $2.02 | $125,339.46 | $81,470.65 | 2026-03-25 | MRF ↗ |
| ASANTE THREE RIVERS MEDICAL CENTER Inpatient | VETERANS ADMINISTRATION [4004] | Veterans Admininstration Plans | $2.02 | $125,339.46 | $81,470.65 | 2026-03-25 | MRF ↗ |
| St. Louise Regional Hospital InpatientFacility | MEDICONNECT SCFHP [727] | MEDICONNECT SCFHP [727001] | $2.02 | $94,178.12 | $65,924.68 | 2026-09-01 | MRF ↗ |
| ASANTE THREE RIVERS MEDICAL CENTER Inpatient | ALIGNMENT HEALTH PLAN [7029] | ALIGNMENT HEALTH PLAN PPO | $2.02 | $125,339.46 | $81,470.65 | 2026-03-25 | MRF ↗ |
| ASANTE THREE RIVERS MEDICAL CENTER Inpatient | PYRAMID TODAYS OPTION PREMIER [7015] | PYRAMID TODAYS OPTION PREMIER | $2.02 | $125,339.46 | $81,470.65 | 2026-03-25 | MRF ↗ |
| SANTA CLARA VALLEY MEDICAL CENTER InpatientFacility | MEDICONNECT SCFHP [727] | MEDICONNECT SCFHP [727001] | $2.02 | $94,178.12 | $65,924.68 | 2026-09-01 | MRF ↗ |
| ASANTE THREE RIVERS MEDICAL CENTER Inpatient | MANAGED HLTH NETWRK BH WELLCARE [7042] | MANAGED HEALTH NETWORK BH WELLCARE MA | $2.02 | $125,339.46 | $81,470.65 | 2026-03-25 | MRF ↗ |
| ASANTE THREE RIVERS MEDICAL CENTER Inpatient | HUMANA MED ADV HMO [7039] | HUMANA MEDICARE ADVANTAGE PLANS | $2.02 | $125,339.46 | $81,470.65 | 2026-03-25 | MRF ↗ |
| ASANTE THREE RIVERS MEDICAL CENTER Inpatient | MEDICARE SOLUTIONS [7011] | MEDICARE SOLUTIONS MEDICARE ADVANTAGE PLANS | $2.02 | $125,339.46 | $81,470.65 | 2026-03-25 | MRF ↗ |
| SANTA CLARA VALLEY MEDICAL CENTER InpatientFacility | ALIGNMENT HEALTH [870] | ALIGNMENT HEALTH [870001] | $2.02 | $94,178.12 | $65,924.68 | 2026-09-01 | MRF ↗ |
| O'connor Hospital InpatientFacility | KAISER SR. [365] | KAISER SR [365001] | $2.02 | $94,178.12 | $65,924.68 | 2026-09-01 | MRF ↗ |
| ASANTE THREE RIVERS MEDICAL CENTER Inpatient | KAISER OF WASHINGTON MEDICARE HMO [7026] | KAISER OF WA MEDICARE HMO | $2.02 | $125,339.46 | $81,470.65 | 2026-03-25 | MRF ↗ |
| ASANTE THREE RIVERS MEDICAL CENTER Inpatient | KAISER MED ADV SO CALIFORNIA HMO [7038] | KAISER MED ADV SO CALIFORNIA HMO | $2.02 | $125,339.46 | $81,470.65 | 2026-03-25 | MRF ↗ |
| SANTA CLARA VALLEY MEDICAL CENTER InpatientFacility | BLUE CROSS WELLCARE [375] | WELLCARE [375001] | $2.02 | $94,178.12 | $65,924.68 | 2026-09-01 | MRF ↗ |
| O'connor Hospital InpatientFacility | SCAN HEALTH PLAN [710] | SCAN HEALTH PLAN [710001] | $2.02 | $94,178.12 | $65,924.68 | 2026-09-01 | MRF ↗ |
| St. Louise Regional Hospital InpatientFacility | BLUE CROSS WELLCARE [375] | WELLCARE [375001] | $2.02 | $94,178.12 | $65,924.68 | 2026-09-01 | MRF ↗ |
| O'connor Hospital InpatientFacility | HEALTHNET [265] | HEALTHNET TRICARE [265010] | $2.02 | $94,178.12 | $65,924.68 | 2026-09-01 | MRF ↗ |
| O'connor Hospital InpatientFacility | UNITED HEALTHCARE MEDICARE ADVANTAGE HMO [740] | UNITED HEALTHCARE MEDICARE ADVANTAGE HMO [740001] | $2.02 | $94,178.12 | $65,924.68 | 2026-09-01 | MRF ↗ |
| St. Louise Regional Hospital InpatientFacility | HEALTHNET [265] | HEALTHNET TRICARE [265010] | $2.02 | $94,178.12 | $65,924.68 | 2026-09-01 | MRF ↗ |
| SANTA CLARA VALLEY MEDICAL CENTER InpatientFacility | HEALTHNET [265] | HEALTHNET TRICARE [265010] | $2.02 | $94,178.12 | $65,924.68 | 2026-09-01 | MRF ↗ |
| St. Louise Regional Hospital InpatientFacility | UNITED HEALTHCARE MEDICARE ADVANTAGE HMO [740] | UNITED HEALTHCARE MEDICARE ADVANTAGE HMO [740001] | $2.02 | $94,178.12 | $65,924.68 | 2026-09-01 | MRF ↗ |
| O'connor Hospital InpatientFacility | ALIGNMENT HEALTH [870] | ALIGNMENT HEALTH [870001] | $2.02 | $94,178.12 | $65,924.68 | 2026-09-01 | MRF ↗ |
| O'connor Hospital InpatientFacility | MEDICONNECT SCFHP [727] | MEDICONNECT SCFHP [727001] | $2.02 | $94,178.12 | $65,924.68 | 2026-09-01 | MRF ↗ |
| ASANTE THREE RIVERS MEDICAL CENTER Inpatient | ATRIO HLTH PLANS MEDICARE ADV [7004] | Atrio Health Medicare Advantage Plans | $2.02 | $125,339.46 | $81,470.65 | 2026-03-25 | MRF ↗ |
| ASANTE THREE RIVERS MEDICAL CENTER Inpatient | CIGNA MED ADV HMO [7040] | CIGNA MED ADV HMO | $2.02 | $125,339.46 | $81,470.65 | 2026-03-25 | MRF ↗ |
| ASANTE THREE RIVERS MEDICAL CENTER Inpatient | BLUE SHIELD MEDICARE ADVANTAGE PPO [7031] | BLUE SHIELD MEDICARE ADVANTAGE PPO | $2.02 | $125,339.46 | $81,470.65 | 2026-03-25 | MRF ↗ |
| St. Louise Regional Hospital InpatientFacility | KAISER SR. [365] | KAISER SR [365001] | $2.02 | $94,178.12 | $65,924.68 | 2026-09-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Inpatient | ALTERNATE HEALTHNET [1007] | HEALTH NET MEDICARE ADVANTAGE UC EMPLOYER GROUP | $2.02 | $62,252.56 | $34,238.91 | 2026-04-01 | MRF ↗ |
| ASANTE THREE RIVERS MEDICAL CENTER Inpatient | HUMANA MED ADV PPO [7008] | HUMANA MED ADV PPO | $2.02 | $125,339.46 | $81,470.65 | 2026-03-25 | MRF ↗ |
| O'connor Hospital InpatientFacility | BLUE CROSS WELLCARE [375] | WELLCARE [375001] | $2.02 | $94,178.12 | $65,924.68 | 2026-09-01 | MRF ↗ |
| St. Louise Regional Hospital InpatientFacility | SCAN HEALTH PLAN [710] | SCAN HEALTH PLAN [710001] | $2.02 | $94,178.12 | $65,924.68 | 2026-09-01 | MRF ↗ |
| O'connor Hospital InpatientFacility | ONLOK [380] | ONLOK [380001] | $2.02 | $94,178.12 | $65,924.68 | 2026-09-01 | MRF ↗ |
| ASANTE THREE RIVERS MEDICAL CENTER Inpatient | PROVIDENCE MEDICARE ADV HMO [7044] | PROVIDENCE MEDICARE ADVANTAGE PLANS HMO | $2.02 | $125,339.46 | $81,470.65 | 2026-03-25 | MRF ↗ |
| ASANTE THREE RIVERS MEDICAL CENTER Inpatient | SAMARITAN HEALTH MED ADV HMO [7043] | SAMARITAN ADVANTAGE PREMIER PLUS HEALTH | $2.02 | $125,339.46 | $81,470.65 | 2026-03-25 | MRF ↗ |
| ASANTE THREE RIVERS MEDICAL CENTER Inpatient | WELLCARE MEDICARE ADV [7014] | Wellcare Medicare Advantage Plans | $2.02 | $125,339.46 | $81,470.65 | 2026-03-25 | MRF ↗ |
| SANTA CLARA VALLEY MEDICAL CENTER InpatientFacility | SCAN HEALTH PLAN [710] | SCAN HEALTH PLAN [710001] | $2.02 | $94,178.12 | $65,924.68 | 2026-09-01 | MRF ↗ |
| ASANTE THREE RIVERS MEDICAL CENTER Inpatient | STERLING MEDICARE ADV [7012] | STERLING OPTION 1 | $2.02 | $125,339.46 | $81,470.65 | 2026-03-25 | MRF ↗ |
| ASANTE THREE RIVERS MEDICAL CENTER Inpatient | ALIGNMENT HEALTH PLAN [7029] | ALIGNMENT HEALTH PLAN HMO POS | $2.02 | $125,339.46 | $81,470.65 | 2026-03-25 | MRF ↗ |
| ASANTE THREE RIVERS MEDICAL CENTER Inpatient | SCAN HEALTH PLAN [7024] | SCAN CLAIMS DEPARTMENT | $2.02 | $125,339.46 | $81,470.65 | 2026-03-25 | MRF ↗ |
| ASANTE THREE RIVERS MEDICAL CENTER Inpatient | KAISER MED ADV HMO [7027] | KAISER MEDICARE ADVANTAGE PLANS | $2.02 | $125,339.46 | $81,470.65 | 2026-03-25 | MRF ↗ |
| ASANTE THREE RIVERS MEDICAL CENTER Inpatient | KAISER MED ADV NO CALIFORNIA HMO [7037] | KAISER MED ADV NO CALIFORNIA HMO | $2.02 | $125,339.46 | $81,470.65 | 2026-03-25 | MRF ↗ |
| ASANTE THREE RIVERS MEDICAL CENTER Inpatient | KAISER MED ADV OREGON HMO [7009] | KAISER MED ADV OREGON HMO | $2.02 | $125,339.46 | $81,470.65 | 2026-03-25 | MRF ↗ |
| SANTA CLARA VALLEY MEDICAL CENTER InpatientFacility | KAISER SR. [365] | KAISER SR [365001] | $2.02 | $94,178.12 | $65,924.68 | 2026-09-01 | MRF ↗ |
| St. Louise Regional Hospital InpatientFacility | ONLOK [380] | ONLOK [380001] | $2.02 | $94,178.12 | $65,924.68 | 2026-09-01 | MRF ↗ |
| ASANTE THREE RIVERS MEDICAL CENTER Inpatient | ATRIO HLTH PLANS MEDICARE ADV [7004] | ATRIO HEALTH PLAN MEDICARE ADV HMO | $2.02 | $125,339.46 | $81,470.65 | 2026-03-25 | MRF ↗ |
| St. Louise Regional Hospital InpatientFacility | ALIGNMENT HEALTH [870] | ALIGNMENT HEALTH [870001] | $2.02 | $94,178.12 | $65,924.68 | 2026-09-01 | MRF ↗ |
| SANTA CLARA VALLEY MEDICAL CENTER InpatientFacility | UNITED HEALTHCARE MEDICARE ADVANTAGE HMO [740] | UNITED HEALTHCARE MEDICARE ADVANTAGE HMO [740001] | $2.02 | $94,178.12 | $65,924.68 | 2026-09-01 | MRF ↗ |
| ASANTE THREE RIVERS MEDICAL CENTER Inpatient | BLUE SHIELD MEDICARE ADVANTAGE HMO [7032] | BLUE SHIELD MEDICARE ADVANTAGE HMO | $2.02 | $125,339.46 | $81,470.65 | 2026-03-25 | MRF ↗ |
| PIEDMONT HOSPITAL, INC Inpatient | GEORGIA HEALTH ADVANTAGE [30143] | Georgia Health Medicare Advantage | $2.16 | $82,866.08 | $24,859.82 | 2026-04-01 | MRF ↗ |
| PIEDMONT HOSPITAL, INC Inpatient | CARESOURCE MEDICARE ADVANTAGE [30186] | Caresource Medicare Advantage | $2.16 | $82,866.08 | $24,859.82 | 2026-04-01 | MRF ↗ |
| SHELBY BAPTIST MEDICAL CENTER Inpatient | United Healthcare | UnitedNonOptions | $2.40 | — | — | 2024-12-11 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Inpatient | United Healthcare | UnitedNonOptions | $2.40 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Inpatient | United Healthcare | UnitedNonOptions | $2.40 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Inpatient | United Healthcare | UnitedExchange | $2.40 | — | — | 2024-12-08 | MRF ↗ |
| SHELBY BAPTIST MEDICAL CENTER Inpatient | United Healthcare | UnitedOptions | $2.40 | — | — | 2024-12-11 | MRF ↗ |
| CITIZENS BAPTIST MEDICAL CENTER Inpatient | United Healthcare | UnitedNonOptions | $2.40 | — | — | 2024-12-11 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Inpatient | United Healthcare | UnitedOptions | $2.40 | — | — | 2024-12-08 | MRF ↗ |
| CITIZENS BAPTIST MEDICAL CENTER Inpatient | United Healthcare | UnitedExchange | $2.40 | — | — | 2024-12-11 | MRF ↗ |
| Rehabilitation Institute Of Michigan Inpatient | United Healthcare | UnitedHealthcareNewBusiness | $2.40 | — | — | 2025-01-31 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Inpatient | United Healthcare | UnitedOptions | $2.40 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Inpatient | United Healthcare | UnitedNonOptions | $2.40 | — | — | 2024-12-08 | MRF ↗ |
| Rehabilitation Institute Of Michigan Inpatient | United Healthcare | UnitedExchange | $2.40 | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Inpatient | United Healthcare | UnitedNonOptions | $2.40 | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Inpatient | United Healthcare | UnitedOptions | $2.40 | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Inpatient | United Healthcare | UnitedHealthcareNewBusiness | $2.40 | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Inpatient | United Healthcare | UnitedExchange | $2.40 | — | — | 2025-01-31 | MRF ↗ |
| CITIZENS BAPTIST MEDICAL CENTER Inpatient | United Healthcare | UnitedOptions | $2.40 | — | — | 2024-12-11 | MRF ↗ |
| Rehabilitation Institute Of Michigan Inpatient | United Healthcare | UnitedOptions | $2.40 | — | — | 2025-01-31 | MRF ↗ |
| PRINCETON BAPTIST MEDICAL CENTER Inpatient | United Healthcare | UnitedExchange | $2.40 | — | — | 2024-12-11 | MRF ↗ |
| PRINCETON BAPTIST MEDICAL CENTER Inpatient | United Healthcare | UnitedOptions | $2.40 | — | — | 2024-12-11 | MRF ↗ |
| SHELBY BAPTIST MEDICAL CENTER Inpatient | United Healthcare | UnitedExchange | $2.40 | — | — | 2024-12-11 | MRF ↗ |
| Rehabilitation Institute Of Michigan Inpatient | United Healthcare | UnitedNonOptions | $2.40 | — | — | 2025-01-31 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Inpatient | United Healthcare | UnitedOptions | $2.40 | — | — | 2024-12-08 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Inpatient | United Healthcare | UnitedOptions | $2.40 | — | — | 2025-01-31 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Inpatient | United Healthcare | UnitedExchange | $2.40 | — | — | 2024-12-08 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Inpatient | United Healthcare | UnitedHealthcareHMO | $2.40 | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Inpatient | United Healthcare | UnitedChoicePlus | $2.40 | — | — | 2025-01-31 | MRF ↗ |
| PRINCETON BAPTIST MEDICAL CENTER Inpatient | United Healthcare | UnitedNonOptions | $2.40 | — | — | 2024-12-11 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Inpatient | United Healthcare | UnitedExchange | $2.40 | — | — | 2024-12-08 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MRMC | $3.09 | $91,244.02 | $45,622.01 | 2026-03-21 | MRF ↗ |
| METHODIST MANSFIELD MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MMMC | $3.09 | $91,244.02 | $45,622.01 | 2026-03-21 | MRF ↗ |
| METHODIST DALLAS MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MDMC | $3.09 | $91,244.02 | $45,622.01 | 2026-03-20 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MRMC | $3.09 | $91,244.02 | $45,622.01 | 2026-03-21 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MSMC | $3.09 | $91,244.02 | $45,622.01 | 2026-03-23 | MRF ↗ |
| METHODIST MIDLOTHIAN MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MLMC | $3.09 | $91,244.02 | $45,622.01 | 2026-03-21 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MSMC | $3.09 | $91,244.02 | $45,622.01 | 2026-03-23 | MRF ↗ |
| METHODIST CHARLTON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MCMC | $3.09 | $91,244.02 | $45,622.01 | 2026-03-21 | MRF ↗ |
| METHODIST CELINA MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MCEL | $3.09 | $91,244.02 | $27,373.21 | 2026-03-23 | MRF ↗ |
| ASANTE THREE RIVERS MEDICAL CENTER Inpatient | PROVIDENCE HEALTH PLAN [1078] | Provdence PEBB Plans | $3.52 | $125,339.46 | $81,470.65 | 2026-03-25 | MRF ↗ |
| LAKELAND HOSPITAL, ST JOSEPH InpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MSMC | $5.06 | $91,244.02 | $45,622.01 | 2026-03-23 | MRF ↗ |
| METHODIST MANSFIELD MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MMMC | $5.06 | $91,244.02 | $45,622.01 | 2026-03-21 | MRF ↗ |
| METHODIST MIDLOTHIAN MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MLMC | $5.06 | $91,244.02 | $45,622.01 | 2026-03-21 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MRMC | $5.06 | $91,244.02 | $45,622.01 | 2026-03-21 | MRF ↗ |
| METHODIST DALLAS MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MDMC | $5.06 | $91,244.02 | $45,622.01 | 2026-03-20 | MRF ↗ |
| METHODIST CHARLTON MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MCMC | $5.06 | $91,244.02 | $45,622.01 | 2026-03-21 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MSMC | $5.06 | $91,244.02 | $45,622.01 | 2026-03-23 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MRMC | $5.06 | $91,244.02 | $45,622.01 | 2026-03-21 | MRF ↗ |
| METHODIST CELINA MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MCEL | $5.06 | $91,244.02 | $27,373.21 | 2026-03-23 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Inpatient | MGM RESORTS [1053] | MGM RESORT | $5.51 | $62,252.56 | $34,238.91 | 2026-04-01 | MRF ↗ |
| CONE HEALTH BEHAVIORAL HOSPITAL Inpatient | Partners Health | Managed Medicaid | $7.29 | $1.00 | $0.38 | 2026-07-15 | MRF ↗ |
| CONE HEALTH BEHAVIORAL HOSPITAL Inpatient | Partners Health | Tailored Plan | $7.29 | $1.00 | $0.38 | 2026-07-15 | MRF ↗ |
| CONE HEALTH ANNIE PENN HOSPITAL Inpatient | Partners Health | Tailored Plan | $7.29 | $1.00 | $0.38 | 2026-07-15 | MRF ↗ |
| CONE HEALTH ANNIE PENN HOSPITAL Inpatient | Partners Health | Managed Medicaid | $7.29 | $1.00 | $0.38 | 2026-07-15 | MRF ↗ |
| CONE HEALTH WESLEY LONG HOSPITAL Inpatient | Partners Health | Tailored Plan | $7.29 | $1.00 | $0.38 | 2026-07-15 | MRF ↗ |
| MOSES H. CONE MEMORIAL HOSPITAL, THE Inpatient | Partners Health | Managed Medicaid | $7.29 | $1.00 | $0.38 | 2026-07-15 | MRF ↗ |
| CONE HEALTH WESLEY LONG HOSPITAL Inpatient | Partners Health | Managed Medicaid | $7.29 | $1.00 | $0.38 | 2026-07-15 | MRF ↗ |
| MOSES H. CONE MEMORIAL HOSPITAL, THE Inpatient | Partners Health | Tailored Plan | $7.29 | $1.00 | $0.38 | 2026-07-15 | MRF ↗ |
| ALAMANCE REGIONAL MEDICAL CENTER Inpatient | Partners Health | Managed Medicaid | $7.29 | $1.00 | $0.38 | 2026-07-15 | MRF ↗ |
| ALAMANCE REGIONAL MEDICAL CENTER Inpatient | Partners Health | Tailored Plan | $7.29 | $1.00 | $0.38 | 2026-07-15 | MRF ↗ |
| BASSETT HEALTHCARE Inpatient | United Healthcare | Madicare Advantage | $16.44 | $10,406.45 | $2,809.74 | 2026-07-17 | MRF ↗ |
| BASSETT HEALTHCARE Inpatient | Bcbs | Highmark Medicare Advantage | $16.44 | $10,406.45 | $2,809.74 | 2026-07-17 | MRF ↗ |
| BASSETT HEALTHCARE Inpatient | Champva | — | $16.44 | $10,406.45 | $2,809.74 | 2026-07-17 | MRF ↗ |
| BASSETT HEALTHCARE Inpatient | Martins Point | — | $16.44 | $10,406.45 | $2,809.74 | 2026-07-17 | MRF ↗ |
| BASSETT HEALTHCARE Inpatient | Emblem | Medicare Advantage | $16.44 | $10,406.45 | $2,809.74 | 2026-07-17 | MRF ↗ |
| BASSETT HEALTHCARE Inpatient | Bcbs | Excellus Blue Medicare Advantage | $16.44 | $10,406.45 | $2,809.74 | 2026-07-17 | MRF ↗ |
| BASSETT HEALTHCARE Inpatient | Bcbs | Anthem Medicare Advantage | $16.44 | $10,406.45 | $2,809.74 | 2026-07-17 | MRF ↗ |
| BASSETT HEALTHCARE Inpatient | Cdphp | Medicare Advantage | $16.93 | $10,406.45 | $2,809.74 | 2026-07-17 | MRF ↗ |
| BASSETT HEALTHCARE Inpatient | Wellcare | — | $17.26 | $10,406.45 | $2,809.74 | 2026-07-17 | MRF ↗ |
| BASSETT HEALTHCARE Inpatient | Mvp | Medicare Advantage | $17.26 | $10,406.45 | $2,809.74 | 2026-07-17 | MRF ↗ |
| BASSETT HEALTHCARE Inpatient | Todays Options | — | $17.26 | $10,406.45 | $2,809.74 | 2026-07-17 | MRF ↗ |
| BASSETT HEALTHCARE Inpatient | Aetna | Medicare Advantage | $17.59 | $10,406.45 | $2,809.74 | 2026-07-17 | MRF ↗ |
| BASSETT HEALTHCARE Inpatient | Fidelis | Medicare Advantage | $17.59 | $10,406.45 | $2,809.74 | 2026-07-17 | MRF ↗ |
| BASSETT HEALTHCARE Inpatient | Humana | Medicare Advantage | $17.76 | $10,406.45 | $2,809.74 | 2026-07-17 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Primetime Health Plan | 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 | Devoted Health | 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 | WellCare by AllWell | 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 | Cigna | 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 | 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 | Medical Mutual of Ohio | 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 | 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 ↗ |
| Yavapai Regional Medical Center - East Inpatient | BCBS - AZ | Commercial|All Plans | $56.00 | — | — | 2026-02-28 | MRF ↗ |
| Yavapai Regional Medical Center - East Inpatient | BCBS - AZ | Commercial|All Plans | $56.00 | — | — | 2026-02-28 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Aetna CVSHealth QHP | Commercial | $90.19 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Ambetter | Commercial | $91.21 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | CareSource | Marketplace | $91.21 | — | — | 2025-05-16 | MRF ↗ |
| SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN Inpatient | Aetna | Commercial | $165.00 | $2,094.00 | $2,094.00 | 2026-07-15 | MRF ↗ |
| SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN Inpatient | 1199 | Commercial | $167.00 | $2,094.00 | $2,094.00 | 2026-07-15 | MRF ↗ |
| NEW YORK COMMUNITY HOSPITAL OF BROOKLYN, INC. InpatientFacility | Wellcare | Medicare Advantage HMO | — | — | — | 2026-04-01 | MRF ↗ |
| LITTLE COLORADO MEDICAL CENTER Inpatient | Blue Cross Blue Shield Of Az | Indemnity/Ppo/Hmo | $199.41 | — | — | 2026-07-15 | MRF ↗ |
| TRINITY HOSPITALS InpatientFacility | Nextblue | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | Texas Athletic Network | Premier | $250.00 | — | — | 2026-03-01 | MRF ↗ |
| Select Specialty Hospital Phoenix Inpatient | Fedmed | Workers Compensation Specialty Network | — | — | — | 2026-09-20 | MRF ↗ |
| Select Specialty Hospital Phoenix Inpatient | Bridgeway Health Solutions | Medicare Advantage | — | — | — | 2026-09-20 | MRF ↗ |
| Select Specialty Hospital Phoenix Inpatient | Eternal Health | Medicare Advantage Hmo | — | — | — | 2026-09-20 | MRF ↗ |
| Select Specialty Hospital Phoenix Inpatient | Triwest-Ccn | Veterans / Military | — | — | — | 2026-09-20 | MRF ↗ |
| Select Specialty Hospital Phoenix Inpatient | University Of Arizona Health Plans | Commercial | — | — | — | 2026-09-20 | MRF ↗ |
| Select Specialty Hospital Phoenix Inpatient | Arizona Priority Care | Medicare Advantage | — | — | — | 2026-09-20 | MRF ↗ |
| Select Specialty Hospital Phoenix Inpatient | University Of Arizona Health Plans | Medicare Advantage | — | — | — | 2026-09-20 | MRF ↗ |
| Select Specialty Hospital Phoenix Inpatient | Eternal Health | Medicare Advantage Ppo | — | — | — | 2026-09-20 | MRF ↗ |
| Select Specialty Hospital Phoenix Inpatient | Healthnet Federal Services-Tricare | Veterans / Military | — | — | — | 2026-09-20 | MRF ↗ |
| Select Specialty Hospital Phoenix Inpatient | Devoted Health Inc | Medicare Advantage Hmo | — | — | — | 2026-09-20 | MRF ↗ |
| Select Specialty Hospital Phoenix Inpatient | Devoted Health Inc | Medicare Advantage Dual-Eligible | — | — | — | 2026-09-20 | MRF ↗ |
| Select Specialty Hospital Phoenix Inpatient | Contigo Health | Motor Vehicle Specialty Network | — | — | — | 2026-09-20 | MRF ↗ |
| Select Specialty Hospital Phoenix Inpatient | Devoted Health Inc | Medicare Advantage Pos | — | — | — | 2026-09-20 | MRF ↗ |
| Select Specialty Hospital Phoenix Inpatient | Devoted Health Inc | Medicare Advantage Ppo | — | — | — | 2026-09-20 | MRF ↗ |
| Select Specialty Hospital Phoenix Inpatient | Usa Mco | Medicare Advantage | — | — | — | 2026-09-20 | MRF ↗ |
| Select Specialty Hospital Phoenix Inpatient | Medincrease Health Plan | Workers Compensation Specialty Network | — | — | — | 2026-09-20 | MRF ↗ |
| Select Specialty Hospital Phoenix Inpatient | Fresenius Health Partners | Medicare Advantage | — | — | — | 2026-09-20 | MRF ↗ |
| Select Specialty Hospital Phoenix Inpatient | Gold Kidney Health Plans | Medicare Advantage Ppo | — | — | — | 2026-09-20 | MRF ↗ |
| Select Specialty Hospital Phoenix Inpatient | Health Choice | Medicare Advantage Dual-Eligible | — | — | — | 2026-09-20 | MRF ↗ |
| Select Specialty Hospital Phoenix Inpatient | Employers Choice Network | Workers Compensation | — | — | — | 2026-09-20 | MRF ↗ |
| Select Specialty Hospital Phoenix Inpatient | Gold Kidney Health Plans | Medicare Advantage Pos | — | — | — | 2026-09-20 | MRF ↗ |
| Select Specialty Hospital Phoenix Inpatient | Windsor Health Plan | Medicare Advantage Pos | — | — | — | 2026-09-20 | MRF ↗ |
| Select Specialty Hospital Phoenix Inpatient | Prime Health Services | Medicare Advantage Specialty Network | — | — | — | 2026-09-20 | MRF ↗ |
| Select Specialty Hospital Phoenix Inpatient | Providers Networks Of America | Commercial Specialty Network | — | — | — | 2026-09-20 | MRF ↗ |
| Select Specialty Hospital Phoenix Inpatient | Uhc-United Healthcare Community | Managed Medicaid Dual-Eligible | — | — | — | 2026-09-20 | MRF ↗ |
| Select Specialty Hospital Phoenix Inpatient | Gold Kidney Health Plans | Medicare Advantage Hmo | — | — | — | 2026-09-20 | MRF ↗ |
| Select Specialty Hospital Phoenix Inpatient | Gold Kidney Health Plans | Medicare Advantage Dual-Eligible | — | — | — | 2026-09-20 | MRF ↗ |
| Select Specialty Hospital Phoenix Inpatient | Banner Plan Administrators - Bpa | Medicare Advantage Dual-Eligible | — | — | — | 2026-09-20 | MRF ↗ |
| Select Specialty Hospital Phoenix Inpatient | Carelon | Medicare Advantage Pos | — | — | — | 2026-09-20 | MRF ↗ |
| Select Specialty Hospital Phoenix Inpatient | Carelon | Medicare Advantage Hmo | — | — | — | 2026-09-20 | MRF ↗ |
| Select Specialty Hospital Phoenix Inpatient | Bcbs | Medicare Advantage Ppo | — | — | — | 2026-09-20 | MRF ↗ |
| Select Specialty Hospital Phoenix Inpatient | Carelon | Medicare Advantage Ppo | — | — | — | 2026-09-20 | MRF ↗ |
| Select Specialty Hospital Phoenix Inpatient | Windsor Health Plan | Medicare Advantage Ppo | — | — | — | 2026-09-20 | 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.