3024 — Knee Joint Replacement
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Knee joint replacement (APR_DRG 3024) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/3024?code_type=APR_DRG
MLA (9th ed.)
“Knee joint replacement (APR_DRG 3024) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/3024?code_type=APR_DRG. Accessed .
Chicago (notes-bibliography)
“Knee joint replacement (APR_DRG 3024) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/3024?code_type=APR_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $40,332–$92,835 (25th–75th percentile) across 177 hospitals · 128 payers.
“Negotiated” is the hospital’s negotiated rate for the entire inpatient stay under APR_DRG 3024 — 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 |
|---|---|---|---|---|---|---|---|
| ELIZABETHTOWN COMMUNITY HOSPITAL InpatientFacility | — | — | — | — | — | 2025-01-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Medicaid Other | — | $2,026.10 | $119,332.96 | $77,566.42 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Medicaid Sc | — | $2,040.90 | $119,332.96 | $77,566.42 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Bluechoice Medicaid (Greenville County Only) | — | $2,074.38 | $119,332.96 | $77,566.42 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Molina Medicaid | — | $2,102.12 | $119,332.96 | $77,566.42 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Blue Choice Medicaid (Greenville County Only) | — | $2,111.36 | $119,332.96 | $77,566.42 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Select Health Medicaid | — | $2,142.94 | $119,332.96 | $77,566.42 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Absolute Total Care Medicaid | — | $2,142.94 | $119,332.96 | $77,566.42 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Bluechoice Medicaid | — | $2,142.94 | $119,332.96 | $77,566.42 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Blue Choice Medicaid (Greenville County Only) | — | $2,177.41 | $119,332.96 | $77,566.42 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Medicaid Other | — | $2,206.78 | $119,332.96 | $77,566.42 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Medicaid | — | $2,206.78 | $119,332.96 | $77,566.42 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Absolute Total Care Medicaid | — | $2,228.42 | $119,332.96 | $77,566.42 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bluechoice Medicaid | — | $2,246.13 | $119,332.96 | $77,566.42 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Blue Choice Medicaid (Greenville County Only) | — | $2,248.46 | $119,333.00 | $77,566.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Blue Choice Medicaid (Greenville County Only) | — | $2,265.95 | $119,332.96 | $77,566.42 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Select Health Medicaid | — | $2,290.89 | $119,332.96 | $77,566.42 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Select Health Medicaid | — | $2,313.51 | $119,332.96 | $77,566.42 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Molina Medicaid | — | $2,313.51 | $119,332.96 | $77,566.42 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Bluechoice Medicaid | — | $2,316.39 | $119,332.96 | $77,566.42 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Medicaid Sc | — | $2,355.20 | $119,332.96 | $77,566.42 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Medicaid | — | $2,356.69 | $119,332.96 | $77,566.42 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Absolute Total Care Medicaid | — | $2,358.43 | $119,332.96 | $77,566.42 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Humana Healthy Horizons Medicaid | — | $2,361.26 | $119,332.96 | $77,566.42 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Bluechoice Medicaid | — | $2,374.20 | $119,332.96 | $77,566.42 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Molina Medicaid | — | $2,385.88 | $119,332.96 | $77,566.42 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Select Health Medicaid | — | $2,385.88 | $119,332.96 | $77,566.42 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Medicare Advantage Non Contracted | — | $2,391.98 | $119,333.00 | $77,566.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Bluechoice Medicaid | — | $2,391.98 | $119,333.00 | $77,566.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Medicaid | — | $2,391.98 | $119,333.00 | $77,566.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Bluechoice Medicaid | — | $2,410.58 | $119,332.96 | $77,566.42 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Medicaid Other | — | $2,413.79 | $119,332.96 | $77,566.42 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Select Health Medicaid | — | $2,427.46 | $119,332.96 | $77,566.42 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Absolute Total Care Medicaid | — | $2,432.21 | $119,332.96 | $77,566.42 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Bluechoice Medicaid | — | $2,449.53 | $119,332.96 | $77,566.42 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Molina Medicaid | — | $2,457.51 | $119,332.96 | $77,566.42 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Select Health Medicaid | — | $2,463.74 | $119,333.00 | $77,566.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Molina Medicaid | — | $2,463.74 | $119,333.00 | $77,566.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Medicaid | — | $2,468.85 | $119,332.96 | $77,566.42 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Medicaid Other | — | $2,468.85 | $119,332.96 | $77,566.42 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Absolute Total Care Medicaid | — | $2,472.96 | $119,332.96 | $77,566.42 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Select Health Medicaid | — | $2,482.90 | $119,332.96 | $77,566.42 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Molina Medicaid | — | $2,482.90 | $119,332.96 | $77,566.42 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Medicaid Sc | — | $2,490.59 | $119,332.96 | $77,566.42 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Absolute Total Care Medicaid | — | $2,511.57 | $119,333.00 | $77,566.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Humana Healthy Horizons Medicaid | — | $2,520.07 | $119,332.96 | $77,566.42 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Humana Healthy Horizons Medicaid | — | $2,521.66 | $119,332.96 | $77,566.42 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Absolute Total Care Medicaid | — | $2,531.11 | $119,332.96 | $77,566.42 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Molina Medicaid | — | $2,537.80 | $119,332.96 | $77,566.42 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Humana Healthy Horizons Medicaid | — | $2,559.41 | $119,333.00 | $77,566.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Absolute Total Care Medicaid | — | $2,581.94 | $119,332.96 | $77,566.42 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Select Health Medicaid | — | $2,590.72 | $119,332.96 | $77,566.42 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Medicaid | — | $2,593.08 | $119,332.96 | $77,566.42 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Humana Healthy Horizons Medicaid | — | $2,641.67 | $119,332.96 | $77,566.42 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Cigna Hmo Ppo | — | $2,646.00 | $119,332.96 | $77,566.42 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Humana Healthy Horizons Medicaid | — | $2,664.93 | $119,332.96 | $77,566.42 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Humana Healthy Horizons Medicaid | — | $2,664.93 | $119,332.96 | $77,566.42 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Humana Healthy Horizons Medicaid | — | $2,774.60 | $119,332.96 | $77,566.42 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Molina Medicaid | — | $2,779.14 | $119,332.96 | $77,566.42 | 2026-07-05 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL InpatientFacility | OHANA | ABD | $4,109.08 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL InpatientFacility | OHANA | NON-ABD | $4,109.08 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL InpatientFacility | OHANA | NON-ABD | $4,109.08 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL InpatientFacility | OHANA | ABD | $4,109.08 | — | — | 2026-02-12 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN InpatientFacility | OHANA | NON-ABD | $4,525.33 | — | — | 2026-02-12 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN InpatientFacility | ALOHACARE | MEDICAID | $4,525.33 | — | — | 2026-02-12 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN InpatientFacility | OHANA | ABD | $4,525.33 | — | — | 2026-02-12 | MRF ↗ |
| MCLAREN OAKLAND | Medicaid United Healthcare Community | — | $4,833.91 | $40,524.93 | $20,262.47 | 2026-07-05 | MRF ↗ |
| MCLAREN OAKLAND | Medicaid - Hmo | — | $4,833.91 | $40,524.93 | $20,262.47 | 2026-07-05 | MRF ↗ |
| MCLAREN OAKLAND | Medicaid - Molina | — | $4,930.59 | $40,524.93 | $20,262.47 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Medicaid Other | — | $5,560.60 | $119,332.96 | $77,566.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Humana Healthy Horizons Medicaid | — | $5,949.84 | $119,332.96 | $77,566.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Blue Choice Medicaid (Greenville County Only) | — | $6,064.18 | $119,332.96 | $77,566.00 | 2026-07-05 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Aetna Medicaid | — | $6,225.16 | $119,332.96 | $83,533.07 | 2026-06-20 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Molina Medicaid | — | $6,225.16 | $119,332.96 | $83,533.07 | 2026-06-20 | MRF ↗ |
| Prisma Health North Greenville Ltach | Medicaid | — | $6,451.26 | $119,332.96 | $77,566.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Bluechoice Medicaid | — | $6,451.26 | $119,332.96 | $77,566.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Molina Medicaid | — | $6,644.79 | $119,332.96 | $77,566.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Select Health Medicaid | — | $6,644.79 | $119,332.96 | $77,566.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Absolute Total Care Medicaid | — | $6,773.82 | $119,332.96 | $77,566.00 | 2026-07-05 | MRF ↗ |
| MONTEFIORE ST LUKE'S CORNWALL Inpatient | Anthem | Exchange | $6,836.16 | — | — | 2026-04-01 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Humana Gold Plus Medicare Advantage Hmo | — | $6,847.21 | $119,332.96 | $77,566.42 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | United Healthcare Medicare | — | $7,199.83 | $119,332.96 | $77,566.42 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Tricare Humana Military | — | $7,500.85 | $119,332.96 | $77,566.42 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Select Health First Choice Vip | — | $8,526.11 | $119,332.96 | $77,566.42 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | First Health-Wc | — | $9,117.27 | $119,332.96 | $77,566.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Humana Gold Plus Medicare Advantage Hmo | — | $9,225.87 | $119,332.96 | $77,566.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Medicare | — | $9,225.87 | $119,332.96 | $77,566.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Wellcare Medicare | — | $9,303.34 | $119,332.96 | $77,566.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Aetna Medicare Prime Hmo | — | $9,303.34 | $119,332.96 | $77,566.00 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | Bcbs Medicare Advantage | — | $9,303.34 | $119,332.96 | $77,566.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Molina Dual Options | — | $9,620.17 | $119,332.96 | $77,566.42 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Medicare Advantage Non Contracted | — | $9,851.86 | $119,332.96 | $77,566.42 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Aetna Medicare Prime Hmo | — | $9,917.44 | $119,332.96 | $77,566.42 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Medicare | — | $9,959.09 | $119,332.96 | $77,566.42 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Medicare Advantage Non Contracted | — | $9,963.65 | $119,332.96 | $77,566.42 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bcbs Medicare Advantage | — | $10,015.64 | $119,332.96 | $77,566.42 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | United Healthcare Medicare | — | $10,015.64 | $119,332.96 | $77,566.42 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Aetna Medicare Prime Hmo | — | $10,063.29 | $119,332.96 | $77,566.42 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Bcbs Medicare Advantage | — | $10,142.96 | $119,332.96 | $77,566.42 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Humana Gold Plus Medicare Advantage Hmo | — | $10,159.65 | $119,332.96 | $77,566.42 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Medicare | — | $10,294.97 | $119,332.96 | $77,566.42 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Wellcare Medicare | — | $10,310.21 | $119,332.96 | $77,566.42 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Select Health First Choice Vip | — | $10,355.04 | $119,332.96 | $77,566.42 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Wellcare Medicare | — | $10,441.27 | $119,332.96 | $77,566.42 | 2026-07-05 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Inpatient | Mdwise | Hip | $10,538.37 | — | — | 2026-07-17 | MRF ↗ |
| REID HEALTH InpatientFacility | Caresource of Indiana | Managed Medicaid | $10,697.75 | — | — | 2025-07-21 | MRF ↗ |
| REID HEALTH InpatientFacility | MDWise | Managed Medicaid | $10,697.75 | — | — | 2025-07-21 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | United Healthcare of Indiana | Managed Medicaid | $10,697.75 | — | — | 2026-06-03 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | CareSource Indiana Healthy Indiana Plan (HIP) | Managed Medicaid | $10,697.75 | — | — | 2026-06-03 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | Managed Health Services (MHS) | Managed Medicaid | $10,697.75 | — | — | 2026-06-03 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | Managed Health Services (MHS) Hoosier Care Connect | Managed Medicaid | $10,697.75 | — | — | 2026-06-03 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | CareSource Indiana Healthy Indiana Plan (HIP) | Managed Medicaid | $10,697.75 | — | — | 2025-04-24 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Humana | Managed Medicaid | $10,697.75 | — | — | 2025-04-24 | MRF ↗ |
| REID HEALTH InpatientFacility | Humana of Indiana | Pathways for Aging/Managed Medicaid | $10,697.75 | — | — | 2025-07-21 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Managed Health Services (MHS) Hoosier Care Connect | Managed Medicaid | $10,697.75 | — | — | 2025-04-24 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Anthem Blue Cross Blue Shield | Managed Medicaid | $10,697.75 | — | — | 2025-04-24 | MRF ↗ |
| REID HEALTH InpatientFacility | MHS | Managed Medicaid | $10,697.75 | — | — | 2025-07-21 | MRF ↗ |
| REID HEALTH InpatientFacility | Anthem Blue Cross Blue Shield | Pathways for Aging/Managed Medicaid | $10,697.75 | — | — | 2025-07-21 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Managed Health Services (MHS) Hoosier Healthwise (HHW) | Managed Medicaid | $10,697.75 | — | — | 2025-04-24 | MRF ↗ |
| REID HEALTH InpatientFacility | Anthem Blue Cross Blue Shield | Managed Medicaid | $10,697.75 | — | — | 2025-07-21 | MRF ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC InpatientFacility | Managed Health Services | Medicaid | $10,712.20 | — | — | 2026-02-18 | MRF ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC InpatientFacility | MDWise | Medicaid | $10,712.20 | — | — | 2026-02-18 | MRF ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC InpatientFacility | Anthem Blue Cross of IN | Medicaid | $10,712.20 | — | — | 2026-02-18 | MRF ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC InpatientFacility | CareSource Indiana of IN | Hoosier Healthwise/HIP | $10,712.20 | — | — | 2026-02-18 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | CareSource Indiana Hoosier Healthwise (HHW) | Managed Medicaid | $10,804.73 | — | — | 2026-06-03 | MRF ↗ |
| REID HEALTH InpatientFacility | United Healthcare | Managed Medicaid | $10,911.72 | — | — | 2025-07-21 | MRF ↗ |
| REID HEALTH InpatientFacility | United Healthcare | Pathways for Aging/Managed Medicaid | $10,911.72 | — | — | 2025-07-21 | MRF ↗ |
| MONROE HOSPITAL Inpatient | Non-Contracted Medicaid | Non-Contracted Medicaid | $11,003.20 | — | — | 2024-12-19 | MRF ↗ |
| MONROE HOSPITAL Inpatient | United Healthcare | UHC Medicaid CHIP - Hoosier Care | $11,003.20 | — | — | 2024-12-19 | MRF ↗ |
| MONROE HOSPITAL Inpatient | BCBS | BCBS Medicaid - Hoosier Healthwise | $11,003.20 | — | — | 2024-12-19 | MRF ↗ |
| MONROE HOSPITAL Inpatient | Traditional Medicaid | Traditional Medicaid | $11,003.20 | — | — | 2024-12-19 | MRF ↗ |
| MONROE HOSPITAL Inpatient | Care Source | Care Source Medicaid - Healthy Indiana Plan - HIP | $11,003.20 | — | — | 2024-12-19 | MRF ↗ |
| MONROE HOSPITAL Inpatient | Care Source | Care Source Medicaid - Hoosier Healthwise | $11,003.20 | — | — | 2024-12-19 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | United Healthcare | Managed Medicaid | $11,018.68 | — | — | 2025-04-24 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | CareSource Indiana Hoosier Healthwise (HHW) | Managed Medicaid | $11,018.68 | — | — | 2025-04-24 | MRF ↗ |
| DEACONESS HENDERSON HOSPITAL InpatientFacility | MHS IN Medicaid Product (IN) | Managed Medicaid | $11,129.90 | — | — | 2026-02-09 | MRF ↗ |
| DEACONESS HENDERSON HOSPITAL InpatientFacility | Anthem IN | Managed Medicaid | $11,129.90 | — | — | 2026-02-09 | MRF ↗ |
| DEACONESS HENDERSON HOSPITAL InpatientFacility | Caresource IN | Managed Medicaid | $11,129.90 | — | — | 2026-02-09 | MRF ↗ |
| DEACONESS HENDERSON HOSPITAL InpatientFacility | United Healthcare IN | Managed Medicaid | $11,129.90 | — | — | 2026-02-09 | MRF ↗ |
| METHODIST HOSPITAL UNION COUNTY InpatientFacility | CareSource IN | Managed Medicaid | $11,129.90 | — | — | 2026-02-13 | MRF ↗ |
| METHODIST HOSPITAL UNION COUNTY InpatientFacility | MHS IN MCO | Managed Medicaid | $11,129.90 | — | — | 2026-02-13 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Mdwise Hoosier Healthwise (HHW) | Managed Medicaid | $11,232.64 | — | — | 2025-04-24 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | MDwise Hoosier Healthwise (HHW) | Managed Medicaid | $11,232.64 | — | — | 2026-06-03 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Molina Healthcare of Indiana | Managed Medicaid | $11,339.62 | — | — | 2025-04-24 | MRF ↗ |
| NORTON-KING'S DAUGHTERS' HEALTH InpatientFacility | Anthem of Indiana | Managed Medicaid | $11,485.27 | — | — | 2026-05-05 | MRF ↗ |
| NORTON-KING'S DAUGHTERS' HEALTH InpatientFacility | Managed Health Services of Indiana | Managed Medicaid | $11,485.27 | — | — | 2026-05-05 | MRF ↗ |
| NORTON-KING'S DAUGHTERS' HEALTH InpatientFacility | United Healthcare of Indiana | Managed Medicaid | $11,485.27 | — | — | 2026-05-05 | MRF ↗ |
| THE WOMEN'S HOSPITAL InpatientFacility | Anthem HIP | Managed Medicaid | $13,117.79 | — | — | 2026-02-13 | MRF ↗ |
| THE WOMEN'S HOSPITAL InpatientFacility | Anthem IN | Managed Medicaid | $13,117.79 | — | — | 2026-02-13 | MRF ↗ |
| THE WOMEN'S HOSPITAL InpatientFacility | Caresource HIP | Managed Medicaid | $13,117.79 | — | — | 2026-02-13 | MRF ↗ |
| THE WOMEN'S HOSPITAL InpatientFacility | Anthem IN Pathways for Aging | Managed Medicaid | $13,117.79 | — | — | 2026-02-13 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Humana Choicecare Medicare Advantage Pffs | — | $13,502.05 | $119,332.96 | $77,566.42 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | First Health-Wc | — | $13,516.75 | $119,332.96 | $77,566.42 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | First Health-Wc | — | $13,670.12 | $119,332.96 | $77,566.42 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Medicare | — | $14,699.12 | $119,332.96 | $77,566.42 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Wellcare Medicare | — | $15,569.23 | $119,332.96 | $77,566.42 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Select Health First Choice Vip | — | $15,577.18 | $119,332.96 | $77,566.42 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Medicare | — | $15,608.92 | $119,332.96 | $77,566.42 | 2026-05-28 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER InpatientFacility | BCBSMN | MHCP | $16,048.17 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER InpatientFacility | BCBSMN | MHCP | $16,048.17 | — | — | 2025-06-27 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Inpatient | Meridian Il | Medicaid | $17,075.12 | — | — | 2026-07-17 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Medicare | — | $17,332.50 | $119,333.00 | $77,566.00 | 2026-07-05 | MRF ↗ |
| KONA COMMUNITY HOSPITAL Inpatient | HMSA | Mcd_ABD | $17,627.98 | — | — | 2025-07-28 | MRF ↗ |
| KONA COMMUNITY HOSPITAL Inpatient | HMSA | Mcd_NonABD | $17,627.98 | — | — | 2025-07-28 | MRF ↗ |
| KONA COMMUNITY HOSPITAL Inpatient | Ohana | McdHMO | $17,627.98 | — | — | 2025-07-28 | MRF ↗ |
| KONA COMMUNITY HOSPITAL Inpatient | AlohaCare | McdHMO | $17,627.98 | — | — | 2025-07-28 | MRF ↗ |
| KONA COMMUNITY HOSPITAL Inpatient | Kaiser | McdHMO | $17,627.98 | — | — | 2025-07-28 | MRF ↗ |
| KONA COMMUNITY HOSPITAL Inpatient | UHC | McdHMO | $17,627.98 | — | — | 2025-07-28 | MRF ↗ |
| KONA COMMUNITY HOSPITAL Inpatient | Kaiser | McdHMO | $17,627.98 | — | — | 2025-07-28 | MRF ↗ |
| KONA COMMUNITY HOSPITAL Inpatient | AlohaCare | McdHMO | $17,627.98 | — | — | 2025-07-28 | MRF ↗ |
| KONA COMMUNITY HOSPITAL Inpatient | UHC | McdHMO | $17,627.98 | — | — | 2025-07-28 | MRF ↗ |
| KONA COMMUNITY HOSPITAL Inpatient | HMSA | Mcd_ABD | $17,627.98 | — | — | 2025-07-28 | MRF ↗ |
| KONA COMMUNITY HOSPITAL Inpatient | HMSA | Mcd_NonABD | $17,627.98 | — | — | 2025-07-28 | MRF ↗ |
| KONA COMMUNITY HOSPITAL Inpatient | Ohana | McdHMO | $17,627.98 | — | — | 2025-07-28 | MRF ↗ |
| HILO BENIOFF MEDICAL CENTER InpatientFacility | Ohana Health Plan | Medicaid | $18,056.33 | — | — | 2026-06-15 | MRF ↗ |
| HILO BENIOFF MEDICAL CENTER InpatientFacility | Hawaii Medical Service Association | Non-ABD | $18,056.33 | — | — | 2026-06-15 | MRF ↗ |
| HILO BENIOFF MEDICAL CENTER InpatientFacility | UnitedHealthcare | Medicaid | $18,056.33 | — | — | 2026-06-15 | MRF ↗ |
| HILO BENIOFF MEDICAL CENTER InpatientFacility | Hawaii Medical Service Association | ABD | $18,056.33 | — | — | 2026-06-15 | MRF ↗ |
| HILO BENIOFF MEDICAL CENTER InpatientFacility | AlohaCare | Medicaid | $18,056.33 | — | — | 2026-06-15 | MRF ↗ |
| HILO BENIOFF MEDICAL CENTER InpatientFacility | Kaiser Permanente | Medicaid | $18,056.33 | — | — | 2026-06-15 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | United Healthcare | — | $19,177.62 | $119,332.96 | $77,566.42 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach | United Healthcare | — | $19,177.62 | $119,332.96 | $77,566.00 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | United Healthcare | — | $19,177.62 | $119,332.96 | $77,566.42 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | United Healthcare | — | $19,177.62 | $119,332.96 | $77,566.42 | 2026-05-28 | MRF ↗ |
| SARATOGA HOSPITAL InpatientFacility | — | — | — | — | — | 2025-01-01 | MRF ↗ |
| CARLE HEALTH METHODIST HOSPITAL InpatientFacility | Meridian | Managed Medicaid | $19,425.11 | — | — | 2026-04-15 | MRF ↗ |
| CARLE HOOPESTON REGIONAL HEALTH CENTER InpatientFacility | Meridian | Managed Medicaid | $19,425.11 | — | — | 2026-04-15 | MRF ↗ |
| CARLE HOOPESTON REGIONAL HEALTH CENTER InpatientFacility | Aetna Better Health | Managed Medicaid | $19,425.11 | — | — | 2026-04-15 | MRF ↗ |
| CARLE HOOPESTON REGIONAL HEALTH CENTER InpatientFacility | Molina | Managed Medicaid | $19,425.11 | — | — | 2026-04-15 | MRF ↗ |
| CARLE HEALTH METHODIST HOSPITAL InpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $19,425.11 | — | — | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | Molina | Managed Medicaid | $19,425.11 | — | — | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | Meridian | Managed Medicaid | $19,425.11 | — | — | 2026-04-15 | MRF ↗ |
| CARLE HEALTH METHODIST HOSPITAL InpatientFacility | Molina | Managed Medicaid | $19,425.11 | — | — | 2026-04-15 | MRF ↗ |
| CARLE HOOPESTON REGIONAL HEALTH CENTER InpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $19,425.11 | — | — | 2026-04-15 | MRF ↗ |
| CARLE HEALTH METHODIST HOSPITAL InpatientFacility | Aetna Better Health | Managed Medicaid | $19,425.11 | — | — | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $19,425.11 | — | — | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Meridian | Managed Medicaid | $19,425.11 | — | — | 2026-04-15 | MRF ↗ |
| CARLE HEALTH PROCTOR HOSPITAL InpatientFacility | Aetna Better Health | Managed Medicaid | $19,425.11 | — | — | 2026-04-15 | MRF ↗ |
| CARLE HEALTH PROCTOR HOSPITAL InpatientFacility | Molina | Managed Medicaid | $19,425.11 | — | — | 2026-04-15 | MRF ↗ |
| CARLE HEALTH PROCTOR HOSPITAL InpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $19,425.11 | — | — | 2026-04-15 | 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.