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 $39,512–$82,916 (25th–75th percentile) across 100 hospitals · 84 payers.
“Negotiated” is the hospital’s negotiated facility rate for this APR_DRG 3024 — 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 |
|---|---|---|---|---|---|---|---|
| MONTEFIORE ST LUKE'S CORNWALL Inpatient | Anthem | Exchange | $6,836.16 | — | — | 2026-04-01 | 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 | Managed Health Services (MHS) Hoosier Care Connect | Managed Medicaid | $10,697.75 | — | — | 2025-03-27 | MRF ↗ |
| REID HEALTH InpatientFacility | Anthem Blue Cross Blue Shield | Pathways for Aging/Managed Medicaid | $10,697.75 | — | — | 2025-07-21 | MRF ↗ |
| REID HEALTH InpatientFacility | MHS | Managed Medicaid | $10,697.75 | — | — | 2025-07-21 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Humana | Managed Medicaid | $10,697.75 | — | — | 2025-04-24 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | United Healthcare of Indiana | Managed Medicaid | $10,697.75 | — | — | 2025-03-27 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Managed Health Services (MHS) Hoosier Care Connect | Managed Medicaid | $10,697.75 | — | — | 2025-04-24 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | CareSource Indiana Healthy Indiana Plan (HIP) | Managed Medicaid | $10,697.75 | — | — | 2025-03-27 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | CareSource Indiana Healthy Indiana Plan (HIP) | 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 ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | Managed Health Services (MHS) | Managed Medicaid | $10,697.75 | — | — | 2025-03-27 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Managed Health Services (MHS) Hoosier Healthwise (HHW) | 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 | Anthem Blue Cross Blue Shield | Managed Medicaid | $10,697.75 | — | — | 2025-04-24 | MRF ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC InpatientFacility | MDWise | Medicaid | $10,712.20 | — | — | 2026-02-18 | MRF ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC InpatientFacility | Managed Health Services | 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 ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC InpatientFacility | Anthem Blue Cross of IN | Medicaid | $10,712.20 | — | — | 2026-02-18 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | CareSource Indiana Hoosier Healthwise (HHW) | Managed Medicaid | $10,804.73 | — | — | 2025-03-27 | MRF ↗ |
| REID HEALTH InpatientFacility | United Healthcare | Pathways for Aging/Managed Medicaid | $10,911.72 | — | — | 2025-07-21 | MRF ↗ |
| REID HEALTH InpatientFacility | United Healthcare | Managed Medicaid | $10,911.72 | — | — | 2025-07-21 | MRF ↗ |
| MONROE HOSPITAL Inpatient | Care Source | Care Source Medicaid - Hoosier Healthwise | $11,003.20 | — | — | 2024-12-19 | 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 | Care Source | Care Source Medicaid - Healthy Indiana Plan - HIP | $11,003.20 | — | — | 2024-12-19 | MRF ↗ |
| MONROE HOSPITAL Inpatient | Traditional Medicaid | Traditional Medicaid | $11,003.20 | — | — | 2024-12-19 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | CareSource Indiana Hoosier Healthwise (HHW) | Managed Medicaid | $11,018.68 | — | — | 2025-04-24 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | United Healthcare | Managed Medicaid | $11,018.68 | — | — | 2025-04-24 | MRF ↗ |
| METHODIST HOSPITAL UNION COUNTY InpatientFacility | MHS IN MCO | Managed Medicaid | $11,129.90 | — | — | 2026-02-13 | 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 ↗ |
| 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 ↗ |
| METHODIST HOSPITAL UNION COUNTY InpatientFacility | CareSource IN | 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 | — | — | 2025-03-27 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Molina Healthcare of Indiana | Managed Medicaid | $11,339.62 | — | — | 2025-04-24 | MRF ↗ |
| NORTON-KING'S DAUGHTERS' HEALTH InpatientFacility | United Healthcare 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 | Anthem of Indiana | Managed Medicaid | $11,485.27 | — | — | 2026-05-05 | 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 ↗ |
| 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 ↗ |
| KONA COMMUNITY HOSPITAL Inpatient | HMSA | Mcd_ABD | $17,627.98 | — | — | 2025-07-28 | MRF ↗ |
| KONA COMMUNITY HOSPITAL Inpatient | Kaiser | McdHMO | $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 | UHC | McdHMO | $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 | UHC | McdHMO | $17,627.98 | — | — | 2025-07-28 | MRF ↗ |
| KONA COMMUNITY HOSPITAL Inpatient | Ohana | 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 | AlohaCare | McdHMO | $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 | Kaiser | 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 | UnitedHealthcare | Medicaid | $18,056.33 | — | — | 2026-06-15 | MRF ↗ |
| HILO BENIOFF MEDICAL CENTER InpatientFacility | Kaiser Permanente | 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 | 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 ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $19,425.11 | — | — | 2026-04-15 | MRF ↗ |
| CARLE RICHLAND MEMORIAL HOSPITAL InpatientFacility | Blue Cross Blue Shield | 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 BROMENN MEDICAL CENTER InpatientFacility | Meridian | Managed Medicaid | $19,425.11 | — | — | 2026-04-15 | MRF ↗ |
| CARLE RICHLAND MEMORIAL HOSPITAL InpatientFacility | Molina | Managed Medicaid | $19,425.11 | — | — | 2026-04-15 | MRF ↗ |
| CARLE HEALTH PEKIN HOSPITAL InpatientFacility | Meridian | Managed Medicaid | $19,425.11 | — | — | 2026-04-15 | MRF ↗ |
| CARLE RICHLAND MEMORIAL HOSPITAL InpatientFacility | Aetna Better Health | Managed Medicaid | $19,425.11 | — | — | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Aetna Better Health | 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 HOOPESTON REGIONAL HEALTH CENTER InpatientFacility | Molina | Managed Medicaid | $19,425.11 | — | — | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | Aetna Better Health | 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 HOOPESTON REGIONAL HEALTH CENTER InpatientFacility | Aetna Better Health | Managed Medicaid | $19,425.11 | — | — | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Meridian | Managed Medicaid | $19,425.11 | — | — | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Molina | Managed Medicaid | $19,425.11 | — | — | 2026-04-15 | MRF ↗ |
| CARLE RICHLAND MEMORIAL HOSPITAL InpatientFacility | Meridian | Managed Medicaid | $19,425.11 | — | — | 2026-04-15 | MRF ↗ |
| CARLE HEALTH PEKIN HOSPITAL InpatientFacility | Aetna Better Health | 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 HOOPESTON REGIONAL HEALTH CENTER InpatientFacility | Meridian | Managed Medicaid | $19,425.11 | — | — | 2026-04-15 | MRF ↗ |
| CARLE HEALTH PEKIN HOSPITAL InpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $19,425.11 | — | — | 2026-04-15 | MRF ↗ |
| CARLE HEALTH PROCTOR HOSPITAL InpatientFacility | Meridian | 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 HEALTH PROCTOR HOSPITAL InpatientFacility | Aetna Better Health | Managed Medicaid | $19,425.11 | — | — | 2026-04-15 | MRF ↗ |
| CARLE HEALTH METHODIST HOSPITAL InpatientFacility | Meridian | 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 ↗ |
| CARLE HEALTH PEKIN HOSPITAL InpatientFacility | Molina | 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 FOUNDATION HOSPITAL InpatientFacility | Molina | Managed Medicaid | $19,539.35 | — | — | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Blue Cross Community Care | Managed Medicaid | $19,539.35 | — | — | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Meridian | Managed Medicaid | $19,539.35 | — | — | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Aetna Better Health | Managed Medicaid | $19,539.35 | — | — | 2026-04-15 | MRF ↗ |
| NYACK HOSPITAL Inpatient | HealthFirst | Exchange Product - Enrollees | $20,165.86 | — | $40,331.72 | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Inpatient | HealthFirst | Exchange Product - Enrollees | $20,165.86 | — | $40,331.72 | 2025-06-27 | MRF ↗ |
| SAMARITAN MEDICAL CENTER InpatientFacility | Capital District Physician's Health Plan, Inc (CDPHP) | Managed Medicaid | $23,308.68 | — | — | 2026-02-02 | MRF ↗ |
| SAMARITAN MEDICAL CENTER InpatientFacility | Fidelis | Medicaid Managed Care/Child Health Plus and Family Health Plus | $23,308.68 | — | — | 2026-02-02 | MRF ↗ |
| SAMARITAN MEDICAL CENTER InpatientFacility | MVP | Essential Plan 3-4 | $23,308.68 | — | — | 2026-02-02 | MRF ↗ |
| SAMARITAN MEDICAL CENTER InpatientFacility | Excellus | Managed Medicaid | $23,308.68 | — | — | 2026-02-02 | MRF ↗ |
| SAMARITAN MEDICAL CENTER InpatientFacility | United Healthcare | Managed Medicaid | $24,007.94 | — | — | 2026-02-02 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE HOSPITAL Inpatient | HealthFirst | QHP | $24,126.82 | — | — | 2025-06-27 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE HOSPITAL Inpatient | HealthFirst | HFIC | $24,126.82 | — | — | 2025-06-27 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE HOSPITAL Inpatient | HealthFirst | QHP | $24,126.82 | — | — | 2025-06-27 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE HOSPITAL Inpatient | HealthFirst | HFIC | $24,126.82 | — | — | 2025-06-27 | MRF ↗ |
| LONGMONT UNITED HOSPITAL InpatientFacility | Denver Health | Managed Medicaid | $24,706.46 | — | — | 2024-12-02 | MRF ↗ |
| LONGMONT UNITED HOSPITAL InpatientFacility | Colorado Access | Managed Medicaid | $24,706.46 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES InpatientFacility | Rocky Mountain Health Plan | Managed Medicaid | $24,966.59 | — | — | 2024-12-02 | MRF ↗ |
| ST FRANCIS HOSPITAL - INTERQUEST InpatientFacility | Rocky Mountain Health Plan | Managed Medicaid | $24,966.59 | — | — | 2024-12-02 | MRF ↗ |
| ST FRANCIS HOSPITAL - INTERQUEST InpatientFacility | Naphcare | Managed Medicaid | $24,966.59 | — | — | 2024-12-02 | MRF ↗ |
| ST FRANCIS HOSPITAL - INTERQUEST InpatientFacility | Colorado Access | Managed Medicaid | $24,966.59 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES InpatientFacility | Denver Health | Managed Medicaid | $24,966.59 | — | — | 2024-12-02 | MRF ↗ |
| ST FRANCIS HOSPITAL - INTERQUEST InpatientFacility | Kaiser | Managed Medicaid | $24,966.59 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES InpatientFacility | Colorado Access | Managed Medicaid | $24,966.59 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES InpatientFacility | Colorado Access | Managed Medicaid | $24,966.59 | — | — | 2024-12-02 | MRF ↗ |
| ST FRANCIS HOSPITAL - INTERQUEST InpatientFacility | Denver Health | Managed Medicaid | $24,966.59 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES InpatientFacility | Rocky Mountain Health Plan | Managed Medicaid | $24,966.59 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES InpatientFacility | Denver Health | Managed Medicaid | $24,966.59 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL InpatientFacility | Kaiser | Managed Medicaid | $25,517.46 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL InpatientFacility | Denver Health | Managed Medicaid | $25,517.46 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL InpatientFacility | Naphcare | Managed Medicaid | $25,517.46 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL InpatientFacility | Rocky Mountain Health Plan | Managed Medicaid | $25,517.46 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL InpatientFacility | Colorado Access | Managed Medicaid | $25,517.46 | — | — | 2024-12-02 | MRF ↗ |
| Tyler Memorial Hospital InpatientFacility | None | — | — | — | — | 2026-01-01 | MRF ↗ |
| ST ANTHONY SUMMIT MEDICAL CENTER InpatientFacility | Rocky Mountain Health Plan | Managed Medicaid | $27,104.81 | — | — | 2024-12-02 | MRF ↗ |
| ST ANTHONY SUMMIT MEDICAL CENTER InpatientFacility | Colorado Access | Managed Medicaid | $27,104.81 | — | — | 2024-12-02 | MRF ↗ |
| ST ANTHONY SUMMIT MEDICAL CENTER InpatientFacility | Denver Health | Managed Medicaid | $27,104.81 | — | — | 2024-12-02 | MRF ↗ |
| UCHEALTH BROOMFIELD HOSPITAL InpatientFacility | Denver Health Medical Plan | Medicaid Choice | $27,224.99 | — | — | 2025-11-01 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | BCBS of Western NY | Essential Plans 3&4 | $27,638.86 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | Beacon | Managed Medicaid | $27,638.86 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | UHC Medicaid NY | Medicaid | $27,638.86 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | Molina Healthcare of NY | CHIP (For Kids)/Medicaid | $27,638.86 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | Fidelis | Family Health Plus/Medicaid | $27,638.86 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | Fidelis | Child Health Plus | $27,638.86 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | BCBS of Western NY | Medicaid | $27,638.86 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | Univera | Essential Plan | $27,638.86 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | Univera | Essential Plan | $27,638.86 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | BCBS of Western NY | Medicaid | $27,638.86 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | BCBS of Western NY | Essential Plans 3&4 | $27,638.86 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | Fidelis | Family Health Plus/Medicaid | $27,638.86 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | Fidelis | Child Health Plus | $27,638.86 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | UHC Medicaid NY | Medicaid | $27,638.86 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | Beacon | Managed Medicaid | $27,638.86 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | CORVEL | WC | $27,638.86 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | Molina Healthcare of NY | CHIP (For Kids)/Medicaid | $27,638.86 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | CORVEL | WC | $27,638.86 | — | — | 2026-03-06 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS InpatientFacility | Rocky Mountain Health Plan | Managed Medicaid | $27,758.03 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS InpatientFacility | Kaiser | Managed Medicaid | $27,758.03 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS InpatientFacility | Denver Health | Managed Medicaid | $27,758.03 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS InpatientFacility | Colorado Access | Managed Medicaid | $27,758.03 | — | — | 2024-12-02 | MRF ↗ |
| SAMARITAN MEDICAL CENTER InpatientFacility | MVP | Essential Plan 1-2 and 5-6 | $27,970.42 | — | — | 2026-02-02 | MRF ↗ |
| BOULDER COMMUNITY HEALTH InpatientFacility | Rocky Mountain Health Maintenance Organization | Managed Medicaid | $28,450.02 | — | — | 2025-12-23 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | Univera | CHIP (For Kids)/HARP/NY Medicaid | $29,020.79 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | Univera | CHIP (For Kids)/HARP/NY Medicaid | $29,020.79 | — | — | 2026-03-06 | MRF ↗ |
| ST MARY-CORWIN HOSPITAL InpatientFacility | Denver Health | Managed Medicaid | $29,309.31 | — | — | 2024-12-02 | MRF ↗ |
| ST MARY-CORWIN HOSPITAL InpatientFacility | Colorado Access | Managed Medicaid | $29,309.31 | — | — | 2024-12-02 | MRF ↗ |
| ST MARY-CORWIN HOSPITAL InpatientFacility | Naphcare | Managed Medicaid | $29,309.31 | — | — | 2024-12-02 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER InpatientFacility | Denver Health | Managed Medicaid | $29,776.90 | — | — | 2024-12-02 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER InpatientFacility | Rocky Mountain Health Plan | Managed Medicaid | $29,776.90 | — | — | 2024-12-02 | MRF ↗ |
| ST ELIZABETH HOSPITAL InpatientFacility | Colorado Access | Managed Medicaid | $29,776.90 | — | — | 2024-12-02 | MRF ↗ |
| GENEVA GENERAL HOSPITAL InpatientFacility | Fidelis | Managed Medicaid | $30,183.55 | — | — | 2025-08-07 | MRF ↗ |
| GENEVA GENERAL HOSPITAL InpatientFacility | Fidelis | Commercial | $30,183.55 | — | — | 2025-08-07 | MRF ↗ |
| GENEVA GENERAL HOSPITAL InpatientFacility | Excellus Blue Choice Options | Managed Medicaid | $30,183.55 | — | — | 2025-08-07 | MRF ↗ |
| GENEVA GENERAL HOSPITAL InpatientFacility | United Healthcare | Managed Medicaid | $30,183.55 | — | — | 2025-08-07 | MRF ↗ |
| GENEVA GENERAL HOSPITAL InpatientFacility | Aetna | Managed Medicaid | $30,183.55 | — | — | 2025-08-07 | MRF ↗ |
| GENEVA GENERAL HOSPITAL InpatientFacility | MVP Health Care | Managed Medicaid | $30,183.55 | — | — | 2025-08-07 | MRF ↗ |
| BOULDER COMMUNITY HEALTH InpatientFacility | Colorado Access | CHP+ | $30,383.52 | — | — | 2025-12-23 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL Both | Hawaii Medicaid | Various IP Quest ABD/NonABD | $32,050.88 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL Both | Hawaii Medical Service Association (HMSA) | Quest ABD | $32,050.88 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL Both | Hawaii Medical Service Association (HMSA) | Quest Non ABD | $32,050.88 | — | — | 2026-02-12 | MRF ↗ |
| UNIV. OF VERMONT - FLETCHER ALLEN HEALTH CARE InpatientFacility | United Healthcare | Managed Medicaid/Essential Plans | $32,253.59 | — | — | 2026-02-19 | MRF ↗ |
| UNIV. OF VERMONT - FLETCHER ALLEN HEALTH CARE InpatientFacility | MVP | Managed Medicaid | $32,253.59 | — | — | 2026-02-19 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL Both | Ohana Health Plan | Quest ABD | $33,028.00 | — | — | 2026-02-12 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL Both | Ohana Health Plan | Quest Non ABD | $33,028.00 | — | — | 2026-02-12 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL Both | Hawaii Medical Service Association (HMSA) | Quest Non ABD | $33,028.00 | — | — | 2026-02-12 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL Both | Hawaii Medical Service Association (HMSA) | Quest ABD | $33,028.00 | — | — | 2026-02-12 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL Both | UnitedHealthcare | Quest | $33,028.44 | — | — | 2026-02-12 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL Both | AlohaCare | ABD | $33,028.44 | — | — | 2026-02-12 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL Both | AlohaCare | Quest Non ABD | $33,028.44 | — | — | 2026-02-12 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | BCBS of Western NY | Essential Plans 1&2 | $33,166.63 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | BCBS of Western NY | Essential Plans 1&2 | $33,166.63 | — | — | 2026-03-06 | MRF ↗ |
| PALI MOMI MEDICAL CENTER Both | Hawaii Medical Service Association (HMSA) | Quest Non ABD | $33,313.69 | — | — | 2026-02-12 | MRF ↗ |
| PALI MOMI MEDICAL CENTER Both | Hawaii Medicaid | Various IP Quest ABD/NonABD | $33,313.69 | — | — | 2026-02-12 | MRF ↗ |
| PALI MOMI MEDICAL CENTER Both | Hawaii Medical Service Association (HMSA) | Quest ABD | $33,313.69 | — | — | 2026-02-12 | MRF ↗ |
| UPMC HAMOT InpatientFacility | Fidelis | Child Health Plus/Family Health Plus/Medicaid | $35,318.33 | — | — | 2026-03-06 | MRF ↗ |
| SAINT CLARE'S HOSPITAL/ DENVILLE CAMPUS Inpatient | Non-Contracted Medicaid | Non-Contracted Medicaid - 90 Percent | $35,560.70 | — | — | 2025-08-07 | MRF ↗ |
| SAINT CLARE'S HOSPITAL/ DENVILLE CAMPUS Inpatient | Non-Contracted Medicaid | Non-Contracted Medicaid - 90 Percent | $35,560.70 | — | — | 2025-08-07 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR InpatientFacility | Fidelis Care | Managed Medicaid | $36,294.37 | — | — | 2026-02-19 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR InpatientFacility | Capital District Physicians' Health Plan | Managed Medicaid | $36,294.37 | — | — | 2026-02-19 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR InpatientFacility | Excellus BlueCross BlueShield | Managed Medicaid/Essential Plans | $36,294.37 | — | — | 2026-02-19 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR InpatientFacility | United Healthcare | Managed Medicaid/Essential Plans | $36,294.37 | — | — | 2026-02-19 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR InpatientFacility | MVP | Managed Medicaid | $36,294.37 | — | — | 2026-02-19 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL Both | Hawaii Medical Service Association (HMSA) | Quest Non ABD | $36,858.52 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL Both | Hawaii Medicaid | Various IP Quest ABD/NonABD | $36,858.52 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL Both | Hawaii Medical Service Association (HMSA) | Quest ABD | $36,858.52 | — | — | 2026-02-12 | MRF ↗ |
| NYACK HOSPITAL Inpatient | Molina Healthcare of NY Affinity | Molina HC Aff CHP | $37,040.11 | — | $39,828.07 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Inpatient | MVP | Essential 3 & 4 | $37,379.69 | — | — | 2026-04-01 | 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.