315 — Other Circulatory System Diagnoses With Cc
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC (MS_DRG 315) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/315?code_type=MS_DRG
MLA (9th ed.)
“OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC (MS_DRG 315) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/315?code_type=MS_DRG. Accessed .
Chicago (notes-bibliography)
“OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC (MS_DRG 315) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/315?code_type=MS_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $7,942–$15,453 (25th–75th percentile) across 2,908 hospitals · 4,490 payers.
“Negotiated” is the hospital’s negotiated rate for the entire inpatient stay under MS_DRG 315 — 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.
Also priced as a different code
The same procedure is billed under different code systems depending on the setting. These facilities price it under a code you won’t see in the MS_DRG 315 table above — including hospitals that only publish the bundled version.
2,700 facilities · 396 not in the MS_DRG table
- ABBEVILLE AREA MEDICAL CENTER, ABBEVILLE • only here
- ADENA FAYETTE MEDICAL CENTER, WASHINGTON CH • only here
- ADVENTIST HEALTH REEDLEY, REEDLEY • only here
- AKRON CHILDREN'S HOSPITAL, AKRON • only here
- ALTUS BAYTOWN HOSPITAL, BAYTOWN • only here
- AMERICAN FORK HOSPITAL, AMERICAN FORK • only here
Estimated complete episode
What the whole episode might cost
Your hospital facility price plus the separately-billed professional fees a complete episode adds. The facility figure is an actual negotiated rate from our data; the the surgeon's fee are estimated from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$7,942
$10,164 typical
$15,453
The middle 50% of negotiated facility rates for this procedure, measured across 2,908 hospitals. The the surgeon's fee are modeled estimates added on top.
What you’ll likely be billed
| Surgeon (professional fee) Estimate national typical Medicare $851 × 1.22 commercial. | $1,039 |
| Inpatient stay bundle (MS-DRG 315) Actual inpatient bundle The negotiated inpatient MS-DRG 315 price — one bundled charge for the whole admission (operating room, room & board, recovery, imaging, implants, supplies). The surgeon's and anesthesiologist's fees below are billed separately and are NOT part of this bundle. | $10,164 |
| Likely subtotal | $11,203 |
Surgical episode (typical)
~$11,203
Not included in this estimate:
- Rehab, physical therapy, and other post-acute care after discharge
- Complications, revisions, or readmissions
- Out-of-network provider choices you make yourself (the No Surprises Act only covers providers you can't choose)
The biggest swing: which insurer's rate applies — negotiated prices here run $7,942–$15,453.
How each figure is sourced
- Surgeon (professional fee) (estimate)
- rvu_version: RVU26A (updated 2025-12-29) · gpci: National (unadjusted, GPCI = 1.000) · cf_rule: CMS-1832-F ($33.40) · multiplier_source: HCCI 2017 national
- Inpatient stay bundle (MS-DRG 315) (actual)
- source: Hospital MRF (45 CFR 180) · published_form: MS-DRG 315
Estimates use CMS Medicare Physician Fee Schedule reference data (RVU × GPCI × conversion factor; anesthesia base+time × CF) scaled by a sourced commercial multiplier, weighted by how often each component is billed. See the methodology. Your real total appears on your insurer’s Explanation of Benefits (EOB).
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 |
|---|---|---|---|---|---|---|---|
| SAINT FRANCIS MEDICAL CENTER InpatientFacility | Blue Cross | Medicaid Managed Care Plan | — | — | — | 2026-03-31 | 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 ↗ |
| 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 ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 InpatientFacility | Unitedhealthcare | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 InpatientFacility | Cigna | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 InpatientFacility | Bcbs | Choice Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 InpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 InpatientFacility | Cigna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 InpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 InpatientFacility | Aetna | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT FRANCIS MEDICAL CENTER InpatientFacility | Bcbs | Anthem Healthy Blue Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| LOGAN HEALTH MEDICAL CENTER InpatientFacility | Triwest Healthcare Alliance | Traditional | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 InpatientFacility | Bcbs | Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| Presbyterian Healthcare Transplant InpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 InpatientFacility | Bcbs | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE WILLAMETTE FALLS MEDICAL CENTER InpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MADISON HEALTH InpatientFacility | Mount Carmel Health Plan | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MADISON HEALTH InpatientFacility | Mount Carmel Health Plan | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MADISON HEALTH InpatientFacility | Mount Carmel Health Plan | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| HOUSTON METHODIST WILLOWBROOK HOSPITAL InpatientFacility | Humana | Medicare Managed Care - Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 InpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC InpatientFacility | Sonder Health Plans | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC InpatientFacility | Sonder Health Plans | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC InpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC InpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 InpatientFacility | Bcbs | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| HOUSTON METHODIST THE WOODLANDS HOSPITAL InpatientFacility | Unitedhealthcare | Medicare Managed Care - Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| HOUSTON METHODIST THE WOODLANDS HOSPITAL InpatientFacility | Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| LEGACY SALMON CREEK MEDICAL CENTER InpatientFacility | Molina | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| LEGACY SALMON CREEK MEDICAL CENTER InpatientFacility | Molina | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| WELLSTAR SPALDING MEDICAL CENTER InpatientFacility | Bcbs | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Healthnet | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Healthnet | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| WILLIS KNIGHTON MEDICAL CENTER InpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE SANTA ROSA MEMORIAL HOSPITAL InpatientFacility | Blue Shield | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BELLEVUE HOSPITAL InpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BELLEVUE HOSPITAL InpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ARCHBOLD MEMORIAL HOSPITAL InpatientFacility | Bcbs | Anthem Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NEW YORK COMMUNITY HOSPITAL OF BROOKLYN, INC. InpatientFacility | United Healthcare | Medicare Advantage HMO | — | — | — | 2026-04-01 | MRF ↗ |
| EMORY DECATUR HOSPITAL InpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| EMORY DECATUR HOSPITAL InpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER InpatientFacility | Bcbs | Anthem Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NEW YORK COMMUNITY HOSPITAL OF BROOKLYN, INC. InpatientFacility | Anthem | Commercial PPO | — | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS InpatientFacility | Aetna | Gold Advantage Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| HOUSTON METHODIST CYPRESS HOSPITAL InpatientFacility | Humana | Medicare Managed Care - Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| WELLSTAR COBB MEDICAL CENTER InpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SALEM HOSPITAL InpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SALEM HOSPITAL InpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 InpatientFacility | Bcbs | Mmai Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BELLEVUE HOSPITAL InpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BELLEVUE HOSPITAL InpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| OVERLAKE HOSPITAL MEDICAL CENTER InpatientFacility | Unitedhealthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MUSC MEDICAL CENTER InpatientFacility | Molina | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| TAMPA GENERAL HOSPITAL CRYSTAL RIVER InpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ELMHURST MEMORIAL HOSPITAL InpatientFacility | Molina Healthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SWEDISH HOSPITAL InpatientFacility | Molina Healthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER InpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| WELLSTAR COBB MEDICAL CENTER InpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| WELLSTAR PAULDING MEDICAL CENTER InpatientFacility | Aetna | Hmo/Pos/Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 InpatientFacility | Countycare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT FRANCIS HOSPITAL, INC InpatientFacility | Community Care | Other Senior Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| EDWARD HOSPITAL InpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| THIBODAUX REGIONAL MEDICAL CENTER InpatientFacility | Medicare Replacement | Medicare Replacement | — | — | — | 2026-04-01 | MRF ↗ |
| THIBODAUX REGIONAL MEDICAL CENTER InpatientFacility | Medicare Replacement | Medicare Replacement | — | — | — | 2026-04-01 | MRF ↗ |
| WILLIS KNIGHTON MEDICAL CENTER InpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Skokie Hospital InpatientFacility | Meridian | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Endeavor Health Highland Park Hospital InpatientFacility | Meridian | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Endeavor Health Highland Park Hospital InpatientFacility | Meridian | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Endeavor Health Glenbrook Hospital InpatientFacility | Meridian | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL InpatientFacility | Meridian | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Endeavor Health Glenbrook Hospital InpatientFacility | Meridian | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| LEXINGTON MEDICAL CENTER InpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KETTERING HEALTH GREENE MEMORIAL InpatientFacility | Humana | Gold Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KETTERING HEALTH DAYTON InpatientFacility | Humana | Gold Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BROOKWOOD BAPTIST MEDICAL CENTER InpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Alliancehealth Seminole InpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SWEDISH HOSPITAL InpatientFacility | BCBS | PPO | — | — | — | 2026-04-01 | MRF ↗ |
| ELMHURST MEMORIAL HOSPITAL InpatientFacility | Bcbs | Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| ST FRANCIS HOSPITAL- EMORY HEALTHCARE InpatientFacility | UnitedHealthCare | Medicare Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL- EMORY HEALTHCARE InpatientFacility | UnitedHealthCare | Medicare Managed Care Plan | — | — | — | 2025-01-01 | MRF ↗ |
| ADVENTHEALTH SHAWNEE MISSION InpatientFacility | Unitedhealthcare | Medicare Managed Care - Hmo/Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| WEST CHESTER HOSPITAL InpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SHELBY BAPTIST MEDICAL CENTER InpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ORLANDO HEALTH ST CLOUD HOSPITAL InpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Integris Baptist Medical Center InpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 InpatientFacility | Meridian | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ORLANDO HEALTH SOUTH LAKE HOSPITAL InpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SHELBY BAPTIST MEDICAL CENTER InpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ORLANDO HEALTH SOUTH LAKE HOSPITAL InpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ORLANDO HEALTH-HEALTH CENTRAL HOSPITAL InpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| USA HEALTH HCA PROVIDENCE HOSPITAL, LLC InpatientFacility | Uhc Medicare Advantage | Uhc Peehip | — | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH PONCA CITY InpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Select Specialty Hospital-tucson Northwest Inpatient | Banner Plan Administrators - Bpa | Medicare Advantage Ppo | — | — | — | 2026-07-17 | MRF ↗ |
| Select Specialty Hospital-tucson Northwest Inpatient | Contigo Health | Workers Compensation Specialty Network | — | — | — | 2026-07-17 | MRF ↗ |
| Select Specialty Hospital-tucson Northwest Inpatient | Windsor Health Plan | Medicare Advantage Pos | — | — | — | 2026-07-17 | MRF ↗ |
| Select Specialty Hospital-tucson Northwest Inpatient | Alignment Health Plan | Medicare Advantage Hmo | — | — | — | 2026-07-17 | MRF ↗ |
| Select Specialty Hospital-tucson Northwest Inpatient | Banner Plan Administrators - Bpa | Medicare Advantage Hmo | — | — | — | 2026-07-17 | MRF ↗ |
| Select Specialty Hospital-tucson Northwest Inpatient | Windsor Health Plan | Medicare Advantage Hmo | — | — | — | 2026-07-17 | MRF ↗ |
| Select Specialty Hospital-tucson Northwest Inpatient | Windsor Health Plan | Medicare Advantage Ppo | — | — | — | 2026-07-17 | MRF ↗ |
| Select Specialty Hospital-tucson Northwest Inpatient | Gold Kidney Health Plans | Medicare Advantage Hmo | — | — | — | 2026-07-17 | MRF ↗ |
| Select Specialty Hospital-tucson Northwest Inpatient | Gold Kidney Health Plans | Medicare Advantage Pos | — | — | — | 2026-07-17 | MRF ↗ |
| Select Specialty Hospital-tucson Northwest Inpatient | Alignment Health Plan | Medicare Advantage Ppo | — | — | — | 2026-07-17 | MRF ↗ |
| Select Specialty Hospital-tucson Northwest Inpatient | Humana | Medicare Advantage Ppo | — | — | — | 2026-07-17 | MRF ↗ |
| Select Specialty Hospital-tucson Northwest Inpatient | Humana | Medicare Advantage Hmo | — | — | — | 2026-07-17 | MRF ↗ |
| Select Specialty Hospital-tucson Northwest Inpatient | United Healthcare | Medicare Advantage | — | — | — | 2026-07-17 | MRF ↗ |
| Select Specialty Hospital-tucson Northwest Inpatient | Healthnet Federal Services-Tricare | Veterans / Military | — | — | — | 2026-07-17 | MRF ↗ |
| Select Specialty Hospital-tucson Northwest Inpatient | Medincrease Health Plan | Workers Compensation Specialty Network | — | — | — | 2026-07-17 | MRF ↗ |
| Select Specialty Hospital-tucson Northwest Inpatient | Usa Mco | Medicare Advantage | — | — | — | 2026-07-17 | MRF ↗ |
| Select Specialty Hospital-tucson Northwest Inpatient | Banner Plan Administrators - Bpa | Medicare Advantage Dual-Eligible | — | — | — | 2026-07-17 | MRF ↗ |
| Select Specialty Hospital-tucson Northwest Inpatient | Arizona Priority Care | Medicare Advantage | — | — | — | 2026-07-17 | MRF ↗ |
| Select Specialty Hospital-tucson Northwest Inpatient | Gold Kidney Health Plans | Medicare Advantage Dual-Eligible | — | — | — | 2026-07-17 | MRF ↗ |
| Select Specialty Hospital-tucson Northwest Inpatient | Gold Kidney Health Plans | Medicare Advantage Ppo | — | — | — | 2026-07-17 | MRF ↗ |
| Select Specialty Hospital-tucson Northwest Inpatient | Fedmed | Workers Compensation Specialty Network | — | — | — | 2026-07-17 | MRF ↗ |
| Select Specialty Hospital-tucson Northwest Inpatient | Contigo Health | Motor Vehicle Specialty Network | — | — | — | 2026-07-17 | MRF ↗ |
| Select Specialty Hospital-tucson Northwest Inpatient | Carelon | Medicare Advantage Hmo | — | — | — | 2026-07-17 | MRF ↗ |
| Select Specialty Hospital-tucson Northwest Inpatient | Wellpath | Prison / Correctional | — | — | — | 2026-07-17 | MRF ↗ |
| Select Specialty Hospital-tucson Northwest Inpatient | Carelon | Medicare Advantage Pos | — | — | — | 2026-07-17 | MRF ↗ |
| Select Specialty Hospital-tucson Northwest Inpatient | Employers Choice Network | Workers Compensation | — | — | — | 2026-07-17 | MRF ↗ |
| Select Specialty Hospital-tucson Northwest Inpatient | Uhc-United Healthcare Community | Managed Medicaid Dual-Eligible | — | — | — | 2026-07-17 | MRF ↗ |
| Select Specialty Hospital-tucson Northwest Inpatient | Triwest-Ccn | Veterans / Military | — | — | — | 2026-07-17 | MRF ↗ |
| Select Specialty Hospital-tucson Northwest Inpatient | Providers Networks Of America | Commercial Specialty Network | — | — | — | 2026-07-17 | MRF ↗ |
| Select Specialty Hospital-tucson Northwest Inpatient | Carelon | Medicare Advantage Ppo | — | — | — | 2026-07-17 | MRF ↗ |
| Select Specialty Hospital-tucson Northwest Inpatient | Mercy Care Plan | Medicare Advantage | — | — | — | 2026-07-17 | MRF ↗ |
| Select Specialty Hospital-tucson Northwest Inpatient | Health Choice | Medicare Advantage Dual-Eligible | — | — | — | 2026-07-17 | MRF ↗ |
| Select Specialty Hospital-tucson Northwest Inpatient | Prime Health Services | Medicare Advantage Specialty Network | — | — | — | 2026-07-17 | MRF ↗ |
| SALEM HOSPITAL InpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SALEM HOSPITAL InpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE REGIONAL MEDICAL CENTER EVERETT InpatientFacility | Aetna | Gatekeeper Medicare Managed Care - Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE REGIONAL MEDICAL CENTER EVERETT InpatientFacility | Aetna | Gatekeeper Medicare Managed Care - Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE REGIONAL MEDICAL CENTER EVERETT InpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE REGIONAL MEDICAL CENTER EVERETT InpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SPARTANBURG MEDICAL CENTER InpatientFacility | Devoted Health Plan | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER InpatientFacility | United Community Plan | Medicare Advantage HMO | — | — | — | 2026-04-01 | MRF ↗ |
| WELLSTAR DOUGLAS MEDICAL CENTER InpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS InpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| EDWARD HOSPITAL InpatientFacility | Molina Healthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MUSC MEDICAL CENTER InpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| WILLAPA HARBOR HOSPITAL Inpatient | Community Health Network | Government Plans | — | — | — | 2026-07-15 | MRF ↗ |
| WILLAPA HARBOR HOSPITAL Inpatient | Molina | Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| WILLAPA HARBOR HOSPITAL Inpatient | Coordinated Care Of Washington | Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| WILLAPA HARBOR HOSPITAL Inpatient | United Healthcare | Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| WILLAPA HARBOR HOSPITAL Inpatient | United Healthcare | Medicare Advantage | — | — | — | 2026-07-15 | MRF ↗ |
| EDWARD HOSPITAL InpatientFacility | Bcbs | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| EMORY UNIVERSITY HOSPITAL MIDTOWN InpatientFacility | Sonder Health Plans | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA BUTLER HOSPITAL InpatientFacility | HUMANA | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA BUTLER HOSPITAL InpatientFacility | BCBS | Anthem Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA NORTH InpatientFacility | HUMANA | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA NORTH InpatientFacility | BCBS | Anthem Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NAPLES COMMUNITY HOSPITAL InpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-07-01 | MRF ↗ |
| NAPLES COMMUNITY HOSPITAL InpatientFacility | Wellmed | Medicare Managed Care Plan | — | — | — | 2026-07-01 | MRF ↗ |
| NAPLES COMMUNITY HOSPITAL InpatientFacility | Blue Cross | Medicare Managed Care Plan | — | — | — | 2026-07-01 | MRF ↗ |
| NAPLES COMMUNITY HOSPITAL InpatientFacility | United Healthcare | Medicare Managed Care Plan | — | — | — | 2026-07-01 | MRF ↗ |
| SSM HEALTH ST ANTHONY HOSPITAL - MIDWEST InpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| WELLSTAR DOUGLAS MEDICAL CENTER InpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NAPLES COMMUNITY HOSPITAL InpatientFacility | Cigna | Medicare Managed Care Plan | — | — | — | 2026-07-01 | MRF ↗ |
| Orlando Health Dr. P. Phillips Hospital InpatientFacility | Humana | Gold Plus Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| JPS HEALTH NETWORK InpatientFacility | Wellcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| WELLSTAR WEST GEORGIA MEDICAL CENTER InpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HOSPITAL WEST InpatientFacility | UnitedHealthCare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| LEXINGTON MEDICAL CENTER InpatientFacility | Prime Healthcare | First Choice Vip Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MIAMI VALLEY HOSPITAL InpatientFacility | Medicare Hmo | Buckeye Medicare Advantage | — | — | — | 2026-04-01 | MRF ↗ |
| BEAUMONT HOSPITAL - DEARBORN InpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST PETER HOSPITAL InpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| EDWARD HOSPITAL InpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST VINCENT MEDICAL CENTER InpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PHOEBE PUTNEY MEMORIAL HOSPITAL InpatientFacility | Clover | Medicare Managed Care Plan | — | — | — | 2026-04-01 | — |
| PROVIDENCE PORTLAND MEDICAL CENTER InpatientFacility | Providence Health Plan | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MUSC HEALTH LANCASTER MEDICAL CENTER InpatientFacility | Absolute Total Care | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| CLAY COUNTY MEDICAL CORPORATION InpatientFacility | Bcbs | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| LINCOLN COUNTY MEDICAL CENTER InpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NAPLES COMMUNITY HOSPITAL InpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-07-01 | MRF ↗ |
| MIAMI VALLEY HOSPITAL InpatientFacility | Medicare Hmo | Caresource Medicare Mycare | — | — | — | 2026-04-01 | MRF ↗ |
| MIAMI VALLEY HOSPITAL InpatientFacility | Medicare Hmo | Uhc Medicare- Optum | — | — | — | 2026-04-01 | MRF ↗ |
| MIAMI VALLEY HOSPITAL InpatientFacility | Medicare Hmo | Uhc Medicare | — | — | — | 2026-04-01 | MRF ↗ |
| MIAMI VALLEY HOSPITAL InpatientFacility | Medicare Hmo | Anthem Medicare | — | — | — | 2026-04-01 | MRF ↗ |
| PRINCETON BAPTIST MEDICAL CENTER InpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 InpatientFacility | Aetna | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| JPS HEALTH NETWORK InpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT FRANCIS HOSPITAL SOUTH, LLC InpatientFacility | Aetna | Better Health Medicaid Managed Care | — | — | — | 2026-04-01 | MRF ↗ |
| KETTERING HEALTH MAIN CAMPUS InpatientFacility | Unitedhealthcare | Complete Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ORLANDO HEALTH BAYFRONT HOSPITAL InpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI SOUTH NASSAU InpatientFacility | Fidelis | Fidelis Medicaid / Chp / Harp - Snch | — | — | — | 2026-04-01 | MRF ↗ |
| Orlando Health Dr. P. Phillips Hospital InpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| TANNER MEDICAL CENTER - CARROLLTON Inpatient | Amerigroup | Medicaid Cmo | — | — | — | 2026-07-15 | MRF ↗ |
| TANNER MEDICAL CENTER - CARROLLTON Inpatient | Peachstate | Medicaid Cmo | — | — | — | 2026-07-15 | MRF ↗ |
| TANNER MEDICAL CENTER - CARROLLTON Inpatient | Humana Government | Tricare Prime | — | — | — | 2026-07-15 | MRF ↗ |
| TANNER MEDICAL CENTER - CARROLLTON Inpatient | Caresource | Medicaid Cmo | — | — | — | 2026-07-15 | MRF ↗ |
| HOUSTON METHODIST WEST HOSPITAL InpatientFacility | Humana | Medicare Managed Care - Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| Select Specialty Hospital-tricities Inpatient | Medincrease Health Plan | Workers Compensation Specialty Network | — | — | — | 2026-07-15 | MRF ↗ |
| Select Specialty Hospital-tricities Inpatient | Zing Health | Medicare Advantage Pos | — | — | — | 2026-07-15 | MRF ↗ |
| Select Specialty Hospital-tricities Inpatient | Fedmed | Workers Compensation Specialty Network | — | — | — | 2026-07-15 | MRF ↗ |
| Select Specialty Hospital-tricities Inpatient | Contigo Health | Workers Compensation Specialty Network | — | — | — | 2026-07-15 | MRF ↗ |
| Baptist Memorial Restorative Care Hospital Inpatient | Windsor Health Plan | Medicare Advantage Pos | — | — | — | 2026-07-15 | MRF ↗ |
| Select Specialty Hospital-tricities Inpatient | Cigna-Healthspring | Medicare Advantage | — | — | — | 2026-07-15 | MRF ↗ |
| Baptist Memorial Restorative Care Hospital Inpatient | Windsor Health Plan | Medicare Advantage Ppo | — | — | — | 2026-07-15 | MRF ↗ |
| Select Specialty Hospital-tricities Inpatient | Zing Health | Medicare Advantage Hmo | — | — | — | 2026-07-15 | MRF ↗ |
| Select Specialty Hospital-north Knoxville Inpatient | Contigo Health | Motor Vehicle Specialty Network | — | — | — | 2026-07-15 | 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.