319 — Other Endovascular Cardiac Valve Procedures With Mcc
Cite this view
HANK Price Transparency. (n.d.). OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC (MS_DRG 319) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/319?code_type=MS_DRG
“OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC (MS_DRG 319) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/319?code_type=MS_DRG. Accessed .
“OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC (MS_DRG 319) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/319?code_type=MS_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $34,769–$65,731 (25th–75th percentile) across 1,932 hospitals · 4,049 payers.
“Negotiated” is the hospital’s negotiated facility rate for this MS_DRG 319 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | Health Net of California, Inc. | Medicare Advantage | — | — | — | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | 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 | Humana Health Plan, Inc. | 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 ↗ |
| UPMC SOMERSET InpatientFacility | Aetna of PA | TPA/Carrier | $1.79 | — | — | 2026-03-06 | MRF ↗ |
| Jeanes Hospital Inpatient | TUH UHC VA CC Network OPTUM | TUH UHC VA CC Network OPTUM | $4.39 | $480,907.17 | $47,856.03 | 2025-01-01 | MRF ↗ |
| Hospital Of The Fox Chase Cancer Center Inpatient | TUH UHC VA CC Network OPTUM | TUH UHC VA CC Network OPTUM | $4.39 | $480,907.17 | $47,856.03 | 2025-01-01 | MRF ↗ |
| TEMPLE UNIVERSITY HOSPITAL Inpatient | TUH UHC VA CC Network OPTUM | TUH UHC VA CC Network OPTUM | $4.39 | $480,907.17 | $47,856.03 | 2025-01-01 | MRF ↗ |
| TEMPLE UNIVERSITY HOSPITAL Inpatient | TUH UHC VA CC Network OPTUM | TUH UHC VA CC Network OPTUM | $4.39 | $480,907.17 | $47,856.03 | 2025-01-01 | MRF ↗ |
| Temple University Hospital - Northeastern Campus Inpatient | TUH UHC VA CC Network OPTUM | TUH UHC VA CC Network OPTUM | $4.39 | $480,907.17 | $47,856.03 | 2025-01-01 | MRF ↗ |
| TEMPLE HEALTH - CHESTNUT HILL HOSPITAL Inpatient | TUH UHC VA CC Network OPTUM | TUH UHC VA CC Network OPTUM | $4.39 | $480,907.17 | $47,856.03 | 2025-01-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Inpatient | ALTERNATE HEALTHNET [1007] | HEALTH NET MEDICARE ADVANTAGE UC EMPLOYER GROUP | $4.46 | $496,794.70 | $273,237.09 | 2026-04-01 | MRF ↗ |
| PIEDMONT HOSPITAL, INC Inpatient | GEORGIA HEALTH ADVANTAGE [30143] | Georgia Health Medicare Advantage | $4.78 | $191,063.75 | $57,319.12 | 2026-04-01 | MRF ↗ |
| PIEDMONT HOSPITAL, INC Inpatient | CARESOURCE MEDICARE ADVANTAGE [30186] | Caresource Medicare Advantage | $4.78 | $191,063.75 | $57,319.12 | 2026-04-01 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MRMC | $6.83 | $89,867.50 | $44,933.75 | 2026-03-21 | MRF ↗ |
| METHODIST CHARLTON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MCMC | $6.83 | $89,867.50 | $44,933.75 | 2026-03-21 | MRF ↗ |
| METHODIST MIDLOTHIAN MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MLMC | $6.83 | $89,867.50 | $44,933.75 | 2026-03-21 | MRF ↗ |
| METHODIST DALLAS MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MDMC | $6.83 | $89,867.50 | $44,933.75 | 2026-03-20 | MRF ↗ |
| METHODIST MANSFIELD MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MMMC | $6.83 | $89,867.50 | $44,933.75 | 2026-03-21 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MSMC | $6.83 | $89,867.50 | $44,933.75 | 2026-03-23 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MRMC | $6.83 | $89,867.50 | $44,933.75 | 2026-03-21 | MRF ↗ |
| METHODIST CELINA MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MCEL | $6.83 | $89,867.50 | $44,933.75 | 2026-03-23 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MSMC | $6.83 | $89,867.50 | $44,933.75 | 2026-03-23 | MRF ↗ |
| Rehabilitation Institute Of Michigan Inpatient | United Healthcare | UnitedOptions | $7.80 | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Inpatient | United Healthcare | UnitedHealthcareHMO | $7.80 | — | — | 2025-01-31 | MRF ↗ |
| Harper University Hospital Inpatient | United Healthcare | UnitedExchange | $7.80 | — | — | 2025-01-31 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Inpatient | United Healthcare | UnitedOptions | $7.80 | — | — | 2024-12-08 | MRF ↗ |
| Harper University Hospital Inpatient | United Healthcare | UnitedNonOptions | $7.80 | — | — | 2025-01-31 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Inpatient | United Healthcare | UnitedOptions | $7.80 | — | — | 2024-12-08 | MRF ↗ |
| METROWEST MEDICAL CENTER Inpatient | United Healthcare | UnitedNonOptions | $7.80 | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Inpatient | United Healthcare | UnitedHealthcareNewBusiness | $7.80 | — | — | 2025-01-31 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Inpatient | United Healthcare | UnitedExchange | $7.80 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Inpatient | United Healthcare | UnitedNonOptions | $7.80 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Inpatient | United Healthcare | UnitedExchange | $7.80 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Inpatient | United Healthcare | UnitedExchange | $7.80 | — | — | 2024-12-08 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Inpatient | United Healthcare | UnitedExchange | $7.80 | — | — | 2025-01-31 | MRF ↗ |
| METROWEST MEDICAL CENTER Inpatient | United Healthcare | UnitedOptions | $7.80 | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Inpatient | United Healthcare | UnitedOptions | $7.80 | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Inpatient | United Healthcare | UnitedExchange | $7.80 | — | — | 2025-01-31 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Inpatient | United Healthcare | UnitedOptions | $7.80 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Inpatient | United Healthcare | UnitedNonOptions | $7.80 | — | — | 2024-12-08 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Inpatient | United Healthcare | UnitedOptions | $7.80 | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Inpatient | United Healthcare | UnitedChoicePlus | $7.80 | — | — | 2025-01-31 | MRF ↗ |
| Harper University Hospital Inpatient | United Healthcare | UnitedHealthcareNewBusiness | $7.80 | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Inpatient | United Healthcare | UnitedHealthcareNewBusiness | $7.80 | — | — | 2025-01-31 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Inpatient | United Healthcare | UnitedNonOptions | $7.80 | — | — | 2024-12-08 | MRF ↗ |
| Rehabilitation Institute Of Michigan Inpatient | United Healthcare | UnitedNonOptions | $7.80 | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Inpatient | United Healthcare | UnitedNonOptions | $7.80 | — | — | 2025-01-31 | MRF ↗ |
| Harper University Hospital Inpatient | United Healthcare | UnitedOptions | $7.80 | — | — | 2025-01-31 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Inpatient | Aetna | AetnaMgdMCare | $8.00 | — | — | 2024-12-08 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Inpatient | Aetna | AetnaMgdMCare | $8.00 | — | — | 2025-01-31 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Inpatient | Aetna | AetnaMgdMCare | $8.00 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Inpatient | Aetna | AetnaMgdMCare | $8.00 | — | — | 2024-12-08 | MRF ↗ |
| Rehabilitation Institute Of Michigan Inpatient | Aetna | AetnaMgdMCare | $8.00 | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Inpatient | Aetna | AetnaMgdMCare | $8.00 | — | — | 2025-01-31 | MRF ↗ |
| Harper University Hospital Inpatient | Aetna | AetnaMgdMCare | $8.00 | — | — | 2025-01-31 | MRF ↗ |
| METHODIST CHARLTON MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MCMC | $11.16 | $89,867.50 | $44,933.75 | 2026-03-21 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MSMC | $11.16 | $89,867.50 | $44,933.75 | 2026-03-23 | MRF ↗ |
| METHODIST MIDLOTHIAN MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MLMC | $11.16 | $89,867.50 | $44,933.75 | 2026-03-21 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MRMC | $11.16 | $89,867.50 | $44,933.75 | 2026-03-21 | MRF ↗ |
| METHODIST CELINA MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MCEL | $11.16 | $89,867.50 | $44,933.75 | 2026-03-23 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MSMC | $11.16 | $89,867.50 | $44,933.75 | 2026-03-23 | MRF ↗ |
| METHODIST DALLAS MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MDMC | $11.16 | $89,867.50 | $44,933.75 | 2026-03-20 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MRMC | $11.16 | $89,867.50 | $44,933.75 | 2026-03-21 | MRF ↗ |
| METHODIST MANSFIELD MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MMMC | $11.16 | $89,867.50 | $44,933.75 | 2026-03-21 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL InpatientFacility | PRIVATE HEALTHCARE SYSTEM | COMMERCIAL | — | — | — | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL InpatientFacility | AETNA HEALTH MANAGEMENT, LLC | COMMERCIAL | — | — | — | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL InpatientFacility | AETNA HEALTH MANAGEMENT, LLC | RI PREFERRED | — | — | — | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL InpatientFacility | HARVARD PILGRIM HEALTHCARE, INC. | COMMERCIAL | — | — | — | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL InpatientFacility | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | COMMERCIAL | — | — | — | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL InpatientFacility | MULTIPLAN, INC | COMMERCIAL | — | — | — | 2026-02-28 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Aetna | 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 | The Health Plan | 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 | Molina | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Devoted Health | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | 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 | Primetime Health Plan | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Anthem | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | United Healthcare | 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 | 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 ↗ |
| EAST LIVERPOOL CITY HOSPITAL Inpatient | Molina | Molina Medicaid | $58.20 | — | $44,550.00 | 2024-12-19 | MRF ↗ |
| EAST LIVERPOOL CITY HOSPITAL Inpatient | Traditional Medicaid | Traditional Medicaid | $58.20 | — | $44,550.00 | 2024-12-19 | MRF ↗ |
| EAST LIVERPOOL CITY HOSPITAL Inpatient | Non-Contracted Medicaid | Non-Contracted Medicaid | $58.20 | — | $44,550.00 | 2024-12-19 | MRF ↗ |
| EAST LIVERPOOL CITY HOSPITAL Inpatient | Buckeye Community Health Plan | Buckeye Community Health Plan Medicaid | $58.20 | — | $44,550.00 | 2024-12-19 | MRF ↗ |
| EAST LIVERPOOL CITY HOSPITAL Inpatient | Care Source | Care source Medicaid | $59.36 | — | $44,550.00 | 2024-12-19 | MRF ↗ |
| EAST LIVERPOOL CITY HOSPITAL Inpatient | Anthem Blue Cross | Anthem BCBS Medicaid | $59.95 | — | $44,550.00 | 2024-12-19 | MRF ↗ |
| EAST LIVERPOOL CITY HOSPITAL Inpatient | Paramount | Paramount Medicaid | $59.95 | — | $44,550.00 | 2024-12-19 | MRF ↗ |
| EAST LIVERPOOL CITY HOSPITAL Inpatient | Choice Care Humana | Choice Care Humana Medicaid | $60.53 | — | $44,550.00 | 2024-12-19 | MRF ↗ |
| EAST LIVERPOOL CITY HOSPITAL Inpatient | UHC | UHC Medicaid | $61.11 | — | $44,550.00 | 2024-12-19 | MRF ↗ |
| EAST LIVERPOOL CITY HOSPITAL Inpatient | Amerihealth Caritas | Amerihealth Caritas Medicaid | $61.11 | — | $44,550.00 | 2024-12-19 | MRF ↗ |
| UNITED HEALTH SERVICES HOSPITALS, INC InpatientFacility | Wellcare | Wellcare Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Aetna CVSHealth QHP | Commercial | $90.19 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | CareSource | Marketplace | $91.21 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Ambetter | Commercial | $91.21 | — | — | 2025-05-16 | MRF ↗ |
| MERCY GENERAL HOSPITAL Inpatient | Kaiser | Medicare|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| Yavapai Regional Medical Center - East Inpatient | BCBS - AZ | Commercial|All Plans | $180.00 | — | — | 2026-02-28 | MRF ↗ |
| Yavapai Regional Medical Center - East Inpatient | BCBS - AZ | Commercial|All Plans | $180.00 | — | — | 2026-02-28 | MRF ↗ |
| RIVERVIEW REGIONAL MEDICAL CENTER Inpatient | BCBS | BCBS AL Commercial | $207.65 | — | $35,415.00 | 2024-12-19 | MRF ↗ |
| RIVERVIEW REGIONAL MEDICAL CENTER Inpatient | BCBS | BCBS AL Commercial | $207.65 | — | $35,415.00 | 2024-12-19 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | Texas Athletic Network | Premier | $250.00 | — | — | 2026-03-01 | MRF ↗ |
| WILLAPA HARBOR HOSPITAL InpatientFacility | None | — | — | — | — | 2026-02-24 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Health Coalition Incorporated | Health Coalition Incorporated | — | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Claritev | Multiplan Complementary Network | — | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | First Health | First Health PPO | — | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Cigna | Cigna Commercial All Other | — | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Intergroup | Intergroup | — | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Claritev | PHCS Primary Network | — | — | — | 2026-04-14 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | HEALTH SAFETY NET [500011] | HB XR HSN ER BAD DEBT MWF | $530.75 | $162,635.36 | $113,844.75 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | HEALTH SAFETY NET [500011] | HB XR HSN ER BAD DEBT MWF | $530.75 | $162,635.36 | $113,844.75 | 2026-04-01 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Claritev | Multiplan Complementary Network | — | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | First Health | First Health PPO | — | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Claritev | PHCS Primary Network | — | — | — | 2026-04-14 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | Texas Athletic Network | PremierPlus | $750.00 | — | — | 2026-03-01 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO Inpatient | Blue Cross Blue Shield Of Texas | BCBSMedicareAdvHMO | — | — | — | 2025-01-31 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO Inpatient | Aetna | AetnaDFW | — | — | — | 2025-01-31 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO Inpatient | Commercial-Non Contracted | CommercialNonContracted | — | — | — | 2025-01-31 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO Inpatient | Baylor Scott and White | BSWIndSmGrpPreferredPremier | — | — | — | 2025-01-31 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO Inpatient | United Healthcare | UHCMedicareADV | — | — | — | 2025-01-31 | MRF ↗ |
| Mercy Hospital, Inc InpatientFacility | United Healthcare | Exchange | — | — | — | 2026-03-06 | MRF ↗ |
| Mercy Hospital, Inc InpatientFacility | United Healthcare | Commercial | — | — | — | 2026-03-06 | MRF ↗ |
| Mercy Hospital, Inc InpatientFacility | United Healthcare | Exchange | — | — | — | 2026-03-06 | MRF ↗ |
| Mercy Hospital, Inc InpatientFacility | United Healthcare | Commercial | — | — | — | 2026-03-06 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | BCBS MEDICAID REPLACEMENT [350011] | HB Bluecare Adult Contract | $1,215.00 | $128,260.36 | $28,217.28 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Inpatient | BCBS MEDICAID REPLACEMENT [350011] | HB MEDICAID TN - BCBS TennCare Select - MUH-MNH-MSH-MGH-MHM | $1,267.00 | $128,260.36 | $28,217.28 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Inpatient | TRANSPLANT BCBS TENNCARE SELECT [350032] | HB MEDICAID TN - BCBS TennCare Select - MUH-MNH-MSH-MGH-MHM | $1,267.00 | $128,260.36 | $28,217.28 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Inpatient | BCBS MEDICAID REPLACEMENT [350011] | HB MEDICAID TN - BCBS TennCare Select - MUH-MNH-MSH-MGH-MHM | $1,267.00 | $128,260.36 | $28,217.28 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Inpatient | TRANSPLANT BCBS TENNCARE SELECT [350032] | HB MEDICAID TN - BCBS TennCare Select - MUH-MNH-MSH-MGH-MHM | $1,267.00 | $128,260.36 | $28,217.28 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Inpatient | TRANSPLANT BCBS TENNCARE SELECT [350032] | HB MEDICAID TN - BCBS TennCare Select - MUH-MNH-MSH-MGH-MHM | $1,267.00 | $128,260.36 | $28,217.28 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Inpatient | BCBS MEDICAID REPLACEMENT [350011] | HB MEDICAID TN - BCBS TennCare Select - MUH-MNH-MSH-MGH-MHM | $1,267.00 | $128,260.36 | $28,217.28 | 2026-03-19 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | BCBS MEDICAID REPLACEMENT [350011] | HB MEDICAID TN - BCBS TennCare Select - MUH-MNH-MSH-MGH-MHM | $1,267.00 | $128,260.36 | $28,217.28 | 2026-03-19 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | TRANSPLANT BCBS TENNCARE SELECT [350032] | HB MEDICAID TN - BCBS TennCare Select - MUH-MNH-MSH-MGH-MHM | $1,267.00 | $128,260.36 | $28,217.28 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Inpatient | BCBS MEDICAID REPLACEMENT [350011] | HB BLUECARE TN - LeBonheur | $1,351.00 | $128,260.36 | $28,217.28 | 2026-03-19 | MRF ↗ |
| TRANSYLVANIA REGIONAL HOSPITAL, INC Inpatient | CarePartners Hospice | MCR | $1,527.20 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | Multiplan | PRIMARYPPO | $1,540.00 | — | — | 2026-03-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Inpatient | Crescent Health Solutions | CommunityCarePartnersSmallGroup | — | — | — | 2024-10-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Inpatient | Crescent Health Solutions | AppalachianBenefitAssociates | — | — | — | 2024-10-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Inpatient | Crescent Health Solutions | WNCHealthCoalition | — | — | — | 2024-10-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Inpatient | Crescent Health Solutions | CommunityCarePartnersLargeGroup | — | — | — | 2024-10-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Inpatient | Multiplan | COMM | — | — | — | 2024-10-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Inpatient | United | AllPayerAppendix | — | — | — | 2024-10-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Inpatient | United | NarrowNetworkIndivExchange | — | — | — | 2024-10-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Inpatient | Cigna | COMM | — | — | — | 2024-10-01 | MRF ↗ |
| HIGHLANDS CASHIERS HOSPITAL Inpatient | Aetna | MCR | $1,592.00 | — | — | 2026-03-01 | MRF ↗ |
| HIGHLANDS CASHIERS HOSPITAL Inpatient | Apex Health | MCR | $1,592.00 | — | — | 2026-03-01 | MRF ↗ |
| HIGHLANDS CASHIERS HOSPITAL Inpatient | Alignment Health | MCR | $1,623.84 | — | — | 2026-03-01 | MRF ↗ |
| HIGHLANDS CASHIERS HOSPITAL Inpatient | Devoted Health | MCR | $1,623.84 | — | — | 2026-03-01 | MRF ↗ |
| EMORY UNIVERSITY HOSPITAL MIDTOWN InpatientFacility | Sonder Health Plans | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| HIGHLANDS CASHIERS HOSPITAL Inpatient | Cigna Healthspring | MCR | $1,639.76 | — | — | 2026-03-01 | MRF ↗ |
| HIGHLANDS CASHIERS HOSPITAL Inpatient | Humana | StateEmployees | $1,639.76 | — | — | 2026-03-01 | MRF ↗ |
| HIGHLANDS CASHIERS HOSPITAL Inpatient | Wellcare | MCR | $1,639.76 | — | — | 2026-03-01 | MRF ↗ |
| HIGHLANDS CASHIERS HOSPITAL Inpatient | NHC Advantage | MCR | $1,655.68 | — | — | 2026-03-01 | MRF ↗ |
| HIGHLANDS CASHIERS HOSPITAL Inpatient | Humana | MCR | $1,655.68 | — | — | 2026-03-01 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER InpatientFacility | UBH | Medicare Advantage | $1,657.21 | — | — | 2025-08-06 | MRF ↗ |
| HIGHLANDS CASHIERS HOSPITAL Inpatient | Provider Partners Health Plan | MCR | $1,671.60 | — | — | 2026-03-01 | MRF ↗ |
| HIGHLANDS CASHIERS HOSPITAL Inpatient | Troy Healthcare | MCR | $1,671.60 | — | — | 2026-03-01 | MRF ↗ |
| HIGHLANDS CASHIERS HOSPITAL Inpatient | Longevity Health Plan | MCR | $1,703.44 | — | — | 2026-03-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Inpatient | Multiplan | COMM | — | — | — | 2026-03-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Inpatient | United | AllPayerAppendix | — | — | — | 2026-03-01 | MRF ↗ |
| OVERLAND PARK REG MED CTR Inpatient | Home State Health Plan | MCD | $1,791.04 | — | — | 2025-01-01 | MRF ↗ |
| HIGHLANDS CASHIERS HOSPITAL Inpatient | AmeriHealth Caritas | MGMCR | $1,814.88 | — | — | 2026-03-01 | MRF ↗ |
| KALEIDA HEALTH InpatientFacility | Bcbs | Healthnow Ppo/Traditional | — | — | — | 2026-04-01 | MRF ↗ |
| BLYTHEDALE CHILDREN'S HOSPITAL InpatientFacility | Bcbs | Healthnow Ppo/Traditional | — | — | — | 2026-04-01 | MRF ↗ |
| HIGHLANDS CASHIERS HOSPITAL Inpatient | Aetna | MCR | $1,829.43 | — | — | 2024-10-01 | MRF ↗ |
| HIGHLANDS CASHIERS HOSPITAL Inpatient | Apex Health | MCR | $1,829.43 | — | — | 2024-10-01 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Inpatient | BCBS MEDICAID REPLACEMENT [350011] | HB XR TNCARE SELECT LEBONHEUR CHILDRENS | $1,834.00 | $128,260.36 | $28,217.28 | 2026-03-19 | MRF ↗ |
| BLUE RIDGE REGIONAL HOSPITAL Inpatient | Aetna | MCR | $1,860.00 | — | — | 2026-03-01 | MRF ↗ |
| BLUE RIDGE REGIONAL HOSPITAL Inpatient | Apex Health | MCR | $1,860.00 | — | — | 2026-03-01 | MRF ↗ |
| HIGHLANDS CASHIERS HOSPITAL Inpatient | Alignment Health | MCR | $1,866.02 | — | — | 2024-10-01 | MRF ↗ |
| HIGHLANDS CASHIERS HOSPITAL Inpatient | Devoted Health | MCR | $1,866.02 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA KENDALL HOSPITAL Inpatient | Sunshine State Health Plan | QHP | $1,870.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTH FLORIDA HOSPITAL Inpatient | Sunshine State Health Plan | QHP | $1,870.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MERCY HOSPITAL Inpatient | Sunshine State Health Plan | QHP | $1,870.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA UNIVERSITY HOSPITAL Inpatient | Sunshine State Health Plan | QHP | $1,870.00 | — | — | 2024-10-01 | MRF ↗ |
| UNIVERSITY HOSPITAL AND MEDICAL CENTER Inpatient | Sunshine State Health Plan | QHP | $1,870.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTHWEST HOSPITAL Inpatient | Sunshine State Health Plan | QHP | $1,870.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA PALMS WEST HOSPITAL Inpatient | Sunshine State Health Plan | QHP | $1,870.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA JFK HOSPITAL Inpatient | Sunshine State Health Plan | QHP | $1,870.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA AVENTURA HOSPITAL Inpatient | Sunshine State Health Plan | QHP | $1,870.00 | — | — | 2024-10-01 | MRF ↗ |
| WESTSIDE REGIONAL MEDICAL CENTER Inpatient | Sunshine State Health Plan | QHP | $1,870.00 | — | — | 2024-10-01 | MRF ↗ |
| HIGHLANDS CASHIERS HOSPITAL Inpatient | Cigna Healthspring | MCR | $1,884.31 | — | — | 2024-10-01 | MRF ↗ |
| HIGHLANDS CASHIERS HOSPITAL Inpatient | Wellcare | MCR | $1,884.31 | — | — | 2024-10-01 | MRF ↗ |
| HIGHLANDS CASHIERS HOSPITAL Inpatient | Humana | StateEmployees | $1,884.31 | — | — | 2024-10-01 | MRF ↗ |
| BLUE RIDGE REGIONAL HOSPITAL Inpatient | Devoted Health | MCR | $1,897.20 | — | — | 2026-03-01 | MRF ↗ |
| BLUE RIDGE REGIONAL HOSPITAL Inpatient | Alignment Health | MCR | $1,897.20 | — | — | 2026-03-01 | MRF ↗ |
| HIGHLANDS CASHIERS HOSPITAL Inpatient | Humana | MCR | $1,902.61 | — | — | 2024-10-01 | MRF ↗ |
| TRANSYLVANIA REGIONAL HOSPITAL, INC Inpatient | Apex Health | MCR | $1,909.00 | — | — | 2026-03-01 | MRF ↗ |
| TRANSYLVANIA REGIONAL HOSPITAL, INC Inpatient | Aetna | MCR | $1,909.00 | — | — | 2026-03-01 | MRF ↗ |
| BLUE RIDGE REGIONAL HOSPITAL Inpatient | Cigna Healthspring | MCR | $1,915.80 | — | — | 2026-03-01 | MRF ↗ |
| BLUE RIDGE REGIONAL HOSPITAL Inpatient | Wellcare | MCR | $1,915.80 | — | — | 2026-03-01 | MRF ↗ |
| BLUE RIDGE REGIONAL HOSPITAL Inpatient | Humana | StateEmployees | $1,915.80 | — | — | 2026-03-01 | MRF ↗ |
| ALEXIAN BROTHERS BEHAVIORAL HLTH HOSP Outpatient | UHC | 1711_UHC (AB,SA) 20240101 | $1,920.00 | — | — | 2026-01-01 | MRF ↗ |
| ST ALEXIUS MEDICAL CENTER Outpatient | UHC | 1711_UHC (AB,SA) 20240101 | $1,920.00 | — | — | 2026-01-01 | MRF ↗ |
| ST ALEXIUS MEDICAL CENTER Outpatient | UHC | 1711_UHC (AB,SA) 20240101 | $1,920.00 | — | — | 2026-01-01 | 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.