413 — Cholecystectomy With C.d.e. Without Cc/mcc
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC (MS_DRG 413) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/413?code_type=MS_DRG
MLA (9th ed.)
“CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC (MS_DRG 413) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/413?code_type=MS_DRG. Accessed .
Chicago (notes-bibliography)
“CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC (MS_DRG 413) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/413?code_type=MS_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $13,534–$25,363 (25th–75th percentile) across 1,918 hospitals · 3,304 payers.
“Negotiated” is the hospital’s negotiated rate for the entire inpatient stay under MS_DRG 413 — 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 413 table above — including hospitals that only publish the bundled version.
1,653 facilities · 387 not in the MS_DRG table
- ADAIR COUNTY MEMORIAL HOSPITAL, GREENFIELD • only here
- ADAMS MEMORIAL HOSPITAL, DECATUR • only here
- ADIRONDACK MEDICAL CENTER - SARANAC LAKE, SARANAC LAKE • only here
- ADVENTIST HEALTH HANFORD, HANFORD • only here
- ADVENTIST HEALTH HOWARD MEMORIAL, WILLITS • only here
- ADVENTIST HEALTH REEDLEY, REEDLEY • 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 surgeon and anesthesia fees are estimated from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$13,534
$16,910 typical
$25,363
The middle 50% of negotiated facility rates for this procedure, measured across 1,918 hospitals. The surgeon and anesthesia fees are modeled estimates added on top.
What you’ll likely be billed
| Surgeon (professional fee) Estimate national typical Medicare $1,010 × 1.22 commercial. | $1,233 |
| Anesthesia Estimate national typical Generic anesthesia (~90 min typical, median CMS base units). Medicare $225 × 3.14 commercial. Approximate — no procedure-specific anesthesia mapping for this code. | $708 |
| Inpatient stay bundle (MS-DRG 413) Actual inpatient bundle The negotiated inpatient MS-DRG 413 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. | $16,910 |
| Likely subtotal | $18,851 |
Surgical episode (typical)
~$18,851
Not included in this estimate:
- Rehab, physical therapy, and other post-acute care after discharge (see the recovery plan below)
- 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 $13,534–$25,363.
Your recovery plan — adjust to what your doctor told you
After your procedure, recovery care is billed separately. We pre-fill the typical plan; change it to your situation.
Recovery cost modeled
~$3,785
With your recovery plan (typical)
~$22,636
- The anesthesia component is a generic, approximate estimate — no procedure-specific anesthesia mapping exists for this code, so a typical anesthesia for this procedure type is shown.
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
- Anesthesia (estimate)
- base_units_version: CY2022 file (base units unchanged for CY2026 per CMS) · anesthesia_cf: $20.49754 (National) · cf_rule: CMS-1832-F · multiplier_source: AJMC/Duffy 2016-2017 (PMID 34156223) national · basis: generic surgical anesthesia — 5 base units (typical CMS value) × ~90 min; approximate, NOT a procedure-specific crosswalk
- Inpatient stay bundle (MS-DRG 413) (actual)
- source: Hospital MRF (45 CFR 180) · published_form: MS-DRG 413
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 |
|---|---|---|---|---|---|---|---|
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | Humana Health Plan, 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 | California Physicians' Service dba Blue Shield of California | 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 | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | — | — | 2025-11-26 | MRF ↗ |
| WILLAPA HARBOR HOSPITAL InpatientFacility | — | — | — | — | — | 2026-02-24 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO Inpatient | Baylor Scott and White | BSWMedicareAdvSENIORCARE | — | — | — | 2025-01-31 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO Inpatient | American Health Advantage of TX | AmericanHealthAdvantageofTX | — | — | — | 2025-01-31 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO Inpatient | United Healthcare | UHCMedicareADV | — | — | — | 2025-01-31 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | FALLON HEALTH CONNECTORCARE [100260] | FALLON CONNECTORCARE [10026001] | — | $14,468.03 | $10,127.62 | 2025-01-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | HEALTH NEW ENGLAND CONNECTORCARE [100261] | HEALTH NEW ENGLAND QHP/METALLIC LEVEL [10026102] | — | $14,468.03 | $10,127.62 | 2025-01-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | MASS GENERAL BRIGHAM HEALTH PLAN CONNECTORCARE [10 | MASS GENERAL BRIGHAM CONNECTORCARE [10025502] | — | $14,468.03 | $10,127.62 | 2025-01-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | HEALTH NEW ENGLAND CONNECTORCARE [100261] | HEALTH NEW ENGLAND CONNECTORCARE [10026101] | — | $14,468.03 | $10,127.62 | 2025-01-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | UNITED HEALTHCARE [100060] | HB XR UHC LGH | — | $35,255.75 | $24,679.03 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | MASS GENERAL BRIGHAM HEALTH PLAN CONNECTORCARE [10 | MASS GENERAL BRIGHAM SELECT HMO [10025503] | — | $14,468.03 | $10,127.62 | 2025-01-01 | MRF ↗ |
| COX MONETT HOSPITAL InpatientFacility | — | — | — | — | — | 2026-04-24 | MRF ↗ |
| COX MEDICAL CENTERS InpatientFacility | — | — | — | — | — | 2026-04-24 | MRF ↗ |
| FRANKLIN WOODS COMMUNITY HOSPITAL Inpatient | BLUE CROSS | BLUE CROSS P NETWORK | — | — | — | 2026-03-23 | MRF ↗ |
| HENRY MAYO NEWHALL HOSPITAL InpatientFacility | — | — | — | — | — | 2026-03-06 | MRF ↗ |
| JAY HOSPITAL InpatientFacility | WELLCARE | MCARE HMO DUAL PLAN | $2,876.13 | — | — | 2025-12-23 | MRF ↗ |
| JAY HOSPITAL InpatientFacility | WELLCARE | MCARE HMO | $2,876.13 | — | — | 2025-12-23 | MRF ↗ |
| MISSION REGIONAL MEDICAL CENTER Inpatient | BCBS | BCBS HMO | $2,900.10 | — | $17,967.00 | 2024-12-19 | MRF ↗ |
| BROWARD HEALTH MEDICAL CENTER InpatientFacility | Avmed | JHS Select/Select HMO | $2,934.10 | — | — | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH CORAL SPRINGS InpatientFacility | Avmed | JHS Select/Select HMO | $2,934.10 | — | — | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH IMPERIAL POINT InpatientFacility | Avmed | JHS Select/Select HMO | $2,934.10 | — | — | 2026-04-17 | MRF ↗ |
| BROWARD HEALTH NORTH InpatientFacility | Avmed | JHS Select/Select HMO | $2,934.10 | — | — | 2026-04-17 | MRF ↗ |
| North Florida Regional Medical Center Starke Campu Inpatient | AvMed | HMOFI | $2,968.00 | — | — | 2026-03-01 | MRF ↗ |
| Lake City Medical Center Suwannee Campus Inpatient | AvMed | HMOFI | $2,968.00 | — | — | 2026-03-01 | MRF ↗ |
| OVIEDO MEDICAL CENTER Inpatient | AvMed | HMOFI | $2,968.00 | — | — | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE PRESBYTERIAN ST LUKES Inpatient | Kaiser | KPIF | $3,000.00 | — | — | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE PRESBYTERIAN ST LUKES Inpatient | Kaiser | CommercialSmallGroupPlans | $3,000.00 | — | — | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE PRESBYTERIAN ST LUKES Inpatient | Kaiser | KPSelect | $3,000.00 | — | — | 2026-03-01 | MRF ↗ |
| CUYUNA REGIONAL MEDICAL CENTER Inpatient | Medicare B MN J6 | Default | — | $49,111.00 | $16,697.74 | 2025-02-24 | MRF ↗ |
| CENTRAL FLORIDA LAKE MONROE HOSPITAL Inpatient | AvMed | ASOEO | $3,088.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA TWIN CITIES HOSPITAL Inpatient | AvMed | ASOEO | $3,088.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA OSCEOLA HOSPITAL Inpatient | AvMed | ASOEO | $3,088.00 | — | — | 2024-10-01 | MRF ↗ |
| UCF LAKE NONA HOSPITAL Inpatient | AvMed | ASOEO | $3,088.00 | — | — | 2024-10-01 | MRF ↗ |
| OVIEDO MEDICAL CENTER Inpatient | AvMed | ASOEO | $3,088.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA LAKE CITY HOSPITAL Inpatient | AvMed | ASOEO | $3,088.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA PUTNAM HOSPITAL Inpatient | AvMed | ASOEO | $3,088.00 | — | — | 2024-10-01 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Inpatient | AvMed | ASOEO | $3,088.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA POINCIANA HOSPITAL Inpatient | AvMed | ASOEO | $3,088.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Inpatient | AvMed | ASOEO | $3,088.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Inpatient | AvMed | ASOEO | $3,088.00 | — | — | 2024-10-01 | MRF ↗ |
| OVIEDO MEDICAL CENTER Inpatient | AvMed | ASOEO | $3,088.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Inpatient | AvMed | ASOEO | $3,088.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTH FLORIDA HOSPITAL Inpatient | AvMed | ASOEO | $3,088.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Inpatient | AvMed | ASOEO | $3,088.00 | — | — | 2024-10-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Inpatient | Kaiser | KPSelect | $3,100.00 | — | — | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Inpatient | Kaiser | CommercialSmallGroupPlans | $3,100.00 | — | — | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Inpatient | Kaiser | KPIF | $3,100.00 | — | — | 2026-03-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | ELEMENTCARE [450046] | HB XR ELEMENT CARE PACE MWF | $3,104.82 | $35,255.75 | $24,679.03 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | ELEMENTCARE [450046] | HB XR ELEMENT CARE PACE MWF | $3,104.82 | $35,255.75 | $24,679.03 | 2026-04-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | MultiPlan PHCS | PPO | $3,200.00 | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | MultiPlan PHCS | PPO | $3,200.00 | — | — | 2026-03-01 | MRF ↗ |
| HCA-HEALTHONE DBA SWEDISH MEDICAL CENTER Inpatient | Kaiser | CommercialSmallGroupPlans | $3,200.00 | — | — | 2026-03-01 | MRF ↗ |
| HCA-HEALTHONE DBA SWEDISH MEDICAL CENTER Inpatient | Kaiser | KPIF | $3,200.00 | — | — | 2026-03-01 | MRF ↗ |
| HCA-HEALTHONE DBA SWEDISH MEDICAL CENTER Inpatient | Kaiser | KPSelect | $3,200.00 | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | MultiPlan PHCS | PPO | $3,200.00 | — | — | 2024-10-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | MultiPlan PHCS | PPO | $3,200.00 | — | — | 2026-03-01 | MRF ↗ |
| OVIEDO MEDICAL CENTER Inpatient | AvMed | ASOEO | $3,258.00 | — | — | 2026-03-01 | MRF ↗ |
| North Florida Regional Medical Center Starke Campu Inpatient | AvMed | ASOEO | $3,258.00 | — | — | 2026-03-01 | MRF ↗ |
| Lake City Medical Center Suwannee Campus Inpatient | AvMed | ASOEO | $3,258.00 | — | — | 2026-03-01 | MRF ↗ |
| DALLAS MEDICAL CENTER Inpatient | United HealthCare | UHC Commercial All Payor | $3,310.00 | — | $13,961.00 | 2026-03-17 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Inpatient | Home State Health Plan | MCD | $3,315.00 | — | — | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Inpatient | Anthem MissouriCare | MissouriCareMGMCD | $3,315.00 | — | — | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Inpatient | United | MOMGMCD | $3,381.30 | — | — | 2025-01-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | MultiPlan PHCS | PPO | $3,400.00 | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | MultiPlan PHCS | PPO | $3,400.00 | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | MultiPlan PHCS | PPO | $3,400.00 | — | — | 2024-10-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | MultiPlan PHCS | PPO | $3,400.00 | — | — | 2026-03-01 | MRF ↗ |
| RIVERVIEW REGIONAL MEDICAL CENTER Inpatient | United HealthCare | UHC Exchange | $3,407.00 | — | $11,179.00 | 2026-03-17 | MRF ↗ |
| RIVERVIEW REGIONAL MEDICAL CENTER Inpatient | United HealthCare | UHC All Payer | $3,407.00 | — | $13,836.00 | 2024-12-19 | MRF ↗ |
| RIVERVIEW REGIONAL MEDICAL CENTER Inpatient | United HealthCare | UHC All Payer | $3,407.00 | — | $13,836.00 | 2024-12-19 | MRF ↗ |
| TRISTAR SUMMIT MEDICAL CENTER Inpatient | CorVel Corporation | WORKERSCOMP | $3,450.09 | — | — | 2024-10-01 | MRF ↗ |
| PARKRIDGE MEDICAL CENTER Inpatient | CorVel Corporation | WORKERSCOMP | $3,450.09 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR SOUTHERN HILLS MEDICAL CENTER Inpatient | CorVel Corporation | WORKERSCOMP | $3,450.09 | — | — | 2026-03-12 | MRF ↗ |
| TRISTAR ASHLAND CITY MEDICAL CENTER Inpatient | CorVel Corporation | WORKERSCOMP | $3,450.09 | — | — | 2026-03-01 | MRF ↗ |
| TRISTAR SOUTHERN HILLS MEDICAL CENTER Inpatient | CorVel Corporation | WORKERSCOMP | $3,450.09 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR STONECREST MEDICAL CENTER Inpatient | CorVel Corporation | WORKERSCOMP | $3,450.09 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR SKYLINE MEDICAL CENTER Inpatient | CorVel Corporation | WORKERSCOMP | $3,450.09 | — | — | 2026-03-12 | MRF ↗ |
| TRISTAR HENDERSONVILLE MEDICAL CENTER Inpatient | CorVel Corporation | WORKERSCOMP | $3,450.09 | — | — | 2024-10-01 | MRF ↗ |
| Tristar Ashland City Medical Center Inpatient | CorVel Corporation | WORKERSCOMP | $3,450.09 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR CENTENNIAL MEDICAL CENTER Inpatient | CorVel Corporation | WORKERSCOMP | $3,450.09 | — | — | 2026-03-01 | MRF ↗ |
| TRISTAR HORIZON MEDICAL CENTER Inpatient | CorVel Corporation | WORKERSCOMP | $3,450.09 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WOODMONT HOSPITAL Inpatient | Medica HealthCare | MCR | $3,500.00 | — | — | 2026-03-01 | MRF ↗ |
| WESTSIDE REGIONAL MEDICAL CENTER Inpatient | Medica HealthCare | MCR | $3,500.00 | — | — | 2024-10-01 | MRF ↗ |
| NORTHPORT VA MEDICAL CENTER InpatientFacility | VIVA | ALL PRODUCTS | $3,500.00 | — | — | 2026-03-26 | MRF ↗ |
| UNIVERSITY HOSPITAL AND MEDICAL CENTER Inpatient | Medica HealthCare | MCR | $3,500.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTHWEST HOSPITAL Inpatient | Medica HealthCare | MCR | $3,525.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA AVENTURA HOSPITAL Inpatient | Medica HealthCare | MCR | $3,555.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA PALMS WEST HOSPITAL Inpatient | Medica HealthCare | MCR | $3,555.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA KENDALL HOSPITAL Inpatient | Medica HealthCare | MCR | $3,590.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MERCY HOSPITAL Inpatient | Medica HealthCare | MCR | $3,590.00 | — | — | 2024-10-01 | MRF ↗ |
| MEEKER MEMORIAL HOSPITAL InpatientFacility | CIGNA HEALTH | GREAT WEST | $3,591.00 | — | — | 2025-12-28 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Inpatient | Multiplan | PRIMARYPPO | $3,630.00 | — | — | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Inpatient | Multiplan | PRIMARYPPO | $3,630.00 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | Multiplan | PRIMARYPPO | $3,630.00 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Inpatient | Multiplan | PRIMARYPPO | $3,630.00 | — | — | 2026-03-01 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Inpatient | Multiplan | PRIMARYPPO | $3,630.00 | — | — | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Inpatient | Multiplan | PRIMARYPPO | $3,630.00 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Inpatient | Multiplan | PRIMARYPPO | $3,630.00 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE WEST Inpatient | Multiplan | PRIMARYPPO | $3,630.00 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Inpatient | Multiplan | PRIMARYPPO | $3,630.00 | — | — | 2026-03-01 | MRF ↗ |
| NORTHWEST SPECIALTY HOSPITAL InpatientFacility | — | — | — | — | — | 2026-03-05 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS InpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $3,730.73 | $46,027.50 | $29,917.87 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS InpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $3,730.73 | $46,027.50 | $29,917.87 | 2026-03-12 | MRF ↗ |
| HCA FLORIDA JFK HOSPITAL Inpatient | Medica HealthCare | MCR | $3,750.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTH FLORIDA HOSPITAL Inpatient | Medica HealthCare | MCR | $3,750.00 | — | — | 2024-10-01 | MRF ↗ |
| NORTH VISTA HOSPITAL Inpatient | UHC | UHC Options PPO | $3,773.00 | — | $15,105.00 | 2026-03-17 | MRF ↗ |
| NORTH VISTA HOSPITAL Inpatient | UHC | UHC Options PPO | $3,773.00 | — | $15,105.00 | 2026-03-17 | MRF ↗ |
| USA HEALTH HCA PROVIDENCE HOSPITAL, LLC InpatientFacility | Blue Cross Blue Shield | All Plans | $3,887.00 | — | — | 2026-04-01 | MRF ↗ |
| USA HEALTH HCA PROVIDENCE HOSPITAL, LLC InpatientFacility | Blue Cross Blue Shield | All Plans | $3,887.00 | — | — | 2026-04-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Inpatient | MAGNACARE [5177] | NMC MAGNACARE | $3,891.00 | $76,553.58 | $19,847.28 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Inpatient | MAGNACARE [5177] | NMC MAGNACARE | $3,891.00 | $76,553.58 | $19,847.28 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Inpatient | MAGNACARE [5177] | NMC MAGNACARE STANDARD | $3,891.00 | $61,399.32 | $19,762.44 | 2026-04-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Inpatient | Kaiser Permanente | HMO | $3,894.00 | — | — | 2026-03-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Inpatient | Ambetter | Commercial-Exchange | $3,906.86 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL ATASCOSA Inpatient | MultiPlan, Inc. | PRIMARYPPO | $3,938.00 | — | — | 2025-01-01 | MRF ↗ |
| HILL COUNTRY MEMORIAL HOSPITAL Inpatient | MultiPlan, Inc. | PRIMARYPPO | $3,938.00 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Inpatient | MultiPlan, Inc. | PRIMARYPPO | $3,938.00 | — | — | 2025-01-01 | MRF ↗ |
| Global Rehabilitation Hospital Inpatient | MultiPlan, Inc. | PRIMARYPPO | $3,938.00 | — | — | 2026-03-01 | MRF ↗ |
| METHODIST HOSPITAL Inpatient | MultiPlan, Inc. | PRIMARYPPO | $3,938.00 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Inpatient | MultiPlan, Inc. | PRIMARYPPO | $3,938.00 | — | — | 2025-01-01 | MRF ↗ |
| HOLYOKE MEDICAL CENTER InpatientFacility | GIC Unicare | GIC Unicare | $4,000.00 | — | — | 2025-01-22 | MRF ↗ |
| HOLYOKE MEDICAL CENTER InpatientFacility | GIC Unicare | GIC Unicare | $4,000.00 | — | — | 2025-01-22 | MRF ↗ |
| RIVERVIEW REGIONAL MEDICAL CENTER Inpatient | Corvel | Corvel Workers Compensation | $4,058.12 | — | $11,179.00 | 2026-03-17 | MRF ↗ |
| METHODIST HOSPITAL Inpatient | MultiPlan, Inc. | PRIMARYPPO | $4,142.00 | — | — | 2025-01-01 | MRF ↗ |
| ASCENSION ST JOHN JANE PHILLIPS Inpatient | AETNA WHOLE HEALTH | 2651_JPOK AETNA WHOLE HEALTH 20241001 | $4,192.00 | — | — | 2026-01-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Inpatient | Kaiser | KPSelect | $4,200.00 | — | — | 2026-03-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Inpatient | Kaiser | KPIF | $4,200.00 | — | — | 2026-03-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Inpatient | Kaiser | CommercialSmallGroupPlans | $4,200.00 | — | — | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE ROSE Inpatient | Kaiser | HMO | $4,253.00 | — | — | 2026-03-01 | MRF ↗ |
| HCA-HEALTHONE DBA SWEDISH MEDICAL CENTER Inpatient | Kaiser | HMO | $4,253.00 | — | — | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE PRESBYTERIAN ST LUKES Inpatient | Kaiser | HMO | $4,253.00 | — | — | 2026-03-01 | MRF ↗ |
| RIVERVIEW REGIONAL MEDICAL CENTER Inpatient | Occunet | Occunet Workers Compensation | $4,278.67 | — | $11,179.00 | 2026-03-17 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | UNITED HEALTHCARE [100060] | HB XR UHC TMC | — | $35,255.75 | $24,679.03 | 2026-04-01 | MRF ↗ |
| FRANKFORT REGIONAL MEDICAL CENTER Inpatient | Essence Healthcare | MCR | $4,375.00 | — | — | 2026-03-01 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER InpatientFacility | Blue Cross Blue Shield of Tennessee | TennCareSelect | $4,454.59 | — | — | 2026-02-19 | MRF ↗ |
| SAINT THOMAS RIVER PARK HOSPITAL Inpatient | BCBS TENNCARE SELECT | 2426_BCBS TENNCARE SELECT (RIVER PARK) 20221001 | $4,468.99 | — | — | 2026-01-01 | MRF ↗ |
| SHELBY BAPTIST MEDICAL CENTER InpatientFacility | Bcbs | All Commercial Plans | $4,552.00 | — | — | 2026-04-01 | MRF ↗ |
| SHELBY BAPTIST MEDICAL CENTER InpatientFacility | Bcbs | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| SHELBY BAPTIST MEDICAL CENTER InpatientFacility | Bcbs | All Commercial Plans | $4,552.00 | — | — | 2026-04-01 | MRF ↗ |
| SHELBY BAPTIST MEDICAL CENTER InpatientFacility | Bcbs | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO Inpatient | Cigna | CignaHIX | $4,582.00 | — | — | 2025-01-31 | MRF ↗ |
| HCA HEALTHONE PRESBYTERIAN ST LUKES Inpatient | Cigna | Connect-SBP | $4,622.00 | — | — | 2026-03-01 | MRF ↗ |
| BROOKWOOD BAPTIST MEDICAL CENTER InpatientFacility | Bcbs | All Commercial Plans | $4,634.00 | — | — | 2026-04-01 | MRF ↗ |
| HCA HEALTHONE ROSE Inpatient | Kaiser | PPO | $4,678.00 | — | — | 2026-03-01 | MRF ↗ |
| HCA-HEALTHONE DBA SWEDISH MEDICAL CENTER Inpatient | Kaiser | PPO | $4,678.00 | — | — | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE PRESBYTERIAN ST LUKES Inpatient | Kaiser | PPO | $4,678.00 | — | — | 2026-03-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Inpatient | BCBST | BCBST-TennCare Select | $4,735.21 | — | — | 2025-10-01 | MRF ↗ |
| TRISTAR ASHLAND CITY MEDICAL CENTER Inpatient | BCBS | TENNCARE | $4,774.93 | — | — | 2026-03-01 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Inpatient | HCHCP | County/Government | $4,775.32 | — | — | 2025-10-24 | MRF ↗ |
| Tristar Ashland City Medical Center Inpatient | BCBS | TENNCARE | $4,780.40 | — | — | 2024-10-01 | MRF ↗ |
| PRINCETON BAPTIST MEDICAL CENTER InpatientFacility | Bcbs | All Commercial Plans | $4,810.00 | — | — | 2026-04-01 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER InpatientFacility | Blue Cross Blue Shield of Tennessee | CoverKids | $4,826.99 | — | — | 2026-02-19 | MRF ↗ |
| KETTERING HEALTH MAIN CAMPUS InpatientFacility | Molina Healthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| LABETTE HEALTH InpatientFacility | UHCCP | Managed Medicaid | $4,890.00 | — | — | 2025-06-28 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL InpatientFacility | Healthy Blue | Kansas Medicaid | $4,890.00 | — | — | 2026-01-08 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER InpatientFacility | Sunflower State | Medicaid Advantage | $4,890.00 | — | — | 2026-03-17 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER InpatientFacility | Healthy Blue | Medicaid Advantage | $4,890.00 | — | — | 2026-03-17 | MRF ↗ |
| LABETTE HEALTH InpatientFacility | UHCCP | Managed Medicaid | $4,890.00 | — | — | 2025-06-28 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL InpatientFacility | Healthy Blue | Kansas Medicaid | $4,890.00 | — | — | 2026-01-08 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Inpatient | Hillsborough County | COMM | $4,899.09 | — | — | 2024-10-01 | MRF ↗ |
| LABETTE HEALTH InpatientFacility | Multiplan (PHCS Medicaid network) | Managed Medicaid | $4,938.90 | — | — | 2025-06-28 | MRF ↗ |
| LABETTE HEALTH InpatientFacility | Multiplan (PHCS Medicaid network) | Managed Medicaid | $4,938.90 | — | — | 2025-06-28 | MRF ↗ |
| LABETTE HEALTH InpatientFacility | Healthy Blue | Managed Medicaid | $4,987.80 | — | — | 2025-06-28 | MRF ↗ |
| LABETTE HEALTH InpatientFacility | Healthy Blue | Managed Medicaid | $4,987.80 | — | — | 2025-06-28 | MRF ↗ |
| LABETTE HEALTH InpatientFacility | Celtic Sunflower | Managed Medicaid | $4,987.80 | — | — | 2025-06-28 | MRF ↗ |
| LABETTE HEALTH InpatientFacility | Celtic Sunflower | Managed Medicaid | $4,987.80 | — | — | 2025-06-28 | MRF ↗ |
| LECONTE MEDICAL CENTER Inpatient | United Healthcare | Tenncare | $5,007.34 | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Inpatient | United Healthcare | Tenncare | $5,007.34 | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Inpatient | United Healthcare | Tenncare | $5,007.34 | — | — | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Inpatient | United Healthcare | Tenncare | $5,007.34 | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Inpatient | United Healthcare | Tenncare | $5,007.34 | — | — | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Inpatient | United Healthcare | Tenncare | $5,007.34 | — | — | 2024-12-10 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Inpatient | BCBS | Pathway | $5,044.14 | — | — | 2024-10-01 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Inpatient | BCBS | HIX | $5,044.14 | — | — | 2024-10-01 | MRF ↗ |
| ESSENTIA HEALTH InpatientFacility | Medica Access | Medicaid | $5,063.98 | — | — | 2026-01-01 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER InpatientFacility | HORIZON | WORKERS COMP | $5,095.00 | — | $14,380.26 | 2025-12-31 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Inpatient | MEDICAID [20301] | All MEDICAID OF NEW HAMPSHIRE UM [163] Plans | $5,121.88 | $58,040.57 | $58,040.57 | 2026-03-26 | MRF ↗ |
| CITIZENS BAPTIST MEDICAL CENTER InpatientFacility | Bcbs | All Commercial Plans | $5,133.00 | — | — | 2026-04-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Inpatient | Kaiser | HMO | $5,173.00 | — | — | 2026-03-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Inpatient | Kaiser | PPO | $5,173.00 | — | — | 2026-03-01 | MRF ↗ |
| TRISTAR ASHLAND CITY MEDICAL CENTER Inpatient | BCBS | COVERKIDS | $5,174.13 | — | — | 2026-03-01 | MRF ↗ |
| Tristar Ashland City Medical Center Inpatient | BCBS | COVERKIDS | $5,180.06 | — | — | 2024-10-01 | MRF ↗ |
| ELY - BLOOMENSON COMMUNITY HOSPITAL InpatientFacility | Medica | Medicare Advantage except MSHO | $5,225.00 | — | — | 2024-07-01 | MRF ↗ |
| SOUTHERN REGIONAL MEDICAL CENTER Inpatient | UHC | UHC Commercial | $5,257.00 | — | $23,245.00 | 2024-12-19 | MRF ↗ |
| TRISTAR STONECREST MEDICAL CENTER Inpatient | BCBS | TENNCARE | $5,258.44 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR HENDERSONVILLE MEDICAL CENTER Inpatient | BCBS | TENNCARE | $5,258.44 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR HORIZON MEDICAL CENTER Inpatient | BCBS | TENNCARE | $5,258.44 | — | — | 2024-10-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Inpatient | Wellcare | MeridianMgdMCaid | $5,274.00 | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Inpatient | Priority Health | PriorityHealthMgdMCaid | $5,274.00 | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Inpatient | Hap | MidwestMgdMCaid | $5,274.00 | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Inpatient | United Healthcare | UnitedCommunityPlanMgdMCaid | $5,274.00 | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Inpatient | Amerihealth | BlueCrossCompleteMgdMCaid | $5,274.00 | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Inpatient | Molina Healthcare Of Texas (Claims Only) | MolinaMgdMCaid | $5,274.00 | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Inpatient | Community Care | CommunityCareComm | $5,274.00 | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Inpatient | Mclaren Health Plan | McLarenMgdMCaid | $5,274.00 | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Inpatient | Aetna | AetnaMgdMCaid | $5,274.00 | — | — | 2025-01-31 | 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.