42 — Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/mcc
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC (MS_DRG 42) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/42?code_type=MS_DRG
MLA (9th ed.)
“PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC (MS_DRG 42) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/42?code_type=MS_DRG. Accessed .
Chicago (notes-bibliography)
“PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC (MS_DRG 42) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/42?code_type=MS_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $14,172–$28,229 (25th–75th percentile) across 2,078 hospitals · 4,887 payers.
“Negotiated” is the hospital’s negotiated facility rate for this MS_DRG 42 — 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 |
|---|---|---|---|---|---|---|---|
| UPMC SOMERSET InpatientFacility | Aetna of PA | TPA/Carrier | $0.69 | — | — | 2026-03-06 | 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 ↗ |
| 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 ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Inpatient | ALTERNATE HEALTHNET [1007] | HEALTH NET MEDICARE ADVANTAGE UC EMPLOYER GROUP | $1.73 | $238,371.99 | $131,104.59 | 2026-04-01 | MRF ↗ |
| TEMPLE UNIVERSITY HOSPITAL Inpatient | TUH UHC VA CC Network OPTUM | TUH UHC VA CC Network OPTUM | $1.76 | $164,145.74 | $19,559.89 | 2025-01-01 | MRF ↗ |
| Jeanes Hospital Inpatient | TUH UHC VA CC Network OPTUM | TUH UHC VA CC Network OPTUM | $1.76 | $201,548.88 | $19,559.89 | 2025-01-01 | MRF ↗ |
| TEMPLE UNIVERSITY HOSPITAL Inpatient | TUH UHC VA CC Network OPTUM | TUH UHC VA CC Network OPTUM | $1.76 | $201,548.88 | $19,559.89 | 2025-01-01 | MRF ↗ |
| Temple University Hospital - Northeastern Campus Inpatient | TUH UHC VA CC Network OPTUM | TUH UHC VA CC Network OPTUM | $1.76 | $201,548.88 | $19,559.89 | 2025-01-01 | MRF ↗ |
| Hospital Of The Fox Chase Cancer Center Inpatient | TUH UHC VA CC Network OPTUM | TUH UHC VA CC Network OPTUM | $1.76 | $201,548.88 | $19,559.89 | 2025-01-01 | MRF ↗ |
| TEMPLE HEALTH - CHESTNUT HILL HOSPITAL Inpatient | TUH UHC VA CC Network OPTUM | TUH UHC VA CC Network OPTUM | $1.76 | $201,548.88 | $19,559.89 | 2025-01-01 | MRF ↗ |
| MERCYONE WATERLOO MEDICAL CENTER InpatientFacility | WELLPOINT MEDICARE ADVANTAGE | WELLPOINT MEDICARE ADVANTAGE | $1.76 | — | $52,934.90 | 2026-03-31 | MRF ↗ |
| PIEDMONT HOSPITAL, INC Inpatient | GEORGIA HEALTH ADVANTAGE [30143] | Georgia Health Medicare Advantage | $1.85 | $92,379.87 | $27,713.96 | 2026-04-01 | MRF ↗ |
| PIEDMONT HOSPITAL, INC Inpatient | CARESOURCE MEDICARE ADVANTAGE [30186] | Caresource Medicare Advantage | $1.85 | $92,379.87 | $27,713.96 | 2026-04-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Inpatient | United Healthcare | UnitedOptions | $2.40 | — | — | 2025-01-31 | MRF ↗ |
| Harper University Hospital Inpatient | United Healthcare | UnitedNonOptions | $2.40 | — | — | 2025-01-31 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Inpatient | United Healthcare | UnitedNonOptions | $2.40 | — | — | 2024-12-08 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Inpatient | United Healthcare | UnitedHealthcareNewBusiness | $2.40 | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Inpatient | United Healthcare | UnitedHealthcareHMO | $2.40 | — | — | 2025-01-31 | MRF ↗ |
| Harper University Hospital Inpatient | United Healthcare | UnitedExchange | $2.40 | — | — | 2025-01-31 | MRF ↗ |
| Harper University Hospital Inpatient | United Healthcare | UnitedHealthcareNewBusiness | $2.40 | — | — | 2025-01-31 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Inpatient | United Healthcare | UnitedNonOptions | $2.40 | — | $141,375.00 | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Inpatient | United Healthcare | UnitedOptions | $2.40 | — | $141,375.00 | 2024-12-08 | MRF ↗ |
| Rehabilitation Institute Of Michigan Inpatient | United Healthcare | UnitedOptions | $2.40 | — | — | 2025-01-31 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Inpatient | United Healthcare | UnitedOptions | $2.40 | — | — | 2024-12-08 | MRF ↗ |
| Rehabilitation Institute Of Michigan Inpatient | United Healthcare | UnitedHealthcareNewBusiness | $2.40 | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Inpatient | United Healthcare | UnitedNonOptions | $2.40 | — | — | 2025-01-31 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Inpatient | United Healthcare | UnitedOptions | $2.40 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Inpatient | United Healthcare | UnitedExchange | $2.40 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Inpatient | United Healthcare | UnitedExchange | $2.40 | — | $141,375.00 | 2024-12-08 | MRF ↗ |
| Rehabilitation Institute Of Michigan Inpatient | United Healthcare | UnitedExchange | $2.40 | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Inpatient | United Healthcare | UnitedExchange | $2.40 | — | — | 2025-01-31 | MRF ↗ |
| METROWEST MEDICAL CENTER Inpatient | United Healthcare | UnitedOptions | $2.40 | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Inpatient | United Healthcare | UnitedOptions | $2.40 | — | — | 2025-01-31 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Inpatient | United Healthcare | UnitedNonOptions | $2.40 | — | — | 2024-12-08 | MRF ↗ |
| Rehabilitation Institute Of Michigan Inpatient | United Healthcare | UnitedNonOptions | $2.40 | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Inpatient | United Healthcare | UnitedChoicePlus | $2.40 | — | — | 2025-01-31 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Inpatient | United Healthcare | UnitedExchange | $2.40 | — | — | 2024-12-08 | MRF ↗ |
| Harper University Hospital Inpatient | United Healthcare | UnitedOptions | $2.40 | — | — | 2025-01-31 | MRF ↗ |
| METHODIST MANSFIELD MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MMMC | $2.64 | $87,806.75 | $43,903.37 | 2026-03-21 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MRMC | $2.64 | $87,806.75 | $43,903.37 | 2026-03-21 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MSMC | $2.64 | $87,806.75 | $43,903.37 | 2026-03-23 | MRF ↗ |
| METHODIST MCKINNEY HOSPITAL Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MMK | $2.64 | $39,157.74 | $19,578.87 | 2026-03-21 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MRMC | $2.64 | $87,806.75 | $43,903.37 | 2026-03-21 | MRF ↗ |
| METHODIST DALLAS MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MDMC | $2.64 | $87,806.75 | $43,903.37 | 2026-03-20 | MRF ↗ |
| METHODIST CELINA MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MCEL | $2.64 | $87,806.75 | $43,903.37 | 2026-03-23 | MRF ↗ |
| METHODIST MIDLOTHIAN MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MLMC | $2.64 | $87,806.75 | $43,903.37 | 2026-03-21 | MRF ↗ |
| METHODIST CHARLTON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MCMC | $2.64 | $87,806.75 | $43,903.37 | 2026-03-21 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MSMC | $2.64 | $87,806.75 | $43,903.37 | 2026-03-23 | MRF ↗ |
| HUDSON REGIONAL HOSPITAL Inpatient | HORIZON NJ HLTH - ALL PLANS | HORIZON NJ HLTH - ALL PLANS | $4.20 | $90,255.95 | $90,255.95 | 2026-01-19 | MRF ↗ |
| HUDSON REGIONAL HOSPITAL Inpatient | HORIZON NJ HLTH - ALL PLANS | HORIZON NJ HLTH - ALL PLANS | $4.20 | $90,255.95 | $90,255.95 | 2026-01-19 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MRMC | $4.32 | $87,806.75 | $43,903.37 | 2026-03-21 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MSMC | $4.32 | $87,806.75 | $43,903.37 | 2026-03-23 | MRF ↗ |
| METHODIST MIDLOTHIAN MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MLMC | $4.32 | $87,806.75 | $43,903.37 | 2026-03-21 | MRF ↗ |
| METHODIST CELINA MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MCEL | $4.32 | $87,806.75 | $43,903.37 | 2026-03-23 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MSMC | $4.32 | $87,806.75 | $43,903.37 | 2026-03-23 | MRF ↗ |
| METHODIST CHARLTON MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MCMC | $4.32 | $87,806.75 | $43,903.37 | 2026-03-21 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MRMC | $4.32 | $87,806.75 | $43,903.37 | 2026-03-21 | MRF ↗ |
| METHODIST MANSFIELD MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MMMC | $4.32 | $87,806.75 | $43,903.37 | 2026-03-21 | MRF ↗ |
| METHODIST DALLAS MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MDMC | $4.32 | $87,806.75 | $43,903.37 | 2026-03-20 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Inpatient | MGM RESORTS [1053] | MGM RESORT | $4.70 | $238,371.99 | $131,104.59 | 2026-04-01 | MRF ↗ |
| PROVIDENCE REGIONAL MEDICAL CENTER EVERETT InpatientFacility | Blue Shield | Regence All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE REGIONAL MEDICAL CENTER EVERETT InpatientFacility | Blue Shield | Regence All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| HOUSTON METHODIST HOSPITAL InpatientFacility | Triwest Healthcare | Government | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST. JOSEPH HOSPITAL InpatientFacility | Heritage Provider Network | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | 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 ↗ |
| KENT COUNTY MEMORIAL HOSPITAL InpatientFacility | PRIVATE HEALTHCARE SYSTEM | 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 | AETNA HEALTH MANAGEMENT, LLC | COMMERCIAL | — | — | — | 2026-02-28 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Primetime Health Plan | 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 | The Health Plan | 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 | Molina | 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 | Cigna | 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 | Medical Mutual of Ohio | 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 | Aetna | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Paramount | Medicare Advantage | $52.19 | — | — | 2025-05-16 | MRF ↗ |
| Yavapai Regional Medical Center - East Inpatient | BCBS - AZ | Commercial|All Plans | $53.00 | — | — | 2026-02-28 | MRF ↗ |
| Yavapai Regional Medical Center - East Inpatient | BCBS - AZ | Commercial|All Plans | $53.00 | — | — | 2026-02-28 | 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 ↗ |
| Tampa General Hospital InpatientFacility | Unitedhealthcare | Medicaid 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 ↗ |
| OAKBEND MEDICAL CENTER Inpatient | UHC-ALL PLANS | UHC-ALL PLANS | $138.38 | $27,877.97 | $5,575.59 | 2026-04-03 | MRF ↗ |
| PETALUMA VALLEY HOSPITAL InpatientFacility | Partnership Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PETALUMA VALLEY HOSPITAL InpatientFacility | Partnership Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | Texas Athletic Network | Premier | $250.00 | — | — | 2026-03-01 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | First Health | First Health PPO | — | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Intergroup | Intergroup | — | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Claritev | Multiplan Complementary Network | — | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Cigna | Cigna Commercial All Other | — | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Health Coalition Incorporated | Health Coalition Incorporated | — | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Claritev | PHCS Primary Network | — | — | — | 2026-04-14 | MRF ↗ |
| ADVENTIST HEALTH LODI MEMORIAL Inpatient | WESTERN GROWERS- ALL PLANS | WESTERN GROWERS- ALL PLANS | $271.88 | $3,161.80 | $221.33 | 2026-01-25 | MRF ↗ |
| SWEDISH HOSPITAL InpatientFacility | Meridian | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ELMHURST MEMORIAL HOSPITAL InpatientFacility | Meridian | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| WILLAPA HARBOR HOSPITAL InpatientFacility | None | — | — | — | — | 2026-02-24 | MRF ↗ |
| ST MARYS HOSPITAL Inpatient | BLUE CROSS BLUE SHIELD OF ILLINOIS | BCBS IL MMAI | $354.63 | $39,464.65 | $28,414.55 | 2026-01-15 | MRF ↗ |
| ST MARYS HOSPITAL Inpatient | BLUE CROSS BLUE SHIELD OF ILLINOIS | BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV | $354.63 | $39,464.65 | $28,414.55 | 2026-01-15 | MRF ↗ |
| ADVENTIST HEALTH LODI MEMORIAL Inpatient | KAISER MCAL | KAISER MCAL | $459.41 | $3,161.80 | $221.33 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH LODI MEMORIAL Inpatient | MEDI-CAL | MEDI-CAL | $459.41 | $3,161.80 | $221.33 | 2026-01-25 | MRF ↗ |
| KETTERING HEALTH MAIN CAMPUS InpatientFacility | Aetna | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| Tampa General Hospital InpatientFacility | Avmed | Hmo/Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| ADVENTIST HEALTH LODI MEMORIAL Inpatient | HP OF SAN JOAQUIN MCAL | HP OF SAN JOAQUIN MCAL | $510.00 | $3,161.80 | $221.33 | 2026-01-25 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | HEALTH SAFETY NET [500011] | HB XR HSN ER BAD DEBT MWF | $530.75 | $46,614.87 | $32,630.41 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | HEALTH SAFETY NET [500011] | HB XR HSN ER BAD DEBT MWF | $530.75 | $46,614.87 | $32,630.41 | 2026-04-01 | MRF ↗ |
| ADVENTIST HEALTH LODI MEMORIAL Inpatient | BC MCAL | BC MCAL | $541.62 | $3,161.80 | $221.33 | 2026-01-25 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | Texas Athletic Network | PremierPlus | $750.00 | — | — | 2026-03-01 | MRF ↗ |
| PROVIDENCE MOUNT CARMEL HOSPITAL InpatientFacility | Molina | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE MOUNT CARMEL HOSPITAL InpatientFacility | Molina | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | MEDICAID HUMANA HEALTHY HORIZONS [6110] | PHM HB HUMANA MEDICAID - RICHLAND | $775.84 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | MEDICAID HUMANA HEALTHY HORIZONS [6110] | PHM HB HUMANA MEDICAID - RICHLAND | $775.84 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | MEDICAID SELECT HEALTH OF SC [400] | PHM HB SELECT HEALTH MEDICAID - RICHLAND | $797.59 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | MEDICAID SELECT HEALTH OF SC [400] | PHM HB SELECT HEALTH MEDICAID - RICHLAND | $797.59 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | MEDICAID BLUECHOICE [420] | PHM HB BLUECHOICE MEDICAID - RICHLAND | $826.59 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | MEDICAID BLUECHOICE [420] | PHM HB BLUECHOICE MEDICAID - RICHLAND | $826.59 | — | — | 2026-03-01 | MRF ↗ |
| Ascension Borgess Pipp Hospital Both | COVENTRY CARES | 3337_BOMC MEDICAID REPLACEMENT COVENTRY CARES INPATIENT 20231001 | $827.56 | — | — | 2024-12-17 | MRF ↗ |
| Ascension Borgess Pipp Hospital Both | COVENTRY CARES | 3337_BOMC MEDICAID REPLACEMENT COVENTRY CARES INPATIENT 20231001 | $827.56 | — | — | 2024-12-17 | MRF ↗ |
| ST MARYS HOSPITAL Inpatient | CLAIM DOC | ALL COMMERCIAL CLAIM DOC | $851.10 | $39,464.65 | $28,414.55 | 2026-01-15 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | MEDICAID MOLINA HEALTHCARE SC [440] | PHM HB MOLINA MEDICAID - RICHLAND | $855.59 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | MEDICAID MOLINA HEALTHCARE SC [440] | PHM HB MOLINA MEDICAID - RICHLAND | $855.59 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | MEDICAID TENNESSEE [325] | PHU HB 100% OF MEDICAID - GMH | $862.76 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | MEDICAID FLORIDA [315] | PHU HB 100% OF MEDICAID - GMH | $862.76 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | MEDICAID GEORGIA-AMERIGROUP [3009] | PHU HB 100% OF MEDICAID - GMH | $862.76 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | MEDICAID GEORGIA-CARESOURCE [3228] | PHU HB 100% OF MEDICAID - GMH | $862.76 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | MEDICAID FLORIDA [315] | PHU HB 100% OF MEDICAID - GMH | $862.76 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | MEDICAID NEW YORK [320] | PHU HB 100% OF MEDICAID - GMH | $862.76 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | MEDICAID GEORGIA-AMERIGROUP [3009] | PHU HB 100% OF MEDICAID - GMH | $862.76 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | MEDICAID TENNESSEE [325] | PHU HB 100% OF MEDICAID - GMH | $862.76 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | MEDICAID GEORGIA-CARESOURCE [3228] | PHU HB 100% OF MEDICAID - GMH | $862.76 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | MEDICAID NEW YORK [320] | PHU HB 100% OF MEDICAID - GMH | $862.76 | — | — | 2026-03-01 | MRF ↗ |
| Ascension Borgess Pipp Hospital Both | COVENTRY CARES | 3337_BOMC MEDICAID REPLACEMENT COVENTRY CARES INPATIENT 20231001 | $869.29 | — | — | 2024-12-17 | MRF ↗ |
| Ascension Borgess Pipp Hospital Both | COVENTRY CARES | 3337_BOMC MEDICAID REPLACEMENT COVENTRY CARES INPATIENT 20231001 | $869.29 | — | — | 2024-12-17 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | PENDING MEDICAID DET [333] | PHM HB SC MEDICAID - RICHLAND | $880.22 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | PENDING MEDICAID DET [333] | PHM HB SC MEDICAID - RICHLAND | $880.22 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | MEDICAID SC [300] | PHM HB SC MEDICAID - RICHLAND | $880.22 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | MEDICAID SC [300] | PHM HB SC MEDICAID - RICHLAND | $880.22 | — | — | 2026-03-01 | MRF ↗ |
| ST MARYS HOSPITAL Inpatient | HOPETRUST | ALL COMMERCIAL HOPETRUST | $886.58 | $39,464.65 | $28,414.55 | 2026-01-15 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | MEDICAID MOLINA HEALTHCARE SC [440] | PHU HB 103% OF MEDICAID - GMH | $888.64 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | MEDICAID SELECT HEALTH OF SC [400] | PHU HB 103% OF MEDICAID - GMH | $888.64 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | MEDICAID MOLINA HEALTHCARE SC [440] | PHU HB 103% OF MEDICAID - GMH | $888.64 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | MEDICAID SELECT HEALTH OF SC [400] | PHU HB 103% OF MEDICAID - GMH | $888.64 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | MEDICAID BLUECHOICE [420] | PHU HB BLUECHOICE MEDICAID 104% - GMH | $897.27 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | MEDICAID BLUECHOICE [420] | PHU HB BLUECHOICE MEDICAID 104% - GMH | $897.27 | — | — | 2026-03-01 | MRF ↗ |
| ADVENTIST HEALTH LODI MEMORIAL Inpatient | BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $904.27 | $3,161.80 | $221.33 | 2026-01-25 | MRF ↗ |
| Ascension Borgess Pipp Hospital Both | COVENTRY CARES | 3337_BOMC MEDICAID REPLACEMENT COVENTRY CARES INPATIENT 20231001 | $920.43 | — | — | 2024-12-17 | MRF ↗ |
| Ascension Borgess Pipp Hospital Both | COVENTRY CARES | 3337_BOMC MEDICAID REPLACEMENT COVENTRY CARES INPATIENT 20231001 | $920.43 | — | — | 2024-12-17 | MRF ↗ |
| Ascension Borgess Pipp Hospital Both | COVENTRY CARES | 3337_BOMC MEDICAID REPLACEMENT COVENTRY CARES INPATIENT 20231001 | $921.82 | — | — | 2024-12-17 | MRF ↗ |
| Ascension Borgess Pipp Hospital Both | COVENTRY CARES | 3337_BOMC MEDICAID REPLACEMENT COVENTRY CARES INPATIENT 20231001 | $921.82 | — | — | 2024-12-17 | MRF ↗ |
| ADVENTIST HEALTH LODI MEMORIAL Inpatient | BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $935.89 | $3,161.80 | $221.33 | 2026-01-25 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | MEDICAID ABSOLUTE TOTAL CARE [410] | PHM HB ABSOLUTE TOTAL CARE MEDICAID - RICHLAND | $941.84 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | MEDICAID ABSOLUTE TOTAL CARE [410] | PHM HB ABSOLUTE TOTAL CARE MEDICAID - RICHLAND | $941.84 | — | — | 2026-03-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | MBHP ALTERNATE [300002] | HB XR MBHP LGH MWF TMC | $954.59 | $52,659.04 | $36,861.33 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | MIDDLESEX COUNTY [500015] | HB XR MASSHEALTH NON-CONTRACTED MWF | $954.59 | $52,659.04 | $36,861.33 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | FALLON HEALTH MEDICAID REPLACEMENT [350008] | HB XR MASSHEALTH 100% MWF | $954.59 | $52,659.04 | $36,861.33 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | MEDICAID MASSHEALTH [300001] | HB XR MBHP LGH MWF TMC | $954.59 | $52,659.04 | $36,861.33 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | MASS GENERAL BRIGHAM HEALTH PLAN MEDICAID REPLACEM | HB XR MGBHP ACO COMPLETE SELECT MWF | $954.59 | $52,659.04 | $36,861.33 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | TUFTS HEALTH PUBLIC PLAN [350009] | HB XR THPP MCO ACO MWF | $954.59 | $52,659.04 | $36,861.33 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | MEDICAID MASSHEALTH [300001] | HB XR MASSHEALTH 100% MWF | $954.59 | $52,659.04 | $36,861.33 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | WELLSENSE CLARITY CONNECTORCARE [100256] | HB XR WELLSENSE CLARITY NON-SILVER MWH | $954.59 | $52,659.04 | $36,861.33 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | MBHP ALTERNATE [300002] | HB XR MBHP LGH MWF TMC | $954.59 | $52,659.04 | $36,861.33 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | WELLSENSE CLARITY CONNECTORCARE [100256] | HB XR WELLSENSE CLARITY SILVER PLAN MWH | $954.59 | $52,659.04 | $36,861.33 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | WELLSENSE NH [350010] | HB XR MASSHEALTH 100% MWF | $954.59 | $52,659.04 | $36,861.33 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | TEWKSBURY HOSPITAL [950008] | HB XR MASSHEALTH NON-CONTRACTED MWF | $954.59 | $52,659.04 | $36,861.33 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | FALLON HEALTH MEDICAID REPLACEMENT [350008] | HB XR MASSHEALTH 100% MWF | $954.59 | $52,659.04 | $36,861.33 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | GENERIC PRISON [500099] | HB XR MASSHEALTH NON-CONTRACTED MWF | $954.59 | $52,659.04 | $36,861.33 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | MEDICAID MASSHEALTH [300001] | HB XR MBHP LGH MWF TMC | $954.59 | $52,659.04 | $36,861.33 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | MEDICAID MASSHEALTH [300001] | HB XR MASSHEALTH 100% MWF | $954.59 | $52,659.04 | $36,861.33 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | GENERIC PRISON [500099] | HB XR MASSHEALTH NON-CONTRACTED MWF | $954.59 | $52,659.04 | $36,861.33 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | TUFTS HEALTH PUBLIC PLAN [350009] | HB XR THPP MCO ACO MWF | $954.59 | $52,659.04 | $36,861.33 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | MEDICAID MASSHEALTH [300001] | HB XR MBHP LGH MWF TMC | $954.59 | $45,008.89 | $31,506.22 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | TEWKSBURY HOSPITAL [950008] | HB XR MASSHEALTH NON-CONTRACTED MWF | $954.59 | $52,659.04 | $36,861.33 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | SUFFOLK COUNTY [500014] | HB XR MASSHEALTH NON-CONTRACTED MWF | $954.59 | $52,659.04 | $36,861.33 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | MEDICAID MASSHEALTH [300001] | HB XR MASSHEALTH 100% TMC | $954.59 | $45,008.89 | $31,506.22 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | MEDICAID MASSHEALTH [300001] | HB XR MBHP LGH MWF TMC | $954.59 | $52,659.04 | $36,861.33 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | WELLSENSE CLARITY CONNECTORCARE [100256] | HB XR WELLSENSE CLARITY SILVER PLAN MWH | $954.59 | $52,659.04 | $36,861.33 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | WELLSENSE NH [350010] | HB XR MASSHEALTH 100% MWF | $954.59 | $52,659.04 | $36,861.33 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | WELLSENSE CLARITY CONNECTORCARE [100256] | HB XR WELLSENSE CLARITY NON-SILVER MWH | $954.59 | $52,659.04 | $36,861.33 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | MBHP ALTERNATE [300002] | HB XR MBHP LGH MWF TMC | $954.59 | $45,008.89 | $31,506.22 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | FALLON HEALTH MEDICAID REPLACEMENT [350008] | HB XR MASSHEALTH 100% TMC | $954.59 | $45,008.89 | $31,506.22 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | MASS GENERAL BRIGHAM HEALTH PLAN MEDICAID REPLACEM | HB XR MASSHEALTH 100% TMC | $954.59 | $45,008.89 | $31,506.22 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | MBHP ALTERNATE [300002] | HB XR MBHP LGH MWF TMC | $954.59 | $52,659.04 | $36,861.33 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | MASS GENERAL BRIGHAM HEALTH PLAN MEDICAID REPLACEM | HB XR MGBHP ACO COMPLETE SELECT MWF | $954.59 | $52,659.04 | $36,861.33 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | MIDDLESEX COUNTY [500015] | HB XR MASSHEALTH NON-CONTRACTED MWF | $954.59 | $52,659.04 | $36,861.33 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | SUFFOLK COUNTY [500014] | HB XR MASSHEALTH NON-CONTRACTED MWF | $954.59 | $52,659.04 | $36,861.33 | 2026-04-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | MEDICAID SC [300] | PHU HB SC MEDICAID - GREENVILLE | $1,022.94 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | PENDING MEDICAID DET [333] | PHU HB SC MEDICAID - GREENVILLE | $1,022.94 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | PENDING MEDICAID DET [333] | PHU HB SC MEDICAID - GREENVILLE | $1,022.94 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | MEDICAID SC [300] | PHU HB SC MEDICAID - GREENVILLE | $1,022.94 | — | — | 2026-03-01 | MRF ↗ |
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