461 — Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC (MS_DRG 461) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/461?code_type=MS_DRG
MLA (9th ed.)
“BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC (MS_DRG 461) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/461?code_type=MS_DRG. Accessed .
Chicago (notes-bibliography)
“BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC (MS_DRG 461) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/461?code_type=MS_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $44,445–$84,214 (25th–75th percentile) across 1,912 hospitals · 3,710 payers.
“Negotiated” is the hospital’s negotiated facility rate for this MS_DRG 461 — 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 | 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 | Health Net of California, 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 ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | — | — | 2025-11-26 | MRF ↗ |
| UPMC SOMERSET InpatientFacility | Aetna of PA | TPA/Carrier | $2.14 | — | — | 2026-03-06 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Inpatient | ALTERNATE HEALTHNET [1007] | HEALTH NET MEDICARE ADVANTAGE UC EMPLOYER GROUP | $5.52 | $530,060.17 | $291,533.09 | 2026-04-01 | MRF ↗ |
| PIEDMONT HOSPITAL, INC Inpatient | CARESOURCE MEDICARE ADVANTAGE [30186] | Caresource Medicare Advantage | $5.91 | $226,474.50 | $67,942.35 | 2026-04-01 | MRF ↗ |
| PIEDMONT HOSPITAL, INC Inpatient | GEORGIA HEALTH ADVANTAGE [30143] | Georgia Health Medicare Advantage | $5.91 | $226,474.50 | $67,942.35 | 2026-04-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Inpatient | Aetna | AetnaMgdMCare | $7.00 | — | — | 2025-01-31 | MRF ↗ |
| Harper University Hospital Inpatient | Aetna | AetnaMgdMCare | $7.00 | — | — | 2025-01-31 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Inpatient | Aetna | AetnaMgdMCare | $7.00 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Inpatient | Aetna | AetnaMgdMCare | $7.00 | — | — | 2024-12-08 | MRF ↗ |
| Rehabilitation Institute Of Michigan Inpatient | Aetna | AetnaMgdMCare | $7.00 | — | — | 2025-01-31 | MRF ↗ |
| METROWEST MEDICAL CENTER Inpatient | Aetna | AetnaMgdMCare | $7.00 | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Inpatient | Aetna | AetnaMgdMCare | $7.00 | — | — | 2025-01-31 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Inpatient | Aetna | AetnaMgdMCare | $7.00 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Inpatient | United Healthcare | UnitedNonOptions | $7.40 | — | — | 2024-12-08 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Inpatient | United Healthcare | UnitedHealthcareNewBusiness | $7.40 | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Inpatient | United Healthcare | UnitedNonOptions | $7.40 | — | — | 2025-01-31 | MRF ↗ |
| METROWEST MEDICAL CENTER Inpatient | United Healthcare | UnitedOptions | $7.40 | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Inpatient | United Healthcare | UnitedChoicePlus | $7.40 | — | — | 2025-01-31 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Inpatient | United Healthcare | UnitedNonOptions | $7.40 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Inpatient | United Healthcare | UnitedOptions | $7.40 | — | — | 2024-12-08 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Inpatient | United Healthcare | UnitedOptions | $7.40 | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Inpatient | United Healthcare | UnitedOptions | $7.40 | — | — | 2025-01-31 | MRF ↗ |
| Harper University Hospital Inpatient | United Healthcare | UnitedHealthcareNewBusiness | $7.40 | — | — | 2025-01-31 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Inpatient | United Healthcare | UnitedNonOptions | $7.40 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Inpatient | United Healthcare | UnitedOptions | $7.40 | — | — | 2024-12-08 | MRF ↗ |
| Rehabilitation Institute Of Michigan Inpatient | United Healthcare | UnitedNonOptions | $7.40 | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Inpatient | United Healthcare | UnitedExchange | $7.40 | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Inpatient | United Healthcare | UnitedOptions | $7.40 | — | — | 2025-01-31 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Inpatient | United Healthcare | UnitedOptions | $7.40 | — | — | 2024-12-08 | MRF ↗ |
| Rehabilitation Institute Of Michigan Inpatient | United Healthcare | UnitedHealthcareNewBusiness | $7.40 | — | — | 2025-01-31 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Inpatient | United Healthcare | UnitedExchange | $7.40 | — | — | 2024-12-08 | MRF ↗ |
| METROWEST MEDICAL CENTER Inpatient | United Healthcare | UnitedNonOptions | $7.40 | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Inpatient | United Healthcare | UnitedHealthcareHMO | $7.40 | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Inpatient | United Healthcare | UnitedExchange | $7.40 | — | — | 2025-01-31 | MRF ↗ |
| Harper University Hospital Inpatient | United Healthcare | UnitedExchange | $7.40 | — | — | 2025-01-31 | MRF ↗ |
| Harper University Hospital Inpatient | United Healthcare | UnitedOptions | $7.40 | — | — | 2025-01-31 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Inpatient | United Healthcare | UnitedExchange | $7.40 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Inpatient | United Healthcare | UnitedExchange | $7.40 | — | — | 2024-12-08 | MRF ↗ |
| Harper University Hospital Inpatient | United Healthcare | UnitedNonOptions | $7.40 | — | — | 2025-01-31 | MRF ↗ |
| METHODIST MCKINNEY HOSPITAL Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MMK | $8.45 | $79,162.50 | $39,581.25 | 2026-03-21 | MRF ↗ |
| METHODIST MANSFIELD MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MMMC | $8.45 | $201,608.85 | $100,804.42 | 2026-03-21 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MSMC | $8.45 | $201,608.85 | $100,804.42 | 2026-03-23 | MRF ↗ |
| METHODIST DALLAS MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MDMC | $8.45 | $201,608.85 | $100,804.42 | 2026-03-20 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MSMC | $8.45 | $201,608.85 | $100,804.42 | 2026-03-23 | MRF ↗ |
| METHODIST CELINA MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MCEL | $8.45 | $201,608.85 | $100,804.42 | 2026-03-23 | MRF ↗ |
| METHODIST MIDLOTHIAN MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MLMC | $8.45 | $201,608.85 | $100,804.42 | 2026-03-21 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MRMC | $8.45 | $201,608.85 | $100,804.42 | 2026-03-21 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MRMC | $8.45 | $201,608.85 | $100,804.42 | 2026-03-21 | MRF ↗ |
| METHODIST CHARLTON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MCMC | $8.45 | $201,608.85 | $100,804.42 | 2026-03-21 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MSMC | $13.81 | $201,608.85 | $100,804.42 | 2026-03-23 | MRF ↗ |
| METHODIST CHARLTON MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MCMC | $13.81 | $201,608.85 | $100,804.42 | 2026-03-21 | MRF ↗ |
| METHODIST MIDLOTHIAN MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MLMC | $13.81 | $201,608.85 | $100,804.42 | 2026-03-21 | MRF ↗ |
| METHODIST CELINA MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MCEL | $13.81 | $201,608.85 | $100,804.42 | 2026-03-23 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MRMC | $13.81 | $201,608.85 | $100,804.42 | 2026-03-21 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MSMC | $13.81 | $201,608.85 | $100,804.42 | 2026-03-23 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MRMC | $13.81 | $201,608.85 | $100,804.42 | 2026-03-21 | MRF ↗ |
| METHODIST DALLAS MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MDMC | $13.81 | $201,608.85 | $100,804.42 | 2026-03-20 | MRF ↗ |
| METHODIST MANSFIELD MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MMMC | $13.81 | $201,608.85 | $100,804.42 | 2026-03-21 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL InpatientFacility | HARVARD PILGRIM HEALTHCARE, INC. | COMMERCIAL | — | — | — | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL InpatientFacility | MULTIPLAN, INC | COMMERCIAL | — | — | — | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL InpatientFacility | AETNA HEALTH MANAGEMENT, LLC | 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 | AETNA HEALTH MANAGEMENT, LLC | RI PREFERRED | — | — | — | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL InpatientFacility | PRIVATE HEALTHCARE SYSTEM | COMMERCIAL | — | — | — | 2026-02-28 | 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 | Anthem | 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 | United Healthcare | 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 | Cigna | 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 | Primetime Health Plan | 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 | Molina | 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 ↗ |
| Uh Geauga Medical Center InpatientFacility | Perennial Advantage of Ohio | Medicare Advantage | $53.20 | — | — | 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 | Aetna CVSHealth QHP | Commercial | $90.19 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Ambetter | Commercial | $91.21 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | CareSource | Marketplace | $91.21 | — | — | 2025-05-16 | MRF ↗ |
| Yavapai Regional Medical Center - East Inpatient | BCBS - AZ | Commercial|All Plans | $173.00 | — | — | 2026-02-28 | MRF ↗ |
| Yavapai Regional Medical Center - East Inpatient | BCBS - AZ | Commercial|All Plans | $173.00 | — | — | 2026-02-28 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | Texas Athletic Network | Premier | $250.00 | — | — | 2026-03-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Inpatient | Epic Americas | AXA Assistance | $258.43 | — | — | 2026-04-01 | MRF ↗ |
| WILLAPA HARBOR HOSPITAL InpatientFacility | None | — | — | — | — | 2026-02-24 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | HEALTH SAFETY NET [500011] | HB XR HSN ER BAD DEBT MWF | $530.75 | $231,290.40 | $161,903.28 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | HEALTH SAFETY NET [500011] | HB XR HSN ER BAD DEBT MWF | $530.75 | $231,290.40 | $161,903.28 | 2026-04-01 | MRF ↗ |
| Sharp Memorial Hospital-transplant Inpatient | Blue Cross | Blue Cross - Prudent Buyer | $725.00 | — | — | 2026-04-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | Texas Athletic Network | PremierPlus | $750.00 | — | — | 2026-03-01 | MRF ↗ |
| Ascension Borgess Pipp Hospital Both | COVENTRY CARES | 3337_BOMC MEDICAID REPLACEMENT COVENTRY CARES INPATIENT 20231001 | $855.88 | — | — | 2024-12-17 | MRF ↗ |
| Ascension Borgess Pipp Hospital Both | COVENTRY CARES | 3337_BOMC MEDICAID REPLACEMENT COVENTRY CARES INPATIENT 20231001 | $855.88 | — | — | 2024-12-17 | MRF ↗ |
| Riverside Community Hospital Inpatient | Multiplan | COMMPRIMARYPPO | — | — | — | 2026-03-01 | MRF ↗ |
| Ascension Borgess Pipp Hospital Both | COVENTRY CARES | 3337_BOMC MEDICAID REPLACEMENT COVENTRY CARES INPATIENT 20231001 | $1,100.57 | — | — | 2024-12-17 | MRF ↗ |
| Ascension Borgess Pipp Hospital Both | COVENTRY CARES | 3337_BOMC MEDICAID REPLACEMENT COVENTRY CARES INPATIENT 20231001 | $1,100.57 | — | — | 2024-12-17 | MRF ↗ |
| Ascension Borgess Pipp Hospital Both | COVENTRY CARES | 3337_BOMC MEDICAID REPLACEMENT COVENTRY CARES INPATIENT 20231001 | $1,135.05 | — | — | 2024-12-17 | MRF ↗ |
| Ascension Borgess Pipp Hospital Both | COVENTRY CARES | 3337_BOMC MEDICAID REPLACEMENT COVENTRY CARES INPATIENT 20231001 | $1,135.05 | — | — | 2024-12-17 | 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 ↗ |
| Mercy Hospital, Inc InpatientFacility | United Healthcare | Exchange | — | — | — | 2026-03-06 | 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 | Cigna | COMM | — | — | — | 2024-10-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Inpatient | Crescent Health Solutions | WNCHealthCoalition | — | — | — | 2024-10-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Inpatient | Crescent Health Solutions | AppalachianBenefitAssociates | — | — | — | 2024-10-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Inpatient | Crescent Health Solutions | CommunityCarePartnersLargeGroup | — | — | — | 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 | Multiplan | COMM | — | — | — | 2024-10-01 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MANAGED CARE | HUMANA COMM OP | $1,560.81 | — | — | 2025-12-04 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MANAGED CARE | HUMANA COMM IP | $1,560.81 | — | — | 2025-12-04 | MRF ↗ |
| Ascension Borgess Pipp Hospital Both | COVENTRY CARES | 3337_BOMC MEDICAID REPLACEMENT COVENTRY CARES INPATIENT 20231001 | $1,576.36 | — | — | 2024-12-17 | MRF ↗ |
| Ascension Borgess Pipp Hospital Both | COVENTRY CARES | 3337_BOMC MEDICAID REPLACEMENT COVENTRY CARES INPATIENT 20231001 | $1,576.36 | — | — | 2024-12-17 | 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 | Devoted Health | MCR | $1,623.84 | — | — | 2026-03-01 | MRF ↗ |
| HIGHLANDS CASHIERS HOSPITAL Inpatient | Alignment Health | MCR | $1,623.84 | — | — | 2026-03-01 | MRF ↗ |
| HIGHLANDS CASHIERS HOSPITAL Inpatient | Cigna Healthspring | MCR | $1,639.76 | — | — | 2026-03-01 | MRF ↗ |
| HIGHLANDS CASHIERS HOSPITAL Inpatient | Wellcare | 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 | Humana | MCR | $1,655.68 | — | — | 2026-03-01 | MRF ↗ |
| HIGHLANDS CASHIERS HOSPITAL Inpatient | NHC Advantage | 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 | HealthTeam Advantage | MCR | $1,671.60 | — | — | 2026-03-01 | 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 ↗ |
| MINDEN MEDICAL CENTER Both | MANAGED CARE | COCA COLA BOTTLING CO IP | $1,734.24 | — | — | 2025-12-04 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MANAGED CARE | MCR 150 MISC IP | $1,734.24 | — | — | 2025-12-04 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MANAGED CARE | MCR 150 MISC OP | $1,734.24 | — | — | 2025-12-04 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MANAGED CARE | COCA COLA BOTTLING OP | $1,734.24 | — | — | 2025-12-04 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MANAGED CARE | PHCS IP | $1,734.24 | — | — | 2025-12-04 | MRF ↗ |
| PROVIDENCE ST MARY MEDICAL CENTER InpatientFacility | Inland Empire Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST MARY MEDICAL CENTER InpatientFacility | Inland Empire Health Plan | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Inpatient | Multiplan | COMM | — | — | — | 2026-03-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Inpatient | United | AllPayerAppendix | — | — | — | 2026-03-01 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | GHI MEDICAL | GROUP HEALTH INC. | $1,787.59 | — | — | 2026-04-07 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | SENECA NATION HEALTH DEPT | SENECA NATION HEALTH DEPT | $1,787.59 | — | — | 2026-04-07 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | COMMUNITY CARE - BC | COMMUNITY CARE - BC | $1,787.59 | — | — | 2026-04-07 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | COMMUNITY BLUE | COMMUNITY BLUE - BC | $1,787.59 | — | — | 2026-04-07 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | MEDICAID COMPUTER SCIENCE | MEDICAID | $1,787.59 | — | — | 2026-04-07 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | GOWANDA CORRECTIONAL FAC | COLLINS CORRECTIONAL IP | $1,787.59 | — | — | 2026-04-07 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | WELLCARE MEDICAID | WELLCARE MEDICAID | $1,787.59 | — | — | 2026-04-07 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | FIDELIS CARE OF NEW YORK | FIDELIS CARE NEW YORK | $1,787.59 | — | — | 2026-04-07 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | MOLINA ESSENTIAL PLAN | MOLINA ESSENTIAL PLAN | $1,787.59 | — | — | 2026-04-07 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | UNITED HC ESSENTIAL PLAN | UNITED HC ESSENTIAL PLAN | $1,787.59 | — | — | 2026-04-07 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | COMM BLUE ESSENTIAL | COMMUNITY BLUE ESSENTIAL | $1,787.59 | — | — | 2026-04-07 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | MOLINA HEATHCARE OF WNY | MOLINA HEALTHCARE OF WNY | $1,787.59 | — | — | 2026-04-07 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | UNIVERA HC MYHEALTH+ | UNIVERA HC MYHEALTH+ | $1,787.59 | — | — | 2026-04-07 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | GOWANDA CORRECTIONAL FAC | COLLINS CORRECTIONAL FAC | $1,787.59 | — | — | 2026-04-07 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | UNIVERA HC MYHEALTH | UNIVERA HC MYHEALTH | $1,787.59 | — | — | 2026-04-07 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | BC/BS WNY MEDICAID | BC/BS WNY MEDICAID | $1,787.59 | — | — | 2026-04-07 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | UNITED HC - COMMUNITY PLN | UNITED HC - COMMUNITY PLN | $1,787.59 | — | — | 2026-04-07 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | YOURCARE | YOURCARE | $1,787.59 | — | — | 2026-04-07 | 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 ↗ |
| HIGHLANDS CASHIERS HOSPITAL Inpatient | Apex Health | MCR | $1,829.43 | — | — | 2024-10-01 | MRF ↗ |
| HIGHLANDS CASHIERS HOSPITAL Inpatient | Aetna | MCR | $1,829.43 | — | — | 2024-10-01 | MRF ↗ |
| BLUE RIDGE REGIONAL HOSPITAL Inpatient | Apex Health | MCR | $1,860.00 | — | — | 2026-03-01 | MRF ↗ |
| BLUE RIDGE REGIONAL HOSPITAL Inpatient | Aetna | 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 MERCY 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 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 UNIVERSITY 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 ↗ |
| WESTSIDE REGIONAL MEDICAL CENTER 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 ↗ |
| HCA FLORIDA PALMS WEST HOSPITAL 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 ↗ |
| 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 ↗ |
| HIGHLANDS CASHIERS HOSPITAL Inpatient | Cigna Healthspring | MCR | $1,884.31 | — | — | 2024-10-01 | MRF ↗ |
| BLUE RIDGE REGIONAL HOSPITAL Inpatient | Alignment Health | MCR | $1,897.20 | — | — | 2026-03-01 | MRF ↗ |
| BLUE RIDGE REGIONAL HOSPITAL Inpatient | Devoted 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 | Humana | StateEmployees | $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 | Cigna Healthspring | MCR | $1,915.80 | — | — | 2026-03-01 | 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 ↗ |
| ALEXIAN BROTHERS BEHAVIORAL HLTH HOSP Outpatient | UHC | 1711_UHC (AB,SA) 20240101 | $1,920.00 | — | — | 2026-01-01 | MRF ↗ |
| HIGHLANDS CASHIERS HOSPITAL Inpatient | Troy Healthcare | MCR | $1,920.90 | — | — | 2024-10-01 | MRF ↗ |
| TRANSYLVANIA REGIONAL HOSPITAL, INC Inpatient | PruittHealth Premier | MCR | $1,920.90 | — | — | 2024-10-01 | MRF ↗ |
| BLUE RIDGE REGIONAL HOSPITAL Inpatient | Humana | MCR | $1,934.40 | — | — | 2026-03-01 | MRF ↗ |
| BLUE RIDGE REGIONAL HOSPITAL Inpatient | NHC Advantage | MCR | $1,934.40 | — | — | 2026-03-01 | MRF ↗ |
| TRANSYLVANIA REGIONAL HOSPITAL, INC Inpatient | Alignment Health | MCR | $1,947.18 | — | — | 2026-03-01 | MRF ↗ |
| TRANSYLVANIA REGIONAL HOSPITAL, INC Inpatient | Devoted Health | MCR | $1,947.18 | — | — | 2026-03-01 | MRF ↗ |
| BLUE RIDGE REGIONAL HOSPITAL Inpatient | Troy Healthcare | MCR | $1,953.00 | — | — | 2026-03-01 | 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.