466 — Revision Of Hip Or Knee Replacement With Mcc
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). REVISION OF HIP OR KNEE REPLACEMENT WITH MCC (MS_DRG 466) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/466?code_type=MS_DRG
MLA (9th ed.)
“REVISION OF HIP OR KNEE REPLACEMENT WITH MCC (MS_DRG 466) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/466?code_type=MS_DRG. Accessed .
Chicago (notes-bibliography)
“REVISION OF HIP OR KNEE REPLACEMENT WITH MCC (MS_DRG 466) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/466?code_type=MS_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $38,879–$73,727 (25th–75th percentile) across 2,157 hospitals · 5,174 payers.
“Negotiated” is the hospital’s negotiated facility rate for this MS_DRG 466 — 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 | Aetna Health of California, Inc. and Aetna Health Management LLC | 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 ↗ |
| UPMC SOMERSET InpatientFacility | Aetna of PA | TPA/Carrier | $2.08 | — | — | 2026-03-06 | MRF ↗ |
| TEMPLE HEALTH - CHESTNUT HILL HOSPITAL Inpatient | TUH UHC VA CC Network OPTUM | TUH UHC VA CC Network OPTUM | $5.09 | $802,218.54 | $55,391.78 | 2025-01-01 | MRF ↗ |
| TEMPLE UNIVERSITY HOSPITAL Inpatient | TUH UHC VA CC Network OPTUM | TUH UHC VA CC Network OPTUM | $5.09 | $802,218.54 | $55,391.78 | 2025-01-01 | MRF ↗ |
| Temple University Hospital - Northeastern Campus Inpatient | TUH UHC VA CC Network OPTUM | TUH UHC VA CC Network OPTUM | $5.09 | $802,218.54 | $55,391.78 | 2025-01-01 | MRF ↗ |
| Jeanes Hospital Inpatient | TUH UHC VA CC Network OPTUM | TUH UHC VA CC Network OPTUM | $5.09 | $802,218.54 | $55,391.78 | 2025-01-01 | MRF ↗ |
| TEMPLE UNIVERSITY HOSPITAL Inpatient | TUH UHC VA CC Network OPTUM | TUH UHC VA CC Network OPTUM | $5.09 | $802,218.54 | $55,391.78 | 2025-01-01 | MRF ↗ |
| Hospital Of The Fox Chase Cancer Center Inpatient | TUH UHC VA CC Network OPTUM | TUH UHC VA CC Network OPTUM | $5.09 | $802,218.54 | $55,391.78 | 2025-01-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Inpatient | ALTERNATE HEALTHNET [1007] | HEALTH NET MEDICARE ADVANTAGE UC EMPLOYER GROUP | $5.21 | $404,695.72 | $222,582.65 | 2026-04-01 | MRF ↗ |
| PIEDMONT HOSPITAL, INC Inpatient | GEORGIA HEALTH ADVANTAGE [30143] | Georgia Health Medicare Advantage | $5.57 | $181,129.77 | $54,338.93 | 2026-04-01 | MRF ↗ |
| PIEDMONT HOSPITAL, INC Inpatient | CARESOURCE MEDICARE ADVANTAGE [30186] | Caresource Medicare Advantage | $5.57 | $181,129.77 | $54,338.93 | 2026-04-01 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Inpatient | Aetna | AetnaMgdMCare | $7.00 | — | $166,220.58 | 2024-12-08 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Inpatient | Aetna | AetnaMgdMCare | $7.00 | — | — | 2025-01-31 | MRF ↗ |
| METROWEST MEDICAL CENTER Inpatient | Aetna | AetnaMgdMCare | $7.00 | — | — | 2025-01-31 | 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 ↗ |
| Rehabilitation Institute Of Michigan Inpatient | Aetna | AetnaMgdMCare | $7.00 | — | — | 2025-01-31 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Inpatient | Aetna | AetnaMgdMCare | $7.00 | — | $78,238.50 | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Inpatient | Aetna | AetnaMgdMCare | $7.00 | — | — | 2024-12-08 | MRF ↗ |
| Harper University Hospital Inpatient | United Healthcare | UnitedExchange | $7.20 | — | — | 2025-01-31 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Inpatient | United Healthcare | UnitedNonOptions | $7.20 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Inpatient | United Healthcare | UnitedOptions | $7.20 | — | $78,238.50 | 2024-12-08 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Inpatient | United Healthcare | UnitedExchange | $7.20 | — | — | 2025-01-31 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Inpatient | United Healthcare | UnitedExchange | $7.20 | — | — | 2024-12-08 | MRF ↗ |
| Harper University Hospital Inpatient | United Healthcare | UnitedHealthcareNewBusiness | $7.20 | — | — | 2025-01-31 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Inpatient | United Healthcare | UnitedNonOptions | $7.20 | — | $166,220.58 | 2024-12-08 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Inpatient | United Healthcare | UnitedHealthcareNewBusiness | $7.20 | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Inpatient | United Healthcare | UnitedOptions | $7.20 | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Inpatient | United Healthcare | UnitedHealthcareHMO | $7.20 | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Inpatient | United Healthcare | UnitedExchange | $7.20 | — | — | 2025-01-31 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Inpatient | United Healthcare | UnitedExchange | $7.20 | — | $78,238.50 | 2024-12-08 | MRF ↗ |
| Rehabilitation Institute Of Michigan Inpatient | United Healthcare | UnitedNonOptions | $7.20 | — | — | 2025-01-31 | MRF ↗ |
| METROWEST MEDICAL CENTER Inpatient | United Healthcare | UnitedOptions | $7.20 | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Inpatient | United Healthcare | UnitedOptions | $7.20 | — | — | 2025-01-31 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Inpatient | United Healthcare | UnitedNonOptions | $7.20 | — | $78,238.50 | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Inpatient | United Healthcare | UnitedExchange | $7.20 | — | $166,220.58 | 2024-12-08 | MRF ↗ |
| Rehabilitation Institute Of Michigan Inpatient | United Healthcare | UnitedHealthcareNewBusiness | $7.20 | — | — | 2025-01-31 | MRF ↗ |
| Harper University Hospital Inpatient | United Healthcare | UnitedNonOptions | $7.20 | — | — | 2025-01-31 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Inpatient | United Healthcare | UnitedOptions | $7.20 | — | — | 2024-12-08 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Inpatient | United Healthcare | UnitedChoicePlus | $7.20 | — | — | 2025-01-31 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Inpatient | United Healthcare | UnitedOptions | $7.20 | — | $166,220.58 | 2024-12-08 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Inpatient | United Healthcare | UnitedOptions | $7.20 | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Inpatient | United Healthcare | UnitedNonOptions | $7.20 | — | — | 2025-01-31 | MRF ↗ |
| Harper University Hospital Inpatient | United Healthcare | UnitedOptions | $7.20 | — | — | 2025-01-31 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MSMC | $7.96 | $125,892.70 | $62,946.35 | 2026-03-23 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MRMC | $7.96 | $100,649.24 | $50,324.62 | 2026-03-21 | MRF ↗ |
| METHODIST CHARLTON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MCMC | $7.96 | $138,645.40 | $69,322.70 | 2026-03-21 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MRMC | $7.96 | $100,649.24 | $50,324.62 | 2026-03-21 | MRF ↗ |
| METHODIST MANSFIELD MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MMMC | $7.96 | $128,634.96 | $64,317.48 | 2026-03-21 | MRF ↗ |
| METHODIST MCKINNEY HOSPITAL Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MMK | $7.96 | $80,100.68 | $40,050.34 | 2026-03-21 | MRF ↗ |
| METHODIST MIDLOTHIAN MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MLMC | $7.96 | $128,634.96 | $64,317.48 | 2026-03-21 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MSMC | $7.96 | $125,892.70 | $62,946.35 | 2026-03-23 | MRF ↗ |
| METHODIST CELINA MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MCEL | $7.96 | $125,892.70 | $62,946.35 | 2026-03-23 | MRF ↗ |
| METHODIST DALLAS MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MDMC | $7.96 | $128,634.96 | $64,317.48 | 2026-03-20 | MRF ↗ |
| HUDSON REGIONAL HOSPITAL Inpatient | HORIZON NJ HLTH - ALL PLANS | HORIZON NJ HLTH - ALL PLANS | $8.40 | $113,451.90 | $113,451.90 | 2026-01-19 | MRF ↗ |
| HUDSON REGIONAL HOSPITAL Inpatient | HORIZON NJ HLTH - ALL PLANS | HORIZON NJ HLTH - ALL PLANS | $8.40 | $113,451.90 | $113,451.90 | 2026-01-19 | MRF ↗ |
| SENTARA ALBEMARLE MEDICAL CENTER InpatientFacility | Sentara Health Plan | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| METHODIST DALLAS MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MDMC | $13.01 | $128,634.96 | $64,317.48 | 2026-03-20 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MSMC | $13.01 | $125,892.70 | $62,946.35 | 2026-03-23 | MRF ↗ |
| METHODIST MIDLOTHIAN MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MLMC | $13.01 | $128,634.96 | $64,317.48 | 2026-03-21 | MRF ↗ |
| METHODIST CHARLTON MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MCMC | $13.01 | $138,645.40 | $69,322.70 | 2026-03-21 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MSMC | $13.01 | $125,892.70 | $62,946.35 | 2026-03-23 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MRMC | $13.01 | $100,649.24 | $50,324.62 | 2026-03-21 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MRMC | $13.01 | $100,649.24 | $50,324.62 | 2026-03-21 | MRF ↗ |
| METHODIST MANSFIELD MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MMMC | $13.01 | $128,634.96 | $64,317.48 | 2026-03-21 | MRF ↗ |
| METHODIST CELINA MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MCEL | $13.01 | $125,892.70 | $62,946.35 | 2026-03-23 | 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 | AETNA HEALTH MANAGEMENT, LLC | COMMERCIAL | — | — | — | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL InpatientFacility | PRIVATE HEALTHCARE SYSTEM | 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 | RI PREFERRED | — | — | — | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL InpatientFacility | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | COMMERCIAL | — | — | — | 2026-02-28 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | The Health Plan | 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 | Molina | 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 | Primetime Health Plan | 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 | SummaCare | 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 | Aetna | 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 | 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 ↗ |
| MAYO CLINIC HEALTH SYSTEM-NORTHLAND InpatientFacility | MEDICA [1110027] | MEDICA PRIME SOLUTIONS PART B MEDICARE ADVANTAGE PLAN [599] | $66.09 | — | — | 2026-03-31 | MRF ↗ |
| MAYO CLINIC HEALTH SYSTEM-NORTHLAND InpatientFacility | MEDICA [91180027] | MEDICA PRIME SOLUTIONS PART B MEDICARE ADVANTAGE PLAN [599] | $66.09 | — | — | 2026-03-31 | MRF ↗ |
| LEGACY MOUNT HOOD MEDICAL CENTER InpatientFacility | Molina | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| LEGACY GOOD SAMARITAN MEDICAL CENTER InpatientFacility | Molina | 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 | Ambetter | Commercial | $91.21 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | CareSource | Marketplace | $91.21 | — | — | 2025-05-16 | MRF ↗ |
| SALEM HOSPITAL InpatientFacility | Providence Health Plan | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SALEM HOSPITAL InpatientFacility | Providence Health Plan | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Yavapai Regional Medical Center - East Inpatient | BCBS - AZ | Commercial|All Plans | $124.00 | — | — | 2026-02-28 | MRF ↗ |
| Yavapai Regional Medical Center - East Inpatient | BCBS - AZ | Commercial|All Plans | $124.00 | — | — | 2026-02-28 | MRF ↗ |
| OHIOHEALTH MANSFIELD HOSPITAL InpatientFacility | Unitedhealthcare | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Inpatient | CARELON BEHAVIORAL HEALTH ALT [50094] | CHA HB CARELON - COMMERCIAL | $219.28 | $141,471.00 | $141,471.00 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Inpatient | CARELON BEHAVIORAL HEALTH ALT [50094] | CHA HB CARELON - MEDICAID | $219.28 | $141,471.00 | $141,471.00 | 2026-03-20 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Health Coalition Incorporated | Health Coalition Incorporated | — | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Claritev | Multiplan Complementary Network | — | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Cigna | Cigna Commercial All Other | — | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Claritev | PHCS Primary Network | — | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Intergroup | Intergroup | — | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | First Health | First Health PPO | — | — | — | 2026-04-14 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | Texas Athletic Network | Premier | $250.00 | — | — | 2026-03-01 | MRF ↗ |
| WELLSTAR KENNESTONE REGIONAL MEDICAL CENTER InpatientFacility | Oscar Healthplan | Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| WILLAPA HARBOR HOSPITAL InpatientFacility | None | — | — | — | — | 2026-02-24 | MRF ↗ |
| HOUSTON METHODIST THE WOODLANDS HOSPITAL InpatientFacility | Humana | Medicare Managed Care - Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE CEDARS SINAI TARZANA MEDICAL CENTER InpatientFacility | Blue Cross | Medicare Managed Care Plan | — | — | — | 2026-04-01 | 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 | Claritev | PHCS Primary Network | — | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | First Health | First Health PPO | — | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Health Coalition Incorporated | Health Coalition Incorporated | — | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Intergroup | Intergroup | — | — | — | 2026-04-14 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | HEALTH SAFETY NET [500011] | HB XR HSN ER BAD DEBT MWF | $530.75 | $100,955.73 | $70,669.01 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | HEALTH SAFETY NET [500011] | HB XR HSN ER BAD DEBT MWF | $530.75 | $100,955.73 | $70,669.01 | 2026-04-01 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Claritev | PHCS Primary Network | — | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | First Health | First Health PPO | — | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Claritev | Multiplan Complementary Network | — | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Health Coalition Incorporated | Health Coalition Incorporated | — | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Claritev | Multiplan Complementary Network | — | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Intergroup | Intergroup | — | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Claritev | PHCS Primary Network | — | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | First Health | First Health PPO | — | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Cigna | Cigna Commercial All Other | — | — | — | 2026-04-14 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | Texas Athletic Network | PremierPlus | $750.00 | — | — | 2026-03-01 | MRF ↗ |
| SAINT FRANCIS HOSPITAL, INC InpatientFacility | Community Care | Other Senior Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Inpatient | ABSOLUTE TOTAL CARE [20109] | Absolute Total Care | $858.79 | $23,904.47 | $7,171.34 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Inpatient | ABSOLUTE TOTAL CARE [20109] | Absolute Total Care | $858.79 | $23,904.47 | $7,171.34 | 2026-04-01 | MRF ↗ |
| Ascension Borgess Pipp Hospital Both | COVENTRY CARES | 3337_BOMC MEDICAID REPLACEMENT COVENTRY CARES INPATIENT 20231001 | $935.86 | — | — | 2024-12-17 | MRF ↗ |
| Ascension Borgess Pipp Hospital Both | COVENTRY CARES | 3337_BOMC MEDICAID REPLACEMENT COVENTRY CARES INPATIENT 20231001 | $935.86 | — | — | 2024-12-17 | MRF ↗ |
| Ascension Borgess Pipp Hospital Both | COVENTRY CARES | 3337_BOMC MEDICAID REPLACEMENT COVENTRY CARES INPATIENT 20231001 | $936.34 | — | — | 2024-12-17 | MRF ↗ |
| Ascension Borgess Pipp Hospital Both | COVENTRY CARES | 3337_BOMC MEDICAID REPLACEMENT COVENTRY CARES INPATIENT 20231001 | $936.34 | — | — | 2024-12-17 | MRF ↗ |
| Ascension Borgess Pipp Hospital Both | COVENTRY CARES | 3337_BOMC MEDICAID REPLACEMENT COVENTRY CARES INPATIENT 20231001 | $1,027.67 | — | — | 2024-12-17 | MRF ↗ |
| Ascension Borgess Pipp Hospital Both | COVENTRY CARES | 3337_BOMC MEDICAID REPLACEMENT COVENTRY CARES INPATIENT 20231001 | $1,027.67 | — | — | 2024-12-17 | MRF ↗ |
| FROEDTERT SOUTH INC. Inpatient | None | — | — | $28,868.94 | — | 2026-02-27 | MRF ↗ |
| ST MARYS HOSPITAL Inpatient | BLUE CROSS BLUE SHIELD OF ILLINOIS | BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV | $1,063.89 | $123,903.74 | $89,210.69 | 2026-01-15 | MRF ↗ |
| ST MARYS HOSPITAL Inpatient | BLUE CROSS BLUE SHIELD OF ILLINOIS | BCBS IL MMAI | $1,063.89 | $123,903.74 | $89,210.69 | 2026-01-15 | MRF ↗ |
| Ascension Borgess Pipp Hospital Both | COVENTRY CARES | 3337_BOMC MEDICAID REPLACEMENT COVENTRY CARES INPATIENT 20231001 | $1,098.20 | — | — | 2024-12-17 | MRF ↗ |
| Ascension Borgess Pipp Hospital Both | COVENTRY CARES | 3337_BOMC MEDICAID REPLACEMENT COVENTRY CARES INPATIENT 20231001 | $1,098.20 | — | — | 2024-12-17 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL InpatientFacility | United Healthcare Of Wisconsin, Inc. | United Healthcare Medicare Advantage Plans | $1,104.16 | — | — | 2025-07-01 | MRF ↗ |
| Mercy Hospital, Inc InpatientFacility | United Healthcare | Commercial | — | — | — | 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 | Exchange | — | — | — | 2026-03-06 | MRF ↗ |
| MIAMI VALLEY HOSPITAL InpatientFacility | Medicare Hmo | Uhc Medicare | — | — | — | 2026-04-01 | MRF ↗ |
| Charlton Memorial Hospital Inpatient | WELLSENSE HEALTH PLAN CLARITY CONNECTORCARE & META | WELLSENSE HEALTH PLAN CLARITY CONNECTORCARE & META | $1,430.31 | $4,503.49 | $2,251.74 | 2025-12-15 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | MEDICAID GEORGIA-CARESOURCE [3228] | PHU HB 100% OF MEDICAID - HMH | $1,459.56 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | MEDICAID NEW YORK [320] | PHU HB 100% OF MEDICAID - HMH | $1,459.56 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | MEDICAID FLORIDA [315] | PHU HB 100% OF MEDICAID - HMH | $1,459.56 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | MEDICAID GEORGIA-AMERIGROUP [3009] | PHU HB 100% OF MEDICAID - HMH | $1,459.56 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | MEDICAID TENNESSEE [325] | PHU HB 100% OF MEDICAID - HMH | $1,459.56 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | MEDICAID SC [300] | PHU HB SC MEDICAID - HMH | $1,480.07 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | PENDING MEDICAID DET [333] | PHU HB SC MEDICAID - HMH | $1,480.07 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | MEDICAID MOLINA HEALTHCARE SC [440] | PHU HB 103% OF MEDICAID - HMH | $1,503.35 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | MEDICAID SELECT HEALTH OF SC [400] | PHU HB 103% OF MEDICAID - HMH | $1,503.35 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | MEDICAID BLUECHOICE [420] | PHU HB BLUECHOICE MEDICAID 104% - HMH | $1,517.94 | — | — | 2026-03-01 | 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 | AppalachianBenefitAssociates | — | — | — | 2024-10-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Inpatient | Crescent Health Solutions | WNCHealthCoalition | — | — | — | 2024-10-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Inpatient | Crescent Health Solutions | CommunityCarePartnersSmallGroup | — | — | — | 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 ↗ |
| Carepartners Rehabilitation Hosp Inpatient | Cigna | COMM | — | — | — | 2024-10-01 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | MEDICAID ABSOLUTE TOTAL CARE [410] | PHU HB ABSOLUTE TOTAL CARE MEDICAID - HMH | $1,554.07 | — | — | 2026-03-01 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MANAGED CARE | HUMANA COMM IP | $1,560.81 | — | — | 2025-12-04 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MANAGED CARE | HUMANA COMM OP | $1,560.81 | — | — | 2025-12-04 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Inpatient | SUNLIGHT LIVING HLTH MCAL | SUNLIGHT LIVING HLTH MCAL | $1,581.43 | $465,654.17 | $83,817.75 | 2026-01-30 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | MEDICAID HUMANA HEALTHY HORIZONS [6110] | PHU HB 107% OF MEDICAID - HMH | $1,583.67 | — | — | 2026-03-01 | MRF ↗ |
| HIGHLANDS CASHIERS HOSPITAL Inpatient | Apex Health | MCR | $1,592.00 | — | — | 2026-03-01 | MRF ↗ |
| HIGHLANDS CASHIERS HOSPITAL Inpatient | Aetna | 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 ↗ |
| HIGHLANDS CASHIERS HOSPITAL Inpatient | Wellcare | MCR | $1,639.76 | — | — | 2026-03-01 | 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 ↗ |
| ALEXIAN BROTHERS BEHAVIORAL HLTH HOSP Inpatient | FAMILY HEALTH PLAN | 1750_MEDICAID ADVANTAGE FAMILY HEALTH PLAN (SA) 20240101 | $1,645.42 | — | — | 2026-01-01 | 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 | Troy Healthcare | 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 | Longevity Health Plan | MCR | $1,703.44 | — | — | 2026-03-01 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MANAGED CARE | PHCS 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 | COCA COLA BOTTLING OP | $1,734.24 | — | — | 2025-12-04 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MANAGED CARE | COCA COLA BOTTLING CO IP | $1,734.24 | — | — | 2025-12-04 | 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.