468 — Revision Of Hip Or Knee Replacement Without Cc/mcc
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC (MS_DRG 468) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/468?code_type=MS_DRG
MLA (9th ed.)
“REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC (MS_DRG 468) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/468?code_type=MS_DRG. Accessed .
Chicago (notes-bibliography)
“REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC (MS_DRG 468) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/468?code_type=MS_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $21,179–$41,198 (25th–75th percentile) across 2,235 hospitals · 5,662 payers.
“Negotiated” is the hospital’s negotiated facility rate for this MS_DRG 468 — 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 | 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 | Humana Health Plan, Inc. | Medicare Advantage | — | — | — | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | Medicare Advantage | — | — | — | 2025-11-26 | MRF ↗ |
| 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 | $1.10 | — | — | 2026-03-06 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Inpatient | United Healthcare | UnitedOptions | $1.60 | — | $120,918.95 | 2024-12-08 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Inpatient | United Healthcare | UnitedHealthcareNewBusiness | $1.60 | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Inpatient | United Healthcare | UnitedOptions | $1.60 | — | — | 2025-01-31 | MRF ↗ |
| Harper University Hospital Inpatient | United Healthcare | UnitedOptions | $1.60 | — | — | 2025-01-31 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Inpatient | United Healthcare | UnitedOptions | $1.60 | — | $61,597.50 | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Inpatient | United Healthcare | UnitedOptions | $1.60 | — | $80,647.05 | 2024-12-08 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Inpatient | United Healthcare | UnitedExchange | $1.60 | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Inpatient | United Healthcare | UnitedOptions | $1.60 | — | — | 2025-01-31 | MRF ↗ |
| METROWEST MEDICAL CENTER Inpatient | United Healthcare | UnitedOptions | $1.60 | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Inpatient | United Healthcare | UnitedOptions | $1.60 | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Inpatient | United Healthcare | UnitedChoicePlus | $1.60 | — | — | 2025-01-31 | MRF ↗ |
| METROWEST MEDICAL CENTER Inpatient | United Healthcare | UnitedNonOptions | $1.60 | — | — | 2025-01-31 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Inpatient | United Healthcare | UnitedNonOptions | $1.60 | — | $120,918.95 | 2024-12-08 | MRF ↗ |
| Harper University Hospital Inpatient | United Healthcare | UnitedHealthcareNewBusiness | $1.60 | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Inpatient | United Healthcare | UnitedExchange | $1.60 | — | — | 2025-01-31 | MRF ↗ |
| Harper University Hospital Inpatient | United Healthcare | UnitedExchange | $1.60 | — | — | 2025-01-31 | MRF ↗ |
| Harper University Hospital Inpatient | United Healthcare | UnitedNonOptions | $1.60 | — | — | 2025-01-31 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Inpatient | United Healthcare | UnitedNonOptions | $1.60 | — | $80,647.05 | 2024-12-08 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Inpatient | United Healthcare | UnitedHealthcareHMO | $1.60 | — | — | 2025-01-31 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Inpatient | United Healthcare | UnitedExchange | $1.60 | — | $80,647.05 | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Inpatient | United Healthcare | UnitedExchange | $1.60 | — | $120,918.95 | 2024-12-08 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Inpatient | United Healthcare | UnitedNonOptions | $1.60 | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Inpatient | United Healthcare | UnitedNonOptions | $1.60 | — | — | 2025-01-31 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Inpatient | United Healthcare | UnitedNonOptions | $1.60 | — | $61,597.50 | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Inpatient | United Healthcare | UnitedExchange | $1.60 | — | $61,597.50 | 2024-12-08 | MRF ↗ |
| Rehabilitation Institute Of Michigan Inpatient | United Healthcare | UnitedHealthcareNewBusiness | $1.60 | — | — | 2025-01-31 | MRF ↗ |
| MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS InpatientFacility | HUMANA MEDICARE ADVANTAGE CONTRACTED [320194] | HB SEKS HUMANA MCR New 1.1.24 | $2.61 | $48,868.69 | $31,764.65 | 2026-03-18 | MRF ↗ |
| TEMPLE UNIVERSITY HOSPITAL Inpatient | TUH UHC VA CC Network OPTUM | TUH UHC VA CC Network OPTUM | $2.62 | $237,770.96 | $28,855.57 | 2025-01-01 | MRF ↗ |
| Hospital Of The Fox Chase Cancer Center Inpatient | TUH UHC VA CC Network OPTUM | TUH UHC VA CC Network OPTUM | $2.62 | $237,770.96 | $28,855.57 | 2025-01-01 | MRF ↗ |
| Jeanes Hospital Inpatient | TUH UHC VA CC Network OPTUM | TUH UHC VA CC Network OPTUM | $2.62 | $192,357.05 | $28,855.57 | 2025-01-01 | MRF ↗ |
| TEMPLE HEALTH - CHESTNUT HILL HOSPITAL Inpatient | TUH UHC VA CC Network OPTUM | TUH UHC VA CC Network OPTUM | $2.62 | $237,770.96 | $28,855.57 | 2025-01-01 | MRF ↗ |
| Temple University Hospital - Northeastern Campus Inpatient | TUH UHC VA CC Network OPTUM | TUH UHC VA CC Network OPTUM | $2.62 | $237,770.96 | $28,855.57 | 2025-01-01 | MRF ↗ |
| TEMPLE UNIVERSITY HOSPITAL Inpatient | TUH UHC VA CC Network OPTUM | TUH UHC VA CC Network OPTUM | $2.62 | $237,770.96 | $28,855.57 | 2025-01-01 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Inpatient | MH OPTUM [170] | MH OPTUM MEDICARE | $2.67 | $61,556.10 | $40,011.47 | 2024-12-30 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Inpatient | ALTERNATE HEALTHNET [1007] | HEALTH NET MEDICARE ADVANTAGE UC EMPLOYER GROUP | $2.75 | $161,807.34 | $88,994.04 | 2026-04-01 | MRF ↗ |
| MERCYONE WATERLOO MEDICAL CENTER InpatientFacility | WELLPOINT MEDICARE ADVANTAGE | WELLPOINT MEDICARE ADVANTAGE | $2.80 | — | $67,323.64 | 2026-03-31 | MRF ↗ |
| PIEDMONT HOSPITAL, INC Inpatient | CARESOURCE MEDICARE ADVANTAGE [30186] | Caresource Medicare Advantage | $2.94 | $110,830.90 | $33,249.27 | 2026-04-01 | MRF ↗ |
| PIEDMONT HOSPITAL, INC Inpatient | GEORGIA HEALTH ADVANTAGE [30143] | Georgia Health Medicare Advantage | $2.94 | $110,830.90 | $33,249.27 | 2026-04-01 | MRF ↗ |
| MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS InpatientFacility | PROVIDER PARTNERS HEALTH PLANS CONTRACTED [320450] | HB SEKS PROVIDER PARTNERS PPHP 110% MCR | $2.97 | $48,868.69 | $31,764.65 | 2026-03-18 | MRF ↗ |
| METHODIST DALLAS MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MDMC | $4.20 | $85,912.09 | $42,956.04 | 2026-03-20 | MRF ↗ |
| METHODIST CELINA MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MCEL | $4.20 | $85,912.09 | $42,956.04 | 2026-03-23 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MSMC | $4.20 | $85,912.09 | $42,956.04 | 2026-03-23 | MRF ↗ |
| METHODIST MIDLOTHIAN MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MLMC | $4.20 | $85,912.09 | $42,956.04 | 2026-03-21 | MRF ↗ |
| HUDSON REGIONAL HOSPITAL Inpatient | HORIZON NJ HLTH - ALL PLANS | HORIZON NJ HLTH - ALL PLANS | $4.20 | $32,317.59 | $32,317.59 | 2026-01-19 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MRMC | $4.20 | $79,256.30 | $39,628.15 | 2026-03-21 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MSMC | $4.20 | $85,912.09 | $42,956.04 | 2026-03-23 | MRF ↗ |
| METHODIST CHARLTON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MCMC | $4.20 | $95,563.42 | $47,781.71 | 2026-03-21 | MRF ↗ |
| METHODIST MANSFIELD MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MMMC | $4.20 | $85,912.09 | $42,956.04 | 2026-03-21 | MRF ↗ |
| METHODIST HOSPITAL FOR SURGERY Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MAH | $4.20 | $47,840.81 | $28,704.49 | 2026-03-21 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MRMC | $4.20 | $79,256.30 | $39,628.15 | 2026-03-21 | MRF ↗ |
| HUDSON REGIONAL HOSPITAL Inpatient | HORIZON NJ HLTH - ALL PLANS | HORIZON NJ HLTH - ALL PLANS | $4.20 | $32,317.59 | $32,317.59 | 2026-01-19 | MRF ↗ |
| METHODIST MCKINNEY HOSPITAL Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MMK | $4.20 | $72,877.43 | $36,438.71 | 2026-03-21 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MSMC | $6.87 | $85,912.09 | $42,956.04 | 2026-03-23 | MRF ↗ |
| METHODIST DALLAS MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MDMC | $6.87 | $85,912.09 | $42,956.04 | 2026-03-20 | MRF ↗ |
| METHODIST CELINA MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MCEL | $6.87 | $85,912.09 | $42,956.04 | 2026-03-23 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MRMC | $6.87 | $79,256.30 | $39,628.15 | 2026-03-21 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MSMC | $6.87 | $85,912.09 | $42,956.04 | 2026-03-23 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MRMC | $6.87 | $79,256.30 | $39,628.15 | 2026-03-21 | MRF ↗ |
| METHODIST MANSFIELD MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MMMC | $6.87 | $85,912.09 | $42,956.04 | 2026-03-21 | MRF ↗ |
| METHODIST MIDLOTHIAN MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MLMC | $6.87 | $85,912.09 | $42,956.04 | 2026-03-21 | MRF ↗ |
| METHODIST CHARLTON MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MCMC | $6.87 | $95,563.42 | $47,781.71 | 2026-03-21 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Inpatient | MGM RESORTS [1053] | MGM RESORT | $7.48 | $161,807.34 | $88,994.04 | 2026-04-01 | MRF ↗ |
| BROOKWOOD BAPTIST MEDICAL CENTER InpatientFacility | Unitedhealthcare | Iex Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| EMORY JOHNS CREEK HOSPITAL InpatientFacility | Sonder Health Plans | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT MICHAEL'S MEDICAL CENTER Inpatient | Qualcare | Qualcare Comm HMO | $35.74 | — | $40,498.00 | 2024-12-19 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL InpatientFacility | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | COMMERCIAL | — | — | — | 2026-02-28 | 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 | AETNA HEALTH MANAGEMENT, LLC | RI PREFERRED | — | — | — | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL InpatientFacility | PRIVATE HEALTHCARE SYSTEM | COMMERCIAL | — | — | — | 2026-02-28 | MRF ↗ |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER InpatientFacility | Caloptima | Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | WellCare by AllWell | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | The Health Plan | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Cigna | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Primetime Health Plan | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Anthem | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | 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 | SummaCare | 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 | Aetna | 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 | Paramount | Medicare Advantage | $52.19 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Valor Health Plans | Medicare Advantage | $53.20 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Perennial Advantage of Ohio | Medicare Advantage | $53.20 | — | — | 2025-05-16 | MRF ↗ |
| Yavapai Regional Medical Center - East Inpatient | BCBS - AZ | Commercial|All Plans | $86.00 | — | — | 2026-02-28 | MRF ↗ |
| Yavapai Regional Medical Center - East Inpatient | BCBS - AZ | Commercial|All Plans | $86.00 | — | — | 2026-02-28 | MRF ↗ |
| SENTARA PRINCESS ANNE HOSPITAL InpatientFacility | Unitedhealthcare | Dsnp Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SENTARA PRINCESS ANNE HOSPITAL InpatientFacility | Unitedhealthcare | Dsnp Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Aetna CVSHealth QHP | Commercial | $90.19 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | CareSource | Marketplace | $91.21 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Ambetter | Commercial | $91.21 | — | — | 2025-05-16 | MRF ↗ |
| Endeavor Health Glenbrook Hospital InpatientFacility | Molina Healthcare | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Claritev | PHCS Primary Network | — | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Intergroup | Intergroup | — | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | First Health | First Health PPO | — | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Cigna | Cigna Commercial All Other | — | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Claritev | Multiplan Complementary Network | — | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Health Coalition Incorporated | Health Coalition Incorporated | — | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | First Health | First Health PPO | — | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Cigna | Cigna Commercial All Other | — | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Health Coalition Incorporated | Health Coalition Incorporated | — | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Claritev | Multiplan Complementary Network | — | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Claritev | PHCS Primary Network | — | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Claritev | Multiplan Complementary Network | — | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Health Coalition Incorporated | Health Coalition Incorporated | — | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Cigna | Cigna Commercial All Other | — | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Intergroup | Intergroup | — | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Claritev | PHCS Primary Network | — | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | First Health | First Health PPO | — | — | — | 2026-04-14 | MRF ↗ |
| ORLANDO HEALTH SEBASTIAN RIVER HOSPITAL InpatientFacility | Careplus | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| HSHS ST ELIZABETH'S HOSPITAL Inpatient | BLUE CROSS BLUE SHIELD OF ILLINOIS | BCBS IL MMAI | $236.42 | $58,059.00 | $41,802.48 | 2026-01-15 | MRF ↗ |
| HSHS ST ELIZABETH'S HOSPITAL Inpatient | BLUE CROSS BLUE SHIELD OF ILLINOIS | BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV | $236.42 | $58,059.00 | $41,802.48 | 2026-01-15 | MRF ↗ |
| ST MARYS HOSPITAL Inpatient | BLUE CROSS BLUE SHIELD OF ILLINOIS | BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV | $236.42 | $124,750.10 | $89,820.07 | 2026-01-15 | MRF ↗ |
| ST MARYS HOSPITAL Inpatient | BLUE CROSS BLUE SHIELD OF ILLINOIS | BCBS IL MMAI | $236.42 | $124,750.10 | $89,820.07 | 2026-01-15 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | Texas Athletic Network | Premier | $250.00 | — | — | 2026-03-01 | MRF ↗ |
| MEMORIAL HERMANN - TEXAS MEDICAL CENTER InpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Memorial Hermann Hospital InpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| GRACE SURGICAL HOSPITAL InpatientFacility | Baylor Scott And White | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| GRACE SURGICAL HOSPITAL InpatientFacility | Baylor Scott And White | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| EMORY DECATUR HOSPITAL InpatientFacility | Wellcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| OHIOHEALTH O'BLENESS HOSPITAL InpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MERCY WALWORTH HOSPITAL & MEDICAL CENTER InpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-03-01 | MRF ↗ |
| ORLANDO HEALTH MELBOURNE HOSPITAL InpatientFacility | Bcbs | Florida Blue Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS InpatientFacility | Meridian | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| HOUSTON METHODIST WILLOWBROOK HOSPITAL InpatientFacility | Bcbs | Medicare Managed Care - Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| WILLAPA HARBOR HOSPITAL InpatientFacility | None | — | — | — | — | 2026-02-24 | MRF ↗ |
| HOUSTON METHODIST WILLOWBROOK HOSPITAL InpatientFacility | Aetna | Medicare Managed Care - Hmo/Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| ORLANDO HEALTH MELBOURNE HOSPITAL InpatientFacility | Bcbs | Blue Care Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT FRANCIS HOSPITAL, INC InpatientFacility | Humana | Healthy Horizons Medicaid Managed Care | — | — | — | 2026-04-01 | MRF ↗ |
| SPARTANBURG MEDICAL CENTER InpatientFacility | Cigna | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | HEALTH SAFETY NET [500011] | HB XR HSN ER BAD DEBT MWF | $530.75 | $52,707.76 | $36,895.43 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | HEALTH SAFETY NET [500011] | HB XR HSN ER BAD DEBT MWF | $530.75 | $52,707.76 | $36,895.43 | 2026-04-01 | MRF ↗ |
| HSHS ST ELIZABETH'S HOSPITAL Inpatient | CLAIM DOC | ALL COMMERCIAL CLAIM DOC | $567.40 | $58,059.00 | $41,802.48 | 2026-01-15 | MRF ↗ |
| ST MARYS HOSPITAL Inpatient | CLAIM DOC | ALL COMMERCIAL CLAIM DOC | $567.40 | $124,750.10 | $89,820.07 | 2026-01-15 | MRF ↗ |
| ST MARYS HOSPITAL Inpatient | HOPETRUST | ALL COMMERCIAL HOPETRUST | $591.05 | $124,750.10 | $89,820.07 | 2026-01-15 | MRF ↗ |
| HSHS ST ELIZABETH'S HOSPITAL Inpatient | HOPETRUST | ALL COMMERCIAL HOPETRUST | $591.05 | $58,059.00 | $41,802.48 | 2026-01-15 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Inpatient | SUNLIGHT LIVING HLTH MCAL | SUNLIGHT LIVING HLTH MCAL | $686.68 | $189,515.22 | $34,112.74 | 2026-01-30 | MRF ↗ |
| SAINT FRANCIS HOSPITAL, INC InpatientFacility | Community Care | Other Senior Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | Texas Athletic Network | PremierPlus | $750.00 | — | — | 2026-03-01 | MRF ↗ |
| MOUNT SINAI SOUTH NASSAU InpatientFacility | Fidelis | Fidelis Medicaid / Chp / Harp - Snch | — | — | — | 2026-04-01 | MRF ↗ |
| SPARTANBURG MEDICAL CENTER InpatientFacility | Devoted Health Plan | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Ascension Borgess Pipp Hospital Both | COVENTRY CARES | 3337_BOMC MEDICAID REPLACEMENT COVENTRY CARES INPATIENT 20231001 | $971.45 | — | — | 2024-12-17 | MRF ↗ |
| Ascension Borgess Pipp Hospital Both | COVENTRY CARES | 3337_BOMC MEDICAID REPLACEMENT COVENTRY CARES INPATIENT 20231001 | $971.45 | — | — | 2024-12-17 | MRF ↗ |
| Ascension Borgess Pipp Hospital Both | COVENTRY CARES | 3337_BOMC MEDICAID REPLACEMENT COVENTRY CARES INPATIENT 20231001 | $984.79 | — | — | 2024-12-17 | MRF ↗ |
| Ascension Borgess Pipp Hospital Both | COVENTRY CARES | 3337_BOMC MEDICAID REPLACEMENT COVENTRY CARES INPATIENT 20231001 | $984.79 | — | — | 2024-12-17 | MRF ↗ |
| Ascension Borgess Pipp Hospital Both | COVENTRY CARES | 3337_BOMC MEDICAID REPLACEMENT COVENTRY CARES INPATIENT 20231001 | $1,007.66 | — | — | 2024-12-17 | MRF ↗ |
| Ascension Borgess Pipp Hospital Both | COVENTRY CARES | 3337_BOMC MEDICAID REPLACEMENT COVENTRY CARES INPATIENT 20231001 | $1,007.66 | — | — | 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 | $1,134.36 | — | — | 2024-12-17 | MRF ↗ |
| Ascension Borgess Pipp Hospital Both | COVENTRY CARES | 3337_BOMC MEDICAID REPLACEMENT COVENTRY CARES INPATIENT 20231001 | $1,134.36 | — | — | 2024-12-17 | MRF ↗ |
| THIBODAUX REGIONAL MEDICAL CENTER InpatientFacility | Medicaid ? La Healthcare Connections | Medicaid ? La Healthcare Connections | — | — | — | 2026-04-01 | MRF ↗ |
| CYPRESS POINTE SURGICAL HOSPITAL Inpatient | United_Health_Insurance | Medicaid | $1,173.72 | $28,486.67 | $35,608.34 | 2025-12-18 | MRF ↗ |
| CYPRESS POINTE SURGICAL HOSPITAL Inpatient | Healthy_Blue_Health_Insurance | Medicaid | $1,173.72 | $28,486.67 | $35,608.34 | 2025-12-18 | MRF ↗ |
| CYPRESS POINTE SURGICAL HOSPITAL Inpatient | Humana_Healthy_Horizons | Medicaid | $1,173.72 | $28,486.67 | $35,608.34 | 2025-12-18 | MRF ↗ |
| THIBODAUX REGIONAL MEDICAL CENTER InpatientFacility | Medicaid ? La Healthcare Connections | Medicaid ? La Healthcare Connections | — | — | — | 2026-04-01 | MRF ↗ |
| CYPRESS POINTE SURGICAL HOSPITAL Inpatient | LA_Healthcare_Connections | Medicaid | $1,173.72 | $28,486.67 | $35,608.34 | 2025-12-18 | MRF ↗ |
| CYPRESS POINTE SURGICAL HOSPITAL Inpatient | AmeriHealth_Caritas_Health_Insurance | Medicaid | $1,173.72 | $28,486.67 | $35,608.34 | 2025-12-18 | 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 ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | BCBS MEDICAID REPLACEMENT [350011] | HB Bluecare Adult Contract | $1,215.00 | $79,492.66 | $17,488.39 | 2026-03-19 | MRF ↗ |
| DUBLIN METHODIST HOSPITAL InpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Inpatient | TRANSPLANT BCBS TENNCARE SELECT [350032] | HB MEDICAID TN - BCBS TennCare Select - MUH-MNH-MSH-MGH-MHM | $1,267.00 | $79,492.66 | $17,488.39 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Inpatient | BCBS MEDICAID REPLACEMENT [350011] | HB MEDICAID TN - BCBS TennCare Select - MUH-MNH-MSH-MGH-MHM | $1,267.00 | $79,492.66 | $17,488.39 | 2026-03-19 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | BCBS MEDICAID REPLACEMENT [350011] | HB MEDICAID TN - BCBS TennCare Select - MUH-MNH-MSH-MGH-MHM | $1,267.00 | $79,492.66 | $17,488.39 | 2026-03-19 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | TRANSPLANT BCBS TENNCARE SELECT [350032] | HB MEDICAID TN - BCBS TennCare Select - MUH-MNH-MSH-MGH-MHM | $1,267.00 | $79,492.66 | $17,488.39 | 2026-03-19 | MRF ↗ |
| Orlando Health Dr. P. Phillips Hospital InpatientFacility | Humana | Gold Plus Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| GRANT MEDICAL CENTER InpatientFacility | Medigold | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| GRANT MEDICAL CENTER InpatientFacility | Medigold | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Inpatient | BCBS MEDICAID REPLACEMENT [350011] | HB BLUECARE TN - LeBonheur | $1,351.00 | $79,492.66 | $17,488.39 | 2026-03-19 | MRF ↗ |
| MIDDLESEX HOSPITAL Inpatient | UNITED MA | ADVANTAGE PLUS NETWORK OF CT | $1,425.63 | — | — | 2025-01-01 | MRF ↗ |
| BRADLEY COUNTY MEDICAL CENTER InpatientFacility | Corvel | Workers Comp | — | — | — | 2026-04-08 | MRF ↗ |
| BRADLEY COUNTY MEDICAL CENTER InpatientFacility | Aetna | All Plans | — | — | — | 2026-04-08 | 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 | 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 | Crescent Health Solutions | AppalachianBenefitAssociates | — | — | — | 2024-10-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Inpatient | United | AllPayerAppendix | — | — | — | 2024-10-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Inpatient | United | NarrowNetworkIndivExchange | — | — | — | 2024-10-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Inpatient | Cigna | COMM | — | — | — | 2024-10-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Inpatient | Multiplan | COMM | — | — | — | 2024-10-01 | MRF ↗ |
| USC VERDUGO HILLS HOSPITAL InpatientFacility | Healthnet | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| USC VERDUGO HILLS HOSPITAL InpatientFacility | Healthnet | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | 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 ↗ |
| 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 ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | MEDICAID HUMANA HEALTHY HORIZONS [6110] | PHM HB HUMANA MEDICAID - RICHLAND | $1,603.61 | — | — | 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.