469 — Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc Or Total Ankle Replacement
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT (OTHER 469) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/469?code_type=OTHER
MLA (9th ed.)
“MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT (OTHER 469) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/469?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT (OTHER 469) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/469?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $18,966–$39,661 (25th–75th percentile) across 386 hospitals · 694 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 469 — 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 |
|---|---|---|---|---|---|---|---|
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Excellus | Essentialplans1Thru4 | $0.43 | $40.64 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Excellus | Managedmedicaid | $0.43 | $40.64 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Excellus | Managedmedicaid | $0.43 | $40.64 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Excellus | Essentialplans1Thru4 | $0.43 | $40.64 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Humanamilitary | Tricare | $0.74 | $40.64 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Humanamilitary | Tricare | $0.74 | $40.64 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Cdphp | Medicareadvantage | $0.78 | $40.64 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Cdphp | Medicareadvantage | $0.78 | $40.64 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | United | Medicareadvantage | $0.78 | $40.64 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Excellus | Medicareadvantage | $0.78 | $40.64 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Martinspoint | Tricare | $0.78 | $40.64 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | United | Medicareadvantage | $0.78 | $40.64 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Martinspoint | Tricare | $0.78 | $40.64 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Empire | Medicareadvantage | $0.78 | $40.64 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Empire | Medicareadvantage | $0.78 | $40.64 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Excellus | Medicareadvantage | $0.78 | $40.64 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Vaccn | — | $0.78 | $40.64 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Aitherstregis | Hmo | $0.78 | $40.64 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Vaccn | — | $0.78 | $40.64 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Mvp | Medicareadvantage | $0.78 | $40.64 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Aetna | Medicareadvantage | $0.78 | $40.64 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Mvp | Medicareadvantage | $0.78 | $40.64 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Aetna | Medicareadvantage | $0.78 | $40.64 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Aitherstregis | Hmo | $0.78 | $40.64 | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | Bcn Op | — | $0.82 | $57.53 | $14.38 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | Bcbs Op | — | $0.82 | $57.53 | $14.38 | 2026-07-31 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Fidelis | Medicareadvantage | $0.83 | $40.64 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Fidelis | Essentialplans1Thru4 | $0.83 | $40.64 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Fidelis | Medicareadvantage | $0.83 | $40.64 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Fidelis | Essentialplans1Thru4 | $0.83 | $40.64 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Umassfciraybrook | — | $1.18 | $40.64 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Umassfciraybrook | — | $1.18 | $40.64 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Empire | Individual | $1.25 | $40.64 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Empire | Individual | $1.25 | $40.64 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | United | Essentialplans1Thru4 | $1.41 | $40.64 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Mvp | Managedmedicaid | $1.41 | $40.64 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Mvp | Managedmedicaid | $1.41 | $40.64 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | United | Managedmedicaid | $1.41 | $40.64 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | United | Essentialplans1Thru4 | $1.41 | $40.64 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | United | Managedmedicaid | $1.41 | $40.64 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Cdphp | Managedmedicaid | $1.41 | $40.64 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Cdphp | Managedmedicaid | $1.41 | $40.64 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Empire | Managedmedicaidaliessa | $1.48 | $40.64 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Empire | Managedmedicaidaliessa | $1.48 | $40.64 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Fidelis | Managedmedicaid | $2.11 | $40.64 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Fidelis | Managedmedicaid | $2.11 | $40.64 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Empire | Blueaccess | $2.27 | $40.64 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Empire | Blueaccess | $2.27 | $40.64 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Empire | Commercial | $2.35 | $40.64 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Empire | Commercial | $2.35 | $40.64 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Aetna | Commercial | $2.35 | $40.64 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Aetna | Commercial | $2.35 | $40.64 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Mvp | Essentialplans1Thru6 | $2.89 | $40.64 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Mvp | Essentialplans1Thru6 | $2.89 | $40.64 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Empire | Managedmedicaidnonaliessaessentialplans1Thru4 | $3.17 | $40.64 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Empire | Managedmedicaidnonaliessaessentialplans1Thru4 | $3.17 | $40.64 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Highmark | — | $3.67 | $40.64 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Highmark | — | $3.67 | $40.64 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Excellus | Commercial | $3.73 | $40.64 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Excellus | Commercial | $3.73 | $40.64 | — | 2026-05-23 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Blue Cross Out Of State Blue Cross Il Out Of State | — | $4.38 | $116.45 | $30.39 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Blue Cross Anthem Healthsync | — | $4.38 | $116.45 | $30.39 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Blue Cross Anthem Federal | — | $4.38 | $116.45 | $30.39 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Blue Cross Anthem Ppo | — | $4.38 | $116.45 | $30.39 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Blue Cross Bcbs Us Steel Claims | — | $4.38 | $116.45 | $30.39 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Blue Cross Anthem Hmo | — | $4.38 | $116.45 | $31.91 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Blue Cross Out Of State Blue Cross In Out Of State | — | $4.38 | $116.45 | $31.91 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Blue Cross Anthem Healthsync | — | $4.38 | $116.45 | $31.91 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Blue Cross Blue Cross Highmark Generic | — | $4.38 | $116.45 | $30.39 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Blue Cross Anthem Ppo | — | $4.38 | $116.45 | $31.91 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Blue Cross Out Of State Blue Cross In Out Of State | — | $4.38 | $116.45 | $30.39 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Blue Cross Anthem Traditional Indemnity | — | $4.38 | $116.45 | $31.91 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Blue Cross Anthem Federal | — | $4.38 | $116.45 | $31.91 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Bcn Medicare Advantage Op | — | $5.50 | $19.65 | $4.91 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Blue Cross Medicare Plus Blue Op | — | $5.50 | $19.65 | $4.91 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Medicare Op | — | $5.50 | $19.65 | $4.91 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Priority Medicare Advantage Op | — | $5.50 | $19.65 | $4.91 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Humana Medicare Advantage Op | — | $5.50 | $19.65 | $4.91 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Php Medicare Advantage Op | — | $5.50 | $19.65 | $4.91 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Aetna Aetna Hmo/Pos | — | $8.52 | $116.45 | $31.91 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Managed Care Meritain Health | — | $8.52 | $116.45 | $31.91 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Aetna Aetna | — | $8.52 | $116.45 | $31.91 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Aetna Aetna Oap/Pos State Of Illinois | — | $8.52 | $116.45 | $31.91 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Aetna Aetna Choice Ppo | — | $8.52 | $116.45 | $31.91 | 2026-07-30 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Medicare | — | $9.11 | $28.02 | $7.00 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Aetna Aetna Oap/Pos State Of Illinois | — | $10.82 | $116.45 | $30.39 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Aetna Aetna Hmo/Pos | — | $10.82 | $116.45 | $30.39 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Aetna Aetna Choice Ppo | — | $10.82 | $116.45 | $30.39 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Aetna Aetna | — | $10.82 | $116.45 | $30.39 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Managed Care Meritain Health | — | $10.82 | $116.45 | $30.39 | 2026-08-01 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Bcbs Op | — | $10.84 | $19.65 | $4.91 | 2026-07-30 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Anthem | Commercial | $11.08 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Blue Cross Blue Shield | — | $11.85 | $28.02 | $7.00 | 2026-07-31 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Priority Health Op | — | $12.06 | $19.65 | $4.91 | 2026-07-30 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Medicare Plus Blue | — | $14.62 | $28.02 | $7.00 | 2026-07-31 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Health Alliance Plan (Hap) Medicare Advantage | — | $14.62 | $28.02 | $7.00 | 2026-07-31 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Priority Health - Medicare Advantage | — | $14.62 | $28.02 | $7.00 | 2026-07-31 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Blue Care Network Medicare Advantage | — | $14.62 | $28.02 | $7.00 | 2026-07-31 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Cofinity Op | — | $14.74 | $19.65 | $4.91 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Aetna Op | — | $14.74 | $19.65 | $4.91 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Humana Op | — | $14.74 | $19.65 | $4.91 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Uhc Op | — | $15.52 | $19.65 | $4.91 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Cigna Op | — | $15.56 | $19.65 | $4.91 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Bcn Op | — | $15.72 | $19.65 | $4.91 | 2026-07-30 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Php Medicare Advantage Op | — | $16.11 | $57.53 | $14.38 | 2026-08-01 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Bcn Medicare Advantage Op | — | $16.11 | $57.53 | $14.38 | 2026-08-01 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Humana Medicare Advantage Op | — | $16.11 | $57.53 | $14.38 | 2026-08-01 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Blue Cross Medicare Plus Blue Op | — | $16.11 | $57.53 | $14.38 | 2026-08-01 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Medicare Op | — | $16.11 | $57.53 | $14.38 | 2026-08-01 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Priority Medicare Advantage Op | — | $16.11 | $57.53 | $14.38 | 2026-08-01 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Multiplan Op | — | $17.10 | $19.65 | $4.91 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Humana|All Products | — | $17.30 | $44.37 | $31.06 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Aenthem|All Products | — | $17.30 | $44.37 | $31.06 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Summacare|All Products | — | $17.30 | $44.37 | $31.06 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Molina|All Products | — | $17.30 | $44.37 | $31.06 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Buckeye|All Products | — | $17.75 | $44.37 | $31.06 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Medical Mutual|All Products | — | $17.75 | $44.37 | $31.06 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|The Health Plan|All Products | — | $17.75 | $44.37 | $31.06 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|United|Mmp | — | $17.75 | $44.37 | $31.06 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Aetna|All Products | — | $17.75 | $44.37 | $31.06 | 2026-07-30 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | United Healthcare | — | $18.21 | $28.02 | $7.00 | 2026-07-31 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Humana|All Products | — | $18.64 | $44.37 | $31.06 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Aultcare|All Products | — | $19.08 | $44.37 | $31.06 | 2026-07-30 | MRF ↗ |
| HIGH POINT REGIONAL HEALTH SYSTEM | Carolina Complete Health Managed Medicaid | — | $20.00 | $127.00 | $64.00 | 2026-07-31 | MRF ↗ |
| HIGH POINT REGIONAL HEALTH SYSTEM | United Community Managed Medicaid | — | $20.00 | $127.00 | $64.00 | 2026-07-31 | MRF ↗ |
| HIGH POINT REGIONAL HEALTH SYSTEM | Wellcare Managed Medicaid | — | $20.00 | $127.00 | $64.00 | 2026-07-31 | MRF ↗ |
| HIGH POINT REGIONAL HEALTH SYSTEM | Amerihealth Caritas Managed Medicaid | — | $20.00 | $127.00 | $64.00 | 2026-07-31 | MRF ↗ |
| HIGH POINT REGIONAL HEALTH SYSTEM | Bcbs Healthy Blue Managed Medicaid | — | $20.00 | $127.00 | $64.00 | 2026-07-31 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Aetna | Medicare Advantage | $20.25 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Cofinity | — | $21.02 | $28.02 | $7.00 | 2026-07-31 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Aetna | — | $21.02 | $28.02 | $7.00 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Bcn Medicare Advantage Op | — | $21.86 | $57.53 | $14.38 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Blue Cross Medicare Plus Blue Op | — | $21.86 | $57.53 | $14.38 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Php Medicare Advantage Op | — | $21.86 | $57.53 | $14.38 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Priority Medicare Advantage Op | — | $21.86 | $57.53 | $14.38 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Medicare Op | — | $21.86 | $57.53 | $14.38 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Humana Medicare Advantage Op | — | $21.86 | $57.53 | $14.38 | 2026-07-31 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Cigna | — | $22.19 | $28.02 | $7.00 | 2026-07-31 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Cdphp | Commercial | $22.35 | $40.64 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Cdphp | Commercial | $22.35 | $40.64 | — | 2026-05-13 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Health Alliance Plan (Hap) | — | $22.42 | $28.02 | $7.00 | 2026-07-31 | MRF ↗ |
| Davie Medical Center | Amerihealth Caritas Managed Medicaid | — | $26.00 | $138.00 | $69.00 | 2026-08-01 | MRF ↗ |
| Davie Medical Center | Carolina Complete Health Managed Medicaid | — | $26.00 | $138.00 | $69.00 | 2026-08-01 | MRF ↗ |
| Davie Medical Center | Bcbs Healthy Blue Managed Medicaid | — | $27.00 | $138.00 | $69.00 | 2026-08-01 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Immergrun | Commercial | $27.00 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Cha | Employer Group 4 | $27.00 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| Davie Medical Center | Wellcare Managed Medicaid | — | $27.00 | $138.00 | $69.00 | 2026-08-01 | MRF ↗ |
| Davie Medical Center | United Community Managed Medicaid | — | $27.00 | $138.00 | $69.00 | 2026-08-01 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Anthem|Exchange | — | $28.40 | $44.37 | $31.06 | 2026-07-30 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Cha | Employer Group 1 | $28.80 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL | Bcbs Blue Local Individual Managed Care | — | $29.00 | $138.00 | $69.00 | 2026-08-01 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Bcbs Op | — | $29.12 | $57.53 | $14.38 | 2026-08-01 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Php | Commercial Select | $29.25 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mhs | Exchange | $29.25 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Cha | Employer Group 2 | $29.70 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Uhc | Commercial | $30.24 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Aetna | Commercial | $30.47 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Humana | Commercial | $30.90 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | United | Commercial | $31.03 | $40.64 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | United | Commercial | $31.03 | $40.64 | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Php | Commercial | $31.50 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Humana | Commercial | $31.50 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Mvp | Commercial | $32.12 | $40.64 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Mvp | Commercial | $32.12 | $40.64 | — | 2026-05-23 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Multiplan | Commercial | $32.40 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Cigna | Oap | $32.40 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Emblemghi | — | $32.51 | $40.64 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Multiplan | — | $32.51 | $40.64 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Harvardpilgrim | — | $32.51 | $40.64 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Emblemghi | — | $32.51 | $40.64 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Harvardpilgrim | — | $32.51 | $40.64 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Magnacare | — | $32.51 | $40.64 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Multiplan | — | $32.51 | $40.64 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Magnacare | — | $32.51 | $40.64 | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Signature | Commercial | $32.85 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL | Uhc Medicare Advantage | — | $33.00 | $138.00 | $69.00 | 2026-08-01 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL | Wellcare Medicare Advantage | — | $33.00 | $138.00 | $69.00 | 2026-08-01 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL | Cigna Healthsprings Medicare | — | $33.00 | $138.00 | $69.00 | 2026-08-01 | MRF ↗ |
| Davie Medical Center | Uhc Medicare Advantage | — | $33.00 | $138.00 | $69.00 | 2026-08-01 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL | Humana Medicare Advantage | — | $33.00 | $138.00 | $69.00 | 2026-08-01 | MRF ↗ |
| Davie Medical Center | Cigna Healthsprings Medicare Advantage | — | $33.00 | $138.00 | $69.00 | 2026-08-01 | MRF ↗ |
| Davie Medical Center | Bcbs Blue Medicare Advantage | — | $33.00 | $138.00 | $69.00 | 2026-08-01 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL | Healthteam Advantage Medicare Advantage | — | $33.00 | $138.00 | $69.00 | 2026-08-01 | MRF ↗ |
| Davie Medical Center | Healthteam Advantage Medicare Advantage | — | $33.00 | $138.00 | $69.00 | 2026-08-01 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL | Aetna Medicare Advantage | — | $33.00 | $138.00 | $69.00 | 2026-08-01 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL | Todays Options Medicare Advantage | — | $33.00 | $138.00 | $69.00 | 2026-08-01 | MRF ↗ |
| Davie Medical Center | Advantra Managed Medicare | — | $33.00 | $138.00 | $69.00 | 2026-08-01 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL | Bcbs Blue Medicare Advantage | — | $33.00 | $138.00 | $69.00 | 2026-08-01 | MRF ↗ |
| Davie Medical Center | Wellcare Medicare Advantage | — | $33.00 | $138.00 | $69.00 | 2026-08-01 | MRF ↗ |
| Davie Medical Center | Humana Medicare Advantage | — | $33.00 | $138.00 | $69.00 | 2026-08-01 | MRF ↗ |
| Davie Medical Center | Aetna Medicare Advantage | — | $33.00 | $138.00 | $69.00 | 2026-08-01 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Encore | Commercial | $33.30 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Anthem|Blue Access | — | $33.59 | $44.37 | $31.06 | 2026-07-30 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL | Carolina Complete Managed Medicaid | — | $34.00 | $138.00 | $69.00 | 2026-08-01 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL | Bcbs Healthy Blue Managed Medicaid | — | $34.00 | $138.00 | $69.00 | 2026-08-01 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL | Wellcare Managed Medicaid | — | $34.00 | $138.00 | $69.00 | 2026-08-01 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL | Uhc Community Plan Managed Medicaid | — | $34.00 | $138.00 | $69.00 | 2026-08-01 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL | Amerihealth Managed Medicaid | — | $34.00 | $138.00 | $69.00 | 2026-08-01 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Cigna Sagamore | Ppo | $34.20 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Threeriversprovidernetwork | — | $34.54 | $40.64 | — | 2026-05-13 | 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.