470 — Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without Mcc
Cite this view
HANK Price Transparency. (n.d.). MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC (MS_DRG 470) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/470?code_type=MS_DRG
“MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC (MS_DRG 470) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/470?code_type=MS_DRG. Accessed .
“MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC (MS_DRG 470) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/470?code_type=MS_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $15,406–$31,205 (25th–75th percentile) across 2,372 hospitals · 5,840 payers.
“Negotiated” is the hospital’s negotiated facility rate for this MS_DRG 470 — 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 |
|---|---|---|---|---|---|---|---|
| CYPRESS POINTE SURGICAL HOSPITAL Inpatient | Humana_Health_Insurance | Commercial | $0.29 | $19,995.62 | $24,994.52 | 2025-12-18 | MRF ↗ |
| UPMC SOMERSET InpatientFacility | Aetna of PA | TPA/Carrier | $0.77 | — | — | 2026-03-06 | 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 ↗ |
| 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 | Humana Health Plan, Inc. | Medicare Advantage | — | — | — | 2025-11-26 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Inpatient | United Healthcare | UnitedExchange | $1.70 | — | $92,623.50 | 2024-12-08 | MRF ↗ |
| Rehabilitation Institute Of Michigan Inpatient | United Healthcare | UnitedHealthcareNewBusiness | $1.70 | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Inpatient | United Healthcare | UnitedHealthcareHMO | $1.70 | — | — | 2025-01-31 | MRF ↗ |
| Harper University Hospital Inpatient | United Healthcare | UnitedExchange | $1.70 | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Inpatient | United Healthcare | UnitedNonOptions | $1.70 | — | — | 2025-01-31 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Inpatient | United Healthcare | UnitedNonOptions | $1.70 | — | $92,623.50 | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Inpatient | United Healthcare | UnitedOptions | $1.70 | — | — | 2024-12-08 | MRF ↗ |
| Rehabilitation Institute Of Michigan Inpatient | United Healthcare | UnitedOptions | $1.70 | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Inpatient | United Healthcare | UnitedChoicePlus | $1.70 | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Inpatient | United Healthcare | UnitedHealthcareNewBusiness | $1.70 | — | — | 2025-01-31 | MRF ↗ |
| Harper University Hospital Inpatient | United Healthcare | UnitedNonOptions | $1.70 | — | — | 2025-01-31 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Inpatient | United Healthcare | UnitedExchange | $1.70 | — | $86,308.13 | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Inpatient | United Healthcare | UnitedOptions | $1.70 | — | $86,308.13 | 2024-12-08 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Inpatient | United Healthcare | UnitedNonOptions | $1.70 | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Inpatient | United Healthcare | UnitedExchange | $1.70 | — | — | 2025-01-31 | MRF ↗ |
| METROWEST MEDICAL CENTER Inpatient | United Healthcare | UnitedNonOptions | $1.70 | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Inpatient | United Healthcare | UnitedOptions | $1.70 | — | — | 2025-01-31 | MRF ↗ |
| Harper University Hospital Inpatient | United Healthcare | UnitedHealthcareNewBusiness | $1.70 | — | — | 2025-01-31 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Inpatient | United Healthcare | UnitedOptions | $1.70 | — | $92,623.50 | 2024-12-08 | MRF ↗ |
| Rehabilitation Institute Of Michigan Inpatient | United Healthcare | UnitedExchange | $1.70 | — | — | 2025-01-31 | MRF ↗ |
| Harper University Hospital Inpatient | United Healthcare | UnitedOptions | $1.70 | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Inpatient | United Healthcare | UnitedOptions | $1.70 | — | — | 2025-01-31 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Inpatient | United Healthcare | UnitedNonOptions | $1.70 | — | $86,308.13 | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Inpatient | United Healthcare | UnitedNonOptions | $1.70 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Inpatient | United Healthcare | UnitedExchange | $1.70 | — | — | 2024-12-08 | MRF ↗ |
| MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS InpatientFacility | HUMANA MEDICARE ADVANTAGE CONTRACTED [320194] | HB SEKS HUMANA MCR New 1.1.24 | $1.84 | $58,379.13 | $37,946.43 | 2026-03-18 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Inpatient | MH OPTUM [170] | MH OPTUM MEDICARE | $1.88 | $40,041.16 | $26,026.75 | 2024-12-30 | MRF ↗ |
| Hospital Of The Fox Chase Cancer Center Inpatient | TUH UHC VA CC Network OPTUM | TUH UHC VA CC Network OPTUM | $1.89 | $176,355.77 | $20,933.25 | 2025-01-01 | MRF ↗ |
| Jeanes Hospital Inpatient | TUH UHC VA CC Network OPTUM | TUH UHC VA CC Network OPTUM | $1.89 | $167,324.56 | $20,933.25 | 2025-01-01 | MRF ↗ |
| TEMPLE UNIVERSITY HOSPITAL Inpatient | TUH UHC VA CC Network OPTUM | TUH UHC VA CC Network OPTUM | $1.89 | $176,355.77 | $20,933.25 | 2025-01-01 | MRF ↗ |
| TEMPLE UNIVERSITY HOSPITAL Inpatient | TUH UHC VA CC Network OPTUM | TUH UHC VA CC Network OPTUM | $1.89 | $184,351.75 | $20,933.25 | 2025-01-01 | MRF ↗ |
| Temple University Hospital - Northeastern Campus Inpatient | TUH UHC VA CC Network OPTUM | TUH UHC VA CC Network OPTUM | $1.89 | $176,355.77 | $20,933.25 | 2025-01-01 | MRF ↗ |
| TEMPLE HEALTH - CHESTNUT HILL HOSPITAL Inpatient | TUH UHC VA CC Network OPTUM | TUH UHC VA CC Network OPTUM | $1.89 | $176,355.77 | $20,933.25 | 2025-01-01 | MRF ↗ |
| METHODIST CHARLTON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MCMC | $1.93 | $56,552.65 | $28,276.32 | 2025-12-22 | MRF ↗ |
| METHODIST MIDLOTHIAN MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MLMC | $1.93 | $57,276.39 | $28,638.19 | 2025-12-22 | MRF ↗ |
| FROEDTERT SOUTH INC. Inpatient | SECURITY HEALTH PLAN MEDICARE [25105] | FS MEDICARE HMO - SECURITY HEALTH PLAN | $1.93 | $81,433.98 | $61,075.48 | 2026-02-27 | MRF ↗ |
| METHODIST DALLAS MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MDMC | $1.93 | $75,745.83 | $37,872.91 | 2025-12-22 | MRF ↗ |
| FROEDTERT SOUTH INC. Inpatient | AETNA MEDICARE [25106] | FS Medicare HMO - Aetna | $1.93 | $81,433.98 | $61,075.48 | 2026-02-27 | MRF ↗ |
| METHODIST DALLAS MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MDMC | $1.93 | $75,745.83 | $37,872.91 | 2025-12-22 | MRF ↗ |
| FROEDTERT SOUTH INC. Inpatient | HUMANA MEDICARE [25176] | FS Medicare HMO - Humana | $1.93 | $81,433.98 | $61,075.48 | 2026-02-27 | MRF ↗ |
| METHODIST MANSFIELD MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MMMC | $1.93 | $61,595.77 | $30,797.88 | 2025-12-22 | MRF ↗ |
| FROEDTERT SOUTH INC. Inpatient | NETWORK HEALTH MEDICARE [25209] | FS Medicare HMO - Network Health | $1.93 | $81,433.98 | $61,075.48 | 2026-02-27 | MRF ↗ |
| METHODIST MIDLOTHIAN MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MLMC | $1.93 | $57,276.39 | $28,638.19 | 2025-12-22 | MRF ↗ |
| FROEDTERT SOUTH INC. Inpatient | ANTHEM MEDICARE [25119] | FS Medicare HMO - Anthem | $1.93 | $81,433.98 | $61,075.48 | 2026-02-27 | MRF ↗ |
| METHODIST MANSFIELD MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MMMC | $1.93 | $61,595.77 | $30,797.88 | 2025-12-22 | MRF ↗ |
| FROEDTERT SOUTH INC. Inpatient | UHC MEDICARE [25249] | FS Medicare HMO - United | $1.93 | $81,433.98 | $61,075.48 | 2026-02-27 | MRF ↗ |
| FROEDTERT SOUTH INC. Inpatient | UHC DUAL COMPLETE MEDICARE [25381] | FS Medicare HMO - United | $1.93 | $81,433.98 | $61,075.48 | 2026-02-27 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Inpatient | ALTERNATE HEALTHNET [1007] | HEALTH NET MEDICARE ADVANTAGE UC EMPLOYER GROUP | $1.93 | $106,586.92 | $58,622.81 | 2026-04-01 | MRF ↗ |
| METHODIST CHARLTON MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MCMC | $1.93 | $56,552.65 | $28,276.32 | 2025-12-22 | MRF ↗ |
| FROEDTERT SOUTH INC. Inpatient | WELLCARE MEDICARE [25188] | FS Medicare HMO - Managed Health Services | $1.93 | $81,433.98 | $61,075.48 | 2026-02-27 | MRF ↗ |
| MERCYONE WATERLOO MEDICAL CENTER InpatientFacility | WELLPOINT MEDICARE ADVANTAGE | WELLPOINT MEDICARE ADVANTAGE | $1.97 | — | $65,843.35 | 2026-03-31 | MRF ↗ |
| PIEDMONT HOSPITAL, INC Inpatient | GEORGIA HEALTH ADVANTAGE [30143] | Georgia Health Medicare Advantage | $2.06 | $102,918.12 | $30,875.44 | 2026-04-01 | MRF ↗ |
| PIEDMONT HOSPITAL, INC Inpatient | CARESOURCE MEDICARE ADVANTAGE [30186] | Caresource Medicare Advantage | $2.06 | $102,918.12 | $30,875.44 | 2026-04-01 | MRF ↗ |
| MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS InpatientFacility | PROVIDER PARTNERS HEALTH PLANS CONTRACTED [320450] | HB SEKS PROVIDER PARTNERS PPHP 110% MCR | $2.09 | $58,379.13 | $37,946.43 | 2026-03-18 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Inpatient | PALOMAR HEALTH [1128] | PALOMAR HEALTH COMMERCIAL | $2.31 | $106,586.92 | $58,622.81 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Inpatient | UNITED HEALTHCARE [1088] | PALOMAR HEALTH COMMERCIAL | $2.31 | $106,586.92 | $58,622.81 | 2026-04-01 | MRF ↗ |
| METHODIST MANSFIELD MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MMMC | $2.95 | $60,910.42 | $30,455.21 | 2026-03-21 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MRMC | $2.95 | $65,203.40 | $32,601.70 | 2026-03-21 | MRF ↗ |
| METHODIST MCKINNEY HOSPITAL Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MMK | $2.95 | $57,695.35 | $28,847.67 | 2026-03-21 | MRF ↗ |
| METHODIST HOSPITAL FOR SURGERY Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MAH | $2.95 | $55,979.56 | $33,587.74 | 2026-03-21 | MRF ↗ |
| METHODIST DALLAS MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MDMC | $2.95 | $75,877.83 | $37,938.91 | 2026-03-20 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MRMC | $2.95 | $65,203.40 | $32,601.70 | 2026-03-21 | MRF ↗ |
| METHODIST CHARLTON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MCMC | $2.95 | $55,888.36 | $27,944.18 | 2026-03-21 | MRF ↗ |
| METHODIST MIDLOTHIAN MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MLMC | $2.95 | $60,741.49 | $30,370.74 | 2026-03-21 | MRF ↗ |
| METHODIST MIDLOTHIAN MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MLMC | $4.82 | $60,741.49 | $30,370.74 | 2026-03-21 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MRMC | $4.82 | $65,203.40 | $32,601.70 | 2026-03-21 | MRF ↗ |
| METHODIST DALLAS MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MDMC | $4.82 | $75,877.83 | $37,938.91 | 2026-03-20 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MRMC | $4.82 | $65,203.40 | $32,601.70 | 2026-03-21 | MRF ↗ |
| METHODIST CHARLTON MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MCMC | $4.82 | $55,888.36 | $27,944.18 | 2026-03-21 | MRF ↗ |
| METHODIST MANSFIELD MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MMMC | $4.82 | $60,910.42 | $30,455.21 | 2026-03-21 | MRF ↗ |
| FROEDTERT SOUTH INC. Inpatient | MOLINA MP EXCHANGE [70433] | FS Molina Marketplace | $5.50 | $81,433.98 | $61,075.48 | 2026-02-27 | MRF ↗ |
| OVERLAKE HOSPITAL MEDICAL CENTER InpatientFacility | Blue Shield | Regence Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| OVERLAKE HOSPITAL MEDICAL CENTER InpatientFacility | Blue Shield | Regence Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE MILWAUKIE HOSPITAL InpatientFacility | Bcbs | Regence All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| PRESBYTERIAN ESPANOLA HOSPITAL InpatientFacility | Molina Healthcare | Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| PRESBYTERIAN ESPANOLA HOSPITAL InpatientFacility | Molina Healthcare | Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL InpatientFacility | PRIVATE HEALTHCARE SYSTEM | COMMERCIAL | — | — | — | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL InpatientFacility | HARVARD PILGRIM HEALTHCARE, 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 | MULTIPLAN, INC | COMMERCIAL | — | — | — | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL InpatientFacility | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | COMMERCIAL | — | — | — | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL InpatientFacility | AETNA HEALTH MANAGEMENT, LLC | 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 | 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 | Devoted Health | 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 | SummaCare | 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 | United Healthcare | 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 | Cigna | 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 ↗ |
| CHI ST ALEXIUS HEALTH Inpatient | MultiPlan | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| CHI ST ALEXIUS HEALTH Inpatient | MultiPlan | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| COREWELL HEALTH WAYNE HOSPITAL InpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | 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 ↗ |
| TAMPA GENERAL HOSPITAL CRYSTAL RIVER InpatientFacility | Bcbs | Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| BEAUMONT HOSPITAL - DEARBORN InpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MAYO CLINIC HEALTH SYSTEM-RED CEDAR INC InpatientFacility | MEDICA [91180027] | MEDICA PRIME SOLUTIONS PART B MEDICARE ADVANTAGE PLAN [599] | $66.09 | — | — | 2026-03-31 | MRF ↗ |
| MAYO CLINIC HEALTH SYSTEM-RED CEDAR INC InpatientFacility | MEDICA [1110027] | MEDICA PRIME SOLUTIONS PART B MEDICARE ADVANTAGE PLAN [599] | $66.09 | — | — | 2026-03-31 | MRF ↗ |
| Yavapai Regional Medical Center - East Inpatient | BCBS - AZ | Commercial|All Plans | $73.00 | — | — | 2026-02-28 | MRF ↗ |
| Yavapai Regional Medical Center - East Inpatient | BCBS - AZ | Commercial|All Plans | $73.00 | — | — | 2026-02-28 | 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 ↗ |
| PROVIDENCE MISSION HOSPITAL InpatientFacility | Blue Shield | Hmo/Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST. JUDE MEDICAL CENTER InpatientFacility | Caloptima | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE CENTRALIA HOSPITAL InpatientFacility | Molina | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| RIVERVIEW REGIONAL MEDICAL CENTER Inpatient | BCBS | BCBS AL Commercial | $122.35 | — | $15,598.00 | 2024-12-19 | MRF ↗ |
| RIVERVIEW REGIONAL MEDICAL CENTER Inpatient | BCBS | BCBS AL Commercial | $122.35 | — | $15,598.00 | 2024-12-19 | MRF ↗ |
| EAST LIVERPOOL CITY HOSPITAL Inpatient | Non-Contracted Medicaid | Non-Contracted Medicaid | $159.50 | — | $19,647.00 | 2024-12-19 | MRF ↗ |
| EAST LIVERPOOL CITY HOSPITAL Inpatient | Buckeye Community Health Plan | Buckeye Community Health Plan Medicaid | $159.50 | — | $19,647.00 | 2024-12-19 | MRF ↗ |
| EAST LIVERPOOL CITY HOSPITAL Inpatient | Molina | Molina Medicaid | $159.50 | — | $19,647.00 | 2024-12-19 | MRF ↗ |
| EAST LIVERPOOL CITY HOSPITAL Inpatient | Traditional Medicaid | Traditional Medicaid | $159.50 | — | $19,647.00 | 2024-12-19 | MRF ↗ |
| EAST LIVERPOOL CITY HOSPITAL Inpatient | Care Source | Care source Medicaid | $162.69 | — | $19,647.00 | 2024-12-19 | MRF ↗ |
| EAST LIVERPOOL CITY HOSPITAL Inpatient | Paramount | Paramount Medicaid | $164.28 | — | $19,647.00 | 2024-12-19 | MRF ↗ |
| EAST LIVERPOOL CITY HOSPITAL Inpatient | Anthem Blue Cross | Anthem BCBS Medicaid | $164.28 | — | $19,647.00 | 2024-12-19 | MRF ↗ |
| EAST LIVERPOOL CITY HOSPITAL Inpatient | Choice Care Humana | Choice Care Humana Medicaid | $165.88 | — | $19,647.00 | 2024-12-19 | MRF ↗ |
| EAST LIVERPOOL CITY HOSPITAL Inpatient | Amerihealth Caritas | Amerihealth Caritas Medicaid | $167.47 | — | $19,647.00 | 2024-12-19 | MRF ↗ |
| EAST LIVERPOOL CITY HOSPITAL Inpatient | UHC | UHC Medicaid | $167.47 | — | $19,647.00 | 2024-12-19 | MRF ↗ |
| ST. PATRICK HOSPITAL InpatientFacility | Bcbs | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| COREWELL HEALTH ZEELAND HOSPITAL InpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ORLANDO HEALTH SOUTH LAKE HOSPITAL InpatientFacility | Devoted Health | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT FRANCIS HOSPITAL, INC InpatientFacility | Community Care | Select Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| EMORY DECATUR HOSPITAL InpatientFacility | Bcbs | Blue Value Secure Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SHELBY BAPTIST MEDICAL CENTER InpatientFacility | Viva Helath | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SHELBY BAPTIST MEDICAL CENTER InpatientFacility | Viva Helath | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| JPS HEALTH NETWORK InpatientFacility | Molina | Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST ANTHONY HOSPITAL - MIDWEST InpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST ANTHONY HOSPITAL - MIDWEST InpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS InpatientFacility | Bcbs | Anthem Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS InpatientFacility | Aetna | Gold Advantage Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT FRANCIS HOSPITAL, INC InpatientFacility | Oklahoma Complete | Medicaid Managed Care | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE InpatientFacility | Heritage Provider Network | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE InpatientFacility | Heritage Provider Network | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ORLANDO HEALTH SEBASTIAN RIVER HOSPITAL InpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ST JOSEPHS HOSPITAL Inpatient | BLUE CROSS BLUE SHIELD OF ILLINOIS | BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV | $236.42 | $51,598.08 | $37,150.62 | 2026-01-15 | MRF ↗ |
| ST JOSEPHS HOSPITAL Inpatient | UNITED HEALTHCARE | UNITED HEALTH CARE MEDICARE | $236.42 | $51,598.08 | $37,150.62 | 2026-01-15 | MRF ↗ |
| ST JOSEPHS HOSPITAL Inpatient | MOLINA HEALTHCARE | MOLINA MEDICARE | $236.42 | $51,598.08 | $37,150.62 | 2026-01-15 | MRF ↗ |
| ST JOSEPHS HOSPITAL Inpatient | BLUE CROSS BLUE SHIELD OF ILLINOIS | BCBS IL MMAI | $236.42 | $51,598.08 | $37,150.62 | 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 | $63,133.99 | $45,456.47 | 2026-01-15 | MRF ↗ |
| ST JOSEPHS HOSPITAL Inpatient | HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE MEDICARE | $236.42 | $51,598.08 | $37,150.62 | 2026-01-15 | MRF ↗ |
| ST JOSEPHS HOSPITAL Inpatient | SAE HOSPICE | SAE MEMORIAL HOSPICE | $236.42 | $51,598.08 | $37,150.62 | 2026-01-15 | MRF ↗ |
| ST MARYS HOSPITAL Inpatient | BLUE CROSS BLUE SHIELD OF ILLINOIS | BCBS IL MMAI | $236.42 | $75,326.45 | $54,235.04 | 2026-01-15 | MRF ↗ |
| ST MARYS HOSPITAL Inpatient | BLUE CROSS BLUE SHIELD OF ILLINOIS | BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV | $236.42 | $75,326.45 | $54,235.04 | 2026-01-15 | MRF ↗ |
| ST JOSEPHS HOSPITAL Inpatient | CLEAR SPRING HEALTH OF ILLINOIS | CLEAR SPRING HEALTH MEDICARE ADV | $236.42 | $51,598.08 | $37,150.62 | 2026-01-15 | MRF ↗ |
| HSHS ST ELIZABETH'S HOSPITAL Inpatient | BLUE CROSS BLUE SHIELD OF ILLINOIS | BCBS IL MMAI | $236.42 | $63,133.99 | $45,456.47 | 2026-01-15 | MRF ↗ |
| SENTARA NORTHERN VIRGINIA MEDICAL CENTER InpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| WELLSTAR NORTH FULTON MEDICAL CENTER InpatientFacility | Bcbs | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| WEST CHESTER HOSPITAL InpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PLAINS REGIONAL MEDICAL CENTER InpatientFacility | Molina Healthcare | Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Inpatient | Texas Athletic Network | Premier | $250.00 | — | — | 2026-03-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS InpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| WELLSTAR KENNESTONE REGIONAL MEDICAL CENTER InpatientFacility | Aetna | Hmo/Pos/Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Claritev | Multiplan Complementary Network | — | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Claritev | PHCS Primary Network | — | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Intergroup | Intergroup | — | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | First Health | First Health PPO | — | — | — | 2026-04-14 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS InpatientFacility | Essence Healthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| WELLSTAR COBB MEDICAL CENTER InpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| TAMPA GENERAL HOSPITAL CRYSTAL RIVER InpatientFacility | Sunshine | Ambetter Value Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| Tampa General Hospital InpatientFacility | Sunshine Health | Ambetter Exchange | — | — | — | 2026-04-01 | MRF ↗ |
| ORLANDO HEALTH SOUTH LAKE HOSPITAL InpatientFacility | Humana | Gold Plus Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE CEDARS SINAI TARZANA MEDICAL CENTER InpatientFacility | Heritage Provider Network | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Intergroup | Intergroup | — | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | First Health | First Health PPO | — | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Claritev | Multiplan Complementary Network | — | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Claritev | PHCS Primary Network | — | — | — | 2026-04-14 | MRF ↗ |
| GRACE SURGICAL HOSPITAL InpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| GRACE SURGICAL HOSPITAL InpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| HOUSTON METHODIST SUGARLAND HOSPITAL InpatientFacility | Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| WEST CHESTER HOSPITAL InpatientFacility | Bcbs | Anthem Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ANNA JAQUES HOSPITAL InpatientFacility | Bcbs | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| HOUSTON METHODIST THE WOODLANDS HOSPITAL InpatientFacility | Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS InpatientFacility | Unitedhealthcare | Options Ppo | — | — | — | 2026-04-01 | 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 | Health Coalition Incorporated | Health Coalition Incorporated | — | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Claritev | PHCS Primary Network | — | — | — | 2026-04-14 | MRF ↗ |
| SHELBY BAPTIST MEDICAL CENTER InpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SHELBY BAPTIST MEDICAL CENTER InpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| METROHEALTH SYSTEM InpatientFacility | Bcbs | Anthem All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Intergroup | Intergroup | — | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Claritev | Multiplan Complementary Network | — | — | — | 2026-04-14 | MRF ↗ |
| WILLAPA HARBOR HOSPITAL InpatientFacility | None | — | — | — | — | 2026-02-24 | MRF ↗ |
| SAINT FRANCIS HOSPITAL, INC InpatientFacility | Community Care | Other Senior Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| ALOMERE HEALTH InpatientFacility | Blue Cross | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER InpatientFacility | Essence | Medicare Managed Care Plan | — | — | — | 2026-04-01 | 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.