637 — Diabetes With Mcc
Cite this view
HANK Price Transparency. (n.d.). DIABETES WITH MCC (MS_DRG 637) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/637?code_type=MS_DRG
“DIABETES WITH MCC (MS_DRG 637) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/637?code_type=MS_DRG. Accessed .
“DIABETES WITH MCC (MS_DRG 637) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/637?code_type=MS_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $11,086–$20,615 (25th–75th percentile) across 3,100 hospitals · 4,882 payers.
“Negotiated” is the hospital’s negotiated rate for the entire inpatient stay under MS_DRG 637 — the consumer-grade median across the country. An inpatient (DRG) price bundles the whole admission: operating room, room & board, recovery, imaging, anesthesia (facility), implants and supplies. It does not include the surgeon’s or anesthesiologist’s professional fees, which 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 | 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 | 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 ↗ |
| O'connor Hospital InpatientFacility | MEDICONNECT SCFHP [727] | MEDICONNECT SCFHP [727001] | $1.44 | $111,662.49 | $78,163.74 | 2026-09-01 | MRF ↗ |
| St. Louise Regional Hospital InpatientFacility | UNITED HEALTHCARE MEDICARE ADVANTAGE HMO [740] | UNITED HEALTHCARE MEDICARE ADVANTAGE HMO [740001] | $1.44 | $111,662.49 | $78,163.74 | 2026-09-01 | MRF ↗ |
| O'connor Hospital InpatientFacility | BLUE CROSS WELLCARE [375] | WELLCARE [375001] | $1.44 | $111,662.49 | $78,163.74 | 2026-09-01 | MRF ↗ |
| St. Louise Regional Hospital InpatientFacility | ALIGNMENT HEALTH [870] | ALIGNMENT HEALTH [870001] | $1.44 | $111,662.49 | $78,163.74 | 2026-09-01 | MRF ↗ |
| St. Louise Regional Hospital InpatientFacility | SCAN HEALTH PLAN [710] | SCAN HEALTH PLAN [710001] | $1.44 | $111,662.49 | $78,163.74 | 2026-09-01 | MRF ↗ |
| O'connor Hospital InpatientFacility | KAISER SR. [365] | KAISER SR [365001] | $1.44 | $111,662.49 | $78,163.74 | 2026-09-01 | MRF ↗ |
| St. Louise Regional Hospital InpatientFacility | ONLOK [380] | ONLOK [380001] | $1.44 | $111,662.49 | $78,163.74 | 2026-09-01 | MRF ↗ |
| SANTA CLARA VALLEY MEDICAL CENTER InpatientFacility | MEDICONNECT SCFHP [727] | MEDICONNECT SCFHP [727001] | $1.44 | $111,662.49 | $78,163.74 | 2026-09-01 | MRF ↗ |
| O'connor Hospital InpatientFacility | UNITED HEALTHCARE MEDICARE ADVANTAGE HMO [740] | UNITED HEALTHCARE MEDICARE ADVANTAGE HMO [740001] | $1.44 | $111,662.49 | $78,163.74 | 2026-09-01 | MRF ↗ |
| St. Louise Regional Hospital InpatientFacility | KAISER SR. [365] | KAISER SR [365001] | $1.44 | $111,662.49 | $78,163.74 | 2026-09-01 | MRF ↗ |
| SANTA CLARA VALLEY MEDICAL CENTER InpatientFacility | HEALTHNET [265] | HEALTHNET TRICARE [265010] | $1.44 | $111,662.49 | $78,163.74 | 2026-09-01 | MRF ↗ |
| SANTA CLARA VALLEY MEDICAL CENTER InpatientFacility | SCAN HEALTH PLAN [710] | SCAN HEALTH PLAN [710001] | $1.44 | $111,662.49 | $78,163.74 | 2026-09-01 | MRF ↗ |
| O'connor Hospital InpatientFacility | ONLOK [380] | ONLOK [380001] | $1.44 | $111,662.49 | $78,163.74 | 2026-09-01 | MRF ↗ |
| O'connor Hospital InpatientFacility | SCAN HEALTH PLAN [710] | SCAN HEALTH PLAN [710001] | $1.44 | $111,662.49 | $78,163.74 | 2026-09-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Inpatient | ALTERNATE HEALTHNET [1007] | HEALTH NET MEDICARE ADVANTAGE UC EMPLOYER GROUP | $1.44 | $77,632.86 | $42,698.07 | 2026-04-01 | MRF ↗ |
| St. Louise Regional Hospital InpatientFacility | MEDICONNECT SCFHP [727] | MEDICONNECT SCFHP [727001] | $1.44 | $111,662.49 | $78,163.74 | 2026-09-01 | MRF ↗ |
| SANTA CLARA VALLEY MEDICAL CENTER InpatientFacility | ALIGNMENT HEALTH [870] | ALIGNMENT HEALTH [870001] | $1.44 | $111,662.49 | $78,163.74 | 2026-09-01 | MRF ↗ |
| SANTA CLARA VALLEY MEDICAL CENTER InpatientFacility | ONLOK [380] | ONLOK [380001] | $1.44 | $111,662.49 | $78,163.74 | 2026-09-01 | MRF ↗ |
| SANTA CLARA VALLEY MEDICAL CENTER InpatientFacility | UNITED HEALTHCARE MEDICARE ADVANTAGE HMO [740] | UNITED HEALTHCARE MEDICARE ADVANTAGE HMO [740001] | $1.44 | $111,662.49 | $78,163.74 | 2026-09-01 | MRF ↗ |
| SANTA CLARA VALLEY MEDICAL CENTER InpatientFacility | KAISER SR. [365] | KAISER SR [365001] | $1.44 | $111,662.49 | $78,163.74 | 2026-09-01 | MRF ↗ |
| SANTA CLARA VALLEY MEDICAL CENTER InpatientFacility | BLUE CROSS WELLCARE [375] | WELLCARE [375001] | $1.44 | $111,662.49 | $78,163.74 | 2026-09-01 | MRF ↗ |
| St. Louise Regional Hospital InpatientFacility | BLUE CROSS WELLCARE [375] | WELLCARE [375001] | $1.44 | $111,662.49 | $78,163.74 | 2026-09-01 | MRF ↗ |
| St. Louise Regional Hospital InpatientFacility | HEALTHNET [265] | HEALTHNET TRICARE [265010] | $1.44 | $111,662.49 | $78,163.74 | 2026-09-01 | MRF ↗ |
| O'connor Hospital InpatientFacility | HEALTHNET [265] | HEALTHNET TRICARE [265010] | $1.44 | $111,662.49 | $78,163.74 | 2026-09-01 | MRF ↗ |
| O'connor Hospital InpatientFacility | ALIGNMENT HEALTH [870] | ALIGNMENT HEALTH [870001] | $1.44 | $111,662.49 | $78,163.74 | 2026-09-01 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Inpatient | MH OPTUM [170] | MH OPTUM MEDICARE | $1.45 | $23,206.46 | $15,084.20 | 2024-12-30 | MRF ↗ |
| Hospital Of The Fox Chase Cancer Center Inpatient | TUH UHC VA CC Network OPTUM | TUH UHC VA CC Network OPTUM | $1.46 | $125,281.08 | $16,324.61 | 2025-01-01 | MRF ↗ |
| TEMPLE UNIVERSITY HOSPITAL Inpatient | TUH UHC VA CC Network OPTUM | TUH UHC VA CC Network OPTUM | $1.46 | $133,238.99 | $16,324.61 | 2025-01-01 | MRF ↗ |
| Jeanes Hospital Inpatient | TUH UHC VA CC Network OPTUM | TUH UHC VA CC Network OPTUM | $1.46 | $125,281.08 | $16,324.61 | 2025-01-01 | MRF ↗ |
| TEMPLE UNIVERSITY HOSPITAL Inpatient | TUH UHC VA CC Network OPTUM | TUH UHC VA CC Network OPTUM | $1.46 | $132,351.30 | $16,324.61 | 2025-01-01 | MRF ↗ |
| Temple University Hospital - Northeastern Campus Inpatient | TUH UHC VA CC Network OPTUM | TUH UHC VA CC Network OPTUM | $1.46 | $125,281.08 | $16,324.61 | 2025-01-01 | MRF ↗ |
| PIEDMONT HOSPITAL, INC Inpatient | GEORGIA HEALTH ADVANTAGE [30143] | Georgia Health Medicare Advantage | $1.54 | $55,308.71 | $16,592.61 | 2026-04-01 | MRF ↗ |
| PIEDMONT HOSPITAL, INC Inpatient | CARESOURCE MEDICARE ADVANTAGE [30186] | Caresource Medicare Advantage | $1.54 | $55,308.71 | $16,592.61 | 2026-04-01 | MRF ↗ |
| METHODIST MANSFIELD MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MMMC | $2.20 | $65,389.25 | $32,694.62 | 2026-03-21 | MRF ↗ |
| METHODIST MIDLOTHIAN MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MLMC | $2.20 | $48,521.87 | $24,260.93 | 2026-03-21 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MRMC | $2.20 | $69,333.80 | $34,666.90 | 2026-03-21 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MRMC | $2.20 | $69,333.80 | $34,666.90 | 2026-03-21 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MSMC | $2.20 | $59,988.25 | $29,994.12 | 2026-03-23 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MSMC | $2.20 | $59,988.25 | $29,994.12 | 2026-03-23 | MRF ↗ |
| METHODIST CELINA MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MCEL | $2.20 | $70,630.25 | $21,189.08 | 2026-03-23 | MRF ↗ |
| METHODIST CHARLTON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MCMC | $2.20 | $51,715.25 | $25,857.62 | 2026-03-21 | MRF ↗ |
| METHODIST DALLAS MEDICAL CENTER Inpatient | UNITED HEALTHCARE MANAGED CARE [3021] | MHS HB UHC EXCHANGE MDMC | $2.20 | $59,445.75 | $29,722.87 | 2026-03-20 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MSMC | $3.59 | $59,988.25 | $29,994.12 | 2026-03-23 | MRF ↗ |
| METHODIST CHARLTON MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MCMC | $3.59 | $51,715.25 | $25,857.62 | 2026-03-21 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MRMC | $3.59 | $69,333.80 | $34,666.90 | 2026-03-21 | MRF ↗ |
| METHODIST CELINA MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MCEL | $3.59 | $70,630.25 | $21,189.08 | 2026-03-23 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MSMC | $3.59 | $59,988.25 | $29,994.12 | 2026-03-23 | MRF ↗ |
| METHODIST DALLAS MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MDMC | $3.59 | $59,445.75 | $29,722.87 | 2026-03-20 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MRMC | $3.59 | $69,333.80 | $34,666.90 | 2026-03-21 | MRF ↗ |
| METHODIST MANSFIELD MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MMMC | $3.59 | $65,389.25 | $32,694.62 | 2026-03-21 | MRF ↗ |
| METHODIST MIDLOTHIAN MEDICAL CENTER Inpatient | HEALTH PLANS INC [5017] | MHS HB EMPLOYERS HEALTH NETWORK MLMC | $3.59 | $48,521.87 | $24,260.93 | 2026-03-21 | MRF ↗ |
| PRINCETON BAPTIST MEDICAL CENTER Inpatient | Aetna | AetnaMgdMCare | $4.00 | — | — | 2024-12-11 | MRF ↗ |
| SHELBY BAPTIST MEDICAL CENTER Inpatient | Aetna | AetnaMgdMCare | $4.00 | — | — | 2024-12-11 | MRF ↗ |
| CITIZENS BAPTIST MEDICAL CENTER Inpatient | Aetna | AetnaMgdMCare | $4.00 | — | — | 2024-12-11 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Inpatient | Aetna | AetnaMgdMCare | $4.00 | — | — | 2025-01-31 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Inpatient | United Healthcare | UnitedNonOptions | $4.10 | — | $43,827.95 | 2024-12-08 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Inpatient | United Healthcare | UnitedNonOptions | $4.10 | — | — | 2025-01-31 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Inpatient | United Healthcare | UnitedOptions | $4.10 | — | $43,134.80 | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Inpatient | United Healthcare | UnitedNonOptions | $4.10 | — | $43,134.80 | 2024-12-08 | MRF ↗ |
| PRINCETON BAPTIST MEDICAL CENTER Inpatient | United Healthcare | UnitedNonOptions | $4.10 | — | — | 2024-12-11 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Inpatient | United Healthcare | UnitedExchange | $4.10 | — | $43,827.95 | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Inpatient | United Healthcare | UnitedOptions | $4.10 | — | $48,900.75 | 2024-12-08 | MRF ↗ |
| Rehabilitation Institute Of Michigan Inpatient | United Healthcare | UnitedOptions | $4.10 | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Inpatient | United Healthcare | UnitedOptions | $4.10 | — | — | 2025-01-31 | MRF ↗ |
| PRINCETON BAPTIST MEDICAL CENTER Inpatient | United Healthcare | UnitedOptions | $4.10 | — | — | 2024-12-11 | MRF ↗ |
| Rehabilitation Institute Of Michigan Inpatient | United Healthcare | UnitedHealthcareNewBusiness | $4.10 | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Inpatient | United Healthcare | UnitedChoicePlus | $4.10 | — | — | 2025-01-31 | MRF ↗ |
| PRINCETON BAPTIST MEDICAL CENTER Inpatient | United Healthcare | UnitedExchange | $4.10 | — | — | 2024-12-11 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Inpatient | United Healthcare | UnitedExchange | $4.10 | — | $43,134.80 | 2024-12-08 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Inpatient | United Healthcare | UnitedOptions | $4.10 | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Inpatient | United Healthcare | UnitedExchange | $4.10 | — | — | 2025-01-31 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Inpatient | United Healthcare | UnitedNonOptions | $4.10 | — | $48,900.75 | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Inpatient | United Healthcare | UnitedExchange | $4.10 | — | $48,900.75 | 2024-12-08 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Inpatient | United Healthcare | UnitedExchange | $4.10 | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Inpatient | United Healthcare | UnitedNonOptions | $4.10 | — | — | 2025-01-31 | MRF ↗ |
| CITIZENS BAPTIST MEDICAL CENTER Inpatient | United Healthcare | UnitedExchange | $4.10 | — | — | 2024-12-11 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Inpatient | United Healthcare | UnitedOptions | $4.10 | — | $43,827.95 | 2024-12-08 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Inpatient | United Healthcare | UnitedHealthcareNewBusiness | $4.10 | — | — | 2025-01-31 | MRF ↗ |
| SHELBY BAPTIST MEDICAL CENTER Inpatient | United Healthcare | UnitedOptions | $4.10 | — | — | 2024-12-11 | MRF ↗ |
| SHELBY BAPTIST MEDICAL CENTER Inpatient | United Healthcare | UnitedNonOptions | $4.10 | — | — | 2024-12-11 | MRF ↗ |
| CITIZENS BAPTIST MEDICAL CENTER Inpatient | United Healthcare | UnitedOptions | $4.10 | — | — | 2024-12-11 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Inpatient | United Healthcare | UnitedHealthcareHMO | $4.10 | — | — | 2025-01-31 | MRF ↗ |
| SHELBY BAPTIST MEDICAL CENTER Inpatient | United Healthcare | UnitedExchange | $4.10 | — | — | 2024-12-11 | MRF ↗ |
| CITIZENS BAPTIST MEDICAL CENTER Inpatient | United Healthcare | UnitedNonOptions | $4.10 | — | — | 2024-12-11 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Inpatient | MGM RESORTS [1053] | MGM RESORT | $4.40 | $77,632.86 | $42,698.07 | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL InpatientFacility | HEALTH NET [1022001] | Health Net | $5.24 | $155,268.08 | $77,634.04 | 2026-03-16 | MRF ↗ |
| ALAMEDA HOSPITAL InpatientFacility | HEALTH NET [1022001] | Health Net | $5.24 | $65,395.71 | $32,697.85 | 2026-03-16 | MRF ↗ |
| San Leandro Hospital InpatientFacility | HEALTH NET [1022001] | Health Net | $5.24 | $47,467.86 | $23,733.93 | 2026-03-16 | MRF ↗ |
| CONE HEALTH ANNIE PENN HOSPITAL Inpatient | Partners Health | Managed Medicaid | $7.29 | $1.00 | $0.38 | 2026-07-15 | MRF ↗ |
| CONE HEALTH WESLEY LONG HOSPITAL Inpatient | Partners Health | Tailored Plan | $7.29 | $1.00 | $0.38 | 2026-07-15 | MRF ↗ |
| CONE HEALTH ANNIE PENN HOSPITAL Inpatient | Partners Health | Tailored Plan | $7.29 | $1.00 | $0.38 | 2026-07-15 | MRF ↗ |
| CONE HEALTH WESLEY LONG HOSPITAL Inpatient | Partners Health | Managed Medicaid | $7.29 | $1.00 | $0.38 | 2026-07-15 | MRF ↗ |
| MOSES H. CONE MEMORIAL HOSPITAL, THE Inpatient | Partners Health | Managed Medicaid | $7.29 | $1.00 | $0.38 | 2026-07-15 | MRF ↗ |
| MOSES H. CONE MEMORIAL HOSPITAL, THE Inpatient | Partners Health | Tailored Plan | $7.29 | $1.00 | $0.38 | 2026-07-15 | MRF ↗ |
| CONE HEALTH BEHAVIORAL HOSPITAL Inpatient | Partners Health | Managed Medicaid | $7.29 | $1.00 | $0.38 | 2026-07-15 | MRF ↗ |
| CONE HEALTH BEHAVIORAL HOSPITAL Inpatient | Partners Health | Tailored Plan | $7.29 | $1.00 | $0.38 | 2026-07-15 | MRF ↗ |
| SENTARA ALBEMARLE MEDICAL CENTER InpatientFacility | Bcbs | Hmo/Pos/Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE NEWBERG MEDICAL CENTER InpatientFacility | Bcbs | Regence All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| HOUSTON METHODIST THE WOODLANDS HOSPITAL InpatientFacility | Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| Yavapai Regional Medical Center - East Inpatient | BCBS - AZ | Commercial|All Plans | $31.00 | — | — | 2026-02-28 | MRF ↗ |
| Yavapai Regional Medical Center - East Inpatient | BCBS - AZ | Commercial|All Plans | $31.00 | — | — | 2026-02-28 | MRF ↗ |
| HOUSTON METHODIST WILLOWBROOK HOSPITAL InpatientFacility | Cigna | Texas Healthspring Medicare Managed Care - Hmo/Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| HOUSTON METHODIST WILLOWBROOK HOSPITAL InpatientFacility | Humana | Medicare Managed Care - Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| GOOD SAMARITAN REGIONAL HLTH CENTER InpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC InpatientFacility | Sonder Health Plans | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC InpatientFacility | Sonder Health Plans | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | SummaCare | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | United Healthcare | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Medical Mutual of Ohio | 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 | 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 | Aetna | 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 | Cigna | 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 | Humana | 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 | 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 ↗ |
| HOUSTON METHODIST THE WOODLANDS HOSPITAL InpatientFacility | Unitedhealthcare | Medicare Managed Care - Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| HOUSTON METHODIST THE WOODLANDS HOSPITAL InpatientFacility | Humana | Medicare Managed Care - Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| GRADY GENERAL HOSPITAL InpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| GRADY GENERAL HOSPITAL InpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| GRADY GENERAL HOSPITAL InpatientFacility | UnitedHealthCare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ST JOSEPH MEDICAL CENTER InpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-03-31 | MRF ↗ |
| ORLANDO HEALTH-HEALTH CENTRAL HOSPITAL InpatientFacility | Cigna | Healthspring Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| DUBLIN METHODIST HOSPITAL InpatientFacility | First Health | All Commercial Plans | — | — | — | 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 ↗ |
| ELMORE COMMUNITY HOSPITAL Inpatient | VIVA Health Plan MCR Adv | Default | $95.00 | $12,800.00 | $5,120.00 | 2026-04-02 | MRF ↗ |
| ELMORE COMMUNITY HOSPITAL Inpatient | VIVA Health Plan MCR Adv | Default | $95.00 | $12,800.00 | $5,120.00 | 2026-04-02 | MRF ↗ |
| PROVIDENCE HOLY CROSS MEDICAL CENTER InpatientFacility | Blue Cross | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ELMORE COMMUNITY HOSPITAL Inpatient | Humana | Default | $100.00 | $12,800.00 | $5,120.00 | 2026-04-02 | MRF ↗ |
| ELMORE COMMUNITY HOSPITAL Inpatient | Humana | Default | $100.00 | $12,800.00 | $5,120.00 | 2026-04-02 | MRF ↗ |
| ELMORE COMMUNITY HOSPITAL Inpatient | VA Community Care Network VACCN Region 1-3 Optum | All Plans | $100.00 | $12,800.00 | $5,120.00 | 2026-04-02 | MRF ↗ |
| ELMORE COMMUNITY HOSPITAL Inpatient | VA Community Care Network VACCN Region 1-3 Optum | All Plans | $100.00 | $12,800.00 | $5,120.00 | 2026-04-02 | MRF ↗ |
| ELMORE COMMUNITY HOSPITAL Inpatient | United Healthcare | Default | $100.00 | $12,800.00 | $5,120.00 | 2026-04-02 | MRF ↗ |
| ELMORE COMMUNITY HOSPITAL Inpatient | United Healthcare | Default | $100.00 | $12,800.00 | $5,120.00 | 2026-04-02 | MRF ↗ |
| ELMORE COMMUNITY HOSPITAL Inpatient | Simpra Advantage AL MCR Adv DOS gt 123122 | Default | $102.00 | $12,800.00 | $5,120.00 | 2026-04-02 | MRF ↗ |
| ELMORE COMMUNITY HOSPITAL Inpatient | Simpra Advantage AL MCR Adv DOS gt 123122 | Default | $102.00 | $12,800.00 | $5,120.00 | 2026-04-02 | MRF ↗ |
| THE MONROE CLINIC InpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| LONESOME PINE HOSPITAL Inpatient | BLUE CROSS | ANTHEM MEDICARE VIRGINIA | — | — | — | 2026-03-23 | MRF ↗ |
| LEXINGTON MEDICAL CENTER InpatientFacility | Select Health | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| LITTLE COLORADO MEDICAL CENTER Inpatient | Blue Cross Blue Shield Of Az | Indemnity/Ppo/Hmo | $139.57 | — | — | 2026-07-15 | MRF ↗ |
| HOUSTON METHODIST THE WOODLANDS HOSPITAL InpatientFacility | Aetna | Medicare Managed Care - Hmo/Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| NEW YORK COMMUNITY HOSPITAL OF BROOKLYN, INC. InpatientFacility | Elderplan | Medicare Advantage HMO | — | — | — | 2026-04-01 | MRF ↗ |
| EAST LIVERPOOL CITY HOSPITAL Inpatient | Buckeye Community Health Plan | Buckeye Community Health Plan Medicaid | $149.72 | — | $15,384.00 | 2024-12-19 | MRF ↗ |
| EAST LIVERPOOL CITY HOSPITAL Inpatient | Traditional Medicaid | Traditional Medicaid | $149.72 | — | $15,384.00 | 2024-12-19 | MRF ↗ |
| EAST LIVERPOOL CITY HOSPITAL Inpatient | Molina | Molina Medicaid | $149.72 | — | $15,384.00 | 2024-12-19 | MRF ↗ |
| EAST LIVERPOOL CITY HOSPITAL Inpatient | Non-Contracted Medicaid | Non-Contracted Medicaid | $149.72 | — | $15,384.00 | 2024-12-19 | MRF ↗ |
| SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN Inpatient | Aetna | Commercial | $151.00 | $510.00 | $510.00 | 2026-07-15 | MRF ↗ |
| EMORY DECATUR HOSPITAL InpatientFacility | Sonder Health Plans | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| EMORY DECATUR HOSPITAL InpatientFacility | Sonder Health Plans | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| LEXINGTON MEDICAL CENTER InpatientFacility | Bluechoice | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PARKVIEW WHITLEY HOSPITAL InpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| EAST LIVERPOOL CITY HOSPITAL Inpatient | Care Source | Care source Medicaid | $152.71 | — | $15,384.00 | 2024-12-19 | MRF ↗ |
| EAST LIVERPOOL CITY HOSPITAL Inpatient | Paramount | Paramount Medicaid | $154.21 | — | $15,384.00 | 2024-12-19 | MRF ↗ |
| EAST LIVERPOOL CITY HOSPITAL Inpatient | Anthem Blue Cross | Anthem BCBS Medicaid | $154.21 | — | $15,384.00 | 2024-12-19 | MRF ↗ |
| EAST LIVERPOOL CITY HOSPITAL Inpatient | Choice Care Humana | Choice Care Humana Medicaid | $155.71 | — | $15,384.00 | 2024-12-19 | MRF ↗ |
| ST LUKES HOSPITAL InpatientFacility | Anthem Blue Cross Blue Shield Wisconsin | Anthem Medicare Advantage Plans | — | — | — | 2026-04-01 | MRF ↗ |
| EAST LIVERPOOL CITY HOSPITAL Inpatient | UHC | UHC Medicaid | $157.21 | — | $15,384.00 | 2024-12-19 | MRF ↗ |
| EAST LIVERPOOL CITY HOSPITAL Inpatient | Amerihealth Caritas | Amerihealth Caritas Medicaid | $157.21 | — | $15,384.00 | 2024-12-19 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS InpatientFacility | Aetna | Gold Advantage Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| PHOEBE PUTNEY MEMORIAL HOSPITAL InpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | — |
| PHOEBE SUMTER MEDICAL CENTER InpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | — |
| SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN Inpatient | 1199 | Commercial | $179.00 | $510.00 | $510.00 | 2026-07-15 | MRF ↗ |
| MAYO CLINIC HEALTH SYSTEM-RED CEDAR INC InpatientFacility | MEDICA [91180027] | MEDICA PRIME SOLUTIONS PART B MEDICARE ADVANTAGE PLAN [599] | $183.24 | — | — | 2026-03-31 | MRF ↗ |
| MAYO CLINIC HEALTH SYSTEM-RED CEDAR INC InpatientFacility | MEDICA [1110027] | MEDICA PRIME SOLUTIONS PART B MEDICARE ADVANTAGE PLAN [599] | $183.24 | — | — | 2026-03-31 | MRF ↗ |
| ALLIANCEHEALTH WOODWARD InpatientFacility | Unitedhealthcare | Non-Options Other Commercial Plan | — | — | — | 2026-04-01 | MRF ↗ |
| SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN Inpatient | Healthfirst Medicare | Commercial | $185.00 | $510.00 | $510.00 | 2026-07-15 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD InpatientFacility | MEDICA CONTRACTED [320239] | HB SPRG UBH COMMERCIAL | $193.54 | $36,927.10 | $24,002.61 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SPRINGFIELD InpatientFacility | MEDICA [20239] | HB SPRG UBH COMMERCIAL | $193.54 | $36,927.10 | $24,002.61 | 2026-03-12 | MRF ↗ |
| SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN Inpatient | Magnacare Medicare | Commercial | $199.00 | $510.00 | $510.00 | 2026-07-15 | MRF ↗ |
| SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN Inpatient | Longevity Medicare | Commercial | $199.00 | $510.00 | $510.00 | 2026-07-15 | MRF ↗ |
| SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN Inpatient | Metroplus Medicare | Commercial | $199.00 | $510.00 | $510.00 | 2026-07-15 | MRF ↗ |
| SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN Inpatient | Integra Medicare | Commercial | $199.00 | $510.00 | $510.00 | 2026-07-15 | MRF ↗ |
| SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN Inpatient | Uhc Oxford Medicare | Commercial | $199.00 | $510.00 | $510.00 | 2026-07-15 | MRF ↗ |
| SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN Inpatient | Hamaspik Medicare | Commercial | $199.00 | $510.00 | $510.00 | 2026-07-15 | MRF ↗ |
| SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN Inpatient | Emblem Ghi Medicare | Commercial | $199.00 | $510.00 | $510.00 | 2026-07-15 | MRF ↗ |
| SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN Inpatient | Emblem Hipi Medicare | Commercial | $199.00 | $510.00 | $510.00 | 2026-07-15 | MRF ↗ |
| SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN Inpatient | Alphacare Medicare | Commercial | $199.00 | $510.00 | $510.00 | 2026-07-15 | MRF ↗ |
| SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN Inpatient | Ebcbs Medicare | Commercial | $199.00 | $510.00 | $510.00 | 2026-07-15 | MRF ↗ |
| SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN Inpatient | Aetna - Medicare | Commercial | $199.00 | $510.00 | $510.00 | 2026-07-15 | MRF ↗ |
| SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN Inpatient | Fidelis Medicare | Commercial | $199.00 | $510.00 | $510.00 | 2026-07-15 | MRF ↗ |
| SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN Inpatient | Uhc Medicare | Commercial | $199.00 | $510.00 | $510.00 | 2026-07-15 | MRF ↗ |
| PROVIDENCE HOLY CROSS MEDICAL CENTER InpatientFacility | Unitedhealthcare | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN Inpatient | Vnsny Medicare | Commercial | $203.00 | $510.00 | $510.00 | 2026-07-15 | MRF ↗ |
| SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN Inpatient | Elderplan Medicare | Commercial | $203.00 | $510.00 | $510.00 | 2026-07-15 | MRF ↗ |
| SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN Inpatient | Wellcare Medicare | Commercial | $213.00 | $510.00 | $510.00 | 2026-07-15 | MRF ↗ |
| VASSAR BROTHERS MEDICAL CENTER InpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| VASSAR BROTHERS MEDICAL CENTER InpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| WELLSTAR COBB MEDICAL CENTER InpatientFacility | Bcbs | 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.