692 — Urinary Stones W Esw Lithotripsy Without Cc/Mcc
Cite this view
HANK Price Transparency. (n.d.). Urinary Stones W Esw Lithotripsy W/O Cc/Mcc (MS_DRG 692) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/692?code_type=MS_DRG
“Urinary Stones W Esw Lithotripsy W/O Cc/Mcc (MS_DRG 692) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/692?code_type=MS_DRG. Accessed .
“Urinary Stones W Esw Lithotripsy W/O Cc/Mcc (MS_DRG 692) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/692?code_type=MS_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $7,369–$12,783 (25th–75th percentile) across 170 hospitals · 390 payers.
“Negotiated” is the hospital’s negotiated facility rate for this MS_DRG 692 — 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 |
|---|---|---|---|---|---|---|---|
| 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 | Anthem | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Humana | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | SummaCare | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | United Healthcare | 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 | Molina | 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 | 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 ↗ |
| 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 ↗ |
| RIVERVIEW REGIONAL MEDICAL CENTER Inpatient | BCBS | BCBS AL Commercial | $175.82 | — | — | 2024-12-19 | MRF ↗ |
| RIVERVIEW REGIONAL MEDICAL CENTER Inpatient | BCBS | BCBS AL Commercial | $175.82 | — | — | 2024-12-19 | MRF ↗ |
| BURLESON ST JOSEPH HEALTH CENTER Inpatient | Cigna | Commercial|All Other Plans | — | — | — | 2026-02-28 | MRF ↗ |
| BURLESON ST JOSEPH HEALTH CENTER Inpatient | PHCS | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| BURLESON ST JOSEPH HEALTH CENTER Inpatient | Wellpoint | Medicaid|All Other Plans | — | — | — | 2026-02-28 | MRF ↗ |
| BURLESON ST JOSEPH HEALTH CENTER Inpatient | First Health | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| BURLESON ST JOSEPH HEALTH CENTER Inpatient | BCBS-TX | Commercial|Ref Lab | — | — | — | 2026-02-28 | MRF ↗ |
| BURLESON ST JOSEPH HEALTH CENTER Inpatient | Wellpoint | Medicaid|STAR | — | — | — | 2026-02-28 | MRF ↗ |
| BURLESON ST JOSEPH HEALTH CENTER Inpatient | Multiplan | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| BURLESON ST JOSEPH HEALTH CENTER Inpatient | Aetna | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| Ascension Borgess Pipp Hospital Both | COVENTRY CARES | 3337_BOMC MEDICAID REPLACEMENT COVENTRY CARES INPATIENT 20231001 | $1,407.91 | — | — | 2024-12-17 | MRF ↗ |
| Ascension Borgess Pipp Hospital Both | COVENTRY CARES | 3337_BOMC MEDICAID REPLACEMENT COVENTRY CARES INPATIENT 20231001 | $1,407.91 | — | — | 2024-12-17 | MRF ↗ |
| Ascension Borgess Pipp Hospital Both | COVENTRY CARES | 3337_BOMC MEDICAID REPLACEMENT COVENTRY CARES INPATIENT 20231001 | $1,435.20 | — | — | 2024-12-17 | MRF ↗ |
| Ascension Borgess Pipp Hospital Both | COVENTRY CARES | 3337_BOMC MEDICAID REPLACEMENT COVENTRY CARES INPATIENT 20231001 | $1,435.20 | — | — | 2024-12-17 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MANAGED CARE | HUMANA COMM OP | $1,560.81 | — | — | 2025-12-04 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MANAGED CARE | HUMANA COMM IP | $1,560.81 | — | — | 2025-12-04 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MANAGED CARE | COCA COLA BOTTLING OP | $1,734.24 | — | — | 2025-12-04 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MANAGED CARE | PHCS IP | $1,734.24 | — | — | 2025-12-04 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MANAGED CARE | MCR 150 MISC IP | $1,734.24 | — | — | 2025-12-04 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MANAGED CARE | COCA COLA BOTTLING CO IP | $1,734.24 | — | — | 2025-12-04 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MANAGED CARE | MCR 150 MISC OP | $1,734.24 | — | — | 2025-12-04 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MANAGED CARE | MCR 170 MISC IP | $1,965.47 | — | — | 2025-12-04 | MRF ↗ |
| MINDEN MEDICAL CENTER Both | MANAGED CARE | MCR 170 MISC OP | $1,965.47 | — | — | 2025-12-04 | MRF ↗ |
| Ascension Borgess Pipp Hospital Both | COVENTRY CARES | 3337_BOMC MEDICAID REPLACEMENT COVENTRY CARES INPATIENT 20231001 | $1,974.10 | — | — | 2024-12-17 | MRF ↗ |
| Ascension Borgess Pipp Hospital Both | COVENTRY CARES | 3337_BOMC MEDICAID REPLACEMENT COVENTRY CARES INPATIENT 20231001 | $1,974.10 | — | — | 2024-12-17 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | COMMUNITY CARE - BC | COMMUNITY CARE - BC | $2,190.38 | — | — | 2026-04-07 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | MOLINA HEATHCARE OF WNY | MOLINA HEALTHCARE OF WNY | $2,190.38 | — | — | 2026-04-07 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | GHI MEDICAL | GROUP HEALTH INC. | $2,190.38 | — | — | 2026-04-07 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | UNITED HC - COMMUNITY PLN | UNITED HC - COMMUNITY PLN | $2,190.38 | — | — | 2026-04-07 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | COMM BLUE ESSENTIAL | COMMUNITY BLUE ESSENTIAL | $2,190.38 | — | — | 2026-04-07 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | WELLCARE MEDICAID | WELLCARE MEDICAID | $2,190.38 | — | — | 2026-04-07 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | UNIVERA HC MYHEALTH | UNIVERA HC MYHEALTH | $2,190.38 | — | — | 2026-04-07 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | GOWANDA CORRECTIONAL FAC | COLLINS CORRECTIONAL IP | $2,190.38 | — | — | 2026-04-07 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | GOWANDA CORRECTIONAL FAC | COLLINS CORRECTIONAL FAC | $2,190.38 | — | — | 2026-04-07 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | MEDICAID COMPUTER SCIENCE | MEDICAID | $2,190.38 | — | — | 2026-04-07 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | FIDELIS CARE OF NEW YORK | FIDELIS CARE NEW YORK | $2,190.38 | — | — | 2026-04-07 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | MOLINA ESSENTIAL PLAN | MOLINA ESSENTIAL PLAN | $2,190.38 | — | — | 2026-04-07 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | YOURCARE | YOURCARE | $2,190.38 | — | — | 2026-04-07 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | SENECA NATION HEALTH DEPT | SENECA NATION HEALTH DEPT | $2,190.38 | — | — | 2026-04-07 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | BC/BS WNY MEDICAID | BC/BS WNY MEDICAID | $2,190.38 | — | — | 2026-04-07 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | UNITED HC ESSENTIAL PLAN | UNITED HC ESSENTIAL PLAN | $2,190.38 | — | — | 2026-04-07 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | UNIVERA HC MYHEALTH+ | UNIVERA HC MYHEALTH+ | $2,190.38 | — | — | 2026-04-07 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | COMMUNITY BLUE | COMMUNITY BLUE - BC | $2,190.38 | — | — | 2026-04-07 | MRF ↗ |
| Continuing Care Hospital, Inc Inpatient | Multiplan | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| Continuing Care Hospital, Inc Inpatient | United | Commercial|PPO | — | — | — | 2026-02-28 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | WORKERS COMPENSATION | WORKERS COMPENSATION | $3,203.00 | — | — | 2026-04-07 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | FIDELIS CARE OF NEW YORK | FIDELIS CARE NEW YORK | $3,203.00 | — | — | 2026-04-07 | MRF ↗ |
| BERTRAND CHAFFEE HOSPITAL Both | FIDELIS ESSENTIAL PLANS | FIDELIS ESSENTIAL PLANS | $3,203.00 | — | — | 2026-04-07 | MRF ↗ |
| KERALTY HOSPITAL Both | AMERIGROUP MCAID | AMERIGROUP MCAID | $3,487.39 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AMERIHLTH N.CAROLINA | AMERIHLTH N.CAROLINA | $3,487.39 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | MEDICAID | MEDICAID | $3,487.39 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | STAYWELL MEDICAID | STAYWELL MCAID | $3,487.39 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | CARESOURCE MEDICAID | CARESOURCE MEDICAID | $3,487.39 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | WELLCARE MEDICAID | WELLCARE MCAID | $3,487.39 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AETNA BETTER HEALTH | AETNA BETTER HEALTH | $3,487.39 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | STAYWELL MEDICAID | STAYWELL MCAID | $3,487.39 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AMERIHEALTH CARITAS FL | AMERIHEALTH CARITAS FL | $3,487.39 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AETNA SENIOR SUPPLEMENTAL | AETNA SENIOR SUPPLEMENTAL | $3,487.39 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | HUMANA MEDICAID | HUMANA MEDICAID | $3,487.39 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | FLORIDA COMMUNITY CARE | FLORIDA COMMUNITY CARE | $3,487.39 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AMERIHLTH N.CAROLINA | AMERIHLTH N.CAROLINA | $3,487.39 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | NEIGHBORHOOD MEDICAID | NHP MCAID | $3,487.39 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | DOCTORS HEALTHCARE PLAN | DOCTORS HEALTHCARE MCD | $3,487.39 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | UNITED HLTH MCAID | UNITED MEDICAID | $3,487.39 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | MOLINA BEHAV MCD | MOLINA BEHAV MCD | $3,487.39 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AMERIHEALTH CARITAS FL | AMERIHEALTH CARITAS FL | $3,487.39 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | FIRST COAST ADVANTAGE LLC | FIRST COAST ADVANTAGE LLC | $3,487.39 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | FLORIDA PACE MEDICAID | FLORIDA PACE MD | $3,487.39 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | SO FL COMMUNITY MEDICAID | SO FL COMMUNITY CARE NETW | $3,487.39 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | MEDICAID | MEDICAID | $3,487.39 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | POSITIVE HEALTHCARE FLA | POSITIVE MCD | $3,487.39 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | CLEAR HEALTH ALLIANCE | CLEAR HEALTH ALLIANCE | $3,487.39 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | FLORIDA HEALTH PARTNERS | FLORIDA HEALTH PARTNERS | $3,487.39 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | SIMPLY HEALTHCARE MCAID | SIMPLY HLTH MCAID | $3,487.39 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | BETTER HEALTH HMO | BETTER HEALTH | $3,487.39 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | MOLINA MEDICAID | MOLINA MCAID | $3,487.39 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | CIGNA MEDICAID | CIGNA MEDICAID | $3,487.39 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | OSCAR MEDICAID | OSCAR MEDICAID | $3,487.39 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | COMMUNITY CARE PLANS MCD | COMMUNITY CARE PLANS MCD | $3,487.39 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | SO FL COMMUNITY MEDICAID | SO FL COMMUNITY CARE NETW | $3,487.39 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | NEIGHBORHOOD MEDICAID | NHP MCAID | $3,487.39 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AETNA BETTER HEALTH | AETNA BETTER HEALTH | $3,487.39 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | FLORIDA COMMUNITY CARE | FLORIDA COMMUNITY CARE | $3,487.39 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | DOCTORS HEALTHCARE PLAN | DOCTORS HEALTHCARE MCD | $3,487.39 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | CLEAR HEALTH ALLIANCE | CLEAR HEALTH ALLIANCE | $3,487.39 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | FLORIDA PACE MEDICAID | FLORIDA PACE MD | $3,487.39 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AMERIHLTH N.CAROLINA | AMERIHLTH CARITAS N CAROL | $3,487.39 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | SIMPLY HEALTHCARE MCAID | SIMPLY HLTH MCAID | $3,487.39 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | UNITED HOMECARE MCAID | UNITED HOMECARE MCAID | $3,487.39 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | SUNSHINE STATE HEALTH | SUNSHINE STATE HEALTH | $3,487.39 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | MISC MEDICAID HMO | MISC MEDICAID HMO | $3,487.39 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | SUNSHINE STATE HEALTH | SUNSHINE STATE HEALTH | $3,487.39 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | UNITED HOMECARE MCAID | UNITED HOMECARE MCAID | $3,487.39 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | PENDING MEDICAID | PENDING MEDICAID | $3,487.39 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | MISC MEDICAID HMO | MISC MCAID HMO | $3,487.39 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | MOLINA OUT OF STATE MCD | MOLINA OUT OF STATE MCD | $3,487.39 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | UNIVERSAL HLTH | UNIVERSAL HLTH | $3,487.39 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AMERIGROUP MCAID | AMERIGROUP MCAID | $3,487.39 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | WELLCARE MEDICAID | WELLCARE MCAID | $3,487.39 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | HUMANA MEDICAID | HUMANA MEDICAID | $3,487.39 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | UNITED HLTH MCAID | UNITED MEDICAID | $3,487.39 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | MOLINA MEDICAID | MOLINA MCAID | $3,487.39 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | FLORIDA HEALTH PARTNERS | FLORIDA HEALTH PARTNERS | $3,487.39 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AETNA SENIOR SUPPLEMENTAL | AETNA SENIOR SUPPLEMENTAL | $3,487.39 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | POSITIVE HEALTHCARE FLA | POSITIVE MCD | $3,487.39 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AMERIHLTH N.CAROLINA | AMERIHLTH CARITAS N CAROL | $3,487.39 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | COMMUNITY CARE PLANS MCD | COMMUNITY CARE PLANS MCD | $3,487.39 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | MOLINA OUT OF STATE MCD | MOLINA OUT OF STATE MCD | $3,487.39 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | PENDING MEDICAID | PENDING MEDICAID | $3,487.39 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | OSCAR MEDICAID | OSCAR MEDICAID | $3,487.39 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | MOLINA BEHAV MCD | MOLINA BEHAV MCD | $3,487.39 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | CARESOURCE MEDICAID | CARESOURCE MEDICAID | $3,487.39 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | FIRST COAST ADVANTAGE LLC | FIRST COAST ADVANTAGE LLC | $3,487.39 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | CIGNA MEDICAID | CIGNA MEDICAID | $3,487.39 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | BETTER HEALTH HMO | BETTER HEALTH | $3,487.39 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | UNIVERSAL HLTH | UNIVERSAL HLTH | $3,487.39 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | MISC MEDICAID HMO | MISC MCAID HMO | $3,487.39 | — | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | MISC MEDICAID HMO | MISC MEDICAID HMO | $3,487.39 | — | — | 2024-06-28 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | WELL SENSE HEALTH PLAN | WELL SENSE HEALTH PLAN | $3,558.69 | — | — | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | BEACON HEALTH | CARELON BEHAVIORAL HEALTH | $3,558.69 | — | — | 2026-04-10 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | BCBS MS CHIPS | BCBS MS CHIPS | $3,606.74 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MS MEDICAID | MS MEDICAID | $3,606.74 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | UHC MEDICAID | UHC MEDICAID | $3,606.74 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | UHC MDC CHIPS | UHC CHIPS | $3,606.74 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MAGNOLIA MCD HMO | MAGNOLIA CHIPS | $3,606.74 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | BCBS MS CHIPS | BCBS MS CHIPS | $3,606.74 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | UHC MEDICAID | UHC MEDICAID | $3,606.74 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | BCBS OOS | BCBS TN CURAE | $3,606.74 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MEDICAID AR | AL MEDICAID | $3,606.74 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MAGNOLIA MEDICAID | MAGNOLIA MCD | $3,606.74 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MEDICAID AR | AR MEDICAID | $3,606.74 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MS MEDICAID | MS MEDICAID | $3,606.74 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | CENPATICO | CENPATICO | $3,606.74 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MAGNOLIA MCD HMO | MAGNOLIA CHIPS | $3,606.74 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | UHC MDC CHIPS | UHC CHIPS | $3,606.74 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MEDICAID AR | AL MEDICAID | $3,606.74 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | BCBS OOS | BCBS TN CURAE | $3,606.74 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MAGNOLIA MEDICAID | MAGNOLIA MCD | $3,606.74 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | CENPATICO | CENPATICO | $3,606.74 | — | — | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MEDICAID AR | AR MEDICAID | $3,606.74 | — | — | 2024-06-27 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | NH MEDICAID | NH MEDICAID DISABILITY | $3,782.75 | — | — | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | NH MEDICAID | NH MEDICAID PENDING | $3,782.75 | — | — | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | NH MEDICAID | NH MEDICAID | $3,782.75 | — | — | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | NH HEALTHY FAMILIES | NH HEALTHY FAMILIES | $3,858.41 | — | — | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | AMERIHEALTH CARITAS NH | AMERIHEALTH CARITAS NH | $3,858.41 | — | — | 2026-04-10 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL TIPTON InpatientFacility | Wellpoint | Medicaid | $3,980.45 | — | — | 2026-02-27 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL TIPTON InpatientFacility | Wellpoint | Medicaid | $3,980.45 | — | — | 2026-02-27 | MRF ↗ |
| ALTA VISTA REGIONAL HOSPITAL Both | COMMERCIAL HMO PPO | PRESBY IND SEL | $4,103.92 | — | — | 2026-04-16 | MRF ↗ |
| ALTA VISTA REGIONAL HOSPITAL Both | COMMERCIAL HMO PPO | PRES IND SEL | $4,103.92 | — | — | 2026-04-16 | MRF ↗ |
| Ascension Borgess Pipp Hospital Both | COVENTRY CARES | 3337_BOMC MEDICAID REPLACEMENT COVENTRY CARES INPATIENT 20231001 | $4,694.16 | — | — | 2024-12-17 | MRF ↗ |
| Ascension Borgess Pipp Hospital Both | COVENTRY CARES | 3337_BOMC MEDICAID REPLACEMENT COVENTRY CARES INPATIENT 20231001 | $4,694.16 | — | — | 2024-12-17 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL-COLLIERVILLE InpatientFacility | Wellpoint | Medicaid | $5,057.15 | — | — | 2026-02-27 | MRF ↗ |
| ALTA VISTA REGIONAL HOSPITAL Both | COMMERCIAL HMO PPO | WESTERN SKY AMBETTER | $5,411.78 | — | — | 2026-04-16 | MRF ↗ |
| ACADIAN MEDICAL CENTER Both | TRICARE | TRICARE EAST OP | $5,756.36 | — | — | 2026-02-02 | MRF ↗ |
| ACADIAN MEDICAL CENTER Both | TRICARE | TRICARE EAST IP | $5,756.36 | — | — | 2026-02-02 | MRF ↗ |
| LAKELAND COMMUNITY HOSPITAL Both | MEDICARE MANAGED CARE | DNU MMC UHC DUAL | $5,792.06 | — | — | 2026-02-05 | MRF ↗ |
| LAKELAND COMMUNITY HOSPITAL Both | MEDICARE MANAGED CARE | DNU MMC UHC DUAL OP | $5,792.06 | — | — | 2026-02-05 | MRF ↗ |
| LAKELAND COMMUNITY HOSPITAL Both | MEDICARE MANAGED CARE | DNU MMC UNITED HLTHCARE | $5,792.06 | — | — | 2026-02-05 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Covenant | All Plans | $5,864.00 | — | — | 2025-06-11 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Covenant | All Plans | $5,864.00 | — | — | 2025-02-14 | MRF ↗ |
| GRIMES ST JOSEPH HEALTH CENTER Inpatient | PHCS | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| GRIMES ST JOSEPH HEALTH CENTER Inpatient | Multiplan | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| GRIMES ST JOSEPH HEALTH CENTER Inpatient | BCBS-TX | Commercial|Ref Lab | — | — | — | 2026-02-28 | MRF ↗ |
| GRIMES ST JOSEPH HEALTH CENTER Inpatient | Wellpoint | Medicaid|STAR | — | — | — | 2026-02-28 | MRF ↗ |
| GRIMES ST JOSEPH HEALTH CENTER Inpatient | Wellpoint | Medicaid|All Other Plans | — | — | — | 2026-02-28 | MRF ↗ |
| NORTHERN LOUISIANA MEDICAL CENTER Both | CHAMPVA | CHAMPVA IP | $5,968.49 | — | — | 2026-05-04 | MRF ↗ |
| NORTHERN LOUISIANA MEDICAL CENTER Both | TRICARE | TRICARE EAST IP | $5,968.49 | — | — | 2026-05-04 | MRF ↗ |
| NORTHERN LOUISIANA MEDICAL CENTER Both | TRICARE FOR LIFE | TRICARE FOR LIFE OP | $5,968.49 | — | — | 2026-05-04 | MRF ↗ |
| NORTHERN LOUISIANA MEDICAL CENTER Both | TRICARE FOR LIFE | TRICARE FOR LIFE IP | $5,968.49 | — | — | 2026-05-04 | MRF ↗ |
| NORTHERN LOUISIANA MEDICAL CENTER Both | TRICARE | TRICARE EAST OP | $5,968.49 | — | — | 2026-05-04 | MRF ↗ |
| NORTHERN LOUISIANA MEDICAL CENTER Both | CHAMPVA | CHAMPVA OP | $5,968.49 | — | — | 2026-05-04 | MRF ↗ |
| CLAIBORNE MEMORIAL MEDICAL CENTER Both | TRICARE FOR LIFE | TRICARE FOR LIFE | $6,036.00 | — | — | 2025-08-12 | MRF ↗ |
| MEMORIAL HEALTHCARE SYSTEM, INC Inpatient | Amerigroup | Medicaid|All Plans | $6,055.00 | — | — | 2026-02-28 | MRF ↗ |
| MEMORIAL HEALTHCARE SYSTEM, INC Inpatient | Peach State | Medicaid|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| CHI Memorial Hospital - Hixson Inpatient | Amerigroup | Medicaid|All Plans | $6,055.00 | — | — | 2026-02-28 | MRF ↗ |
| MEMORIAL HEALTHCARE SYSTEM, INC Inpatient | Amerigroup | Medicaid|All Plans | $6,055.00 | — | — | 2026-02-28 | MRF ↗ |
| MEMORIAL HEALTHCARE SYSTEM, INC Inpatient | Peach State | Medicaid|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Both | TRICARE | TRICARE FOR LIFE IP | $6,091.30 | — | — | 2026-02-02 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Both | TRICARE | TRICARE FOR LIFE OP | $6,091.30 | — | — | 2026-02-02 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Both | TRICARE | TRICARE EAST OP | $6,091.30 | — | — | 2026-02-02 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Both | TRICARE | TRICARE EAST IP | $6,091.30 | — | — | 2026-02-02 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER Both | TRICARE | TRICARE WEST IP | $6,091.30 | — | — | 2026-02-02 | 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.