MS-DRG 216 — Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Mcc
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC (OTHER MS-DRG 216) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/MS-DRG 216?code_type=OTHER
MLA (9th ed.)
“CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC (OTHER MS-DRG 216) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/MS-DRG 216?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC (OTHER MS-DRG 216) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/MS-DRG 216?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $68,844–$154,942 (25th–75th percentile) across 25 hospitals · 100 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER MS-DRG 216 — 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 |
|---|---|---|---|---|---|---|---|
| Mclaren St Luke's | Healthreach | — | $57.00 | — | — | 2026-05-06 | MRF ↗ |
| Mclaren St Luke's | Humana Commercial | — | $76.00 | — | — | 2026-05-06 | MRF ↗ |
| Mclaren St Luke's | Cofinity | — | $88.00 | — | — | 2026-05-06 | MRF ↗ |
| Mclaren St Luke's | Coventry | — | $90.00 | — | — | 2026-05-06 | MRF ↗ |
| Mclaren St Luke's | First Health Network | — | $90.00 | — | — | 2026-05-06 | MRF ↗ |
| Mclaren St Luke's | Humana Commercial Op Rate Type | — | $100.00 | — | — | 2026-05-06 | MRF ↗ |
| Mclaren St Luke's | Medical Mutual Medicare Op Rate Type | — | $100.00 | — | — | 2026-05-06 | MRF ↗ |
| Mclaren St Luke's | Caresource Just4Me | — | $100.00 | — | — | 2026-05-06 | MRF ↗ |
| Mclaren St Luke's | Aetna Medicare Op Rate Type | — | $100.00 | — | — | 2026-05-06 | MRF ↗ |
| Mclaren St Luke's | Aarp Medicare Complete Op Rate Type | — | $100.00 | — | — | 2026-05-06 | MRF ↗ |
| Mclaren St Luke's | Paramount Elite | — | $100.00 | — | — | 2026-05-06 | MRF ↗ |
| Mclaren St Luke's | Buckeye Medicaid Op Rate Type | — | $103.00 | — | — | 2026-05-06 | MRF ↗ |
| Mclaren St Luke's | Immergrun | — | $110.00 | — | — | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Uhc Community Plan Dual Complete Dsnp All Plans | — | $1,779.03 | $182,247.47 | $72,898.99 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Bluecare Plus Dsnp All Plans | — | $1,779.03 | $182,247.47 | $72,898.99 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Uhc-Optum Va-Ccn All Plans | — | $1,779.03 | $182,247.47 | $72,898.99 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Amerivantage Medicare Advantage All Plans | — | $1,779.03 | $182,247.47 | $72,898.99 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Humana Medicare Advantage All Plans | — | $1,779.03 | $182,247.47 | $72,898.99 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Bcbs Blue Advantage All Plans | — | $1,779.03 | $182,247.47 | $72,898.99 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Cigna Healthspring Medicare Advantage All Plans | — | $1,832.40 | $182,247.47 | $72,898.99 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Bluecare Plus Dsnp All Plans | — | $2,327.61 | $182,247.47 | $72,898.99 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Uhc Community Plan Dual Complete Dsnp All Plans | — | $2,327.61 | $182,247.47 | $72,898.99 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Amerivantage Medicare Advantage All Plans | — | $2,327.61 | $182,247.47 | $72,898.99 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Bcbs Blue Advantage All Plans | — | $2,327.61 | $182,247.47 | $72,898.99 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Humana Medicare Advantage All Plans | — | $2,327.61 | $182,247.47 | $72,898.99 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Uhc-Optum Va-Ccn All Plans | — | $2,327.61 | $182,247.47 | $72,898.99 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Cigna Healthspring Medicare Advantage All Plans | — | $2,397.44 | $182,247.47 | $72,898.99 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Bluechoice Medicaid | — | $2,712.03 | $303,808.65 | $197,475.62 | 2026-05-28 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Ambetter Of Tn All Plans | — | $2,757.50 | $182,247.47 | $72,898.99 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Bcbs Upstate Reedy (Greenville Co Only) | — | $3,541.00 | $303,808.65 | $197,475.62 | 2026-05-28 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Ambetter Of Tn All Plans | — | $3,607.80 | $182,247.47 | $72,898.99 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Bcbs Exchange | — | $3,647.00 | $303,808.65 | $197,475.62 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Tricare | — | $8,756.36 | $303,808.65 | $197,475.62 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Tricare Humana Military | — | $8,756.36 | $303,808.65 | $197,475.62 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Tricare | — | $8,802.30 | $303,809.00 | $197,476.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Tricare Humana Military | — | $8,802.30 | $303,809.00 | $197,476.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Tricare Humana Military | — | $8,811.18 | $303,808.65 | $197,475.62 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Tricare Humana Military | — | $8,858.50 | $303,808.65 | $197,475.62 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Tricare Humana Military | — | $8,926.41 | $303,808.65 | $197,475.62 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Tricare | — | $8,926.41 | $303,808.65 | $197,475.62 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | Tricare | — | $9,173.76 | $303,808.65 | $197,475.62 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | Tricare Humana Military | — | $9,173.76 | $303,808.65 | $197,475.62 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Tricare Humana Military | — | $9,632.36 | $303,808.65 | $197,475.62 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Tricare | — | $9,632.36 | $303,808.65 | $197,475.62 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Tricare Humana Military | — | $10,190.13 | $303,808.65 | $197,475.62 | 2026-05-28 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Champus/Tricare | — | $10,707.33 | $303,808.65 | $212,666.06 | 2026-06-20 | MRF ↗ |
| MCLAREN PORT HURON | Champva | — | $13,753.32 | $173,326.07 | $86,663.03 | 2026-05-06 | MRF ↗ |
| VOLUNTEER COMMUNITY HOSPITAL | Bluecare Tenncare All Plans | — | $34,332.97 | $182,247.47 | $72,898.99 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | United Healthcare | — | $34,864.00 | $303,808.65 | $197,475.62 | 2026-05-28 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE MILAN HOSPITAL | Bluecare Tenncare All Plans | — | $35,761.35 | $182,247.47 | $72,898.99 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Bluecare Tenncare All Plans | — | $35,761.35 | $182,247.47 | $72,898.99 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Bluecare Tenncare All Plans | — | $35,761.35 | $182,247.47 | $72,898.99 | 2026-05-06 | MRF ↗ |
| DYERSBURG REGIONAL MEDICAL CENTER | Bluecare Tenncare All Plans | — | $38,407.98 | $182,247.47 | $72,898.99 | 2026-05-06 | MRF ↗ |
| MCLAREN BAY REGION | Mclaren Health Plan | — | $38,710.64 | $156,748.10 | $78,374.05 | 2026-05-06 | MRF ↗ |
| Mclaren Bay Special Care | Mclaren Health Plan | — | $38,710.64 | $156,748.10 | $78,374.05 | 2026-05-06 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Unicare Medicaid | — | $40,930.12 | $303,808.65 | $212,666.06 | 2026-06-20 | MRF ↗ |
| JACKSON-MADISON COUNTY GENERAL HOSPITAL | Bluecare Tenncare All Plans | — | $42,003.63 | $182,247.47 | $72,898.99 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Uhc Community Plan Tenncare All Plans | — | $51,316.09 | $182,247.47 | $72,898.99 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE MILAN HOSPITAL | Uhc Community Plan Tenncare All Plans | — | $51,316.09 | $182,247.47 | $72,898.99 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Uhc Community Plan Tenncare All Plans | — | $51,316.09 | $182,247.47 | $72,898.99 | 2026-05-06 | MRF ↗ |
| JACKSON-MADISON COUNTY GENERAL HOSPITAL | Uhc Community Plan Tenncare All Plans | — | $51,316.09 | $182,247.47 | $72,898.99 | 2026-05-06 | MRF ↗ |
| Mclaren Bay Special Care | Health Advantage - Commercial | — | $54,940.21 | $156,748.10 | $78,374.05 | 2026-05-06 | MRF ↗ |
| MCLAREN BAY REGION | Health Advantage - Commercial | — | $54,940.21 | $156,748.10 | $78,374.05 | 2026-05-06 | MRF ↗ |
| MCLAREN PORT HURON | Mclaren Health | — | $56,712.29 | $173,326.07 | $86,663.03 | 2026-05-06 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN | Mclaren Health | — | $58,415.63 | $154,293.79 | $77,146.90 | 2026-05-06 | MRF ↗ |
| DYERSBURG REGIONAL MEDICAL CENTER | Bcbs Blue Advantage All Plans | — | $58,955.56 | $182,247.47 | $72,898.99 | 2026-05-06 | MRF ↗ |
| DYERSBURG REGIONAL MEDICAL CENTER | Uhc-Optum Va-Ccn All Plans | — | $58,955.56 | $182,247.47 | $72,898.99 | 2026-05-06 | MRF ↗ |
| DYERSBURG REGIONAL MEDICAL CENTER | Uhc Community Plan Dual Complete Dsnp All Plans | — | $58,955.56 | $182,247.47 | $72,898.99 | 2026-05-06 | MRF ↗ |
| DYERSBURG REGIONAL MEDICAL CENTER | Humana Medicare Advantage All Plans | — | $58,955.56 | $182,247.47 | $72,898.99 | 2026-05-06 | MRF ↗ |
| DYERSBURG REGIONAL MEDICAL CENTER | Bluecare Plus Dsnp All Plans | — | $58,955.56 | $182,247.47 | $72,898.99 | 2026-05-06 | MRF ↗ |
| DYERSBURG REGIONAL MEDICAL CENTER | Aarp Uhc Medicare Advantage All Plans | — | $58,955.56 | $182,247.47 | $72,898.99 | 2026-05-06 | MRF ↗ |
| DYERSBURG REGIONAL MEDICAL CENTER | Cigna Healthspring Medicare Advantage All Plans | — | $60,724.23 | $182,247.47 | $72,898.99 | 2026-05-06 | MRF ↗ |
| DYERSBURG REGIONAL MEDICAL CENTER | Amerivantage Medicare Advantage All Plans | — | $61,903.34 | $182,247.47 | $72,898.99 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | Aetna Medicare Prime Hmo | — | $61,910.92 | $303,808.65 | $197,475.62 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Humana Choicecare Medicare Advanatge Pffs | — | $61,946.50 | $303,808.65 | $197,475.62 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | Aetna Medicare | — | $62,204.30 | $303,808.65 | $197,475.62 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | Humana Choicecare Medicare Advantage Pffs | — | $62,206.57 | $303,808.65 | $197,475.62 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | United Healthcare Medicare | — | $62,206.57 | $303,808.65 | $197,475.62 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | Select Health Medicare | — | $62,521.54 | $303,808.65 | $197,475.62 | 2026-05-28 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Pacificare Medicare Advantage Hmo | — | $63,067.37 | $303,808.65 | $212,666.06 | 2026-06-20 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Medicare | — | $63,588.50 | $303,808.65 | $212,666.06 | 2026-06-20 | MRF ↗ |
| Prisma Health North Greenville Ltach | Aetna Medicare | — | $63,676.96 | $303,808.65 | $197,476.00 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | Molina Dual Eligibles | — | $63,676.96 | $303,808.65 | $197,476.00 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | Select Health Medicare | — | $63,676.96 | $303,808.65 | $197,476.00 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | Select Health First Choice Vip | — | $63,676.96 | $303,808.65 | $197,476.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Humana Choicecare Medicare Advantage Pffs | — | $63,893.58 | $303,808.65 | $197,475.62 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | Wellcare Medicare | — | $64,036.17 | $303,808.65 | $197,475.62 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Bcbs Exchange | — | $64,215.27 | $303,808.65 | $197,475.62 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | United Healthcare Medicare | — | $64,304.44 | $303,808.65 | $197,476.00 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | Medicare Nhc Advantage | — | $64,304.44 | $303,808.65 | $197,476.00 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | Medicare Advantage Non Contracted | — | $64,304.44 | $303,808.65 | $197,476.00 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | Ambetter-Atc Exchange | — | $64,304.44 | $303,808.65 | $197,476.00 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | Humana Choicecare Medicare Advantage Pffs | — | $64,304.44 | $303,808.65 | $197,476.00 | 2026-05-28 | MRF ↗ |
| Mclaren Bay Special Care | Hp - Hmo | — | $64,313.74 | $156,748.10 | $78,374.05 | 2026-05-06 | MRF ↗ |
| MCLAREN BAY REGION | Hp - Hmo | — | $64,313.74 | $156,748.10 | $78,374.05 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | Select Health First Choice Vip | — | $64,342.55 | $303,808.65 | $197,475.62 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | Medicare Nhc Advantage | — | $64,362.84 | $303,808.65 | $197,475.62 | 2026-05-28 | MRF ↗ |
| MCLAREN GREATER LANSING | Ma - Medicare Humana | — | $64,953.95 | $313,583.77 | $156,791.88 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Humana Choicecare Medicare Advantage Ppo/Hmo/Pffs | — | $65,594.42 | $303,808.65 | $197,475.62 | 2026-05-28 | MRF ↗ |
| VOLUNTEER COMMUNITY HOSPITAL | Uhc-Optum Va-Ccn All Plans | — | $65,717.52 | $182,247.47 | $72,898.99 | 2026-05-06 | MRF ↗ |
| VOLUNTEER COMMUNITY HOSPITAL | Bcbs Blue Advantage All Plans | — | $65,717.52 | $182,247.47 | $72,898.99 | 2026-05-06 | MRF ↗ |
| VOLUNTEER COMMUNITY HOSPITAL | Humana Medicare Advantage All Plans | — | $65,717.52 | $182,247.47 | $72,898.99 | 2026-05-06 | MRF ↗ |
| VOLUNTEER COMMUNITY HOSPITAL | Bluecare Plus Dsnp All Plans | — | $65,717.52 | $182,247.47 | $72,898.99 | 2026-05-06 | MRF ↗ |
| VOLUNTEER COMMUNITY HOSPITAL | Aarp Uhc Medicare Advantage All Plans | — | $65,717.52 | $182,247.47 | $72,898.99 | 2026-05-06 | MRF ↗ |
| VOLUNTEER COMMUNITY HOSPITAL | Uhc Community Plan Dual Complete Dsnp All Plans | — | $65,717.52 | $182,247.47 | $72,898.99 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Humana Choicecare Medicare Advantage Ppo/Hmo/Pffs | — | $65,895.22 | $303,808.65 | $197,475.62 | 2026-05-28 | MRF ↗ |
| MCLAREN PORT HURON | Medicare - Hmo | — | $66,132.88 | $173,326.07 | $86,663.03 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | United Healthcare Medicare | — | $66,241.27 | $303,808.65 | $197,475.62 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Bcbs Medicare Advantage | — | $66,241.27 | $303,808.65 | $197,475.62 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | Molina Dual Eligibles | — | $66,770.57 | $303,808.65 | $197,475.62 | 2026-05-28 | MRF ↗ |
| MCLAREN PORT HURON | Mclaren Medicare Advantage | — | $66,893.41 | $173,326.07 | $86,663.03 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Aetna Medicare Prime Hmo | — | $66,903.68 | $303,808.65 | $197,475.62 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Humana Choicecare Medicare Advantage Ppo/Hmo/Pffs | — | $67,143.36 | $303,808.65 | $197,475.62 | 2026-05-28 | MRF ↗ |
| MCLAREN PORT HURON | Medicare - Molina | — | $67,455.53 | $173,326.07 | $86,663.03 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Aetna Medicare | — | $67,660.02 | $303,808.65 | $197,475.62 | 2026-05-28 | MRF ↗ |
| VOLUNTEER COMMUNITY HOSPITAL | Cigna Healthspring Medicare Advantage All Plans | — | $67,689.05 | $182,247.47 | $72,898.99 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | United Healthcare Medicare | — | $67,805.86 | $303,808.65 | $197,475.62 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Bcbs Medicare Advantage | — | $67,805.86 | $303,808.65 | $197,475.62 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Wellcare Medicare | — | $68,228.51 | $303,808.65 | $197,475.62 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Aetna Medicare | — | $68,235.99 | $303,808.65 | $197,475.62 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Aetna Medicare Prime Hmo | — | $68,483.93 | $303,808.65 | $197,475.62 | 2026-05-28 | MRF ↗ |
| Mclaren Bay Special Care | Medicare - Hmo | — | $68,492.24 | $156,748.10 | $78,374.05 | 2026-05-06 | MRF ↗ |
| MCLAREN BAY REGION | Medicare - Hmo | — | $68,492.24 | $156,748.10 | $78,374.05 | 2026-05-06 | MRF ↗ |
| MCLAREN BAY REGION | Medicare - Ppo | — | $68,492.24 | $156,748.10 | $78,374.05 | 2026-05-06 | MRF ↗ |
| Mclaren Bay Special Care | Medicare - Ppo | — | $68,492.24 | $156,748.10 | $78,374.05 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Select Health Medicare | — | $68,540.86 | $303,808.65 | $197,475.62 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Aetna Medicare | — | $68,541.47 | $303,808.65 | $197,475.62 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Wellcare Medicare | — | $68,541.47 | $303,808.65 | $197,475.62 | 2026-05-28 | MRF ↗ |
| MCLAREN MACOMB | Medicare - Molina | — | $68,710.75 | $192,143.88 | $96,071.94 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Aetna Medicare | — | $68,809.70 | $303,808.65 | $197,475.62 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | United Healthcare Medicare | — | $68,813.92 | $303,808.65 | $197,475.62 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Select Health First Choice Vip | — | $68,874.14 | $303,808.65 | $197,475.62 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Allwell Medicare Advantage | — | $68,874.14 | $303,808.65 | $197,475.62 | 2026-05-28 | MRF ↗ |
| Mclaren Bay Special Care | Medicare - Molina | — | $68,987.59 | $156,748.10 | $78,374.05 | 2026-05-06 | MRF ↗ |
| MCLAREN BAY REGION | Medicare - Molina | — | $68,987.59 | $156,748.10 | $78,374.05 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Select Health Medicare | — | $68,992.81 | $303,808.65 | $197,475.62 | 2026-05-28 | MRF ↗ |
| VOLUNTEER COMMUNITY HOSPITAL | Amerivantage Medicare Advantage All Plans | — | $69,003.40 | $182,247.47 | $72,898.99 | 2026-05-06 | MRF ↗ |
| JACKSON-MADISON COUNTY GENERAL HOSPITAL | Aarp Uhc Medicare Advantage All Plans | — | $69,494.76 | $182,247.47 | $72,898.99 | 2026-05-06 | MRF ↗ |
| JACKSON-MADISON COUNTY GENERAL HOSPITAL | Uhc-Optum Va-Ccn All Plans | — | $69,494.76 | $182,247.47 | $72,898.99 | 2026-05-06 | MRF ↗ |
| JACKSON-MADISON COUNTY GENERAL HOSPITAL | Humana Medicare Advantage All Plans | — | $69,494.76 | $182,247.47 | $72,898.99 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Medicare Nhc Advantage | — | $69,553.33 | $303,808.65 | $197,475.62 | 2026-05-28 | MRF ↗ |
| MCLAREN MACOMB | Mclaren Health Advantage | — | $69,767.44 | $192,143.88 | $96,071.94 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Aetna Medicare | — | $69,840.04 | $303,808.65 | $197,475.62 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Wellcare Medicare | — | $69,840.04 | $303,808.65 | $197,475.62 | 2026-05-28 | MRF ↗ |
| MCLAREN MACOMB | Fidelis | — | $70,058.02 | $192,143.88 | $96,071.94 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Allwell Medicare Advantage | — | $70,500.53 | $303,808.65 | $197,475.62 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Select Health First Choice Vip | — | $70,500.53 | $303,808.65 | $197,475.62 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Medicare Nhc Advantage | — | $70,561.04 | $303,808.65 | $197,475.62 | 2026-05-28 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Humana Medicare Advantage Hmo | — | $70,645.97 | $303,808.65 | $212,666.06 | 2026-06-20 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Bcbs Medicare Advantage Hmo | — | $70,645.97 | $303,808.65 | $212,666.06 | 2026-06-20 | MRF ↗ |
| JACKSON-MADISON COUNTY GENERAL HOSPITAL | Uhc Community Plan Dual Complete Dsnp All Plans | — | $70,884.65 | $182,247.47 | $72,898.99 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Select Health First Choice Vip | — | $71,002.31 | $303,808.65 | $197,475.62 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Medicare Nhc Advantage | — | $71,026.41 | $303,808.65 | $197,475.62 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Medicare Nhc Advantage | — | $71,196.16 | $303,808.65 | $197,475.62 | 2026-05-28 | MRF ↗ |
| JACKSON-MADISON COUNTY GENERAL HOSPITAL | Cigna Healthspring Medicare Advantage All Plans | — | $71,579.60 | $182,247.47 | $72,898.99 | 2026-05-06 | MRF ↗ |
| JACKSON-MADISON COUNTY GENERAL HOSPITAL | Bluecare Plus Dsnp All Plans | — | $71,579.60 | $182,247.47 | $72,898.99 | 2026-05-06 | MRF ↗ |
| JACKSON-MADISON COUNTY GENERAL HOSPITAL | Bcbs Blue Advantage All Plans | — | $71,579.60 | $182,247.47 | $72,898.99 | 2026-05-06 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Aetna Medicare | — | $72,055.07 | $303,808.65 | $212,666.06 | 2026-06-20 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Uhc Medicare Advantage Ppo | — | $72,055.07 | $303,808.65 | $212,666.06 | 2026-06-20 | MRF ↗ |
| Mclaren Bay Special Care | Hap - Hmo | — | $72,417.62 | $156,748.10 | $78,374.05 | 2026-05-06 | MRF ↗ |
| MCLAREN BAY REGION | Hap - Hmo | — | $72,417.62 | $156,748.10 | $78,374.05 | 2026-05-06 | MRF ↗ |
| JACKSON-MADISON COUNTY GENERAL HOSPITAL | Amerivantage Medicare Advantage All Plans | — | $72,969.50 | $182,247.47 | $72,898.99 | 2026-05-06 | MRF ↗ |
| Mclaren Bay Special Care | Blue Care Network | — | $73,050.34 | $156,748.10 | $78,374.05 | 2026-05-06 | MRF ↗ |
| MCLAREN BAY REGION | Bcbs - Ppo | — | $73,050.34 | $156,748.10 | $78,374.05 | 2026-05-06 | MRF ↗ |
| Mclaren Bay Special Care | Bcbs - Ppo | — | $73,050.34 | $156,748.10 | $78,374.05 | 2026-05-06 | MRF ↗ |
| MCLAREN BAY REGION | Bcbs - Pha | — | $73,050.34 | $156,748.10 | $78,374.05 | 2026-05-06 | MRF ↗ |
| MCLAREN BAY REGION | Blue Care Network | — | $73,050.34 | $156,748.10 | $78,374.05 | 2026-05-06 | MRF ↗ |
| Mclaren Bay Special Care | Bcbs - Pha | — | $73,050.34 | $156,748.10 | $78,374.05 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Molina Dual Eligibles | — | $73,198.99 | $303,808.65 | $197,475.62 | 2026-05-28 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE MILAN HOSPITAL | Humana Medicare Advantage All Plans | — | $73,445.15 | $182,247.47 | $72,898.99 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE MILAN HOSPITAL | Uhc-Optum Va-Ccn All Plans | — | $73,445.15 | $182,247.47 | $72,898.99 | 2026-05-06 | MRF ↗ |
| MCLAREN FLINT | Medicare - Molina | — | $73,509.36 | $245,633.26 | $122,816.63 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Molina Dual Eligibles | — | $73,681.64 | $303,808.65 | $197,475.62 | 2026-05-28 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Uhc Medicare Advantage Hmo | — | $73,856.45 | $303,808.65 | $212,666.06 | 2026-06-20 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Humana Medicare Advantage Ppo | — | $74,178.27 | $303,808.65 | $212,666.06 | 2026-06-20 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Bcbs Medicare Advantage Ppo | — | $74,178.27 | $303,808.65 | $212,666.06 | 2026-06-20 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Medicare | — | $74,334.09 | $303,808.65 | $197,475.62 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Medicare | — | $74,334.09 | $303,808.65 | $197,475.62 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Medicare | — | $74,334.09 | $303,808.65 | $197,475.62 | 2026-05-28 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE MILAN HOSPITAL | Uhc Community Plan Dual Complete Dsnp All Plans | — | $74,914.05 | $182,247.47 | $72,898.99 | 2026-05-06 | MRF ↗ |
| MCLAREN PORT HURON | Hap Hmo | — | $74,946.19 | $173,326.07 | $86,663.03 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Bcbs Medicare Advantage | — | $75,625.52 | $303,808.65 | $197,475.62 | 2026-05-28 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE MILAN HOSPITAL | Cigna Healthspring Medicare Advantage All Plans | — | $75,648.50 | $182,247.47 | $72,898.99 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE MILAN HOSPITAL | Bluecare Plus Dsnp All Plans | — | $75,648.50 | $182,247.47 | $72,898.99 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE MILAN HOSPITAL | Bcbs Blue Advantage All Plans | — | $75,648.50 | $182,247.47 | $72,898.99 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Aetna Medicare Prime Hmo | — | $76,381.77 | $303,808.65 | $197,475.62 | 2026-05-28 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE MILAN HOSPITAL | Amerivantage Medicare Advantage All Plans | — | $77,117.40 | $182,247.47 | $72,898.99 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Molina Dual Options | — | $77,144.84 | $303,808.65 | $197,475.62 | 2026-05-28 | MRF ↗ |
| MCLAREN MACOMB | Medicare - Hmo | — | $77,729.05 | $192,143.88 | $96,071.94 | 2026-05-06 | MRF ↗ |
| MCLAREN MACOMB | Medicare - Ppo | — | $77,729.05 | $192,143.88 | $96,071.94 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Allwell Medicare Advantage | — | $78,629.07 | $303,808.65 | $197,475.62 | 2026-05-28 | MRF ↗ |
| MCLAREN BAY REGION | Mi Amish Medical Board | — | $78,766.07 | $156,748.10 | $78,374.05 | 2026-05-06 | MRF ↗ |
| Mclaren Bay Special Care | Mi Amish Medical Board | — | $78,766.07 | $156,748.10 | $78,374.05 | 2026-05-06 | MRF ↗ |
| MCLAREN FLINT | Health Advantage - Ppo | — | $78,921.97 | $245,633.26 | $122,816.63 | 2026-05-06 | MRF ↗ |
| MCLAREN GREATER LANSING | Ma Medicare Ppo | — | $79,174.54 | $313,583.77 | $156,791.88 | 2026-05-06 | MRF ↗ |
| MCLAREN GREATER LANSING | Ma Medicare Hmo | — | $79,174.54 | $313,583.77 | $156,791.88 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Medicare Nhc Advantage | — | $79,406.80 | $303,808.65 | $197,475.62 | 2026-05-28 | MRF ↗ |
| MCLAREN FLINT | Medicare - Hmo | — | $79,953.03 | $245,633.26 | $122,816.63 | 2026-05-06 | MRF ↗ |
| MCLAREN FLINT | Medicare - Ppo | — | $79,953.03 | $245,633.26 | $122,816.63 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Humana Gold Plus Medicare Advantage Hmo | — | $80,388.22 | $303,808.65 | $197,475.62 | 2026-05-28 | 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.