MS-DRG 226 — Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC (OTHER MS-DRG 226) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/MS-DRG 226?code_type=OTHER
MLA (9th ed.)
“CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC (OTHER MS-DRG 226) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/MS-DRG 226?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC (OTHER MS-DRG 226) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/MS-DRG 226?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $43,673–$101,308 (25th–75th percentile) across 26 hospitals · 112 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER MS-DRG 226 — 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 |
|---|---|---|---|---|---|---|---|
| KARMANOS CANCER CENTER | Uhc | — | $1,732.00 | $146,214.32 | $73,107.16 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Uhc Community Plan Dual Complete Dsnp All Plans | — | $1,779.03 | $114,142.38 | $45,656.95 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Uhc-Optum Va-Ccn All Plans | — | $1,779.03 | $114,142.38 | $45,656.95 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Humana Medicare Advantage All Plans | — | $1,779.03 | $114,142.38 | $45,656.95 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Bcbs Blue Advantage All Plans | — | $1,779.03 | $114,142.38 | $45,656.95 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Amerivantage Medicare Advantage All Plans | — | $1,779.03 | $114,142.38 | $45,656.95 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Bluecare Plus Dsnp All Plans | — | $1,779.03 | $114,142.38 | $45,656.95 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Cigna Healthspring Medicare Advantage All Plans | — | $1,832.40 | $114,142.38 | $45,656.95 | 2026-05-06 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER | Healthfirst Medicare | — | $1,960.00 | $349,263.91 | — | 2026-05-28 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Amerivantage Medicare Advantage All Plans | — | $2,327.61 | $114,142.38 | $45,656.95 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Bluecare Plus Dsnp All Plans | — | $2,327.61 | $114,142.38 | $45,656.95 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Humana Medicare Advantage All Plans | — | $2,327.61 | $114,142.38 | $45,656.95 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Uhc Community Plan Dual Complete Dsnp All Plans | — | $2,327.61 | $114,142.38 | $45,656.95 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Bcbs Blue Advantage All Plans | — | $2,327.61 | $114,142.38 | $45,656.95 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Uhc-Optum Va-Ccn All Plans | — | $2,327.61 | $114,142.38 | $45,656.95 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Cigna Healthspring Medicare Advantage All Plans | — | $2,397.44 | $114,142.38 | $45,656.95 | 2026-05-06 | MRF ↗ |
| EMORY HOUSTON HOSPITAL WARNER ROBINS | Peach State Hp | — | $2,517.30 | $113,588.68 | $95,895.48 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Ambetter Of Tn All Plans | — | $2,757.50 | $114,142.38 | $45,656.95 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Bluechoice Medicaid | — | $3,103.94 | $197,034.50 | $128,072.43 | 2026-05-28 | MRF ↗ |
| MCLAREN PORT HURON | Champva | — | $3,451.72 | $105,836.71 | $52,918.35 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Bcbs Upstate Reedy (Greenville Co Only) | — | $3,541.00 | $197,034.50 | $128,072.43 | 2026-05-28 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Ambetter Of Tn All Plans | — | $3,607.80 | $114,142.38 | $45,656.95 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Bcbs Exchange | — | $3,647.00 | $197,034.50 | $128,072.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Tricare | — | $8,159.21 | $197,034.50 | $128,072.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Tricare Humana Military | — | $8,159.21 | $197,034.50 | $128,072.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Tricare Humana Military | — | $8,202.02 | $197,035.00 | $128,072.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Tricare | — | $8,202.02 | $197,035.00 | $128,072.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Tricare Humana Military | — | $8,210.29 | $197,034.50 | $128,072.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Tricare Humana Military | — | $8,254.39 | $197,034.50 | $128,072.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Tricare | — | $8,317.67 | $197,034.50 | $128,072.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Tricare Humana Military | — | $8,317.67 | $197,034.50 | $128,072.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | Tricare | — | $8,548.15 | $197,034.50 | $128,072.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | Tricare Humana Military | — | $8,548.15 | $197,034.50 | $128,072.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Tricare | — | $8,975.47 | $197,034.50 | $128,072.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Tricare Humana Military | — | $8,975.47 | $197,034.50 | $128,072.43 | 2026-05-28 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER | Local 1199 | — | $9,412.41 | $349,263.91 | — | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Tricare Humana Military | — | $9,495.21 | $197,034.50 | $128,072.43 | 2026-05-28 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Champus/Tricare | — | $11,333.70 | $197,034.50 | $137,924.15 | 2026-06-20 | MRF ↗ |
| KARMANOS CANCER CENTER | Detroit Medical Center | — | $19,461.48 | $146,214.32 | $73,107.16 | 2026-05-06 | MRF ↗ |
| VOLUNTEER COMMUNITY HOSPITAL | Bluecare Tenncare All Plans | — | $20,642.80 | $114,142.38 | $45,656.95 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Bluecare Tenncare All Plans | — | $21,501.62 | $114,142.38 | $45,656.95 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE MILAN HOSPITAL | Bluecare Tenncare All Plans | — | $21,501.62 | $114,142.38 | $45,656.95 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Bluecare Tenncare All Plans | — | $21,501.62 | $114,142.38 | $45,656.95 | 2026-05-06 | MRF ↗ |
| DYERSBURG REGIONAL MEDICAL CENTER | Bluecare Tenncare All Plans | — | $23,092.91 | $114,142.38 | $45,656.95 | 2026-05-06 | MRF ↗ |
| Mclaren Bay Special Care | Mclaren Health Plan | — | $23,682.51 | $78,902.38 | $39,451.19 | 2026-05-06 | MRF ↗ |
| MCLAREN BAY REGION | Mclaren Health Plan | — | $23,682.51 | $78,902.38 | $39,451.19 | 2026-05-06 | MRF ↗ |
| JACKSON-MADISON COUNTY GENERAL HOSPITAL | Bluecare Tenncare All Plans | — | $25,254.80 | $114,142.38 | $45,656.95 | 2026-05-06 | MRF ↗ |
| KARMANOS CANCER CENTER | Bsbs Bcn | — | $26,456.93 | $146,214.32 | $73,107.16 | 2026-05-06 | MRF ↗ |
| KARMANOS CANCER CENTER | Bcbs Pha | — | $26,456.93 | $146,214.32 | $73,107.16 | 2026-05-06 | MRF ↗ |
| Mclaren Bay Special Care | Health Advantage - Commercial | — | $27,655.28 | $78,902.38 | $39,451.19 | 2026-05-06 | MRF ↗ |
| MCLAREN BAY REGION | Health Advantage - Commercial | — | $27,655.28 | $78,902.38 | $39,451.19 | 2026-05-06 | MRF ↗ |
| KARMANOS CANCER CENTER | Medicare Humana | — | $28,187.43 | $146,214.32 | $73,107.16 | 2026-05-06 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Unicare Medicaid | — | $28,312.10 | $197,034.50 | $137,924.15 | 2026-06-20 | MRF ↗ |
| MCLAREN BAY REGION | Hp - Hmo | — | $32,373.65 | $78,902.38 | $39,451.19 | 2026-05-06 | MRF ↗ |
| Mclaren Bay Special Care | Hp - Hmo | — | $32,373.65 | $78,902.38 | $39,451.19 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Uhc Community Plan Tenncare All Plans | — | $32,530.06 | $114,142.38 | $45,656.95 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE MILAN HOSPITAL | Uhc Community Plan Tenncare All Plans | — | $32,530.06 | $114,142.38 | $45,656.95 | 2026-05-06 | MRF ↗ |
| JACKSON-MADISON COUNTY GENERAL HOSPITAL | Uhc Community Plan Tenncare All Plans | — | $32,530.06 | $114,142.38 | $45,656.95 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Uhc Community Plan Tenncare All Plans | — | $32,530.06 | $114,142.38 | $45,656.95 | 2026-05-06 | MRF ↗ |
| Prisma Health North Greenville Ltach | Molina Dual Eligibles | — | $32,702.27 | $197,034.50 | $128,072.00 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | Select Health Medicare | — | $32,702.27 | $197,034.50 | $128,072.00 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | Select Health First Choice Vip | — | $32,702.27 | $197,034.50 | $128,072.00 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | Aetna Medicare | — | $32,702.27 | $197,034.50 | $128,072.00 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | Medicare Advantage Non Contracted | — | $33,016.88 | $197,034.50 | $128,072.00 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | Humana Choicecare Medicare Advantage Pffs | — | $33,016.88 | $197,034.50 | $128,072.00 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | Medicare Nhc Advantage | — | $33,016.88 | $197,034.50 | $128,072.00 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | Ambetter-Atc Exchange | — | $33,016.88 | $197,034.50 | $128,072.00 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | United Healthcare Medicare | — | $33,016.88 | $197,034.50 | $128,072.00 | 2026-05-28 | MRF ↗ |
| MCLAREN PORT HURON | Mclaren Health | — | $34,629.77 | $105,836.71 | $52,918.35 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | United Healthcare | — | $34,864.00 | $197,034.50 | $128,072.43 | 2026-05-28 | MRF ↗ |
| Mclaren Bay Special Care | Hap - Hmo | — | $36,452.90 | $78,902.38 | $39,451.19 | 2026-05-06 | MRF ↗ |
| MCLAREN BAY REGION | Hap - Hmo | — | $36,452.90 | $78,902.38 | $39,451.19 | 2026-05-06 | MRF ↗ |
| DYERSBURG REGIONAL MEDICAL CENTER | Humana Medicare Advantage All Plans | — | $37,551.75 | $114,142.38 | $45,656.95 | 2026-05-06 | MRF ↗ |
| DYERSBURG REGIONAL MEDICAL CENTER | Bcbs Blue Advantage All Plans | — | $37,551.75 | $114,142.38 | $45,656.95 | 2026-05-06 | MRF ↗ |
| DYERSBURG REGIONAL MEDICAL CENTER | Uhc Community Plan Dual Complete Dsnp All Plans | — | $37,551.75 | $114,142.38 | $45,656.95 | 2026-05-06 | MRF ↗ |
| DYERSBURG REGIONAL MEDICAL CENTER | Uhc-Optum Va-Ccn All Plans | — | $37,551.75 | $114,142.38 | $45,656.95 | 2026-05-06 | MRF ↗ |
| DYERSBURG REGIONAL MEDICAL CENTER | Bluecare Plus Dsnp All Plans | — | $37,551.75 | $114,142.38 | $45,656.95 | 2026-05-06 | MRF ↗ |
| DYERSBURG REGIONAL MEDICAL CENTER | Aarp Uhc Medicare Advantage All Plans | — | $37,551.75 | $114,142.38 | $45,656.95 | 2026-05-06 | MRF ↗ |
| DYERSBURG REGIONAL MEDICAL CENTER | Cigna Healthspring Medicare Advantage All Plans | — | $38,678.30 | $114,142.38 | $45,656.95 | 2026-05-06 | MRF ↗ |
| DYERSBURG REGIONAL MEDICAL CENTER | Amerivantage Medicare Advantage All Plans | — | $39,429.34 | $114,142.38 | $45,656.95 | 2026-05-06 | MRF ↗ |
| EMORY HOUSTON HOSPITAL WARNER ROBINS | Wellcare Ga | — | $40,245.35 | $113,588.68 | $95,895.48 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Humana Choicecare Medicare Advantage Ppo/Hmo/Pffs | — | $40,367.77 | $197,034.50 | $128,072.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | Aetna Medicare Prime Hmo | — | $40,485.41 | $197,034.50 | $128,072.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Humana Choicecare Medicare Advanatge Pffs | — | $40,508.68 | $197,034.50 | $128,072.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Humana Choicecare Medicare Advantage Pffs | — | $40,580.49 | $197,034.50 | $128,072.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | Humana Choicecare Medicare Advantage Pffs | — | $40,678.74 | $197,034.50 | $128,072.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | United Healthcare Medicare | — | $40,678.74 | $197,034.50 | $128,072.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | Aetna Medicare | — | $40,682.81 | $197,034.50 | $128,072.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | United Healthcare Medicare | — | $40,759.81 | $197,034.50 | $128,072.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Bcbs Medicare Advantage | — | $40,759.81 | $197,034.50 | $128,072.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | Select Health Medicare | — | $40,890.24 | $197,034.50 | $128,072.43 | 2026-05-28 | MRF ↗ |
| EMORY HOUSTON HOSPITAL WARNER ROBINS | Amerigroup | — | $41,034.47 | $113,588.68 | $95,895.48 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Aetna Medicare Prime Hmo | — | $41,167.41 | $197,034.50 | $128,072.43 | 2026-05-28 | MRF ↗ |
| MCLAREN GREATER LANSING | Ma - Medicare Humana | — | $41,175.30 | $131,189.83 | $65,594.92 | 2026-05-06 | MRF ↗ |
| MCLAREN FLINT | Health Advantage - Ppo | — | $41,241.24 | $128,357.41 | $64,178.70 | 2026-05-06 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Pacificare Medicare Advantage Hmo | — | $41,438.32 | $197,034.50 | $137,924.15 | 2026-06-20 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Bcbs Medicare Advantage | — | $41,654.88 | $197,034.50 | $128,072.43 | 2026-05-28 | MRF ↗ |
| VOLUNTEER COMMUNITY HOSPITAL | Bcbs Blue Advantage All Plans | — | $41,716.65 | $114,142.38 | $45,656.95 | 2026-05-06 | MRF ↗ |
| VOLUNTEER COMMUNITY HOSPITAL | Humana Medicare Advantage All Plans | — | $41,716.65 | $114,142.38 | $45,656.95 | 2026-05-06 | MRF ↗ |
| VOLUNTEER COMMUNITY HOSPITAL | Uhc-Optum Va-Ccn All Plans | — | $41,716.65 | $114,142.38 | $45,656.95 | 2026-05-06 | MRF ↗ |
| VOLUNTEER COMMUNITY HOSPITAL | Aarp Uhc Medicare Advantage All Plans | — | $41,716.65 | $114,142.38 | $45,656.95 | 2026-05-06 | MRF ↗ |
| VOLUNTEER COMMUNITY HOSPITAL | Bluecare Plus Dsnp All Plans | — | $41,716.65 | $114,142.38 | $45,656.95 | 2026-05-06 | MRF ↗ |
| VOLUNTEER COMMUNITY HOSPITAL | Uhc Community Plan Dual Complete Dsnp All Plans | — | $41,716.65 | $114,142.38 | $45,656.95 | 2026-05-06 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Medicare | — | $41,791.70 | $197,034.50 | $137,924.15 | 2026-06-20 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Bcbs Medicare Advantage Hmo | — | $41,791.70 | $197,034.50 | $137,924.15 | 2026-06-20 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Humana Medicare Advantage Hmo | — | $41,791.70 | $197,034.50 | $137,924.15 | 2026-06-20 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | Wellcare Medicare | — | $41,875.18 | $197,034.50 | $128,072.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Aetna Medicare | — | $41,982.61 | $197,034.50 | $128,072.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Wellcare Medicare | — | $41,982.61 | $197,034.50 | $128,072.43 | 2026-05-28 | MRF ↗ |
| MCLAREN PORT HURON | Medicare - Hmo | — | $41,993.04 | $105,836.71 | $52,918.35 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Aetna Medicare Prime Hmo | — | $42,071.43 | $197,034.50 | $128,072.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | Select Health First Choice Vip | — | $42,081.22 | $197,034.50 | $128,072.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | Medicare Nhc Advantage | — | $42,088.79 | $197,034.50 | $128,072.43 | 2026-05-28 | MRF ↗ |
| EMORY HOUSTON HOSPITAL WARNER ROBINS | Caresource | — | $42,218.16 | $113,588.68 | $95,895.48 | 2026-05-06 | MRF ↗ |
| KARMANOS CANCER CENTER | Medicare Humana | — | $42,250.87 | $146,214.32 | $73,107.16 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Allwell Medicare Advantage | — | $42,386.15 | $197,034.50 | $128,072.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Select Health First Choice Vip | — | $42,386.15 | $197,034.50 | $128,072.43 | 2026-05-28 | MRF ↗ |
| MCLAREN PORT HURON | Mclaren Medicare Advantage | — | $42,475.96 | $105,836.71 | $52,918.35 | 2026-05-06 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Aetna Medicare | — | $42,611.94 | $197,034.50 | $137,924.15 | 2026-06-20 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Uhc Medicare Advantage Ppo | — | $42,611.94 | $197,034.50 | $137,924.15 | 2026-06-20 | MRF ↗ |
| EMORY HOUSTON HOSPITAL WARNER ROBINS | Uhc Mcare | — | $42,620.21 | $113,588.68 | $95,895.48 | 2026-05-06 | MRF ↗ |
| EMORY HOUSTON HOSPITAL WARNER ROBINS | Humana Mcare | — | $42,620.21 | $113,588.68 | $95,895.48 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Medicare Nhc Advantage | — | $42,797.80 | $197,034.50 | $128,072.43 | 2026-05-28 | MRF ↗ |
| MCLAREN PORT HURON | Medicare - Molina | — | $42,832.91 | $105,836.71 | $52,918.35 | 2026-05-06 | MRF ↗ |
| VOLUNTEER COMMUNITY HOSPITAL | Cigna Healthspring Medicare Advantage All Plans | — | $42,968.15 | $114,142.38 | $45,656.95 | 2026-05-06 | MRF ↗ |
| EMORY HOUSTON HOSPITAL WARNER ROBINS | Aetna Mcare | — | $43,046.42 | $113,588.68 | $95,895.48 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Bcbs Exchange | — | $43,086.88 | $197,034.50 | $128,072.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Humana Choicecare Medicare Advantage Ppo/Hmo/Pffs | — | $43,096.25 | $197,034.50 | $128,072.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Allwell Medicare Advantage | — | $43,316.58 | $197,034.50 | $128,072.43 | 2026-05-28 | MRF ↗ |
| EMORY HOUSTON HOSPITAL WARNER ROBINS | Caresource Mcare | — | $43,472.62 | $113,588.68 | $95,895.48 | 2026-05-06 | MRF ↗ |
| Mclaren Bay Special Care | Medicare - Hmo | — | $43,474.05 | $78,902.38 | $39,451.19 | 2026-05-06 | MRF ↗ |
| MCLAREN BAY REGION | Medicare - Hmo | — | $43,474.05 | $78,902.38 | $39,451.19 | 2026-05-06 | MRF ↗ |
| Mclaren Bay Special Care | Medicare - Ppo | — | $43,474.05 | $78,902.38 | $39,451.19 | 2026-05-06 | MRF ↗ |
| MCLAREN BAY REGION | Medicare - Ppo | — | $43,474.05 | $78,902.38 | $39,451.19 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Humana Choicecare Medicare Advantage Ppo/Hmo/Pffs | — | $43,498.21 | $197,034.50 | $128,072.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Humana Gold Plus Medicare Advantage Hmo | — | $43,529.18 | $197,034.50 | $128,072.43 | 2026-05-28 | MRF ↗ |
| MCLAREN MACOMB | Medicare - Molina | — | $43,657.59 | $234,889.85 | $117,444.93 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | Molina Dual Eligibles | — | $43,669.19 | $197,034.50 | $128,072.43 | 2026-05-28 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Uhc Medicare Advantage Hmo | — | $43,677.24 | $197,034.50 | $137,924.15 | 2026-06-20 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Medicare Nhc Advantage | — | $43,737.61 | $197,034.50 | $128,072.43 | 2026-05-28 | MRF ↗ |
| Mclaren Bay Special Care | Medicare - Molina | — | $43,789.17 | $78,902.38 | $39,451.19 | 2026-05-06 | MRF ↗ |
| MCLAREN BAY REGION | Medicare - Molina | — | $43,789.17 | $78,902.38 | $39,451.19 | 2026-05-06 | MRF ↗ |
| VOLUNTEER COMMUNITY HOSPITAL | Amerivantage Medicare Advantage All Plans | — | $43,802.48 | $114,142.38 | $45,656.95 | 2026-05-06 | MRF ↗ |
| Mclaren Bay Special Care | Priority Health | — | $43,814.49 | $78,902.38 | $39,451.19 | 2026-05-06 | MRF ↗ |
| MCLAREN BAY REGION | Priority Health | — | $43,814.49 | $78,902.38 | $39,451.19 | 2026-05-06 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Bcbs Medicare Advantage Ppo | — | $43,881.29 | $197,034.50 | $137,924.15 | 2026-06-20 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Humana Medicare Advantage Ppo | — | $43,881.29 | $197,034.50 | $137,924.15 | 2026-06-20 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Bcbs Medicare Advantage | — | $43,921.87 | $197,034.50 | $128,072.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | United Healthcare Medicare | — | $43,921.87 | $197,034.50 | $128,072.43 | 2026-05-28 | MRF ↗ |
| JACKSON-MADISON COUNTY GENERAL HOSPITAL | Aarp Uhc Medicare Advantage All Plans | — | $44,053.79 | $114,142.38 | $45,656.95 | 2026-05-06 | MRF ↗ |
| JACKSON-MADISON COUNTY GENERAL HOSPITAL | Uhc-Optum Va-Ccn All Plans | — | $44,053.79 | $114,142.38 | $45,656.95 | 2026-05-06 | MRF ↗ |
| JACKSON-MADISON COUNTY GENERAL HOSPITAL | Humana Medicare Advantage All Plans | — | $44,053.79 | $114,142.38 | $45,656.95 | 2026-05-06 | MRF ↗ |
| EMORY HOUSTON HOSPITAL WARNER ROBINS | Wellcare Mcare | — | $44,325.02 | $113,588.68 | $95,895.48 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Aetna Medicare Prime Hmo | — | $44,361.08 | $197,034.50 | $128,072.43 | 2026-05-28 | MRF ↗ |
| MCLAREN MACOMB | Fidelis | — | $44,513.62 | $234,889.85 | $117,444.93 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Medicare Advantage Non Contracted | — | $44,780.73 | $197,034.50 | $128,072.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Bcbs Medicare Advantage | — | $44,780.73 | $197,034.50 | $128,072.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Aetna Medicare | — | $44,821.32 | $197,034.50 | $128,072.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Wellcare Medicare | — | $44,821.32 | $197,034.50 | $128,072.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Aetna Medicare | — | $44,867.78 | $197,034.50 | $128,072.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | United Healthcare Medicare | — | $44,900.81 | $197,034.50 | $128,072.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Aetna Medicare | — | $44,903.63 | $197,034.50 | $128,072.43 | 2026-05-28 | MRF ↗ |
| MCLAREN BAY REGION | Hp - Ppo | — | $44,919.12 | $78,902.38 | $39,451.19 | 2026-05-06 | MRF ↗ |
| Mclaren Bay Special Care | Hp - Ppo | — | $44,919.12 | $78,902.38 | $39,451.19 | 2026-05-06 | MRF ↗ |
| JACKSON-MADISON COUNTY GENERAL HOSPITAL | Uhc Community Plan Dual Complete Dsnp All Plans | — | $44,934.87 | $114,142.38 | $45,656.95 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Select Health Medicare | — | $45,023.38 | $197,034.50 | $128,072.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Aetna Medicare Prime Hmo | — | $45,228.54 | $197,034.50 | $128,072.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | United Healthcare Medicare | — | $45,235.45 | $197,034.50 | $128,072.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Wellcare Medicare | — | $45,239.52 | $197,034.50 | $128,072.43 | 2026-05-28 | MRF ↗ |
| JACKSON-MADISON COUNTY GENERAL HOSPITAL | Bluecare Plus Dsnp All Plans | — | $45,375.40 | $114,142.38 | $45,656.95 | 2026-05-06 | MRF ↗ |
| JACKSON-MADISON COUNTY GENERAL HOSPITAL | Bcbs Blue Advantage All Plans | — | $45,375.40 | $114,142.38 | $45,656.95 | 2026-05-06 | MRF ↗ |
| JACKSON-MADISON COUNTY GENERAL HOSPITAL | Cigna Healthspring Medicare Advantage All Plans | — | $45,375.40 | $114,142.38 | $45,656.95 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Aetna Medicare | — | $45,626.62 | $197,034.50 | $128,072.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Allwell Medicare Advantage | — | $45,673.12 | $197,034.50 | $128,072.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Select Health First Choice Vip | — | $45,673.12 | $197,034.50 | $128,072.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Aetna Medicare | — | $45,678.93 | $197,034.50 | $128,072.43 | 2026-05-28 | MRF ↗ |
| MCLAREN PORT HURON | Hap Hmo | — | $45,763.79 | $105,836.71 | $52,918.35 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Select Health Medicare | — | $45,825.98 | $197,034.50 | $128,072.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Medicare Nhc Advantage | — | $46,117.97 | $197,034.50 | $128,072.43 | 2026-05-28 | MRF ↗ |
| JACKSON-MADISON COUNTY GENERAL HOSPITAL | Amerivantage Medicare Advantage All Plans | — | $46,256.48 | $114,142.38 | $45,656.95 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Select Health First Choice Vip | — | $46,334.73 | $197,034.50 | $128,072.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Medicare Nhc Advantage | — | $46,344.72 | $197,034.50 | $128,072.43 | 2026-05-28 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE MILAN HOSPITAL | Humana Medicare Advantage All Plans | — | $46,558.00 | $114,142.38 | $45,656.95 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE MILAN HOSPITAL | Uhc-Optum Va-Ccn All Plans | — | $46,558.00 | $114,142.38 | $45,656.95 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Molina Dual Eligibles | — | $46,565.91 | $197,034.50 | $128,072.43 | 2026-05-28 | MRF ↗ |
| MCLAREN FLINT | Medicare - Molina | — | $46,658.54 | $128,357.41 | $64,178.70 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Medicare Nhc Advantage | — | $47,019.77 | $197,034.50 | $128,072.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Medicare Nhc Advantage | — | $47,171.19 | $197,034.50 | $128,072.43 | 2026-05-28 | MRF ↗ |
| MCLAREN FLINT | Hap/Ahl | — | $47,274.03 | $128,357.41 | $64,178.70 | 2026-05-06 | MRF ↗ |
| MCLAREN FLINT | Hap - Hmo | — | $47,274.03 | $128,357.41 | $64,178.70 | 2026-05-06 | MRF ↗ |
| MCLAREN BAY REGION | Hcap | — | $47,341.43 | $78,902.38 | $39,451.19 | 2026-05-06 | MRF ↗ |
| Mclaren Bay Special Care | Hcap | — | $47,341.43 | $78,902.38 | $39,451.19 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE MILAN HOSPITAL | Uhc Community Plan Dual Complete Dsnp All Plans | — | $47,489.16 | $114,142.38 | $45,656.95 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE MILAN HOSPITAL | Bluecare Plus Dsnp All Plans | — | $47,954.74 | $114,142.38 | $45,656.95 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE MILAN HOSPITAL | Cigna Healthspring Medicare Advantage All Plans | — | $47,954.74 | $114,142.38 | $45,656.95 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE MILAN HOSPITAL | Bcbs Blue Advantage All Plans | — | $47,954.74 | $114,142.38 | $45,656.95 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Molina Dual Eligibles | — | $48,083.22 | $197,034.50 | $128,072.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Medicare | — | $48,614.68 | $197,034.50 | $128,072.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Medicare | — | $48,614.68 | $197,034.50 | $128,072.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Medicare | — | $48,614.68 | $197,034.50 | $128,072.43 | 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.