MS-DRG 468 — Revision Of Hip Or Knee Replacement Without Cc/mcc
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC (OTHER MS-DRG 468) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/MS-DRG 468?code_type=OTHER
MLA (9th ed.)
“REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC (OTHER MS-DRG 468) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/MS-DRG 468?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC (OTHER MS-DRG 468) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/MS-DRG 468?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $19,563–$42,411 (25th–75th percentile) across 31 hospitals · 124 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER MS-DRG 468 — 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 |
|---|---|---|---|---|---|---|---|
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Humana Medicare Advantage All Plans | — | $1,779.03 | $51,833.22 | $20,733.29 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Uhc Community Plan Dual Complete Dsnp All Plans | — | $1,779.03 | $51,833.22 | $20,733.29 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Bcbs Blue Advantage All Plans | — | $1,779.03 | $51,833.22 | $20,733.29 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Amerivantage Medicare Advantage All Plans | — | $1,779.03 | $51,833.22 | $20,733.29 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Bluecare Plus Dsnp All Plans | — | $1,779.03 | $51,833.22 | $20,733.29 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Uhc-Optum Va-Ccn All Plans | — | $1,779.03 | $51,833.22 | $20,733.29 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Cigna Healthspring Medicare Advantage All Plans | — | $1,832.40 | $51,833.22 | $20,733.29 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Uhc Community Plan Dual Complete Dsnp All Plans | — | $2,327.61 | $51,833.22 | $20,733.29 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Humana Medicare Advantage All Plans | — | $2,327.61 | $51,833.22 | $20,733.29 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Amerivantage Medicare Advantage All Plans | — | $2,327.61 | $51,833.22 | $20,733.29 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Bluecare Plus Dsnp All Plans | — | $2,327.61 | $51,833.22 | $20,733.29 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Bcbs Blue Advantage All Plans | — | $2,327.61 | $51,833.22 | $20,733.29 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Uhc-Optum Va-Ccn All Plans | — | $2,327.61 | $51,833.22 | $20,733.29 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Cigna Healthspring Medicare Advantage All Plans | — | $2,397.44 | $51,833.22 | $20,733.29 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Ambetter Of Tn All Plans | — | $2,757.50 | $51,833.22 | $20,733.29 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Bluechoice Medicaid | — | $3,310.81 | $115,598.48 | $75,139.01 | 2026-05-28 | MRF ↗ |
| MCLAREN PORT HURON | Champva | — | $3,451.72 | $75,229.38 | $37,614.69 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Bcbs Upstate Reedy (Greenville Co Only) | — | $3,541.00 | $115,598.48 | $75,139.01 | 2026-05-28 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Ambetter Of Tn All Plans | — | $3,607.80 | $51,833.22 | $20,733.29 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Bcbs Exchange | — | $3,647.00 | $115,598.48 | $75,139.01 | 2026-05-28 | MRF ↗ |
| Mclaren Bay Special Care | Mclaren Health Plan | — | $8,439.31 | $39,222.20 | $19,611.10 | 2026-05-06 | MRF ↗ |
| MCLAREN BAY REGION | Mclaren Health Plan | — | $8,439.31 | $39,222.20 | $19,611.10 | 2026-05-06 | MRF ↗ |
| Prisma Health North Greenville Ltach | Molina Dual Eligibles | — | $9,356.38 | $115,598.48 | $75,139.00 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | Select Health First Choice Vip | — | $9,356.38 | $115,598.48 | $75,139.00 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | Aetna Medicare | — | $9,356.38 | $115,598.48 | $75,139.00 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | Select Health Medicare | — | $9,356.38 | $115,598.48 | $75,139.00 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | Humana Choicecare Medicare Advantage Pffs | — | $9,435.17 | $115,598.48 | $75,139.00 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | Ambetter-Atc Exchange | — | $9,435.17 | $115,598.48 | $75,139.00 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | United Healthcare Medicare | — | $9,435.17 | $115,598.48 | $75,139.00 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | Medicare Nhc Advantage | — | $9,435.17 | $115,598.48 | $75,139.00 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | Medicare Advantage Non Contracted | — | $9,435.17 | $115,598.48 | $75,139.00 | 2026-05-28 | MRF ↗ |
| VOLUNTEER COMMUNITY HOSPITAL | Bluecare Tenncare All Plans | — | $9,622.92 | $51,833.22 | $20,733.29 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Bluecare Tenncare All Plans | — | $10,023.27 | $51,833.22 | $20,733.29 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Bluecare Tenncare All Plans | — | $10,023.27 | $51,833.22 | $20,733.29 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE MILAN HOSPITAL | Bluecare Tenncare All Plans | — | $10,023.27 | $51,833.22 | $20,733.29 | 2026-05-06 | MRF ↗ |
| DYERSBURG REGIONAL MEDICAL CENTER | Bluecare Tenncare All Plans | — | $10,765.08 | $51,833.22 | $20,733.29 | 2026-05-06 | MRF ↗ |
| JACKSON-MADISON COUNTY GENERAL HOSPITAL | Bluecare Tenncare All Plans | — | $11,772.87 | $51,833.22 | $20,733.29 | 2026-05-06 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Unicare Medicaid | — | $12,356.88 | $115,598.48 | $80,918.94 | 2026-06-20 | MRF ↗ |
| Mclaren Bay Special Care | Health Advantage - Commercial | — | $13,747.38 | $39,222.20 | $19,611.10 | 2026-05-06 | MRF ↗ |
| MCLAREN BAY REGION | Health Advantage - Commercial | — | $13,747.38 | $39,222.20 | $19,611.10 | 2026-05-06 | MRF ↗ |
| JACKSON-MADISON COUNTY GENERAL HOSPITAL | Uhc Community Plan Tenncare All Plans | — | $13,795.68 | $51,833.22 | $20,733.29 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Uhc Community Plan Tenncare All Plans | — | $13,795.68 | $51,833.22 | $20,733.29 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Uhc Community Plan Tenncare All Plans | — | $13,795.68 | $51,833.22 | $20,733.29 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE MILAN HOSPITAL | Uhc Community Plan Tenncare All Plans | — | $13,795.68 | $51,833.22 | $20,733.29 | 2026-05-06 | MRF ↗ |
| EMORY HOUSTON HOSPITAL WARNER ROBINS | Wellcare Ga | — | $14,471.94 | $57,931.02 | $42,386.32 | 2026-05-06 | MRF ↗ |
| Perry Hospital | Wellcare Of Ga | — | $14,721.01 | $62,861.41 | $39,435.52 | 2026-05-06 | MRF ↗ |
| EMORY HOUSTON HOSPITAL WARNER ROBINS | Amerigroup | — | $14,755.70 | $57,931.02 | $42,386.32 | 2026-05-06 | MRF ↗ |
| EMORY HOUSTON HOSPITAL WARNER ROBINS | Peach State Hp | — | $14,900.25 | $57,931.02 | $42,386.32 | 2026-05-06 | MRF ↗ |
| Perry Hospital | Amerigroup | — | $15,009.65 | $62,861.41 | $39,435.52 | 2026-05-06 | MRF ↗ |
| Perry Hospital | Peach State Health Plan | — | $15,156.69 | $62,861.41 | $39,435.52 | 2026-05-06 | MRF ↗ |
| Mclaren Thumb Region | Unitedhealthcare Comm Healthy Plan | — | $15,160.97 | $27,822.38 | $13,911.19 | 2026-05-06 | MRF ↗ |
| Mclaren Thumb Region | Meridian Health Plan Of Michigan | — | $15,160.97 | $27,822.38 | $13,911.19 | 2026-05-06 | MRF ↗ |
| Mclaren Thumb Region | Aetna Medicare | — | $15,160.97 | $27,822.38 | $13,911.19 | 2026-05-06 | MRF ↗ |
| Mclaren Thumb Region | Molina Healthcare Medicare | — | $15,160.97 | $27,822.38 | $13,911.19 | 2026-05-06 | MRF ↗ |
| Mclaren Thumb Region | Priority Health Medicare | — | $15,160.97 | $27,822.38 | $13,911.19 | 2026-05-06 | MRF ↗ |
| Mclaren Thumb Region | Meridian Health Plan Of Mi Medicare | — | $15,160.97 | $27,822.38 | $13,911.19 | 2026-05-06 | MRF ↗ |
| EMORY HOUSTON HOSPITAL WARNER ROBINS | Caresource | — | $15,181.35 | $57,931.02 | $42,386.32 | 2026-05-06 | MRF ↗ |
| Perry Hospital | Caresource | — | $15,442.62 | $62,861.41 | $39,435.52 | 2026-05-06 | MRF ↗ |
| MCLAREN BAY REGION | Hp - Hmo | — | $16,092.87 | $39,222.20 | $19,611.10 | 2026-05-06 | MRF ↗ |
| Mclaren Bay Special Care | Hp - Hmo | — | $16,092.87 | $39,222.20 | $19,611.10 | 2026-05-06 | MRF ↗ |
| DYERSBURG REGIONAL MEDICAL CENTER | Uhc Community Plan Dual Complete Dsnp All Plans | — | $16,206.80 | $51,833.22 | $20,733.29 | 2026-05-06 | MRF ↗ |
| DYERSBURG REGIONAL MEDICAL CENTER | Bcbs Blue Advantage All Plans | — | $16,206.80 | $51,833.22 | $20,733.29 | 2026-05-06 | MRF ↗ |
| DYERSBURG REGIONAL MEDICAL CENTER | Uhc-Optum Va-Ccn All Plans | — | $16,206.80 | $51,833.22 | $20,733.29 | 2026-05-06 | MRF ↗ |
| DYERSBURG REGIONAL MEDICAL CENTER | Aarp Uhc Medicare Advantage All Plans | — | $16,206.80 | $51,833.22 | $20,733.29 | 2026-05-06 | MRF ↗ |
| DYERSBURG REGIONAL MEDICAL CENTER | Bluecare Plus Dsnp All Plans | — | $16,206.80 | $51,833.22 | $20,733.29 | 2026-05-06 | MRF ↗ |
| DYERSBURG REGIONAL MEDICAL CENTER | Humana Medicare Advantage All Plans | — | $16,206.80 | $51,833.22 | $20,733.29 | 2026-05-06 | MRF ↗ |
| DYERSBURG REGIONAL MEDICAL CENTER | Cigna Healthspring Medicare Advantage All Plans | — | $16,693.00 | $51,833.22 | $20,733.29 | 2026-05-06 | MRF ↗ |
| DYERSBURG REGIONAL MEDICAL CENTER | Amerivantage Medicare Advantage All Plans | — | $17,017.14 | $51,833.22 | $20,733.29 | 2026-05-06 | MRF ↗ |
| MCLAREN OAKLAND | Medicare - Humana | — | $17,128.11 | $58,939.62 | $29,469.81 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Humana Choicecare Medicare Advantage Ppo/Hmo/Pffs | — | $17,240.70 | $115,598.48 | $75,139.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | Aetna Medicare Prime Hmo | — | $17,281.99 | $115,598.48 | $75,139.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Humana Choicecare Medicare Advanatge Pffs | — | $17,291.93 | $115,598.48 | $75,139.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Humana Choicecare Medicare Advantage Pffs | — | $17,322.58 | $115,598.48 | $75,139.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Humana Gold Plus Medicare Advantage Hmo | — | $17,353.60 | $115,598.48 | $75,139.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | United Healthcare Medicare | — | $17,364.52 | $115,598.48 | $75,139.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | Humana Choicecare Medicare Advantage Pffs | — | $17,364.52 | $115,598.48 | $75,139.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | Aetna Medicare | — | $17,375.44 | $115,598.48 | $75,139.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Bcbs Medicare Advantage | — | $17,399.13 | $115,598.48 | $75,139.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | United Healthcare Medicare | — | $17,399.13 | $115,598.48 | $75,139.01 | 2026-05-28 | MRF ↗ |
| Mclaren Thumb Region | Amish Board | — | $17,435.12 | $27,822.38 | $13,911.19 | 2026-05-06 | MRF ↗ |
| MCLAREN GREATER LANSING | Ma - Medicare Humana | — | $17,462.05 | $63,731.23 | $31,865.62 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | Select Health Medicare | — | $17,463.99 | $115,598.48 | $75,139.01 | 2026-05-28 | MRF ↗ |
| Perry Hospital | Humana Mcare | — | $17,526.90 | $62,861.41 | $39,435.52 | 2026-05-06 | MRF ↗ |
| Perry Hospital | Uhc Mcare | — | $17,526.90 | $62,861.41 | $39,435.52 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Aetna Medicare Prime Hmo | — | $17,573.12 | $115,598.48 | $75,139.01 | 2026-05-28 | MRF ↗ |
| Perry Hospital | Aetna Mcare | — | $17,702.17 | $62,861.41 | $39,435.52 | 2026-05-06 | MRF ↗ |
| Mclaren Thumb Region | Mclaren Health Plan Community | — | $17,706.16 | $27,822.38 | $13,911.19 | 2026-05-06 | MRF ↗ |
| Mclaren Thumb Region | Mclaren Health Advantage Ppo | — | $17,706.16 | $27,822.38 | $13,911.19 | 2026-05-06 | MRF ↗ |
| Mclaren Thumb Region | Mclaren Health Plan - Commercial Hmo | — | $17,706.16 | $27,822.38 | $13,911.19 | 2026-05-06 | MRF ↗ |
| VOLUNTEER COMMUNITY HOSPITAL | Uhc-Optum Va-Ccn All Plans | — | $17,781.78 | $51,833.22 | $20,733.29 | 2026-05-06 | MRF ↗ |
| VOLUNTEER COMMUNITY HOSPITAL | Aarp Uhc Medicare Advantage All Plans | — | $17,781.78 | $51,833.22 | $20,733.29 | 2026-05-06 | MRF ↗ |
| VOLUNTEER COMMUNITY HOSPITAL | Uhc Community Plan Dual Complete Dsnp All Plans | — | $17,781.78 | $51,833.22 | $20,733.29 | 2026-05-06 | MRF ↗ |
| VOLUNTEER COMMUNITY HOSPITAL | Bluecare Plus Dsnp All Plans | — | $17,781.78 | $51,833.22 | $20,733.29 | 2026-05-06 | MRF ↗ |
| VOLUNTEER COMMUNITY HOSPITAL | Humana Medicare Advantage All Plans | — | $17,781.78 | $51,833.22 | $20,733.29 | 2026-05-06 | MRF ↗ |
| VOLUNTEER COMMUNITY HOSPITAL | Bcbs Blue Advantage All Plans | — | $17,781.78 | $51,833.22 | $20,733.29 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | Wellcare Medicare | — | $17,875.24 | $115,598.48 | $75,139.01 | 2026-05-28 | MRF ↗ |
| Perry Hospital | Caresource Mcare | — | $17,877.44 | $62,861.41 | $39,435.52 | 2026-05-06 | MRF ↗ |
| MCLAREN PORT HURON | Medicare - Hmo | — | $17,919.60 | $75,229.38 | $37,614.69 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Aetna Medicare | — | $17,921.10 | $115,598.48 | $75,139.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Wellcare Medicare | — | $17,921.10 | $115,598.48 | $75,139.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | Medicare Nhc Advantage | — | $17,966.42 | $115,598.48 | $75,139.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | Select Health First Choice Vip | — | $17,972.65 | $115,598.48 | $75,139.01 | 2026-05-28 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Pacificare Medicare Advantage Hmo | — | $18,057.44 | $115,598.48 | $80,918.94 | 2026-06-20 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Select Health First Choice Vip | — | $18,102.74 | $115,598.48 | $75,139.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Allwell Medicare Advantage | — | $18,102.74 | $115,598.48 | $75,139.01 | 2026-05-28 | MRF ↗ |
| Mclaren Bay Special Care | Hap - Hmo | — | $18,120.66 | $39,222.20 | $19,611.10 | 2026-05-06 | MRF ↗ |
| MCLAREN BAY REGION | Hap - Hmo | — | $18,120.66 | $39,222.20 | $19,611.10 | 2026-05-06 | MRF ↗ |
| MCLAREN PORT HURON | Mclaren Medicare Advantage | — | $18,125.67 | $75,229.38 | $37,614.69 | 2026-05-06 | MRF ↗ |
| Perry Hospital | Wellcare Mcare | — | $18,227.98 | $62,861.41 | $39,435.52 | 2026-05-06 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Bcbs Medicare Advantage Hmo | — | $18,229.48 | $115,598.48 | $80,918.94 | 2026-06-20 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Humana Medicare Advantage Hmo | — | $18,229.48 | $115,598.48 | $80,918.94 | 2026-06-20 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Medicare | — | $18,229.48 | $115,598.48 | $80,918.94 | 2026-06-20 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN | Medicare Humana | — | $18,234.35 | $48,808.06 | $24,404.03 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Medicare Nhc Advantage | — | $18,269.09 | $115,598.48 | $75,139.01 | 2026-05-28 | MRF ↗ |
| MCLAREN PORT HURON | Medicare - Molina | — | $18,277.99 | $75,229.38 | $37,614.69 | 2026-05-06 | MRF ↗ |
| VOLUNTEER COMMUNITY HOSPITAL | Cigna Healthspring Medicare Advantage All Plans | — | $18,315.23 | $51,833.22 | $20,733.29 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Bcbs Preferred Ppc | — | $18,360.41 | $115,598.48 | $75,139.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Bcbs Medicare Advantage | — | $18,371.57 | $115,598.48 | $75,139.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Humana Choicecare Medicare Advantage Ppo/Hmo/Pffs | — | $18,405.41 | $115,598.48 | $75,139.01 | 2026-05-28 | MRF ↗ |
| Mclaren Bay Special Care | Medicare - Ppo | — | $18,524.67 | $39,222.20 | $19,611.10 | 2026-05-06 | MRF ↗ |
| Mclaren Bay Special Care | Medicare - Hmo | — | $18,524.67 | $39,222.20 | $19,611.10 | 2026-05-06 | MRF ↗ |
| MCLAREN BAY REGION | Medicare - Hmo | — | $18,524.67 | $39,222.20 | $19,611.10 | 2026-05-06 | MRF ↗ |
| MCLAREN BAY REGION | Medicare - Ppo | — | $18,524.67 | $39,222.20 | $19,611.10 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Aetna Medicare Prime Hmo | — | $18,555.29 | $115,598.48 | $75,139.01 | 2026-05-28 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Aetna Medicare | — | $18,568.86 | $115,598.48 | $80,918.94 | 2026-06-20 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Uhc Medicare Advantage Ppo | — | $18,568.86 | $115,598.48 | $80,918.94 | 2026-06-20 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | Molina Dual Eligibles | — | $18,650.86 | $115,598.48 | $75,139.01 | 2026-05-28 | MRF ↗ |
| Mclaren Bay Special Care | Medicare - Molina | — | $18,660.06 | $39,222.20 | $19,611.10 | 2026-05-06 | MRF ↗ |
| MCLAREN BAY REGION | Medicare - Molina | — | $18,660.06 | $39,222.20 | $19,611.10 | 2026-05-06 | MRF ↗ |
| VOLUNTEER COMMUNITY HOSPITAL | Amerivantage Medicare Advantage All Plans | — | $18,670.87 | $51,833.22 | $20,733.29 | 2026-05-06 | MRF ↗ |
| MCLAREN MACOMB | Medicare - Molina | — | $18,673.34 | $71,675.53 | $35,837.76 | 2026-05-06 | MRF ↗ |
| JACKSON-MADISON COUNTY GENERAL HOSPITAL | Uhc-Optum Va-Ccn All Plans | — | $18,682.78 | $51,833.22 | $20,733.29 | 2026-05-06 | MRF ↗ |
| JACKSON-MADISON COUNTY GENERAL HOSPITAL | Humana Medicare Advantage All Plans | — | $18,682.78 | $51,833.22 | $20,733.29 | 2026-05-06 | MRF ↗ |
| JACKSON-MADISON COUNTY GENERAL HOSPITAL | Aarp Uhc Medicare Advantage All Plans | — | $18,682.78 | $51,833.22 | $20,733.29 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Medicare Advantage Non Contracted | — | $18,719.50 | $115,598.48 | $75,139.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Bcbs Medicare Advantage | — | $18,719.50 | $115,598.48 | $75,139.01 | 2026-05-28 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN | Mclaren Health | — | $18,779.11 | $49,601.45 | $24,800.72 | 2026-05-06 | MRF ↗ |
| EMORY HOUSTON HOSPITAL WARNER ROBINS | Humana Mcare | — | $18,838.36 | $57,931.02 | $42,386.32 | 2026-05-06 | MRF ↗ |
| EMORY HOUSTON HOSPITAL WARNER ROBINS | Uhc Mcare | — | $18,838.36 | $57,931.02 | $42,386.32 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Aetna Medicare Prime Hmo | — | $18,906.70 | $115,598.48 | $75,139.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | United Healthcare Medicare | — | $18,918.81 | $115,598.48 | $75,139.01 | 2026-05-28 | MRF ↗ |
| EMORY HOUSTON HOSPITAL WARNER ROBINS | Aetna Mcare | — | $19,026.75 | $57,931.02 | $42,386.32 | 2026-05-06 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Uhc Medicare Advantage Hmo | — | $19,033.08 | $115,598.48 | $80,918.94 | 2026-06-20 | MRF ↗ |
| MCLAREN MACOMB | Fidelis | — | $19,039.50 | $71,675.53 | $35,837.76 | 2026-05-06 | MRF ↗ |
| JACKSON-MADISON COUNTY GENERAL HOSPITAL | Uhc Community Plan Dual Complete Dsnp All Plans | — | $19,056.44 | $51,833.22 | $20,733.29 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Aetna Medicare | — | $19,104.30 | $115,598.48 | $75,139.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Allwell Medicare Advantage | — | $19,113.59 | $115,598.48 | $75,139.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Wellcare Medicare | — | $19,132.88 | $115,598.48 | $75,139.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Aetna Medicare | — | $19,132.88 | $115,598.48 | $75,139.01 | 2026-05-28 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Humana Medicare Advantage Ppo | — | $19,140.96 | $115,598.48 | $80,918.94 | 2026-06-20 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Bcbs Medicare Advantage Ppo | — | $19,140.96 | $115,598.48 | $80,918.94 | 2026-06-20 | MRF ↗ |
| EMORY HOUSTON HOSPITAL WARNER ROBINS | Caresource Mcare | — | $19,215.13 | $57,931.02 | $42,386.32 | 2026-05-06 | MRF ↗ |
| JACKSON-MADISON COUNTY GENERAL HOSPITAL | Bluecare Plus Dsnp All Plans | — | $19,243.27 | $51,833.22 | $20,733.29 | 2026-05-06 | MRF ↗ |
| JACKSON-MADISON COUNTY GENERAL HOSPITAL | Cigna Healthspring Medicare Advantage All Plans | — | $19,243.27 | $51,833.22 | $20,733.29 | 2026-05-06 | MRF ↗ |
| JACKSON-MADISON COUNTY GENERAL HOSPITAL | Bcbs Blue Advantage All Plans | — | $19,243.27 | $51,833.22 | $20,733.29 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Medicare Nhc Advantage | — | $19,290.14 | $115,598.48 | $75,139.01 | 2026-05-28 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN | Medicare Ppo Blue | — | $19,310.25 | $48,808.06 | $24,404.03 | 2026-05-06 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN | Medicare Hmo | — | $19,310.25 | $48,808.06 | $24,404.03 | 2026-05-06 | MRF ↗ |
| MCLAREN OAKLAND | Oc Inmates Correct Care Solutions Llc | — | $19,440.43 | $58,939.62 | $29,469.81 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Molina Dual Eligibles | — | $19,475.25 | $115,598.48 | $75,139.01 | 2026-05-28 | MRF ↗ |
| Perry Hospital | Tricare | — | $19,545.29 | $62,861.41 | $39,435.52 | 2026-05-06 | MRF ↗ |
| EMORY HOUSTON HOSPITAL WARNER ROBINS | Tricare | — | $19,545.29 | $57,931.02 | $42,386.32 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Humana Choicecare Medicare Advantage Ppo/Hmo/Pffs | — | $19,568.45 | $115,598.48 | $75,139.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Tricare Humana Military | — | $19,579.99 | $115,598.48 | $75,139.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Tricare | — | $19,579.99 | $115,598.48 | $75,139.01 | 2026-05-28 | MRF ↗ |
| EMORY HOUSTON HOSPITAL WARNER ROBINS | Wellcare Mcare | — | $19,591.90 | $57,931.02 | $42,386.32 | 2026-05-06 | MRF ↗ |
| JACKSON-MADISON COUNTY GENERAL HOSPITAL | Amerivantage Medicare Advantage All Plans | — | $19,616.92 | $51,833.22 | $20,733.29 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Medicare Nhc Advantage | — | $19,655.47 | $115,598.48 | $75,139.01 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | Tricare | — | $19,682.71 | $115,598.48 | $75,139.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Tricare | — | $19,682.71 | $115,598.00 | $75,139.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Tricare Humana Military | — | $19,682.71 | $115,598.00 | $75,139.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Tricare Humana Military | — | $19,702.57 | $115,598.48 | $75,139.01 | 2026-05-28 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE MILAN HOSPITAL | Humana Medicare Advantage All Plans | — | $19,744.80 | $51,833.22 | $20,733.29 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE MILAN HOSPITAL | Uhc-Optum Va-Ccn All Plans | — | $19,744.80 | $51,833.22 | $20,733.29 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Bcbs Medicare Advantage | — | $19,750.39 | $115,598.48 | $75,139.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | United Healthcare Medicare | — | $19,750.39 | $115,598.48 | $75,139.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Tricare Humana Military | — | $19,808.38 | $115,598.48 | $75,139.01 | 2026-05-28 | MRF ↗ |
| MCLAREN OAKLAND | Medicare - Molina | — | $19,829.23 | $58,939.62 | $29,469.81 | 2026-05-06 | MRF ↗ |
| MCLAREN FLINT | Medicare - Molina | — | $19,881.54 | $62,076.51 | $31,038.25 | 2026-05-06 | MRF ↗ |
| MCLAREN FLINT | Health Advantage - Ppo | — | $19,945.18 | $62,076.51 | $31,038.25 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Aetna Medicare Prime Hmo | — | $19,947.89 | $115,598.48 | $75,139.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Tricare | — | $19,960.24 | $115,598.48 | $75,139.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Tricare Humana Military | — | $19,960.24 | $115,598.48 | $75,139.01 | 2026-05-28 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE MILAN HOSPITAL | Uhc Community Plan Dual Complete Dsnp All Plans | — | $20,139.69 | $51,833.22 | $20,733.29 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Aetna Medicare | — | $20,184.22 | $115,598.48 | $75,139.01 | 2026-05-28 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE MILAN HOSPITAL | Bluecare Plus Dsnp All Plans | — | $20,337.14 | $51,833.22 | $20,733.29 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE MILAN HOSPITAL | Cigna Healthspring Medicare Advantage All Plans | — | $20,337.14 | $51,833.22 | $20,733.29 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE MILAN HOSPITAL | Bcbs Blue Advantage All Plans | — | $20,337.14 | $51,833.22 | $20,733.29 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Wellcare Medicare | — | $20,342.91 | $115,598.48 | $75,139.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | Tricare | — | $20,513.33 | $115,598.48 | $75,139.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | Tricare Humana Military | — | $20,513.33 | $115,598.48 | $75,139.01 | 2026-05-28 | MRF ↗ |
| Mclaren Bay Special Care | Blue Care Network | — | $20,526.03 | $39,222.20 | $19,611.10 | 2026-05-06 | MRF ↗ |
| Mclaren Bay Special Care | Bcbs - Ppo | — | $20,526.03 | $39,222.20 | $19,611.10 | 2026-05-06 | MRF ↗ |
| MCLAREN BAY REGION | Blue Care Network | — | $20,526.03 | $39,222.20 | $19,611.10 | 2026-05-06 | MRF ↗ |
| Mclaren Bay Special Care | Bcbs - Pha | — | $20,526.03 | $39,222.20 | $19,611.10 | 2026-05-06 | MRF ↗ |
| MCLAREN BAY REGION | Bcbs - Ppo | — | $20,526.03 | $39,222.20 | $19,611.10 | 2026-05-06 | MRF ↗ |
| MCLAREN BAY REGION | Bcbs - Pha | — | $20,526.03 | $39,222.20 | $19,611.10 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Allwell Medicare Advantage | — | $20,546.87 | $115,598.48 | $75,139.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Select Health First Choice Vip | — | $20,546.87 | $115,598.48 | $75,139.01 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bcbs Preferred Ppc | — | $20,706.29 | $115,598.48 | $75,139.01 | 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.