MS-DRG 469 — Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc Or Total Ankle Replacement
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT (OTHER MS-DRG 469) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/MS-DRG 469?code_type=OTHER
MLA (9th ed.)
“MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT (OTHER MS-DRG 469) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/MS-DRG 469?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT (OTHER MS-DRG 469) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/MS-DRG 469?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $21,168–$45,266 (25th–75th percentile) across 32 hospitals · 134 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER MS-DRG 469 — 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 | Uhc Community Plan Dual Complete Dsnp All Plans | — | $1,779.03 | $56,307.63 | $22,523.05 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Amerivantage Medicare Advantage All Plans | — | $1,779.03 | $56,307.63 | $22,523.05 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Bcbs Blue Advantage All Plans | — | $1,779.03 | $56,307.63 | $22,523.05 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Uhc-Optum Va-Ccn All Plans | — | $1,779.03 | $56,307.63 | $22,523.05 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Humana Medicare Advantage All Plans | — | $1,779.03 | $56,307.63 | $22,523.05 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Bluecare Plus Dsnp All Plans | — | $1,779.03 | $56,307.63 | $22,523.05 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Cigna Healthspring Medicare Advantage All Plans | — | $1,832.40 | $56,307.63 | $22,523.05 | 2026-05-06 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER | Healthfirst Medicare | — | $1,960.00 | $87,339.52 | — | 2026-05-28 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Uhc-Optum Va-Ccn All Plans | — | $2,327.61 | $56,307.63 | $22,523.05 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Humana Medicare Advantage All Plans | — | $2,327.61 | $56,307.63 | $22,523.05 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Uhc Community Plan Dual Complete Dsnp All Plans | — | $2,327.61 | $56,307.63 | $22,523.05 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Bluecare Plus Dsnp All Plans | — | $2,327.61 | $56,307.63 | $22,523.05 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Amerivantage Medicare Advantage All Plans | — | $2,327.61 | $56,307.63 | $22,523.05 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Bcbs Blue Advantage All Plans | — | $2,327.61 | $56,307.63 | $22,523.05 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Cigna Healthspring Medicare Advantage All Plans | — | $2,397.44 | $56,307.63 | $22,523.05 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Ambetter Of Tn All Plans | — | $2,757.50 | $56,307.63 | $22,523.05 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Bluechoice Medicaid | — | $2,909.57 | $88,757.58 | $57,692.43 | 2026-05-28 | MRF ↗ |
| MCLAREN PORT HURON | Champva | — | $3,451.72 | $45,866.93 | $22,933.46 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Bcbs Upstate Reedy (Greenville Co Only) | — | $3,541.00 | $88,757.58 | $57,692.43 | 2026-05-28 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Ambetter Of Tn All Plans | — | $3,607.80 | $56,307.63 | $22,523.05 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Bcbs Exchange | — | $3,647.00 | $88,757.58 | $57,692.43 | 2026-05-28 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER | Local 1199 | — | $4,997.86 | $87,339.52 | — | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | Aetna Medicare | — | $5,843.28 | $88,757.58 | $57,692.00 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | Select Health Medicare | — | $5,843.28 | $88,757.58 | $57,692.00 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | Molina Dual Eligibles | — | $5,843.28 | $88,757.58 | $57,692.00 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | Select Health First Choice Vip | — | $5,843.28 | $88,757.58 | $57,692.00 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | Humana Choicecare Medicare Advantage Pffs | — | $5,886.59 | $88,757.58 | $57,692.00 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | Medicare Advantage Non Contracted | — | $5,886.59 | $88,757.58 | $57,692.00 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | Medicare Nhc Advantage | — | $5,886.59 | $88,757.58 | $57,692.00 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | Ambetter-Atc Exchange | — | $5,886.59 | $88,757.58 | $57,692.00 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | United Healthcare Medicare | — | $5,886.59 | $88,757.58 | $57,692.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Tricare Humana Military | — | $7,873.39 | $88,757.58 | $57,692.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Tricare | — | $7,873.39 | $88,757.58 | $57,692.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Tricare | — | $7,914.70 | $88,758.00 | $57,692.00 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | Tricare | — | $7,914.70 | $88,757.58 | $57,692.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Tricare Humana Military | — | $7,914.70 | $88,758.00 | $57,692.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Tricare Humana Military | — | $7,922.68 | $88,757.58 | $57,692.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Tricare Humana Military | — | $7,965.23 | $88,757.58 | $57,692.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Tricare | — | $8,026.30 | $88,757.58 | $57,692.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Tricare Humana Military | — | $8,026.30 | $88,757.58 | $57,692.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | Tricare | — | $8,248.70 | $88,757.58 | $57,692.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | Tricare Humana Military | — | $8,248.70 | $88,757.58 | $57,692.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Tricare Humana Military | — | $8,661.05 | $88,757.58 | $57,692.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Tricare | — | $8,661.05 | $88,757.58 | $57,692.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Tricare Humana Military | — | $9,162.58 | $88,757.58 | $57,692.43 | 2026-05-28 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Champus/Tricare | — | $9,758.69 | $88,757.58 | $62,130.31 | 2026-06-20 | MRF ↗ |
| VOLUNTEER COMMUNITY HOSPITAL | Bluecare Tenncare All Plans | — | $11,094.94 | $56,307.63 | $22,523.05 | 2026-05-06 | MRF ↗ |
| MCLAREN BAY REGION | Mclaren Health Plan | — | $11,133.59 | $57,733.36 | $28,866.68 | 2026-05-06 | MRF ↗ |
| Mclaren Bay Special Care | Mclaren Health Plan | — | $11,133.59 | $57,733.36 | $28,866.68 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Bluecare Tenncare All Plans | — | $11,556.53 | $56,307.63 | $22,523.05 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE MILAN HOSPITAL | Bluecare Tenncare All Plans | — | $11,556.53 | $56,307.63 | $22,523.05 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Bluecare Tenncare All Plans | — | $11,556.53 | $56,307.63 | $22,523.05 | 2026-05-06 | MRF ↗ |
| DYERSBURG REGIONAL MEDICAL CENTER | Bluecare Tenncare All Plans | — | $12,411.81 | $56,307.63 | $22,523.05 | 2026-05-06 | MRF ↗ |
| JACKSON-MADISON COUNTY GENERAL HOSPITAL | Bluecare Tenncare All Plans | — | $13,573.77 | $56,307.63 | $22,523.05 | 2026-05-06 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN | Mclaren Health | — | $14,355.59 | $37,917.55 | $18,958.78 | 2026-05-06 | MRF ↗ |
| MCLAREN PORT HURON | Mclaren Health | — | $15,007.66 | $45,866.93 | $22,933.46 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE MILAN HOSPITAL | Uhc Community Plan Tenncare All Plans | — | $15,175.25 | $56,307.63 | $22,523.05 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Uhc Community Plan Tenncare All Plans | — | $15,175.25 | $56,307.63 | $22,523.05 | 2026-05-06 | MRF ↗ |
| JACKSON-MADISON COUNTY GENERAL HOSPITAL | Uhc Community Plan Tenncare All Plans | — | $15,175.25 | $56,307.63 | $22,523.05 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Uhc Community Plan Tenncare All Plans | — | $15,175.25 | $56,307.63 | $22,523.05 | 2026-05-06 | MRF ↗ |
| Mclaren Thumb Region | Priority Health Medicare | — | $16,677.07 | $53,970.73 | $26,985.36 | 2026-05-06 | MRF ↗ |
| Mclaren Thumb Region | Aetna Medicare | — | $16,677.07 | $53,970.73 | $26,985.36 | 2026-05-06 | MRF ↗ |
| Mclaren Thumb Region | Molina Healthcare Medicare | — | $16,677.07 | $53,970.73 | $26,985.36 | 2026-05-06 | MRF ↗ |
| Mclaren Thumb Region | Meridian Health Plan Of Mi Medicare | — | $16,677.07 | $53,970.73 | $26,985.36 | 2026-05-06 | MRF ↗ |
| Mclaren Thumb Region | Meridian Health Plan Of Michigan | — | $16,677.07 | $53,970.73 | $26,985.36 | 2026-05-06 | MRF ↗ |
| Mclaren Thumb Region | Unitedhealthcare Comm Healthy Plan | — | $16,677.07 | $53,970.73 | $26,985.36 | 2026-05-06 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Unicare Medicaid | — | $16,823.88 | $88,757.58 | $62,130.31 | 2026-06-20 | MRF ↗ |
| MCLAREN LAPEER REGION | Mhp - Hmo | — | $16,955.46 | $57,652.01 | $28,826.01 | 2026-05-06 | MRF ↗ |
| MCLAREN LAPEER REGION | Health Advantage - Ppo | — | $16,955.46 | $57,652.01 | $28,826.01 | 2026-05-06 | MRF ↗ |
| EMORY HOUSTON HOSPITAL WARNER ROBINS | Wellcare Ga | — | $17,637.50 | $54,388.96 | $46,326.65 | 2026-05-06 | MRF ↗ |
| DYERSBURG REGIONAL MEDICAL CENTER | Humana Medicare Advantage All Plans | — | $17,778.60 | $56,307.63 | $22,523.05 | 2026-05-06 | MRF ↗ |
| DYERSBURG REGIONAL MEDICAL CENTER | Bcbs Blue Advantage All Plans | — | $17,778.60 | $56,307.63 | $22,523.05 | 2026-05-06 | MRF ↗ |
| DYERSBURG REGIONAL MEDICAL CENTER | Bluecare Plus Dsnp All Plans | — | $17,778.60 | $56,307.63 | $22,523.05 | 2026-05-06 | MRF ↗ |
| DYERSBURG REGIONAL MEDICAL CENTER | Aarp Uhc Medicare Advantage All Plans | — | $17,778.60 | $56,307.63 | $22,523.05 | 2026-05-06 | MRF ↗ |
| DYERSBURG REGIONAL MEDICAL CENTER | Uhc Community Plan Dual Complete Dsnp All Plans | — | $17,778.60 | $56,307.63 | $22,523.05 | 2026-05-06 | MRF ↗ |
| DYERSBURG REGIONAL MEDICAL CENTER | Uhc-Optum Va-Ccn All Plans | — | $17,778.60 | $56,307.63 | $22,523.05 | 2026-05-06 | MRF ↗ |
| Perry Hospital | Wellcare Of Ga | — | $17,941.05 | $56,917.33 | $43,054.99 | 2026-05-06 | MRF ↗ |
| Perry Hospital | Tricare | — | $17,948.65 | $56,917.33 | $43,054.99 | 2026-05-06 | MRF ↗ |
| EMORY HOUSTON HOSPITAL WARNER ROBINS | Tricare | — | $17,948.65 | $54,388.96 | $46,326.65 | 2026-05-06 | MRF ↗ |
| EMORY HOUSTON HOSPITAL WARNER ROBINS | Amerigroup | — | $17,983.33 | $54,388.96 | $46,326.65 | 2026-05-06 | MRF ↗ |
| EMORY HOUSTON HOSPITAL WARNER ROBINS | Peach State Hp | — | $18,159.50 | $54,388.96 | $46,326.65 | 2026-05-06 | MRF ↗ |
| Perry Hospital | Amerigroup | — | $18,292.84 | $56,917.33 | $43,054.99 | 2026-05-06 | MRF ↗ |
| DYERSBURG REGIONAL MEDICAL CENTER | Cigna Healthspring Medicare Advantage All Plans | — | $18,311.96 | $56,307.63 | $22,523.05 | 2026-05-06 | MRF ↗ |
| Perry Hospital | Peach State Health Plan | — | $18,472.03 | $56,917.33 | $43,054.99 | 2026-05-06 | MRF ↗ |
| EMORY HOUSTON HOSPITAL WARNER ROBINS | Caresource | — | $18,502.08 | $54,388.96 | $46,326.65 | 2026-05-06 | MRF ↗ |
| DYERSBURG REGIONAL MEDICAL CENTER | Amerivantage Medicare Advantage All Plans | — | $18,667.53 | $56,307.63 | $22,523.05 | 2026-05-06 | MRF ↗ |
| Perry Hospital | Caresource | — | $18,820.51 | $56,917.33 | $43,054.99 | 2026-05-06 | MRF ↗ |
| MCLAREN OAKLAND | Medicare - Humana | — | $18,840.93 | $49,620.06 | $24,810.03 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Humana Choicecare Medicare Advantage Ppo/Hmo/Pffs | — | $18,983.25 | $88,757.58 | $57,692.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | Aetna Medicare Prime Hmo | — | $19,030.30 | $88,757.58 | $57,692.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Humana Choicecare Medicare Advanatge Pffs | — | $19,041.24 | $88,757.58 | $57,692.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Humana Choicecare Medicare Advantage Pffs | — | $19,074.99 | $88,757.58 | $57,692.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Humana Gold Plus Medicare Advantage Hmo | — | $19,107.52 | $88,757.58 | $57,692.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | United Healthcare Medicare | — | $19,121.18 | $88,757.58 | $57,692.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | Humana Choicecare Medicare Advantage Pffs | — | $19,121.18 | $88,757.58 | $57,692.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | Aetna Medicare | — | $19,131.58 | $88,757.58 | $57,692.43 | 2026-05-28 | MRF ↗ |
| Perry Hospital | Uhc Mcare | — | $19,135.55 | $56,917.33 | $43,054.99 | 2026-05-06 | MRF ↗ |
| Perry Hospital | Humana Mcare | — | $19,135.55 | $56,917.33 | $43,054.99 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Bcbs Medicare Advantage | — | $19,159.28 | $88,757.58 | $57,692.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | United Healthcare Medicare | — | $19,159.28 | $88,757.58 | $57,692.43 | 2026-05-28 | MRF ↗ |
| Mclaren Thumb Region | Amish Board | — | $19,178.63 | $53,970.73 | $26,985.36 | 2026-05-06 | MRF ↗ |
| MCLAREN GREATER LANSING | Ma - Medicare Humana | — | $19,208.26 | $58,989.99 | $29,495.00 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | Select Health Medicare | — | $19,229.09 | $88,757.58 | $57,692.43 | 2026-05-28 | MRF ↗ |
| Perry Hospital | Aetna Mcare | — | $19,326.91 | $56,917.33 | $43,054.99 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Aetna Medicare Prime Hmo | — | $19,350.87 | $88,757.58 | $57,692.43 | 2026-05-28 | MRF ↗ |
| Perry Hospital | Caresource Mcare | — | $19,518.26 | $56,917.33 | $43,054.99 | 2026-05-06 | MRF ↗ |
| VOLUNTEER COMMUNITY HOSPITAL | Uhc-Optum Va-Ccn All Plans | — | $19,544.31 | $56,307.63 | $22,523.05 | 2026-05-06 | MRF ↗ |
| VOLUNTEER COMMUNITY HOSPITAL | Aarp Uhc Medicare Advantage All Plans | — | $19,544.31 | $56,307.63 | $22,523.05 | 2026-05-06 | MRF ↗ |
| VOLUNTEER COMMUNITY HOSPITAL | Uhc Community Plan Dual Complete Dsnp All Plans | — | $19,544.31 | $56,307.63 | $22,523.05 | 2026-05-06 | MRF ↗ |
| VOLUNTEER COMMUNITY HOSPITAL | Bluecare Plus Dsnp All Plans | — | $19,544.31 | $56,307.63 | $22,523.05 | 2026-05-06 | MRF ↗ |
| VOLUNTEER COMMUNITY HOSPITAL | Humana Medicare Advantage All Plans | — | $19,544.31 | $56,307.63 | $22,523.05 | 2026-05-06 | MRF ↗ |
| VOLUNTEER COMMUNITY HOSPITAL | Bcbs Blue Advantage All Plans | — | $19,544.31 | $56,307.63 | $22,523.05 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | Wellcare Medicare | — | $19,683.56 | $88,757.58 | $57,692.43 | 2026-05-28 | MRF ↗ |
| MCLAREN PORT HURON | Medicare - Hmo | — | $19,692.32 | $45,866.93 | $22,933.46 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Wellcare Medicare | — | $19,734.05 | $88,757.58 | $57,692.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Aetna Medicare | — | $19,734.05 | $88,757.58 | $57,692.43 | 2026-05-28 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN | Mclaren Health | — | $19,742.78 | $44,768.21 | $22,384.10 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | Medicare Nhc Advantage | — | $19,783.97 | $88,757.58 | $57,692.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | Select Health First Choice Vip | — | $19,789.16 | $88,757.58 | $57,692.43 | 2026-05-28 | MRF ↗ |
| MCLAREN LAPEER REGION | Hap - Hmo | — | $19,820.76 | $57,652.01 | $28,826.01 | 2026-05-06 | MRF ↗ |
| MCLAREN PORT HURON | Hap Hmo | — | $19,832.86 | $45,866.93 | $22,933.46 | 2026-05-06 | MRF ↗ |
| Perry Hospital | Wellcare Mcare | — | $19,900.97 | $56,917.33 | $43,054.99 | 2026-05-06 | MRF ↗ |
| MCLAREN PORT HURON | Mclaren Medicare Advantage | — | $19,918.78 | $45,866.93 | $22,933.46 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Allwell Medicare Advantage | — | $19,932.41 | $88,757.58 | $57,692.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Select Health First Choice Vip | — | $19,932.41 | $88,757.58 | $57,692.43 | 2026-05-28 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN | Medicare Humana | — | $20,057.78 | $44,768.21 | $22,384.10 | 2026-05-06 | MRF ↗ |
| MCLAREN PORT HURON | Medicare - Molina | — | $20,086.17 | $45,866.93 | $22,933.46 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Medicare Nhc Advantage | — | $20,117.24 | $88,757.58 | $57,692.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Bcbs Medicare Advantage | — | $20,125.89 | $88,757.58 | $57,692.43 | 2026-05-28 | MRF ↗ |
| VOLUNTEER COMMUNITY HOSPITAL | Cigna Healthspring Medicare Advantage All Plans | — | $20,130.64 | $56,307.63 | $22,523.05 | 2026-05-06 | MRF ↗ |
| Mclaren Bay Special Care | Health Advantage - Commercial | — | $20,235.54 | $57,733.36 | $28,866.68 | 2026-05-06 | MRF ↗ |
| MCLAREN BAY REGION | Health Advantage - Commercial | — | $20,235.54 | $57,733.36 | $28,866.68 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Humana Choicecare Medicare Advantage Ppo/Hmo/Pffs | — | $20,265.77 | $88,757.58 | $57,692.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Aetna Medicare Prime Hmo | — | $20,327.15 | $88,757.58 | $57,692.43 | 2026-05-28 | MRF ↗ |
| Mclaren Bay Special Care | Medicare - Hmo | — | $20,361.89 | $57,733.36 | $28,866.68 | 2026-05-06 | MRF ↗ |
| Mclaren Bay Special Care | Medicare - Ppo | — | $20,361.89 | $57,733.36 | $28,866.68 | 2026-05-06 | MRF ↗ |
| MCLAREN BAY REGION | Medicare - Ppo | — | $20,361.89 | $57,733.36 | $28,866.68 | 2026-05-06 | MRF ↗ |
| MCLAREN BAY REGION | Medicare - Hmo | — | $20,361.89 | $57,733.36 | $28,866.68 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Medicare Advantage Non Contracted | — | $20,471.07 | $88,757.58 | $57,692.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Bcbs Medicare Advantage | — | $20,471.07 | $88,757.58 | $57,692.43 | 2026-05-28 | MRF ↗ |
| Mclaren Bay Special Care | Medicare - Molina | — | $20,510.52 | $57,733.36 | $28,866.68 | 2026-05-06 | MRF ↗ |
| MCLAREN BAY REGION | Medicare - Molina | — | $20,510.52 | $57,733.36 | $28,866.68 | 2026-05-06 | MRF ↗ |
| MCLAREN MACOMB | Medicare - Molina | — | $20,513.13 | $66,466.76 | $33,233.38 | 2026-05-06 | MRF ↗ |
| VOLUNTEER COMMUNITY HOSPITAL | Amerivantage Medicare Advantage All Plans | — | $20,521.53 | $56,307.63 | $22,523.05 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | Molina Dual Eligibles | — | $20,535.92 | $88,757.58 | $57,692.43 | 2026-05-28 | MRF ↗ |
| JACKSON-MADISON COUNTY GENERAL HOSPITAL | Humana Medicare Advantage All Plans | — | $20,551.06 | $56,307.63 | $22,523.05 | 2026-05-06 | MRF ↗ |
| JACKSON-MADISON COUNTY GENERAL HOSPITAL | Uhc-Optum Va-Ccn All Plans | — | $20,551.06 | $56,307.63 | $22,523.05 | 2026-05-06 | MRF ↗ |
| JACKSON-MADISON COUNTY GENERAL HOSPITAL | Aarp Uhc Medicare Advantage All Plans | — | $20,551.06 | $56,307.63 | $22,523.05 | 2026-05-06 | MRF ↗ |
| EMORY HOUSTON HOSPITAL WARNER ROBINS | Uhc Mcare | — | $20,589.62 | $54,388.96 | $46,326.65 | 2026-05-06 | MRF ↗ |
| EMORY HOUSTON HOSPITAL WARNER ROBINS | Humana Mcare | — | $20,589.62 | $54,388.96 | $46,326.65 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Aetna Medicare Prime Hmo | — | $20,675.78 | $88,757.58 | $57,692.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | United Healthcare Medicare | — | $20,687.57 | $88,757.58 | $57,692.43 | 2026-05-28 | MRF ↗ |
| EMORY HOUSTON HOSPITAL WARNER ROBINS | Aetna Mcare | — | $20,795.52 | $54,388.96 | $46,326.65 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Aetna Medicare | — | $20,890.37 | $88,757.58 | $57,692.43 | 2026-05-28 | MRF ↗ |
| MCLAREN MACOMB | Fidelis | — | $20,915.35 | $66,466.76 | $33,233.38 | 2026-05-06 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Pacificare Medicare Advantage Hmo | — | $20,919.52 | $88,757.58 | $62,130.31 | 2026-06-20 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Allwell Medicare Advantage | — | $20,937.20 | $88,757.58 | $57,692.43 | 2026-05-28 | MRF ↗ |
| JACKSON-MADISON COUNTY GENERAL HOSPITAL | Uhc Community Plan Dual Complete Dsnp All Plans | — | $20,962.08 | $56,307.63 | $22,523.05 | 2026-05-06 | MRF ↗ |
| EMORY HOUSTON HOSPITAL WARNER ROBINS | Caresource Mcare | — | $21,001.41 | $54,388.96 | $46,326.65 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Aetna Medicare | — | $21,068.40 | $88,757.58 | $57,692.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Wellcare Medicare | — | $21,068.40 | $88,757.58 | $57,692.43 | 2026-05-28 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Humana Medicare Advantage Hmo | — | $21,113.76 | $88,757.58 | $62,130.31 | 2026-06-20 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Medicare | — | $21,113.76 | $88,757.58 | $62,130.31 | 2026-06-20 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Bcbs Medicare Advantage Hmo | — | $21,113.76 | $88,757.58 | $62,130.31 | 2026-06-20 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Medicare Nhc Advantage | — | $21,132.19 | $88,757.58 | $57,692.43 | 2026-05-28 | MRF ↗ |
| JACKSON-MADISON COUNTY GENERAL HOSPITAL | Bluecare Plus Dsnp All Plans | — | $21,167.59 | $56,307.63 | $22,523.05 | 2026-05-06 | MRF ↗ |
| JACKSON-MADISON COUNTY GENERAL HOSPITAL | Bcbs Blue Advantage All Plans | — | $21,167.59 | $56,307.63 | $22,523.05 | 2026-05-06 | MRF ↗ |
| JACKSON-MADISON COUNTY GENERAL HOSPITAL | Cigna Healthspring Medicare Advantage All Plans | — | $21,167.59 | $56,307.63 | $22,523.05 | 2026-05-06 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN | Medicare Hmo | — | $21,193.18 | $44,768.21 | $22,384.10 | 2026-05-06 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN | Medicare Ppo Blue | — | $21,193.18 | $44,768.21 | $22,384.10 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Molina Dual Eligibles | — | $21,296.02 | $88,757.58 | $57,692.43 | 2026-05-28 | MRF ↗ |
| MCLAREN OAKLAND | Oc Inmates Correct Care Solutions Llc | — | $21,314.77 | $49,620.06 | $24,810.03 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Humana Choicecare Medicare Advantage Ppo/Hmo/Pffs | — | $21,371.47 | $88,757.58 | $57,692.43 | 2026-05-28 | MRF ↗ |
| EMORY HOUSTON HOSPITAL WARNER ROBINS | Wellcare Mcare | — | $21,413.21 | $54,388.96 | $46,326.65 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Medicare Nhc Advantage | — | $21,494.62 | $88,757.58 | $57,692.43 | 2026-05-28 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Uhc Medicare Advantage Ppo | — | $21,512.00 | $88,757.58 | $62,130.31 | 2026-06-20 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Aetna Medicare | — | $21,512.00 | $88,757.58 | $62,130.31 | 2026-06-20 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | United Healthcare Medicare | — | $21,571.63 | $88,757.58 | $57,692.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Bcbs Medicare Advantage | — | $21,571.63 | $88,757.58 | $57,692.43 | 2026-05-28 | MRF ↗ |
| JACKSON-MADISON COUNTY GENERAL HOSPITAL | Amerivantage Medicare Advantage All Plans | — | $21,578.61 | $56,307.63 | $22,523.05 | 2026-05-06 | MRF ↗ |
| MCLAREN PORT HURON | Hap Ahl | — | $21,589.56 | $45,866.93 | $22,933.46 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE MILAN HOSPITAL | Humana Medicare Advantage All Plans | — | $21,719.27 | $56,307.63 | $22,523.05 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE MILAN HOSPITAL | Uhc-Optum Va-Ccn All Plans | — | $21,719.27 | $56,307.63 | $22,523.05 | 2026-05-06 | MRF ↗ |
| MCLAREN OAKLAND | Medicare - Molina | — | $21,741.06 | $49,620.06 | $24,810.03 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Aetna Medicare Prime Hmo | — | $21,787.35 | $88,757.58 | $57,692.43 | 2026-05-28 | MRF ↗ |
| MCLAREN FLINT | Medicare - Molina | — | $21,853.35 | $76,627.85 | $38,313.93 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Aetna Medicare | — | $22,044.04 | $88,757.58 | $57,692.43 | 2026-05-28 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Uhc Medicare Advantage Hmo | — | $22,049.80 | $88,757.58 | $62,130.31 | 2026-06-20 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE MILAN HOSPITAL | Uhc Community Plan Dual Complete Dsnp All Plans | — | $22,153.66 | $56,307.63 | $22,523.05 | 2026-05-06 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Humana Medicare Advantage Ppo | — | $22,169.45 | $88,757.58 | $62,130.31 | 2026-06-20 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Bcbs Medicare Advantage Ppo | — | $22,169.45 | $88,757.58 | $62,130.31 | 2026-06-20 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Wellcare Medicare | — | $22,218.78 | $88,757.58 | $57,692.43 | 2026-05-28 | MRF ↗ |
| MCLAREN PORT HURON | Cigna | — | $22,245.46 | $45,866.93 | $22,933.46 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE MILAN HOSPITAL | Bluecare Plus Dsnp All Plans | — | $22,370.85 | $56,307.63 | $22,523.05 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE MILAN HOSPITAL | Cigna Healthspring Medicare Advantage All Plans | — | $22,370.85 | $56,307.63 | $22,523.05 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE MILAN HOSPITAL | Bcbs Blue Advantage All Plans | — | $22,370.85 | $56,307.63 | $22,523.05 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Allwell Medicare Advantage | — | $22,440.05 | $88,757.58 | $57,692.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Select Health First Choice Vip | — | $22,440.05 | $88,757.58 | $57,692.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Medicare Nhc Advantage | — | $22,650.21 | $88,757.58 | $57,692.43 | 2026-05-28 | MRF ↗ |
| MCLAREN PORT HURON | Aetna Ppo | — | $22,658.26 | $45,866.93 | $22,933.46 | 2026-05-06 | 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.