MS-DRG 470 — Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without Mcc
Cite this view
HANK Price Transparency. (n.d.). MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC (OTHER MS-DRG 470) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/MS-DRG 470?code_type=OTHER
“MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC (OTHER MS-DRG 470) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/MS-DRG 470?code_type=OTHER. Accessed .
“MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC (OTHER MS-DRG 470) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/MS-DRG 470?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $13,249–$24,639 (25th–75th percentile) across 34 hospitals · 141 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER MS-DRG 470 — 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 | First Health Network | — | $90.00 | — | — | 2026-05-06 | MRF ↗ |
| Mclaren St Luke's | Coventry | — | $90.00 | — | — | 2026-05-06 | MRF ↗ |
| Mclaren St Luke's | Aetna Medicare 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 | Paramount Elite | — | $100.00 | — | — | 2026-05-06 | MRF ↗ |
| Mclaren St Luke's | Humana Commercial 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 | Caresource Just4Me | — | $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 ↗ |
| KARMANOS CANCER CENTER | Uhc | — | $1,732.00 | $26,629.46 | $13,314.73 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Uhc Community Plan Dual Complete Dsnp All Plans | — | $1,779.03 | $41,109.81 | $16,443.92 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Humana Medicare Advantage All Plans | — | $1,779.03 | $41,109.81 | $16,443.92 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Amerivantage Medicare Advantage All Plans | — | $1,779.03 | $41,109.81 | $16,443.92 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Bluecare Plus Dsnp All Plans | — | $1,779.03 | $41,109.81 | $16,443.92 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Uhc-Optum Va-Ccn All Plans | — | $1,779.03 | $41,109.81 | $16,443.92 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Bcbs Blue Advantage All Plans | — | $1,779.03 | $41,109.81 | $16,443.92 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Cigna Healthspring Medicare Advantage All Plans | — | $1,832.40 | $41,109.81 | $16,443.92 | 2026-05-06 | MRF ↗ |
| KARMANOS CANCER CENTER | Hap Hmo | — | $1,872.52 | $26,629.46 | $13,314.73 | 2026-05-06 | MRF ↗ |
| KARMANOS CANCER CENTER | Hap Ahl | — | $1,928.83 | $26,629.46 | $13,314.73 | 2026-05-06 | MRF ↗ |
| KARMANOS CANCER CENTER | Hap Preferred | — | $1,928.83 | $26,629.46 | $13,314.73 | 2026-05-06 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER | Healthfirst Medicare | — | $1,960.00 | $62,298.74 | — | 2026-05-28 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Bluecare Plus Dsnp All Plans | — | $2,327.61 | $41,109.81 | $16,443.92 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Humana Medicare Advantage All Plans | — | $2,327.61 | $41,109.81 | $16,443.92 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Uhc Community Plan Dual Complete Dsnp All Plans | — | $2,327.61 | $41,109.81 | $16,443.92 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Bcbs Blue Advantage All Plans | — | $2,327.61 | $41,109.81 | $16,443.92 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Amerivantage Medicare Advantage All Plans | — | $2,327.61 | $41,109.81 | $16,443.92 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Uhc-Optum Va-Ccn All Plans | — | $2,327.61 | $41,109.81 | $16,443.92 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Cigna Healthspring Medicare Advantage All Plans | — | $2,397.44 | $41,109.81 | $16,443.92 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Ambetter Of Tn All Plans | — | $2,757.50 | $41,109.81 | $16,443.92 | 2026-05-06 | MRF ↗ |
| MCLAREN PORT HURON | Champva | — | $3,451.72 | $35,255.18 | $17,627.59 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Bluechoice Medicaid | — | $3,454.24 | $27,601.38 | $17,940.90 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Bcbs Upstate Reedy (Greenville Co Only) | — | $3,541.00 | $27,601.38 | $17,940.90 | 2026-05-28 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Ambetter Of Tn All Plans | — | $3,607.80 | $41,109.81 | $16,443.92 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Bcbs Exchange | — | $3,647.00 | $27,601.38 | $17,940.90 | 2026-05-28 | MRF ↗ |
| KARMANOS CANCER CENTER | Medicare Humana | — | $4,898.17 | $26,629.46 | $13,314.73 | 2026-05-06 | MRF ↗ |
| Prisma Health North Greenville Ltach | Molina Dual Eligibles | — | $6,142.48 | $27,601.38 | $17,941.00 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | Aetna Medicare | — | $6,142.48 | $27,601.38 | $17,941.00 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | Select Health First Choice Vip | — | $6,142.48 | $27,601.38 | $17,941.00 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | Select Health Medicare | — | $6,142.48 | $27,601.38 | $17,941.00 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | Ambetter-Atc Exchange | — | $6,188.81 | $27,601.38 | $17,941.00 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | Medicare Advantage Non Contracted | — | $6,188.81 | $27,601.38 | $17,941.00 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | Humana Choicecare Medicare Advantage Pffs | — | $6,188.81 | $27,601.38 | $17,941.00 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | Medicare Nhc Advantage | — | $6,188.81 | $27,601.38 | $17,941.00 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | United Healthcare Medicare | — | $6,188.81 | $27,601.38 | $17,941.00 | 2026-05-28 | MRF ↗ |
| KARMANOS CANCER CENTER | Detroit Medical Center | — | $7,031.47 | $26,629.46 | $13,314.73 | 2026-05-06 | MRF ↗ |
| MCLAREN BAY REGION | Mclaren Health Plan | — | $7,591.31 | $41,176.69 | $20,588.35 | 2026-05-06 | MRF ↗ |
| Mclaren Bay Special Care | Mclaren Health Plan | — | $7,591.31 | $41,176.69 | $20,588.35 | 2026-05-06 | MRF ↗ |
| VOLUNTEER COMMUNITY HOSPITAL | Bluecare Tenncare All Plans | — | $9,335.57 | $41,109.81 | $16,443.92 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE MILAN HOSPITAL | Uhc Community Plan Tenncare All Plans | — | $9,347.51 | $41,109.81 | $16,443.92 | 2026-05-06 | MRF ↗ |
| JACKSON-MADISON COUNTY GENERAL HOSPITAL | Uhc Community Plan Tenncare All Plans | — | $9,347.51 | $41,109.81 | $16,443.92 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Uhc Community Plan Tenncare All Plans | — | $9,347.51 | $41,109.81 | $16,443.92 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Uhc Community Plan Tenncare All Plans | — | $9,347.51 | $41,109.81 | $16,443.92 | 2026-05-06 | MRF ↗ |
| KARMANOS CANCER CENTER | Bsbs Bcn | — | $9,535.31 | $26,629.46 | $13,314.73 | 2026-05-06 | MRF ↗ |
| KARMANOS CANCER CENTER | Bcbs Pha | — | $9,535.31 | $26,629.46 | $13,314.73 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Aetna Prisma Health | — | $9,660.48 | $27,601.38 | $17,940.90 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Aetna Prisma Health | — | $9,660.48 | $27,601.38 | $17,940.90 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Aetna Prisma Health | — | $9,660.48 | $27,601.38 | $17,940.90 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | Aetna Prisma Health | — | $9,660.48 | $27,601.38 | $17,941.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Aetna Prisma Health | — | $9,660.48 | $27,601.00 | $17,941.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | Aetna Prisma Health | — | $9,660.48 | $27,601.38 | $17,940.90 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Aetna Prisma Health | — | $9,660.48 | $27,601.38 | $17,940.90 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Aetna Prisma Health | — | $9,660.48 | $27,601.38 | $17,940.90 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Aetna Prisma Health | — | $9,660.48 | $27,601.38 | $17,940.90 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Aetna Prisma Health | — | $9,660.48 | $27,601.38 | $17,940.90 | 2026-05-28 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE MILAN HOSPITAL | Bluecare Tenncare All Plans | — | $9,723.97 | $41,109.81 | $16,443.92 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Bluecare Tenncare All Plans | — | $9,723.97 | $41,109.81 | $16,443.92 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Bluecare Tenncare All Plans | — | $9,723.97 | $41,109.81 | $16,443.92 | 2026-05-06 | MRF ↗ |
| KARMANOS CANCER CENTER | Mclaren Health | — | $10,081.91 | $26,629.46 | $13,314.73 | 2026-05-06 | MRF ↗ |
| Mclaren Thumb Region | Unitedhealthcare Comm Healthy Plan | — | $10,272.59 | $49,538.02 | $24,769.01 | 2026-05-06 | MRF ↗ |
| Mclaren Thumb Region | Priority Health Medicare | — | $10,272.59 | $49,538.02 | $24,769.01 | 2026-05-06 | MRF ↗ |
| Mclaren Thumb Region | Molina Healthcare Medicare | — | $10,272.59 | $49,538.02 | $24,769.01 | 2026-05-06 | MRF ↗ |
| Mclaren Thumb Region | Meridian Health Plan Of Michigan | — | $10,272.59 | $49,538.02 | $24,769.01 | 2026-05-06 | MRF ↗ |
| Mclaren Thumb Region | Meridian Health Plan Of Mi Medicare | — | $10,272.59 | $49,538.02 | $24,769.01 | 2026-05-06 | MRF ↗ |
| Mclaren Thumb Region | Aetna Medicare | — | $10,272.59 | $49,538.02 | $24,769.01 | 2026-05-06 | MRF ↗ |
| DYERSBURG REGIONAL MEDICAL CENTER | Bluecare Tenncare All Plans | — | $10,443.62 | $41,109.81 | $16,443.92 | 2026-05-06 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Unicare Medicaid | — | $11,066.32 | $27,601.38 | $19,320.97 | 2026-06-20 | MRF ↗ |
| DYERSBURG REGIONAL MEDICAL CENTER | Uhc-Optum Va-Ccn All Plans | — | $11,138.79 | $41,109.81 | $16,443.92 | 2026-05-06 | MRF ↗ |
| DYERSBURG REGIONAL MEDICAL CENTER | Humana Medicare Advantage All Plans | — | $11,138.79 | $41,109.81 | $16,443.92 | 2026-05-06 | MRF ↗ |
| DYERSBURG REGIONAL MEDICAL CENTER | Bcbs Blue Advantage All Plans | — | $11,138.79 | $41,109.81 | $16,443.92 | 2026-05-06 | MRF ↗ |
| DYERSBURG REGIONAL MEDICAL CENTER | Bluecare Plus Dsnp All Plans | — | $11,138.79 | $41,109.81 | $16,443.92 | 2026-05-06 | MRF ↗ |
| DYERSBURG REGIONAL MEDICAL CENTER | Aarp Uhc Medicare Advantage All Plans | — | $11,138.79 | $41,109.81 | $16,443.92 | 2026-05-06 | MRF ↗ |
| DYERSBURG REGIONAL MEDICAL CENTER | Uhc Community Plan Dual Complete Dsnp All Plans | — | $11,138.79 | $41,109.81 | $16,443.92 | 2026-05-06 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN | Mclaren Health | — | $11,391.80 | $30,089.28 | $15,044.64 | 2026-05-06 | MRF ↗ |
| JACKSON-MADISON COUNTY GENERAL HOSPITAL | Bluecare Tenncare All Plans | — | $11,421.32 | $41,109.81 | $16,443.92 | 2026-05-06 | MRF ↗ |
| DYERSBURG REGIONAL MEDICAL CENTER | Cigna Healthspring Medicare Advantage All Plans | — | $11,472.95 | $41,109.81 | $16,443.92 | 2026-05-06 | MRF ↗ |
| MCLAREN PORT HURON | Mclaren Health | — | $11,535.49 | $35,255.18 | $17,627.59 | 2026-05-06 | MRF ↗ |
| MCLAREN OAKLAND | Medicare - Humana | — | $11,605.46 | $35,015.67 | $17,507.83 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Bcbs Upstate Reedy (Greenville Co Only) | — | $11,647.78 | $27,601.00 | $17,941.00 | 2026-05-28 | MRF ↗ |
| DYERSBURG REGIONAL MEDICAL CENTER | Amerivantage Medicare Advantage All Plans | — | $11,695.72 | $41,109.81 | $16,443.92 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Humana Choicecare Medicare Advantage Ppo/Hmo/Pffs | — | $11,695.88 | $27,601.38 | $17,940.90 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | Aetna Medicare Prime Hmo | — | $11,718.88 | $27,601.38 | $17,940.90 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Humana Choicecare Medicare Advanatge Pffs | — | $11,725.61 | $27,601.38 | $17,940.90 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Humana Choicecare Medicare Advantage Pffs | — | $11,746.40 | $27,601.38 | $17,940.90 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Humana Gold Plus Medicare Advantage Hmo | — | $11,772.65 | $27,601.38 | $17,940.90 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | United Healthcare Medicare | — | $11,774.84 | $27,601.38 | $17,940.90 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | Humana Choicecare Medicare Advantage Pffs | — | $11,774.84 | $27,601.38 | $17,940.90 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | Aetna Medicare | — | $11,787.40 | $27,601.38 | $17,940.90 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Bcbs Medicare Advantage | — | $11,798.30 | $27,601.38 | $17,940.90 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | United Healthcare Medicare | — | $11,798.30 | $27,601.38 | $17,940.90 | 2026-05-28 | MRF ↗ |
| Mclaren Thumb Region | Amish Board | — | $11,813.47 | $49,538.02 | $24,769.01 | 2026-05-06 | MRF ↗ |
| MCLAREN GREATER LANSING | Ma - Medicare Humana | — | $11,831.72 | $42,105.10 | $21,052.55 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | Select Health Medicare | — | $11,847.45 | $27,601.38 | $17,940.90 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Aetna Medicare Prime Hmo | — | $11,916.29 | $27,601.38 | $17,940.90 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Bcbs Exchange | — | $12,006.60 | $27,601.00 | $17,941.00 | 2026-05-28 | MRF ↗ |
| VOLUNTEER COMMUNITY HOSPITAL | Humana Medicare Advantage All Plans | — | $12,098.84 | $41,109.81 | $16,443.92 | 2026-05-06 | MRF ↗ |
| VOLUNTEER COMMUNITY HOSPITAL | Bcbs Blue Advantage All Plans | — | $12,098.84 | $41,109.81 | $16,443.92 | 2026-05-06 | MRF ↗ |
| VOLUNTEER COMMUNITY HOSPITAL | Uhc Community Plan Dual Complete Dsnp All Plans | — | $12,098.84 | $41,109.81 | $16,443.92 | 2026-05-06 | MRF ↗ |
| VOLUNTEER COMMUNITY HOSPITAL | Uhc-Optum Va-Ccn All Plans | — | $12,098.84 | $41,109.81 | $16,443.92 | 2026-05-06 | MRF ↗ |
| VOLUNTEER COMMUNITY HOSPITAL | Aarp Uhc Medicare Advantage All Plans | — | $12,098.84 | $41,109.81 | $16,443.92 | 2026-05-06 | MRF ↗ |
| VOLUNTEER COMMUNITY HOSPITAL | Bluecare Plus Dsnp All Plans | — | $12,098.84 | $41,109.81 | $16,443.92 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | Wellcare Medicare | — | $12,121.16 | $27,601.38 | $17,940.90 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Aetna Medicare | — | $12,152.25 | $27,601.38 | $17,940.90 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Wellcare Medicare | — | $12,152.25 | $27,601.38 | $17,940.90 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | Medicare Nhc Advantage | — | $12,182.99 | $27,601.38 | $17,940.90 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | Select Health First Choice Vip | — | $12,192.52 | $27,601.38 | $17,940.90 | 2026-05-28 | MRF ↗ |
| MCLAREN PORT HURON | Medicare - Hmo | — | $12,203.74 | $35,255.18 | $17,627.59 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Select Health First Choice Vip | — | $12,280.67 | $27,601.38 | $17,940.90 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Allwell Medicare Advantage | — | $12,280.67 | $27,601.38 | $17,940.90 | 2026-05-28 | MRF ↗ |
| MCLAREN LAPEER REGION | Mhp - Hmo | — | $12,318.25 | $41,884.56 | $20,942.28 | 2026-05-06 | MRF ↗ |
| MCLAREN LAPEER REGION | Health Advantage - Ppo | — | $12,318.25 | $41,884.56 | $20,942.28 | 2026-05-06 | MRF ↗ |
| Perry Hospital | Humana Mcare | — | $12,340.08 | $45,962.89 | $27,765.19 | 2026-05-06 | MRF ↗ |
| Perry Hospital | Uhc Mcare | — | $12,340.08 | $45,962.89 | $27,765.19 | 2026-05-06 | MRF ↗ |
| MCLAREN PORT HURON | Mclaren Medicare Advantage | — | $12,344.09 | $35,255.18 | $17,627.59 | 2026-05-06 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN | Medicare Humana | — | $12,355.00 | $32,483.77 | $16,241.89 | 2026-05-06 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Pacificare Medicare Advantage Hmo | — | $12,377.30 | $27,601.38 | $19,320.97 | 2026-06-20 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Medicare Nhc Advantage | — | $12,388.22 | $27,601.38 | $17,940.90 | 2026-05-28 | MRF ↗ |
| MCLAREN PORT HURON | Medicare - Molina | — | $12,447.82 | $35,255.18 | $17,627.59 | 2026-05-06 | MRF ↗ |
| VOLUNTEER COMMUNITY HOSPITAL | Cigna Healthspring Medicare Advantage All Plans | — | $12,461.81 | $41,109.81 | $16,443.92 | 2026-05-06 | MRF ↗ |
| Perry Hospital | Aetna Mcare | — | $12,463.48 | $45,962.89 | $27,765.19 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Humana Choicecare Medicare Advantage Ppo/Hmo/Pffs | — | $12,485.66 | $27,601.38 | $17,940.90 | 2026-05-28 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Bcbs Medicare Advantage Hmo | — | $12,505.30 | $27,601.38 | $19,320.97 | 2026-06-20 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Humana Medicare Advantage Hmo | — | $12,505.30 | $27,601.38 | $19,320.97 | 2026-06-20 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Medicare | — | $12,505.30 | $27,601.38 | $19,320.97 | 2026-06-20 | MRF ↗ |
| KARMANOS CANCER CENTER | Medicare Humana | — | $12,522.78 | $26,629.46 | $13,314.73 | 2026-05-06 | MRF ↗ |
| Perry Hospital | Caresource Mcare | — | $12,586.89 | $45,962.89 | $27,765.19 | 2026-05-06 | MRF ↗ |
| MCLAREN BAY REGION | Medicare - Hmo | — | $12,600.84 | $41,176.69 | $20,588.35 | 2026-05-06 | MRF ↗ |
| Mclaren Bay Special Care | Medicare - Ppo | — | $12,600.84 | $41,176.69 | $20,588.35 | 2026-05-06 | MRF ↗ |
| Mclaren Bay Special Care | Medicare - Hmo | — | $12,600.84 | $41,176.69 | $20,588.35 | 2026-05-06 | MRF ↗ |
| MCLAREN BAY REGION | Medicare - Ppo | — | $12,600.84 | $41,176.69 | $20,588.35 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | Molina Dual Eligibles | — | $12,652.62 | $27,601.38 | $17,940.90 | 2026-05-28 | MRF ↗ |
| JACKSON-MADISON COUNTY GENERAL HOSPITAL | Uhc-Optum Va-Ccn All Plans | — | $12,658.85 | $41,109.81 | $16,443.92 | 2026-05-06 | MRF ↗ |
| JACKSON-MADISON COUNTY GENERAL HOSPITAL | Humana Medicare Advantage All Plans | — | $12,658.85 | $41,109.81 | $16,443.92 | 2026-05-06 | MRF ↗ |
| JACKSON-MADISON COUNTY GENERAL HOSPITAL | Aarp Uhc Medicare Advantage All Plans | — | $12,658.85 | $41,109.81 | $16,443.92 | 2026-05-06 | MRF ↗ |
| MCLAREN BAY REGION | Medicare - Molina | — | $12,693.57 | $41,176.69 | $20,588.35 | 2026-05-06 | MRF ↗ |
| Mclaren Bay Special Care | Medicare - Molina | — | $12,693.57 | $41,176.69 | $20,588.35 | 2026-05-06 | MRF ↗ |
| VOLUNTEER COMMUNITY HOSPITAL | Amerivantage Medicare Advantage All Plans | — | $12,703.78 | $41,109.81 | $16,443.92 | 2026-05-06 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Uhc Medicare Advantage Ppo | — | $12,727.86 | $27,601.38 | $19,320.97 | 2026-06-20 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Aetna Medicare | — | $12,727.86 | $27,601.38 | $19,320.97 | 2026-06-20 | MRF ↗ |
| MCLAREN MACOMB | Medicare - Molina | — | $12,741.22 | $44,302.24 | $22,151.12 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Bcbs Medicare Advantage | — | $12,789.30 | $27,601.38 | $17,940.90 | 2026-05-28 | MRF ↗ |
| Perry Hospital | Wellcare Mcare | — | $12,833.69 | $45,962.89 | $27,765.19 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Bcbs Exchange | — | $12,891.18 | $27,601.38 | $17,940.90 | 2026-05-28 | MRF ↗ |
| JACKSON-MADISON COUNTY GENERAL HOSPITAL | Uhc Community Plan Dual Complete Dsnp All Plans | — | $12,912.03 | $41,109.81 | $16,443.92 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Aetna Medicare Prime Hmo | — | $12,917.19 | $27,601.38 | $17,940.90 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Aetna Medicare | — | $12,973.93 | $27,601.38 | $17,940.90 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Wellcare Medicare | — | $12,973.93 | $27,601.38 | $17,940.90 | 2026-05-28 | MRF ↗ |
| MCLAREN MACOMB | Fidelis | — | $12,991.05 | $44,302.24 | $22,151.12 | 2026-05-06 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Uhc City Of Fort Worth | — | $13,000.25 | $27,601.38 | $19,320.97 | 2026-06-20 | MRF ↗ |
| JACKSON-MADISON COUNTY GENERAL HOSPITAL | Bcbs Blue Advantage All Plans | — | $13,038.62 | $41,109.81 | $16,443.92 | 2026-05-06 | MRF ↗ |
| JACKSON-MADISON COUNTY GENERAL HOSPITAL | Bluecare Plus Dsnp All Plans | — | $13,038.62 | $41,109.81 | $16,443.92 | 2026-05-06 | MRF ↗ |
| JACKSON-MADISON COUNTY GENERAL HOSPITAL | Cigna Healthspring Medicare Advantage All Plans | — | $13,038.62 | $41,109.81 | $16,443.92 | 2026-05-06 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Uhc Medicare Advantage Hmo | — | $13,046.06 | $27,601.38 | $19,320.97 | 2026-06-20 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Bcbs Medicare Advantage Ppo | — | $13,130.57 | $27,601.38 | $19,320.97 | 2026-06-20 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Humana Medicare Advantage Ppo | — | $13,130.57 | $27,601.38 | $19,320.97 | 2026-06-20 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Bcbs Medicare Advantage | — | $13,145.97 | $27,601.38 | $17,940.90 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Medicare Advantage Non Contracted | — | $13,145.97 | $27,601.38 | $17,940.90 | 2026-05-28 | MRF ↗ |
| EMORY HOUSTON HOSPITAL WARNER ROBINS | Humana Mcare | — | $13,191.75 | $43,226.64 | $29,681.44 | 2026-05-06 | MRF ↗ |
| EMORY HOUSTON HOSPITAL WARNER ROBINS | Uhc Mcare | — | $13,191.75 | $43,226.64 | $29,681.44 | 2026-05-06 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN | Medicare Hmo | — | $13,239.02 | $32,483.77 | $16,241.89 | 2026-05-06 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN | Medicare Ppo Blue | — | $13,239.02 | $32,483.77 | $16,241.89 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Aetna Whole Health Of Sc | — | $13,248.66 | $27,601.38 | $17,940.90 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Aetna Whole Health Of Sc | — | $13,248.66 | $27,601.38 | $17,940.90 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Aetna Whole Health Of Sc | — | $13,248.66 | $27,601.38 | $17,940.90 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Aetna Medicare Prime Hmo | — | $13,277.43 | $27,601.38 | $17,940.90 | 2026-05-28 | MRF ↗ |
| EMORY HOUSTON HOSPITAL WARNER ROBINS | Wellcare Ga | — | $13,277.73 | $43,226.64 | $29,681.44 | 2026-05-06 | MRF ↗ |
| EMORY HOUSTON HOSPITAL WARNER ROBINS | Tricare | — | $13,285.61 | $43,226.64 | $29,681.44 | 2026-05-06 | MRF ↗ |
| Perry Hospital | Tricare | — | $13,285.61 | $45,962.89 | $27,765.19 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | United Healthcare Medicare | — | $13,290.68 | $27,601.38 | $17,940.90 | 2026-05-28 | MRF ↗ |
| JACKSON-MADISON COUNTY GENERAL HOSPITAL | Amerivantage Medicare Advantage All Plans | — | $13,291.79 | $41,109.81 | $16,443.92 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Tricare Humana Military | — | $13,299.27 | $27,601.38 | $17,940.90 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Tricare | — | $13,299.27 | $27,601.38 | $17,940.90 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Allwell Medicare Advantage | — | $13,310.83 | $27,601.38 | $17,940.90 | 2026-05-28 | MRF ↗ |
| EMORY HOUSTON HOSPITAL WARNER ROBINS | Aetna Mcare | — | $13,323.67 | $43,226.64 | $29,681.44 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Tricare Humana Military | — | $13,369.05 | $27,601.00 | $17,941.00 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | Tricare | — | $13,369.05 | $27,601.38 | $17,941.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Tricare | — | $13,369.05 | $27,601.00 | $17,941.00 | 2026-05-28 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE MILAN HOSPITAL | Uhc-Optum Va-Ccn All Plans | — | $13,378.44 | $41,109.81 | $16,443.92 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE MILAN HOSPITAL | Humana Medicare Advantage All Plans | — | $13,378.44 | $41,109.81 | $16,443.92 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Tricare Humana Military | — | $13,382.53 | $27,601.38 | $17,940.90 | 2026-05-28 | MRF ↗ |
| MCLAREN OAKLAND | Oc Inmates Correct Care Solutions Llc | — | $13,397.03 | $35,015.67 | $17,507.83 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Aetna Medicare | — | $13,420.97 | $27,601.38 | $17,940.90 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Medicare Nhc Advantage | — | $13,428.77 | $27,601.38 | $17,940.90 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Tricare Humana Military | — | $13,454.40 | $27,601.38 | $17,940.90 | 2026-05-28 | MRF ↗ |
| EMORY HOUSTON HOSPITAL WARNER ROBINS | Caresource Mcare | — | $13,455.59 | $43,226.64 | $29,681.44 | 2026-05-06 | MRF ↗ |
| VAIL HEALTH HOSPITAL Inpatient | Bcbs Hmo Pathway Ip | — | $13,491.58 | $20,288.09 | $15,216.07 | 2026-05-13 | MRF ↗ |
| VAIL HEALTH HOSPITAL Inpatient | Bcbs Hmo Pathway Ip | — | $13,491.58 | $20,288.09 | $15,216.07 | 2026-05-22 | 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.