MS-DRG 492 — Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC (OTHER MS-DRG 492) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/MS-DRG 492?code_type=OTHER
MLA (9th ed.)
“LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC (OTHER MS-DRG 492) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/MS-DRG 492?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC (OTHER MS-DRG 492) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/MS-DRG 492?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $23,597–$44,799 (25th–75th percentile) across 32 hospitals · 134 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER MS-DRG 492 — 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 |
|---|---|---|---|---|---|---|---|
| PRISMA HEALTH BAPTIST PARKRIDGE | Bluechoice Medicaid | — | $1,697.47 | $67,420.69 | $43,823.45 | 2026-05-28 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Humana Medicare Advantage All Plans | — | $1,779.03 | $51,301.98 | $20,520.79 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Bluecare Plus Dsnp All Plans | — | $1,779.03 | $51,301.98 | $20,520.79 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Amerivantage Medicare Advantage All Plans | — | $1,779.03 | $51,301.98 | $20,520.79 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Uhc-Optum Va-Ccn All Plans | — | $1,779.03 | $51,301.98 | $20,520.79 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Uhc Community Plan Dual Complete Dsnp All Plans | — | $1,779.03 | $51,301.98 | $20,520.79 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Bcbs Blue Advantage All Plans | — | $1,779.03 | $51,301.98 | $20,520.79 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Cigna Healthspring Medicare Advantage All Plans | — | $1,832.40 | $51,301.98 | $20,520.79 | 2026-05-06 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER | Healthfirst Medicare | — | $1,960.00 | $71,031.93 | — | 2026-05-28 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Humana Medicare Advantage All Plans | — | $2,327.61 | $51,301.98 | $20,520.79 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Bluecare Plus Dsnp All Plans | — | $2,327.61 | $51,301.98 | $20,520.79 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Amerivantage Medicare Advantage All Plans | — | $2,327.61 | $51,301.98 | $20,520.79 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Uhc Community Plan Dual Complete Dsnp All Plans | — | $2,327.61 | $51,301.98 | $20,520.79 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Uhc-Optum Va-Ccn All Plans | — | $2,327.61 | $51,301.98 | $20,520.79 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Bcbs Blue Advantage All Plans | — | $2,327.61 | $51,301.98 | $20,520.79 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Cigna Healthspring Medicare Advantage All Plans | — | $2,397.44 | $51,301.98 | $20,520.79 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Ambetter Of Tn All Plans | — | $2,757.50 | $51,301.98 | $20,520.79 | 2026-05-06 | MRF ↗ |
| Prisma Health North Greenville Ltach | Select Health Medicare | — | $3,339.83 | $67,420.69 | $43,823.00 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | Select Health First Choice Vip | — | $3,339.83 | $67,420.69 | $43,823.00 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | Molina Dual Eligibles | — | $3,339.83 | $67,420.69 | $43,823.00 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | Aetna Medicare | — | $3,339.83 | $67,420.69 | $43,823.00 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | Humana Choicecare Medicare Advantage Pffs | — | $3,357.85 | $67,420.69 | $43,823.00 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | Medicare Advantage Non Contracted | — | $3,357.85 | $67,420.69 | $43,823.00 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | United Healthcare Medicare | — | $3,357.85 | $67,420.69 | $43,823.00 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | Ambetter-Atc Exchange | — | $3,357.85 | $67,420.69 | $43,823.00 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | Medicare Nhc Advantage | — | $3,357.85 | $67,420.69 | $43,823.00 | 2026-05-28 | MRF ↗ |
| MCLAREN PORT HURON | Champva | — | $3,451.72 | $56,685.29 | $28,342.64 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Bcbs Upstate Reedy (Greenville Co Only) | — | $3,541.00 | $67,420.69 | $43,823.45 | 2026-05-28 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Ambetter Of Tn All Plans | — | $3,607.80 | $51,301.98 | $20,520.79 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Bcbs Exchange | — | $3,647.00 | $67,420.69 | $43,823.45 | 2026-05-28 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER | Local 1199 | — | $5,118.38 | $71,031.93 | — | 2026-05-28 | MRF ↗ |
| MCLAREN BAY REGION | Mclaren Health Plan | — | $10,325.44 | $46,856.93 | $23,428.47 | 2026-05-06 | MRF ↗ |
| Mclaren Bay Special Care | Mclaren Health Plan | — | $10,325.44 | $46,856.93 | $23,428.47 | 2026-05-06 | MRF ↗ |
| VOLUNTEER COMMUNITY HOSPITAL | Bluecare Tenncare All Plans | — | $10,959.12 | $51,301.98 | $20,520.79 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE MILAN HOSPITAL | Bluecare Tenncare All Plans | — | $11,415.06 | $51,301.98 | $20,520.79 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Bluecare Tenncare All Plans | — | $11,415.06 | $51,301.98 | $20,520.79 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Bluecare Tenncare All Plans | — | $11,415.06 | $51,301.98 | $20,520.79 | 2026-05-06 | MRF ↗ |
| DYERSBURG REGIONAL MEDICAL CENTER | Bluecare Tenncare All Plans | — | $12,259.87 | $51,301.98 | $20,520.79 | 2026-05-06 | MRF ↗ |
| JACKSON-MADISON COUNTY GENERAL HOSPITAL | Bluecare Tenncare All Plans | — | $13,407.60 | $51,301.98 | $20,520.79 | 2026-05-06 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN | Mclaren Health | — | $14,209.28 | $32,220.60 | $16,110.30 | 2026-05-06 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Unicare Medicaid | — | $14,588.34 | $67,420.69 | $47,194.48 | 2026-06-20 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Bcbs Exchange | — | $15,727.94 | $67,420.69 | $43,823.45 | 2026-05-28 | MRF ↗ |
| MCLAREN BAY REGION | Health Advantage - Commercial | — | $16,423.35 | $46,856.93 | $23,428.47 | 2026-05-06 | MRF ↗ |
| Mclaren Bay Special Care | Health Advantage - Commercial | — | $16,423.35 | $46,856.93 | $23,428.47 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE CAMDEN HOSPITAL | Uhc Community Plan Tenncare All Plans | — | $17,063.54 | $51,301.98 | $20,520.79 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE MILAN HOSPITAL | Uhc Community Plan Tenncare All Plans | — | $17,063.54 | $51,301.98 | $20,520.79 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | Uhc Community Plan Tenncare All Plans | — | $17,063.54 | $51,301.98 | $20,520.79 | 2026-05-06 | MRF ↗ |
| JACKSON-MADISON COUNTY GENERAL HOSPITAL | Uhc Community Plan Tenncare All Plans | — | $17,063.54 | $51,301.98 | $20,520.79 | 2026-05-06 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN | Priority Health | — | $17,115.58 | $32,220.60 | $16,110.30 | 2026-05-06 | MRF ↗ |
| MCLAREN LAPEER REGION | Health Advantage - Ppo | — | $17,121.10 | $58,215.23 | $29,107.61 | 2026-05-06 | MRF ↗ |
| MCLAREN LAPEER REGION | Mhp - Hmo | — | $17,121.10 | $58,215.23 | $29,107.61 | 2026-05-06 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN | Mclaren Health | — | $18,326.81 | $48,406.79 | $24,203.40 | 2026-05-06 | MRF ↗ |
| MCLAREN PORT HURON | Mclaren Health | — | $18,547.43 | $56,685.29 | $28,342.64 | 2026-05-06 | MRF ↗ |
| Mclaren Thumb Region | Unitedhealthcare Comm Healthy Plan | — | $18,752.24 | $52,612.00 | $26,306.00 | 2026-05-06 | MRF ↗ |
| Mclaren Thumb Region | Meridian Health Plan Of Michigan | — | $18,752.24 | $52,612.00 | $26,306.00 | 2026-05-06 | MRF ↗ |
| Mclaren Thumb Region | Molina Healthcare Medicare | — | $18,752.24 | $52,612.00 | $26,306.00 | 2026-05-06 | MRF ↗ |
| Mclaren Thumb Region | Priority Health Medicare | — | $18,752.24 | $52,612.00 | $26,306.00 | 2026-05-06 | MRF ↗ |
| Mclaren Thumb Region | Meridian Health Plan Of Mi Medicare | — | $18,752.24 | $52,612.00 | $26,306.00 | 2026-05-06 | MRF ↗ |
| Mclaren Thumb Region | Aetna Medicare | — | $18,752.24 | $52,612.00 | $26,306.00 | 2026-05-06 | MRF ↗ |
| Mclaren Bay Special Care | Hp - Hmo | — | $19,225.40 | $46,856.93 | $23,428.47 | 2026-05-06 | MRF ↗ |
| MCLAREN BAY REGION | Hp - Hmo | — | $19,225.40 | $46,856.93 | $23,428.47 | 2026-05-06 | MRF ↗ |
| EMORY HOUSTON HOSPITAL WARNER ROBINS | Wellcare Ga | — | $19,457.59 | $79,002.39 | $51,720.00 | 2026-05-06 | MRF ↗ |
| MCLAREN GREATER LANSING | Com Mclaren Commercial Ins | — | $19,645.31 | $49,150.14 | $24,575.07 | 2026-05-06 | MRF ↗ |
| Perry Hospital | Wellcare Of Ga | — | $19,792.47 | $90,504.29 | $48,009.17 | 2026-05-06 | MRF ↗ |
| EMORY HOUSTON HOSPITAL WARNER ROBINS | Amerigroup | — | $19,839.11 | $79,002.39 | $51,720.00 | 2026-05-06 | MRF ↗ |
| DYERSBURG REGIONAL MEDICAL CENTER | Aarp Uhc Medicare Advantage All Plans | — | $19,930.03 | $51,301.98 | $20,520.79 | 2026-05-06 | MRF ↗ |
| DYERSBURG REGIONAL MEDICAL CENTER | Bcbs Blue Advantage All Plans | — | $19,930.03 | $51,301.98 | $20,520.79 | 2026-05-06 | MRF ↗ |
| DYERSBURG REGIONAL MEDICAL CENTER | Humana Medicare Advantage All Plans | — | $19,930.03 | $51,301.98 | $20,520.79 | 2026-05-06 | MRF ↗ |
| DYERSBURG REGIONAL MEDICAL CENTER | Uhc-Optum Va-Ccn All Plans | — | $19,930.03 | $51,301.98 | $20,520.79 | 2026-05-06 | MRF ↗ |
| DYERSBURG REGIONAL MEDICAL CENTER | Bluecare Plus Dsnp All Plans | — | $19,930.03 | $51,301.98 | $20,520.79 | 2026-05-06 | MRF ↗ |
| DYERSBURG REGIONAL MEDICAL CENTER | Uhc Community Plan Dual Complete Dsnp All Plans | — | $19,930.03 | $51,301.98 | $20,520.79 | 2026-05-06 | MRF ↗ |
| MCLAREN LAPEER REGION | Hap - Hmo | — | $20,014.39 | $58,215.23 | $29,107.61 | 2026-05-06 | MRF ↗ |
| EMORY HOUSTON HOSPITAL WARNER ROBINS | Peach State Hp | — | $20,033.46 | $79,002.39 | $51,720.00 | 2026-05-06 | MRF ↗ |
| MCLAREN GREATER LANSING | Com Php | — | $20,033.60 | $49,150.14 | $24,575.07 | 2026-05-06 | MRF ↗ |
| Perry Hospital | Amerigroup | — | $20,180.55 | $90,504.29 | $48,009.17 | 2026-05-06 | MRF ↗ |
| Perry Hospital | Peach State Health Plan | — | $20,378.24 | $90,504.29 | $48,009.17 | 2026-05-06 | MRF ↗ |
| EMORY HOUSTON HOSPITAL WARNER ROBINS | Caresource | — | $20,411.40 | $79,002.39 | $51,720.00 | 2026-05-06 | MRF ↗ |
| DYERSBURG REGIONAL MEDICAL CENTER | Cigna Healthspring Medicare Advantage All Plans | — | $20,527.93 | $51,301.98 | $20,520.79 | 2026-05-06 | MRF ↗ |
| Perry Hospital | Caresource | — | $20,762.69 | $90,504.29 | $48,009.17 | 2026-05-06 | MRF ↗ |
| DYERSBURG REGIONAL MEDICAL CENTER | Amerivantage Medicare Advantage All Plans | — | $20,926.53 | $51,301.98 | $20,520.79 | 2026-05-06 | MRF ↗ |
| MCLAREN OAKLAND | Medicare - Humana | — | $21,185.35 | $94,240.90 | $47,120.45 | 2026-05-06 | MRF ↗ |
| Perry Hospital | Humana Mcare | — | $21,337.41 | $90,504.29 | $48,009.17 | 2026-05-06 | MRF ↗ |
| Perry Hospital | Uhc Mcare | — | $21,337.41 | $90,504.29 | $48,009.17 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Humana Choicecare Medicare Advantage Ppo/Hmo/Pffs | — | $21,344.14 | $67,420.69 | $43,823.45 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | Aetna Medicare Prime Hmo | — | $21,398.99 | $67,420.69 | $43,823.45 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Humana Choicecare Medicare Advanatge Pffs | — | $21,411.29 | $67,420.69 | $43,823.45 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Humana Choicecare Medicare Advantage Pffs | — | $21,449.24 | $67,420.69 | $43,823.45 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Humana Gold Plus Medicare Advantage Hmo | — | $21,483.82 | $67,420.69 | $43,823.45 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | United Healthcare Medicare | — | $21,501.18 | $67,420.69 | $43,823.45 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | Humana Choicecare Medicare Advantage Pffs | — | $21,501.18 | $67,420.69 | $43,823.45 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | Aetna Medicare | — | $21,510.88 | $67,420.69 | $43,823.45 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | United Healthcare Medicare | — | $21,544.02 | $67,420.69 | $43,823.45 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Bcbs Medicare Advantage | — | $21,544.02 | $67,420.69 | $43,823.45 | 2026-05-28 | MRF ↗ |
| Perry Hospital | Aetna Mcare | — | $21,550.78 | $90,504.29 | $48,009.17 | 2026-05-06 | MRF ↗ |
| Mclaren Thumb Region | Amish Board | — | $21,565.08 | $52,612.00 | $26,306.00 | 2026-05-06 | MRF ↗ |
| MCLAREN GREATER LANSING | Ma - Medicare Humana | — | $21,598.39 | $49,150.14 | $24,575.07 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | Select Health Medicare | — | $21,620.52 | $67,420.69 | $43,823.45 | 2026-05-28 | MRF ↗ |
| MCLAREN BAY REGION | Hap - Hmo | — | $21,647.90 | $46,856.93 | $23,428.47 | 2026-05-06 | MRF ↗ |
| Mclaren Bay Special Care | Hap - Hmo | — | $21,647.90 | $46,856.93 | $23,428.47 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Aetna Medicare Prime Hmo | — | $21,759.45 | $67,420.69 | $43,823.45 | 2026-05-28 | MRF ↗ |
| Perry Hospital | Caresource Mcare | — | $21,764.16 | $90,504.29 | $48,009.17 | 2026-05-06 | MRF ↗ |
| MCLAREN FLINT | Health Advantage - Ppo | — | $21,956.66 | $68,336.94 | $34,168.47 | 2026-05-06 | MRF ↗ |
| VOLUNTEER COMMUNITY HOSPITAL | Bluecare Plus Dsnp All Plans | — | $21,956.77 | $51,301.98 | $20,520.79 | 2026-05-06 | MRF ↗ |
| VOLUNTEER COMMUNITY HOSPITAL | Uhc-Optum Va-Ccn All Plans | — | $21,956.77 | $51,301.98 | $20,520.79 | 2026-05-06 | MRF ↗ |
| VOLUNTEER COMMUNITY HOSPITAL | Aarp Uhc Medicare Advantage All Plans | — | $21,956.77 | $51,301.98 | $20,520.79 | 2026-05-06 | MRF ↗ |
| VOLUNTEER COMMUNITY HOSPITAL | Bcbs Blue Advantage All Plans | — | $21,956.77 | $51,301.98 | $20,520.79 | 2026-05-06 | MRF ↗ |
| VOLUNTEER COMMUNITY HOSPITAL | Humana Medicare Advantage All Plans | — | $21,956.77 | $51,301.98 | $20,520.79 | 2026-05-06 | MRF ↗ |
| VOLUNTEER COMMUNITY HOSPITAL | Uhc Community Plan Dual Complete Dsnp All Plans | — | $21,956.77 | $51,301.98 | $20,520.79 | 2026-05-06 | MRF ↗ |
| MCLAREN PORT HURON | Medicare - Hmo | — | $22,118.76 | $56,685.29 | $28,342.64 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | Wellcare Medicare | — | $22,133.57 | $67,420.69 | $43,823.45 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Wellcare Medicare | — | $22,190.34 | $67,420.69 | $43,823.45 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Aetna Medicare | — | $22,190.34 | $67,420.69 | $43,823.45 | 2026-05-28 | MRF ↗ |
| Perry Hospital | Wellcare Mcare | — | $22,190.91 | $90,504.29 | $48,009.17 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | Medicare Nhc Advantage | — | $22,246.48 | $67,420.69 | $43,823.45 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | Select Health First Choice Vip | — | $22,250.25 | $67,420.69 | $43,823.45 | 2026-05-28 | MRF ↗ |
| MCLAREN PORT HURON | Mclaren Medicare Advantage | — | $22,373.13 | $56,685.29 | $28,342.64 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Select Health First Choice Vip | — | $22,411.35 | $67,420.69 | $43,823.45 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Allwell Medicare Advantage | — | $22,411.35 | $67,420.69 | $43,823.45 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Bcbs Medicare Advantage | — | $22,502.73 | $67,420.69 | $43,823.45 | 2026-05-28 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN | Medicare Humana | — | $22,553.62 | $32,220.60 | $16,110.30 | 2026-05-06 | MRF ↗ |
| MCLAREN PORT HURON | Medicare - Molina | — | $22,561.13 | $56,685.29 | $28,342.64 | 2026-05-06 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Pacificare Medicare Advantage Hmo | — | $22,567.12 | $67,420.69 | $47,194.48 | 2026-06-20 | MRF ↗ |
| VOLUNTEER COMMUNITY HOSPITAL | Cigna Healthspring Medicare Advantage All Plans | — | $22,615.47 | $51,301.98 | $20,520.79 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Medicare Nhc Advantage | — | $22,621.22 | $67,420.69 | $43,823.45 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Aetna Medicare Prime Hmo | — | $22,727.76 | $67,420.69 | $43,823.45 | 2026-05-28 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Medicare | — | $22,774.13 | $67,420.69 | $47,194.48 | 2026-06-20 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Bcbs Medicare Advantage Hmo | — | $22,774.13 | $67,420.69 | $47,194.48 | 2026-06-20 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Humana Medicare Advantage Hmo | — | $22,774.13 | $67,420.69 | $47,194.48 | 2026-06-20 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Humana Choicecare Medicare Advantage Ppo/Hmo/Pffs | — | $22,786.31 | $67,420.69 | $43,823.45 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Medicare Advantage Non Contracted | — | $22,844.20 | $67,420.69 | $43,823.45 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Bcbs Medicare Advantage | — | $22,844.20 | $67,420.69 | $43,823.45 | 2026-05-28 | MRF ↗ |
| MCLAREN BAY REGION | Medicare - Hmo | — | $22,876.62 | $46,856.93 | $23,428.47 | 2026-05-06 | MRF ↗ |
| MCLAREN BAY REGION | Medicare - Ppo | — | $22,876.62 | $46,856.93 | $23,428.47 | 2026-05-06 | MRF ↗ |
| Mclaren Bay Special Care | Medicare - Hmo | — | $22,876.62 | $46,856.93 | $23,428.47 | 2026-05-06 | MRF ↗ |
| Mclaren Bay Special Care | Medicare - Ppo | — | $22,876.62 | $46,856.93 | $23,428.47 | 2026-05-06 | MRF ↗ |
| EMORY HOUSTON HOSPITAL WARNER ROBINS | Humana Mcare | — | $22,986.67 | $79,002.39 | $51,720.00 | 2026-05-06 | MRF ↗ |
| EMORY HOUSTON HOSPITAL WARNER ROBINS | Uhc Mcare | — | $22,986.67 | $79,002.39 | $51,720.00 | 2026-05-06 | MRF ↗ |
| MCLAREN MACOMB | Medicare - Molina | — | $23,031.37 | $84,572.53 | $42,286.26 | 2026-05-06 | MRF ↗ |
| Mclaren Bay Special Care | Medicare - Molina | — | $23,043.36 | $46,856.93 | $23,428.47 | 2026-05-06 | MRF ↗ |
| MCLAREN BAY REGION | Medicare - Molina | — | $23,043.36 | $46,856.93 | $23,428.47 | 2026-05-06 | MRF ↗ |
| VOLUNTEER COMMUNITY HOSPITAL | Amerivantage Medicare Advantage All Plans | — | $23,054.61 | $51,301.98 | $20,520.79 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Aetna Medicare Prime Hmo | — | $23,072.65 | $67,420.69 | $43,823.45 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | United Healthcare Medicare | — | $23,083.95 | $67,420.69 | $43,823.45 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | Molina Dual Eligibles | — | $23,089.88 | $67,420.69 | $43,823.45 | 2026-05-28 | MRF ↗ |
| JACKSON-MADISON COUNTY GENERAL HOSPITAL | Uhc-Optum Va-Ccn All Plans | — | $23,108.28 | $51,301.98 | $20,520.79 | 2026-05-06 | MRF ↗ |
| JACKSON-MADISON COUNTY GENERAL HOSPITAL | Aarp Uhc Medicare Advantage All Plans | — | $23,108.28 | $51,301.98 | $20,520.79 | 2026-05-06 | MRF ↗ |
| JACKSON-MADISON COUNTY GENERAL HOSPITAL | Humana Medicare Advantage All Plans | — | $23,108.28 | $51,301.98 | $20,520.79 | 2026-05-06 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Uhc Medicare Advantage Ppo | — | $23,206.26 | $67,420.69 | $47,194.48 | 2026-06-20 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Aetna Medicare | — | $23,206.26 | $67,420.69 | $47,194.48 | 2026-06-20 | MRF ↗ |
| EMORY HOUSTON HOSPITAL WARNER ROBINS | Aetna Mcare | — | $23,216.53 | $79,002.39 | $51,720.00 | 2026-05-06 | MRF ↗ |
| MCLAREN LAPEER REGION | Hap Preferred | — | $23,297.73 | $58,215.23 | $29,107.61 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Aetna Medicare | — | $23,310.25 | $67,420.69 | $43,823.45 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Allwell Medicare Advantage | — | $23,407.92 | $67,420.69 | $43,823.45 | 2026-05-28 | MRF ↗ |
| EMORY HOUSTON HOSPITAL WARNER ROBINS | Caresource Mcare | — | $23,446.40 | $79,002.39 | $51,720.00 | 2026-05-06 | MRF ↗ |
| MCLAREN MACOMB | Fidelis | — | $23,482.97 | $84,572.53 | $42,286.26 | 2026-05-06 | MRF ↗ |
| JACKSON-MADISON COUNTY GENERAL HOSPITAL | Uhc Community Plan Dual Complete Dsnp All Plans | — | $23,570.45 | $51,301.98 | $20,520.79 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Aetna Prisma Health | — | $23,597.24 | $67,420.69 | $43,823.45 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Aetna Prisma Health | — | $23,597.24 | $67,420.69 | $43,823.45 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Aetna Prisma Health | — | $23,597.24 | $67,420.69 | $43,823.45 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Aetna Prisma Health | — | $23,597.24 | $67,420.69 | $43,823.45 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | Aetna Prisma Health | — | $23,597.24 | $67,420.69 | $43,823.45 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Aetna Prisma Health | — | $23,597.24 | $67,420.69 | $43,823.45 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Aetna Prisma Health | — | $23,597.24 | $67,420.69 | $43,823.45 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Aetna Prisma Health | — | $23,597.24 | $67,421.00 | $43,823.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Aetna Prisma Health | — | $23,597.24 | $67,420.69 | $43,823.45 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | Aetna Prisma Health | — | $23,597.24 | $67,420.69 | $43,823.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Medicare Nhc Advantage | — | $23,627.86 | $67,420.69 | $43,823.45 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Wellcare Medicare | — | $23,690.79 | $67,420.69 | $43,823.45 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Aetna Medicare | — | $23,690.79 | $67,420.69 | $43,823.45 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Molina Dual Eligibles | — | $23,762.89 | $67,420.69 | $43,823.45 | 2026-05-28 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN | Medicare Hmo | — | $23,770.47 | $32,220.60 | $16,110.30 | 2026-05-06 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN | Medicare Ppo Blue | — | $23,770.47 | $32,220.60 | $16,110.30 | 2026-05-06 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Uhc Medicare Advantage Hmo | — | $23,786.42 | $67,420.69 | $47,194.48 | 2026-06-20 | MRF ↗ |
| JACKSON-MADISON COUNTY GENERAL HOSPITAL | Bcbs Blue Advantage All Plans | — | $23,801.53 | $51,301.98 | $20,520.79 | 2026-05-06 | MRF ↗ |
| JACKSON-MADISON COUNTY GENERAL HOSPITAL | Bluecare Plus Dsnp All Plans | — | $23,801.53 | $51,301.98 | $20,520.79 | 2026-05-06 | MRF ↗ |
| JACKSON-MADISON COUNTY GENERAL HOSPITAL | Cigna Healthspring Medicare Advantage All Plans | — | $23,801.53 | $51,301.98 | $20,520.79 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Humana Choicecare Medicare Advantage Ppo/Hmo/Pffs | — | $23,814.31 | $67,420.69 | $43,823.45 | 2026-05-28 | MRF ↗ |
| MCLAREN OAKLAND | Oc Inmates Correct Care Solutions Llc | — | $23,880.26 | $94,240.90 | $47,120.45 | 2026-05-06 | MRF ↗ |
| EMORY HOUSTON HOSPITAL WARNER ROBINS | Wellcare Mcare | — | $23,906.13 | $79,002.39 | $51,720.00 | 2026-05-06 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Bcbs Medicare Advantage Ppo | — | $23,912.84 | $67,420.69 | $47,194.48 | 2026-06-20 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Humana Medicare Advantage Ppo | — | $23,912.84 | $67,420.69 | $47,194.48 | 2026-06-20 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | Bcbs Upstate Reedy (Greenville Co Only) | — | $23,945.16 | $67,420.69 | $43,823.45 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Medicare Nhc Advantage | — | $23,986.40 | $67,420.69 | $43,823.45 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Bcbs Medicare Advantage | — | $24,039.14 | $67,420.69 | $43,823.45 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | United Healthcare Medicare | — | $24,039.14 | $67,420.69 | $43,823.45 | 2026-05-28 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN | Cofinity | — | $24,165.45 | $32,220.60 | $16,110.30 | 2026-05-06 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN | Uhc Ppo | — | $24,165.45 | $32,220.60 | $16,110.30 | 2026-05-06 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN | Cofinity Aetna | — | $24,165.45 | $32,220.60 | $16,110.30 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bcbs Upstate Reedy (Greenville Co Only) | — | $24,262.39 | $67,420.69 | $43,823.45 | 2026-05-28 | MRF ↗ |
| JACKSON-MADISON COUNTY GENERAL HOSPITAL | Amerivantage Medicare Advantage All Plans | — | $24,263.70 | $51,301.98 | $20,520.79 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Aetna Medicare Prime Hmo | — | $24,279.53 | $67,420.69 | $43,823.45 | 2026-05-28 | MRF ↗ |
| MCLAREN OAKLAND | Medicare - Molina | — | $24,357.87 | $94,240.90 | $47,120.45 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE MILAN HOSPITAL | Uhc-Optum Va-Ccn All Plans | — | $24,421.86 | $51,301.98 | $20,520.79 | 2026-05-06 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE MILAN HOSPITAL | Humana Medicare Advantage All Plans | — | $24,421.86 | $51,301.98 | $20,520.79 | 2026-05-06 | MRF ↗ |
| MCLAREN PORT HURON | Hap Hmo | — | $24,510.72 | $56,685.29 | $28,342.64 | 2026-05-06 | MRF ↗ |
| MCLAREN FLINT | Medicare - Molina | — | $24,552.30 | $68,336.94 | $34,168.47 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Aetna Medicare | — | $24,563.83 | $67,420.69 | $43,823.45 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | Bcbs Exchange | — | $24,663.50 | $67,420.69 | $43,823.45 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | Wellcare Medicare | — | $24,760.32 | $67,420.69 | $43,823.45 | 2026-05-28 | MRF ↗ |
| WEST TENNESSEE HEALTHCARE MILAN HOSPITAL | Uhc Community Plan Dual Complete Dsnp All Plans | — | $24,910.30 | $51,301.98 | $20,520.79 | 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.