5833 — Neonate With Ecmo
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). NEONATE WITH ECMO (APR_DRG 5833) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/5833?code_type=APR_DRG
MLA (9th ed.)
“NEONATE WITH ECMO (APR_DRG 5833) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/5833?code_type=APR_DRG. Accessed .
Chicago (notes-bibliography)
“NEONATE WITH ECMO (APR_DRG 5833) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/5833?code_type=APR_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $168,323–$337,154 (25th–75th percentile) across 712 hospitals · 432 payers.
“Negotiated” is the hospital’s negotiated facility rate for this APR_DRG 5833 — 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 |
|---|---|---|---|---|---|---|---|
| LOMA LINDA UNIVERSITY MEDICAL CENTER-MURRIETA InpatientFacility | Inland Empire Health Plan (IEHP) | Medi-Cal | $30.17 | — | — | 2026-02-19 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Parkland | Medicaid | $64.31 | — | — | 2026-04-15 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Molina | CHIP/Medicaid | $64.31 | — | — | 2026-04-15 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Amerigroup | CHIP/Medicaid | $64.31 | — | — | 2026-04-15 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Cigna | Medicaid | $64.31 | — | — | 2026-04-15 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Superior Health Plan | CHIP/Medicaid | $64.31 | — | — | 2026-04-15 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | Superior Health Plan | CHIP | $1,139.00 | — | — | 2024-10-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | Superior Health Plan | STAR | $1,139.00 | — | — | 2024-10-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | Superior Health Plan | STARKids | $1,139.00 | — | — | 2024-10-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | Superior Health Plan | STARPLUS | $1,139.00 | — | — | 2024-10-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | Superior Health Plan | CHPFC | $1,139.00 | — | — | 2024-10-01 | MRF ↗ |
| MONTEFIORE ST LUKE'S CORNWALL Inpatient | Anthem | Exchange | $18,328.05 | — | — | 2026-04-01 | MRF ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC InpatientFacility | MDWise | Medicaid | $53,948.61 | — | — | 2026-02-18 | MRF ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC InpatientFacility | Managed Health Services | Medicaid | $53,948.61 | — | — | 2026-02-18 | MRF ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC InpatientFacility | CareSource Indiana of IN | Hoosier Healthwise/HIP | $53,948.61 | — | — | 2026-02-18 | MRF ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC InpatientFacility | Anthem Blue Cross of IN | Medicaid | $53,948.61 | — | — | 2026-02-18 | MRF ↗ |
| REID HEALTH InpatientFacility | Anthem Blue Cross Blue Shield | Managed Medicaid | $53,956.72 | — | — | 2025-07-21 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Managed Health Services (MHS) Hoosier Healthwise (HHW) | Managed Medicaid | $53,956.72 | — | — | 2025-04-24 | MRF ↗ |
| REID HEALTH InpatientFacility | MDWise | Managed Medicaid | $53,956.72 | — | — | 2025-07-21 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Humana | Managed Medicaid | $53,956.72 | — | — | 2025-04-24 | MRF ↗ |
| REID HEALTH InpatientFacility | Anthem Blue Cross Blue Shield | Pathways for Aging/Managed Medicaid | $53,956.72 | — | — | 2025-07-21 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Anthem Blue Cross Blue Shield | Managed Medicaid | $53,956.72 | — | — | 2025-04-24 | MRF ↗ |
| REID HEALTH InpatientFacility | Humana of Indiana | Pathways for Aging/Managed Medicaid | $53,956.72 | — | — | 2025-07-21 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | Managed Health Services (MHS) | Managed Medicaid | $53,956.72 | — | — | 2025-03-27 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | CareSource Indiana Healthy Indiana Plan (HIP) | Managed Medicaid | $53,956.72 | — | — | 2025-03-27 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Managed Health Services (MHS) Hoosier Care Connect | Managed Medicaid | $53,956.72 | — | — | 2025-04-24 | MRF ↗ |
| REID HEALTH InpatientFacility | MHS | Managed Medicaid | $53,956.72 | — | — | 2025-07-21 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | CareSource Indiana Healthy Indiana Plan (HIP) | Managed Medicaid | $53,956.72 | — | — | 2025-04-24 | MRF ↗ |
| REID HEALTH InpatientFacility | Caresource of Indiana | Managed Medicaid | $53,956.72 | — | — | 2025-07-21 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | Managed Health Services (MHS) Hoosier Care Connect | Managed Medicaid | $53,956.72 | — | — | 2025-03-27 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | United Healthcare of Indiana | Managed Medicaid | $53,956.72 | — | — | 2025-03-27 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | CareSource Indiana Hoosier Healthwise (HHW) | Managed Medicaid | $54,496.29 | — | — | 2025-03-27 | MRF ↗ |
| REID HEALTH InpatientFacility | United Healthcare | Pathways for Aging/Managed Medicaid | $55,035.93 | — | — | 2025-07-21 | MRF ↗ |
| REID HEALTH InpatientFacility | United Healthcare | Managed Medicaid | $55,035.93 | — | — | 2025-07-21 | MRF ↗ |
| MONROE HOSPITAL Inpatient | United Healthcare | UHC Medicaid CHIP - Hoosier Care | $55,497.10 | — | — | 2024-12-19 | MRF ↗ |
| MONROE HOSPITAL Inpatient | BCBS | BCBS Medicaid - Hoosier Healthwise | $55,497.10 | — | — | 2024-12-19 | MRF ↗ |
| MONROE HOSPITAL Inpatient | Non-Contracted Medicaid | Non-Contracted Medicaid | $55,497.10 | — | — | 2024-12-19 | MRF ↗ |
| MONROE HOSPITAL Inpatient | Traditional Medicaid | Traditional Medicaid | $55,497.10 | — | — | 2024-12-19 | MRF ↗ |
| MONROE HOSPITAL Inpatient | Care Source | Care Source Medicaid - Hoosier Healthwise | $55,497.10 | — | — | 2024-12-19 | MRF ↗ |
| MONROE HOSPITAL Inpatient | Care Source | Care Source Medicaid - Healthy Indiana Plan - HIP | $55,497.10 | — | — | 2024-12-19 | MRF ↗ |
| MONROE HOSPITAL Inpatient | Care Source | Care Source Medicaid - Hoosier Healthwise | $55,497.13 | — | — | 2026-03-17 | MRF ↗ |
| MONROE HOSPITAL Inpatient | Care Source | Care Source Medicaid - Healthy Indiana Plan - HIP | $55,497.13 | — | — | 2026-03-17 | MRF ↗ |
| MONROE HOSPITAL Inpatient | Traditional Medicaid | Traditional Medicaid | $55,497.13 | — | — | 2026-03-17 | MRF ↗ |
| MONROE HOSPITAL Inpatient | BCBS | BCBS Medicaid - Hoosier Healthwise | $55,497.13 | — | — | 2026-03-17 | MRF ↗ |
| MONROE HOSPITAL Inpatient | United Healthcare | UHC Medicaid CHIP - Hoosier Care | $55,497.13 | — | — | 2026-03-17 | MRF ↗ |
| MONROE HOSPITAL Inpatient | Monroe Medical Group and Managed Health Services | Monroe Medical Group Medicaid | $55,497.13 | — | — | 2026-03-17 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | United Healthcare | Managed Medicaid | $55,575.42 | — | — | 2025-04-24 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | CareSource Indiana Hoosier Healthwise (HHW) | Managed Medicaid | $55,575.42 | — | — | 2025-04-24 | MRF ↗ |
| METHODIST HOSPITAL UNION COUNTY InpatientFacility | MHS IN MCO | Managed Medicaid | $56,336.77 | — | — | 2026-02-13 | MRF ↗ |
| DEACONESS HENDERSON HOSPITAL InpatientFacility | United Healthcare IN | Managed Medicaid | $56,336.77 | — | — | 2026-02-09 | MRF ↗ |
| DEACONESS HENDERSON HOSPITAL InpatientFacility | Caresource IN | Managed Medicaid | $56,336.77 | — | — | 2026-02-09 | MRF ↗ |
| DEACONESS HENDERSON HOSPITAL InpatientFacility | Anthem IN | Managed Medicaid | $56,336.77 | — | — | 2026-02-09 | MRF ↗ |
| DEACONESS HENDERSON HOSPITAL InpatientFacility | MHS IN Medicaid Product (IN) | Managed Medicaid | $56,336.77 | — | — | 2026-02-09 | MRF ↗ |
| METHODIST HOSPITAL UNION COUNTY InpatientFacility | CareSource IN | Managed Medicaid | $56,336.77 | — | — | 2026-02-13 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | MDwise Hoosier Healthwise (HHW) | Managed Medicaid | $56,654.56 | — | — | 2025-03-27 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Mdwise Hoosier Healthwise (HHW) | Managed Medicaid | $56,654.56 | — | — | 2025-04-24 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Molina Healthcare of Indiana | Managed Medicaid | $57,194.12 | — | — | 2025-04-24 | MRF ↗ |
| NORTON-KING'S DAUGHTERS' HEALTH InpatientFacility | Managed Health Services of Indiana | Managed Medicaid | $58,293.94 | — | — | 2026-05-05 | MRF ↗ |
| NORTON-KING'S DAUGHTERS' HEALTH InpatientFacility | Anthem of Indiana | Managed Medicaid | $58,293.94 | — | — | 2026-05-05 | MRF ↗ |
| NORTON-KING'S DAUGHTERS' HEALTH InpatientFacility | United Healthcare of Indiana | Managed Medicaid | $58,293.94 | — | — | 2026-05-05 | MRF ↗ |
| SAMARITAN MEDICAL CENTER InpatientFacility | Fidelis | Medicaid Managed Care/Child Health Plus and Family Health Plus | $62,491.66 | — | — | 2026-02-02 | MRF ↗ |
| SAMARITAN MEDICAL CENTER InpatientFacility | MVP | Essential Plan 3-4 | $62,491.66 | — | — | 2026-02-02 | MRF ↗ |
| SAMARITAN MEDICAL CENTER InpatientFacility | Capital District Physician's Health Plan, Inc (CDPHP) | Managed Medicaid | $62,491.66 | — | — | 2026-02-02 | MRF ↗ |
| SAMARITAN MEDICAL CENTER InpatientFacility | Excellus | Managed Medicaid | $62,491.66 | — | — | 2026-02-02 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE HOSPITAL Inpatient | HealthFirst | QHP | $63,008.96 | — | — | 2025-06-27 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE HOSPITAL Inpatient | HealthFirst | HFIC | $63,008.96 | — | — | 2025-06-27 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE HOSPITAL Inpatient | HealthFirst | HFIC | $63,008.96 | — | — | 2025-06-27 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE HOSPITAL Inpatient | HealthFirst | QHP | $63,008.96 | — | — | 2025-06-27 | MRF ↗ |
| SAMARITAN MEDICAL CENTER InpatientFacility | United Healthcare | Managed Medicaid | $64,366.41 | — | — | 2026-02-02 | MRF ↗ |
| THE WOMEN'S HOSPITAL InpatientFacility | Caresource HIP | Managed Medicaid | $67,285.00 | — | — | 2026-02-13 | MRF ↗ |
| THE WOMEN'S HOSPITAL InpatientFacility | Anthem IN Pathways for Aging | Managed Medicaid | $67,285.00 | — | — | 2026-02-13 | MRF ↗ |
| THE WOMEN'S HOSPITAL InpatientFacility | Anthem IN | Managed Medicaid | $67,285.00 | — | — | 2026-02-13 | MRF ↗ |
| THE WOMEN'S HOSPITAL InpatientFacility | Anthem HIP | Managed Medicaid | $67,285.00 | — | — | 2026-02-13 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | Univera | Essential Plan | $74,101.08 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | Molina Healthcare of NY | CHIP (For Kids)/Medicaid | $74,101.08 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | Univera | Essential Plan | $74,101.08 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | UHC Medicaid NY | Medicaid | $74,101.08 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | BCBS of Western NY | Essential Plans 3&4 | $74,101.08 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | Beacon | Managed Medicaid | $74,101.08 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | Molina Healthcare of NY | CHIP (For Kids)/Medicaid | $74,101.08 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | BCBS of Western NY | Medicaid | $74,101.08 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | CORVEL | WC | $74,101.08 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | Fidelis | Child Health Plus | $74,101.08 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | Fidelis | Family Health Plus/Medicaid | $74,101.08 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | UHC Medicaid NY | Medicaid | $74,101.08 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | Beacon | Managed Medicaid | $74,101.08 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | CORVEL | WC | $74,101.08 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | BCBS of Western NY | Medicaid | $74,101.08 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | Fidelis | Family Health Plus/Medicaid | $74,101.08 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | Fidelis | Child Health Plus | $74,101.08 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | BCBS of Western NY | Essential Plans 3&4 | $74,101.08 | — | — | 2026-03-06 | MRF ↗ |
| SAMARITAN MEDICAL CENTER InpatientFacility | MVP | Essential Plan 1-2 and 5-6 | $74,989.99 | — | — | 2026-02-02 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | Univera | CHIP (For Kids)/HARP/NY Medicaid | $77,806.09 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | Univera | CHIP (For Kids)/HARP/NY Medicaid | $77,806.09 | — | — | 2026-03-06 | MRF ↗ |
| CHI ST LUKE'S HEALTH BRAZOSPORT Inpatient | CHC | Medicaid|CHIP | $78,526.00 | — | — | 2026-02-28 | MRF ↗ |
| CHI ST LUKE'S HEALTH BRAZOSPORT Inpatient | Health First | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| GENEVA GENERAL HOSPITAL InpatientFacility | Fidelis | Managed Medicaid | $79,181.03 | — | — | 2025-08-07 | MRF ↗ |
| GENEVA GENERAL HOSPITAL InpatientFacility | Aetna | Managed Medicaid | $79,181.03 | — | — | 2025-08-07 | MRF ↗ |
| GENEVA GENERAL HOSPITAL InpatientFacility | United Healthcare | Managed Medicaid | $79,181.03 | — | — | 2025-08-07 | MRF ↗ |
| GENEVA GENERAL HOSPITAL InpatientFacility | Excellus Blue Choice Options | Managed Medicaid | $79,181.03 | — | — | 2025-08-07 | MRF ↗ |
| GENEVA GENERAL HOSPITAL InpatientFacility | Fidelis | Commercial | $79,181.03 | — | — | 2025-08-07 | MRF ↗ |
| GENEVA GENERAL HOSPITAL InpatientFacility | MVP Health Care | Managed Medicaid | $79,181.03 | — | — | 2025-08-07 | MRF ↗ |
| UNIV. OF VERMONT - FLETCHER ALLEN HEALTH CARE InpatientFacility | MVP | Managed Medicaid | $85,435.09 | — | — | 2026-02-19 | MRF ↗ |
| UNIV. OF VERMONT - FLETCHER ALLEN HEALTH CARE InpatientFacility | United Healthcare | Managed Medicaid/Essential Plans | $85,435.09 | — | — | 2026-02-19 | MRF ↗ |
| SANFORD CANBY MEDICAL CENTER InpatientFacility | Ucare | Medicaid Managed Care | $88,775.25 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD CANBY MEDICAL CENTER InpatientFacility | Ucare | Medicaid Managed Care | $88,775.25 | — | — | 2026-03-04 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | BCBS of Western NY | Essential Plans 1&2 | $88,921.27 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | BCBS of Western NY | Essential Plans 1&2 | $88,921.27 | — | — | 2026-03-06 | MRF ↗ |
| UPMC HAMOT InpatientFacility | Fidelis | Child Health Plus/Family Health Plus/Medicaid | $94,690.08 | — | — | 2026-03-06 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER InpatientFacility | United Healthcare | Medicaid | $95,902.93 | — | — | 2025-07-23 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER InpatientFacility | Fidelis | Medicaid | $95,902.93 | — | — | 2025-07-23 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER InpatientFacility | Excellus | Government Programs and Special Products | $95,902.93 | — | — | 2025-07-23 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER InpatientFacility | Molina | Medicaid | $95,902.93 | — | — | 2025-07-23 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER InpatientFacility | EmblemHealth | Essential Plan 3&4 | $95,902.93 | — | — | 2025-07-23 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER InpatientFacility | EmblemHealth | Enhanced Care Prime Network (including HARP) | $95,902.93 | — | — | 2025-07-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR InpatientFacility | United Healthcare | Managed Medicaid/Essential Plans | $96,264.60 | — | — | 2026-02-19 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR InpatientFacility | Excellus BlueCross BlueShield | Managed Medicaid/Essential Plans | $96,264.60 | — | — | 2026-02-19 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR InpatientFacility | MVP | Managed Medicaid | $96,264.60 | — | — | 2026-02-19 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR InpatientFacility | Capital District Physicians' Health Plan | Managed Medicaid | $96,264.60 | — | — | 2026-02-19 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR InpatientFacility | Fidelis Care | Managed Medicaid | $96,264.60 | — | — | 2026-02-19 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER InpatientFacility | Capital District Physicians Health Plan (CDPHP) | Medicaid | $96,861.96 | — | — | 2025-07-23 | MRF ↗ |
| NYACK HOSPITAL Inpatient | Molina Healthcare of NY Affinity | Molina HC Aff CHP | $99,306.25 | — | $106,780.91 | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Inpatient | Molina Healthcare of NY Affinity | Molina_HC_Aff_CHP | $99,774.64 | — | $107,284.56 | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Inpatient | Molina Healthcare of NY Affinity | Molina_HC_Aff_CHP | $99,774.64 | — | $107,284.56 | 2025-06-27 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Inpatient | Anthem Healthplus | HARP | $100,216.67 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Inpatient | HealthFirst | Medicaid | $100,216.67 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Inpatient | Anthem Healthplus | Medicaid | $100,216.67 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Inpatient | HealthFirst | Essential Plan 3 & 4 | $100,216.67 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Inpatient | MetroPlus | Medicaid | $100,216.67 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Inpatient | HealthFirst | HFIC | $100,216.67 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Inpatient | MetroPlus | Child Health Plus | $100,216.67 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Inpatient | MetroPlus | HIV_SNP | $100,216.67 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Inpatient | MetroPlus | Gold Goldcare2 | $100,216.67 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Inpatient | Wellcare | Medicaid | $100,216.67 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Inpatient | UHC | NY Essential | $100,216.67 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Inpatient | Molina Healthcare of NY Affinity | HARP | $100,216.67 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Inpatient | Amidacare | HIV Primary Care and Care Management Services | $100,216.67 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Inpatient | UHC | HARP | $100,216.67 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Inpatient | MetroPlus | Essential Plan 3 & 4 | $100,216.67 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Inpatient | MetroPlus | HARP | $100,216.67 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Inpatient | UHC | NY CHIP | $100,216.67 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Inpatient | HealthFirst | Medicaid HARP | $100,216.67 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Inpatient | Molina Healthcare of NY Affinity | Medicaid | $100,216.67 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Inpatient | Emblem | Essential Plan 3 & 4 | $100,216.67 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Inpatient | Medicaid | Medicaid | $100,216.67 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Inpatient | MVP | Medicaid and CHP | $100,216.67 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Inpatient | MVP | Essential 3 & 4 | $100,216.67 | — | — | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Inpatient | Molina Healthcare of NY Affinity | Medicaid | $100,374.06 | — | $106,780.91 | 2026-04-01 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER InpatientFacility | iCircle of the Finger Lakes | Medicaid | $100,698.08 | — | — | 2025-07-23 | MRF ↗ |
| NYACK HOSPITAL Inpatient | Molina Healthcare of NY Affinity | Medicaid | $100,847.49 | — | $107,284.56 | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Inpatient | Molina Healthcare of NY Affinity | Medicaid | $100,847.49 | — | $107,284.56 | 2025-06-27 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR InpatientFacility | Empire BlueCross BlueShield | Managed Medicaid Aliessa | $101,077.83 | — | — | 2026-02-19 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Inpatient | Emblem | Medicaid FHP CHP | $103,223.17 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Inpatient | Fidelis | Medicaid | $103,223.17 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Inpatient | Fidelis | HARP | $103,223.17 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER InpatientFacility | MyCompass | Medicaid | $103,575.16 | — | — | 2025-07-23 | MRF ↗ |
| MONTEFIORE ST LUKE'S CORNWALL Inpatient | Anthem | HARP | $103,627.99 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE ST LUKE'S CORNWALL Inpatient | Anthem | Medicaid | $103,627.99 | — | — | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Inpatient | Molina Healthcare of NY Affinity | Essential Plan 3 & 4 | $104,645.29 | — | $106,780.91 | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Inpatient | Molina Healthcare of NY Affinity | HARP | $104,645.29 | — | $106,780.91 | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Inpatient | Molina Healthcare of NY Affinity | Essentials Plan 3 & 4 | $105,138.87 | — | $107,284.56 | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Inpatient | Molina Healthcare of NY Affinity | Essentials Plan 3 & 4 | $105,138.87 | — | $107,284.56 | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Inpatient | Molina Healthcare of NY Affinity | HARP | $105,138.87 | — | $107,284.56 | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Inpatient | Molina Healthcare of NY Affinity | HARP | $105,138.87 | — | $107,284.56 | 2025-06-27 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Inpatient | Hamaspik | Medicaid | $105,227.50 | — | — | 2026-04-01 | MRF ↗ |
| KALEIDA HEALTH InpatientFacility | Independent Health Association | Essential Plan Medicaid Managed Care Plan | $106,305.63 | — | — | 2026-04-01 | MRF ↗ |
| KALEIDA HEALTH InpatientFacility | Independent Health Association | Medisource Medicaid Managed Care Plan | $106,305.63 | — | — | 2026-04-01 | MRF ↗ |
| KALEIDA HEALTH InpatientFacility | Independent Health Association | State Medicaid Managed Care Plan | $106,305.63 | — | — | 2026-04-01 | MRF ↗ |
| BLYTHEDALE CHILDREN'S HOSPITAL InpatientFacility | Independent Health Association | Essential Plan Medicaid Managed Care Plan | $106,305.63 | — | — | 2026-04-01 | MRF ↗ |
| BLYTHEDALE CHILDREN'S HOSPITAL InpatientFacility | Independent Health Association | State Medicaid Managed Care Plan | $106,305.63 | — | — | 2026-04-01 | MRF ↗ |
| BLYTHEDALE CHILDREN'S HOSPITAL InpatientFacility | Independent Health Association | Medisource Medicaid Managed Care Plan | $106,305.63 | — | — | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Inpatient | Wellcare | Medicaid | $106,780.91 | — | $106,780.91 | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Inpatient | HealthFirst | Essential Plan 3 & 4 | $106,780.91 | — | $106,780.91 | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Inpatient | Anthem | Medicaid | $106,780.91 | — | $106,780.91 | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Inpatient | Emblem | Essential Plan 3 & 4 | $106,780.91 | — | $106,780.91 | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Inpatient | HealthFirst | Medicaid HARP | $106,780.91 | — | $106,780.91 | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Inpatient | MVP | Essential Plan 3 & 4 | $106,780.91 | — | $106,780.91 | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Inpatient | UHC | HARP | $106,780.91 | — | $106,780.91 | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Inpatient | UHC | NY Essential | $106,780.91 | — | $106,780.91 | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Inpatient | Medicaid | Medicaid | $106,780.91 | — | $106,780.91 | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Inpatient | UHC | CHIP | $106,780.91 | — | $106,780.91 | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Inpatient | Anthem | HARP | $106,780.91 | — | $106,780.91 | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Inpatient | UHC | NY Health and Recovery | $107,284.56 | — | $107,284.56 | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Inpatient | UHC | NYCHIP | $107,284.56 | — | $107,284.56 | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Inpatient | Empire | Medicaid | $107,284.56 | — | $107,284.56 | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Inpatient | Wellcare | Medicaid | $107,284.56 | — | $107,284.56 | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Inpatient | UHC | HARP | $107,284.56 | — | $107,284.56 | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Inpatient | HealthFirst | Essential_Plan_3&4 | $107,284.56 | — | $107,284.56 | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Inpatient | HealthFirst | Medicaid_HARP | $107,284.56 | — | $107,284.56 | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Inpatient | HealthFirst | Medicaid_HARP | $107,284.56 | — | $107,284.56 | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Inpatient | UHC | NYCHIP | $107,284.56 | — | $107,284.56 | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Inpatient | UHC | NY Health and Recovery | $107,284.56 | — | $107,284.56 | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Inpatient | Empire | HARP | $107,284.56 | — | $107,284.56 | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Inpatient | Emblem | Essential_Plan_3_4 | $107,284.56 | — | $107,284.56 | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Inpatient | Wellcare | Medicaid | $107,284.56 | — | $107,284.56 | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Inpatient | Medicaid | Medicaid | $107,284.56 | — | $107,284.56 | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Inpatient | UHC | NY Essential | $107,284.56 | — | $107,284.56 | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Inpatient | Medicaid | Medicaid | $107,284.56 | — | $107,284.56 | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Inpatient | Emblem | Essential_Plan_3_4 | $107,284.56 | — | $107,284.56 | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Inpatient | UHC | HARP | $107,284.56 | — | $107,284.56 | 2025-06-27 | 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.