5881 — Neonate Birth Weight < 1500 Grams With Major Procedure
Cite this view
HANK Price Transparency. (n.d.). NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE (APR_DRG 5881) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/5881?code_type=APR_DRG
“NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE (APR_DRG 5881) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/5881?code_type=APR_DRG. Accessed .
“NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE (APR_DRG 5881) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/5881?code_type=APR_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $84,562–$159,993 (25th–75th percentile) across 706 hospitals · 432 payers.
“Negotiated” is the hospital’s negotiated facility rate for this APR_DRG 5881 — 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 | $10.73 | — | — | 2026-02-19 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Amerigroup | CHIP/Medicaid | $24.20 | — | — | 2026-04-15 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Parkland | Medicaid | $24.20 | — | — | 2026-04-15 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Molina | CHIP/Medicaid | $24.20 | — | — | 2026-04-15 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Superior Health Plan | CHIP/Medicaid | $24.20 | — | — | 2026-04-15 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Cigna | Medicaid | $24.20 | — | — | 2026-04-15 | MRF ↗ |
| CHI HEALTH MERCY COUNCIL BLUFFS Inpatient | Centene | Medicaid|NE Total Care | $949.00 | — | — | 2026-02-28 | MRF ↗ |
| CHI HEALTH MERCY COUNCIL BLUFFS Inpatient | United | Medicaid|Community Plan | $949.00 | — | — | 2026-02-28 | 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 | CHPFC | $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 | STAR | $1,139.00 | — | — | 2024-10-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | Superior Health Plan | STARPLUS | $1,139.00 | — | — | 2024-10-01 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL Outpatient | AlohaCare | Medicare Advantage | $15,697.71 | — | — | 2026-02-12 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL Outpatient | MDX Hawaii | Humana | $15,697.71 | — | — | 2026-02-12 | MRF ↗ |
| PALI MOMI MEDICAL CENTER Outpatient | MDX Hawaii | Humana | $15,697.71 | — | — | 2026-02-12 | MRF ↗ |
| PALI MOMI MEDICAL CENTER Outpatient | MDX Hawaii | UnitedHealthcare AARP | $15,697.71 | — | — | 2026-02-12 | MRF ↗ |
| PALI MOMI MEDICAL CENTER Outpatient | AlohaCare | Medicare Advantage | $15,697.71 | — | — | 2026-02-12 | MRF ↗ |
| PALI MOMI MEDICAL CENTER Outpatient | Hawaii Medical Service Association (HMSA) | Medicare Advantage | $15,697.71 | — | — | 2026-02-12 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL Outpatient | MDX Hawaii | UnitedHealthcare AARP | $15,697.71 | — | — | 2026-02-12 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL Outpatient | Hawaii Medical Service Association (HMSA) | Medicare Advantage | $15,697.71 | — | — | 2026-02-12 | MRF ↗ |
| PALI MOMI MEDICAL CENTER Outpatient | Ohana | Medicare Advantage | $16,018.07 | — | — | 2026-02-12 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL Outpatient | AlohaCare | Quest Non ABD | $16,018.07 | — | — | 2026-02-12 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL Outpatient | Ohana | Medicare Advantage | $16,018.07 | — | — | 2026-02-12 | MRF ↗ |
| PALI MOMI MEDICAL CENTER Outpatient | Devoted Health | Commercial | $16,498.62 | — | — | 2026-02-12 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL Outpatient | Devoted Health | Commercial | $16,498.62 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL Outpatient | MDX Hawaii | Humana | $16,812.25 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL Outpatient | MDX Hawaii | Medicare Advantage | $16,812.25 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL Outpatient | MDX Hawaii | UnitedHealthcare AARP | $16,812.25 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL Outpatient | AlohaCare | Medicare Advantage | $16,812.25 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL Outpatient | Hawaii Medical Service Association (HMSA) | Medicare Advantage | $16,812.25 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL Outpatient | Ohana | Medicare Advantage | $17,498.46 | — | — | 2026-02-12 | MRF ↗ |
| PALI MOMI MEDICAL CENTER Outpatient | AlohaCare | Non ABD | $17,619.88 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL Outpatient | Devoted Health | Commercial | $17,670.02 | — | — | 2026-02-12 | MRF ↗ |
| PALI MOMI MEDICAL CENTER Outpatient | Ohana Health Plan | Quest Non ABD | $19,221.69 | — | — | 2026-02-12 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL Outpatient | Ohana Health Plan | Quest Non ABD | $19,221.69 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL Outpatient | Ohana Health Plan | Quest Non ABD | $20,586.43 | — | — | 2026-02-12 | MRF ↗ |
| MONTEFIORE ST LUKE'S CORNWALL Inpatient | Anthem | Exchange | $24,246.45 | — | — | 2026-04-01 | MRF ↗ |
| LONGMONT UNITED HOSPITAL InpatientFacility | Colorado Access | Managed Medicaid | $34,856.32 | — | — | 2024-12-02 | MRF ↗ |
| LONGMONT UNITED HOSPITAL InpatientFacility | Denver Health | Managed Medicaid | $34,856.32 | — | — | 2024-12-02 | MRF ↗ |
| ST FRANCIS HOSPITAL - INTERQUEST InpatientFacility | Colorado Access | Managed Medicaid | $35,223.33 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES InpatientFacility | Colorado Access | Managed Medicaid | $35,223.33 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES InpatientFacility | Rocky Mountain Health Plan | Managed Medicaid | $35,223.33 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES InpatientFacility | Colorado Access | Managed Medicaid | $35,223.33 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES InpatientFacility | Denver Health | Managed Medicaid | $35,223.33 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES InpatientFacility | Rocky Mountain Health Plan | Managed Medicaid | $35,223.33 | — | — | 2024-12-02 | MRF ↗ |
| ST FRANCIS HOSPITAL - INTERQUEST InpatientFacility | Kaiser | Managed Medicaid | $35,223.33 | — | — | 2024-12-02 | MRF ↗ |
| ST FRANCIS HOSPITAL - INTERQUEST InpatientFacility | Naphcare | Managed Medicaid | $35,223.33 | — | — | 2024-12-02 | MRF ↗ |
| ST FRANCIS HOSPITAL - INTERQUEST InpatientFacility | Denver Health | Managed Medicaid | $35,223.33 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES InpatientFacility | Denver Health | Managed Medicaid | $35,223.33 | — | — | 2024-12-02 | MRF ↗ |
| ST FRANCIS HOSPITAL - INTERQUEST InpatientFacility | Rocky Mountain Health Plan | Managed Medicaid | $35,223.33 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL InpatientFacility | Naphcare | Managed Medicaid | $36,000.50 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL InpatientFacility | Kaiser | Managed Medicaid | $36,000.50 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL InpatientFacility | Colorado Access | Managed Medicaid | $36,000.50 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL InpatientFacility | Rocky Mountain Health Plan | Managed Medicaid | $36,000.50 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL InpatientFacility | Denver Health | Managed Medicaid | $36,000.50 | — | — | 2024-12-02 | MRF ↗ |
| REGIONAL WEST MEDICAL CENTER Inpatient | Mercy Care Arizona | Medicaid All Plans | $36,070.33 | — | — | 2026-03-27 | MRF ↗ |
| REGIONAL WEST MEDICAL CENTER Inpatient | United Healthcare | Medicaid All Plans | $36,070.33 | — | — | 2026-03-27 | MRF ↗ |
| REGIONAL WEST MEDICAL CENTER Inpatient | Health Choice Arizona | Medicaid All Plans | $36,070.33 | — | — | 2026-03-27 | MRF ↗ |
| REGIONAL WEST MEDICAL CENTER Inpatient | Ambetter | Medicaid All Plans | $36,070.33 | — | — | 2026-03-27 | MRF ↗ |
| BANNER HEART HOSPITAL InpatientFacility | Banner University Health Plan | AZ Medicaid - AHCCCS | $36,077.81 | — | — | 2026-03-02 | MRF ↗ |
| BANNER HEART HOSPITAL InpatientFacility | Mercy Care | Mercy Medicaid | $36,077.81 | — | — | 2026-03-02 | MRF ↗ |
| BANNER HEART HOSPITAL InpatientFacility | Health Choice Arizona, Inc. | Medicaid | $36,077.81 | — | — | 2026-03-02 | MRF ↗ |
| BANNER HEART HOSPITAL InpatientFacility | Arizona Physicians IPA | Medicaid | $36,077.81 | — | — | 2026-03-02 | MRF ↗ |
| BANNER HEART HOSPITAL InpatientFacility | Arizona Physicians IPA | Medicaid | $36,077.81 | — | — | 2026-03-02 | MRF ↗ |
| BANNER HEART HOSPITAL InpatientFacility | Health Net | Medicaid | $36,077.81 | — | — | 2026-03-02 | MRF ↗ |
| BANNER HEART HOSPITAL InpatientFacility | Health Net | Medicaid | $36,077.81 | — | — | 2026-03-02 | MRF ↗ |
| BANNER HEART HOSPITAL InpatientFacility | Mercy Care | Mercy Medicaid | $36,077.81 | — | — | 2026-03-02 | MRF ↗ |
| BANNER HEART HOSPITAL InpatientFacility | Banner University Health Plan | AZ Medicaid - AHCCCS | $36,077.81 | — | — | 2026-03-02 | MRF ↗ |
| BANNER HEART HOSPITAL InpatientFacility | Health Choice Arizona, Inc. | Medicaid | $36,077.81 | — | — | 2026-03-02 | MRF ↗ |
| SANFORD CANBY MEDICAL CENTER InpatientFacility | Ucare | Medicaid Managed Care | $38,177.85 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD CANBY MEDICAL CENTER InpatientFacility | Ucare | Medicaid Managed Care | $38,177.85 | — | — | 2026-03-04 | MRF ↗ |
| ST ANTHONY SUMMIT MEDICAL CENTER InpatientFacility | Colorado Access | Managed Medicaid | $38,239.97 | — | — | 2024-12-02 | MRF ↗ |
| ST ANTHONY SUMMIT MEDICAL CENTER InpatientFacility | Rocky Mountain Health Plan | Managed Medicaid | $38,239.97 | — | — | 2024-12-02 | MRF ↗ |
| ST ANTHONY SUMMIT MEDICAL CENTER InpatientFacility | Denver Health | Managed Medicaid | $38,239.97 | — | — | 2024-12-02 | MRF ↗ |
| UCHEALTH BROOMFIELD HOSPITAL InpatientFacility | Denver Health Medical Plan | Medicaid Choice | $38,409.52 | — | — | 2025-11-01 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS InpatientFacility | Kaiser | Managed Medicaid | $39,161.54 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS InpatientFacility | Rocky Mountain Health Plan | Managed Medicaid | $39,161.54 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS InpatientFacility | Colorado Access | Managed Medicaid | $39,161.54 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS InpatientFacility | Denver Health | Managed Medicaid | $39,161.54 | — | — | 2024-12-02 | MRF ↗ |
| BOULDER COMMUNITY HEALTH InpatientFacility | Rocky Mountain Health Maintenance Organization | Managed Medicaid | $40,137.82 | — | — | 2025-12-23 | MRF ↗ |
| CHI ST LUKE'S HEALTH BRAZOSPORT Inpatient | CHC | Medicaid|CHIP | $40,973.00 | — | — | 2026-02-28 | MRF ↗ |
| CHI ST LUKE'S HEALTH BRAZOSPORT Inpatient | Health First | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| ST MARY-CORWIN HOSPITAL InpatientFacility | Colorado Access | Managed Medicaid | $41,350.11 | — | — | 2024-12-02 | MRF ↗ |
| ST MARY-CORWIN HOSPITAL InpatientFacility | Denver Health | Managed Medicaid | $41,350.11 | — | — | 2024-12-02 | MRF ↗ |
| ST MARY-CORWIN HOSPITAL InpatientFacility | Naphcare | Managed Medicaid | $41,350.11 | — | — | 2024-12-02 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER InpatientFacility | Denver Health | Managed Medicaid | $42,009.80 | — | — | 2024-12-02 | MRF ↗ |
| ST ELIZABETH HOSPITAL InpatientFacility | Colorado Access | Managed Medicaid | $42,009.80 | — | — | 2024-12-02 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER InpatientFacility | Rocky Mountain Health Plan | Managed Medicaid | $42,009.80 | — | — | 2024-12-02 | MRF ↗ |
| BOULDER COMMUNITY HEALTH InpatientFacility | Colorado Access | CHP+ | $42,865.64 | — | — | 2025-12-23 | MRF ↗ |
| COLLETON MEDICAL CENTER Inpatient | United | MCD | $43,067.65 | — | — | 2026-03-01 | MRF ↗ |
| COLLETON MEDICAL CENTER Inpatient | BLUE CHOICE | MGMCD | $43,067.65 | — | — | 2026-03-01 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER InpatientFacility | United Healthcare | Medicaid | $46,080.62 | — | — | 2025-07-23 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER InpatientFacility | Excellus | Government Programs and Special Products | $46,080.62 | — | — | 2025-07-23 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER InpatientFacility | EmblemHealth | Essential Plan 3&4 | $46,080.62 | — | — | 2025-07-23 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER InpatientFacility | EmblemHealth | Enhanced Care Prime Network (including HARP) | $46,080.62 | — | — | 2025-07-23 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER InpatientFacility | Molina | Medicaid | $46,080.62 | — | — | 2025-07-23 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER InpatientFacility | Fidelis | Medicaid | $46,080.62 | — | — | 2025-07-23 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $46,384.83 | — | — | 2024-11-21 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER InpatientFacility | Capital District Physicians Health Plan (CDPHP) | Medicaid | $46,541.43 | — | — | 2025-07-23 | MRF ↗ |
| FRENCH HOSPITAL MEDICAL CENTER Inpatient | CenCal | Medicaid|< 21 | $46,546.00 | — | — | 2026-02-28 | MRF ↗ |
| FRENCH HOSPITAL MEDICAL CENTER Inpatient | MHS HSPCC | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| FRENCH HOSPITAL MEDICAL CENTER Inpatient | Kaiser | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| Arroyo Grande Community Hospital Inpatient | First Health | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| Arroyo Grande Community Hospital Inpatient | Healthsmart | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| FRENCH HOSPITAL MEDICAL CENTER Inpatient | First Health | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| FRENCH HOSPITAL MEDICAL CENTER Inpatient | Healthsmart | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| Arroyo Grande Community Hospital Inpatient | CenCal | Medicaid|< 21 | $46,546.00 | — | — | 2026-02-28 | MRF ↗ |
| Arroyo Grande Community Hospital Inpatient | MHS HSPCC | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| Arroyo Grande Community Hospital Inpatient | Kaiser | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| Arroyo Grande Community Hospital Inpatient | MultiPlan | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| FRENCH HOSPITAL MEDICAL CENTER Inpatient | MultiPlan | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC InpatientFacility | Anthem Blue Cross of IN | Medicaid | $47,887.76 | — | — | 2026-02-18 | MRF ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC InpatientFacility | Managed Health Services | Medicaid | $47,887.76 | — | — | 2026-02-18 | MRF ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC InpatientFacility | MDWise | Medicaid | $47,887.76 | — | — | 2026-02-18 | MRF ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC InpatientFacility | CareSource Indiana of IN | Hoosier Healthwise/HIP | $47,887.76 | — | — | 2026-02-18 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Humana | Managed Medicaid | $47,896.92 | — | — | 2025-04-24 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | CareSource Indiana Healthy Indiana Plan (HIP) | Managed Medicaid | $47,896.92 | — | — | 2025-04-24 | MRF ↗ |
| REID HEALTH InpatientFacility | Humana of Indiana | Pathways for Aging/Managed Medicaid | $47,896.92 | — | — | 2025-07-21 | MRF ↗ |
| REID HEALTH InpatientFacility | Caresource of Indiana | Managed Medicaid | $47,896.92 | — | — | 2025-07-21 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Managed Health Services (MHS) Hoosier Care Connect | Managed Medicaid | $47,896.92 | — | — | 2025-04-24 | MRF ↗ |
| REID HEALTH InpatientFacility | MHS | Managed Medicaid | $47,896.92 | — | — | 2025-07-21 | MRF ↗ |
| REID HEALTH InpatientFacility | MDWise | Managed Medicaid | $47,896.92 | — | — | 2025-07-21 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Managed Health Services (MHS) Hoosier Healthwise (HHW) | Managed Medicaid | $47,896.92 | — | — | 2025-04-24 | MRF ↗ |
| REID HEALTH InpatientFacility | Anthem Blue Cross Blue Shield | Managed Medicaid | $47,896.92 | — | — | 2025-07-21 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Anthem Blue Cross Blue Shield | Managed Medicaid | $47,896.92 | — | — | 2025-04-24 | MRF ↗ |
| REID HEALTH InpatientFacility | Anthem Blue Cross Blue Shield | Pathways for Aging/Managed Medicaid | $47,896.92 | — | — | 2025-07-21 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | United Healthcare of Indiana | Managed Medicaid | $47,896.92 | — | — | 2025-03-27 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | CareSource Indiana Healthy Indiana Plan (HIP) | Managed Medicaid | $47,896.92 | — | — | 2025-03-27 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | Managed Health Services (MHS) Hoosier Care Connect | Managed Medicaid | $47,896.92 | — | — | 2025-03-27 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | Managed Health Services (MHS) | Managed Medicaid | $47,896.92 | — | — | 2025-03-27 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | CareSource Indiana Hoosier Healthwise (HHW) | Managed Medicaid | $48,375.89 | — | — | 2025-03-27 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER InpatientFacility | iCircle of the Finger Lakes | Medicaid | $48,384.65 | — | — | 2025-07-23 | MRF ↗ |
| NEWBERRY COUNTY MEMORIAL HOSPITAL InpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $48,430.20 | — | — | 2025-09-15 | MRF ↗ |
| CENTRACARE- RICE MEMORIAL HOSPITAL Inpatient | UCare | UCare Community Health Plan | $48,498.49 | — | — | 2024-12-10 | MRF ↗ |
| REID HEALTH InpatientFacility | United Healthcare | Pathways for Aging/Managed Medicaid | $48,854.93 | — | — | 2025-07-21 | MRF ↗ |
| REID HEALTH InpatientFacility | United Healthcare | Managed Medicaid | $48,854.93 | — | — | 2025-07-21 | MRF ↗ |
| MONROE HOSPITAL Inpatient | Care Source | Care Source Medicaid - Healthy Indiana Plan - HIP | $49,264.30 | — | — | 2024-12-19 | MRF ↗ |
| MONROE HOSPITAL Inpatient | Non-Contracted Medicaid | Non-Contracted Medicaid | $49,264.30 | — | — | 2024-12-19 | MRF ↗ |
| MONROE HOSPITAL Inpatient | Care Source | Care Source Medicaid - Hoosier Healthwise | $49,264.30 | — | — | 2024-12-19 | MRF ↗ |
| MONROE HOSPITAL Inpatient | Traditional Medicaid | Traditional Medicaid | $49,264.30 | — | — | 2024-12-19 | MRF ↗ |
| MONROE HOSPITAL Inpatient | BCBS | BCBS Medicaid - Hoosier Healthwise | $49,264.30 | — | — | 2024-12-19 | MRF ↗ |
| MONROE HOSPITAL Inpatient | United Healthcare | UHC Medicaid CHIP - Hoosier Care | $49,264.30 | — | — | 2024-12-19 | MRF ↗ |
| MONROE HOSPITAL Inpatient | Monroe Medical Group and Managed Health Services | Monroe Medical Group Medicaid | $49,264.34 | — | — | 2026-03-17 | MRF ↗ |
| MONROE HOSPITAL Inpatient | Care Source | Care Source Medicaid - Healthy Indiana Plan - HIP | $49,264.34 | — | — | 2026-03-17 | MRF ↗ |
| MONROE HOSPITAL Inpatient | United Healthcare | UHC Medicaid CHIP - Hoosier Care | $49,264.34 | — | — | 2026-03-17 | MRF ↗ |
| MONROE HOSPITAL Inpatient | BCBS | BCBS Medicaid - Hoosier Healthwise | $49,264.34 | — | — | 2026-03-17 | MRF ↗ |
| MONROE HOSPITAL Inpatient | Traditional Medicaid | Traditional Medicaid | $49,264.34 | — | — | 2026-03-17 | MRF ↗ |
| MONROE HOSPITAL Inpatient | Care Source | Care Source Medicaid - Hoosier Healthwise | $49,264.34 | — | — | 2026-03-17 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | United Healthcare | Managed Medicaid | $49,333.83 | — | — | 2025-04-24 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | CareSource Indiana Hoosier Healthwise (HHW) | Managed Medicaid | $49,333.83 | — | — | 2025-04-24 | MRF ↗ |
| NEWBERRY COUNTY MEMORIAL HOSPITAL InpatientFacility | United Healthcare | Managed Medicaid | $49,398.80 | — | — | 2025-09-15 | MRF ↗ |
| NEWBERRY COUNTY MEMORIAL HOSPITAL InpatientFacility | Select Health | Managed Medicaid | $49,398.80 | — | — | 2025-09-15 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER InpatientFacility | MyCompass | Medicaid | $49,767.07 | — | — | 2025-07-23 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Inpatient | BLUE CHOICE | MGMCD | $49,825.01 | — | — | 2026-03-01 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Inpatient | BLUE CHOICE | MGMCD | $49,825.01 | — | — | 2024-10-01 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | MDwise Hoosier Healthwise (HHW) | Managed Medicaid | $50,291.77 | — | — | 2025-03-27 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Mdwise Hoosier Healthwise (HHW) | Managed Medicaid | $50,291.77 | — | — | 2025-04-24 | MRF ↗ |
| MARIAN REGIONAL MEDICAL CENTER Inpatient | First Health | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| MARIAN REGIONAL MEDICAL CENTER Inpatient | Kaiser | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| MARIAN REGIONAL MEDICAL CENTER Inpatient | MultiPlan | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| MARIAN REGIONAL MEDICAL CENTER Inpatient | CenCal | Medicaid|< 21 | $50,469.00 | — | — | 2026-02-28 | MRF ↗ |
| MARIAN REGIONAL MEDICAL CENTER Inpatient | Healthsmart | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $50,486.23 | — | — | 2024-11-21 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Molina Healthcare of Indiana | Managed Medicaid | $50,770.74 | — | — | 2025-04-24 | MRF ↗ |
| NEWBERRY COUNTY MEMORIAL HOSPITAL InpatientFacility | Molina | Managed Medicaid | $50,851.71 | — | — | 2025-09-15 | MRF ↗ |
| NEWBERRY COUNTY MEMORIAL HOSPITAL InpatientFacility | Absolute Total Care | Managed Medicaid | $50,851.71 | — | — | 2025-09-15 | MRF ↗ |
| BANNER-UNIVERSITY MEDICAL CENTER SOUTH CAMPUS InpatientFacility | Arizona Physicians IPA | Medicaid | $51,339.94 | — | — | 2026-03-02 | MRF ↗ |
| BANNER-UNIVERSITY MEDICAL CENTER SOUTH CAMPUS InpatientFacility | Banner University Health Plan | AZ Medicaid - AHCCCS | $51,339.94 | — | — | 2026-03-02 | MRF ↗ |
| BANNER-UNIVERSITY MEDICAL CENTER SOUTH CAMPUS InpatientFacility | Arizona Physicians IPA | Medicaid | $51,339.94 | — | — | 2026-03-02 | MRF ↗ |
| BANNER-UNIVERSITY MEDICAL CENTER SOUTH CAMPUS InpatientFacility | Mercy Care | Medicaid | $51,339.94 | — | — | 2026-03-02 | MRF ↗ |
| BANNER-UNIVERSITY MEDICAL CENTER SOUTH CAMPUS InpatientFacility | Mercy Care | Medicaid | $51,339.94 | — | — | 2026-03-02 | MRF ↗ |
| BANNER-UNIVERSITY MEDICAL CENTER SOUTH CAMPUS InpatientFacility | Banner University Health Plan | University Family Plan | $51,339.94 | — | — | 2026-03-02 | MRF ↗ |
| BANNER-UNIVERSITY MEDICAL CENTER SOUTH CAMPUS InpatientFacility | Banner University Health Plan | University Family Plan | $51,339.94 | — | — | 2026-03-02 | MRF ↗ |
| BANNER-UNIVERSITY MEDICAL CENTER SOUTH CAMPUS InpatientFacility | Health Net | Medicaid | $51,339.94 | — | — | 2026-03-02 | MRF ↗ |
| BANNER-UNIVERSITY MEDICAL CENTER SOUTH CAMPUS InpatientFacility | Health Net | Medicaid | $51,339.94 | — | — | 2026-03-02 | MRF ↗ |
| BANNER - UNIVERSITY MEDICAL CENTER PHOENIX InpatientFacility | Banner University Health Plan | AZ Medicaid - AHCCCS | $51,339.94 | — | — | 2026-03-02 | MRF ↗ |
| BANNER - UNIVERSITY MEDICAL CENTER PHOENIX InpatientFacility | Health Net | Medicaid | $51,339.94 | — | — | 2026-03-02 | MRF ↗ |
| BANNER - UNIVERSITY MEDICAL CENTER PHOENIX InpatientFacility | Mercy Care | Medicaid | $51,339.94 | — | — | 2026-03-02 | MRF ↗ |
| BANNER - UNIVERSITY MEDICAL CENTER PHOENIX InpatientFacility | Arizona Physicians IPA | Medicaid | $51,339.94 | — | — | 2026-03-02 | MRF ↗ |
| BANNER - UNIVERSITY MEDICAL CENTER PHOENIX InpatientFacility | Banner University Health Plan | University Family Plan | $51,339.94 | — | — | 2026-03-02 | MRF ↗ |
| BANNER-UNIVERSITY MEDICAL CENTER SOUTH CAMPUS InpatientFacility | Banner University Health Plan | AZ Medicaid - AHCCCS | $51,339.94 | — | — | 2026-03-02 | MRF ↗ |
| DEACONESS HENDERSON HOSPITAL InpatientFacility | United Healthcare IN | Managed Medicaid | $51,470.22 | — | — | 2026-02-09 | MRF ↗ |
| DEACONESS HENDERSON HOSPITAL InpatientFacility | MHS IN Medicaid Product (IN) | Managed Medicaid | $51,470.22 | — | — | 2026-02-09 | MRF ↗ |
| DEACONESS HENDERSON HOSPITAL InpatientFacility | Anthem IN | Managed Medicaid | $51,470.22 | — | — | 2026-02-09 | MRF ↗ |
| DEACONESS HENDERSON HOSPITAL InpatientFacility | Caresource IN | Managed Medicaid | $51,470.22 | — | — | 2026-02-09 | MRF ↗ |
| METHODIST HOSPITAL UNION COUNTY InpatientFacility | CareSource IN | Managed Medicaid | $51,470.22 | — | — | 2026-02-13 | MRF ↗ |
| METHODIST HOSPITAL UNION COUNTY InpatientFacility | MHS IN MCO | Managed Medicaid | $51,470.22 | — | — | 2026-02-13 | MRF ↗ |
| BANNER THUNDERBIRD MEDICAL CENTER InpatientFacility | Health Net | Medicaid | $51,763.61 | — | — | 2026-03-02 | MRF ↗ |
| BANNER THUNDERBIRD MEDICAL CENTER InpatientFacility | Mercy Care | Medicaid | $51,763.61 | — | — | 2026-03-02 | MRF ↗ |
| BANNER ESTRELLA MEDICAL CENTER InpatientFacility | Health Net | Medicaid | $51,763.61 | — | — | 2026-03-02 | MRF ↗ |
| BANNER THUNDERBIRD MEDICAL CENTER InpatientFacility | Arizona Physicians IPA | Medicaid | $51,763.61 | — | — | 2026-03-02 | MRF ↗ |
| BANNER ESTRELLA MEDICAL CENTER InpatientFacility | Mercy Care | Mercy Medicaid | $51,763.61 | — | — | 2026-03-02 | MRF ↗ |
| BANNER ESTRELLA MEDICAL CENTER InpatientFacility | Health Choice Arizona, Inc. | Medicaid | $51,763.61 | — | — | 2026-03-02 | MRF ↗ |
| BANNER - UNIVERSITY MEDICAL CENTER TUCSON CAMPUS InpatientFacility | Health Net | Medicaid | $51,763.61 | — | — | 2026-03-02 | MRF ↗ |
| BANNER - UNIVERSITY MEDICAL CENTER TUCSON CAMPUS InpatientFacility | Mercy Care | Mercy Medicaid | $51,763.61 | — | — | 2026-03-02 | MRF ↗ |
| BANNER - UNIVERSITY MEDICAL CENTER TUCSON CAMPUS InpatientFacility | Banner University Health Plan | AZ Medicaid - AHCCCS | $51,763.61 | — | — | 2026-03-02 | MRF ↗ |
| BANNER - UNIVERSITY MEDICAL CENTER TUCSON CAMPUS InpatientFacility | Health Choice Arizona, Inc. | Medicaid | $51,763.61 | — | — | 2026-03-02 | MRF ↗ |
| BANNER - UNIVERSITY MEDICAL CENTER TUCSON CAMPUS InpatientFacility | Arizona Physicians IPA | Medicaid | $51,763.61 | — | — | 2026-03-02 | MRF ↗ |
| BANNER DESERT MEDICAL CENTER InpatientFacility | Health Choice Arizona, Inc. | Medicaid | $51,763.61 | — | — | 2026-03-02 | 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.