5883 — 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 5883) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/5883?code_type=APR_DRG
“NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE (APR_DRG 5883) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/5883?code_type=APR_DRG. Accessed .
“NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE (APR_DRG 5883) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/5883?code_type=APR_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $104,959–$221,759 (25th–75th percentile) across 712 hospitals · 432 payers.
“Negotiated” is the hospital’s negotiated facility rate for this APR_DRG 5883 — 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 | $16.58 | — | — | 2026-02-19 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Amerigroup | CHIP/Medicaid | $25.80 | — | — | 2026-04-15 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Parkland | Medicaid | $25.80 | — | — | 2026-04-15 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Molina | CHIP/Medicaid | $25.80 | — | — | 2026-04-15 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Cigna | Medicaid | $25.80 | — | — | 2026-04-15 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Superior Health Plan | CHIP/Medicaid | $25.80 | — | — | 2026-04-15 | 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 | CHIP | $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 | STAR | $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 | $31,694.16 | — | — | 2026-04-01 | MRF ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC InpatientFacility | Managed Health Services | 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 ↗ |
| 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 | MDWise | Medicaid | $47,887.76 | — | — | 2026-02-18 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | Managed Health Services (MHS) | Managed Medicaid | $47,896.92 | — | — | 2025-03-27 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Anthem Blue Cross Blue Shield | Managed Medicaid | $47,896.92 | — | — | 2025-04-24 | MRF ↗ |
| REID HEALTH InpatientFacility | Caresource of Indiana | Managed Medicaid | $47,896.92 | — | — | 2025-07-21 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Humana | Managed Medicaid | $47,896.92 | — | — | 2025-04-24 | MRF ↗ |
| REID HEALTH InpatientFacility | MDWise | Managed Medicaid | $47,896.92 | — | — | 2025-07-21 | MRF ↗ |
| REID HEALTH InpatientFacility | Humana of Indiana | Pathways for Aging/Managed Medicaid | $47,896.92 | — | — | 2025-07-21 | MRF ↗ |
| REID HEALTH InpatientFacility | MHS | 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 ↗ |
| REID HEALTH InpatientFacility | Anthem Blue Cross Blue Shield | Managed Medicaid | $47,896.92 | — | — | 2025-07-21 | MRF ↗ |
| REID HEALTH InpatientFacility | Anthem Blue Cross Blue Shield | Pathways for Aging/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 ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | Managed Health Services (MHS) Hoosier Care Connect | 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 CLARK HOSPITAL InpatientFacility | Managed Health Services (MHS) Hoosier Healthwise (HHW) | 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 ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | CareSource Indiana Hoosier Healthwise (HHW) | Managed Medicaid | $48,375.89 | — | — | 2025-03-27 | 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 | Traditional Medicaid | Traditional 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 | 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 | 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 | Care Source | Care Source Medicaid - Hoosier Healthwise | $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 | Care Source | Care Source Medicaid - Healthy Indiana Plan - HIP | $49,264.34 | — | — | 2026-03-17 | 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 | Traditional Medicaid | Traditional Medicaid | $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 ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Mdwise Hoosier Healthwise (HHW) | Managed Medicaid | $50,291.77 | — | — | 2025-04-24 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | MDwise Hoosier Healthwise (HHW) | Managed Medicaid | $50,291.77 | — | — | 2025-03-27 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Molina Healthcare of Indiana | Managed Medicaid | $50,770.74 | — | — | 2025-04-24 | MRF ↗ |
| DEACONESS HENDERSON HOSPITAL InpatientFacility | MHS IN Medicaid Product (IN) | Managed Medicaid | $52,192.62 | — | — | 2026-02-09 | MRF ↗ |
| METHODIST HOSPITAL UNION COUNTY InpatientFacility | CareSource IN | Managed Medicaid | $52,192.62 | — | — | 2026-02-13 | MRF ↗ |
| DEACONESS HENDERSON HOSPITAL InpatientFacility | Anthem IN | Managed Medicaid | $52,192.62 | — | — | 2026-02-09 | MRF ↗ |
| METHODIST HOSPITAL UNION COUNTY InpatientFacility | MHS IN MCO | Managed Medicaid | $52,192.62 | — | — | 2026-02-13 | MRF ↗ |
| DEACONESS HENDERSON HOSPITAL InpatientFacility | Caresource IN | Managed Medicaid | $52,192.62 | — | — | 2026-02-09 | MRF ↗ |
| DEACONESS HENDERSON HOSPITAL InpatientFacility | United Healthcare IN | Managed Medicaid | $52,192.62 | — | — | 2026-02-09 | MRF ↗ |
| NORTON-KING'S DAUGHTERS' HEALTH InpatientFacility | United Healthcare of Indiana | Managed Medicaid | $55,725.09 | — | — | 2026-05-05 | MRF ↗ |
| NORTON-KING'S DAUGHTERS' HEALTH InpatientFacility | Managed Health Services of Indiana | Managed Medicaid | $55,725.09 | — | — | 2026-05-05 | MRF ↗ |
| NORTON-KING'S DAUGHTERS' HEALTH InpatientFacility | Anthem of Indiana | Managed Medicaid | $55,725.09 | — | — | 2026-05-05 | MRF ↗ |
| SANFORD CANBY MEDICAL CENTER InpatientFacility | Ucare | Medicaid Managed Care | $59,232.49 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD CANBY MEDICAL CENTER InpatientFacility | Ucare | Medicaid Managed Care | $59,232.49 | — | — | 2026-03-04 | MRF ↗ |
| CHI ST LUKE'S HEALTH BRAZOSPORT Inpatient | Health First | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| CHI ST LUKE'S HEALTH BRAZOSPORT Inpatient | CHC | Medicaid|CHIP | $71,079.00 | — | — | 2026-02-28 | MRF ↗ |
| THE WOMEN'S HOSPITAL InpatientFacility | Anthem HIP | Managed Medicaid | $71,952.84 | — | — | 2026-02-13 | MRF ↗ |
| THE WOMEN'S HOSPITAL InpatientFacility | Anthem IN | Managed Medicaid | $71,952.84 | — | — | 2026-02-13 | MRF ↗ |
| THE WOMEN'S HOSPITAL InpatientFacility | Anthem IN Pathways for Aging | Managed Medicaid | $71,952.84 | — | — | 2026-02-13 | MRF ↗ |
| THE WOMEN'S HOSPITAL InpatientFacility | Caresource HIP | Managed Medicaid | $71,952.84 | — | — | 2026-02-13 | MRF ↗ |
| REGIONAL WEST MEDICAL CENTER Inpatient | Ambetter | Medicaid All Plans | $74,715.99 | — | — | 2026-03-27 | MRF ↗ |
| REGIONAL WEST MEDICAL CENTER Inpatient | Mercy Care Arizona | Medicaid All Plans | $74,715.99 | — | — | 2026-03-27 | MRF ↗ |
| REGIONAL WEST MEDICAL CENTER Inpatient | United Healthcare | Medicaid All Plans | $74,715.99 | — | — | 2026-03-27 | MRF ↗ |
| REGIONAL WEST MEDICAL CENTER Inpatient | Health Choice Arizona | Medicaid All Plans | $74,715.99 | — | — | 2026-03-27 | MRF ↗ |
| BANNER HEART HOSPITAL InpatientFacility | Banner University Health Plan | AZ Medicaid - AHCCCS | $74,732.61 | — | — | 2026-03-02 | MRF ↗ |
| BANNER HEART HOSPITAL InpatientFacility | Health Net | Medicaid | $74,732.61 | — | — | 2026-03-02 | MRF ↗ |
| BANNER HEART HOSPITAL InpatientFacility | Arizona Physicians IPA | Medicaid | $74,732.61 | — | — | 2026-03-02 | MRF ↗ |
| BANNER HEART HOSPITAL InpatientFacility | Mercy Care | Mercy Medicaid | $74,732.61 | — | — | 2026-03-02 | MRF ↗ |
| BANNER HEART HOSPITAL InpatientFacility | Health Choice Arizona, Inc. | Medicaid | $74,732.61 | — | — | 2026-03-02 | MRF ↗ |
| BANNER HEART HOSPITAL InpatientFacility | Mercy Care | Mercy Medicaid | $74,732.61 | — | — | 2026-03-02 | MRF ↗ |
| BANNER HEART HOSPITAL InpatientFacility | Arizona Physicians IPA | Medicaid | $74,732.61 | — | — | 2026-03-02 | MRF ↗ |
| BANNER HEART HOSPITAL InpatientFacility | Banner University Health Plan | AZ Medicaid - AHCCCS | $74,732.61 | — | — | 2026-03-02 | MRF ↗ |
| BANNER HEART HOSPITAL InpatientFacility | Health Net | Medicaid | $74,732.61 | — | — | 2026-03-02 | MRF ↗ |
| BANNER HEART HOSPITAL InpatientFacility | Health Choice Arizona, Inc. | Medicaid | $74,732.61 | — | — | 2026-03-02 | MRF ↗ |
| Adventhealth Connerton Inpatient | United_HealthCare | HMO_Medicaid | $75,860.00 | $0.01 | $0.01 | 2024-12-15 | MRF ↗ |
| HCA FLORIDA JFK HOSPITAL Inpatient | Palm Beach PACE | MCD | $77,474.40 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTH FLORIDA HOSPITAL Inpatient | Palm Beach PACE | MCD | $77,474.40 | — | — | 2024-10-01 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER InpatientFacility | Excellus | Government Programs and Special Products | $78,730.51 | — | — | 2025-07-23 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER InpatientFacility | Fidelis | Medicaid | $78,730.51 | — | — | 2025-07-23 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER InpatientFacility | EmblemHealth | Essential Plan 3&4 | $78,730.51 | — | — | 2025-07-23 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER InpatientFacility | EmblemHealth | Enhanced Care Prime Network (including HARP) | $78,730.51 | — | — | 2025-07-23 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER InpatientFacility | Molina | Medicaid | $78,730.51 | — | — | 2025-07-23 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER InpatientFacility | United Healthcare | Medicaid | $78,730.51 | — | — | 2025-07-23 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER InpatientFacility | Capital District Physicians Health Plan (CDPHP) | Medicaid | $79,517.82 | — | — | 2025-07-23 | MRF ↗ |
| REID HEALTH InpatientFacility | Humana of Ohio | Managed Medicaid | $79,996.07 | — | — | 2025-07-21 | MRF ↗ |
| REID HEALTH InpatientFacility | Caresource of Ohio | Managed Medicaid | $79,996.07 | — | — | 2025-07-21 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Inpatient | Simply_Health | Clear_Health_Alliance | $80,802.00 | $0.01 | $0.01 | 2024-12-15 | MRF ↗ |
| HCA FLORIDA HIGHLANDS HOSPITAL Inpatient | HUMANA | MGMCD | $81,552.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA HIGHLANDS HOSPITAL Inpatient | United | MCD | $81,552.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA AVENTURA HOSPITAL Inpatient | United | MCD | $81,552.00 | — | — | 2024-10-01 | MRF ↗ |
| OVIEDO MEDICAL CENTER Inpatient | United | MCD | $81,552.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTHWEST HOSPITAL Inpatient | United | MCD | $81,552.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTHWEST HOSPITAL Inpatient | Freedom Health | MGMCD | $81,552.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA AVENTURA HOSPITAL Inpatient | Freedom Health | MGMCD | $81,552.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTHWEST HOSPITAL Inpatient | Childrens Medical Service | MCD | $81,552.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA SOUTH SHORE HOSPITAL Inpatient | United | MGMCD | $81,552.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA JFK HOSPITAL Inpatient | HUMANA | MGMCD | $81,552.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA JFK HOSPITAL Inpatient | United | MCD | $81,552.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Inpatient | Access Health Solutions | MCD | $81,552.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Inpatient | United | MGMCD | $81,552.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA BLAKE HOSPITAL Inpatient | United | MGMCD | $81,552.00 | — | — | 2024-10-01 | MRF ↗ |
| ST LUCIE MEDICAL CENTER Inpatient | United | MCD | $81,552.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA BRANDON HOSPITAL Inpatient | United | MGMCD | $81,552.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA PALMS WEST HOSPITAL Inpatient | Pediatric Associates | MCD | $81,552.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA PALMS WEST HOSPITAL Inpatient | HUMANA | MGMCD | $81,552.00 | — | — | 2024-10-01 | MRF ↗ |
| ST LUCIE MEDICAL CENTER Inpatient | Freedom Health | MGMCD | $81,552.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Inpatient | United | MCD | $81,552.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTHWEST HOSPITAL Inpatient | HUMANA | MGMCD | $81,552.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ST PETERSBURG HOSPITAL Inpatient | United | MGMCD | $81,552.00 | — | — | 2024-10-01 | MRF ↗ |
| ST LUCIE MEDICAL CENTER Inpatient | HUMANA | MGMCD | $81,552.00 | — | — | 2024-10-01 | MRF ↗ |
| ST LUCIE MEDICAL CENTER Inpatient | Childrens Medical Service | MCD | $81,552.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA HIGHLANDS HOSPITAL Inpatient | United | MCD | $81,552.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA PALMS WEST HOSPITAL Inpatient | United | MCD | $81,552.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Inpatient | United | MCD | $81,552.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA PALMS WEST HOSPITAL Inpatient | Freedom Health | MGMCD | $81,552.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA FAWCETT HOSPITAL Inpatient | United | MGMCD | $81,552.00 | — | — | 2024-10-01 | MRF ↗ |
| WESTSIDE REGIONAL MEDICAL CENTER Inpatient | HUMANA | MGMCD | $81,552.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA AVENTURA HOSPITAL Inpatient | HUMANA | MGMCD | $81,552.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA HIGHLANDS HOSPITAL Inpatient | HUMANA | MGMCD | $81,552.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA CITRUS HOSPITAL Inpatient | United | MGMCD | $81,552.00 | — | — | 2024-10-01 | MRF ↗ |
| WESTSIDE REGIONAL MEDICAL CENTER Inpatient | United | MCD | $81,552.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA SOUTH TAMPA HOSPITAL Inpatient | United | MGMCD | $81,552.00 | — | — | 2024-10-01 | MRF ↗ |
| WESTSIDE REGIONAL MEDICAL CENTER Inpatient | Childrens Medical Service | MCD | $81,552.00 | — | — | 2024-10-01 | MRF ↗ |
| WESTSIDE REGIONAL MEDICAL CENTER Inpatient | Freedom Health | MGMCD | $81,552.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA JFK HOSPITAL Inpatient | Freedom Health | MGMCD | $81,552.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA TWIN CITIES HOSPITAL Inpatient | United | MCD | $81,552.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA LAWNWOOD HOSPITAL Inpatient | HUMANA | MGMCD | $81,552.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MERCY HOSPITAL Inpatient | United | MCD | $81,552.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA LAWNWOOD HOSPITAL Inpatient | United | MCD | $81,552.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA LAKE CITY HOSPITAL Inpatient | United | MCD | $81,552.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA KENDALL HOSPITAL Inpatient | Childrens Medical Service | MCD | $81,552.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA KENDALL HOSPITAL Inpatient | HUMANA | MGMCD | $81,552.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA KENDALL HOSPITAL Inpatient | United | MCD | $81,552.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA OAK HILL HOSPITAL Inpatient | United | MGMCD | $81,552.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Inpatient | United | MGMCD | $81,552.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA BAYONET POINT HOSPITAL Inpatient | United | MGMCD | $81,552.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA UNIVERSITY HOSPITAL Inpatient | United | MCD | $81,552.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA POINCIANA HOSPITAL Inpatient | United | MCD | $81,552.00 | — | — | 2024-10-01 | MRF ↗ |
| UNIVERSITY HOSPITAL AND MEDICAL CENTER Inpatient | United | MCD | $81,552.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA LARGO HOSPITAL Inpatient | United | MGMCD | $81,552.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTH FLORIDA HOSPITAL Inpatient | United | MCD | $81,552.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Inpatient | United | MCD | $81,552.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA AVENTURA HOSPITAL Inpatient | Childrens Medical Service | MCD | $81,552.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Inpatient | Access Health Solutions | MCD | $81,552.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MERCY HOSPITAL Inpatient | Childrens Medical Service | MCD | $81,552.00 | — | — | 2024-10-01 | MRF ↗ |
| UNIVERSITY HOSPITAL AND MEDICAL CENTER Inpatient | HUMANA | MGMCD | $81,552.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA OSCEOLA HOSPITAL Inpatient | United | MCD | $81,552.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA RAULERSON HOSPITAL Inpatient | HUMANA | MGMCD | $81,552.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ENGLEWOOD HOSPITAL Inpatient | United | MGMCD | $81,552.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA RAULERSON HOSPITAL Inpatient | United | MCD | $81,552.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MERCY HOSPITAL Inpatient | Freedom Health | MGMCD | $81,552.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA TRINITY HOSPITAL Inpatient | United | MGMCD | $81,552.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA RAULERSON HOSPITAL Inpatient | Childrens Medical Service | MCD | $81,552.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA UNIVERSITY HOSPITAL Inpatient | HUMANA | MGMCD | $81,552.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTH FLORIDA HOSPITAL Inpatient | United | MCD | $81,552.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA RAULERSON HOSPITAL Inpatient | Freedom Health | MGMCD | $81,552.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTH FLORIDA HOSPITAL Inpatient | HUMANA | MGMCD | $81,552.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA KENDALL HOSPITAL Inpatient | Freedom Health | MGMCD | $81,552.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA PUTNAM HOSPITAL Inpatient | United | MCD | $81,552.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTH FLORIDA HOSPITAL Inpatient | Freedom Health | MGMCD | $81,552.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Inpatient | United | Medicaid | $81,552.00 | — | — | 2024-10-01 | MRF ↗ |
| CENTRAL FLORIDA LAKE MONROE HOSPITAL Inpatient | United | MCD | $81,552.00 | — | — | 2024-10-01 | MRF ↗ |
| UNIVERSITY HOSPITAL AND MEDICAL CENTER Inpatient | Childrens Medical Service | MCD | $81,552.00 | — | — | 2024-10-01 | MRF ↗ |
| Hca Florida Largo Hospital Inpatient | United | MGMCD | $81,552.00 | — | — | 2024-10-01 | MRF ↗ |
| UNIVERSITY HOSPITAL AND MEDICAL CENTER Inpatient | Freedom Health | MGMCD | $81,552.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Inpatient | United | MCD | $81,552.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MERCY HOSPITAL Inpatient | HUMANA | MGMCD | $81,552.00 | — | — | 2024-10-01 | MRF ↗ |
| OVIEDO MEDICAL CENTER Inpatient | United | MCD | $81,552.00 | — | — | 2024-10-01 | MRF ↗ |
| CENTRAL FLORIDA LAKE MONROE HOSPITAL Inpatient | Seminole County | COMM | $81,552.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA LAWNWOOD HOSPITAL Inpatient | Childrens Medical Service | MCD | $81,552.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL Inpatient | United | MGMCD | $81,552.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Inpatient | United | Medicaid | $81,552.00 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA LAWNWOOD HOSPITAL Inpatient | Freedom Health | MGMCD | $81,552.00 | — | — | 2024-10-01 | MRF ↗ |
| PAM Health Rehabilitation Hospital of Jupiter InpatientFacility | United Healthcare | Managed Medicaid | $81,552.64 | — | — | 2025-09-11 | MRF ↗ |
| PAM Health Rehabilitation Hospital of Jupiter InpatientFacility | Simply Healthcare | Managed Medicaid/CHIP | $81,552.64 | — | — | 2025-09-11 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER InpatientFacility | iCircle of the Finger Lakes | Medicaid | $82,667.04 | — | — | 2025-07-23 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Inpatient | Peach State Ambetter | MCD | $83,160.80 | — | — | 2024-10-01 | MRF ↗ |
| BATES COUNTY MEMORIAL HOSPITAL InpatientFacility | Home State Health Plan | Managed Medicaid | $84,067.55 | — | — | 2026-04-20 | MRF ↗ |
| BATES COUNTY MEMORIAL HOSPITAL InpatientFacility | Home State Health Plan | Managed Medicaid | $84,067.55 | — | — | 2026-04-20 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Inpatient | United_Healthcare | MCD | $84,842.00 | $0.01 | $0.01 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Inpatient | Sunshine_State_Health_Plan | MCD | $84,842.00 | $0.01 | $0.01 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Inpatient | Aetna_Better_Health | MCD | $84,842.00 | $0.01 | $0.01 | 2024-12-15 | MRF ↗ |
| HCA FLORIDA WOODMONT HOSPITAL Inpatient | United | MCD | $84,952.00 | — | — | 2026-03-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Inpatient | United Behavioral Health | Medicaid HMO | $84,952.00 | — | — | 2025-08-01 | MRF ↗ |
| OVIEDO MEDICAL CENTER Inpatient | United | MCD | $84,952.00 | — | — | 2026-03-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Inpatient | Simply Healthcare | Healthy Kids | $84,952.00 | — | — | 2025-08-01 | MRF ↗ |
| OVIEDO MEDICAL CENTER Inpatient | WellCare | MCD | $84,952.00 | — | — | 2026-03-01 | MRF ↗ |
| North Florida Regional Medical Center Starke Campu Inpatient | WellCare | MCD | $84,952.00 | — | — | 2026-03-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Inpatient | Simply Healthcare | Healthy Kids | $84,952.00 | — | — | 2025-08-01 | MRF ↗ |
| North Florida Regional Medical Center Starke Campu Inpatient | United | MCD | $84,952.00 | — | — | 2026-03-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Inpatient | Simply Healthcare | Healthy Kids | $84,952.00 | — | — | 2025-08-01 | MRF ↗ |
| Lake City Medical Center Suwannee Campus Inpatient | United | MCD | $84,952.00 | — | — | 2026-03-01 | 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.