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 (OTHER 5883) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/5883?code_type=OTHER
“NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE (OTHER 5883) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/5883?code_type=OTHER. Accessed .
“NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE (OTHER 5883) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/5883?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $86,223–$245,019 (25th–75th percentile) across 48 hospitals · 90 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 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 |
|---|---|---|---|---|---|---|---|
| O U MEDICAL CENTER | Healthchoice Ppo | — | $0.14 | $113.50 | $11.35 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Bright Health Plan | — | $23.84 | $113.50 | $11.35 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Medica Harmony Sync | — | $23.84 | $113.50 | $11.35 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Cigna All Other Ppo | — | $39.50 | $113.50 | $11.35 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Healthcare Highways Chicksaw Nation | — | $39.73 | $113.50 | $11.35 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Healthcare Highways Norman Regional | — | $39.73 | $113.50 | $11.35 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Aetna Hmo | — | $42.86 | $113.50 | $11.35 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Globalhealth Hmo | — | $45.40 | $113.50 | $11.35 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Healthcare Highways D1 | — | $45.40 | $113.50 | $11.35 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Healthcare Highways D2 | — | $56.75 | $113.50 | $11.35 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Cigna Open Access | — | $59.93 | $113.50 | $11.35 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Coventry Ppo | — | $60.16 | $113.50 | $11.35 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Healthsmart Accel | — | $65.83 | $113.50 | $11.35 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Cigna Ppo Payor Solutions Strategic Alliances | — | $66.06 | $113.50 | $11.35 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Aetna Ec Mc Pos | — | $66.97 | $113.50 | $11.35 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Communitycare Hmo | — | $73.78 | $113.50 | $11.35 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | First Health Ppo | — | $76.05 | $113.50 | $11.35 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Healthsmart Ppo | — | $79.45 | $113.50 | $11.35 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Humana Choicecare Ppo | — | $79.45 | $113.50 | $11.35 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Aetna Ppo | — | $82.86 | $113.50 | $11.35 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Preferred Community Choice | — | $90.80 | $113.50 | $11.35 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Quiktrip | — | $93.07 | $113.50 | $11.35 | 2026-07-31 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Anthem | Traditional | — | $638.00 | $319.00 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Molina | Marketplace | — | $638.00 | $319.00 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Aetna | Hmo Ppo | — | $638.00 | $319.00 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Anthem | Ppo Hmo | — | $638.00 | $319.00 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Cigna | Cigna | — | $638.00 | $319.00 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Med Mutual | Ppo Hmo | — | $638.00 | $319.00 | 2026-05-13 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Aetna Better Health Ma | — | $1,019.26 | $3,966.00 | $1,162.43 | 2026-07-05 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Upmc Ma | — | $1,507.48 | $3,966.00 | $1,162.43 | 2026-07-05 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Uhc Ma Chip | — | $1,622.09 | $3,966.00 | $1,162.43 | 2026-07-05 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Upmc Ma Chip | — | $1,773.99 | $3,966.00 | $1,162.43 | 2026-07-05 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Aetna Signature Administrators | — | $2,058.35 | $3,966.00 | $1,162.43 | 2026-07-05 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Aetna Comm | — | $2,058.35 | $3,966.00 | $1,162.43 | 2026-07-05 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Cigna | — | $2,379.60 | $3,966.00 | $1,162.43 | 2026-07-05 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Geisinger Comm | — | $2,625.10 | $3,966.00 | $1,162.43 | 2026-07-05 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Uhc Comm | — | $2,657.22 | $3,966.00 | $1,162.43 | 2026-07-05 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Upmc Comm | — | $2,974.50 | $3,966.00 | $1,162.43 | 2026-07-05 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Wellspan | — | $3,133.14 | $3,966.00 | $1,162.43 | 2026-07-05 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Multiplan | — | $3,172.80 | $3,966.00 | $1,162.43 | 2026-07-05 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Humana Health Plan | Medicaid Humana Health Plan | $62,206.47 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Health Alliance | Medicaid Health Alliance | $62,206.47 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Countycare Claims | Medicaid Countycare Claims | $62,206.47 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Youth Care | Medicaid Youth Care | $62,206.47 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Wellcare | Medicaid Wellcare | $62,206.47 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Aetna Better Health | Medicaid Aetna Better Health | $62,206.47 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Molina | Medicaid Molina | $62,206.47 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Illinois | Medicaid Illinois | $62,206.47 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Blue Cross Community Family Health Plan Xxl / Xog | Medicaid Blue Cross Community Family Health Plan Xxl / Xog | $62,206.47 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Countycare Claims | Medicaid Countycare Claims | $62,206.47 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Health Alliance | Medicaid Health Alliance | $62,206.47 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Humana Health Plan | Medicaid Humana Health Plan | $62,206.47 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Meridian | Medicaid Meridian | $62,206.47 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Blue Cross Community Family Health Plan Xxl / Xog | Medicaid Blue Cross Community Family Health Plan Xxl / Xog | $62,206.47 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Illinois | Medicaid Illinois | $62,206.47 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Molina | Medicaid Molina | $62,206.47 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Aetna Better Health | Medicaid Aetna Better Health | $62,206.47 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Youth Care | Medicaid Youth Care | $62,206.47 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Wellcare | Medicaid Wellcare | $62,206.47 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Meridian | Medicaid Meridian | $62,206.47 | — | — | 2026-05-24 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL | Medicaid|Texas Childrens (Tch)|Starkids | — | $69,279.23 | — | — | 2026-07-31 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL | Medicaid|Texas Childrens (Tch)|Starkids | — | $69,279.23 | — | — | 2026-07-30 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE | Medicaid|Texas Childrens (Tch)|Starkids | — | $69,279.23 | — | — | 2026-07-30 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL | Medicaid|Texas Childrens (Tch)|Starkids | — | $69,279.23 | — | — | 2026-07-31 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE | Medicaid|Amerigroup|Chip | — | $71,357.61 | — | — | 2026-07-30 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE | Medicaid|Amerigroup|Starkids | — | $71,357.61 | — | — | 2026-07-30 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE | Medicaid|United|Chip | — | $71,357.61 | — | — | 2026-07-30 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE | Medicaid|United|Starkids | — | $71,357.61 | — | — | 2026-07-30 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL | Medicaid|Amerigroup|Chip | — | $71,357.61 | — | — | 2026-07-31 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL | Medicaid|Amerigroup|Starkids | — | $71,357.61 | — | — | 2026-07-31 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL | Medicaid|United|Chip | — | $71,357.61 | — | — | 2026-07-31 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL | Medicaid|United|Starkids | — | $71,357.61 | — | — | 2026-07-31 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL | Medicaid|United|Starplus | — | $71,357.61 | — | — | 2026-07-31 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL | Medicaid|Amerigroup|Chip | — | $71,357.61 | — | — | 2026-07-31 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL | Medicaid|Amerigroup|Starkids | — | $71,357.61 | — | — | 2026-07-31 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL | Medicaid|United|Chip | — | $71,357.61 | — | — | 2026-07-31 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL | Medicaid|United|Starkids | — | $71,357.61 | — | — | 2026-07-31 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL | Medicaid|Amerigroup|Chip | — | $71,357.61 | — | — | 2026-07-30 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL | Medicaid|Amerigroup|Starkids | — | $71,357.61 | — | — | 2026-07-30 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL | Medicaid|United|Chip | — | $71,357.61 | — | — | 2026-07-30 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL | Medicaid|United|Starkids | — | $71,357.61 | — | — | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicaid|Caresource|All Products | — | $71,626.71 | — | — | 2026-07-30 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL | Medicaid|Bcbs - Tx|All Plans | — | $72,743.19 | — | — | 2026-07-31 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL | Medicaid|Bcbs - Tx|All Plans | — | $72,743.19 | — | — | 2026-07-30 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL | Medicaid|Bcbs - Tx|All Plans | — | $72,743.19 | — | — | 2026-07-31 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE | Medicaid|Bcbs - Tx|All Plans | — | $72,743.19 | — | — | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicaid|Molina|All Products | — | $73,059.24 | — | — | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicaid|United|All Products | — | $73,775.51 | — | — | 2026-07-30 | MRF ↗ |
| Baylor St Lukes Medical Center | Medicaid|Texas Childrens (Tch)|Starkids | — | $73,800.12 | — | — | 2026-07-31 | MRF ↗ |
| Baylor St Lukes Medical Center | Medicaid|United|Chip | — | $73,800.12 | — | — | 2026-07-31 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicaid|Buckeye|All Products | — | $75,208.05 | — | — | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicaid|Paramount|All Products | — | $75,208.05 | — | — | 2026-07-30 | MRF ↗ |
| Baylor St Lukes Medical Center | Medicaid|Amerigroup|Starkids | — | $76,014.12 | — | — | 2026-07-31 | MRF ↗ |
| Baylor St Lukes Medical Center | Medicaid|United|Starkids | — | $76,014.12 | — | — | 2026-07-31 | MRF ↗ |
| Baylor St Lukes Medical Center | Medicaid|Amerigroup|Chip | — | $76,014.12 | — | — | 2026-07-31 | MRF ↗ |
| Baylor St Lukes Medical Center | Medicaid|Bcbs - Tx|All Plans | — | $77,490.13 | — | — | 2026-07-31 | MRF ↗ |
| Chi St Joseph Health College Station Hospital | Medicaid|Superior Health Plan|Chip | — | $84,532.19 | — | — | 2026-07-30 | MRF ↗ |
| Chi St Joseph Health College Station Hospital | Medicaid|United|All Other Plans | — | $86,222.83 | — | — | 2026-07-30 | MRF ↗ |
| Chi St Joseph Health College Station Hospital | Medicaid|United|Starkids | — | $86,222.83 | — | — | 2026-07-30 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER | Medicaid|Texas Childrens (Tch)|All Plans | — | $87,365.00 | — | — | 2026-07-30 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER | Medicaid|Community Health Choice|All Plans | — | $87,365.00 | — | — | 2026-07-30 | MRF ↗ |
| Chi St Joseph Health College Station Hospital | Medicaid|Amerigroup|All Plans | — | $88,758.80 | — | — | 2026-07-30 | MRF ↗ |
| Chi St Joseph Health College Station Hospital | Medicaid|Superior Health Plan|Star | — | $88,758.80 | — | — | 2026-07-30 | MRF ↗ |
| Chi St Joseph Health College Station Hospital | Medicaid|Bcbs - Tx|All Plans | — | $88,758.80 | — | — | 2026-07-30 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER | Medicaid|Amerigroup|All Plans | — | $91,963.16 | — | — | 2026-07-30 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid | Medicaid Illinois | $92,853.22 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Molina | Medicaid Illinois | $92,853.22 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Aetna | Medicaid | $92,853.22 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Mutual Medical | Commercial | $92,853.22 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Molina | Medicaid Illinois | $92,853.22 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid | Medicaid Illinois | $92,853.22 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Aetna | Medicaid | $92,853.22 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Mutual Medical | Commercial | $92,853.22 | — | — | 2026-05-24 | MRF ↗ |
| CHI ST LUKE'S HEALTH BRAZOSPORT | Medicaid|Texas Childrens (Tch)|All Plans | — | $94,352.12 | — | — | 2026-08-01 | MRF ↗ |
| CHI ST LUKE'S HEALTH BRAZOSPORT | Medicaid|Amerigroup|All Plans | — | $94,352.12 | — | — | 2026-08-01 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER | Medicaid|United|All Plans | — | $94,722.05 | — | — | 2026-07-30 | MRF ↗ |
| CHI ST LUKE'S HEALTH BRAZOSPORT | Medicaid|Community Health Choice|All Plans | — | $99,069.73 | — | — | 2026-08-01 | MRF ↗ |
| CHI ST LUKE'S HEALTH BRAZOSPORT | Medicaid|Bcbs - Tx|All Plans | — | $99,069.73 | — | — | 2026-08-01 | MRF ↗ |
| CHI ST LUKE'S HEALTH BRAZOSPORT | Medicaid|Superior Health Plan|All Plans | — | $99,069.73 | — | — | 2026-08-01 | MRF ↗ |
| AVERA MARSHALL REGIONAL MEDICAL CTR Inpatient | Bcbsmn Insurance | Min | $102,749.84 | — | — | 2026-05-09 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Inpatient | Anthem | In Medicaid | $111,984.02 | — | — | 2026-05-14 | MRF ↗ |
| UNIVERSITY OF LOUISVILLE HOSPITAL Inpatient | Anthem | In Medicaid | $111,984.02 | — | — | 2026-05-14 | MRF ↗ |
| UNIVERSITY OF LOUISVILLE HOSPITAL Inpatient | Anthem | In Medicaid | $111,984.02 | — | — | 2026-05-22 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Inpatient | Anthem | In Medicaid | $111,984.02 | — | — | 2026-05-22 | MRF ↗ |
| HILLSDALE HOSPITAL Inpatient | Uhc | Medicaid | $113,034.79 | — | — | 2026-05-06 | MRF ↗ |
| HILLSDALE HOSPITAL Inpatient | Bcbs | Medicaid | $113,034.79 | — | — | 2026-05-06 | MRF ↗ |
| HILLSDALE HOSPITAL Inpatient | Meridian Health Plan | Medicaid | $113,034.79 | — | — | 2026-05-06 | MRF ↗ |
| HILLSDALE HOSPITAL Inpatient | Wellpath | Medicaid | $113,034.79 | — | — | 2026-05-06 | MRF ↗ |
| THREE RIVERS HEALTH Inpatient | Molina | Mi Medicaid | $123,561.93 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Inpatient | Priority Health | Mi Medicaid | $123,561.93 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Inpatient | Aetna | Mi Medicaid | $123,561.93 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Uhc | Mi Medicaid | $123,561.93 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Mclaren (Mi | Mi Medicaid | $123,561.93 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Inpatient | Uhc | Mi Medicaid | $123,561.93 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Inpatient | Mclaren | Mi Medicaid | $123,561.93 | — | — | 2026-05-13 | MRF ↗ |
| HILLSDALE HOSPITAL Inpatient | Bcbs | Medicaid | $127,281.64 | — | — | 2026-05-13 | MRF ↗ |
| HILLSDALE HOSPITAL Inpatient | Uhc | Medicaid | $127,281.64 | — | — | 2026-05-13 | MRF ↗ |
| HILLSDALE HOSPITAL Inpatient | Meridian Health Plan | Medicaid | $127,281.64 | — | — | 2026-05-13 | MRF ↗ |
| HILLSDALE HOSPITAL Inpatient | Medicaid | Medicaid | $127,281.64 | — | — | 2026-05-13 | MRF ↗ |
| HARRIS HEALTH Inpatient | Superior | Medicaid | $141,855.93 | — | — | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Inpatient | Molina | Medicaid | $141,855.93 | — | — | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Inpatient | Molina | Medicaid | $141,855.93 | — | — | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Inpatient | Uhc | Medicaid | $141,855.93 | — | — | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Inpatient | Uhc | Medicaid | $141,855.93 | — | — | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Inpatient | Tx Childrens | Medicaid | $141,855.93 | — | — | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Inpatient | Tx Childrens | Medicaid | $141,855.93 | — | — | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Inpatient | Superior | Medicaid | $141,855.93 | — | — | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Inpatient | Chc | Medicaid | $144,693.05 | — | — | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Inpatient | Chc | Medicaid | $144,693.05 | — | — | 2026-05-22 | MRF ↗ |
| Chi St Lukes Health Memorial San Augustine | Medicaid|Amerigroup|All Other Plans | — | $146,059.40 | — | — | 2026-08-01 | MRF ↗ |
| Chi St Lukes Health Memorial San Augustine | Medicaid|Texas Childrens (Tch)|All Plans | — | $146,059.40 | — | — | 2026-08-01 | MRF ↗ |
| Chi St Lukes Health Memorial San Augustine | Medicaid|United|All Plans | — | $146,059.40 | — | — | 2026-08-01 | MRF ↗ |
| Chi St Lukes Health Memorial San Augustine | Medicaid|Superior Health Plan|All Plans | — | $146,059.40 | — | — | 2026-08-01 | MRF ↗ |
| Chi St Lukes Health Memorial San Augustine | Medicaid|Cigna|All Plans | — | $148,980.59 | — | — | 2026-08-01 | MRF ↗ |
| Chi St Lukes Health Memorial San Augustine | Medicaid|Amerigroup|Starplus | — | $150,441.18 | — | — | 2026-08-01 | MRF ↗ |
| Chi St Lukes Health Memorial San Augustine | Medicaid|Bcbs - Tx|All Plans | — | $153,362.37 | — | — | 2026-08-01 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Inpatient | Upmc | Mcd Advantage | $158,154.61 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Inpatient | Upmc | Chip | $158,154.61 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Inpatient | Geisinger | Mcd Advantage | $158,154.61 | — | — | 2026-05-14 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | United Healthcare | United Healthcare Community Plan Of Pa Medicaid | $158,154.61 | — | — | 2026-05-13 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Inpatient | Traditional Medicaid | Traditional Medicaid | $158,154.61 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Inpatient | Aetna | Mcd Advantage | $158,154.61 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Inpatient | Upmc | Mcd Advantage | $158,154.61 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Inpatient | Upmc | Chip | $158,154.61 | — | — | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | Upmc | Upmc For Kids Medicaid | $158,154.61 | — | — | 2026-05-13 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Inpatient | Geisinger | Mcd Advantage | $158,154.61 | — | — | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | United Healthcare | United Healthcare Community Plan Of Pa Medicaid | $158,154.61 | — | — | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | Highmark | Wholecare Medicaid | $158,154.61 | — | — | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | Aetna | Aetna Better Health | $158,154.61 | — | — | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | Highmark | Wholecare Medicaid | $158,154.61 | — | — | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | Aetna | Aetna Better Health | $158,154.61 | — | — | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | Upmc | Upmc For Kids Medicaid | $158,154.61 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Inpatient | Traditional Medicaid | Traditional Medicaid | $158,154.61 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Inpatient | Aetna | Mcd Advantage | $158,154.61 | — | — | 2026-05-14 | MRF ↗ |
| HILLSDALE HOSPITAL Inpatient | Vcpg | Medicaid | $159,102.05 | — | — | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | Upmc | Upmc Community Healthchoices Plan | $161,238.63 | — | — | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | Upmc | Upmc Community Healthchoices Plan | $161,238.63 | — | — | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | Upmc | Upmc For You Medicaid | $161,238.63 | — | — | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | Upmc | Upmc For You Medicaid | $161,238.63 | — | — | 2026-05-23 | MRF ↗ |
| CLARION HOSPITAL Inpatient | Upmc | Medicaid | $166,062.47 | — | — | 2026-05-13 | MRF ↗ |
| CLARION HOSPITAL Inpatient | Upmc | Medicaid | $166,062.47 | — | — | 2026-05-23 | MRF ↗ |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER InpatientFacility | Healthnet | Medi-Cal Medicaid Managed Care Plan | $166,168.54 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER InpatientFacility | Healthnet | Medi-Cal Medicaid Managed Care Plan | $166,168.54 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER InpatientFacility | Caloptima | Medi-Cal Medicaid Managed Care Plan | $166,168.54 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER InpatientFacility | Caloptima | Medi-Cal Medicaid Managed Care Plan | $166,168.54 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER InpatientFacility | Caloptima | Medi-Cal Medicaid Managed Care Plan | $166,168.54 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER InpatientFacility | Healthnet | Medi-Cal Medicaid Managed Care Plan | $166,168.54 | — | — | 2026-04-01 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | Geisinger | Geisinger Medicaid | $167,643.89 | — | — | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | Geisinger | Geisinger Medicaid | $167,643.89 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Inpatient | Jefferson Health | Mcd Advantage | $167,649.24 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Inpatient | Jefferson Health | Mcd Advantage | $167,649.24 | — | — | 2026-05-23 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Molina | Medi-Cal Medicaid Managed Care Plan | $168,055.60 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Healthcare Partners | Medi-Cal Medicaid Managed Care Plan | $168,055.60 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Healthnet | Medi-Cal Select Health Medicaid Managed Care Plan | $168,055.60 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Healthnet | Medi-Cal Medicaid Managed Care Plan | $168,055.60 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | La Care | Medi-Cal Medicaid Managed Care Plan | $168,055.60 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Global Care Medical Group | Ancillary Medi-Cal Medicaid Managed Care Plan | $168,055.60 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Avanti Health System | Medi-Cal Medicaid Managed Care Plan | $168,055.60 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Cal Care | Ancillary Medi-Cal Ipa Medicaid Managed Care Plan | $168,055.60 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Citrus Valley | Ipa Medi-Cal Medicaid Managed Care Plan | $168,055.60 | — | — | 2026-04-01 | 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.