5884 — Neonate Birth Weight < 1500 Grams With Major Procedure
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE (APR_DRG 5884) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/5884?code_type=APR_DRG
MLA (9th ed.)
“NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE (APR_DRG 5884) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/5884?code_type=APR_DRG. Accessed .
Chicago (notes-bibliography)
“NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE (APR_DRG 5884) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/5884?code_type=APR_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $182,411–$393,628 (25th–75th percentile) across 1,126 hospitals · 608 payers.
“Negotiated” is the hospital’s negotiated rate for the entire inpatient stay under APR_DRG 5884 — the consumer-grade median across the country. An inpatient (DRG) price bundles the whole admission: operating room, room & board, recovery, imaging, anesthesia (facility), implants and supplies. It does not include the surgeon’s or anesthesiologist’s professional fees, which 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 | $25.85 | — | — | 2026-02-19 | MRF ↗ |
| Memorial Regional Hospital South InpatientFacility | OptumHealth Care Solutions | Transplants - Medicaid | $42.60 | — | — | 2026-05-27 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Parkland | Medicaid | $48.08 | — | — | 2026-04-15 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Cigna | Medicaid | $48.08 | — | — | 2026-04-15 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Amerigroup | CHIP/Medicaid | $48.08 | — | — | 2026-04-15 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Superior Health Plan | CHIP/Medicaid | $48.08 | — | — | 2026-04-15 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Molina | CHIP/Medicaid | $48.08 | — | — | 2026-04-15 | MRF ↗ |
| ELIZABETHTOWN COMMUNITY HOSPITAL InpatientFacility | — | — | — | — | — | 2025-01-01 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL InpatientFacility | — | — | — | — | — | 2024-12-16 | 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 | CHIP | $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 | CHPFC | $1,139.00 | — | — | 2024-10-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | Superior Health Plan | STARPLUS | $1,139.00 | — | — | 2024-10-01 | MRF ↗ |
| NEW ULM MEDICAL CENTER Inpatient | Medicaid | Medicaid Ma (N) | $1,421.14 | — | — | 2026-07-18 | MRF ↗ |
| NEW ULM MEDICAL CENTER Inpatient | South Country Health Alliance | Scha Pmap (N) | $1,470.00 | — | — | 2026-07-18 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Medicaid Other | Medicaid Other | $1,588.43 | — | — | 2026-09-21 | MRF ↗ |
| PROMEDICA DEFIANCE REGIONAL HOSPITAL Inpatient | Meridian Health Plan Of Mi | Meridian | $1,600.00 | — | — | 2026-07-17 | MRF ↗ |
| FOSTORIA COMMUNITY HOSPITAL Inpatient | Meridian Health Plan Of Mi | Meridian | $1,600.00 | — | — | 2026-07-17 | MRF ↗ |
| PROMEDICA MONROE REGIONAL HOSPITAL Inpatient | Meridian | Meridian | $1,600.00 | — | — | 2026-07-15 | MRF ↗ |
| BAY PARK COMMUNITY HOSPITAL Inpatient | Meridian Health Plan Of Mi | Meridian | $1,600.00 | — | — | 2026-07-15 | MRF ↗ |
| PROMEDICA TOLEDO HOSPITAL Inpatient | Health Plan Of Michigan Dba Meridian Health Plan Of Michigan | Meridian | $1,600.00 | — | — | 2026-07-17 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $1,704.66 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $1,767.40 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Molina | Molina Medicaid | $1,796.02 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Select Health | Select Health Medicaid | $1,796.02 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $1,813.46 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $1,830.90 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL InpatientFacility | — | — | — | — | — | 2024-12-10 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $1,891.11 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL InpatientFacility | — | — | — | — | — | 2024-12-12 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL InpatientFacility | — | — | — | — | — | 2024-12-07 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL InpatientFacility | — | — | — | — | — | 2024-12-13 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL InpatientFacility | — | — | — | — | — | 2024-12-13 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE InpatientFacility | — | — | — | — | — | 2025-03-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST InpatientFacility | — | — | — | — | — | 2025-03-06 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Cigna Hmo Ppo | — | $2,646.00 | $1,203,010.60 | $781,956.89 | 2026-07-05 | MRF ↗ |
| RIVER FALLS AREA HOSPITAL Inpatient | South Country Health Alliance | Scha Pmap (R) | $3,319.06 | — | — | 2026-07-15 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS InpatientFacility | UHC COMMUNITY | ALL PRODUCTS | $3,895.03 | — | — | 2026-03-18 | MRF ↗ |
| Prisma Health North Greenville Ltach InpatientFacility | — | — | — | — | — | 2024-12-11 | MRF ↗ |
| MONTEFIORE ST LUKE'S CORNWALL Inpatient | Anthem | Exchange | $31,694.16 | — | — | 2026-04-01 | MRF ↗ |
| EAST COOPER MEDICAL CENTER InpatientFacility | Humana | Medicaid | $50,913.49 | — | — | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER InpatientFacility | Select Health | Medicaid | $50,913.49 | — | — | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER InpatientFacility | Absolute Total Care | Medicaid | $53,459.26 | — | — | 2026-03-12 | MRF ↗ |
| NORTHSIDE HOSPITAL GWINNETT Inpatient | Centene | Peach State Medicaid | $58,599.39 | — | — | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL GWINNETT Inpatient | Institutional Gwinnett County Govt | Institutional Gwinnett County Govt | $58,599.39 | — | — | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL GWINNETT Inpatient | Amerigroup | Amerigroup Medicaid | $58,599.39 | — | — | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL GWINNETT Inpatient | CareSource | CareSource | $60,357.37 | — | — | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Inpatient | Amerigroup | Amerigroup Medicaid | $62,555.46 | — | — | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Inpatient | Centene | Peach State Medicaid | $62,555.46 | — | — | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Inpatient | CareSource | CareSource | $64,432.13 | — | — | 2026-02-14 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Inpatient | Healthy Way La | Healthy Way La | $66,300.00 | — | — | 2026-07-19 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Inpatient | Healthy Way La | Healthy Way La | $66,300.00 | — | — | 2026-07-15 | MRF ↗ |
| GARFIELD MEDICAL CENTER InpatientFacility | — | — | — | — | — | 2026-03-12 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Inpatient | Healthy Way La | Healthy Way La | $66,300.00 | — | — | 2026-07-15 | MRF ↗ |
| NORTHSIDE HOSPITAL FORSYTH Inpatient | Amerigroup | Amerigroup Medicaid | $72,198.40 | — | — | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL FORSYTH Inpatient | Centene | Peach State Medicaid | $72,198.40 | — | — | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Inpatient | Centene | Peach State Medicaid | $72,445.66 | — | — | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Inpatient | Institutional Gwinnett County Govt | Institutional Gwinnett County Govt | $72,445.66 | — | — | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Inpatient | Amerigroup | Amerigroup Medicaid | $72,445.66 | — | — | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL FORSYTH Inpatient | CareSource | CareSource | $74,364.35 | — | — | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Inpatient | CareSource | CareSource | $74,619.03 | — | — | 2026-02-14 | MRF ↗ |
| ELMHURST HOSPITAL CENTER InpatientFacility | Healthfirst | Small Group | $79,365.78 | — | — | 2025-09-05 | MRF ↗ |
| NORTHSIDE HOSPITAL Inpatient | Amerigroup | Amerigroup Medicaid | $83,572.12 | — | — | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL Inpatient | Centene | Peach State Medicaid | $83,572.12 | — | — | 2026-02-14 | MRF ↗ |
| TIFT REGIONAL MEDICAL CENTER InpatientFacility | — | — | — | — | — | 2026-03-13 | MRF ↗ |
| SANFORD LUVERNE MEDICAL CENTER InpatientFacility | Ucare | Medicaid Managed Care | $85,820.30 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD LUVERNE MEDICAL CENTER InpatientFacility | Primewest | Medicaid Managed Care | $85,820.30 | — | — | 2026-03-04 | MRF ↗ |
| NORTHSIDE HOSPITAL Inpatient | CareSource | CareSource | $86,079.29 | — | — | 2026-02-14 | MRF ↗ |
| SANFORD CANBY MEDICAL CENTER InpatientFacility | Ucare | Medicaid Managed Care | $91,942.00 | — | — | 2026-03-04 | MRF ↗ |
| NYACK HOSPITAL Inpatient | HealthFirst | Exchange Product - Enrollees | $92,578.34 | — | $185,156.67 | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Inpatient | HealthFirst | Exchange Product - Enrollees | $92,578.34 | — | $185,156.67 | 2025-06-27 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Inpatient | Bcbs | Bcbs Medicaid Managed Care (Ip) | $96,558.28 | — | — | 2026-07-15 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Inpatient | Meridian | Meridian Medicaid Managed Care (Ip) | $96,558.28 | — | — | 2026-07-15 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Inpatient | Molina | Molina Medicaid Managed Care (Ip) | $96,558.28 | — | — | 2026-07-15 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Inpatient | Aetna | Aetna Better Health Medicaid Managed Care (Ip) | $96,558.28 | — | — | 2026-07-15 | MRF ↗ |
| SOUTHWELL MEDICAL, A CAMPUS OF TRMC InpatientFacility | — | — | — | — | — | 2024-12-23 | MRF ↗ |
| TAYLORVILLE MEMORIAL HOSPITAL Inpatient | Bcbs | Bcbs Medicaid Managed Care (Ip) | $101,173.10 | — | — | 2026-10-09 | MRF ↗ |
| TAYLORVILLE MEMORIAL HOSPITAL Inpatient | Aetna | Aetna Better Health Medicaid Managed Care (Ip) | $101,173.10 | — | — | 2026-10-09 | MRF ↗ |
| TAYLORVILLE MEMORIAL HOSPITAL Inpatient | Meridian | Meridian Medicaid Managed Care (Ip) | $101,173.10 | — | — | 2026-10-09 | MRF ↗ |
| TAYLORVILLE MEMORIAL HOSPITAL Inpatient | Molina | Molina Medicaid Managed Care (Ip) | $101,173.10 | — | — | 2026-10-09 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Inpatient | Humana | Medicaid | $103,991.65 | — | — | 2026-07-15 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Inpatient | Wellcare | Medicaid | $103,991.65 | — | — | 2026-07-15 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Inpatient | Clear Health Alliance | Medicaid | $103,991.65 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER InpatientFacility | Molina | Medicaid | $106,416.56 | — | — | 2025-07-23 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER InpatientFacility | United Healthcare | Medicaid | $106,416.56 | — | — | 2025-07-23 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Inpatient | United Healthcare | Medicaid | $107,111.00 | — | — | 2026-07-15 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Inpatient | United Healthcare | Medicaid | $107,111.40 | — | — | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Inpatient | Mdwise | Hip | $107,773.98 | — | — | 2026-07-17 | MRF ↗ |
| SAMARITAN MEDICAL CENTER InpatientFacility | Excellus | Managed Medicaid | $108,064.96 | — | — | 2026-02-02 | MRF ↗ |
| SAMARITAN MEDICAL CENTER InpatientFacility | MVP | Essential Plan 3-4 | $108,064.96 | — | — | 2026-02-02 | MRF ↗ |
| SAMARITAN MEDICAL CENTER InpatientFacility | Fidelis | Medicaid Managed Care/Child Health Plus and Family Health Plus | $108,064.96 | — | — | 2026-02-02 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Inpatient | United Healthcare | Medicaid | $108,151.31 | — | — | 2026-07-15 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Inpatient | Humana | Medicaid | $109,191.00 | — | — | 2026-07-15 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Inpatient | Staywell | Wellcare Medicaid | $109,191.00 | — | — | 2026-07-15 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Inpatient | Staywell | Wellcare Medicaid | $109,191.23 | — | — | 2026-07-15 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Inpatient | Humana | Medicaid | $109,191.23 | — | — | 2026-07-15 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | Managed Health Services (MHS) | Managed Medicaid | $109,403.98 | — | — | 2026-06-03 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Anthem Blue Cross Blue Shield | Managed Medicaid | $109,403.98 | — | — | 2025-04-24 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Humana | Managed Medicaid | $109,403.98 | — | — | 2025-04-24 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Managed Health Services (MHS) Hoosier Healthwise (HHW) | Managed Medicaid | $109,403.98 | — | — | 2025-04-24 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | United Healthcare of Indiana | Managed Medicaid | $109,403.98 | — | — | 2026-06-03 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | CareSource Indiana Healthy Indiana Plan (HIP) | Managed Medicaid | $109,403.98 | — | — | 2026-06-03 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Managed Health Services (MHS) Hoosier Care Connect | Managed Medicaid | $109,403.98 | — | — | 2025-04-24 | MRF ↗ |
| REID HEALTH InpatientFacility | Anthem Blue Cross Blue Shield | Managed Medicaid | $109,403.98 | — | — | 2025-07-21 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | CareSource Indiana Healthy Indiana Plan (HIP) | Managed Medicaid | $109,403.98 | — | — | 2025-04-24 | MRF ↗ |
| REID HEALTH InpatientFacility | Humana of Indiana | Pathways for Aging/Managed Medicaid | $109,403.98 | — | — | 2025-07-21 | MRF ↗ |
| REID HEALTH InpatientFacility | MDWise | Managed Medicaid | $109,403.98 | — | — | 2025-07-21 | MRF ↗ |
| REID HEALTH InpatientFacility | Caresource of Indiana | Managed Medicaid | $109,403.98 | — | — | 2025-07-21 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | Managed Health Services (MHS) Hoosier Care Connect | Managed Medicaid | $109,403.98 | — | — | 2026-06-03 | MRF ↗ |
| REID HEALTH InpatientFacility | MHS | Managed Medicaid | $109,403.98 | — | — | 2025-07-21 | MRF ↗ |
| REID HEALTH InpatientFacility | Anthem Blue Cross Blue Shield | Pathways for Aging/Managed Medicaid | $109,403.98 | — | — | 2025-07-21 | MRF ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC InpatientFacility | Anthem Blue Cross of IN | Medicaid | $109,412.44 | — | — | 2026-02-18 | MRF ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC InpatientFacility | Managed Health Services | Medicaid | $109,412.44 | — | — | 2026-02-18 | MRF ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC InpatientFacility | CareSource Indiana of IN | Hoosier Healthwise/HIP | $109,412.44 | — | — | 2026-02-18 | MRF ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC InpatientFacility | MDWise | Medicaid | $109,412.44 | — | — | 2026-02-18 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | CareSource Indiana Hoosier Healthwise (HHW) | Managed Medicaid | $110,498.02 | — | — | 2026-06-03 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Inpatient | Vivada | Medicaid | $111,271.00 | — | — | 2026-07-15 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Inpatient | Vivada | Medicaid | $111,271.06 | — | — | 2026-07-15 | MRF ↗ |
| SAMARITAN MEDICAL CENTER InpatientFacility | United Healthcare | Managed Medicaid | $111,306.91 | — | — | 2026-02-02 | MRF ↗ |
| REID HEALTH InpatientFacility | United Healthcare | Managed Medicaid | $111,592.22 | — | — | 2025-07-21 | MRF ↗ |
| REID HEALTH InpatientFacility | United Healthcare | Pathways for Aging/Managed Medicaid | $111,592.22 | — | — | 2025-07-21 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Inpatient | Aetna | Medicaid | $112,310.98 | — | — | 2026-07-15 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Inpatient | Aetna | Medicaid | $112,310.98 | — | — | 2026-07-15 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Inpatient | Aetna | Medicaid | $112,310.98 | — | — | 2026-07-15 | MRF ↗ |
| MONROE HOSPITAL Inpatient | BCBS | BCBS Medicaid - Hoosier Healthwise | $112,527.00 | — | — | 2024-12-19 | MRF ↗ |
| MONROE HOSPITAL Inpatient | Care Source | Care Source Medicaid - Hoosier Healthwise | $112,527.00 | — | — | 2024-12-19 | MRF ↗ |
| MONROE HOSPITAL Inpatient | United Healthcare | UHC Medicaid CHIP - Hoosier Care | $112,527.00 | — | — | 2024-12-19 | MRF ↗ |
| MONROE HOSPITAL Inpatient | Traditional Medicaid | Traditional Medicaid | $112,527.00 | — | — | 2024-12-19 | MRF ↗ |
| MONROE HOSPITAL Inpatient | Care Source | Care Source Medicaid - Healthy Indiana Plan - HIP | $112,527.00 | — | — | 2024-12-19 | MRF ↗ |
| MONROE HOSPITAL Inpatient | Non-Contracted Medicaid | Non-Contracted Medicaid | $112,527.00 | — | — | 2024-12-19 | MRF ↗ |
| MONROE HOSPITAL Inpatient | United Healthcare | UHC Medicaid CHIP - Hoosier Care | $112,527.37 | — | — | 2026-03-17 | MRF ↗ |
| MONROE HOSPITAL Inpatient | Care Source | Care Source Medicaid - Healthy Indiana Plan - HIP | $112,527.37 | — | — | 2026-03-17 | MRF ↗ |
| MONROE HOSPITAL Inpatient | Care Source | Care Source Medicaid - Hoosier Healthwise | $112,527.37 | — | — | 2026-03-17 | MRF ↗ |
| MONROE HOSPITAL Inpatient | Monroe Medical Group and Managed Health Services | Monroe Medical Group Medicaid | $112,527.37 | — | — | 2026-03-17 | MRF ↗ |
| MONROE HOSPITAL Inpatient | BCBS | BCBS Medicaid - Hoosier Healthwise | $112,527.37 | — | — | 2026-03-17 | MRF ↗ |
| MONROE HOSPITAL Inpatient | Traditional Medicaid | Traditional Medicaid | $112,527.37 | — | — | 2026-03-17 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | United Healthcare | Managed Medicaid | $112,686.10 | — | — | 2025-04-24 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | CareSource Indiana Hoosier Healthwise (HHW) | Managed Medicaid | $112,686.10 | — | — | 2025-04-24 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Inpatient | Sunshine State Health | Medicaid | $114,390.81 | — | — | 2026-07-15 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Inpatient | Molina | Medicaid | $114,390.81 | — | — | 2026-07-15 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Inpatient | Sunshine State Health | Medicaid | $114,390.81 | — | — | 2026-07-15 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Inpatient | Sunshine State Health | Medicaid | $114,391.00 | — | — | 2026-07-15 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | MDwise Hoosier Healthwise (HHW) | Managed Medicaid | $114,874.18 | — | — | 2026-06-03 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Mdwise Hoosier Healthwise (HHW) | Managed Medicaid | $114,874.18 | — | — | 2025-04-24 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER InpatientFacility | MyCompass | Medicaid | $114,929.88 | — | — | 2025-07-23 | MRF ↗ |
| SANFORD CANBY MEDICAL CENTER InpatientFacility | Primewest | Medicaid Managed Care | $115,092.49 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD BEHAVIORAL HEALTH CENTER InpatientFacility | Ucare | Medicaid Managed Care | $115,092.49 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD BEHAVIORAL HEALTH CENTER InpatientFacility | Primewest | Medicaid Managed Care | $115,092.49 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD THIEF RIVER FALLS MEDICAL CENTER InpatientFacility | Ucare | Medicaid Managed Care | $115,092.49 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD THIEF RIVER FALLS MEDICAL CENTER InpatientFacility | Primewest | Medicaid Managed Care | $115,092.49 | — | — | 2026-03-04 | MRF ↗ |
| ST JAMES HOSPITAL Inpatient | FIDELIS 5155 | FIDELIS METAL TIERS 515501 | $115,158.73 | — | — | 2026-01-01 | MRF ↗ |
| DEACONESS HENDERSON HOSPITAL InpatientFacility | Anthem IN | Managed Medicaid | $115,628.23 | — | — | 2026-02-09 | MRF ↗ |
| DEACONESS HENDERSON HOSPITAL InpatientFacility | Caresource IN | Managed Medicaid | $115,628.23 | — | — | 2026-02-09 | MRF ↗ |
| DEACONESS HENDERSON HOSPITAL InpatientFacility | United Healthcare IN | Managed Medicaid | $115,628.23 | — | — | 2026-02-09 | MRF ↗ |
| METHODIST HOSPITAL UNION COUNTY InpatientFacility | CareSource IN | Managed Medicaid | $115,628.23 | — | — | 2026-02-13 | MRF ↗ |
| METHODIST HOSPITAL UNION COUNTY InpatientFacility | MHS IN MCO | Managed Medicaid | $115,628.23 | — | — | 2026-02-13 | MRF ↗ |
| DEACONESS HENDERSON HOSPITAL InpatientFacility | MHS IN Medicaid Product (IN) | Managed Medicaid | $115,628.23 | — | — | 2026-02-09 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Molina Healthcare of Indiana | Managed Medicaid | $115,968.22 | — | — | 2025-04-24 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Inpatient | Peach State Ambetter | MCD | $116,324.00 | — | — | 2024-10-01 | MRF ↗ |
| Adventhealth Connerton Inpatient | United_HealthCare | HMO_Medicaid | $116,640.00 | $0.01 | $0.01 | 2024-12-15 | MRF ↗ |
| CHI ST LUKE'S HEALTH BRAZOSPORT Inpatient | CHC | Medicaid|CHIP | $117,766.00 | — | — | 2026-02-28 | MRF ↗ |
| CHI ST LUKE'S HEALTH BRAZOSPORT Inpatient | CHC | Medicaid|CHIP | $117,766.00 | — | — | 2026-02-28 | MRF ↗ |
| SANFORD WHEATON MEDICAL CENTER InpatientFacility | Primewest | Medicaid Managed Care | $118,615.56 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD WHEATON MEDICAL CENTER InpatientFacility | Ucare | Medicaid Managed Care | $118,615.56 | — | — | 2026-03-04 | MRF ↗ |
| HCA FLORIDA NORTH FLORIDA HOSPITAL Inpatient | Palm Beach PACE | MCD | $119,123.35 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA JFK HOSPITAL Inpatient | Palm Beach PACE | MCD | $119,123.35 | — | — | 2024-10-01 | MRF ↗ |
| NORTON-KING'S DAUGHTERS' HEALTH InpatientFacility | United Healthcare of Indiana | Managed Medicaid | $120,746.59 | — | — | 2026-05-05 | MRF ↗ |
| NORTON-KING'S DAUGHTERS' HEALTH InpatientFacility | Anthem of Indiana | Managed Medicaid | $120,746.59 | — | — | 2026-05-05 | MRF ↗ |
| NORTON-KING'S DAUGHTERS' HEALTH InpatientFacility | Managed Health Services of Indiana | Managed Medicaid | $120,746.59 | — | — | 2026-05-05 | MRF ↗ |
| PALM BEACH GARDENS MEDICAL CENTER Inpatient | Palm Beach PACE | MCD | $121,178.14 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA JFK HOSPITAL Inpatient | Palm Beach PACE | MCD | $121,178.14 | — | — | 2026-03-01 | MRF ↗ |
| The Hospital of the University of Pennsylvania Inpatient | Optum Urn | Optum Urn-Transplant Managed Medicaid | $121,697.36 | — | — | 2026-07-15 | MRF ↗ |
| BANNER HEART HOSPITAL InpatientFacility | Banner University Health Plan | AZ Medicaid - AHCCCS | $122,573.12 | — | — | 2026-03-02 | MRF ↗ |
| BANNER HEART HOSPITAL InpatientFacility | Banner University Health Plan | AZ Medicaid - AHCCCS | $122,573.12 | — | — | 2026-03-02 | MRF ↗ |
| BANNER HEART HOSPITAL InpatientFacility | Mercy Care | Mercy Medicaid | $122,573.12 | — | — | 2026-03-02 | MRF ↗ |
| BANNER HEART HOSPITAL InpatientFacility | Health Net | Medicaid | $122,573.12 | — | — | 2026-03-02 | MRF ↗ |
| BANNER HEART HOSPITAL InpatientFacility | Health Choice Arizona, Inc. | Medicaid | $122,573.12 | — | — | 2026-03-02 | MRF ↗ |
| BANNER HEART HOSPITAL InpatientFacility | Arizona Physicians IPA | Medicaid | $122,573.12 | — | — | 2026-03-02 | MRF ↗ |
| BANNER HEART HOSPITAL InpatientFacility | Mercy Care | Mercy Medicaid | $122,573.12 | — | — | 2026-03-02 | MRF ↗ |
| BANNER HEART HOSPITAL InpatientFacility | Health Net | Medicaid | $122,573.12 | — | — | 2026-03-02 | MRF ↗ |
| BANNER HEART HOSPITAL InpatientFacility | Health Choice Arizona, Inc. | Medicaid | $122,573.12 | — | — | 2026-03-02 | MRF ↗ |
| BANNER HEART HOSPITAL InpatientFacility | Arizona Physicians IPA | Medicaid | $122,573.12 | — | — | 2026-03-02 | MRF ↗ |
| REGIONAL WEST MEDICAL CENTER Inpatient | Ambetter | Medicaid All Plans | $122,573.54 | — | — | 2026-03-27 | MRF ↗ |
| REGIONAL WEST MEDICAL CENTER Inpatient | Mercy Care Arizona | Medicaid All Plans | $122,573.54 | — | — | 2026-03-27 | MRF ↗ |
| REGIONAL WEST MEDICAL CENTER Inpatient | Health Choice Arizona | Medicaid All Plans | $122,573.54 | — | — | 2026-03-27 | MRF ↗ |
| REGIONAL WEST MEDICAL CENTER Inpatient | United Healthcare | Medicaid All Plans | $122,573.54 | — | — | 2026-03-27 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Inpatient | Simply_Health | Clear_Health_Alliance | $124,240.00 | $0.01 | $0.01 | 2024-12-15 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Inpatient | Prestigehealth | Medicaid | $124,789.98 | — | — | 2026-07-15 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Inpatient | Simply | Medicaid | $124,789.98 | — | — | 2026-07-15 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Inpatient | Amerigroup | Medicaid | $124,789.98 | — | — | 2026-07-15 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Inpatient | Amerigroup | Medicaid | $124,790.00 | — | — | 2026-07-15 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Inpatient | Simply | Medicaid | $124,790.00 | — | — | 2026-07-15 | MRF ↗ |
| SANFORD JACKSON MEDICAL CENTER InpatientFacility | Ucare | Medicaid Managed Care | $125,123.36 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD JACKSON MEDICAL CENTER InpatientFacility | Primewest | Medicaid Managed Care | $125,123.36 | — | — | 2026-03-04 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Inpatient | MOLINA HEALTHCARE 1723 | MOLINA MEDICAID 172301 | $125,225.95 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Inpatient | MOLINA HEALTHCARE 5189 | MOLINA ESSENTIAL 1-2 200-250 5189 | $125,225.95 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Inpatient | MOLINA HEALTHCARE 1723 | MOLINA ESSENTIAL 3-4 172302 | $125,225.95 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Inpatient | MOLINA HEALTHCARE 5189 | MOLINA CHILD HEALTH PLUS 518901 | $125,225.95 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Inpatient | HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 | HIGHMARK BCBS MEDICAID 170201, CHILD HEALTH PLUS 170204 | $125,225.95 | — | — | 2026-01-01 | 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.