589 - 1 — Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational Age <24 Weeks Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaining Intervention
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). NEONATE BIRTH WEIGHT < 500 GRAMS OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE <24 WEEKS OR BIRTH WEIGHT 500-749 GRAMS WITH MAJOR ANOMALY OR WITHOUT LIFE SUSTAINING INTERVENTION (OTHER 589 - 1) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/589 - 1?code_type=OTHER
MLA (9th ed.)
“NEONATE BIRTH WEIGHT < 500 GRAMS OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE <24 WEEKS OR BIRTH WEIGHT 500-749 GRAMS WITH MAJOR ANOMALY OR WITHOUT LIFE SUSTAINING INTERVENTION (OTHER 589 - 1) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/589 - 1?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“NEONATE BIRTH WEIGHT < 500 GRAMS OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE <24 WEEKS OR BIRTH WEIGHT 500-749 GRAMS WITH MAJOR ANOMALY OR WITHOUT LIFE SUSTAINING INTERVENTION (OTHER 589 - 1) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/589 - 1?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $9,199–$73,392 (25th–75th percentile) across 10 hospitals · 52 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 589 - 1 — 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 |
|---|---|---|---|---|---|---|---|
| SHARP MESA VISTA HOSPITAL Inpatient | Health Net | Health Net Individual - HMO | $304.79 | — | — | 2025-07-01 | MRF ↗ |
| SHARP MEMORIAL HOSPITAL Inpatient | Kaiser | Kaiser - Rehab | $725.00 | — | — | 2025-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Amerihealth | Amerihealth | $5,354.67 | $15,861.00 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Medicaid | Medicaid | $5,354.67 | $15,861.00 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Aetna | Aetna Better Health | $5,622.72 | $15,861.00 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | United | United Healthcare - Medicaid | $5,890.78 | $15,861.00 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | CareSource | CareSource - Exchange | $7,296.06 | $15,861.00 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | OSU Health Plan | OSU Health Plan - Student Health Plan | $7,394.40 | $15,861.00 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Buckeye Community | Buckeyes Community - Medicaid | $7,549.84 | $15,861.00 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | CareSource | CareSource - Medicaid | $7,603.76 | $15,861.00 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Molina | Molina - Medicaid | $7,603.76 | $15,861.00 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Molina | Molina - Exchange | $7,613.28 | $15,861.00 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | OSU Health Plan | OSU Department of Athletics | $7,930.50 | $15,861.00 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | OSU Health Plan | OSU Health Plan - Non OSU PPO | $7,930.50 | $15,861.00 | — | 2026-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Integrated Health Plan | Integrated Health Plan - Behavioral Health | — | $154,487.72 | $95,782.39 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Geisinger Health Plan | Geisinger Health Plan - Employee | — | $154,487.72 | $95,782.39 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Geisinger Health Plan | Geisinger Health Plan - Commercial | — | $154,487.72 | $95,782.39 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Geisinger Health Plan | Geisinger Health Plan - Gold - Medicare Advantage | — | $154,487.72 | $95,782.39 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Blue Cross Blue Shield | Highmark BC/BS - Special Care | — | $154,487.72 | $95,782.39 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Blue Cross Blue Shield | Capital - Special Network Rates | — | $154,487.72 | $95,782.39 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Ambetter | Ambetter - Managed Medicare | — | $154,487.72 | $95,782.39 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | United Healthcare | United Healthcare - Commercial | — | $154,487.72 | $95,782.39 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | United Healthcare | United Healthcare - Behavioral Health | — | $154,487.72 | $95,782.39 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Blue Cross Blue Shield | Capital - Basic Network Rates | — | $154,487.72 | $95,782.39 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Blue Cross Blue Shield | Capital - Enhanced Network Rates | — | $154,487.72 | $95,782.39 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Blue Cross Blue Shield | Capital Blue Cross Blue Journey - Medicare Advantage | — | $154,487.72 | $95,782.39 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Medicare | Black Lung - Medicare Advantage | — | $154,487.72 | $95,782.39 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Medicare | Medicare | — | $154,487.72 | $95,782.39 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Humana | Humana - Medicare Advantage | — | $154,487.72 | $95,782.39 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Tricare | Department of Veteran's Affairs | — | $154,487.72 | $95,782.39 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Tricare | Humana Tricare | — | $154,487.72 | $95,782.39 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Medicaid | Medicaid | $8,363.16 | $154,487.72 | $95,782.39 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Blue Cross Blue Shield | Highmark BC/BS | — | $154,487.72 | $95,782.39 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Aetna | Aetna | — | $154,487.72 | $95,782.39 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Magellan | Magellan - Behavioral Health | — | $154,487.72 | $95,782.39 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Value Options | Value Options - Behavioral Health | — | $154,487.72 | $95,782.39 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Managed Health Network | Managed Health Network - Behavioral Health | — | $154,487.72 | $95,782.39 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Special Risk International | Special Risk International - United Resource Network | — | $154,487.72 | $95,782.39 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Life Geisinger | Life Geisinger - Managed Medicaid | — | $154,487.72 | $95,782.39 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | VSP Vision Care | VSP Vision Care | — | $154,487.72 | $95,782.39 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | MHNet | MHNet - Behavioral Health | — | $154,487.72 | $95,782.39 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Wire Rope | Wire Rope | — | $154,487.72 | $95,782.39 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Prison Health Services | Seven Corners | — | $154,487.72 | $95,782.39 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Prison Health Services | Prison Health Services | $8,363.16 | $154,487.72 | $95,782.39 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Community Care | Community Care - Behavioral Health | — | $154,487.72 | $95,782.39 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Pacificare | Pacificare - Behavioral Health | — | $154,487.72 | $95,782.39 | 2025-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | OSU Health Plan | OSU Health Plan - Prime Care | $8,385.71 | $15,861.00 | — | 2026-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $8,400.00 | $154,487.72 | $95,782.39 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $8,614.05 | $154,487.72 | $95,782.39 | 2025-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Humana | Humana Medicaid | $8,620.45 | $15,861.00 | — | 2026-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Health Partners | Health Partners - Managed Medicaid | $9,199.48 | $154,487.72 | $95,782.39 | 2025-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Healthspan | Healthspan - Commercial | $9,516.60 | $15,861.00 | — | 2026-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | UPMC For You | UPMC For You - Managed Medicaid | $9,826.71 | $154,487.72 | $95,782.39 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | UPMC CHIP | UPMC CHIP - Managed Medicaid | $10,035.79 | $154,487.72 | $95,782.39 | 2025-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Anthem | Anthem - HMO/PPO | $10,203.38 | $15,861.00 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Lifetrac | Lifetrac | $10,309.65 | $15,861.00 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | OSU Health Plan | OSU Health Plan - Market | $10,498.40 | $15,861.00 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | OSU Health Plan | OSU Health Plan - Partner | $10,866.37 | $15,861.00 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | MMO | MMO - New Business | $11,123.32 | $15,861.00 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | OhioHealth | OhioHealth - Choice | $11,419.92 | $15,861.00 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | OhioHealth | OhioHealth - Group Healthreach | $11,578.53 | $15,861.00 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Aetna | Aetna | $11,641.97 | $15,861.00 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | MMO | MMO - Commercial | $11,719.69 | $15,861.00 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Ohio PPO | Ohio PPO Connect | $11,787.90 | $15,861.00 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Aetna | First Health | $12,022.64 | $15,861.00 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | United | United Healthcare | $12,127.32 | $15,861.00 | — | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Inpatient | UPMC Health Plan | UPMC Health Plan - Commercial | $12,413.27 | — | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Frontpath | Frontpath Transplant | $12,688.80 | $15,861.00 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Upper Ohio Valley | Upper Ohio Valley - Health Plan | $12,688.80 | $15,861.00 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Anthem | Anthem - Traditional | $14,190.84 | $15,861.00 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Healthsmart | Healthsmart | $14,274.90 | $15,861.00 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Multiplan | Multiplan | $14,750.73 | $15,861.00 | — | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Inpatient | Cigna | Cigna | $16,340.00 | — | — | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Inpatient | Blue Cross Blue Shield | Highmark BC/BS - Special Care | $17,050.42 | — | — | 2026-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Inpatient | Medicare | Medicare | $23,240.00 | — | — | 2025-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Inpatient | Blue Cross Blue Shield | Highmark BC/BS | $24,357.74 | — | — | 2026-07-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Blue Cross Blue Shield | Blue Cross Community - Managed Medicaid | $29,678.75 | — | — | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Molina Healthcare | Molina Healthcare - Managed Medicaid | $29,678.75 | — | — | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | County Care | County Care - Managed Medicaid | $29,678.75 | — | — | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Medicaid | Medicaid | $29,678.75 | — | — | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Meridian Health | Meridian Health MCO - Managed Medicaid | $29,975.53 | — | — | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Youthcare | Youthcare - Managed Medicaid | $32,646.60 | — | — | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Aetna | Aetna Better Health - Managed Medicaid | $32,646.60 | — | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | ODRC | ODRC | $52,296.89 | — | — | 2026-04-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | North Central Secure Treatment Unit | North Central Secure Treatment Unit | $55,615.58 | $154,487.72 | $95,782.39 | 2025-07-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Medicaid | Medicaid | $63,821.61 | — | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Molina | Molina - Medicaid | $67,009.89 | — | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Aetna | Aetna Better Health | $67,009.89 | — | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Aetna | Aetna Better Health - OhioRISE | $67,012.70 | — | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | United | United Healthcare - Medicaid | $70,200.83 | — | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Humana | Humana Medicaid | $70,203.80 | — | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Amerihealth | Amerihealth | $72,118.45 | — | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | CareSource | CareSource - Medicaid | $73,391.78 | — | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Buckeye Community | Buckeyes Community - Medicaid | $73,391.78 | — | — | 2026-04-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Shepard International Health Care | Shepard International Health Care - Allegheny International | $77,243.86 | $154,487.72 | $95,782.39 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Cigna | Cigna | $77,243.86 | $154,487.72 | $95,782.39 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Christian Healthcare Ministries | Christian Healthcare Ministries | $77,243.86 | $154,487.72 | $95,782.39 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Integrated Health Plan | Integrated Health Plan | $92,692.63 | $154,487.72 | $95,782.39 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Aetna | First Health Network | $102,888.82 | $154,487.72 | $95,782.39 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Wyoming Seminary | Wyoming Seminary | $108,141.40 | $154,487.72 | $95,782.39 | 2025-07-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | Prison Health Services | Prison Health Services | $109,718.18 | — | — | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | Medicaid | Medicaid | $109,718.18 | — | — | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $113,009.73 | — | — | 2026-04-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Inpatient | Medicaid | Medicaid | $114,872.14 | — | — | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Inpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $120,615.67 | — | — | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Inpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $120,615.67 | — | — | 2026-07-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | Health Partners | Health Partners - Managed Medicaid | $120,689.96 | — | — | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $122,356.92 | — | — | 2026-04-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Inpatient | Jefferson Health Plan | Jefferson Health Plan - Managed Medicaid | $126,359.37 | — | — | 2026-07-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | UPMC For You | UPMC For You - Managed Medicaid | $128,918.90 | — | — | 2026-04-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Multiplan | Multiplan/Private Health Care System | $131,314.56 | $154,487.72 | $95,782.39 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Congregation of the Sister Servants | Congregation of the Sister Servants | $131,314.56 | $154,487.72 | $95,782.39 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Multiplan | Beech Street | $131,314.56 | $154,487.72 | $95,782.39 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Intergroup Services | Intergroup Services | $131,314.56 | $154,487.72 | $95,782.39 | 2025-07-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | UPMC CHIP | UPMC CHIP - Managed Medicaid | $131,661.88 | — | — | 2026-04-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Inpatient | UPMC For You | UPMC For You - Managed Medicaid | $134,974.75 | — | — | 2026-07-01 | MRF ↗ |
| GRAND ISLAND REGIONAL MEDICAL CENTER Inpatient | Medicaid | All Plans | $134,989.72 | — | — | 2026-07-15 | MRF ↗ |
| BRYAN MEDICAL CENTER Inpatient | Molina Healthcare Medicaid | All Plans | $134,989.72 | — | — | 2026-07-18 | MRF ↗ |
| GRAND ISLAND REGIONAL MEDICAL CENTER Inpatient | Uhc Medicaid | All Plans | $134,989.72 | — | — | 2026-07-15 | MRF ↗ |
| GRAND ISLAND REGIONAL MEDICAL CENTER Inpatient | Molina Healthcare Medicaid | All Plans | $134,989.72 | — | — | 2026-07-15 | MRF ↗ |
| BRYAN MEDICAL CENTER Inpatient | Uhc Medicaid | All Plans | $134,989.72 | — | — | 2026-07-18 | MRF ↗ |
| BRYAN MEDICAL CENTER Inpatient | Medicaid | All Plans | $134,989.72 | — | — | 2026-07-18 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Inpatient | United Healthcare | United Healthcare - Managed Medicaid | $137,846.57 | — | — | 2026-07-01 | MRF ↗ |
| BRYAN MEDICAL CENTER Inpatient | Bcbs Managed Care | All Plans | $324,350.74 | — | — | 2026-07-18 | MRF ↗ |
| GRAND ISLAND REGIONAL MEDICAL CENTER Inpatient | Bcbs Managed Care | All Plans | $324,350.74 | — | — | 2026-07-15 | MRF ↗ |