5891 — 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 5891) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/5891?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 5891) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/5891?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 5891) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/5891?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $44,686–$132,514 (25th–75th percentile) across 86 hospitals · 167 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 5891 — 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 |
|---|---|---|---|---|---|---|---|
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Blue Cross Blue Shield Of Louisiana | Bc Hmo | $3.14 | $59.40 | $42.19 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Blue Cross Blue Shield Of Louisiana | Bc Ppo | $3.14 | $59.40 | $42.19 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Blue Cross Of La Blue Connect | Blue Cross Of La Blue Connect | $3.14 | $59.40 | $42.19 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Medicare Blue Cross Advantage | Medicare Blue Cross Advantage | $3.58 | $59.40 | $42.19 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Humana Medicare Pffs/Hmo | Humana Medicare Pffs/Hmo | $3.58 | $59.40 | $42.19 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Champ Va | Champ Va | $3.94 | $59.40 | $42.19 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Ppoplus | Ppoplus | $4.17 | $59.40 | $42.19 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Aetna Health Managment | Aetna | $7.28 | $59.40 | $42.19 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Louisiana Healthcare Connections Contract Medicaid | Louisiana Healthcare Connections Contract Medicaid | $11.49 | $59.40 | $42.19 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Medicaid | Medicaid | $11.49 | $59.40 | $42.19 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Uhc Community Health/Medicaid | Uhc Community Health/Medicaid | $11.49 | $59.40 | $42.19 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Amerihealth | Amerihealth/Medicaid | $11.72 | $59.40 | $42.19 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Aetna | Aetna/Medicaid | $11.83 | $59.40 | $42.19 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Louisiana Managed Medicaid-Humana | Louisiana Managed Medicaid-Humana | $12.06 | $59.40 | $42.19 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Medicare | Medicare | $18.98 | $49.94 | $37.46 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Humana | Medicare Pffs | $18.98 | $49.94 | $37.46 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Aetna | Medicare | $18.98 | $49.94 | $37.46 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Apostrophe | Medicare | $18.98 | $49.94 | $37.46 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Humana | Medicare Ppo | $18.98 | $49.94 | $37.46 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Blue Cross | Medicare | $18.98 | $49.94 | $37.46 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Verity Health | Verity | $33.86 | $59.40 | $42.19 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Slvhmo Friday | Commercial | $37.46 | $49.94 | $37.46 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Multiplan Inc | Multiplan | $38.61 | $59.40 | $42.19 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Cigna Healthcare Of Louisiana Inc | Cigna Ppo | $39.86 | $59.40 | $42.19 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Cigna | Commercial | $40.65 | $49.94 | $37.46 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Blue Cross | Commercial | $42.45 | $49.94 | $37.46 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Cofinity | Commercial | $44.95 | $49.94 | $37.46 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Humana | Choicecare | $44.95 | $49.94 | $37.46 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Aetna | Commercial | $44.95 | $49.94 | $37.46 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Aetna | Medical Rental Cofinity | $46.44 | $49.94 | $37.46 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Coventry Health Of Louisiana | First Health | $47.52 | $59.40 | $42.19 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Champus/Tricare | Champus/Tricare | $59.40 | $59.40 | $42.19 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Workers Comp | Workers Comp | $59.40 | $59.40 | $42.19 | 2026-05-08 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Aetna Prisma Health | — | $78.98 | $225.67 | $146.69 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Select Health First Choice Vip | — | $78.98 | $225.67 | $146.69 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bcbs Upstate Reedy (Greenville Co Only) | — | $80.79 | $225.67 | $146.69 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bcbs Exchange | — | $83.27 | $225.67 | $146.69 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bcbs Upstate Reedy (Greenville Co Only) | — | $84.17 | $225.67 | $146.69 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bcbs Exchange | — | $86.66 | $225.67 | $146.69 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Aetna Whole Health Of Sc | — | $115.09 | $225.67 | $146.69 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Cigna Local Plus | — | $119.38 | $225.67 | $146.69 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Aetna Sc Preferred | — | $135.40 | $225.67 | $146.69 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Magellan Behavioral Health | — | $135.40 | $225.67 | $146.69 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Cigna Hmo Ppo | — | $146.01 | $225.67 | $146.69 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bcbs Preferred Ppc | — | $159.10 | $225.67 | $146.69 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bcbs Preferred Ppc | — | $165.19 | $225.67 | $146.69 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Aetna Medicare | — | $167.00 | $225.67 | $146.69 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Aetna | — | $167.00 | $225.67 | $146.69 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | United Healthcare | — | $167.45 | $225.67 | $146.69 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | First Health-Aetna Rental Network | — | $180.54 | $225.67 | $146.69 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Cigna Behavioral Health | — | $180.54 | $225.67 | $146.69 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Tricare | — | $180.54 | $225.67 | $146.69 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Tricare Humana Military | — | $180.54 | $225.67 | $146.69 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Humana Choicecare Ppo | — | $191.82 | $225.67 | $146.69 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Multiplan | — | $191.82 | $225.67 | $146.69 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Cigna Local Plus | — | $225.67 | $225.67 | $146.69 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Medicaid Other | — | $745.15 | $225.67 | $146.69 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Blue Choice Medicaid (Greenville County Only) | — | $776.51 | $225.67 | $146.69 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bluechoice Medicaid | — | $826.07 | $225.67 | $146.69 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Select Health Medicaid | — | $850.85 | $225.67 | $146.69 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Molina Medicaid | — | $850.85 | $225.67 | $146.69 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Absolute Total Care Medicaid | — | $867.38 | $225.67 | $146.69 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Medicaid | — | $953.67 | $225.67 | $146.69 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Humana Healthy Horizons Medicaid | — | $1,020.43 | $225.67 | $146.69 | 2026-05-28 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Aetna Commercial Facility | Aetna Commercial Facility | $1,731.64 | $4,545.00 | $4,545.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Umr H&H Employees Facility | Umr Hh Employees Facility | $1,742.10 | $4,545.00 | $4,545.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Umr H&H Employees Facility | Umr Hh Employees Facility | $1,762.55 | $4,545.00 | $4,545.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Sagamore Commercial Facility | Sagamore Commercial Facility | $2,072.52 | $4,545.00 | $4,545.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | United Charter (Sg Commercial) Facility | United Charter (Sg Commercial) Facility | $2,145.24 | $4,545.00 | $4,545.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | United Commercial Facility | United Commercial Facility | $2,436.12 | $4,545.00 | $4,545.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Siho Commercial Facility | Siho Commercial Facility | $3,408.75 | $4,545.00 | $4,545.00 | 2026-05-27 | MRF ↗ |
| AVITA ONTARIO Inpatient | Traditional Medicare | Inpatient | $3,518.05 | $67,010.60 | $56,959.01 | 2026-05-14 | MRF ↗ |
| AVITA ONTARIO Inpatient | Medical Mutual | Medicare Inpatient | $3,588.41 | $67,010.60 | $56,959.01 | 2026-05-14 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Encore Main Commercial Facility | Encore Main Commercial Facility | $3,863.25 | $4,545.00 | $4,545.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Cigna Hmo/Oap Commercial Facility | Cigna Hmo/Oap Commercial Facility | $3,863.25 | $4,545.00 | $4,545.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Cigna Ppo Commercial Facility | Cigna Ppo Commercial Facility | $3,863.25 | $4,545.00 | $4,545.00 | 2026-05-27 | MRF ↗ |
| GALION COMMUNITY HOSPITAL Both | Medical Mutual | Medicare Outpatient | $4,224.38 | $67,010.60 | $56,959.01 | 2026-05-23 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Eskenazi Health | Anthem Facility Exchange | $4,545.00 | $4,545.00 | $4,545.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Cigna | Cigna Exchange Facility | $4,545.00 | $4,545.00 | $4,545.00 | 2026-05-27 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Aetna Better Health Ma | — | $5,372.33 | $20,904.00 | $6,126.96 | 2026-05-31 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Outpatient | Sansum | Medicare Adv | $7,075.20 | $35,376.00 | $24,763.20 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Outpatient | Santa Barbara Select | Medicare Adv | $7,075.20 | $35,376.00 | $24,763.20 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Outpatient | Sansum | Medicare Adv | $7,075.20 | $35,376.00 | $24,763.20 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Outpatient | Sansum | Medicare Adv | $7,075.20 | $35,376.00 | $24,763.20 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Outpatient | Santa Barbara Select | Medicare Adv | $7,075.20 | $35,376.00 | $24,763.20 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Outpatient | Santa Barbara Select | Medicare Adv | $7,075.20 | $35,376.00 | $24,763.20 | 2026-05-27 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Upmc Ma | — | $7,945.61 | $20,904.00 | $6,126.96 | 2026-05-31 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Uhc Ma Chip | — | $8,549.74 | $20,904.00 | $6,126.96 | 2026-05-31 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Upmc Ma Chip | — | $9,350.36 | $20,904.00 | $6,126.96 | 2026-05-31 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Outpatient | Health Net | Medicare Adv | $10,259.04 | $35,376.00 | $24,763.20 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Outpatient | United Healthcare | Medicare Adv | $10,259.04 | $35,376.00 | $24,763.20 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Outpatient | Blue Shield | Medicare Adv | $10,259.04 | $35,376.00 | $24,763.20 | 2026-05-27 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Aetna Comm | — | $10,849.18 | $20,904.00 | $6,126.96 | 2026-05-31 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Aetna Signature Administrators | — | $10,849.18 | $20,904.00 | $6,126.96 | 2026-05-31 | MRF ↗ |
| GALION COMMUNITY HOSPITAL Both | Molina | Medicaid Outpatient | $10,960.32 | $67,010.60 | $56,959.01 | 2026-05-23 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Cigna | — | $12,542.40 | $20,904.00 | $6,126.96 | 2026-05-31 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Geisinger Comm | — | $13,836.36 | $20,904.00 | $6,126.96 | 2026-05-31 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Uhc Comm | — | $14,005.68 | $20,904.00 | $6,126.96 | 2026-05-31 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Upmc Comm | — | $15,678.00 | $20,904.00 | $6,126.96 | 2026-05-31 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Wellspan | — | $16,514.16 | $20,904.00 | $6,126.96 | 2026-05-31 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Multiplan | — | $16,723.20 | $20,904.00 | $6,126.96 | 2026-05-31 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Humana Health Plan | Medicaid Humana Health Plan | $18,865.37 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Wellcare | Medicaid Wellcare | $18,865.37 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Health Alliance | Medicaid Health Alliance | $18,865.37 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Wellcare | Medicaid Wellcare | $18,865.37 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Meridian | Medicaid Meridian | $18,865.37 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Countycare Claims | Medicaid Countycare Claims | $18,865.37 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Illinois | Medicaid Illinois | $18,865.37 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Humana Health Plan | Medicaid Humana Health Plan | $18,865.37 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Aetna Better Health | Medicaid Aetna Better Health | $18,865.37 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Health Alliance | Medicaid Health Alliance | $18,865.37 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Blue Cross Community Family Health Plan Xxl / Xog | Medicaid Blue Cross Community Family Health Plan Xxl / Xog | $18,865.37 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Youth Care | Medicaid Youth Care | $18,865.37 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Illinois | Medicaid Illinois | $18,865.37 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Molina | Medicaid Molina | $18,865.37 | — | — | 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 | $18,865.37 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Countycare Claims | Medicaid Countycare Claims | $18,865.37 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Molina | Medicaid Molina | $18,865.37 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Youth Care | Medicaid Youth Care | $18,865.37 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Meridian | Medicaid Meridian | $18,865.37 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Aetna Better Health | Medicaid Aetna Better Health | $18,865.37 | — | — | 2026-05-14 | MRF ↗ |
| AVITA ONTARIO Inpatient | Buckeye | Medicare Outpatient | $21,443.39 | $67,010.60 | $56,959.01 | 2026-05-14 | MRF ↗ |
| BUCYRUS COMMUNITY HOSPITAL Both | Traditional Medicare | Outpatient | $21,443.39 | $67,010.60 | $56,959.01 | 2026-05-23 | MRF ↗ |
| BUCYRUS COMMUNITY HOSPITAL Both | United Healthcare | Medicare Outpatient | $21,443.39 | $67,010.60 | $56,959.01 | 2026-05-23 | MRF ↗ |
| AVITA ONTARIO Inpatient | United Healthcare | Medicare Outpatient | $21,443.39 | $67,010.60 | $56,959.01 | 2026-05-14 | MRF ↗ |
| AVITA ONTARIO Inpatient | Traditional Medicare | Outpatient | $21,443.39 | $67,010.60 | $56,959.01 | 2026-05-14 | MRF ↗ |
| BUCYRUS COMMUNITY HOSPITAL Both | Molina | Medicare Outpatient | $21,443.39 | $67,010.60 | $56,959.01 | 2026-05-23 | MRF ↗ |
| AVITA ONTARIO Inpatient | Anthem | Medicare Outpatient | $21,443.39 | $67,010.60 | $56,959.01 | 2026-05-14 | MRF ↗ |
| AVITA ONTARIO Inpatient | Humana | Medicare Outpatient | $21,443.39 | $67,010.60 | $56,959.01 | 2026-05-14 | MRF ↗ |
| BUCYRUS COMMUNITY HOSPITAL Both | Buckeye | Medicare Outpatient | $21,443.39 | $67,010.60 | $56,959.01 | 2026-05-23 | MRF ↗ |
| BUCYRUS COMMUNITY HOSPITAL Both | Anthem | Medicare Outpatient | $21,443.39 | $67,010.60 | $56,959.01 | 2026-05-23 | MRF ↗ |
| AVITA ONTARIO Inpatient | Aetna | Medicare Outpatient | $21,443.39 | $67,010.60 | $56,959.01 | 2026-05-14 | MRF ↗ |
| AVITA ONTARIO Inpatient | Molina | Medicare Outpatient | $21,443.39 | $67,010.60 | $56,959.01 | 2026-05-14 | MRF ↗ |
| AVITA ONTARIO Inpatient | Mount Carmel | Medicare Outpatient | $21,443.39 | $67,010.60 | $56,959.01 | 2026-05-14 | MRF ↗ |
| BUCYRUS COMMUNITY HOSPITAL Both | Mount Carmel | Medicare Outpatient | $21,443.39 | $67,010.60 | $56,959.01 | 2026-05-23 | MRF ↗ |
| BUCYRUS COMMUNITY HOSPITAL Both | Humana | Medicare Outpatient | $21,443.39 | $67,010.60 | $56,959.01 | 2026-05-23 | MRF ↗ |
| AVITA ONTARIO Inpatient | Medical Mutual | Medicare Outpatient | $21,872.26 | $67,010.60 | $56,959.01 | 2026-05-14 | MRF ↗ |
| BUCYRUS COMMUNITY HOSPITAL Both | Aetna | Medicare Outpatient | $21,872.26 | $67,010.60 | $56,959.01 | 2026-05-23 | MRF ↗ |
| BUCYRUS COMMUNITY HOSPITAL Both | Medical Mutual | Medicare Outpatient | $21,872.26 | $67,010.60 | $56,959.01 | 2026-05-23 | MRF ↗ |
| GALION COMMUNITY HOSPITAL Both | Anthem | Medicare Outpatient | $22,783.60 | $67,010.60 | $56,959.01 | 2026-05-23 | MRF ↗ |
| GALION COMMUNITY HOSPITAL Both | Traditional Medicare | Outpatient | $22,783.60 | $67,010.60 | $56,959.01 | 2026-05-23 | MRF ↗ |
| GALION COMMUNITY HOSPITAL Both | Mount Carmel | Medicare Outpatient | $22,783.60 | $67,010.60 | $56,959.01 | 2026-05-23 | MRF ↗ |
| GALION COMMUNITY HOSPITAL Both | United Healthcare | Medicare Outpatient | $22,783.60 | $67,010.60 | $56,959.01 | 2026-05-23 | MRF ↗ |
| GALION COMMUNITY HOSPITAL Both | Humana | Medicare Outpatient | $22,783.60 | $67,010.60 | $56,959.01 | 2026-05-23 | MRF ↗ |
| GALION COMMUNITY HOSPITAL Both | Buckeye | Medicare Outpatient | $22,783.60 | $67,010.60 | $56,959.01 | 2026-05-23 | MRF ↗ |
| GALION COMMUNITY HOSPITAL Both | Molina | Medicare Outpatient | $22,783.60 | $67,010.60 | $56,959.01 | 2026-05-23 | MRF ↗ |
| GALION COMMUNITY HOSPITAL Both | Aetna | Medicare Outpatient | $23,239.28 | $67,010.60 | $56,959.01 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Molina Healthcare Of Il | Managed Medicaid | $27,583.25 | — | — | 2026-05-17 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Centene | Youthcare | $27,583.25 | — | — | 2026-05-17 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Centene Meridian Health Of Il | Managed Medicaid | $27,583.25 | — | — | 2026-05-17 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Aetna Better Health Of Il | Managed Medicaid | $27,583.25 | — | — | 2026-05-17 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Molina | Medicaid Illinois | $28,159.45 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Aetna | Medicaid | $28,159.45 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid | Medicaid Illinois | $28,159.45 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid | Medicaid Illinois | $28,159.45 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Molina | Medicaid Illinois | $28,159.45 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Mutual Medical | Commercial | $28,159.45 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Aetna | Medicaid | $28,159.45 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Mutual Medical | Commercial | $28,159.45 | — | — | 2026-05-14 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Sana Benefits | Commercial | — | — | — | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Blue Cross Blue Shield Of Sc | Hix | — | — | — | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Providence Health Plan | Commercial | — | — | — | 2026-05-14 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Sana Benefits | Commercial | — | — | — | 2026-05-14 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Medical Mutual Of Ohio | Commercial | — | — | — | 2026-05-14 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Wellcare Of Ga | Managed Medicaid | $29,801.16 | — | — | 2026-05-14 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Caresource Of Ga | Managed Medicaid | $29,801.16 | — | — | 2026-05-14 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Inpatient | Centene Peach State Health | Managed Medicaid | $29,801.16 | — | — | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Wellcare Of Ga | Managed Medicaid | $29,801.16 | — | — | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Providence Health Plan | Commercial | — | — | — | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Centene Peach State Health Plan | Managed Medicaid | $29,801.16 | — | — | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Caresource Of Ga | Managed Medicaid | $29,801.16 | — | — | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Centene | Youthcare Managed Medicaid | $31,028.44 | — | — | 2026-05-18 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Healthlink | Hmo | — | — | — | 2026-05-18 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Centene Meridian Health Of Il | Managed Medicaid | $31,028.44 | — | — | 2026-05-22 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Aetna Better Health Of Il | Managed Medicaid | $31,028.44 | — | — | 2026-05-22 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Healthlink | Hmo | — | — | — | 2026-05-22 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Sana Benefits | Commercial | — | — | — | 2026-05-22 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Healthlink | Ppo | — | — | — | 2026-05-18 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Centene | Youthcare Managed Medicaid | $31,028.44 | — | — | 2026-05-22 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Healthlink | Ppo | — | — | — | 2026-05-22 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Harmony Health Plan Of Il | Managed Medicaid | $31,028.44 | — | — | 2026-05-22 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Molina Healthcare Of Il | Managed Medicaid | $31,028.44 | — | — | 2026-05-22 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Blue Cross Blue Shield Of Il | Managed Medicaid | $31,028.44 | — | — | 2026-05-22 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Blue Cross Blue Shield Of Il | Blue Choice.Broad | — | — | — | 2026-05-22 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Loyola University Medical Center | Commercial | — | — | — | 2026-05-22 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Blue Cross Blue Shield Of Il | Ppo | — | — | — | 2026-05-22 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Blue Cross Blue Shield Of Il | Hmo | — | — | — | 2026-05-22 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Centene Meridian Health Of Il | Managed Medicaid | $31,028.44 | — | — | 2026-05-18 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Harmony Health Plan Of Il | Managed Medicaid | $31,028.44 | — | — | 2026-05-18 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Aetna Better Health Of Il | Managed Medicaid | $31,028.44 | — | — | 2026-05-18 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Providence Health Plan | Commercial | — | — | — | 2026-05-22 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Molina Healthcare Of Il | Managed Medicaid | $31,028.44 | — | — | 2026-05-18 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Loyola University Medical Center | Commercial | — | — | — | 2026-05-18 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Blue Cross Blue Shield Of Il | Managed Medicaid | $31,028.44 | — | — | 2026-05-18 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | University Of Illinois Health | Commercial | — | — | — | 2026-05-18 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Blue Cross Blue Shield Of Il | Blue Choice.Broad | — | — | — | 2026-05-18 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Blue Cross Blue Shield Of Il | Hmo | — | — | — | 2026-05-18 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | University Of Illinois Health | Commercial | — | — | — | 2026-05-22 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Sana Benefits | Commercial | — | — | — | 2026-05-18 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Countycare | Managed Medicaid | $31,028.44 | — | — | 2026-05-18 | 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.