5892 — 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
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 5892) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/5892?code_type=OTHER
“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 5892) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/5892?code_type=OTHER. Accessed .
“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 5892) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/5892?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $53,608–$127,924 (25th–75th percentile) across 89 hospitals · 156 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 5892 — 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 Ppo | $3.14 | $47.87 | $34.00 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Blue Cross Of La Blue Connect | Blue Cross Of La Blue Connect | $3.14 | $47.87 | $34.00 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Blue Cross Blue Shield Of Louisiana | Bc Hmo | $3.14 | $47.87 | $34.00 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Medicare Blue Cross Advantage | Medicare Blue Cross Advantage | $3.58 | $47.87 | $34.00 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Humana Medicare Pffs/Hmo | Humana Medicare Pffs/Hmo | $3.58 | $47.87 | $34.00 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Champ Va | Champ Va | $3.94 | $47.87 | $34.00 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Ppoplus | Ppoplus | $4.17 | $47.87 | $34.00 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Aetna Health Managment | Aetna | $7.28 | $47.87 | $34.00 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Louisiana Healthcare Connections Contract Medicaid | Louisiana Healthcare Connections Contract Medicaid | $9.26 | $47.87 | $34.00 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Uhc Community Health/Medicaid | Uhc Community Health/Medicaid | $9.26 | $47.87 | $34.00 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Medicaid | Medicaid | $9.26 | $47.87 | $34.00 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Amerihealth | Amerihealth/Medicaid | $9.44 | $47.87 | $34.00 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Aetna | Aetna/Medicaid | $9.54 | $47.87 | $34.00 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Louisiana Managed Medicaid-Humana | Louisiana Managed Medicaid-Humana | $9.72 | $47.87 | $34.00 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Verity Health | Verity | $27.29 | $47.87 | $34.00 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Multiplan Inc | Multiplan | $31.12 | $47.87 | $34.00 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Cigna Healthcare Of Louisiana Inc | Cigna Ppo | $32.12 | $47.87 | $34.00 | 2026-05-08 | MRF ↗ |
| MCLAREN CARO REGION | Mclaren Health Advantage Ppo | — | $32.74 | $54.10 | $27.10 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Mclaren Health Plan Community | — | $32.74 | $54.10 | $27.10 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Mclaren Health - Commercial Hmo | — | $32.74 | $54.10 | $27.10 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Hap Alliance Health & Life Ins Co-Allh | — | $37.62 | $54.10 | $27.10 | 2026-05-06 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Apostrophe | Medicare | $37.95 | $99.88 | $74.91 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Medicare | Medicare | $37.95 | $99.88 | $74.91 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Blue Cross | Medicare | $37.95 | $99.88 | $74.91 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Humana | Medicare Pffs | $37.95 | $99.88 | $74.91 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Humana | Medicare Ppo | $37.95 | $99.88 | $74.91 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Aetna | Medicare | $37.95 | $99.88 | $74.91 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Coventry Health Of Louisiana | First Health | $38.30 | $47.87 | $34.00 | 2026-05-08 | MRF ↗ |
| MCLAREN CARO REGION | Aetna | — | $41.32 | $54.10 | $27.10 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Hap Preferred Hmo Ppo-Happ | — | $44.20 | $54.10 | $27.10 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Hap Health Alliance Plan (Hmo/Ppo)-Halp | — | $44.20 | $54.10 | $27.10 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | United Healthcare Uhc Medicaid/Chip | — | $45.24 | $54.10 | $27.10 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | United Healthcare | — | $45.24 | $54.10 | $27.10 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Hap Health Alliance Plan (Hmo/Ppo)-Halp | — | $46.80 | $54.10 | $27.10 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Hap Preferred Hmo Ppo-Happ | — | $46.80 | $54.10 | $27.10 | 2026-05-06 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Workers Comp | Workers Comp | $47.87 | $47.87 | $34.00 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Champus/Tricare | Champus/Tricare | $47.87 | $47.87 | $34.00 | 2026-05-08 | MRF ↗ |
| MCLAREN CARO REGION | Priority Health Ppo | — | $50.88 | $54.10 | $27.10 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Priority Health Hmo | — | $50.88 | $54.10 | $27.10 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Priority Health Medicare Advantage | — | $52.52 | $54.10 | $27.10 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Molina Healthcare Medicare | — | $53.04 | $54.10 | $27.10 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Hap Alliance Health & Life Ins Co-Allh Op Rate Type | — | $72.30 | $54.10 | $27.10 | 2026-05-06 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Slvhmo Friday | Commercial | $74.91 | $99.88 | $74.91 | 2026-05-08 | MRF ↗ |
| MCLAREN CARO REGION | Blue Cross Blue Shield Of Mi Bpp (Blue Preferred Partner) | — | $76.85 | $54.10 | $27.10 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Blue Cross Blue Shield Of Mi Ppo | — | $76.85 | $54.10 | $27.10 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Blue Cross Blue Shield Of Mi Fep | — | $76.85 | $54.10 | $27.10 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Aetna Op Rate Type | — | $79.50 | $54.10 | $27.10 | 2026-05-06 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Cigna | Commercial | $81.30 | $99.88 | $74.91 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Blue Cross | Commercial | $84.90 | $99.88 | $74.91 | 2026-05-08 | MRF ↗ |
| MCLAREN CARO REGION | Hap Health Alliance Plan (Hmo/Ppo)-Halp Op Rate Type | — | $85.00 | $54.10 | $27.10 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Hap Preferred Hmo Ppo-Happ Op Rate Type | — | $85.00 | $54.10 | $27.10 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | United Healthcare Uhc Medicaid/Chip Op Rate Type | — | $87.00 | $54.10 | $27.10 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | United Healthcare Op Rate Type | — | $87.00 | $54.10 | $27.10 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | United Healthcare Ip Rate Type | — | $87.00 | $54.10 | $27.10 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | United Healthcare Uhc Medicaid/Chip Ip Rate Type | — | $87.00 | $54.10 | $27.10 | 2026-05-06 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Cofinity | Commercial | $89.89 | $99.88 | $74.91 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Aetna | Commercial | $89.89 | $99.88 | $74.91 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Humana | Choicecare | $89.89 | $99.88 | $74.91 | 2026-05-08 | MRF ↗ |
| MCLAREN CARO REGION | Hap Health Alliance Plan (Hmo/Ppo)-Halp Ip Rate Type | — | $90.00 | $54.10 | $27.10 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Hap Preferred Hmo Ppo-Happ Ip Rate Type | — | $90.00 | $54.10 | $27.10 | 2026-05-06 | MRF ↗ |
| RIO GRANDE HOSPITAL Outpatient | Aetna | Medical Rental Cofinity | $92.89 | $99.88 | $74.91 | 2026-05-08 | MRF ↗ |
| MCLAREN CARO REGION | Priority Health Hmo Op Rate Type | — | $97.84 | $54.10 | $27.10 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Priority Health Ppo Op Rate Type | — | $97.84 | $54.10 | $27.10 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Blue Cross Blue Shield Of Mi Fep Op Rate Type | — | $98.52 | $54.10 | $27.10 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Blue Cross Blue Shield Of Mi Bpp (Blue Preferred Partner) Op Rate Type | — | $98.52 | $54.10 | $27.10 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Blue Cross Blue Shield Of Mi Ppo Op Rate Type | — | $98.52 | $54.10 | $27.10 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Priority Health Medicaid | — | $100.00 | $54.10 | $27.10 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Priority Health Medicaid Op Rate Type | — | $100.00 | $54.10 | $27.10 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Priority Health Medicare Advantage Op Rate Type | — | $101.00 | $54.10 | $27.10 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Molina Healthcare Medicaid | — | $102.00 | $54.10 | $27.10 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Molina Healthcare Medicaid Op Rate Type | — | $102.00 | $54.10 | $27.10 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Molina Healthcare Medicare Op Rate Type | — | $102.00 | $54.10 | $27.10 | 2026-05-06 | MRF ↗ |
| MCLAREN CARO REGION | Employee Benefit Logistics-Ebls | — | $186.00 | $54.10 | $27.10 | 2026-05-06 | MRF ↗ |
| SARATOGA HOSPITAL Both | Cigna | Commercial - Outpatient | $2,995.99 | $4,279.99 | $2,140.00 | 2026-05-09 | MRF ↗ |
| SARATOGA HOSPITAL Both | Multiplan | Commercial - Outpatient | $3,209.99 | $4,279.99 | $2,140.00 | 2026-05-09 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Inpatient | $3,367.12 | $4,489.50 | $2,244.75 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Inpatient | $3,367.12 | $4,489.50 | $2,244.75 | 2026-05-23 | 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 ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Outpatient | $3,591.60 | $4,489.50 | $2,244.75 | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Outpatient | $3,591.60 | $4,489.50 | $2,244.75 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Phcs | Commercial | $3,816.08 | $4,489.50 | $2,244.75 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Excellus - Rmsco | Commercial | $3,816.08 | $4,489.50 | $2,244.75 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Hrgi | Commercial | $3,816.08 | $4,489.50 | $2,244.75 | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Phcs | Commercial | $3,816.08 | $4,489.50 | $2,244.75 | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Beech Street | Commercial | $3,816.08 | $4,489.50 | $2,244.75 | 2026-05-23 | MRF ↗ |
| GLENS FALLS HOSPITAL Both | Multiplan | Commercial | $3,816.08 | $4,489.50 | $2,244.75 | 2026-05-08 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Excellus - Rmsco | Commercial | $3,816.08 | $4,489.50 | $2,244.75 | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Beech Street | Commercial | $3,816.08 | $4,489.50 | $2,244.75 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Hrgi | Commercial | $3,816.08 | $4,489.50 | $2,244.75 | 2026-05-14 | MRF ↗ |
| SARATOGA HOSPITAL Both | United Healthcare | Commercial - Inpatient | $3,851.99 | $4,279.99 | $2,140.00 | 2026-05-09 | MRF ↗ |
| GALION COMMUNITY HOSPITAL Both | Medical Mutual | Medicare Outpatient | $4,224.38 | $67,010.60 | $56,959.01 | 2026-05-23 | MRF ↗ |
| GALION COMMUNITY HOSPITAL Both | Molina | Medicaid Outpatient | $5,731.55 | $67,010.60 | $56,959.01 | 2026-05-23 | 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 ↗ |
| GOLETA 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 ↗ |
| SANTA YNEZ 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 | 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 | United Healthcare | Medicare Adv | $10,259.04 | $35,376.00 | $24,763.20 | 2026-05-27 | 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 | Blue Shield | Medicare Adv | $10,259.04 | $35,376.00 | $24,763.20 | 2026-05-27 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Wellcare | Medicaid Wellcare | $15,661.03 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Meridian | Medicaid Meridian | $15,661.03 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Health Alliance | Medicaid Health Alliance | $15,661.03 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Aetna Better Health | Medicaid Aetna Better Health | $15,661.03 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Molina | Medicaid Molina | $15,661.03 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Illinois | Medicaid Illinois | $15,661.03 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Humana Health Plan | Medicaid Humana Health Plan | $15,661.03 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Youth Care | Medicaid Youth Care | $15,661.03 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Countycare Claims | Medicaid Countycare Claims | $15,661.03 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Aetna Better Health | Medicaid Aetna Better Health | $15,661.03 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Wellcare | Medicaid Wellcare | $15,661.03 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Meridian | Medicaid Meridian | $15,661.03 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Illinois | Medicaid Illinois | $15,661.03 | — | — | 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 | $15,661.03 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Humana Health Plan | Medicaid Humana Health Plan | $15,661.03 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Youth Care | Medicaid Youth Care | $15,661.03 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Countycare Claims | Medicaid Countycare Claims | $15,661.03 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Molina | Medicaid Molina | $15,661.03 | — | — | 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 | $15,661.03 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Health Alliance | Medicaid Health Alliance | $15,661.03 | — | — | 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 | Humana | Medicare Outpatient | $21,443.39 | $67,010.60 | $56,959.01 | 2026-05-23 | MRF ↗ |
| AVITA ONTARIO Inpatient | Mount Carmel | 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 | Buckeye | 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 | Molina | 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 | Aetna | Medicare Outpatient | $21,443.39 | $67,010.60 | $56,959.01 | 2026-05-14 | MRF ↗ |
| AVITA ONTARIO Inpatient | Anthem | Medicare Outpatient | $21,443.39 | $67,010.60 | $56,959.01 | 2026-05-14 | 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 | Traditional 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 ↗ |
| 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 | Medical Mutual | Medicare Outpatient | $21,872.26 | $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 ↗ |
| GALION COMMUNITY HOSPITAL Both | Anthem | 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 | United Healthcare | 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 | Humana | 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 ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Molina Healthcare Of Il | Managed Medicaid | $22,898.45 | — | — | 2026-05-17 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Centene | Youthcare | $22,898.45 | — | — | 2026-05-17 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Aetna Better Health Of Il | Managed Medicaid | $22,898.45 | — | — | 2026-05-17 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Centene Meridian Health Of Il | Managed Medicaid | $22,898.45 | — | — | 2026-05-17 | MRF ↗ |
| GALION COMMUNITY HOSPITAL Both | Aetna | Medicare Outpatient | $23,239.28 | $67,010.60 | $56,959.01 | 2026-05-23 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid | Medicaid Illinois | $23,376.78 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Molina | Medicaid Illinois | $23,376.78 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Mutual Medical | Commercial | $23,376.78 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid | Medicaid Illinois | $23,376.78 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Mutual Medical | Commercial | $23,376.78 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Aetna | Medicaid | $23,376.78 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Molina | Medicaid Illinois | $23,376.78 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Aetna | Medicaid | $23,376.78 | — | — | 2026-05-24 | 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 | — | — | — | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Wellcare Of Ga | Managed Medicaid | $24,764.35 | — | — | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Centene Peach State Health Plan | Managed Medicaid | $24,764.35 | — | — | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Caresource Of Ga | Managed Medicaid | $24,764.35 | — | — | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Wellcare Of Ga | Managed Medicaid | $24,764.35 | — | — | 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 | Providence Health Plan | Commercial | — | — | — | 2026-05-14 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Caresource Of Ga | Managed Medicaid | $24,764.35 | — | — | 2026-05-14 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Inpatient | Centene Peach State Health | Managed Medicaid | $24,764.35 | — | — | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Providence Health Plan | Commercial | — | — | — | 2026-05-22 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Sana Benefits | Commercial | — | — | — | 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 | Sana Benefits | Commercial | — | — | — | 2026-05-18 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Countycare | Managed Medicaid | $25,758.50 | — | — | 2026-05-18 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Blue Cross Blue Shield Of Il | Blue Choice.Broad | — | — | — | 2026-05-22 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Blue Cross Blue Shield Of Il | Blue Choice.Broad | — | — | — | 2026-05-18 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Healthlink | Ppo | — | — | — | 2026-05-18 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Loyola University Medical Center | Commercial | — | — | — | 2026-05-18 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Centene | Youthcare Managed Medicaid | $25,758.50 | — | — | 2026-05-18 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Harmony Health Plan Of Il | Managed Medicaid | $25,758.50 | — | — | 2026-05-22 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Healthlink | Hmo | — | — | — | 2026-05-18 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Providence Health Plan | Commercial | — | — | — | 2026-05-18 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Blue Cross Blue Shield Of Il | Ppo | — | — | — | 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 | Blue Cross Blue Shield Of Il | Managed Medicaid | $25,758.50 | — | — | 2026-05-18 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Molina Healthcare Of Il | Managed Medicaid | $25,758.50 | — | — | 2026-05-18 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Healthlink | Hmo | — | — | — | 2026-05-22 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | University Of Illinois Health | Commercial | — | — | — | 2026-05-18 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Aetna Better Health Of Il | Managed Medicaid | $25,758.50 | — | — | 2026-05-18 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Centene Meridian Health Of Il | Managed Medicaid | $25,758.50 | — | — | 2026-05-18 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Healthlink | Ppo | — | — | — | 2026-05-22 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Harmony Health Plan Of Il | Managed Medicaid | $25,758.50 | — | — | 2026-05-18 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Centene | Youthcare Managed Medicaid | $25,758.50 | — | — | 2026-05-22 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Centene Meridian Health Of Il | Managed Medicaid | $25,758.50 | — | — | 2026-05-22 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | University Of Illinois Health | Commercial | — | — | — | 2026-05-22 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Aetna Better Health Of Il | Managed Medicaid | $25,758.50 | — | — | 2026-05-22 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Loyola University Medical Center | Commercial | — | — | — | 2026-05-22 | 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.