5893 — 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 (APR_DRG 5893) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/5893?code_type=APR_DRG
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 (APR_DRG 5893) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/5893?code_type=APR_DRG. 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 (APR_DRG 5893) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/5893?code_type=APR_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $50,771–$116,695 (25th–75th percentile) across 1,130 hospitals · 603 payers.
“Negotiated” is the hospital’s negotiated rate for the entire inpatient stay under APR_DRG 5893 — 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 | $3.76 | — | — | 2026-02-19 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Superior Health Plan | CHIP/Medicaid | $18.44 | — | — | 2026-04-15 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Amerigroup | CHIP/Medicaid | $18.44 | — | — | 2026-04-15 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Cigna | Medicaid | $18.44 | — | — | 2026-04-15 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Parkland | Medicaid | $18.44 | — | — | 2026-04-15 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Molina | CHIP/Medicaid | $18.44 | — | — | 2026-04-15 | MRF ↗ |
| Memorial Regional Hospital South InpatientFacility | OptumHealth Care Solutions | Transplants - Medicaid | $19.86 | — | — | 2026-05-27 | MRF ↗ |
| ELIZABETHTOWN COMMUNITY HOSPITAL InpatientFacility | — | — | — | — | — | 2025-01-01 | 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 | STARPLUS | $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 | STARKids | $1,139.00 | — | — | 2024-10-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | Superior Health Plan | STAR | $1,139.00 | — | — | 2024-10-01 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Inpatient | Amerigroup | Wellcare Medicaid | $1,375.76 | — | — | 2026-07-15 | 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 ↗ |
| PROMEDICA TOLEDO HOSPITAL Inpatient | Health Plan Of Michigan Dba Meridian Health Plan Of Michigan | Meridian | $1,600.00 | — | — | 2026-07-17 | MRF ↗ |
| PROMEDICA DEFIANCE REGIONAL 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 ↗ |
| FOSTORIA COMMUNITY HOSPITAL Inpatient | Meridian Health Plan Of Mi | Meridian | $1,600.00 | — | — | 2026-07-17 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL InpatientFacility | — | — | — | — | — | 2024-12-16 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Medicaid Other | Medicaid Other | $2,352.17 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $2,524.27 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $2,617.19 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Cigna Hmo Ppo | — | $2,646.00 | $2,588,272.66 | $1,682,377.23 | 2026-07-05 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Select Health | Select Health Medicaid | $2,659.57 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Molina | Molina Medicaid | $2,659.57 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $2,685.39 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $2,711.22 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL InpatientFacility | — | — | — | — | — | 2024-12-10 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Inpatient | Aetna Better Health | Aetna Better Health (Medicaid Managed Care) | $2,785.98 | — | — | 2026-08-17 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $2,800.38 | — | — | 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 ↗ |
| 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 | $3,467.41 | — | — | 2026-03-18 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE InpatientFacility | — | — | — | — | — | 2025-03-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST InpatientFacility | — | — | — | — | — | 2025-03-06 | MRF ↗ |
| MONTEFIORE ST LUKE'S CORNWALL Inpatient | Anthem | Exchange | $5,526.27 | — | — | 2026-04-01 | MRF ↗ |
| Prisma Health North Greenville Ltach InpatientFacility | — | — | — | — | — | 2024-12-11 | MRF ↗ |
| SANFORD CANBY MEDICAL CENTER InpatientFacility | Ucare | Medicaid Managed Care | $11,861.53 | — | — | 2026-03-04 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Inpatient | Molina | Molina Medicaid Managed Care (Ip) | $12,457.09 | — | — | 2026-07-15 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Inpatient | Bcbs | Bcbs Medicaid Managed Care (Ip) | $12,457.09 | — | — | 2026-07-15 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Inpatient | Aetna | Aetna Better Health Medicaid Managed Care (Ip) | $12,457.09 | — | — | 2026-07-15 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Inpatient | Meridian | Meridian Medicaid Managed Care (Ip) | $12,457.09 | — | — | 2026-07-15 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Inpatient | Healthy Way La | Healthy Way La | $12,603.83 | — | — | 2026-07-15 | MRF ↗ |
| TAYLORVILLE MEMORIAL HOSPITAL Inpatient | Bcbs | Bcbs Medicaid Managed Care (Ip) | $13,052.45 | — | — | 2026-10-09 | MRF ↗ |
| TAYLORVILLE MEMORIAL HOSPITAL Inpatient | Molina | Molina Medicaid Managed Care (Ip) | $13,052.45 | — | — | 2026-10-09 | MRF ↗ |
| TAYLORVILLE MEMORIAL HOSPITAL Inpatient | Aetna | Aetna Better Health Medicaid Managed Care (Ip) | $13,052.45 | — | — | 2026-10-09 | MRF ↗ |
| TAYLORVILLE MEMORIAL HOSPITAL Inpatient | Meridian | Meridian Medicaid Managed Care (Ip) | $13,052.45 | — | — | 2026-10-09 | MRF ↗ |
| ELMHURST HOSPITAL CENTER InpatientFacility | Healthfirst | Small Group | $15,314.78 | — | — | 2025-09-05 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Inpatient | Peach State Ambetter | MCD | $16,632.00 | — | — | 2024-10-01 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Inpatient | Blue Cross Blue Shield | Medicaid- Aca, Fhp, Icp | $16,632.75 | — | — | 2026-09-20 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Inpatient | Meridian | Medicaid | $17,131.74 | — | — | 2026-09-20 | MRF ↗ |
| BANNER FORT COLLINS MEDICAL CENTER InpatientFacility | Colorado Child Health Plan Plus | Medicaid | $17,670.57 | — | — | 2026-03-02 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Inpatient | Mdwise | Hip | $18,182.41 | — | — | 2026-07-17 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Centene Meridian Health Of Il | Managed Medicaid | $18,213.65 | — | — | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Molina Healthcare Of Il | Managed Medicaid | $18,213.65 | — | — | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Aetna Better Health Of Il | Managed Medicaid | $18,213.65 | — | — | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Centene | Youthcare | $18,213.65 | — | — | 2026-07-15 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Anthem Blue Cross Blue Shield | Managed Medicaid | $18,457.40 | — | — | 2025-04-24 | MRF ↗ |
| REID HEALTH InpatientFacility | Anthem Blue Cross Blue Shield | Managed Medicaid | $18,457.40 | — | — | 2025-07-21 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | CareSource Indiana Healthy Indiana Plan (HIP) | Managed Medicaid | $18,457.40 | — | — | 2025-04-24 | MRF ↗ |
| REID HEALTH InpatientFacility | MDWise | Managed Medicaid | $18,457.40 | — | — | 2025-07-21 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Humana | Managed Medicaid | $18,457.40 | — | — | 2025-04-24 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | United Healthcare of Indiana | Managed Medicaid | $18,457.40 | — | — | 2026-06-03 | MRF ↗ |
| REID HEALTH InpatientFacility | Caresource of Indiana | Managed Medicaid | $18,457.40 | — | — | 2025-07-21 | MRF ↗ |
| REID HEALTH InpatientFacility | Anthem Blue Cross Blue Shield | Pathways for Aging/Managed Medicaid | $18,457.40 | — | — | 2025-07-21 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Managed Health Services (MHS) Hoosier Healthwise (HHW) | Managed Medicaid | $18,457.40 | — | — | 2025-04-24 | MRF ↗ |
| REID HEALTH InpatientFacility | Humana of Indiana | Pathways for Aging/Managed Medicaid | $18,457.40 | — | — | 2025-07-21 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | Managed Health Services (MHS) | Managed Medicaid | $18,457.40 | — | — | 2026-06-03 | MRF ↗ |
| REID HEALTH InpatientFacility | MHS | Managed Medicaid | $18,457.40 | — | — | 2025-07-21 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | CareSource Indiana Healthy Indiana Plan (HIP) | Managed Medicaid | $18,457.40 | — | — | 2026-06-03 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Managed Health Services (MHS) Hoosier Care Connect | Managed Medicaid | $18,457.40 | — | — | 2025-04-24 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | Managed Health Services (MHS) Hoosier Care Connect | Managed Medicaid | $18,457.40 | — | — | 2026-06-03 | MRF ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC InpatientFacility | Managed Health Services | Medicaid | $18,464.45 | — | — | 2026-02-18 | MRF ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC InpatientFacility | MDWise | Medicaid | $18,464.45 | — | — | 2026-02-18 | MRF ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC InpatientFacility | CareSource Indiana of IN | Hoosier Healthwise/HIP | $18,464.45 | — | — | 2026-02-18 | MRF ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC InpatientFacility | Anthem Blue Cross of IN | Medicaid | $18,464.45 | — | — | 2026-02-18 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | CareSource Indiana Hoosier Healthwise (HHW) | Managed Medicaid | $18,641.97 | — | — | 2026-06-03 | MRF ↗ |
| REID HEALTH InpatientFacility | United Healthcare | Managed Medicaid | $18,826.58 | — | — | 2025-07-21 | MRF ↗ |
| REID HEALTH InpatientFacility | United Healthcare | Pathways for Aging/Managed Medicaid | $18,826.58 | — | — | 2025-07-21 | MRF ↗ |
| SAMARITAN MEDICAL CENTER InpatientFacility | Fidelis | Medicaid Managed Care/Child Health Plus and Family Health Plus | $18,842.48 | — | — | 2026-02-02 | MRF ↗ |
| SAMARITAN MEDICAL CENTER InpatientFacility | Excellus | Managed Medicaid | $18,842.48 | — | — | 2026-02-02 | MRF ↗ |
| SAMARITAN MEDICAL CENTER InpatientFacility | MVP | Essential Plan 3-4 | $18,842.48 | — | — | 2026-02-02 | MRF ↗ |
| MONROE HOSPITAL Inpatient | United Healthcare | UHC Medicaid CHIP - Hoosier Care | $18,984.30 | — | — | 2024-12-19 | MRF ↗ |
| MONROE HOSPITAL Inpatient | Care Source | Care Source Medicaid - Hoosier Healthwise | $18,984.30 | — | — | 2024-12-19 | MRF ↗ |
| MONROE HOSPITAL Inpatient | Non-Contracted Medicaid | Non-Contracted Medicaid | $18,984.30 | — | — | 2024-12-19 | MRF ↗ |
| MONROE HOSPITAL Inpatient | Care Source | Care Source Medicaid - Healthy Indiana Plan - HIP | $18,984.30 | — | — | 2024-12-19 | MRF ↗ |
| MONROE HOSPITAL Inpatient | Traditional Medicaid | Traditional Medicaid | $18,984.30 | — | — | 2024-12-19 | MRF ↗ |
| MONROE HOSPITAL Inpatient | BCBS | BCBS Medicaid - Hoosier Healthwise | $18,984.30 | — | — | 2024-12-19 | MRF ↗ |
| MONROE HOSPITAL Inpatient | BCBS | BCBS Medicaid - Hoosier Healthwise | $18,984.35 | — | — | 2026-03-17 | MRF ↗ |
| MONROE HOSPITAL Inpatient | Monroe Medical Group and Managed Health Services | Monroe Medical Group Medicaid | $18,984.35 | — | — | 2026-03-17 | MRF ↗ |
| MONROE HOSPITAL Inpatient | Care Source | Care Source Medicaid - Hoosier Healthwise | $18,984.35 | — | — | 2026-03-17 | MRF ↗ |
| MONROE HOSPITAL Inpatient | United Healthcare | UHC Medicaid CHIP - Hoosier Care | $18,984.35 | — | — | 2026-03-17 | MRF ↗ |
| MONROE HOSPITAL Inpatient | Care Source | Care Source Medicaid - Healthy Indiana Plan - HIP | $18,984.35 | — | — | 2026-03-17 | MRF ↗ |
| MONROE HOSPITAL Inpatient | Traditional Medicaid | Traditional Medicaid | $18,984.35 | — | — | 2026-03-17 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | United Healthcare | Managed Medicaid | $19,011.12 | — | — | 2025-04-24 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | CareSource Indiana Hoosier Healthwise (HHW) | Managed Medicaid | $19,011.12 | — | — | 2025-04-24 | MRF ↗ |
| DEACONESS HOSPITAL INC InpatientFacility | Meridianhealth (IL) | Managed Medicaid | $19,264.74 | — | — | 2026-02-11 | MRF ↗ |
| DEACONESS HOSPITAL INC InpatientFacility | Blue Cross Blue Shield of Illinois | Managed Medicaid | $19,264.74 | — | — | 2026-02-11 | MRF ↗ |
| DEACONESS HOSPITAL INC InpatientFacility | Molina (IL) Medicaid | Managed Medicaid | $19,264.74 | — | — | 2026-02-11 | MRF ↗ |
| DEACONESS HOSPITAL INC InpatientFacility | Aetna Better Health of IL | Managed Medicaid | $19,264.74 | — | — | 2026-02-11 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Mdwise Hoosier Healthwise (HHW) | Managed Medicaid | $19,380.27 | — | — | 2025-04-24 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | MDwise Hoosier Healthwise (HHW) | Managed Medicaid | $19,380.27 | — | — | 2026-06-03 | MRF ↗ |
| SAMARITAN MEDICAL CENTER InpatientFacility | United Healthcare | Managed Medicaid | $19,407.75 | — | — | 2026-02-02 | MRF ↗ |
| SAINT JOSEPH HOSPITAL-ELGIN Inpatient | Traditional Medicaid | Traditional Medicaid | $19,482.80 | — | — | 2025-05-01 | MRF ↗ |
| SAINT JOSEPH HOSPITAL-ELGIN Inpatient | Non-Contracted Medicaid | Non-Contracted Medicaid | $19,482.80 | — | — | 2025-05-01 | MRF ↗ |
| SAINT JOSEPH HOSPITAL-ELGIN Inpatient | BCBS | BCBS Medicaid | $19,482.80 | — | — | 2025-05-01 | MRF ↗ |
| SAINT JOSEPH HOSPITAL-ELGIN Inpatient | Humana | Humana Medicaid | $19,482.80 | — | — | 2025-05-01 | MRF ↗ |
| SAINT JOSEPH HOSPITAL-ELGIN Inpatient | Aetna Better Health | Aetna Better Medicaid | $19,482.80 | — | — | 2025-05-01 | MRF ↗ |
| SAINT JOSEPH HOSPITAL-ELGIN Inpatient | Meridian | Meridian Medicaid | $19,482.80 | — | — | 2025-05-01 | MRF ↗ |
| FERRELL HOSPITAL COMMUNITY FOUNDATIONS InpatientFacility | Meridian Health Plan | Managed Medicaid | $19,482.81 | — | — | 2025-11-12 | MRF ↗ |
| FERRELL HOSPITAL COMMUNITY FOUNDATIONS InpatientFacility | Aetna Better Health (Illinicare) | Managed Medicaid | $19,482.81 | — | — | 2025-11-12 | MRF ↗ |
| FERRELL HOSPITAL COMMUNITY FOUNDATIONS InpatientFacility | Blue Cross Blue Shield of Illinois | Managed Medicaid | $19,482.81 | — | — | 2025-11-12 | MRF ↗ |
| JACKSONVILLE MEMORIAL HOSPITAL Inpatient | Molina Healthcare | Molina Medicaid | $19,482.81 | — | — | 2026-07-15 | MRF ↗ |
| FERRELL HOSPITAL COMMUNITY FOUNDATIONS InpatientFacility | Molina Healthcare of Illinois | Managed Medicaid | $19,482.81 | — | — | 2025-11-12 | MRF ↗ |
| FERRELL HOSPITAL COMMUNITY FOUNDATIONS InpatientFacility | Meridian Health Plan | Managed Medicaid | $19,482.81 | — | — | 2025-11-12 | MRF ↗ |
| LOYOLA GOTTLIEB MEMORIAL HOSPITAL InpatientFacility | Meridian | Medicaid | $19,482.81 | — | — | 2026-03-31 | MRF ↗ |
| FERRELL HOSPITAL COMMUNITY FOUNDATIONS InpatientFacility | Blue Cross Blue Shield of Illinois | Managed Medicaid | $19,482.81 | — | — | 2025-11-12 | MRF ↗ |
| FERRELL HOSPITAL COMMUNITY FOUNDATIONS InpatientFacility | Molina Healthcare of Illinois | Managed Medicaid | $19,482.81 | — | — | 2025-11-12 | MRF ↗ |
| LOYOLA GOTTLIEB MEMORIAL HOSPITAL InpatientFacility | Molina | Medicaid | $19,482.81 | — | — | 2026-03-31 | MRF ↗ |
| FERRELL HOSPITAL COMMUNITY FOUNDATIONS InpatientFacility | Aetna Better Health (Illinicare) | Managed Medicaid | $19,482.81 | — | — | 2025-11-12 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Molina Healthcare of Indiana | Managed Medicaid | $19,564.84 | — | — | 2025-04-24 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER InpatientFacility | Molina | Medicaid | $19,597.34 | — | — | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER InpatientFacility | Aetna | Medicaid | $19,597.34 | — | — | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER InpatientFacility | Meridian | Medicaid | $19,597.34 | — | — | 2026-03-31 | MRF ↗ |
| WEST SUBURBAN MEDICAL CENTER InpatientFacility | Molina | Managed Medicaid | $19,597.34 | — | — | 2025-03-17 | MRF ↗ |
| WEST SUBURBAN MEDICAL CENTER InpatientFacility | Meridian | Managed Medicaid | $19,597.34 | — | — | 2025-03-17 | MRF ↗ |
| WEST SUBURBAN MEDICAL CENTER InpatientFacility | County Care | Managed Medicaid | $19,597.34 | — | — | 2025-03-17 | MRF ↗ |
| WEST SUBURBAN MEDICAL CENTER InpatientFacility | Aetna Better Health | Managed Medicaid | $19,597.34 | — | — | 2025-03-17 | MRF ↗ |
| WEST SUBURBAN MEDICAL CENTER InpatientFacility | Blue Cross | Managed Medicaid Community Plan | $19,597.34 | — | — | 2025-03-17 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU InpatientFacility | Georgia Medicaid | OOS Medicaid | $19,667.57 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU InpatientFacility | Peach State Health Plan | Managed Medicaid OOS | $19,667.57 | — | — | 2026-02-06 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Wellcare Of Ga | Managed Medicaid | $19,667.57 | — | — | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Centene Peach State Health Plan | Managed Medicaid | $19,667.57 | — | — | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Soonercare | Managed Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Humana | Tricare | — | — | — | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Inpatient | Centene Peach State Health | Managed Medicaid | $19,667.57 | — | — | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Centene Managed Health Services | Mngd Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Caresource Of Ga | Managed Medicaid | $19,667.57 | — | — | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Centene Home State Health Plan | Mngd Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Centene Peach State Health | Managed Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Amerihealth Caritas Florida | Managed Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Amerigroup Of Ga | Managed Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Caresource Of Ga | Managed Medicaid | $19,667.57 | — | — | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Centene Meridian Health Plan Of Mi | Mngd Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Centene Sunshine Health | Mngd Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES InpatientFacility | Georgia Medicaid | OOS Medicaid | $19,667.57 | — | — | 2026-02-06 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Amerigroup Georgia | Managed Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Humana | Tricare | — | — | — | 2026-07-15 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES InpatientFacility | Peach State Health Plan | Managed Medicaid OOS | $19,667.57 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES InpatientFacility | CareSource of Georgia | Managed Medicaid OOS | $19,667.57 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE InpatientFacility | CareSource of Georgia | Managed Medicaid OOS | $19,667.57 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE InpatientFacility | Peach State Health Plan | Managed Medicaid OOS | $19,667.57 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE InpatientFacility | Georgia Medicaid | OOS Medicaid | $19,667.57 | — | — | 2026-02-06 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Wellcare Of Ga | Managed Medicaid | $19,667.57 | — | — | 2026-07-15 | MRF ↗ |
| CHI Memorial Hospital - Hixson Inpatient | Peach State | Medicaid|All Plans | $19,695.00 | — | — | 2026-02-28 | MRF ↗ |
| CHI Memorial Hospital - Hixson Inpatient | Peach State | Medicaid|All Plans | $19,695.00 | — | — | 2026-02-28 | MRF ↗ |
| BANNER MCKEE MEDICAL CENTER InpatientFacility | Colorado Child Health Plan Plus | Medicaid | $19,746.20 | — | — | 2026-03-02 | MRF ↗ |
| BANNER NORTH COLORADO MEDICAL CENTER InpatientFacility | Colorado Child Health Plan Plus | Medicaid | $19,746.20 | — | — | 2026-03-02 | MRF ↗ |
| DEACONESS HOSPITAL INC InpatientFacility | Youthcare (Wellcare IL) | Managed Medicaid | $20,018.71 | — | — | 2026-02-11 | MRF ↗ |
| DEACONESS HOSPITAL INC InpatientFacility | Youthcare (Meridian IL) | Managed Medicaid | $20,018.71 | — | — | 2026-02-11 | MRF ↗ |
| DEACONESS HOSPITAL INC InpatientFacility | Wellcare (IL) Medicaid | Managed Medicaid | $20,018.71 | — | — | 2026-02-11 | MRF ↗ |
| DEACONESS HENDERSON HOSPITAL InpatientFacility | Anthem IN | Managed Medicaid | $20,044.10 | — | — | 2026-02-09 | MRF ↗ |
| DEACONESS HENDERSON HOSPITAL InpatientFacility | MHS IN Medicaid Product (IN) | Managed Medicaid | $20,044.10 | — | — | 2026-02-09 | MRF ↗ |
| DEACONESS HENDERSON HOSPITAL InpatientFacility | Caresource IN | Managed Medicaid | $20,044.10 | — | — | 2026-02-09 | MRF ↗ |
| METHODIST HOSPITAL UNION COUNTY InpatientFacility | MHS IN MCO | Managed Medicaid | $20,044.10 | — | — | 2026-02-13 | MRF ↗ |
| METHODIST HOSPITAL UNION COUNTY InpatientFacility | CareSource IN | Managed Medicaid | $20,044.10 | — | — | 2026-02-13 | MRF ↗ |
| DEACONESS HENDERSON HOSPITAL InpatientFacility | United Healthcare IN | Managed Medicaid | $20,044.10 | — | — | 2026-02-09 | MRF ↗ |
| MILLER COUNTY HOSPITAL InpatientFacility | Wellcare | Managed Medicaid | $20,054.38 | — | — | 2025-07-08 | MRF ↗ |
| PARKRIDGE MEDICAL CENTER Inpatient | CareSource | MGMCD | $20,060.92 | — | — | 2024-10-01 | MRF ↗ |
| EAST MORGAN COUNTY HOSPITAL InpatientFacility | Colorado Child Health Plan Plus | Medicaid | $20,061.75 | — | — | 2026-09-23 | MRF ↗ |
| UnityPoint Health - Trinity Moline InpatientFacility | Aetna Better Health | Managed Care | $20,186.22 | — | — | 2026-01-28 | MRF ↗ |
| KIRBY MEDICAL CENTER InpatientFacility | Meridian | Managed Medicaid/HealthChoice Illinois Medicaid/Youthcare | $20,186.22 | — | — | 2025-06-30 | MRF ↗ |
| UnityPoint Health - Trinity Moline InpatientFacility | Molina Healthcare | Managed Medicaid | $20,186.22 | — | — | 2026-01-28 | MRF ↗ |
| KIRBY MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield of Illinois | Managed Medicaid/HealthChoice Illinois Medicaid | $20,186.22 | — | — | 2025-06-30 | MRF ↗ |
| KIRBY MEDICAL CENTER InpatientFacility | Aetna Better Health (IlliniCare Health) | Managed Medicaid/HealthChoice Illinois Medicaid | $20,186.22 | — | — | 2025-06-30 | MRF ↗ |
| UnityPoint Health - Trinity Moline InpatientFacility | Blue Cross and Blue Shield | Managed Medicaid | $20,186.22 | — | — | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Trinity Moline InpatientFacility | Meridian Health Plan | Managed Medicaid | $20,186.22 | — | — | 2026-01-28 | MRF ↗ |
| STERLING REGIONAL MEDCENTER InpatientFacility | Colorado Child Health Plan Plus | Medicaid | $20,277.92 | — | — | 2026-03-02 | MRF ↗ |
| SAINT JOSEPH HOSPITAL-ELGIN Inpatient | Molina | Molina Medicaid | $20,457.00 | — | — | 2025-05-01 | MRF ↗ |
| SAINT JOSEPH HOSPITAL-ELGIN Inpatient | Cenpatico Medicaid | Cenpatico Medicaid | $20,457.00 | — | — | 2025-05-01 | MRF ↗ |
| RED BUD REGIONAL HOSPITAL InpatientFacility | Wellcare of Illinois | Managed Medicaid | $20,488.56 | — | — | 2026-02-18 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Blue Cross Blue Shield Of Il | Ppo | — | — | — | 2026-07-15 | MRF ↗ |
| RED BUD REGIONAL HOSPITAL InpatientFacility | Blue Cross and Blue Shield of Illinois | Managed Medicaid | $20,488.56 | — | — | 2026-02-18 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Centene Managed Health Services | Mgd. Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| RED BUD REGIONAL HOSPITAL InpatientFacility | Meridian | Managed Medicaid | $20,488.56 | — | — | 2026-02-18 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Centene Home State Health Plan | Mgd. Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Molina Healthcare Of Il | Managed Medicaid | $20,488.56 | — | — | 2026-07-15 | MRF ↗ |
| DEACONESS ILLINOIS CROSSROADS InpatientFacility | Wellcare | Managed Medicaid | $20,488.56 | — | — | 2026-02-03 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Loyola University Medical Center | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| DEACONESS ILLINOIS CROSSROADS InpatientFacility | Meridian Health Plan | Managed Medicaid | $20,488.56 | — | — | 2026-02-03 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Blue Cross Blue Shield Of Il | Hmo | — | — | — | 2026-07-15 | MRF ↗ |
| DEACONESS ILLINOIS CROSSROADS InpatientFacility | Aetna Better Health of Illinois | Managed Medicaid | $20,488.56 | — | — | 2026-02-03 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Soonercare | Managed Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Harmony Health Plan Of Il | Managed Medicaid | $20,488.56 | — | — | 2026-07-15 | 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.