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
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 5893) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/5893?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 5893) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/5893?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 5893) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/5893?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $18,594–$91,133 (25th–75th percentile) across 46 hospitals · 88 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 5893 — 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 |
|---|---|---|---|---|---|---|---|
| O U MEDICAL CENTER | Humana Medicare Advantage | — | $15.79 | $107.00 | $10.70 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Healthchoice Ppo | — | $16.43 | $107.00 | $10.70 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Longevity Health Plan | — | $17.93 | $107.00 | $10.70 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Medica Harmony Sync | — | $22.47 | $107.00 | $10.70 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Bright Health Plan | — | $22.47 | $107.00 | $10.70 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Cigna All Other Ppo | — | $37.24 | $107.00 | $10.70 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Healthcare Highways Chicksaw Nation | — | $37.45 | $107.00 | $10.70 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Healthcare Highways Norman Regional | — | $37.45 | $107.00 | $10.70 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Aetna Hmo | — | $40.40 | $107.00 | $10.70 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Globalhealth Hmo | — | $42.80 | $107.00 | $10.70 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Healthcare Highways D1 | — | $42.80 | $107.00 | $10.70 | 2026-07-31 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Anthem | Traditional | — | $147.00 | $73.50 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Molina | Marketplace | — | $147.00 | $73.50 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Aetna | Hmo Ppo | — | $147.00 | $73.50 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Med Mutual | Ppo Hmo | — | $147.00 | $73.50 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Anthem | Ppo Hmo | — | $147.00 | $73.50 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Cigna | Cigna | — | $147.00 | $73.50 | 2026-05-13 | MRF ↗ |
| O U MEDICAL CENTER | Healthcare Highways D2 | — | $53.50 | $107.00 | $10.70 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Cigna Open Access | — | $56.50 | $107.00 | $10.70 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Coventry Ppo | — | $56.71 | $107.00 | $10.70 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Healthsmart Accel | — | $62.06 | $107.00 | $10.70 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Cigna Ppo Payor Solutions Strategic Alliances | — | $62.27 | $107.00 | $10.70 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Aetna Ec Mc Pos | — | $63.13 | $107.00 | $10.70 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Communitycare Hmo | — | $69.55 | $107.00 | $10.70 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | First Health Ppo | — | $71.69 | $107.00 | $10.70 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Healthsmart Ppo | — | $74.90 | $107.00 | $10.70 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Humana Choicecare Ppo | — | $74.90 | $107.00 | $10.70 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Aetna Ppo | — | $78.11 | $107.00 | $10.70 | 2026-07-31 | 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 | Aetna Prisma Health | — | $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 ↗ |
| O U MEDICAL CENTER | Preferred Community Choice | — | $85.60 | $107.00 | $10.70 | 2026-07-31 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bcbs Exchange | — | $86.66 | $225.67 | $146.69 | 2026-05-28 | MRF ↗ |
| O U MEDICAL CENTER | Quiktrip | — | $87.74 | $107.00 | $10.70 | 2026-07-31 | 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 | Magellan Behavioral Health | — | $135.40 | $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 | 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 | — | $167.00 | $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 | United Healthcare | — | $167.45 | $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 | First Health-Aetna Rental Network | — | $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 | Cigna Behavioral Health | — | $180.54 | $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 | Humana Choicecare Ppo | — | $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 | Molina Medicaid | — | $850.85 | $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 | 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 ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Meridian | Medicaid Meridian | $12,457.09 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Wellcare | Medicaid Wellcare | $12,457.09 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Youth Care | Medicaid Youth Care | $12,457.09 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Molina | Medicaid Molina | $12,457.09 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Countycare Claims | Medicaid Countycare Claims | $12,457.09 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Illinois | Medicaid Illinois | $12,457.09 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Countycare Claims | Medicaid Countycare Claims | $12,457.09 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Youth Care | Medicaid Youth Care | $12,457.09 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Wellcare | Medicaid Wellcare | $12,457.09 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Meridian | Medicaid Meridian | $12,457.09 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Humana Health Plan | Medicaid Humana Health Plan | $12,457.09 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Health Alliance | Medicaid Health Alliance | $12,457.09 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Aetna Better Health | Medicaid Aetna Better Health | $12,457.09 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Molina | Medicaid Molina | $12,457.09 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Illinois | Medicaid Illinois | $12,457.09 | — | — | 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 | $12,457.09 | — | — | 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 | $12,457.09 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Aetna Better Health | Medicaid Aetna Better Health | $12,457.09 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Health Alliance | Medicaid Health Alliance | $12,457.09 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Humana Health Plan | Medicaid Humana Health Plan | $12,457.09 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Aetna | Medicaid | $18,594.12 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Molina | Medicaid Illinois | $18,594.12 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid | Medicaid Illinois | $18,594.12 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Mutual Medical | Commercial | $18,594.12 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Molina | Medicaid Illinois | $18,594.12 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid | Medicaid Illinois | $18,594.12 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Aetna | Medicaid | $18,594.12 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Mutual Medical | Commercial | $18,594.12 | — | — | 2026-05-24 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL | Medicaid|Texas Childrens (Tch)|Starkids | — | $22,874.30 | — | — | 2026-07-30 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL | Medicaid|Texas Childrens (Tch)|Starkids | — | $22,874.30 | — | — | 2026-07-31 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE | Medicaid|Texas Childrens (Tch)|Starkids | — | $22,874.30 | — | — | 2026-07-30 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL | Medicaid|Texas Childrens (Tch)|Starkids | — | $22,874.30 | — | — | 2026-07-31 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL | Medicaid|United|Starkids | — | $23,560.53 | — | — | 2026-07-31 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE | Medicaid|United|Chip | — | $23,560.53 | — | — | 2026-07-30 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE | Medicaid|Amerigroup|Starkids | — | $23,560.53 | — | — | 2026-07-30 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE | Medicaid|Amerigroup|Chip | — | $23,560.53 | — | — | 2026-07-30 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL | Medicaid|United|Starplus | — | $23,560.53 | — | — | 2026-07-31 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL | Medicaid|Amerigroup|Chip | — | $23,560.53 | — | — | 2026-07-31 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL | Medicaid|Amerigroup|Starkids | — | $23,560.53 | — | — | 2026-07-31 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL | Medicaid|United|Chip | — | $23,560.53 | — | — | 2026-07-31 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL | Medicaid|United|Starkids | — | $23,560.53 | — | — | 2026-07-31 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL | Medicaid|Amerigroup|Chip | — | $23,560.53 | — | — | 2026-07-30 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL | Medicaid|Amerigroup|Starkids | — | $23,560.53 | — | — | 2026-07-30 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL | Medicaid|United|Chip | — | $23,560.53 | — | — | 2026-07-30 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL | Medicaid|United|Starkids | — | $23,560.53 | — | — | 2026-07-30 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL | Medicaid|Amerigroup|Chip | — | $23,560.53 | — | — | 2026-07-31 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE | Medicaid|United|Starkids | — | $23,560.53 | — | — | 2026-07-30 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL | Medicaid|Amerigroup|Starkids | — | $23,560.53 | — | — | 2026-07-31 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL | Medicaid|United|Chip | — | $23,560.53 | — | — | 2026-07-31 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL | Medicaid|Bcbs - Tx|All Plans | — | $24,018.02 | — | — | 2026-07-31 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE | Medicaid|Bcbs - Tx|All Plans | — | $24,018.02 | — | — | 2026-07-30 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL | Medicaid|Bcbs - Tx|All Plans | — | $24,018.02 | — | — | 2026-07-31 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL | Medicaid|Bcbs - Tx|All Plans | — | $24,018.02 | — | — | 2026-07-30 | MRF ↗ |
| Baylor St Lukes Medical Center | Medicaid|Texas Childrens (Tch)|Starkids | — | $24,366.99 | — | — | 2026-07-31 | MRF ↗ |
| Baylor St Lukes Medical Center | Medicaid|United|Chip | — | $24,366.99 | — | — | 2026-07-31 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicaid|Caresource|All Products | — | $24,929.34 | — | — | 2026-07-30 | MRF ↗ |
| Baylor St Lukes Medical Center | Medicaid|Amerigroup|Chip | — | $25,098.00 | — | — | 2026-07-31 | MRF ↗ |
| Baylor St Lukes Medical Center | Medicaid|Amerigroup|Starkids | — | $25,098.00 | — | — | 2026-07-31 | MRF ↗ |
| Baylor St Lukes Medical Center | Medicaid|United|Starkids | — | $25,098.00 | — | — | 2026-07-31 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicaid|Molina|All Products | — | $25,427.93 | — | — | 2026-07-30 | MRF ↗ |
| Baylor St Lukes Medical Center | Medicaid|Bcbs - Tx|All Plans | — | $25,585.34 | — | — | 2026-07-31 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicaid|United|All Products | — | $25,677.22 | — | — | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicaid|Buckeye|All Products | — | $26,175.81 | — | — | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicaid|Paramount|All Products | — | $26,175.81 | — | — | 2026-07-30 | MRF ↗ |
| Chi St Joseph Health College Station Hospital | Medicaid|Superior Health Plan|Chip | — | $27,910.46 | — | — | 2026-07-30 | MRF ↗ |
| Chi St Joseph Health College Station Hospital | Medicaid|United|All Other Plans | — | $28,468.67 | — | — | 2026-07-30 | MRF ↗ |
| Chi St Joseph Health College Station Hospital | Medicaid|United|Starkids | — | $28,468.67 | — | — | 2026-07-30 | MRF ↗ |
| Chi St Joseph Health College Station Hospital | Medicaid|Amerigroup|All Plans | — | $29,305.98 | — | — | 2026-07-30 | MRF ↗ |
| Chi St Joseph Health College Station Hospital | Medicaid|Bcbs - Tx|All Plans | — | $29,305.98 | — | — | 2026-07-30 | MRF ↗ |
| Chi St Joseph Health College Station Hospital | Medicaid|Superior Health Plan|Star | — | $29,305.98 | — | — | 2026-07-30 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER InpatientFacility | Healthnet | Medi-Cal Medicaid Managed Care Plan | $33,275.71 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER InpatientFacility | Healthnet | Medi-Cal Medicaid Managed Care Plan | $33,275.71 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER InpatientFacility | Caloptima | Medi-Cal Medicaid Managed Care Plan | $33,275.71 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER InpatientFacility | Caloptima | Medi-Cal Medicaid Managed Care Plan | $33,275.71 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER InpatientFacility | Healthnet | Medi-Cal Medicaid Managed Care Plan | $33,275.71 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER InpatientFacility | Caloptima | Medi-Cal Medicaid Managed Care Plan | $33,275.71 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Healthnet | Medi-Cal Medicaid Managed Care Plan | $33,653.60 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Healthcare La | Ancillary Medi-Cal Medicaid Managed Care Plan | $33,653.60 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Citrus Valley | Ipa Medi-Cal Medicaid Managed Care Plan | $33,653.60 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Cal Care | Ancillary Medi-Cal Ipa Medicaid Managed Care Plan | $33,653.60 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Avanti Health System | Medi-Cal Medicaid Managed Care Plan | $33,653.60 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Global Care Medical Group | Ancillary Medi-Cal Medicaid Managed Care Plan | $33,653.60 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Global Care Medical Group | Ancillary Medi-Cal Medicaid Managed Care Plan | $33,653.60 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | La Care | Medi-Cal Medicaid Managed Care Plan | $33,653.60 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Healthnet | Medi-Cal Select Health Medicaid Managed Care Plan | $33,653.60 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Healthcare Partners | Medi-Cal Medicaid Managed Care Plan | $33,653.60 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | La Care | Medi-Cal Medicaid Managed Care Plan | $33,653.60 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Healthnet | Medi-Cal Medicaid Managed Care Plan | $33,653.60 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Healthnet | Medi-Cal Select Health Medicaid Managed Care Plan | $33,653.60 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Healthcare Partners | Medi-Cal Medicaid Managed Care Plan | $33,653.60 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Blue Cross | Medi-Cal Medicaid Managed Care Plan | $33,653.60 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Molina | Medi-Cal Medicaid Managed Care Plan | $33,653.60 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Blue Shield | Promise Health Plan Medicaid Managed Care Plan | $33,653.60 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Beverly Community Hospital Association | Medi-Cal Medicaid Managed Care Plan | $33,653.60 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Blue Cross | Medi-Cal Medicaid Managed Care Plan | $33,653.60 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Molina | Medi-Cal Medicaid Managed Care Plan | $33,653.60 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Blue Shield | Promise Health Plan Medicaid Managed Care Plan | $33,653.60 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Healthcare La | Ancillary Medi-Cal Medicaid Managed Care Plan | $33,653.60 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Citrus Valley | Ipa Medi-Cal Medicaid Managed Care Plan | $33,653.60 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Beverly Community Hospital Association | Medi-Cal Medicaid Managed Care Plan | $33,653.60 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Cal Care | Ancillary Medi-Cal Ipa Medicaid Managed Care Plan | $33,653.60 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Avanti Health System | Medi-Cal Medicaid Managed Care Plan | $33,653.60 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF LOUISVILLE HOSPITAL Inpatient | Anthem | In Medicaid | $38,000.63 | — | — | 2026-05-14 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Inpatient | Anthem | In Medicaid | $38,000.63 | — | — | 2026-05-14 | MRF ↗ |
| UNIVERSITY OF LOUISVILLE HOSPITAL Inpatient | Anthem | In Medicaid | $38,000.63 | — | — | 2026-05-22 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Inpatient | Anthem | In Medicaid | $38,000.63 | — | — | 2026-05-22 | MRF ↗ |
| VALLEY HOSPITAL Inpatient | Uhc | Americhoice | $45,650.40 | — | — | 2026-05-14 | MRF ↗ |
| VALLEY HOSPITAL Inpatient | Uhc | Americhoice | $45,650.40 | — | — | 2026-05-14 | MRF ↗ |
| VALLEY HOSPITAL Inpatient | Uhc | Americhoice | $45,650.40 | — | — | 2026-05-23 | MRF ↗ |
| VALLEY HOSPITAL Inpatient | Uhc | Americhoice | $45,650.40 | — | — | 2026-05-23 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB InpatientFacility | Avanti Health System | Medi-Cal Medicaid Managed Care Plan | $47,115.04 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB InpatientFacility | Citrus Valley | Ipa Medi-Cal Medicaid Managed Care Plan | $47,115.04 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB InpatientFacility | Cal Care | Ancillary Medi-Cal Ipa Medicaid Managed Care Plan | $47,115.04 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB InpatientFacility | Heritage Provider Network | Medi-Cal Medicaid Managed Care Plan | $47,115.04 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB InpatientFacility | Blue Cross | Medi-Cal Medicaid Managed Care Plan | $47,115.04 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB InpatientFacility | Molina | Medi-Cal Medicaid Managed Care Plan | $47,115.04 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB InpatientFacility | Blue Shield | Promise Health Plan Medicaid Managed Care Plan | $47,115.04 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB InpatientFacility | St. Francis Medical Center | Medi-Cal Medicaid Managed Care Plan | $47,115.04 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB InpatientFacility | Global Care Medical Group | Ancillary Medi-Cal Medicaid Managed Care Plan | $47,115.04 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB InpatientFacility | La Care | Medi-Cal Medicaid Managed Care Plan | $47,115.04 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB InpatientFacility | Healthnet | Medi-Cal Medicaid Managed Care Plan | $47,115.04 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB InpatientFacility | Healthcare La | Ancillary Medi-Cal Medicaid Managed Care Plan | $47,115.04 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB InpatientFacility | Healthcare Partners | Medi-Cal Medicaid Managed Care Plan | $47,115.04 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB InpatientFacility | Healthnet | Medi-Cal Select Health Medicaid Managed Care Plan | $47,115.04 | — | — | 2026-04-01 | MRF ↗ |
| Chi St Lukes Health Memorial San Augustine | Medicaid|Texas Childrens (Tch)|All Plans | — | $48,225.23 | — | — | 2026-08-01 | MRF ↗ |
| Chi St Lukes Health Memorial San Augustine | Medicaid|United|All Plans | — | $48,225.23 | — | — | 2026-08-01 | MRF ↗ |
| Chi St Lukes Health Memorial San Augustine | Medicaid|Superior Health Plan|All Plans | — | $48,225.23 | — | — | 2026-08-01 | MRF ↗ |
| Chi St Lukes Health Memorial San Augustine | Medicaid|Amerigroup|All Other Plans | — | $48,225.23 | — | — | 2026-08-01 | MRF ↗ |
| Chi St Lukes Health Memorial San Augustine | Medicaid|Cigna|All Plans | — | $49,189.73 | — | — | 2026-08-01 | MRF ↗ |
| Chi St Lukes Health Memorial San Augustine | Medicaid|Amerigroup|Starplus | — | $49,671.99 | — | — | 2026-08-01 | MRF ↗ |
| Chi St Lukes Health Memorial San Augustine | Medicaid|Bcbs - Tx|All Plans | — | $50,636.49 | — | — | 2026-08-01 | MRF ↗ |
| BURLESON ST JOSEPH HEALTH CENTER | Medicaid|Superior Health Plan|Chip | — | $61,189.94 | — | — | 2026-07-31 | MRF ↗ |
| BURLESON ST JOSEPH HEALTH CENTER | Medicaid|Scott & White Healthplan|All Plans | — | $61,189.94 | — | — | 2026-07-31 | MRF ↗ |
| BURLESON ST JOSEPH HEALTH CENTER | Medicaid|United|All Other Plans | — | $62,413.74 | — | — | 2026-07-31 | MRF ↗ |
| BURLESON ST JOSEPH HEALTH CENTER | Medicaid|United|Starkids | — | $62,413.74 | — | — | 2026-07-31 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER | Medicaid|Texas Childrens (Tch)|All Plans | — | $62,456.26 | — | — | 2026-07-30 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER | Medicaid|Community Health Choice|All Plans | — | $62,456.26 | — | — | 2026-07-30 | MRF ↗ |
| TRINITY HOSPITALS InpatientFacility | Bcbs - Nd | All Commercial Plans | $63,098.45 | — | — | 2026-04-01 | MRF ↗ |
| BURLESON ST JOSEPH HEALTH CENTER | Medicaid|Superior Health Plan|Star | — | $64,249.44 | — | — | 2026-07-31 | 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.