5894 — 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 5894) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/5894?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 5894) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/5894?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 5894) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/5894?code_type=APR_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,430–$13,991 (25th–75th percentile) across 1,138 hospitals · 610 payers.
“Negotiated” is the hospital’s negotiated rate for the entire inpatient stay under APR_DRG 5894 — 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 | $0.07 | — | — | 2026-02-19 | MRF ↗ |
| MEMORIAL HOSPITAL WEST InpatientFacility | OptumHealth Care Solutions | Transplants - Medicaid | $0.41 | — | — | 2026-05-27 | MRF ↗ |
| Memorial Regional Hospital South InpatientFacility | OptumHealth Care Solutions | Transplants - Medicaid | $0.41 | — | — | 2026-05-27 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Molina | CHIP/Medicaid | $3.40 | — | — | 2026-04-15 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Amerigroup | CHIP/Medicaid | $3.40 | — | — | 2026-04-15 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Parkland | Medicaid | $3.40 | — | — | 2026-04-15 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Superior Health Plan | CHIP/Medicaid | $3.40 | — | — | 2026-04-15 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Cigna | Medicaid | $3.40 | — | — | 2026-04-15 | MRF ↗ |
| EAST COOPER MEDICAL CENTER InpatientFacility | Humana | Medicaid | $97.82 | — | — | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER InpatientFacility | Select Health | Medicaid | $97.82 | — | — | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER InpatientFacility | Absolute Total Care | Medicaid | $102.71 | — | — | 2026-03-12 | MRF ↗ |
| MONTEFIORE ST LUKE'S CORNWALL Inpatient | Anthem | Exchange | $142.56 | — | — | 2026-04-01 | MRF ↗ |
| SANFORD LUVERNE MEDICAL CENTER InpatientFacility | Primewest | Medicaid Managed Care | $164.88 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD LUVERNE MEDICAL CENTER InpatientFacility | Ucare | Medicaid Managed Care | $164.88 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD CANBY MEDICAL CENTER InpatientFacility | Primewest | Medicaid Managed Care | $221.12 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD BEHAVIORAL HEALTH CENTER InpatientFacility | Ucare | Medicaid Managed Care | $221.12 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD BEHAVIORAL HEALTH CENTER InpatientFacility | Primewest | Medicaid Managed Care | $221.12 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD THIEF RIVER FALLS MEDICAL CENTER InpatientFacility | Primewest | Medicaid Managed Care | $221.12 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD THIEF RIVER FALLS MEDICAL CENTER InpatientFacility | Ucare | Medicaid Managed Care | $221.12 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD WHEATON MEDICAL CENTER InpatientFacility | Ucare | Medicaid Managed Care | $227.89 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD WHEATON MEDICAL CENTER InpatientFacility | Primewest | Medicaid Managed Care | $227.89 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD JACKSON MEDICAL CENTER InpatientFacility | Primewest | Medicaid Managed Care | $240.39 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD JACKSON MEDICAL CENTER InpatientFacility | Ucare | Medicaid Managed Care | $240.39 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD CANBY MEDICAL CENTER InpatientFacility | Ucare | Medicaid Managed Care | $251.62 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD BAGLEY MEDICAL CENTER InpatientFacility | Primewest | Medicaid Managed Care | $252.97 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD BAGLEY MEDICAL CENTER InpatientFacility | Ucare | Medicaid Managed Care | $252.97 | — | — | 2026-03-04 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Inpatient | Bcbs | Bcbs Medicaid Managed Care (Ip) | $264.25 | — | — | 2026-07-15 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Inpatient | Aetna | Aetna Better Health Medicaid Managed Care (Ip) | $264.25 | — | — | 2026-07-15 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Inpatient | Meridian | Meridian Medicaid Managed Care (Ip) | $264.25 | — | — | 2026-07-15 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Inpatient | Molina | Molina Medicaid Managed Care (Ip) | $264.25 | — | — | 2026-07-15 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Inpatient | Healthy Way La | Healthy Way La | $275.73 | — | — | 2026-07-15 | MRF ↗ |
| GARFIELD MEDICAL CENTER InpatientFacility | — | — | — | — | — | 2026-03-12 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Inpatient | Healthy Way La | Healthy Way La | $275.73 | — | — | 2026-07-19 | MRF ↗ |
| TAYLORVILLE MEMORIAL HOSPITAL Inpatient | Bcbs | Bcbs Medicaid Managed Care (Ip) | $276.88 | — | — | 2026-10-09 | MRF ↗ |
| TAYLORVILLE MEMORIAL HOSPITAL Inpatient | Aetna | Aetna Better Health Medicaid Managed Care (Ip) | $276.88 | — | — | 2026-10-09 | MRF ↗ |
| TAYLORVILLE MEMORIAL HOSPITAL Inpatient | Molina | Molina Medicaid Managed Care (Ip) | $276.88 | — | — | 2026-10-09 | MRF ↗ |
| TAYLORVILLE MEMORIAL HOSPITAL Inpatient | Meridian | Meridian Medicaid Managed Care (Ip) | $276.88 | — | — | 2026-10-09 | MRF ↗ |
| SANFORD WESTBROOK MEDICAL CENTER InpatientFacility | Primewest | Medicaid Managed Care | $310.32 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD WESTBROOK MEDICAL CENTER InpatientFacility | Ucare | Medicaid Managed Care | $310.32 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD WESTBROOK MEDICAL CENTER InpatientFacility | Ucare | Medicaid Managed Care | $310.32 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD WESTBROOK MEDICAL CENTER InpatientFacility | Primewest | Medicaid Managed Care | $310.32 | — | — | 2026-03-04 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Inpatient | Healthy Way La | Healthy Way La | $327.29 | — | — | 2026-07-15 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Inpatient | Blue Cross Blue Shield | Medicaid- Aca, Fhp, Icp | $352.70 | — | — | 2026-09-20 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Inpatient | Peach State Ambetter | MCD | $354.40 | — | — | 2024-10-01 | MRF ↗ |
| SILVER CROSS HOSPITAL AND MEDICAL CENTERS Inpatient | Meridian | Medicaid | $363.28 | — | — | 2026-09-20 | MRF ↗ |
| BANNER FORT COLLINS MEDICAL CENTER InpatientFacility | Colorado Child Health Plan Plus | Medicaid | $372.01 | — | — | 2026-03-02 | MRF ↗ |
| MCLAREN PORT HURON | Aetna Ppo | — | $376.92 | $763.00 | $381.50 | 2026-05-06 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Centene | Youthcare | $386.23 | — | — | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Centene Meridian Health Of Il | Managed Medicaid | $386.23 | — | — | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Aetna Better Health Of Il | Managed Medicaid | $386.23 | — | — | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Molina Healthcare Of Il | Managed Medicaid | $386.23 | — | — | 2026-07-15 | MRF ↗ |
| SANFORD TRACY MEDICAL CENTER InpatientFacility | Ucare | Medicaid Managed Care | $406.27 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD TRACY MEDICAL CENTER InpatientFacility | Primewest | Medicaid Managed Care | $406.27 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD TRACY MEDICAL CENTER InpatientFacility | Ucare | Medicaid Managed Care | $406.27 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD TRACY MEDICAL CENTER InpatientFacility | Primewest | Medicaid Managed Care | $406.27 | — | — | 2026-03-04 | MRF ↗ |
| DEACONESS HOSPITAL INC InpatientFacility | Molina (IL) Medicaid | Managed Medicaid | $408.51 | — | — | 2026-02-11 | MRF ↗ |
| DEACONESS HOSPITAL INC InpatientFacility | Aetna Better Health of IL | Managed Medicaid | $408.51 | — | — | 2026-02-11 | MRF ↗ |
| DEACONESS HOSPITAL INC InpatientFacility | Blue Cross Blue Shield of Illinois | Managed Medicaid | $408.51 | — | — | 2026-02-11 | MRF ↗ |
| DEACONESS HOSPITAL INC InpatientFacility | Meridianhealth (IL) | Managed Medicaid | $408.51 | — | — | 2026-02-11 | MRF ↗ |
| FERRELL HOSPITAL COMMUNITY FOUNDATIONS InpatientFacility | Meridian Health Plan | Managed Medicaid | $413.14 | — | — | 2025-11-12 | MRF ↗ |
| FERRELL HOSPITAL COMMUNITY FOUNDATIONS InpatientFacility | Aetna Better Health (Illinicare) | Managed Medicaid | $413.14 | — | — | 2025-11-12 | MRF ↗ |
| LOYOLA GOTTLIEB MEMORIAL HOSPITAL InpatientFacility | Meridian | Medicaid | $413.14 | — | — | 2026-03-31 | MRF ↗ |
| FERRELL HOSPITAL COMMUNITY FOUNDATIONS InpatientFacility | Blue Cross Blue Shield of Illinois | Managed Medicaid | $413.14 | — | — | 2025-11-12 | MRF ↗ |
| SAINT JOSEPH HOSPITAL-ELGIN Inpatient | BCBS | BCBS Medicaid | $413.14 | — | — | 2025-05-01 | MRF ↗ |
| LOYOLA GOTTLIEB MEMORIAL HOSPITAL InpatientFacility | Molina | Medicaid | $413.14 | — | — | 2026-03-31 | MRF ↗ |
| SAINT JOSEPH HOSPITAL-ELGIN Inpatient | Meridian | Meridian Medicaid | $413.14 | — | — | 2025-05-01 | MRF ↗ |
| FERRELL HOSPITAL COMMUNITY FOUNDATIONS InpatientFacility | Aetna Better Health (Illinicare) | Managed Medicaid | $413.14 | — | — | 2025-11-12 | MRF ↗ |
| SAINT JOSEPH HOSPITAL-ELGIN Inpatient | Aetna Better Health | Aetna Better Medicaid | $413.14 | — | — | 2025-05-01 | MRF ↗ |
| FERRELL HOSPITAL COMMUNITY FOUNDATIONS InpatientFacility | Molina Healthcare of Illinois | Managed Medicaid | $413.14 | — | — | 2025-11-12 | MRF ↗ |
| SAINT JOSEPH HOSPITAL-ELGIN Inpatient | Humana | Humana Medicaid | $413.14 | — | — | 2025-05-01 | MRF ↗ |
| FERRELL HOSPITAL COMMUNITY FOUNDATIONS InpatientFacility | Blue Cross Blue Shield of Illinois | Managed Medicaid | $413.14 | — | — | 2025-11-12 | MRF ↗ |
| SAINT JOSEPH HOSPITAL-ELGIN Inpatient | Non-Contracted Medicaid | Non-Contracted Medicaid | $413.14 | — | — | 2025-05-01 | MRF ↗ |
| FERRELL HOSPITAL COMMUNITY FOUNDATIONS InpatientFacility | Meridian Health Plan | Managed Medicaid | $413.14 | — | — | 2025-11-12 | MRF ↗ |
| FERRELL HOSPITAL COMMUNITY FOUNDATIONS InpatientFacility | Molina Healthcare of Illinois | Managed Medicaid | $413.14 | — | — | 2025-11-12 | MRF ↗ |
| SAINT JOSEPH HOSPITAL-ELGIN Inpatient | Traditional Medicaid | Traditional Medicaid | $413.14 | — | — | 2025-05-01 | MRF ↗ |
| JACKSONVILLE MEMORIAL HOSPITAL Inpatient | Molina Healthcare | Molina Medicaid | $413.14 | — | — | 2026-07-15 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER InpatientFacility | Meridian | Medicaid | $415.57 | — | — | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER InpatientFacility | Molina | Medicaid | $415.57 | — | — | 2026-03-31 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER InpatientFacility | Aetna | Medicaid | $415.57 | — | — | 2026-03-31 | MRF ↗ |
| WEST SUBURBAN MEDICAL CENTER InpatientFacility | Molina | Managed Medicaid | $415.57 | — | — | 2025-03-17 | MRF ↗ |
| WEST SUBURBAN MEDICAL CENTER InpatientFacility | County Care | Managed Medicaid | $415.57 | — | — | 2025-03-17 | MRF ↗ |
| WEST SUBURBAN MEDICAL CENTER InpatientFacility | Aetna Better Health | Managed Medicaid | $415.57 | — | — | 2025-03-17 | MRF ↗ |
| WEST SUBURBAN MEDICAL CENTER InpatientFacility | Meridian | Managed Medicaid | $415.57 | — | — | 2025-03-17 | MRF ↗ |
| WEST SUBURBAN MEDICAL CENTER InpatientFacility | Blue Cross | Managed Medicaid Community Plan | $415.57 | — | — | 2025-03-17 | MRF ↗ |
| BANNER NORTH COLORADO MEDICAL CENTER InpatientFacility | Colorado Child Health Plan Plus | Medicaid | $415.71 | — | — | 2026-03-02 | MRF ↗ |
| BANNER MCKEE MEDICAL CENTER InpatientFacility | Colorado Child Health Plan Plus | Medicaid | $415.71 | — | — | 2026-03-02 | MRF ↗ |
| CHI Memorial Hospital - Hixson Inpatient | Peach State | Medicaid|All Plans | $418.00 | — | — | 2026-02-28 | MRF ↗ |
| CHI Memorial Hospital - Hixson Inpatient | Peach State | Medicaid|All Plans | $418.00 | — | — | 2026-02-28 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU InpatientFacility | Georgia Medicaid | OOS Medicaid | $419.73 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES InpatientFacility | Peach State Health Plan | Managed Medicaid OOS | $419.73 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU InpatientFacility | Peach State Health Plan | Managed Medicaid OOS | $419.73 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES InpatientFacility | Georgia Medicaid | OOS Medicaid | $419.73 | — | — | 2026-02-06 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Caresource Of Ga | Managed Medicaid | $419.73 | — | — | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Inpatient | Centene Peach State Health | Managed Medicaid | $419.73 | — | — | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Centene Peach State Health Plan | Managed Medicaid | $419.73 | — | — | 2026-07-15 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE InpatientFacility | Georgia Medicaid | OOS Medicaid | $419.73 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE InpatientFacility | CareSource of Georgia | Managed Medicaid OOS | $419.73 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES InpatientFacility | CareSource of Georgia | Managed Medicaid OOS | $419.73 | — | — | 2026-02-06 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Wellcare Of Ga | Managed Medicaid | $419.73 | — | — | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Wellcare Of Ga | Managed Medicaid | $419.73 | — | — | 2026-07-15 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE InpatientFacility | Peach State Health Plan | Managed Medicaid OOS | $419.73 | — | — | 2026-02-06 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Caresource Of Ga | Managed Medicaid | $419.73 | — | — | 2026-07-15 | MRF ↗ |
| EAST MORGAN COUNTY HOSPITAL InpatientFacility | Colorado Child Health Plan Plus | Medicaid | $422.35 | — | — | 2026-09-23 | MRF ↗ |
| DEACONESS HOSPITAL INC InpatientFacility | Youthcare (Wellcare IL) | Managed Medicaid | $424.50 | — | — | 2026-02-11 | MRF ↗ |
| DEACONESS HOSPITAL INC InpatientFacility | Wellcare (IL) Medicaid | Managed Medicaid | $424.50 | — | — | 2026-02-11 | MRF ↗ |
| DEACONESS HOSPITAL INC InpatientFacility | Youthcare (Meridian IL) | Managed Medicaid | $424.50 | — | — | 2026-02-11 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - WESTON InpatientFacility | UnitedHealth Group of WI | Medicaid HMO | $425.51 | — | — | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - RICE LAKE InpatientFacility | Anthem BCBS of WI | Medicaid HMO | $425.51 | — | — | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - RIVER REGION InpatientFacility | Anthem BCBS of WI | Medicaid HMO | $425.51 | — | — | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - RIVER REGION InpatientFacility | Upper Peninsula Health Plan | Medicaid HMO | $425.51 | — | — | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - WESTON InpatientFacility | Upper Peninsula Health Plan | Medicaid HMO | $425.51 | — | — | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - RICE LAKE InpatientFacility | Group Health Cooperative of Eau Claire | Medicaid HMO | $425.51 | — | — | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - RICE LAKE InpatientFacility | Upper Peninsula Health Plan | Medicaid HMO | $425.51 | — | — | 2026-02-20 | MRF ↗ |
| MILLER COUNTY HOSPITAL InpatientFacility | Wellcare | Managed Medicaid | $425.55 | — | — | 2025-07-08 | MRF ↗ |
| STERLING REGIONAL MEDCENTER InpatientFacility | Colorado Child Health Plan Plus | Medicaid | $426.90 | — | — | 2026-03-02 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - EAU CLAIRE InpatientFacility | Upper Peninsula Health Plan | Medicaid HMO | $427.48 | — | — | 2026-02-20 | MRF ↗ |
| UnityPoint Health - Trinity Moline InpatientFacility | Blue Cross and Blue Shield | Managed Medicaid | $428.06 | — | — | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Trinity Moline InpatientFacility | Meridian Health Plan | Managed Medicaid | $428.06 | — | — | 2026-01-28 | MRF ↗ |
| KIRBY MEDICAL CENTER InpatientFacility | Meridian | Managed Medicaid/HealthChoice Illinois Medicaid/Youthcare | $428.06 | — | — | 2025-06-30 | MRF ↗ |
| KIRBY MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield of Illinois | Managed Medicaid/HealthChoice Illinois Medicaid | $428.06 | — | — | 2025-06-30 | MRF ↗ |
| UnityPoint Health - Trinity Moline InpatientFacility | Aetna Better Health | Managed Care | $428.06 | — | — | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Trinity Moline InpatientFacility | Molina Healthcare | Managed Medicaid | $428.06 | — | — | 2026-01-28 | MRF ↗ |
| KIRBY MEDICAL CENTER InpatientFacility | Aetna Better Health (IlliniCare Health) | Managed Medicaid/HealthChoice Illinois Medicaid | $428.06 | — | — | 2025-06-30 | MRF ↗ |
| PARKRIDGE MEDICAL CENTER Inpatient | CareSource | MGMCD | $428.13 | — | — | 2024-10-01 | MRF ↗ |
| SAINT JOSEPH HOSPITAL-ELGIN Inpatient | Cenpatico Medicaid | Cenpatico Medicaid | $433.80 | — | — | 2025-05-01 | MRF ↗ |
| SAINT JOSEPH HOSPITAL-ELGIN Inpatient | Molina | Molina Medicaid | $433.80 | — | — | 2025-05-01 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - BEAVER DAM (MMC-BD) InpatientFacility | Group Health Cooperative of Eau Claire | Medicaid HMO | $433.87 | — | — | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - BEAVER DAM (MMC-BD) InpatientFacility | Molina Healthcare of WI | Medicaid HMO | $433.87 | — | — | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - BEAVER DAM (MMC-BD) InpatientFacility | UnitedHealth Group of WI | Medicaid HMO | $433.87 | — | — | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - BEAVER DAM (MMC-BD) InpatientFacility | Quartz | Medicaid HMO | $433.87 | — | — | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - BEAVER DAM (MMC-BD) InpatientFacility | My Choice | Medicaid HMO | $433.87 | — | — | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - BEAVER DAM (MMC-BD) InpatientFacility | Anthem BCBS of WI | Medicaid HMO | $433.87 | — | — | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - WESTON InpatientFacility | Group Health Cooperative of Eau Claire | Medicaid HMO | $434.02 | — | — | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - RIVER REGION InpatientFacility | Group Health Cooperative of Eau Claire | Medicaid HMO | $434.02 | — | — | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - BEAVER DAM (MMC-BD) InpatientFacility | Trilogy | Medicaid HMO | $434.29 | — | — | 2026-02-20 | MRF ↗ |
| DEACONESS ILLINOIS UNION COUNTY InpatientFacility | Wellcare | Managed Medicaid | $434.47 | — | — | 2026-02-03 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Harmony Health Plan Of Il | Managed Medicaid | $434.47 | — | — | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Countycare | Managed Medicaid | $434.47 | — | — | 2026-07-15 | MRF ↗ |
| DEACONESS ILLINOIS CROSSROADS InpatientFacility | Meridian Health Plan | Managed Medicaid | $434.47 | — | — | 2026-02-03 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Molina Healthcare Of Il | Managed Medicaid | $434.47 | — | — | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Blue Cross Blue Shield Of Il | Managed Medicaid | $434.47 | — | — | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Aetna Better Health Of Il | Managed Medicaid | $434.47 | — | — | 2026-07-15 | MRF ↗ |
| DEACONESS ILLINOIS CROSSROADS InpatientFacility | Blue Cross and Blue Shield of Illinois | Managed Medicaid | $434.47 | — | — | 2026-02-03 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Centene | Youthcare Managed Medicaid | $434.47 | — | — | 2026-07-15 | MRF ↗ |
| DEACONESS ILLINOIS CROSSROADS InpatientFacility | Wellcare | Managed Medicaid | $434.47 | — | — | 2026-02-03 | MRF ↗ |
| HEARTLAND REGIONAL MEDICAL CENTER InpatientFacility | Wellcare | Managed Medicaid | $434.47 | — | — | 2026-02-03 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Centene Meridian Health Of Il | Managed Medicaid | $434.47 | — | — | 2026-07-15 | MRF ↗ |
| DEACONESS ILLINOIS UNION COUNTY InpatientFacility | Blue Cross and Blue Shield of Illinois | Managed Medicaid | $434.47 | — | — | 2026-02-03 | MRF ↗ |
| RED BUD REGIONAL HOSPITAL InpatientFacility | Wellcare of Illinois | Managed Medicaid | $434.47 | — | — | 2026-02-18 | MRF ↗ |
| HEARTLAND REGIONAL MEDICAL CENTER InpatientFacility | Meridian Health Plan | Managed Medicaid | $434.47 | — | — | 2026-02-03 | MRF ↗ |
| HEARTLAND REGIONAL MEDICAL CENTER InpatientFacility | Blue Cross and Blue Shield of Illinois | Managed Medicaid | $434.47 | — | — | 2026-02-03 | MRF ↗ |
| MIDWESTERN REGION MED CENTER, INC Inpatient | Meridian | Medicaid All Plans | $434.47 | — | — | 2026-03-27 | MRF ↗ |
| MIDWESTERN REGION MED CENTER, INC Inpatient | County Care | Medicaid All Plans | $434.47 | — | — | 2026-03-27 | MRF ↗ |
| DEACONESS ILLINOIS UNION COUNTY InpatientFacility | Meridian | Managed Medicaid | $434.47 | — | — | 2026-02-03 | MRF ↗ |
| RED BUD REGIONAL HOSPITAL InpatientFacility | Meridian | Managed Medicaid | $434.47 | — | — | 2026-02-18 | MRF ↗ |
| DEACONESS ILLINOIS CROSSROADS InpatientFacility | Aetna Better Health of Illinois | Managed Medicaid | $434.47 | — | — | 2026-02-03 | MRF ↗ |
| RED BUD REGIONAL HOSPITAL InpatientFacility | Blue Cross and Blue Shield of Illinois | Managed Medicaid | $434.47 | — | — | 2026-02-18 | MRF ↗ |
| MACNEAL HOSPITAL InpatientFacility | Molina | Medicaid | $435.28 | — | — | 2026-03-31 | MRF ↗ |
| MACNEAL HOSPITAL InpatientFacility | Meridian | Medicaid | $435.28 | — | — | 2026-03-31 | MRF ↗ |
| MACNEAL HOSPITAL InpatientFacility | Aetna | Medicaid | $435.28 | — | — | 2026-03-31 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - EAU CLAIRE InpatientFacility | Anthem BCBS of WI | Medicaid HMO | $436.03 | — | — | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - EAU CLAIRE InpatientFacility | Group Health Cooperative of Eau Claire | Medicaid HMO | $436.03 | — | — | 2026-02-20 | MRF ↗ |
| DEACONESS ILLINOIS CROSSROADS InpatientFacility | Molina Healthcare of Illinois | Managed Medicaid | $438.81 | — | — | 2026-02-03 | MRF ↗ |
| DEACONESS ILLINOIS UNION COUNTY InpatientFacility | Molina Healthcare | Managed Medicaid | $438.81 | — | — | 2026-02-03 | MRF ↗ |
| HEARTLAND REGIONAL MEDICAL CENTER InpatientFacility | Molina Healthcare | Managed Medicaid | $438.81 | — | — | 2026-02-03 | MRF ↗ |
| RED BUD REGIONAL HOSPITAL InpatientFacility | Molina Healthcare | Managed Medicaid | $438.81 | — | — | 2026-02-18 | MRF ↗ |
| SOUTHERN REGIONAL MEDICAL CENTER Inpatient | Traditional Medicaid | Traditional Medicaid | $439.13 | — | — | 2026-03-17 | MRF ↗ |
| SOUTHERN REGIONAL MEDICAL CENTER Inpatient | Non-Contracted Medicaid | Non-Contracted Medicaid | $439.13 | — | — | 2024-12-19 | MRF ↗ |
| SOUTHERN REGIONAL MEDICAL CENTER Inpatient | Traditional Medicaid | Traditional Medicaid | $439.13 | — | — | 2024-12-19 | MRF ↗ |
| SOUTHERN REGIONAL MEDICAL CENTER Inpatient | Amerihealth Caritas | Amerihealth Caritas | $439.13 | — | — | 2024-12-19 | MRF ↗ |
| SAINT ANTHONY HOSPITAL InpatientFacility | County Care | Managed Medicaid | $440.66 | — | — | 2026-04-28 | MRF ↗ |
| SAINT ANTHONY HOSPITAL InpatientFacility | Meridian | HealthChoice Medicaid/Meridian Complete MMAI | $440.66 | — | — | 2026-04-28 | MRF ↗ |
| SAINT ANTHONY HOSPITAL InpatientFacility | Blue Cross Blue Shield of Illinois | HealthChoice Medicaid/Blue Cross Community MMAI | $440.66 | — | — | 2026-04-28 | MRF ↗ |
| SAINT ANTHONY HOSPITAL InpatientFacility | Molina Healthcare of Illinois | All Managed Care Plans | $440.66 | — | — | 2026-04-28 | MRF ↗ |
| SAINT ANTHONY HOSPITAL InpatientFacility | Aetna Better Health | Managed Medicaid | $440.66 | — | — | 2026-04-28 | MRF ↗ |
| SAINT ANTHONY HOSPITAL InpatientFacility | Meridian | HealthChoice Medicaid/Meridian Complete MMAI | $440.66 | — | — | 2026-04-28 | MRF ↗ |
| SAINT ANTHONY HOSPITAL InpatientFacility | Blue Cross Blue Shield of Illinois | HealthChoice Medicaid/Blue Cross Community MMAI | $440.66 | — | — | 2026-04-28 | MRF ↗ |
| SAINT ANTHONY HOSPITAL InpatientFacility | County Care | Managed Medicaid | $440.66 | — | — | 2026-04-28 | MRF ↗ |
| SAINT ANTHONY HOSPITAL InpatientFacility | Molina Healthcare of Illinois | All Managed Care Plans | $440.66 | — | — | 2026-04-28 | MRF ↗ |
| SAINT ANTHONY HOSPITAL InpatientFacility | Aetna Better Health | Managed Medicaid | $440.66 | — | — | 2026-04-28 | MRF ↗ |
| ADVENTHEALTH REDMOND Inpatient | Peach_State_Health_Plan | Medicaid_HMO | $441.00 | $0.01 | $0.01 | 2024-12-15 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Inpatient | Amerigroup | MCD | $443.00 | — | — | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Inpatient | Peach State | MGMCD | $443.00 | — | — | 2024-10-01 | MRF ↗ |
| FAIRVIEW PARK HOSPITAL Inpatient | Laurens County Jail | COMM | $444.98 | — | — | 2026-03-01 | MRF ↗ |
| FAIRVIEW PARK HOSPITAL Inpatient | Peach State | MGMCD | $444.98 | — | — | 2026-03-01 | MRF ↗ |
| FAIRVIEW PARK HOSPITAL Inpatient | Amerigroup | MCD | $444.98 | — | — | 2026-03-01 | MRF ↗ |
| FAIRVIEW PARK HOSPITAL Inpatient | Wellcare | MCD | $444.98 | — | — | 2026-03-01 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Inpatient | Amerigroup | Amerigroup Medicaid | $447.21 | — | — | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Inpatient | Centene | Peach State Medicaid | $447.21 | — | — | 2026-02-14 | MRF ↗ |
| SOUTHERN REGIONAL MEDICAL CENTER Inpatient | Amerihealth Caritas | Amerihealth Caritas | $447.91 | — | — | 2026-03-17 | MRF ↗ |
| KIRBY MEDICAL CENTER InpatientFacility | Molina | Managed Medicaid/HealthChoice Illinois Medicaid | $449.46 | — | — | 2025-06-30 | MRF ↗ |
| Memorial Satilla Health Inpatient | Peach State | MGMCD | $450.63 | — | — | 2026-03-01 | MRF ↗ |
| Memorial Satilla Health Inpatient | Wellcare | MCD | $450.63 | — | — | 2026-03-01 | MRF ↗ |
| Memorial Satilla Health Inpatient | Amerigroup | MCD | $450.63 | — | — | 2026-03-01 | MRF ↗ |
| SOUTHWELL MEDICAL, A CAMPUS OF TRMC InpatientFacility | — | — | — | — | — | 2024-12-23 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Inpatient | CareSource | MGMCD | $451.86 | — | — | 2024-10-01 | MRF ↗ |
| SOUTHERN REGIONAL MEDICAL CENTER Inpatient | Peach State | Peach State Medicaid | $452.30 | — | — | 2026-03-17 | MRF ↗ |
| SOUTHERN REGIONAL MEDICAL CENTER Inpatient | Wellcare | Wellcare Medicaid | $452.30 | — | — | 2026-03-17 | MRF ↗ |
| SOUTHERN REGIONAL MEDICAL CENTER Inpatient | Peach State | Peach State Medicaid | $452.30 | — | — | 2024-12-19 | MRF ↗ |
| SOUTHERN REGIONAL MEDICAL CENTER Inpatient | Wellcare | Wellcare Medicaid | $452.30 | — | — | 2024-12-19 | 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.