602-4 — Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition Or Major Anomaly
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY (OTHER 602-4) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/602-4?code_type=OTHER
MLA (9th ed.)
“NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY (OTHER 602-4) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/602-4?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY (OTHER 602-4) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/602-4?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $100,000–$125,635 (25th–75th percentile) across 33 hospitals · 120 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 602-4 — 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 |
|---|---|---|---|---|---|---|---|
| MEMORIAL HOSPITAL Inpatient | Meridian Health Plan Of Mi | Meridian | $1,600.00 | — | — | 2026-05-22 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $1,643.32 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $1,643.32 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Molina | Molina Medicaid | $1,731.41 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Select Health | Select Health Medicaid | $1,731.41 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Select Health | Select Health Medicaid | $1,731.41 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Molina | Molina Medicaid | $1,731.41 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $1,748.21 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $1,748.21 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Medicaid Other | Medicaid Other | $1,751.66 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Medicaid Other | Medicaid Other | $1,751.66 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $1,765.03 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $1,765.03 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $1,816.84 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $1,816.84 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $1,829.94 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $1,829.94 | — | — | 2026-05-13 | MRF ↗ |
| EAST GEORGIA REGIONAL MEDICAL CENTER Inpatient | Peach State Hlth Plan Mcaid Ga | Peach State Hlth Plan Mcaid Ga | $25,508.64 | — | — | 2026-05-06 | MRF ↗ |
| EAST GEORGIA REGIONAL MEDICAL CENTER Inpatient | Ga Non Par Medicaid | Non Par Medicaid Ga | $25,508.64 | — | — | 2026-05-06 | MRF ↗ |
| EAST GEORGIA REGIONAL MEDICAL CENTER Inpatient | Amerigroup Medicaid | Amerigroup Medicaid | $25,508.64 | — | — | 2026-05-06 | MRF ↗ |
| EAST GEORGIA REGIONAL MEDICAL CENTER Inpatient | Caresource Medicaid | Caresource Medicaid | $26,784.07 | — | — | 2026-05-06 | MRF ↗ |
| EAST GEORGIA REGIONAL MEDICAL CENTER Inpatient | Uhc Medicaid | Uhc Medicaid | $27,136.49 | — | — | 2026-05-06 | MRF ↗ |
| GARFIELD MEDICAL CENTER Inpatient | Healthy Way La | Healthy Way La | $30,000.00 | — | — | 2026-05-09 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Inpatient | Healthy Way La | Healthy Way La | $30,000.00 | — | — | 2026-05-09 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Inpatient | Healthy Way La | Healthy Way La | $30,000.00 | — | — | 2026-05-08 | MRF ↗ |
| MONTEREY PARK HOSPITAL Inpatient | Healthy Way La | Healthy Way La | $30,000.00 | — | — | 2026-05-08 | MRF ↗ |
| TIFT REGIONAL MEDICAL CENTER Inpatient | Ga Medicaid | Ga Medicaid | $38,486.72 | — | — | 2026-05-06 | MRF ↗ |
| SOUTHWELL MEDICAL, A CAMPUS OF TRMC Inpatient | Ga Medicaid | Ga Medicaid | $44,863.88 | — | — | 2026-05-06 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND InpatientFacility | Neighborhood Health Plan of Rhode Island | Managed Medicaid | — | — | — | 2024-12-31 | MRF ↗ |
| ACMH HOSPITAL Inpatient | United Chip | United Chip | $76,750.27 | — | — | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Inpatient | Upmc Chip | Upmc Chip | $76,750.27 | — | — | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Inpatient | United Medicaid | United Medicaid | $76,750.27 | — | — | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Inpatient | Upmc Chip | Upmc Chip | $76,750.27 | — | — | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Inpatient | United Medicaid | United Medicaid | $76,750.27 | — | — | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Inpatient | United Chip | United Chip | $76,750.27 | — | — | 2026-05-14 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | United Healthcare | United Healthcare Medicaid | $79,058.63 | — | — | 2026-05-14 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | Molina | Molina Managed Medicaid | $79,058.63 | — | — | 2026-05-24 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | Ohio Medicaid | Traditional Medicaid | $79,058.63 | — | — | 2026-05-24 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | United Healthcare | United Healthcare Medicaid | $79,058.63 | — | — | 2026-05-24 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | Ohio Medicaid | Traditional Medicaid | $79,058.63 | — | — | 2026-05-14 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | Molina | Molina Managed Medicaid | $79,058.63 | — | — | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Inpatient | Amerihealth Caritas | Amerihealth Caritas Medicaid | $80,587.78 | — | — | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Inpatient | Centene Corporation | Pa H And W Medicaid | $80,587.78 | — | — | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Inpatient | Centene Corporation | Pa H And W Medicaid | $80,587.78 | — | — | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Inpatient | Amerihealth Caritas | Amerihealth Caritas Medicaid | $80,587.78 | — | — | 2026-05-23 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | Caresource | Caresource Medicaid | $80,639.80 | — | — | 2026-05-14 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | Caresource | Caresource Medicaid | $80,639.80 | — | — | 2026-05-24 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | Anthem | Anthem Community Plan | $81,430.39 | — | — | 2026-05-14 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | Anthem | Anthem Community Plan | $81,430.39 | — | — | 2026-05-24 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | Humana | Humana Medicaid Managed Care Plan | $82,220.98 | — | — | 2026-05-24 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | Humana | Humana Medicaid Managed Care Plan | $82,220.98 | — | — | 2026-05-14 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Inpatient | Cigna | Medicaid | $82,490.14 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Inpatient | Driscoll | Medicaid | $82,490.14 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Inpatient | Driscoll | Medicaid | $82,490.14 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Inpatient | Unitedhealthcare | Medicaid | $82,490.14 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Inpatient | Cigna | Medicaid | $82,490.14 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Inpatient | United Healthcare | Medicaid | $82,490.14 | — | — | 2026-05-08 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | Amerihealth Caritas Ohio | Amerihealth Caritas Ohio | $83,011.56 | — | — | 2026-05-14 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | Amerihealth Caritas Ohio | Amerihealth Caritas Ohio | $83,011.56 | — | — | 2026-05-24 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | Buckeye Community Health | Buckeye Community Health Medicaid | $83,011.56 | — | — | 2026-05-14 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | Buckeye Community Health | Buckeye Community Health Medicaid | $83,011.56 | — | — | 2026-05-24 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL Inpatient | Amerigroup | Medicaid | $84,091.89 | — | — | 2026-05-08 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL Inpatient | Molina | Medicaid | $84,091.89 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Inpatient | Molina | Medicaid | $84,091.89 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Inpatient | Molina | Medicaid | $84,091.89 | — | — | 2026-05-08 | MRF ↗ |
| NORTHWEST HILLS SURGICAL HOSPITAL Inpatient | Amerigroup | Medicaid | $84,091.89 | — | — | 2026-05-06 | MRF ↗ |
| NORTHWEST HILLS SURGICAL HOSPITAL Inpatient | Molina | Medicaid | $84,091.89 | — | — | 2026-05-06 | MRF ↗ |
| ACMH HOSPITAL Inpatient | Geisinger Medicaid | Geisinger Medicaid | $84,425.30 | — | — | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Inpatient | Geisinger Medicaid | Geisinger Medicaid | $84,425.30 | — | — | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Inpatient | Upmc Health Plan | Upmc Medicaid | $85,084.99 | — | — | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Inpatient | Upmc Health Plan | Upmc Medicaid | $85,084.99 | — | — | 2026-05-14 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL Inpatient | First Care Star | Medicaid | $88,096.27 | — | — | 2026-05-08 | MRF ↗ |
| NORTHWEST HILLS SURGICAL HOSPITAL Inpatient | First Care Star | Medicaid | $88,096.27 | — | — | 2026-05-06 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Inpatient | Blue Cross Medi-Cal Managed Care | Blue Cross Healthy Families | $90,000.00 | — | — | 2026-05-08 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Inpatient | State Of California | Medi Cal/Medicaid | $100,000.00 | — | — | 2026-05-09 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Inpatient | La Care Health Plan | La Care Healthy Kids And Medi-Cal Managed Care | $100,000.00 | — | — | 2026-05-08 | MRF ↗ |
| PARRISH MEDICAL CENTER Inpatient | Florida Medicaid | Medicaid | $100,000.00 | — | — | 2026-05-14 | MRF ↗ |
| GARFIELD MEDICAL CENTER Inpatient | State Of California Medi-Cal | Medi Cal/Medicaid | $100,000.00 | — | — | 2026-05-09 | MRF ↗ |
| GARFIELD MEDICAL CENTER Inpatient | Community Health Plan | Community Health Plan Medi-Cal Managed Care | $100,000.00 | — | — | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Florida Medicaid | Fl Medicaid | $100,000.00 | — | — | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Inpatient | Kaiser Foundation Hospitals | Kaiser Medi-Cal | $100,000.00 | — | — | 2026-05-08 | MRF ↗ |
| CORAL GABLES HOSPITAL Inpatient | Sunshine State Health Plan Medicaid | Sunshine State Health Plan Medicaid | $100,000.00 | — | — | 2026-05-08 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Childrens Medical Services Medicaid Fl | Childrens Medical Services Medicaid Fl | $100,000.00 | — | — | 2026-05-08 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Inpatient | Clear Health Alliance | Clear Health Alliance | $100,000.00 | — | — | 2026-05-08 | MRF ↗ |
| GARFIELD MEDICAL CENTER Inpatient | La Care Health Plan | La Care Healthy Families | $100,000.00 | — | — | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Florida Medicaid Non Par | Fl Medicaid Non-Par | $100,000.00 | — | — | 2026-05-09 | MRF ↗ |
| GARFIELD MEDICAL CENTER Inpatient | Brand New Day | Universal Care Brand New Day Medi-Cal | $100,000.00 | — | — | 2026-05-09 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Inpatient | Molina Healthcare | Molina Healthcare Fl Kidcare | $100,000.00 | — | — | 2026-05-08 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Ped-I-Care Medicaid Fl | Ped-I-Care Medicaid Fl | $100,000.00 | — | — | 2026-05-09 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Inpatient | Emanate Health | Emanate Health Medi-Cal | $100,000.00 | — | — | 2026-05-08 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Ped-I-Care Medicaid Fl | Ped-I-Care Medicaid Fl | $100,000.00 | — | — | 2026-05-09 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Inpatient | Beverly Hospital | Beverly Hospital Mcl | $100,000.00 | — | — | 2026-05-08 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Inpatient | Avanti | Elas Drs Hospital/Avanti/Mcal | $100,000.00 | — | — | 2026-05-08 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Ped-I-Care Medicaid Fl | Ped-I-Care Medicaid Fl | $100,000.00 | — | — | 2026-05-08 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Childrens Medical Services | S Fl Community Care Network Medicaid Fl | $100,000.00 | — | — | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Childrens Medical Services | S Fl Community Care Network Medicaid Fl | $100,000.00 | — | — | 2026-05-09 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Inpatient | Altamed Health Network | Altamed Health Network Medi-Cal | $100,000.00 | — | — | 2026-05-09 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Inpatient | Aids Health Foundation | Aids Health Foundation/Positive Health Medi-Cal | $100,000.00 | — | — | 2026-05-08 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Childrens Medical Services | S Fl Community Care Network Medicaid Fl | $100,000.00 | — | — | 2026-05-08 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Inpatient | Aids Health Foundation | Aids Health Foundation/Positive Health Medi-Cal | $100,000.00 | — | — | 2026-05-09 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Inpatient | Altamed Health Network | Altamed Health Network Medi-Cal | $100,000.00 | — | — | 2026-05-08 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Inpatient | Avanti | Elas Drs Hospital/Avanti/Mcal | $100,000.00 | — | — | 2026-05-09 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Inpatient | Blue Cross Of California | Blue Cross Medi Cal | $100,000.00 | — | — | 2026-05-08 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Inpatient | Beverly Hospital | Beverly Hospital Mcl | $100,000.00 | — | — | 2026-05-09 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Inpatient | Health Net Foundation | Health Net Medi-Cal | $100,000.00 | — | — | 2026-05-08 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Inpatient | Emanate Health | Emanate Health Medi-Cal | $100,000.00 | — | — | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Childrens Medical Services Medicaid | Childrens Medical Services Medicaid | $100,000.00 | — | — | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Florida Medicaid Non Par | Fl Medicaid Non-Par | $100,000.00 | — | — | 2026-05-08 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Florida Medicaid Non Par | Fl Medicaid Non-Par | $100,000.00 | — | — | 2026-05-09 | MRF ↗ |
| GARFIELD MEDICAL CENTER Inpatient | Health Net | Health Net Medi Cal | $100,000.00 | — | — | 2026-05-09 | MRF ↗ |
| PARRISH MEDICAL CENTER Inpatient | Sunshine State Health Plan | Sunshine State Health Plan | $100,000.00 | — | — | 2026-05-14 | MRF ↗ |
| PARRISH MEDICAL CENTER Inpatient | Aetna Better Health | Aetna Better Health | $100,000.00 | — | — | 2026-05-14 | MRF ↗ |
| PARRISH MEDICAL CENTER Inpatient | Humana Medicaid | Humana Medicaid | $100,000.00 | — | — | 2026-05-14 | MRF ↗ |
| GARFIELD MEDICAL CENTER Inpatient | Aids Health Foundation | Aids Health Foundation/Positive Health Medi-Cal | $100,000.00 | — | — | 2026-05-09 | MRF ↗ |
| PARRISH MEDICAL CENTER Inpatient | Medicaid Hmo | Medicaid Hmo | $100,000.00 | — | — | 2026-05-14 | MRF ↗ |
| GARFIELD MEDICAL CENTER Inpatient | Beverly Hospital | Beverly Hospital Mcl | $100,000.00 | — | — | 2026-05-09 | MRF ↗ |
| GARFIELD MEDICAL CENTER Inpatient | Emanate Health | Emanate Health Medi-Cal | $100,000.00 | — | — | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Childrens Medical Services Medicaid Fl | Childrens Medical Services Medicaid Fl | $100,000.00 | — | — | 2026-05-09 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Inpatient | La Care Health Plan | La Care Healthy Families | $100,000.00 | — | — | 2026-05-08 | MRF ↗ |
| MONTEREY PARK HOSPITAL Inpatient | La Care Health Plan | La Care Medi-Cal | $100,000.00 | — | — | 2026-05-08 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Inpatient | La Care Health Plan | La Care Healthy Families | $100,000.00 | — | — | 2026-05-09 | MRF ↗ |
| GARFIELD MEDICAL CENTER Inpatient | Other Non-Contracting Medi-Cal | Other Non-Contracting Medi-Cal | $100,000.00 | — | — | 2026-05-09 | MRF ↗ |
| MEDICAL CENTER ENTERPRISE Inpatient | Florida Medicaid | Fl Medicaid | $100,000.00 | — | — | 2026-05-14 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Florida Medicaid | Fl Medicaid | $100,000.00 | — | — | 2026-05-09 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Inpatient | Altamed Health Network | Altamed Health Network Medi-Cal | $100,000.00 | — | — | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Inpatient | Brand New Day | Universal Care/Brand New Day Medi-Cal | $100,000.00 | — | — | 2026-05-08 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Inpatient | Brand New Day | Universal Care Brand New Day Medi-Cal | $100,000.00 | — | — | 2026-05-08 | MRF ↗ |
| MONTEREY PARK HOSPITAL Inpatient | La Care Health Plan | La Care Healthy Family | $100,000.00 | — | — | 2026-05-08 | MRF ↗ |
| PARRISH MEDICAL CENTER Inpatient | Simply Healthcare Plans | Simply Healthcare Plans | $100,000.00 | — | — | 2026-05-14 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Inpatient | State Of California | Medi Cal/Medicaid | $100,000.00 | — | — | 2026-05-08 | MRF ↗ |
| PARRISH MEDICAL CENTER Inpatient | Florida Mhs Inc | Florida Mhs Inc | $100,000.00 | — | — | 2026-05-14 | MRF ↗ |
| MONTEREY PARK HOSPITAL Inpatient | Aids Health Foundation | Aids Health Foundation/Positive Health Medi-Cal | $100,000.00 | — | — | 2026-05-08 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Inpatient | Other Non Contracted Medi-Cal Hmo | Other Non Contracted Medi Cal Hmo | $100,000.00 | — | — | 2026-05-09 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Inpatient | Other Non Contracted Medi-Cal Hmo | Other Non Contracted Medi Cal Hmo | $100,000.00 | — | — | 2026-05-08 | MRF ↗ |
| MONTEREY PARK HOSPITAL Inpatient | Blue Cross Of California | Blue Cross California Care Hmo/Healthy Families/Medi Cal | $100,000.00 | — | — | 2026-05-08 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | United Healthcare | Uhc Medicaid Fl | $100,000.00 | — | — | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | United Healthcare | Uhc Medicaid Fl | $100,000.00 | — | — | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | United Healthcare | Uhc Medicaid Fl | $100,000.00 | — | — | 2026-05-08 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Florida Medicaid | Fl Medicaid | $100,000.00 | — | — | 2026-05-09 | MRF ↗ |
| MONTEREY PARK HOSPITAL Inpatient | Beverly Hospital | Beverly Hospital Mcl | $100,000.00 | — | — | 2026-05-08 | MRF ↗ |
| MONTEREY PARK HOSPITAL Inpatient | Emanate Health | Emanate Health Medi-Cal | $100,000.00 | — | — | 2026-05-08 | MRF ↗ |
| MONTEREY PARK HOSPITAL Inpatient | Community Health Plan | Community Health Plan Medi-Cal Managed Care | $100,000.00 | — | — | 2026-05-08 | MRF ↗ |
| MONTEREY PARK HOSPITAL Inpatient | Medi Cal | Medi Cal/Medicaid | $100,000.00 | — | — | 2026-05-08 | MRF ↗ |
| PARRISH MEDICAL CENTER Inpatient | Freedom Health | Freedom Health | $100,000.00 | — | — | 2026-05-14 | MRF ↗ |
| PARRISH MEDICAL CENTER Inpatient | Florida Medicaid | Medicaid | $100,000.00 | — | — | 2026-05-23 | MRF ↗ |
| MONTEREY PARK HOSPITAL Inpatient | Health Net Medi Cal | Health Net Medi Cal | $100,000.00 | — | — | 2026-05-08 | MRF ↗ |
| MEDICAL CENTER ENTERPRISE Inpatient | Florida Medicaid | Fl Medicaid | $100,000.00 | — | — | 2026-05-23 | MRF ↗ |
| MONTEREY PARK HOSPITAL Inpatient | Other Non-Contracted Medi-Cal | Other Non-Contracted Medi-Cal | $100,000.00 | — | — | 2026-05-08 | MRF ↗ |
| CORAL GABLES HOSPITAL Inpatient | Amerihealth Caritas Medicaid | Amerihealth Caritas Medicaid | $100,000.00 | — | — | 2026-05-08 | MRF ↗ |
| PARRISH MEDICAL CENTER Inpatient | Humana Medicaid | Humana Medicaid | $100,000.00 | — | — | 2026-05-23 | MRF ↗ |
| PARRISH MEDICAL CENTER Inpatient | Healthease/Staywell Of Florida Inc | Staywell | $100,000.00 | — | — | 2026-05-14 | MRF ↗ |
| PARRISH MEDICAL CENTER Inpatient | Medicaid Hmo | Medicaid Hmo | $100,000.00 | — | — | 2026-05-23 | MRF ↗ |
| CORAL GABLES HOSPITAL Inpatient | Aetna Better Health Medicaid Hmo | Aetna Better Health Medicaid Hmo | $100,000.00 | — | — | 2026-05-08 | MRF ↗ |
| PARRISH MEDICAL CENTER Inpatient | Simply Healthcare Plans | Simply Healthcare Plans | $100,000.00 | — | — | 2026-05-23 | MRF ↗ |
| CORAL GABLES HOSPITAL Inpatient | Humana Healthy Horizons Medicaid | Humana Healthy Horizons Medicaid | $100,000.00 | — | — | 2026-05-08 | MRF ↗ |
| PARRISH MEDICAL CENTER Inpatient | Florida Mhs Inc | Florida Mhs Inc | $100,000.00 | — | — | 2026-05-23 | MRF ↗ |
| MONTEREY PARK HOSPITAL Inpatient | Alta Med Health Services Corp | Alta Med Senior Buenacare/Medi-Cal | $100,000.00 | — | — | 2026-05-08 | MRF ↗ |
| PARRISH MEDICAL CENTER Inpatient | Healthease/Staywell Of Florida Inc | Staywell | $100,000.00 | — | — | 2026-05-23 | MRF ↗ |
| PARRISH MEDICAL CENTER Inpatient | Sunshine State Health Plan | Sunshine State Health Plan | $100,000.00 | — | — | 2026-05-23 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Inpatient | Non Contracting Medi Cal | Other Non Contracting Medi Cal | $100,000.00 | — | — | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Inpatient | Molina Healthcare Of California | Molina Medi-Cal | $100,000.00 | — | — | 2026-05-08 | MRF ↗ |
| PARRISH MEDICAL CENTER Inpatient | Freedom Health | Freedom Health | $100,000.00 | — | — | 2026-05-23 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Inpatient | Health Net Foundation | Health Net Medi-Cal | $100,000.00 | — | — | 2026-05-09 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Inpatient | Medi-Cal/Medicaid | Medi-Cal/Medicaid | $100,000.00 | — | — | 2026-05-08 | MRF ↗ |
| CORAL GABLES HOSPITAL Inpatient | Medicaid Fl | Medicaid Fl | $100,000.00 | — | — | 2026-05-08 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Inpatient | La Care Health Plan | La Care Medi-Cal | $100,000.00 | — | — | 2026-05-08 | MRF ↗ |
| MONTEREY PARK HOSPITAL Inpatient | Brand New Day | Universal Care Brand New Day Medi-Cal | $100,000.00 | — | — | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Inpatient | Healthnet Medi-Cal Non-Contract | Health Net Medi-Cal | $100,000.00 | — | — | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Inpatient | Aids Healthcare Foundation | Aids Hlth Fndn/Positive Hlth Mcal | $100,000.00 | — | — | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Inpatient | Blue Cross Medi-Cal Managed Care | Blue Cross Medi-Cal | $100,000.00 | — | — | 2026-05-08 | MRF ↗ |
| CORAL GABLES HOSPITAL Inpatient | Non-Contracted Medicaid Hmo | Non-Contracted Medicaid Hmo | $100,000.00 | — | — | 2026-05-08 | MRF ↗ |
| PARRISH MEDICAL CENTER Inpatient | Aetna Better Health | Aetna Better Health | $100,000.00 | — | — | 2026-05-23 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Inpatient | Beverly Hospital | Beverly Hospital Mcl | $100,000.00 | — | — | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Inpatient | Emanate Health | Emanate Health Medi-Cal | $100,000.00 | — | — | 2026-05-08 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Inpatient | Brand New Day | Universal Care Brand New Day Medi-Cal | $100,000.00 | — | — | 2026-05-09 | MRF ↗ |
| CORAL GABLES HOSPITAL Inpatient | United Healthcare Medicaid Hmo | United Healthcare Medicaid Hmo | $101,500.00 | — | — | 2026-05-08 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Humana | Humana Medicaid Fl | $103,000.00 | — | — | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Humana | Humana Medicaid Fl | $103,000.00 | — | — | 2026-05-08 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Humana | Humana Medicaid Fl | $103,000.00 | — | — | 2026-05-09 | MRF ↗ |
| CORAL GABLES HOSPITAL Inpatient | Molina Managed Medicaid | Molina Managed Medicaid | $103,000.00 | — | — | 2026-05-08 | MRF ↗ |
| PARRISH MEDICAL CENTER Inpatient | Molina Healthcare Of Florida | Molina Healthcare Of Florida | $104,000.00 | — | — | 2026-05-14 | MRF ↗ |
| PARRISH MEDICAL CENTER Inpatient | Molina Healthcare Of Florida | Molina Healthcare Of Florida | $104,000.00 | — | — | 2026-05-23 | MRF ↗ |
| PARRISH MEDICAL CENTER Inpatient | United Healthcare | Uhc Medicaid | $105,000.00 | — | — | 2026-05-14 | MRF ↗ |
| PARRISH MEDICAL CENTER Inpatient | United Healthcare | Uhc Medicaid | $105,000.00 | — | — | 2026-05-23 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Inpatient | United Healthcare | United Healthcare Florida Healthy Kids | $105,000.00 | — | — | 2026-05-08 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Inpatient | Amerigroup | Simply Healthcare Plans | $105,000.00 | — | — | 2026-05-08 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Inpatient | Amerigroup | Simply Healthcare Fl Healthy Kids | $105,000.00 | — | — | 2026-05-08 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Inpatient | Aetna Better Health Of Florida | Aetna Better Health Of Florida | $105,000.00 | — | — | 2026-05-08 | MRF ↗ |
| CORAL GABLES HOSPITAL Inpatient | Simply Healthcare Medicaid Hmo | Simply Healthcare Medicaid Hmo | $105,000.00 | — | — | 2026-05-08 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Inpatient | United Healthcare | United Healthcare Medicaid | $105,000.00 | — | — | 2026-05-08 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Wellcare | Wellcare Medicaid Fl | $105,000.00 | — | — | 2026-05-08 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Wellcare | Wellcare Medicaid Fl | $105,000.00 | — | — | 2026-05-09 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Inpatient | Sunshine Health Plan | Sunshine Health Plan Medicaid | $105,000.00 | — | — | 2026-05-08 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Integral Health | Integral Health Medicaid Fl | $105,000.00 | — | — | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Integral Health | Integral Health Medicaid Fl | $105,000.00 | — | — | 2026-05-08 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Integral Health | Integral Health Medicaid Fl | $105,000.00 | — | — | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Wellcare | Wellcare Medicaid Fl | $105,000.00 | — | — | 2026-05-09 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Wellcare | Medicaid Essential Plan 3 And 4 | $105,066.57 | — | — | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Healthfirst Health Plan | Medicaid, Essential Plan 3&4, Medicaid Harp, And Child Health Plus | $105,066.57 | — | — | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Brighton Healthplan | Medicaid | $105,066.57 | — | — | 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.