6073 — Neonate Birth Weight 1250-1499 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 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY (APR_DRG 6073) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/6073?code_type=APR_DRG
MLA (9th ed.)
“NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY (APR_DRG 6073) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/6073?code_type=APR_DRG. Accessed .
Chicago (notes-bibliography)
“NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY (APR_DRG 6073) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/6073?code_type=APR_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $35,087–$86,404 (25th–75th percentile) across 712 hospitals · 432 payers.
“Negotiated” is the hospital’s negotiated facility rate for this APR_DRG 6073 — 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 |
|---|---|---|---|---|---|---|---|
| LOMA LINDA UNIVERSITY MEDICAL CENTER-MURRIETA InpatientFacility | Inland Empire Health Plan (IEHP) | Medi-Cal | $7.17 | — | — | 2026-02-19 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Parkland | Medicaid | $8.31 | — | — | 2026-04-15 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Molina | CHIP/Medicaid | $8.31 | — | — | 2026-04-15 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Cigna | Medicaid | $8.31 | — | — | 2026-04-15 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Superior Health Plan | CHIP/Medicaid | $8.31 | — | — | 2026-04-15 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Amerigroup | CHIP/Medicaid | $8.31 | — | — | 2026-04-15 | 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 | CHIP | $1,139.00 | — | — | 2024-10-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | Superior Health Plan | STAR | $1,139.00 | — | — | 2024-10-01 | MRF ↗ |
| MONTEFIORE ST LUKE'S CORNWALL Inpatient | Anthem | Exchange | $11,491.27 | — | — | 2026-04-01 | MRF ↗ |
| SANFORD CANBY MEDICAL CENTER InpatientFacility | Ucare | Medicaid Managed Care | $25,683.12 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD CANBY MEDICAL CENTER InpatientFacility | Ucare | Medicaid Managed Care | $25,683.12 | — | — | 2026-03-04 | MRF ↗ |
| OAKLAWN HOSPITAL InpatientFacility | McLaren Health Plan | Medicaid/MiChild | $26,545.08 | — | — | 2024-12-16 | MRF ↗ |
| OAKLAWN HOSPITAL InpatientFacility | United Healthcare | Medicaid | $26,545.08 | — | — | 2024-12-16 | MRF ↗ |
| OAKLAWN HOSPITAL InpatientFacility | Priority Health | Medicaid | $26,545.08 | — | — | 2024-12-16 | MRF ↗ |
| OAKLAWN HOSPITAL InpatientFacility | Blue Cross | Blue Cross Complete | $26,545.08 | — | — | 2024-12-16 | MRF ↗ |
| OAKLAWN HOSPITAL InpatientFacility | Aetna | Better Health of Michigan | $26,545.08 | — | — | 2024-12-16 | MRF ↗ |
| GARDEN CITY HOSPITAL Inpatient | Aetna Better Health Coventry Cares | Aetna Better Health Medicaid | $26,764.50 | — | — | 2024-12-19 | MRF ↗ |
| GARDEN CITY HOSPITAL Inpatient | Total Health Care Priority Health | Total Health Care Priority Health MIChild | $26,764.50 | — | — | 2024-12-19 | MRF ↗ |
| GARDEN CITY HOSPITAL Inpatient | Priority Health | Priority Health Medicaid | $26,764.50 | — | — | 2024-12-19 | MRF ↗ |
| GARDEN CITY HOSPITAL Inpatient | UHC | UHC Medicaid | $26,764.50 | — | — | 2024-12-19 | MRF ↗ |
| GARDEN CITY HOSPITAL Inpatient | Mclaren Health Plan | Mclaren Health Plan MICHILD Medicaid | $26,764.50 | — | — | 2024-12-19 | MRF ↗ |
| GARDEN CITY HOSPITAL Inpatient | Harbor Health Plan | Harbor Health Plan - MEDBASIC Medicaid | $26,764.50 | — | — | 2024-12-19 | MRF ↗ |
| GARDEN CITY HOSPITAL Inpatient | Meridian Health Plan Medicaid | Meridian Health Plan Medicaid | $26,764.50 | — | — | 2024-12-19 | MRF ↗ |
| GARDEN CITY HOSPITAL Inpatient | Non-contracted Medicaid | Non-contracted Medicaid | $26,764.50 | — | — | 2024-12-19 | MRF ↗ |
| GARDEN CITY HOSPITAL Inpatient | Health Alliance Plan | Health Alliance Plan Midwest Medicaid - Non-Contracted | $26,764.50 | — | — | 2024-12-19 | MRF ↗ |
| GARDEN CITY HOSPITAL Inpatient | Molina Health Plan | Molina Medicaid Non-contracted | $26,764.50 | — | — | 2024-12-19 | MRF ↗ |
| GARDEN CITY HOSPITAL Inpatient | Traditional Medicaid | Traditional Medicaid | $26,764.50 | — | — | 2024-12-19 | MRF ↗ |
| Adventhealth Connerton Inpatient | United_HealthCare | HMO_Medicaid | $27,067.00 | $0.01 | $0.01 | 2024-12-15 | MRF ↗ |
| BATES COUNTY MEMORIAL HOSPITAL InpatientFacility | Home State Health Plan | Managed Medicaid | $27,093.28 | — | — | 2026-04-20 | MRF ↗ |
| BATES COUNTY MEMORIAL HOSPITAL InpatientFacility | Home State Health Plan | Managed Medicaid | $27,093.28 | — | — | 2026-04-20 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC InpatientFacility | McClaren Health Plan - Michigan | Medicaid - MI Medicaid | $27,198.82 | — | — | 2026-04-01 | MRF ↗ |
| Nationwide Children’s Hospital Toledo, Llc InpatientFacility | McClaren Health Plan - Michigan | Medicaid - MI Medicaid | $27,198.82 | — | — | 2026-04-01 | MRF ↗ |
| OAKLAWN HOSPITAL InpatientFacility | Molina | Medicaid | $27,341.43 | — | — | 2024-12-16 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Inpatient | Meridian Health Plan | Meridian Health Plan MI Child | $27,367.30 | — | — | 2024-12-19 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Inpatient | Molina | Molina Medicaid - Non-Contracted | $27,367.30 | — | — | 2024-12-19 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Inpatient | Priority Health | Priority Health Medicaid | $27,367.30 | — | — | 2024-12-19 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Inpatient | Traditional Medicaid | Traditional Medicaid | $27,367.30 | — | — | 2024-12-19 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Inpatient | Meridian Health Plan | Meridian Health Plan Medicaid | $27,367.30 | — | — | 2024-12-19 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Inpatient | Non-contracted Medicaid | Non-contracted Medicaid | $27,367.30 | — | — | 2024-12-19 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Inpatient | Priority Health | Priority Health Medicaid | $27,367.30 | — | — | 2024-12-19 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Inpatient | UHC | UHC Medicaid | $27,367.30 | — | — | 2024-12-19 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Inpatient | Mclaren Health Plan | Mclaren Health Medicaid | $27,367.30 | — | — | 2024-12-19 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Inpatient | Health Alliance Plan | Health Alliance Plan Midwest Medicaid - MIchild - Non-Contracted | $27,367.30 | — | — | 2024-12-19 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Inpatient | Molina | Molina Medicaid - Non-Contracted | $27,367.30 | — | — | 2024-12-19 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Inpatient | Health Alliance Plan | Health Alliance Plan Midwest Medicaid - MIchild - Non-Contracted | $27,367.30 | — | — | 2024-12-19 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Inpatient | Non-contracted Medicaid | Non-contracted Medicaid | $27,367.30 | — | — | 2024-12-19 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Inpatient | Meridian Health Plan | Meridian Health Plan Medicaid | $27,367.30 | — | — | 2024-12-19 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Inpatient | Traditional Medicaid | Traditional Medicaid | $27,367.30 | — | — | 2024-12-19 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Inpatient | UHC | UHC Medicaid | $27,367.30 | — | — | 2024-12-19 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Inpatient | Meridian Health Plan | Meridian Health Plan MI Child | $27,367.30 | — | — | 2024-12-19 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Inpatient | Mclaren Health Plan | Mclaren Health Medicaid | $27,367.30 | — | — | 2024-12-19 | MRF ↗ |
| OAKLAWN HOSPITAL InpatientFacility | Meridian Health Plan | Medicaid | $27,606.89 | — | — | 2024-12-16 | MRF ↗ |
| HARLINGEN MEDICAL CENTER Inpatient | Non-Contracted Medicaid | Non-Contracted Managed Medicaid 95 Percent | $27,627.90 | — | — | 2024-12-19 | MRF ↗ |
| HARLINGEN MEDICAL CENTER Inpatient | Non-Contracted Medicaid | Non-Contracted Managed Medicaid 95 Percent | $27,627.90 | — | — | 2024-12-19 | MRF ↗ |
| HCA FLORIDA NORTH FLORIDA HOSPITAL Inpatient | Palm Beach PACE | MCD | $27,643.10 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA JFK HOSPITAL Inpatient | Palm Beach PACE | MCD | $27,643.10 | — | — | 2024-10-01 | MRF ↗ |
| CHARLEVOIX AREA HOSPITAL InpatientFacility | McLaren Health Plan | Managed Medicaid | $27,902.86 | — | — | 2026-04-17 | MRF ↗ |
| CHARLEVOIX AREA HOSPITAL InpatientFacility | United Healthcare | Managed Medicaid | $27,902.86 | — | — | 2026-04-17 | MRF ↗ |
| CHARLEVOIX AREA HOSPITAL InpatientFacility | Meridian | Managed Medicaid | $27,902.86 | — | — | 2026-04-17 | MRF ↗ |
| CHARLEVOIX AREA HOSPITAL InpatientFacility | Blue Cross Complete | Managed Medicaid | $27,902.86 | — | — | 2026-04-17 | MRF ↗ |
| CHARLEVOIX AREA HOSPITAL InpatientFacility | Priority Health | Managed Medicaid | $27,902.86 | — | — | 2026-04-17 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Inpatient | Aetna Better Health | Aetna Better Health Medicaid | $27,914.70 | — | — | 2024-12-19 | MRF ↗ |
| LAKE HURON MEDICAL CENTER Inpatient | Aetna Better Health | Aetna Better Health Medicaid | $27,914.70 | — | — | 2024-12-19 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL InpatientFacility | McLaren Health Plan | Managed Medicaid | $28,008.86 | — | — | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL InpatientFacility | Molina | Managed Medicaid | $28,008.86 | — | — | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL InpatientFacility | Meridian | Managed Medicaid | $28,008.86 | — | — | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL InpatientFacility | Blue Cross Complete | Managed Medicaid | $28,008.86 | — | — | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL InpatientFacility | United Healthcare | Managed Medicaid | $28,008.86 | — | — | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL InpatientFacility | Priority Health | Managed Medicaid | $28,008.86 | — | — | 2026-04-17 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER Inpatient | MultiPlan | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER Inpatient | TCHP | Medicaid|All Plans | $28,156.10 | — | — | 2026-02-28 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER Inpatient | Cigna | Commercial|Transplant | — | — | — | 2026-02-28 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER Inpatient | MultiPlan | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER Inpatient | TCHP | Medicaid|All Plans | $28,156.10 | — | — | 2026-02-28 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER Inpatient | Healthsmart | Commercial|PPO | — | — | — | 2026-02-28 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER Inpatient | Coventry | Commercial|PPO | — | — | — | 2026-02-28 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER Inpatient | Healthsmart | Commercial|PPO | — | — | — | 2026-02-28 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER Inpatient | CHC | Medicaid|All Plans | $28,156.10 | — | — | 2026-02-28 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER Inpatient | First Health | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER Inpatient | CHC | Medicaid|All Plans | $28,156.10 | — | — | 2026-02-28 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER Inpatient | Coventry | Commercial|PPO | — | — | — | 2026-02-28 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER Inpatient | Cigna | Commercial|Transplant | — | — | — | 2026-02-28 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER Inpatient | First Health | Commercial|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| KALKASKA MEMORIAL HEALTH CENTER InpatientFacility | Priority Health | Managed Medicaid | $28,196.86 | — | — | 2026-04-17 | MRF ↗ |
| KALKASKA MEMORIAL HEALTH CENTER InpatientFacility | Meridian | Managed Medicaid | $28,196.86 | — | — | 2026-04-17 | MRF ↗ |
| KALKASKA MEMORIAL HEALTH CENTER InpatientFacility | United Healthcare | Managed Medicaid | $28,196.86 | — | — | 2026-04-17 | MRF ↗ |
| KALKASKA MEMORIAL HEALTH CENTER InpatientFacility | Blue Cross Complete | Managed Medicaid | $28,196.86 | — | — | 2026-04-17 | MRF ↗ |
| KALKASKA MEMORIAL HEALTH CENTER InpatientFacility | Molina | Managed Medicaid | $28,196.86 | — | — | 2026-04-17 | MRF ↗ |
| KALKASKA MEMORIAL HEALTH CENTER InpatientFacility | McLaren Health Plan | Managed Medicaid | $28,196.86 | — | — | 2026-04-17 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Inpatient | USA Managed Care CHIP | CHIP | $28,554.00 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Inpatient | Community First | STARPLUS | $28,554.00 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Inpatient | United | MCD | $28,554.00 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Inpatient | Community First | MCDSTAR | $28,554.00 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Inpatient | Community First | CHIP | $28,554.00 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Inpatient | Community First | MCDSTARKIDS | $28,554.00 | — | — | 2025-01-01 | MRF ↗ |
| Global Rehabilitation Hospital Inpatient | USA Managed Care CHIP | CHIP | $28,554.54 | — | — | 2026-03-01 | MRF ↗ |
| Global Rehabilitation Hospital Inpatient | Community First Health Plans | STARPLUS | $28,554.54 | — | — | 2026-03-01 | MRF ↗ |
| Global Rehabilitation Hospital Inpatient | Community First Health Plans | CHIPPerinate | $28,554.54 | — | — | 2026-03-01 | MRF ↗ |
| Global Rehabilitation Hospital Inpatient | Community First Health Plans | CHIP | $28,554.54 | — | — | 2026-03-01 | MRF ↗ |
| Global Rehabilitation Hospital Inpatient | Community First Health Plans | MCDSTAR | $28,554.54 | — | — | 2026-03-01 | MRF ↗ |
| Global Rehabilitation Hospital Inpatient | United | MCD | $28,554.54 | — | — | 2026-03-01 | MRF ↗ |
| Global Rehabilitation Hospital Inpatient | Community First Health Plans | MCDSTARKIDS | $28,554.54 | — | — | 2026-03-01 | MRF ↗ |
| Texas Health Specialty Hospital Fort Worth InpatientFacility | Amerigroup | Managed Medicaid | $28,557.79 | — | — | 2026-04-21 | MRF ↗ |
| Texas Health Specialty Hospital Fort Worth InpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $28,557.79 | — | — | 2026-04-21 | MRF ↗ |
| Texas Health Specialty Hospital Fort Worth InpatientFacility | United Healthcare | Managed Medicaid | $28,557.79 | — | — | 2026-04-21 | MRF ↗ |
| Texas Health Specialty Hospital Fort Worth InpatientFacility | Parkland | Managed Medicaid | $28,557.79 | — | — | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON InpatientFacility | Amerigroup | Managed Medicaid | $28,557.79 | — | — | 2026-04-21 | MRF ↗ |
| Texas Health Specialty Hospital Fort Worth InpatientFacility | Cook Childrens | Managed Medicaid | $28,557.79 | — | — | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON InpatientFacility | United Healthcare | Managed Medicaid | $28,557.79 | — | — | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON InpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $28,557.79 | — | — | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON InpatientFacility | Cook Childrens | Managed Medicaid | $28,557.79 | — | — | 2026-04-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER PFLUGERVILLE InpatientFacility | Superior Health Plan | Medicaid | $28,673.51 | — | — | 2026-02-18 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA InpatientFacility | Superior Health Plan | Medicaid | $28,673.51 | — | — | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER- AUSTIN InpatientFacility | Superior Health Plan | Medicaid | $28,673.51 | — | — | 2026-02-20 | MRF ↗ |
| REID HEALTH InpatientFacility | MDWise | Managed Medicaid | $28,682.97 | — | — | 2025-07-21 | MRF ↗ |
| REID HEALTH InpatientFacility | Anthem Blue Cross Blue Shield | Pathways for Aging/Managed Medicaid | $28,682.97 | — | — | 2025-07-21 | MRF ↗ |
| REID HEALTH InpatientFacility | MHS | Managed Medicaid | $28,682.97 | — | — | 2025-07-21 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | CareSource Indiana Healthy Indiana Plan (HIP) | Managed Medicaid | $28,682.97 | — | — | 2025-04-24 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Humana | Managed Medicaid | $28,682.97 | — | — | 2025-04-24 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Managed Health Services (MHS) Hoosier Healthwise (HHW) | Managed Medicaid | $28,682.97 | — | — | 2025-04-24 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Managed Health Services (MHS) Hoosier Care Connect | Managed Medicaid | $28,682.97 | — | — | 2025-04-24 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Anthem Blue Cross Blue Shield | Managed Medicaid | $28,682.97 | — | — | 2025-04-24 | MRF ↗ |
| REID HEALTH InpatientFacility | Anthem Blue Cross Blue Shield | Managed Medicaid | $28,682.97 | — | — | 2025-07-21 | MRF ↗ |
| REID HEALTH InpatientFacility | Humana of Indiana | Pathways for Aging/Managed Medicaid | $28,682.97 | — | — | 2025-07-21 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | United Healthcare of Indiana | Managed Medicaid | $28,682.97 | — | — | 2025-03-27 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | Managed Health Services (MHS) Hoosier Care Connect | Managed Medicaid | $28,682.97 | — | — | 2025-03-27 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | CareSource Indiana Healthy Indiana Plan (HIP) | Managed Medicaid | $28,682.97 | — | — | 2025-03-27 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | Managed Health Services (MHS) | Managed Medicaid | $28,682.97 | — | — | 2025-03-27 | MRF ↗ |
| REID HEALTH InpatientFacility | Caresource of Indiana | Managed Medicaid | $28,682.97 | — | — | 2025-07-21 | MRF ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC InpatientFacility | Anthem Blue Cross of IN | Medicaid | $28,683.33 | — | — | 2026-02-18 | MRF ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC InpatientFacility | MDWise | Medicaid | $28,683.33 | — | — | 2026-02-18 | MRF ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC InpatientFacility | CareSource Indiana of IN | Hoosier Healthwise/HIP | $28,683.33 | — | — | 2026-02-18 | MRF ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC InpatientFacility | Managed Health Services | Medicaid | $28,683.33 | — | — | 2026-02-18 | MRF ↗ |
| REGIONAL WEST MEDICAL CENTER Inpatient | Ambetter | Medicaid All Plans | $28,752.94 | — | — | 2026-03-27 | MRF ↗ |
| REGIONAL WEST MEDICAL CENTER Inpatient | Mercy Care Arizona | Medicaid All Plans | $28,752.94 | — | — | 2026-03-27 | MRF ↗ |
| REGIONAL WEST MEDICAL CENTER Inpatient | United Healthcare | Medicaid All Plans | $28,752.94 | — | — | 2026-03-27 | MRF ↗ |
| REGIONAL WEST MEDICAL CENTER Inpatient | Health Choice Arizona | Medicaid All Plans | $28,752.94 | — | — | 2026-03-27 | MRF ↗ |
| MISSION REGIONAL MEDICAL CENTER Inpatient | Non Contracted Medicaid | Non-Contracted Medicaid - 95 Percent | $28,758.00 | — | — | 2024-12-19 | MRF ↗ |
| Baylor Scott & White Continuing Care Hospital InpatientFacility | Superior Health Plan | Medicaid | $28,758.39 | — | — | 2026-02-21 | MRF ↗ |
| BANNER HEART HOSPITAL InpatientFacility | Arizona Physicians IPA | Medicaid | $28,762.50 | — | — | 2026-03-02 | MRF ↗ |
| BANNER HEART HOSPITAL InpatientFacility | Banner University Health Plan | AZ Medicaid - AHCCCS | $28,762.50 | — | — | 2026-03-02 | MRF ↗ |
| BANNER HEART HOSPITAL InpatientFacility | Health Choice Arizona, Inc. | Medicaid | $28,762.50 | — | — | 2026-03-02 | MRF ↗ |
| BANNER HEART HOSPITAL InpatientFacility | Mercy Care | Mercy Medicaid | $28,762.50 | — | — | 2026-03-02 | MRF ↗ |
| BANNER HEART HOSPITAL InpatientFacility | Banner University Health Plan | AZ Medicaid - AHCCCS | $28,762.50 | — | — | 2026-03-02 | MRF ↗ |
| BANNER HEART HOSPITAL InpatientFacility | Arizona Physicians IPA | Medicaid | $28,762.50 | — | — | 2026-03-02 | MRF ↗ |
| BANNER HEART HOSPITAL InpatientFacility | Health Choice Arizona, Inc. | Medicaid | $28,762.50 | — | — | 2026-03-02 | MRF ↗ |
| BANNER HEART HOSPITAL InpatientFacility | Health Net | Medicaid | $28,762.50 | — | — | 2026-03-02 | MRF ↗ |
| BANNER HEART HOSPITAL InpatientFacility | Mercy Care | Mercy Medicaid | $28,762.50 | — | — | 2026-03-02 | MRF ↗ |
| BANNER HEART HOSPITAL InpatientFacility | Health Net | Medicaid | $28,762.50 | — | — | 2026-03-02 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHLAKE InpatientFacility | United Healthcare | Managed Medicaid | $28,795.97 | — | — | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHLAKE InpatientFacility | Cook Childrens | Managed Medicaid | $28,795.97 | — | — | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHLAKE InpatientFacility | Amerigroup | Managed Medicaid | $28,795.97 | — | — | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHLAKE InpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $28,795.97 | — | — | 2026-04-21 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Inpatient | Simply_Health | Clear_Health_Alliance | $28,831.00 | $0.01 | $0.01 | 2024-12-15 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL InpatientFacility | Blue Cross Complete | Managed Medicaid | $28,879.96 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL InpatientFacility | United Healthcare | Managed Medicaid | $28,879.96 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL InpatientFacility | Priority Health | Managed Medicaid | $28,879.96 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL InpatientFacility | Molina | Managed Medicaid | $28,879.96 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL InpatientFacility | McLaren Health Plan | Managed Medicaid | $28,879.96 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL InpatientFacility | Meridian | Managed Medicaid | $28,879.96 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL InpatientFacility | Blue Cross Complete | Managed Medicaid | $28,896.96 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL InpatientFacility | Priority Health | Managed Medicaid | $28,896.96 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL InpatientFacility | Meridian | Managed Medicaid | $28,896.96 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL InpatientFacility | McLaren Health Plan | Managed Medicaid | $28,896.96 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL InpatientFacility | United Healthcare | Managed Medicaid | $28,896.96 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL InpatientFacility | Molina | Managed Medicaid | $28,896.96 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL InpatientFacility | McLaren Health Plan | Managed Medicaid | $28,933.96 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL InpatientFacility | Meridian | Managed Medicaid | $28,933.96 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL InpatientFacility | Molina | Managed Medicaid | $28,933.96 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL InpatientFacility | Blue Cross Complete | Managed Medicaid | $28,933.96 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL InpatientFacility | Priority Health | Managed Medicaid | $28,933.96 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL InpatientFacility | United Healthcare | Managed Medicaid | $28,933.96 | — | — | 2026-04-17 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | CareSource Indiana Hoosier Healthwise (HHW) | Managed Medicaid | $28,969.80 | — | — | 2025-03-27 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Inpatient | Texas Health Network | MCD | $29,045.12 | — | — | 2026-03-01 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER PLANO InpatientFacility | Superior Health Plan | Medicaid | $29,070.06 | — | — | 2026-02-19 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN InpatientFacility | United Healthcare | Managed Medicaid | $29,070.06 | — | — | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN InpatientFacility | Amerigroup | Managed Medicaid | $29,070.06 | — | — | 2026-04-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER AT IRVING InpatientFacility | Superior Health Plan | Medicaid | $29,070.06 | — | — | 2026-02-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN InpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $29,070.06 | — | — | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL FLOWER MOUND InpatientFacility | Cook Childrens | Managed Medicaid | $29,070.06 | — | — | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL InpatientFacility | Amerigroup | Managed Medicaid | $29,070.06 | — | — | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL InpatientFacility | United Healthcare | Managed Medicaid | $29,070.06 | — | — | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL FLOWER MOUND InpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $29,070.06 | — | — | 2026-04-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER AT IRVING InpatientFacility | WellPoint (fka Amerigroup) | CHIP/Medicaid | $29,070.06 | — | — | 2026-02-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL FLOWER MOUND InpatientFacility | Amerigroup | Managed Medicaid | $29,070.06 | — | — | 2026-04-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO InpatientFacility | Superior Health Plan | Medicaid | $29,070.06 | — | — | 2026-02-19 | MRF ↗ |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO InpatientFacility | Superior Health Plan | Medicaid | $29,070.06 | — | — | 2026-02-20 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL InpatientFacility | Parkland | Managed Medicaid | $29,070.06 | — | — | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL InpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $29,070.06 | — | — | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN InpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $29,070.06 | — | — | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL FLOWER MOUND InpatientFacility | United Healthcare | Managed Medicaid | $29,070.06 | — | — | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN InpatientFacility | Parkland | Managed Medicaid | $29,070.06 | — | — | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON InpatientFacility | Amerigroup | Managed Medicaid | $29,070.06 | — | — | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH CENTER FOR DIAGNOSTICS & SURGERY InpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $29,070.06 | — | — | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN InpatientFacility | Parkland | Managed Medicaid | $29,070.06 | — | — | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH CENTER FOR DIAGNOSTICS & SURGERY InpatientFacility | Amerigroup | Managed Medicaid | $29,070.06 | — | — | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH CENTER FOR DIAGNOSTICS & SURGERY InpatientFacility | Parkland | Managed Medicaid | $29,070.06 | — | — | 2026-04-21 | 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.