6084 — Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
Cite this view
HANK Price Transparency. (n.d.). NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION (OTHER 6084) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/6084?code_type=OTHER
“NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION (OTHER 6084) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/6084?code_type=OTHER. Accessed .
“NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION (OTHER 6084) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/6084?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $43,855–$97,374 (25th–75th percentile) across 46 hospitals · 84 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 6084 — 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 | Healthchoice Ppo | — | $0.93 | $9.25 | $0.93 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Medica Harmony Sync | — | $1.94 | $9.25 | $0.93 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Bright Health Plan | — | $1.94 | $9.25 | $0.93 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Cigna All Other Ppo | — | $3.22 | $9.25 | $0.93 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Healthcare Highways Norman Regional | — | $3.24 | $9.25 | $0.93 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Healthcare Highways Chicksaw Nation | — | $3.24 | $9.25 | $0.93 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Aetna Hmo | — | $3.49 | $9.25 | $0.93 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Globalhealth Hmo | — | $3.70 | $9.25 | $0.93 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Healthcare Highways D1 | — | $3.70 | $9.25 | $0.93 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Healthcare Highways D2 | — | $4.63 | $9.25 | $0.93 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Cigna Open Access | — | $4.88 | $9.25 | $0.93 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Coventry Ppo | — | $4.90 | $9.25 | $0.93 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Cigna Ppo Payor Solutions Strategic Alliances | — | $5.38 | $9.25 | $0.93 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Aetna Ec Mc Pos | — | $5.46 | $9.25 | $0.93 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | First Health Ppo | — | $6.20 | $9.25 | $0.93 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Humana Choicecare Ppo | — | $6.48 | $9.25 | $0.93 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Preferred Community Choice | — | $7.40 | $9.25 | $0.93 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Quiktrip | — | $7.59 | $9.25 | $0.93 | 2026-07-31 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Illinois | Medicaid Illinois | $21,952.66 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Health Alliance | Medicaid Health Alliance | $21,952.66 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Countycare Claims | Medicaid Countycare Claims | $21,952.66 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Blue Cross Community Family Health Plan Xxl / Xog | Medicaid Blue Cross Community Family Health Plan Xxl / Xog | $21,952.66 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Illinois | Medicaid Illinois | $21,952.66 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Molina | Medicaid Molina | $21,952.66 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Aetna Better Health | Medicaid Aetna Better Health | $21,952.66 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Blue Cross Community Family Health Plan Xxl / Xog | Medicaid Blue Cross Community Family Health Plan Xxl / Xog | $21,952.66 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Molina | Medicaid Molina | $21,952.66 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Aetna Better Health | Medicaid Aetna Better Health | $21,952.66 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Youth Care | Medicaid Youth Care | $21,952.66 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Wellcare | Medicaid Wellcare | $21,952.66 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Meridian | Medicaid Meridian | $21,952.66 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Humana Health Plan | Medicaid Humana Health Plan | $21,952.66 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Health Alliance | Medicaid Health Alliance | $21,952.66 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Countycare Claims | Medicaid Countycare Claims | $21,952.66 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Youth Care | Medicaid Youth Care | $21,952.66 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Wellcare | Medicaid Wellcare | $21,952.66 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Meridian | Medicaid Meridian | $21,952.66 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Humana Health Plan | Medicaid Humana Health Plan | $21,952.66 | — | — | 2026-05-14 | MRF ↗ |
| HILLSDALE HOSPITAL Inpatient | Uhc | Medicaid | $24,990.89 | — | — | 2026-05-13 | MRF ↗ |
| HILLSDALE HOSPITAL Inpatient | Medicaid | Medicaid | $24,990.89 | — | — | 2026-05-13 | MRF ↗ |
| HILLSDALE HOSPITAL Inpatient | Meridian Health Plan | Medicaid | $24,990.89 | — | — | 2026-05-13 | MRF ↗ |
| HILLSDALE HOSPITAL Inpatient | Bcbs | Medicaid | $24,990.89 | — | — | 2026-05-13 | MRF ↗ |
| HILLSDALE HOSPITAL Inpatient | Bcbs | Medicaid | $25,137.06 | — | — | 2026-05-06 | MRF ↗ |
| HILLSDALE HOSPITAL Inpatient | Wellpath | Medicaid | $25,137.06 | — | — | 2026-05-06 | MRF ↗ |
| HILLSDALE HOSPITAL Inpatient | Uhc | Medicaid | $25,137.06 | — | — | 2026-05-06 | MRF ↗ |
| HILLSDALE HOSPITAL Inpatient | Meridian Health Plan | Medicaid | $25,137.06 | — | — | 2026-05-06 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Uhc | Mi Medicaid | $27,905.81 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Inpatient | Molina | Mi Medicaid | $27,905.81 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Inpatient | Mclaren | Mi Medicaid | $27,905.81 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Inpatient | Uhc | Mi Medicaid | $27,905.81 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Inpatient | Aetna | Mi Medicaid | $27,905.81 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Mclaren (Mi | Mi Medicaid | $27,905.81 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Inpatient | Priority Health | Mi Medicaid | $27,905.81 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY OF LOUISVILLE HOSPITAL Inpatient | Anthem | In Medicaid | $28,520.06 | — | — | 2026-05-22 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Inpatient | Anthem | In Medicaid | $28,520.06 | — | — | 2026-05-14 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Inpatient | Anthem | In Medicaid | $28,520.06 | — | — | 2026-05-22 | MRF ↗ |
| UNIVERSITY OF LOUISVILLE HOSPITAL Inpatient | Anthem | In Medicaid | $28,520.06 | — | — | 2026-05-14 | MRF ↗ |
| HILLSDALE HOSPITAL Inpatient | Vcpg | Medicaid | $31,238.61 | — | — | 2026-05-13 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Aetna | Medicaid | $32,767.83 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid | Medicaid Illinois | $32,767.83 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid | Medicaid Illinois | $32,767.83 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Mutual Medical | Commercial | $32,767.83 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Mutual Medical | Commercial | $32,767.83 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Molina | Medicaid Illinois | $32,767.83 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Aetna | Medicaid | $32,767.83 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Molina | Medicaid Illinois | $32,767.83 | — | — | 2026-05-14 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicaid|Caresource|All Products | — | $32,898.08 | — | — | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicaid|Molina|All Products | — | $33,556.04 | — | — | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicaid|United|All Products | — | $33,885.02 | — | — | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicaid|Buckeye|All Products | — | $34,542.98 | — | — | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicaid|Paramount|All Products | — | $34,542.98 | — | — | 2026-07-30 | MRF ↗ |
| AVERA MARSHALL REGIONAL MEDICAL CTR Inpatient | Bcbsmn Insurance | Min | $41,677.59 | — | — | 2026-05-09 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL | Medicaid|Texas Childrens (Tch)|Starkids | — | $42,371.81 | — | — | 2026-07-31 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL | Medicaid|Texas Childrens (Tch)|Starkids | — | $42,371.81 | — | — | 2026-07-30 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL | Medicaid|Texas Childrens (Tch)|Starkids | — | $42,371.81 | — | — | 2026-07-31 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE | Medicaid|Texas Childrens (Tch)|Starkids | — | $42,371.81 | — | — | 2026-07-30 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL | Medicaid|Amerigroup|Starkids | — | $43,642.96 | — | — | 2026-07-31 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL | Medicaid|United|Starkids | — | $43,642.96 | — | — | 2026-07-30 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL | Medicaid|United|Chip | — | $43,642.96 | — | — | 2026-07-30 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL | Medicaid|Amerigroup|Starkids | — | $43,642.96 | — | — | 2026-07-30 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL | Medicaid|Amerigroup|Chip | — | $43,642.96 | — | — | 2026-07-30 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL | Medicaid|United|Starkids | — | $43,642.96 | — | — | 2026-07-31 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL | Medicaid|United|Chip | — | $43,642.96 | — | — | 2026-07-31 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL | Medicaid|Amerigroup|Chip | — | $43,642.96 | — | — | 2026-07-31 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL | Medicaid|United|Starplus | — | $43,642.96 | — | — | 2026-07-31 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL | Medicaid|United|Starkids | — | $43,642.96 | — | — | 2026-07-31 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL | Medicaid|United|Chip | — | $43,642.96 | — | — | 2026-07-31 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL | Medicaid|Amerigroup|Starkids | — | $43,642.96 | — | — | 2026-07-31 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL | Medicaid|Amerigroup|Chip | — | $43,642.96 | — | — | 2026-07-31 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE | Medicaid|United|Starkids | — | $43,642.96 | — | — | 2026-07-30 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE | Medicaid|United|Chip | — | $43,642.96 | — | — | 2026-07-30 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE | Medicaid|Amerigroup|Starkids | — | $43,642.96 | — | — | 2026-07-30 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE | Medicaid|Amerigroup|Chip | — | $43,642.96 | — | — | 2026-07-30 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE | Medicaid|Bcbs - Tx|All Plans | — | $44,490.40 | — | — | 2026-07-30 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL | Medicaid|Bcbs - Tx|All Plans | — | $44,490.40 | — | — | 2026-07-30 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL | Medicaid|Bcbs - Tx|All Plans | — | $44,490.40 | — | — | 2026-07-31 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL | Medicaid|Bcbs - Tx|All Plans | — | $44,490.40 | — | — | 2026-07-31 | MRF ↗ |
| Baylor St Lukes Medical Center | Medicaid|Texas Childrens (Tch)|Starkids | — | $45,136.83 | — | — | 2026-07-31 | MRF ↗ |
| Baylor St Lukes Medical Center | Medicaid|United|Chip | — | $45,136.83 | — | — | 2026-07-31 | MRF ↗ |
| Baylor St Lukes Medical Center | Medicaid|Amerigroup|Chip | — | $46,490.93 | — | — | 2026-07-31 | MRF ↗ |
| Baylor St Lukes Medical Center | Medicaid|Amerigroup|Starkids | — | $46,490.93 | — | — | 2026-07-31 | MRF ↗ |
| Baylor St Lukes Medical Center | Medicaid|United|Starkids | — | $46,490.93 | — | — | 2026-07-31 | MRF ↗ |
| Baylor St Lukes Medical Center | Medicaid|Bcbs - Tx|All Plans | — | $47,393.67 | — | — | 2026-07-31 | MRF ↗ |
| CLARION HOSPITAL Inpatient | Medicaid | Traditional Medicaid | $49,549.02 | — | — | 2026-05-23 | MRF ↗ |
| CLARION HOSPITAL Inpatient | Medicaid | Traditional Medicaid | $49,549.02 | — | — | 2026-05-13 | MRF ↗ |
| EXCELA HEALTH LATROBE HOSPITAL Inpatient | Amerihealth Caritas | Medical Assistance | $51,436.56 | — | — | 2026-05-08 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Inpatient | Traditional Medicaid | Traditional Medicaid | $51,504.12 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Inpatient | Traditional Medicaid | Traditional Medicaid | $51,504.12 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Inpatient | Aetna | Mcd Advantage | $51,504.12 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Inpatient | Upmc | Mcd Advantage | $51,504.12 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Inpatient | Upmc | Chip | $51,504.12 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Inpatient | Geisinger | Mcd Advantage | $51,504.12 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Inpatient | Geisinger | Mcd Advantage | $51,504.12 | — | — | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | Aetna | Aetna Better Health | $51,504.12 | — | — | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | United Healthcare | United Healthcare Community Plan Of Pa Medicaid | $51,504.12 | — | — | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | Upmc | Upmc For Kids Medicaid | $51,504.12 | — | — | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | Highmark | Wholecare Medicaid | $51,504.12 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Inpatient | Upmc | Chip | $51,504.12 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Inpatient | Upmc | Mcd Advantage | $51,504.12 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Inpatient | Aetna | Mcd Advantage | $51,504.12 | — | — | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | Upmc | Upmc For Kids Medicaid | $51,504.12 | — | — | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | United Healthcare | United Healthcare Community Plan Of Pa Medicaid | $51,504.12 | — | — | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | Highmark | Wholecare Medicaid | $51,504.12 | — | — | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | Aetna | Aetna Better Health | $51,504.12 | — | — | 2026-05-13 | MRF ↗ |
| Chi St Joseph Health College Station Hospital | Medicaid|Superior Health Plan|Chip | — | $51,700.66 | — | — | 2026-07-30 | MRF ↗ |
| EXCELA HEALTH LATROBE HOSPITAL Inpatient | Pa Health And Wellness | Medical Assistance | $51,908.45 | — | — | 2026-05-08 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | Upmc | Upmc Community Healthchoices Plan | $52,508.45 | — | — | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | Upmc | Upmc For You Medicaid | $52,508.45 | — | — | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | Upmc | Upmc Community Healthchoices Plan | $52,508.45 | — | — | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | Upmc | Upmc For You Medicaid | $52,508.45 | — | — | 2026-05-13 | MRF ↗ |
| Chi St Joseph Health College Station Hospital | Medicaid|United|All Other Plans | — | $52,734.67 | — | — | 2026-07-30 | MRF ↗ |
| Chi St Joseph Health College Station Hospital | Medicaid|United|Starkids | — | $52,734.67 | — | — | 2026-07-30 | MRF ↗ |
| CLARION HOSPITAL Inpatient | Upmc | Medicaid | $54,079.37 | — | — | 2026-05-13 | MRF ↗ |
| CLARION HOSPITAL Inpatient | Upmc | Medicaid | $54,079.37 | — | — | 2026-05-23 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER | Medicaid|Texas Childrens (Tch)|All Plans | — | $54,176.60 | — | — | 2026-07-30 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER | Medicaid|Community Health Choice|All Plans | — | $54,176.60 | — | — | 2026-07-30 | MRF ↗ |
| EXCELA HEALTH LATROBE HOSPITAL Inpatient | Health Partners Plans | Medical Assistance | $54,267.93 | — | — | 2026-05-08 | MRF ↗ |
| EXCELA HEALTH LATROBE HOSPITAL Inpatient | Geisinger | Medical Assistance | $54,267.93 | — | — | 2026-05-08 | MRF ↗ |
| Chi St Joseph Health College Station Hospital | Medicaid|Superior Health Plan|Star | — | $54,285.69 | — | — | 2026-07-30 | MRF ↗ |
| Chi St Joseph Health College Station Hospital | Medicaid|Amerigroup|All Plans | — | $54,285.69 | — | — | 2026-07-30 | MRF ↗ |
| Chi St Joseph Health College Station Hospital | Medicaid|Bcbs - Tx|All Plans | — | $54,285.69 | — | — | 2026-07-30 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | Geisinger | Geisinger Medicaid | $54,594.37 | — | — | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | Geisinger | Geisinger Medicaid | $54,594.37 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Inpatient | Jefferson Health | Mcd Advantage | $54,596.11 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Inpatient | Jefferson Health | Mcd Advantage | $54,596.11 | — | — | 2026-05-14 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas Community Health Choices Plan | $55,109.41 | — | — | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | Pa Health And Wellness | Pa Health And Wellness Community Health Choices Plan | $55,109.41 | — | — | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | Health Partners | Health Partners Medicaid | $55,109.41 | — | — | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | Pa Health And Wellness | Pa Health And Wellness Community Health Choices Plan | $55,109.41 | — | — | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | Health Partners | Health Partners Medicaid | $55,109.41 | — | — | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas Community Health Choices Plan | $55,109.41 | — | — | 2026-05-23 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER | Medicaid|Amerigroup|All Plans | — | $57,028.00 | — | — | 2026-07-30 | MRF ↗ |
| EXCELA HEALTH LATROBE HOSPITAL Inpatient | Upmc | Medical Assistance | $58,043.09 | — | — | 2026-05-08 | MRF ↗ |
| CHI ST LUKE'S HEALTH BRAZOSPORT | Medicaid|Texas Childrens (Tch)|All Plans | — | $58,509.45 | — | — | 2026-08-01 | MRF ↗ |
| CHI ST LUKE'S HEALTH BRAZOSPORT | Medicaid|Amerigroup|All Plans | — | $58,509.45 | — | — | 2026-08-01 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER | Medicaid|United|All Plans | — | $58,738.84 | — | — | 2026-07-30 | MRF ↗ |
| CHI ST LUKE'S HEALTH BRAZOSPORT | Medicaid|Bcbs - Tx|All Plans | — | $61,434.92 | — | — | 2026-08-01 | MRF ↗ |
| CHI ST LUKE'S HEALTH BRAZOSPORT | Medicaid|Community Health Choice|All Plans | — | $61,434.92 | — | — | 2026-08-01 | MRF ↗ |
| CHI ST LUKE'S HEALTH BRAZOSPORT | Medicaid|Superior Health Plan|All Plans | — | $61,434.92 | — | — | 2026-08-01 | MRF ↗ |
| EXCELA HEALTH LATROBE HOSPITAL Inpatient | Highmark Wholecare | Medical Assistance | $61,936.27 | — | — | 2026-05-08 | MRF ↗ |
| CLARION HOSPITAL Inpatient | Jefferson Health Plan | Mcd Advantage | $62,191.31 | — | — | 2026-05-13 | MRF ↗ |
| CLARION HOSPITAL Inpatient | Jefferson Health Plan | Mcd Advantage | $62,191.31 | — | — | 2026-05-23 | MRF ↗ |
| VALLEY HOSPITAL Inpatient | Uhc | Americhoice | $63,177.50 | — | — | 2026-05-14 | MRF ↗ |
| VALLEY HOSPITAL Inpatient | Uhc | Americhoice | $63,177.50 | — | — | 2026-05-23 | MRF ↗ |
| VALLEY HOSPITAL Inpatient | Uhc | Americhoice | $63,177.50 | — | — | 2026-05-14 | MRF ↗ |
| VALLEY HOSPITAL Inpatient | Uhc | Americhoice | $63,177.50 | — | — | 2026-05-23 | MRF ↗ |
| BROOKDALE HOSPITAL MEDICAL CENTER Inpatient | EMBLEMHEALTH PLAN, INC -OBHS | HIP MEDICAID ENHANCED CARE PRIME (HMO MEDICAID) | $71,351.89 | $289,083.41 | $71,351.89 | 2026-02-14 | MRF ↗ |
| Interfaith Medical Center Inpatient | Medicaid | Medicaid | $71,351.89 | $289,083.41 | $71,351.89 | 2026-02-14 | MRF ↗ |
| Interfaith Medical Center Inpatient | HEALTHFIRST | QHP | $71,351.89 | $289,083.41 | $71,351.89 | 2026-02-14 | MRF ↗ |
| Interfaith Medical Center Inpatient | AMIDA CARE | MEDICAID | $71,351.89 | $289,083.41 | $71,351.89 | 2026-02-14 | MRF ↗ |
| Interfaith Medical Center Inpatient | CARELON BEHAVIORAL HEALTH, INC. AND CARELON BEHAVIORAL HEALTH STRATEGIES, LLC | MEDICAID | $71,351.89 | $289,083.41 | $71,351.89 | 2026-02-14 | MRF ↗ |
| Interfaith Medical Center Inpatient | CARELON BEHAVIORAL HEALTH, INC. AND CARELON BEHAVIORAL HEALTH STRATEGIES, LLC | HARP; QHP | $71,351.89 | $289,083.41 | $71,351.89 | 2026-02-14 | MRF ↗ |
| Interfaith Medical Center Inpatient | CENTERS PLAN FOR HEALTHY LIVING, LLC- OBHS | MEDICAID ADVANTAGE PLUS | $71,351.89 | $289,083.41 | $71,351.89 | 2026-02-14 | MRF ↗ |
| Interfaith Medical Center Inpatient | ELDERPLAN, INC. - OBHS | MEDICAID ADVANTAGE PLUS | $71,351.89 | $289,083.41 | $71,351.89 | 2026-02-14 | MRF ↗ |
| Interfaith Medical Center Inpatient | EMBLEMHEALTH PLAN, INC -OBHS | CHILD HEALTH PLUS (HMO MEDICAID) | $71,351.89 | $289,083.41 | $71,351.89 | 2026-02-14 | MRF ↗ |
| Interfaith Medical Center Inpatient | EMBLEMHEALTH PLAN, INC -OBHS | HARP (HMO MEDICAID) | $71,351.89 | $289,083.41 | $71,351.89 | 2026-02-14 | MRF ↗ |
| Interfaith Medical Center Inpatient | EMBLEMHEALTH PLAN, INC -OBHS | HIP MEDICAID ENHANCED CARE PRIME (HMO MEDICAID) | $71,351.89 | $289,083.41 | $71,351.89 | 2026-02-14 | MRF ↗ |
| Interfaith Medical Center Inpatient | EMPIRE BLUECROSS BLUESHIELD- HEALTHPLUS | MEDICAID;HARP CHP | $71,351.89 | $289,083.41 | $71,351.89 | 2026-02-14 | MRF ↗ |
| Interfaith Medical Center Inpatient | FIDELIS CARE | MEDICAID, CHP, HARP, MLTC -FIDELIS CARE AT HOME | $71,351.89 | $289,083.41 | $71,351.89 | 2026-02-14 | MRF ↗ |
| Interfaith Medical Center Inpatient | METROPLUS HEALTH PLAN, INC. - OBHS | MEDICAID | $71,351.89 | $289,083.41 | $71,351.89 | 2026-02-14 | MRF ↗ |
| Interfaith Medical Center Inpatient | METROPLUS HEALTH PLAN, INC. - OBHS | HIV SPECIAL NEEDS PLAN | $71,351.89 | $289,083.41 | $71,351.89 | 2026-02-14 | MRF ↗ |
| Interfaith Medical Center Inpatient | METROPLUS HEALTH PLAN, INC. - OBHS | HARP (HMO MEDICAID) | $71,351.89 | $289,083.41 | $71,351.89 | 2026-02-14 | MRF ↗ |
| Interfaith Medical Center Inpatient | METROPLUS HEALTH PLAN, INC. - OBHS | CHILD HEALTH PLUS | $71,351.89 | $289,083.41 | $71,351.89 | 2026-02-14 | MRF ↗ |
| Interfaith Medical Center Inpatient | MOLINA HEALTHCARE | MEDICAID, HARP, CHP | $71,351.89 | $289,083.41 | $71,351.89 | 2026-02-14 | MRF ↗ |
| Interfaith Medical Center Inpatient | PARTNERS HEALTH PLAN, INC. | MEDICAID | $71,351.89 | $289,083.41 | $71,351.89 | 2026-02-14 | MRF ↗ |
| Interfaith Medical Center Inpatient | UNITED HEALTH CARE- - -OBHS | HARP; MEDICAID MANAGED CARE; CHP | $71,351.89 | $289,083.41 | $71,351.89 | 2026-02-14 | MRF ↗ |
| Interfaith Medical Center Inpatient | HEALTHFIRST (PHSP) | MEDICAID; MEDICAID HARP | $71,351.89 | $289,083.41 | $71,351.89 | 2026-02-14 | MRF ↗ |
| BROOKDALE HOSPITAL MEDICAL CENTER Inpatient | Medicaid | Medicaid | $71,351.89 | $289,083.41 | $71,351.89 | 2026-02-14 | MRF ↗ |
| BROOKDALE HOSPITAL MEDICAL CENTER Inpatient | AMIDA CARE | MEDICAID | $71,351.89 | $289,083.41 | $71,351.89 | 2026-02-14 | MRF ↗ |
| BROOKDALE HOSPITAL MEDICAL CENTER Inpatient | CARELON BEHAVIORAL HEALTH, INC. AND CARELON BEHAVIORAL HEALTH STRATEGIES, LLC | HARP; QHP | $71,351.89 | $289,083.41 | $71,351.89 | 2026-02-14 | MRF ↗ |
| BROOKDALE HOSPITAL MEDICAL CENTER Inpatient | CARELON BEHAVIORAL HEALTH, INC. AND CARELON BEHAVIORAL HEALTH STRATEGIES, LLC | MEDICAID | $71,351.89 | $289,083.41 | $71,351.89 | 2026-02-14 | MRF ↗ |
| BROOKDALE HOSPITAL MEDICAL CENTER Inpatient | CENTERS PLAN FOR HEALTHY LIVING, LLC- OBHS | MEDICAID ADVANTAGE PLUS | $71,351.89 | $289,083.41 | $71,351.89 | 2026-02-14 | MRF ↗ |
| BROOKDALE HOSPITAL MEDICAL CENTER Inpatient | ELDERPLAN, INC. - OBHS | MEDICAID ADVANTAGE PLUS | $71,351.89 | $289,083.41 | $71,351.89 | 2026-02-14 | MRF ↗ |
| BROOKDALE HOSPITAL MEDICAL CENTER Inpatient | EMBLEMHEALTH PLAN, INC -OBHS | HARP (HMO MEDICAID) | $71,351.89 | $289,083.41 | $71,351.89 | 2026-02-14 | MRF ↗ |
| BROOKDALE HOSPITAL MEDICAL CENTER Inpatient | EMBLEMHEALTH PLAN, INC -OBHS | CHILD HEALTH PLUS (HMO MEDICAID) | $71,351.89 | $289,083.41 | $71,351.89 | 2026-02-14 | MRF ↗ |
| BROOKDALE HOSPITAL MEDICAL CENTER Inpatient | EMPIRE BLUECROSS BLUESHIELD- HEALTHPLUS | MEDICAID;HARP CHP | $71,351.89 | $289,083.41 | $71,351.89 | 2026-02-14 | MRF ↗ |
| BROOKDALE HOSPITAL MEDICAL CENTER Inpatient | FIDELIS CARE | MEDICAID, CHP, HARP, MLTC -FIDELIS CARE AT HOME | $71,351.89 | $289,083.41 | $71,351.89 | 2026-02-14 | MRF ↗ |
| BROOKDALE HOSPITAL MEDICAL CENTER Inpatient | HEALTHFIRST PHSP, INC. | MEDICAID; MEDICAID HARP | $71,351.89 | $289,083.41 | $71,351.89 | 2026-02-14 | MRF ↗ |
| BROOKDALE HOSPITAL MEDICAL CENTER Inpatient | METROPLUS HEALTH PLAN, INC. - OBHS | CHILD HEALTH PLUS | $71,351.89 | $289,083.41 | $71,351.89 | 2026-02-14 | MRF ↗ |
| BROOKDALE HOSPITAL MEDICAL CENTER Inpatient | METROPLUS HEALTH PLAN, INC. - OBHS | MEDICAID | $71,351.89 | $289,083.41 | $71,351.89 | 2026-02-14 | MRF ↗ |
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