609 — Other Respiratory Problems After Birth
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). OTHER RESPIRATORY PROBLEMS AFTER BIRTH (MS_DRG 609) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/609?code_type=MS_DRG
MLA (9th ed.)
“OTHER RESPIRATORY PROBLEMS AFTER BIRTH (MS_DRG 609) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/609?code_type=MS_DRG. Accessed .
Chicago (notes-bibliography)
“OTHER RESPIRATORY PROBLEMS AFTER BIRTH (MS_DRG 609) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/609?code_type=MS_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $25,282–$291,334 (25th–75th percentile) across 83 hospitals · 56 payers.
“Negotiated” is the hospital’s negotiated rate for the entire inpatient stay under MS_DRG 609 — 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 |
|---|---|---|---|---|---|---|---|
| Uh Geauga Medical Center InpatientFacility | WellCare by AllWell | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Anthem | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Devoted Health | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Molina | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | United Healthcare | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Cigna | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Aetna | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | SummaCare | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Primetime Health Plan | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Humana | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | The Health Plan | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Medical Mutual of Ohio | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Paramount | Medicare Advantage | $52.19 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Perennial Advantage of Ohio | Medicare Advantage | $53.20 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Valor Health Plans | Medicare Advantage | $53.20 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Aetna CVSHealth QHP | Commercial | $90.19 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Ambetter | Commercial | $91.21 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | CareSource | Marketplace | $91.21 | — | — | 2025-05-16 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | TUFTS HEALTH PUBLIC PLAN CONNECTORCARE [100264] | HB XR THPP CONNECTOR PLANS QHP SUBSIDIZED LGH | $2,022.72 | $273,489.04 | $191,442.33 | 2026-04-01 | MRF ↗ |
| CHI Memorial Hospital - Hixson Inpatient | Amerigroup | Medicaid|All Plans | $5,594.00 | — | — | 2026-02-28 | MRF ↗ |
| MEMORIAL HEALTHCARE SYSTEM, INC Inpatient | Amerigroup | Medicaid|All Plans | $5,594.00 | — | — | 2026-02-28 | MRF ↗ |
| NORTHRIDGE HOSPITAL MEDICAL CENTER Inpatient | Amerigroup | Medicaid|All Plans | $5,594.00 | — | — | 2026-02-28 | MRF ↗ |
| CHI Memorial Hospital - Hixson Inpatient | Amerigroup | Medicaid|All Plans | $5,594.00 | — | — | 2026-02-28 | MRF ↗ |
| CHI MEMORIAL HOSPITAL- GEORGIA Inpatient | Amerigroup | Medicaid|All Plans | $6,259.00 | — | — | 2026-02-28 | MRF ↗ |
| CHI MEMORIAL HOSPITAL- GEORGIA Inpatient | Amerigroup | Medicaid|All Plans | $6,259.00 | — | — | 2026-02-28 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC InpatientFacility | Aetna | NC+ Preferred | $6,527.00 | — | — | 2025-10-08 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC InpatientFacility | Aetna | Whole Health | $6,955.00 | — | — | 2025-10-08 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC InpatientFacility | Aetna | Broad Network | $8,452.00 | — | — | 2025-10-08 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | TUFTS HEALTH PUBLIC PLAN CONNECTORCARE [100264] | HB XR THPP CONNECTOR PLANS QHP SUBSIDIZED LGH | $8,640.95 | $451,799.10 | $316,259.37 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | TUFTS HEALTH PUBLIC PLAN CONNECTORCARE [100264] | HB XR THPP CONNECTOR PLANS QHP NON-SUBSIDIZED LGH | $11,478.22 | $451,799.10 | $316,259.37 | 2026-04-01 | MRF ↗ |
| MARSHALL MEDICAL CENTER Inpatient | Humana Military | Tricare | $17,611.84 | — | — | 2026-05-08 | MRF ↗ |
| ST MARY'S GENERAL HOSPITAL Inpatient | Humana | Humana Military | $19,181.60 | — | — | 2024-12-19 | MRF ↗ |
| ST MARY'S GENERAL HOSPITAL Inpatient | Humana | Humana Military | $19,181.60 | — | — | 2024-12-19 | MRF ↗ |
| Wayne Medical Center Inpatient | Humana Military | Tricare | $19,234.34 | — | — | 2026-05-23 | MRF ↗ |
| Wayne Medical Center Inpatient | Humana Military | Tricare | $19,234.34 | — | — | 2026-05-13 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Inpatient | Tricare | Humana Military | $19,234.34 | — | — | 2026-09-21 | MRF ↗ |
| UOFL HEALTH - SHELBYVILLE HOSPITAL Inpatient | Humana | Military Tricare | $19,352.20 | — | — | 2026-07-15 | MRF ↗ |
| UofL Health - Medical Center East Inpatient | Humana | Military Tricare | $19,352.20 | — | — | 2026-08-01 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Inpatient | Humana | Military Tricare | $19,352.20 | — | — | 2026-08-01 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Inpatient | Humana | Military Tricare | $19,352.20 | — | — | 2026-05-22 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Inpatient | Humana Military | Tricare | $19,352.20 | — | — | 2026-07-15 | MRF ↗ |
| UofL Health - Frazier Rehabilitation Hospital - Brownsboro Inpatient | Humana | Military Tricare | $19,352.20 | — | — | 2026-07-15 | MRF ↗ |
| UofL Health - Medical Center Northeast Inpatient | Humana | Military Tricare | $19,352.20 | — | — | 2026-07-15 | MRF ↗ |
| UofL Health - Medical Center Southwest Inpatient | Humana | Military Tricare | $19,352.20 | — | — | 2026-07-15 | MRF ↗ |
| UofL Health - South Hospital Inpatient | Humana | Military Tricare | $19,352.20 | — | — | 2026-07-15 | MRF ↗ |
| UofL Health - Peace Hospital Inpatient | Humana | Military Tricare | $19,352.20 | — | — | 2026-07-15 | MRF ↗ |
| UOFL HEALTH - SHELBYVILLE HOSPITAL Inpatient | Humana | Military Tricare | $19,352.20 | — | — | 2026-07-17 | MRF ↗ |
| UNIVERSITY OF LOUISVILLE HOSPITAL Inpatient | Humana | Military Tricare | $19,352.20 | — | — | 2026-07-17 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Inpatient | Humana | Military Tricare | $19,352.20 | — | — | 2026-07-17 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Inpatient | Humana | Military Tricare | $19,352.20 | — | — | 2026-07-17 | MRF ↗ |
| UNIVERSITY OF LOUISVILLE HOSPITAL Inpatient | Humana | Military Tricare | $19,352.20 | — | — | 2026-05-14 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Inpatient | Humana | Military Tricare | $19,352.20 | — | — | 2026-05-14 | MRF ↗ |
| UNIVERSITY OF LOUISVILLE HOSPITAL Inpatient | Humana | Military Tricare | $19,352.20 | — | — | 2026-05-22 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Inpatient | Healthnet | Tricare | $19,557.97 | — | — | 2026-07-15 | MRF ↗ |
| METHODIST JENNIE EDMUNDSON | Oscar Health | — | $20,281.20 | — | — | 2026-07-30 | MRF ↗ |
| EL PASO CHILDREN'S HOSPITAL Inpatient | Uh Military Va | Tricare | $22,866.02 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Inpatient | Healthnet | Tricare | $24,408.89 | — | — | 2026-07-15 | MRF ↗ |
| MCLEOD LORIS HOSPITAL Inpatient | Tricare | Dha | $24,998.96 | — | — | 2026-07-18 | MRF ↗ |
| MCLEOD REGIONAL MEDICAL CENTER-PEE DEE Inpatient | Tricare | Dha | $24,998.96 | — | — | 2026-08-13 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Inpatient | Tricare | Dha | $24,998.96 | — | — | 2026-07-15 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Inpatient | Tricare | Dha | $24,998.96 | — | — | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Inpatient | Tricare | Dha | $24,998.96 | — | — | 2026-07-15 | MRF ↗ |
| EL PASO CHILDREN'S HOSPITAL Inpatient | Health Net Fed Svcs | Tricare | $25,152.63 | — | — | 2026-07-15 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Inpatient | Triwest | Veterans Choice | $25,190.58 | — | — | 2026-07-15 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Triwest | Veterans Choice | $25,190.58 | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Triwest | Veterans Choice | $25,190.58 | — | — | 2026-07-31 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Triwest | Veterans Choice | $25,190.58 | — | — | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Triwest | Veterans Choice | $25,190.58 | — | — | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Inpatient | Triwest | Veterans Choice | $25,190.58 | — | — | 2026-07-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL Inpatient | Triwest | Veterans Choice | $25,190.58 | — | — | 2026-08-01 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Inpatient | Triwest | Veterans Choice | $25,190.58 | — | — | 2026-08-01 | MRF ↗ |
| LDS HOSPITAL Inpatient | Triwest | Veterans Choice | $25,190.58 | — | — | 2026-08-01 | MRF ↗ |
| BEAR RIVER VALLEY HOSPITAL Inpatient | Triwest | Veterans Choice | $25,190.58 | — | — | 2026-07-15 | MRF ↗ |
| SEVIER VALLEY HOSPITAL Inpatient | Triwest | Veterans Choice | $25,190.58 | — | — | 2026-07-15 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Inpatient | Tricare | Tricare | $25,281.95 | — | — | 2026-07-19 | MRF ↗ |
| CLARION HOSPITAL Inpatient | Tricare | Tricare | $25,281.95 | — | — | 2026-05-13 | MRF ↗ |
| CLARION HOSPITAL Inpatient | Martin'S Point - Usfhp | Tricare | $25,281.95 | — | — | 2026-05-13 | MRF ↗ |
| CLARION HOSPITAL Inpatient | Martin'S Point - Usfhp | Tricare | $25,281.95 | — | — | 2026-05-23 | MRF ↗ |
| CLARION HOSPITAL Inpatient | Tricare | Tricare | $25,281.95 | — | — | 2026-05-23 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Inpatient | Martin'S Point - Usfhp | Tricare | $25,281.95 | — | — | 2026-07-19 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL Inpatient | Triwest | Veterans Choice | $25,396.15 | — | — | 2026-07-15 | MRF ↗ |
| CEDAR CITY HOSPITAL Inpatient | Triwest | Veterans Choice | $25,396.15 | — | — | 2026-07-14 | MRF ↗ |
| EL PASO CHILDREN'S HOSPITAL Inpatient | Bcbs Tx | Tricare | $25,406.69 | — | — | 2026-07-15 | MRF ↗ |
| ADVANCED SURGICAL HOSPITAL Inpatient | Veteran Administration | Veterans Choice | $25,554.25 | — | — | 2026-07-15 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Martin's Point | Martin's Point | $26,314.69 | — | — | 2026-04-14 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND InpatientFacility | Tufts Associated Health Maintenance Organization, Inc. | USHFP | $26,314.69 | — | — | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL InpatientFacility | Tufts Associated Health Maintenance Organization, Inc. | USHFP | $26,314.69 | — | — | 2026-02-28 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Martin's Point | Martin's Point | $26,314.69 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Martin's Point | Martin's Point | $26,314.69 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Martin's Point | Martin's Point | $26,314.69 | — | — | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Inpatient | Martin's Point | Martin's Point | $26,314.69 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Martin's Point | Martin's Point | $26,314.69 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Martin's Point | Martin's Point | $26,314.69 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Martin's Point | Martin's Point | $26,314.69 | — | — | 2026-04-14 | MRF ↗ |
| BARTOW REGIONAL MEDICAL CENTER Inpatient | Humana Military | Commercial Other | $26,426.76 | — | — | 2026-07-15 | MRF ↗ |
| MORTON PLANT HOSPITAL Inpatient | Humana Military | Commercial Other | $26,427.42 | — | — | 2026-07-15 | MRF ↗ |
| Winter Haven Women's Hospital Inpatient | Humana Military | Commercial Other | $26,427.42 | — | — | 2026-07-15 | MRF ↗ |
| SOUTH FLORIDA BAPTIST HOSPITAL Inpatient | Humana Military | Commercial Other | $26,427.42 | — | — | 2026-07-15 | MRF ↗ |
| BAYCARE HOSPITAL WESLEY CHAPEL Inpatient | Humana Military | Commercial Other | $26,427.42 | — | — | 2026-07-15 | MRF ↗ |
| MORTON PLANT NORTH BAY HOSPITAL Inpatient | Humana Military | Commercial Other | $26,427.42 | — | — | 2026-07-15 | MRF ↗ |
| ST JOSEPHS HOSPITAL Inpatient | Humana Military | Commercial Other | $26,427.42 | — | — | 2026-07-15 | MRF ↗ |
| MEASE COUNTRYSIDE HOSPITAL Inpatient | Humana Military | Commercial Other | $26,427.42 | — | — | 2026-07-15 | MRF ↗ |
| ST ANTHONYS HOSPITAL Inpatient | Humana Military | Commercial Other | $26,427.42 | — | — | 2026-08-01 | MRF ↗ |
| MEASE DUNEDIN HOSPITAL Inpatient | Humana Military | Commercial Other | $26,427.42 | — | — | 2026-07-15 | MRF ↗ |
| EL PASO CHILDREN'S HOSPITAL Inpatient | Uh Military Va | Tricare | $26,648.17 | — | — | 2026-07-15 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Tricare | Traditional | $27,572.36 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Tricare | Traditional | $27,572.36 | — | — | 2026-05-24 | MRF ↗ |
| METHODIST JENNIE EDMUNDSON | Bcbs Select Blue Choice | — | $28,365.35 | — | — | 2026-07-30 | MRF ↗ |
| EL PASO CHILDREN'S HOSPITAL Inpatient | Health Net Fed Svcs | Tricare | $29,312.99 | — | — | 2026-07-15 | MRF ↗ |
| EL PASO CHILDREN'S HOSPITAL Inpatient | Bcbs Tx | Tricare | $29,609.08 | — | — | 2026-07-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Tricare | Tricare | $32,389.91 | — | — | 2026-07-14 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Triwest | Veterans Choice | $32,389.91 | — | — | 2026-07-14 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Triwest | Veterans Choice | $32,389.91 | — | — | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Tricare | Tricare | $32,389.91 | — | — | 2026-07-17 | MRF ↗ |
| METHODIST JENNIE EDMUNDSON | Bcbs Network Blue | — | $33,371.00 | — | — | 2026-07-30 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Inpatient | ABSOLUTE TOTAL CARE [20109] | Absolute Total Care | $63,782.62 | $63,782.62 | $19,134.79 | 2026-07-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Inpatient | ABSOLUTE TOTAL CARE [20109] | Absolute Total Care | $63,782.62 | $63,782.62 | $19,134.79 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | BLUE CROSS OF MA [100274] | HB XR BCBSMA HMO MWH | $72,832.80 | $177,434.31 | $124,204.02 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | BLUE CROSS OF MA [100274] | HB XR BCBSMA HMO MWH | $72,832.80 | $177,434.31 | $124,204.02 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | BLUE CROSS OF NH [100265] | HB XR BCBSMA PPO PPA MWH | $82,397.28 | $177,434.31 | $124,204.02 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | BLUE CROSS OF MA [100274] | HB XR BCBSMA PPO PPA MWH | $82,397.28 | $177,434.31 | $124,204.02 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | BLUE BENEFITS ADMINISTRATORS [100267] | HB XR BCBSMA PPO PPA MWH | $82,397.28 | $177,434.31 | $124,204.02 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | BLUE CROSS OF NH [100265] | HB XR BCBSMA PPO PPA MWH | $82,397.28 | $177,434.31 | $124,204.02 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | BLUE CROSS OF MA [100274] | HB XR BCBSMA PPO PPA MWH | $82,397.28 | $177,434.31 | $124,204.02 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | BLUE BENEFITS ADMINISTRATORS [100267] | HB XR BCBSMA PPO PPA MWH | $82,397.28 | $177,434.31 | $124,204.02 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | BLUE BENEFITS ADMINISTRATORS [100267] | HB XR BCBSMA PPO PPA LGH | $87,338.09 | $177,434.31 | $124,204.02 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | BLUE CROSS OF NH [100265] | HB XR BCBSMA PPO PPA LGH | $87,338.09 | $177,434.31 | $124,204.02 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | BLUE CROSS OF MA [100274] | HB XR BCBSMA PPO PPA LGH | $87,338.09 | $177,434.31 | $124,204.02 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | BLUE CROSS OF MA [100274] | HB XR BCBSMA HMO LGH | $89,885.98 | $177,434.31 | $124,204.02 | 2026-04-01 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Caresource In | Managed Care Medicaid Plan | $103,706.60 | $1,613,455.71 | $822,862.41 | 2026-07-18 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Mhs In | Managed Care Medicaid Plan | $103,706.60 | $1,613,455.71 | $822,862.41 | 2026-07-18 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Anthem In | Managed Care Medicaid Plan | $103,706.60 | $1,613,455.71 | $822,862.41 | 2026-07-18 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MSMC | $104,999.26 | $1,256,233.43 | $628,116.72 | 2026-03-23 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MSMC | $104,999.26 | $1,256,233.43 | $628,116.72 | 2026-03-23 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | BLUE CROSS OF MA [100274] | HB XR BCBSMA HMO TMC | $111,263.72 | $177,434.31 | $124,204.02 | 2026-04-01 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Humana Oh | Managed Care Medicaid Plan | $113,389.72 | $470,471.16 | $239,940.29 | 2026-07-18 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Caresource Oh | Managed Care Medicaid Plan | $113,389.72 | $462,626.41 | $235,939.47 | 2026-07-18 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Amerihealth Caritas Oh | Managed Care Medicaid Plan | $113,389.72 | $470,471.16 | $239,940.29 | 2026-07-18 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Anthem Oh | Managed Care Medicaid Plan | $113,389.72 | $470,471.16 | $239,940.29 | 2026-07-18 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Buckeye Oh | Managed Care Medicaid Plan | $113,389.72 | $462,626.41 | $235,939.47 | 2026-07-18 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Buckeye Oh | Managed Care Medicaid Plan | $113,389.72 | $470,471.16 | $239,940.29 | 2026-07-18 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Caresource Oh | Managed Care Medicaid Plan | $113,389.72 | $470,471.16 | $239,940.29 | 2026-07-18 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Caresource Oh | Managed Care Medicaid Plan | $113,389.72 | $1,697,460.64 | $865,704.93 | 2026-07-18 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Molina Oh | Managed Care Medicaid Plan | $113,389.72 | $470,471.16 | $239,940.29 | 2026-07-18 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | United Health Care Oh | Managed Care Medicaid Plan | $113,389.72 | $470,471.16 | $239,940.29 | 2026-07-18 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | BLUE CROSS OF NH [100265] | HB XR BCBSMA PPO PPA TMC | $119,058.74 | $177,434.31 | $124,204.02 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | BLUE BENEFITS ADMINISTRATORS [100267] | HB XR BCBSMA PPO PPA TMC | $119,058.74 | $177,434.31 | $124,204.02 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | BLUE CROSS OF MA [100274] | HB XR BCBSMA PPO PPA TMC | $119,058.74 | $177,434.31 | $124,204.02 | 2026-04-01 | MRF ↗ |
| METHODIST MIDLOTHIAN MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MLMC | $119,781.95 | $1,256,233.43 | $628,116.72 | 2026-03-21 | MRF ↗ |
| METHODIST MANSFIELD MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MMMC | $119,785.14 | $1,256,233.43 | $628,116.72 | 2026-03-21 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MRMC | $120,895.58 | $1,256,233.43 | $628,116.72 | 2026-03-21 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MRMC | $120,895.58 | $1,256,233.43 | $628,116.72 | 2026-03-21 | MRF ↗ |
| METHODIST CHARLTON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MCMC | $123,644.37 | $1,256,233.43 | $628,116.72 | 2026-03-21 | MRF ↗ |
| METHODIST CELINA MEDICAL CENTER Inpatient | SUPERIOR MEDICAID MANAGED CARE [5007] | MHS HB MEDICAID 110% STAR PLUS MCEL | $136,359.81 | $1,256,233.43 | $376,870.03 | 2026-03-23 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | MIDDLESEX COUNTY [500015] | HB XR MASSHEALTH NON-CONTRACTED LGH | $156,452.82 | $273,489.04 | $191,442.33 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | WELLSENSE MEDICAID REPLACEMENT [350011] | HB XR WELLSENSE MEDICAID MCO ACO LGH | $156,452.82 | $273,489.04 | $191,442.33 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | SUFFOLK COUNTY [500014] | HB XR MASSHEALTH NON-CONTRACTED LGH | $156,452.82 | $273,489.04 | $191,442.33 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | TEWKSBURY HOSPITAL [950008] | HB XR MASSHEALTH NON-CONTRACTED LGH | $156,452.82 | $273,489.04 | $191,442.33 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | FALLON HEALTH MEDICAID REPLACEMENT [350008] | HB XR MASSHEALTH 100% LGH | $156,452.82 | $273,489.04 | $191,442.33 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | GENERIC PRISON [500099] | HB XR MASSHEALTH NON-CONTRACTED LGH | $156,452.82 | $273,489.04 | $191,442.33 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | MASS GENERAL BRIGHAM HEALTH PLAN MEDICAID REPLACEM | HB XR MGBHP ACO COMPLETE SELECT LGH | $156,452.82 | $273,489.04 | $191,442.33 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | MEDICAID MASSHEALTH [300001] | HB XR MASSHEALTH 100% LGH | $156,452.82 | $273,489.04 | $191,442.33 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | TUFTS HEALTH PUBLIC PLAN [350009] | HB XR THPP MCO ACO LGH | $156,853.25 | $273,489.04 | $191,442.33 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | FALLON HEALTH MEDICAID REPLACEMENT [350008] | HB XR MASSHEALTH 100% TMC | $160,562.33 | $273,489.04 | $191,442.33 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | TEWKSBURY HOSPITAL [950008] | HB XR MASSHEALTH NON-CONTRACTED TMC | $160,562.33 | $273,489.04 | $191,442.33 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | GENERIC PRISON [500099] | HB XR MASSHEALTH NON-CONTRACTED TMC | $160,562.33 | $273,489.04 | $191,442.33 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | SUFFOLK COUNTY [500014] | HB XR MASSHEALTH NON-CONTRACTED TMC | $160,562.33 | $273,489.04 | $191,442.33 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | TUFTS HEALTH PUBLIC PLAN [350009] | HB XR THPP MCO ACO TMC | $160,562.33 | $273,489.04 | $191,442.33 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | WELLSENSE MEDICAID REPLACEMENT [350011] | HB XR WELLSENSE MEDICAID MCO ACO TMC | $160,562.33 | $273,489.04 | $191,442.33 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | MIDDLESEX COUNTY [500015] | HB XR MASSHEALTH NON-CONTRACTED TMC | $160,562.33 | $273,489.04 | $191,442.33 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | MEDICAID MASSHEALTH [300001] | HB XR MASSHEALTH 100% TMC | $160,562.33 | $273,489.04 | $191,442.33 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | MASS GENERAL BRIGHAM HEALTH PLAN MEDICAID REPLACEM | HB XR MGBHP ACO COMPLETE SELECT TMC | $160,562.33 | $273,489.04 | $191,442.33 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | MASS GENERAL BRIGHAM HEALTH PLAN MEDICAID REPLACEM | HB XR MASSHEALTH 100% TMC | $160,562.33 | $273,489.04 | $191,442.33 | 2026-04-01 | MRF ↗ |
| METHODIST DALLAS MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MDMC | $164,241.66 | $1,256,233.43 | $628,116.72 | 2026-03-20 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | GENERIC PRISON [500099] | HB XR MASSHEALTH NON-CONTRACTED MWF | $184,496.32 | $273,489.04 | $191,442.33 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | TUFTS HEALTH PUBLIC PLAN [350009] | HB XR THPP MCO ACO MWF | $184,496.32 | $273,489.04 | $191,442.33 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | TEWKSBURY HOSPITAL [950008] | HB XR MASSHEALTH NON-CONTRACTED MWF | $184,496.32 | $273,489.04 | $191,442.33 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | FALLON HEALTH MEDICAID REPLACEMENT [350008] | HB XR MASSHEALTH 100% MWF | $184,496.32 | $273,489.04 | $191,442.33 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | TUFTS HEALTH PUBLIC PLAN [350009] | HB XR THPP MCO ACO MWF | $184,496.32 | $273,489.04 | $191,442.33 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | MEDICAID MASSHEALTH [300001] | HB XR MASSHEALTH 100% MWF | $184,496.32 | $273,489.04 | $191,442.33 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | MASS GENERAL BRIGHAM HEALTH PLAN MEDICAID REPLACEM | HB XR MGBHP ACO COMPLETE SELECT MWF | $184,496.32 | $273,489.04 | $191,442.33 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | GENERIC PRISON [500099] | HB XR MASSHEALTH NON-CONTRACTED MWF | $184,496.32 | $273,489.04 | $191,442.33 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | FALLON HEALTH MEDICAID REPLACEMENT [350008] | HB XR MASSHEALTH 100% MWF | $184,496.32 | $273,489.04 | $191,442.33 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | TEWKSBURY HOSPITAL [950008] | HB XR MASSHEALTH NON-CONTRACTED MWF | $184,496.32 | $273,489.04 | $191,442.33 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | SUFFOLK COUNTY [500014] | HB XR MASSHEALTH NON-CONTRACTED MWF | $184,496.32 | $273,489.04 | $191,442.33 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | MIDDLESEX COUNTY [500015] | HB XR MASSHEALTH NON-CONTRACTED MWF | $184,496.32 | $273,489.04 | $191,442.33 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | WELLSENSE NH [350010] | HB XR MASSHEALTH 100% MWF | $184,496.32 | $273,489.04 | $191,442.33 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | MASS GENERAL BRIGHAM HEALTH PLAN MEDICAID REPLACEM | HB XR MGBHP ACO COMPLETE SELECT MWF | $184,496.32 | $273,489.04 | $191,442.33 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | MEDICAID MASSHEALTH [300001] | HB XR MASSHEALTH 100% MWF | $184,496.32 | $273,489.04 | $191,442.33 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | MIDDLESEX COUNTY [500015] | HB XR MASSHEALTH NON-CONTRACTED MWF | $184,496.32 | $273,489.04 | $191,442.33 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | SUFFOLK COUNTY [500014] | HB XR MASSHEALTH NON-CONTRACTED MWF | $184,496.32 | $273,489.04 | $191,442.33 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | WELLSENSE NH [350010] | HB XR MASSHEALTH 100% MWF | $184,496.32 | $273,489.04 | $191,442.33 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | WELLSENSE MEDICAID REPLACEMENT [350011] | HB XR WELLSENSE MEDICAID MCO ACO MWF | $193,721.14 | $273,489.04 | $191,442.33 | 2026-04-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | WELLSENSE MEDICAID REPLACEMENT [350011] | HB XR WELLSENSE MEDICAID MCO ACO MWF | $193,721.14 | $273,489.04 | $191,442.33 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | WELLSENSE CLARITY CONNECTORCARE [100256] | HB XR WELLSENSE CLARITY SILVER PLAN LGH | $203,388.67 | $273,489.04 | $191,442.33 | 2026-04-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | MEDICAID HUMANA HEALTHY HORIZONS [6110] | PHM HB HUMANA MEDICAID - RICHLAND | $214,243.83 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | MEDICAID HUMANA HEALTHY HORIZONS [6110] | PHM HB HUMANA MEDICAID - RICHLAND | $214,243.83 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | MEDICAID SELECT HEALTH OF SC [400] | PHM HB SELECT HEALTH MEDICAID - RICHLAND | $220,250.67 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | MEDICAID SELECT HEALTH OF SC [400] | PHM HB SELECT HEALTH MEDICAID - RICHLAND | $220,250.67 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | MEDICAID BLUECHOICE [420] | PHM HB BLUECHOICE MEDICAID - RICHLAND | $228,259.78 | — | — | 2026-03-01 | 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.