611 — Neonate Birth Weight 1500-1999 Grams With Major Anomaly,major
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY,MAJOR (MS_DRG 611) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/611?code_type=MS_DRG
MLA (9th ed.)
“NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY,MAJOR (MS_DRG 611) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/611?code_type=MS_DRG. Accessed .
Chicago (notes-bibliography)
“NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY,MAJOR (MS_DRG 611) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/611?code_type=MS_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $34,360–$98,891 (25th–75th percentile) across 49 hospitals · 71 payers.
“Negotiated” is the hospital’s negotiated facility rate for this MS_DRG 611 — 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 |
|---|---|---|---|---|---|---|---|
| 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 | Anthem | 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 | Devoted Health | 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 | Medical Mutual of Ohio | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | WellCare by AllWell | 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 | Cigna | 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 | 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 | CareSource | Marketplace | $91.21 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Ambetter | Commercial | $91.21 | — | — | 2025-05-16 | MRF ↗ |
| MEMORIAL HEALTHCARE SYSTEM, INC Inpatient | Peach State | Medicaid|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| CHI Memorial Hospital - Hixson Inpatient | Amerigroup | Medicaid|All Plans | $1,390.00 | — | — | 2026-02-28 | MRF ↗ |
| MEMORIAL HEALTHCARE SYSTEM, INC Inpatient | Peach State | Medicaid|All Plans | — | — | — | 2026-02-28 | MRF ↗ |
| MEMORIAL HEALTHCARE SYSTEM, INC Inpatient | Amerigroup | Medicaid|All Plans | $1,390.00 | — | — | 2026-02-28 | MRF ↗ |
| MEMORIAL HEALTHCARE SYSTEM, INC Inpatient | Amerigroup | Medicaid|All Plans | $1,390.00 | — | — | 2026-02-28 | MRF ↗ |
| CHI MEMORIAL HOSPITAL- GEORGIA Inpatient | Amerigroup | Medicaid|All Plans | $1,555.00 | — | — | 2026-02-28 | MRF ↗ |
| CHI MEMORIAL HOSPITAL- GEORGIA Inpatient | Aetna | Commercial|All Other Plans | — | — | — | 2026-02-28 | MRF ↗ |
| CHI MEMORIAL HOSPITAL- GEORGIA Inpatient | Aetna | Commercial|PPO | — | — | — | 2026-02-28 | MRF ↗ |
| CHI MEMORIAL HOSPITAL- GEORGIA Inpatient | Aetna | Commercial|HMO | — | — | — | 2026-02-28 | MRF ↗ |
| ST MARY'S GENERAL HOSPITAL Inpatient | Humana | Humana Military | $1,939.36 | — | — | 2024-12-19 | MRF ↗ |
| ST MARY'S GENERAL HOSPITAL Inpatient | Humana | Humana Military | $1,939.36 | — | — | 2024-12-19 | MRF ↗ |
| COX MEDICAL CENTERS InpatientFacility | None | — | — | — | — | 2026-04-24 | MRF ↗ |
| INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL InpatientFacility | None | — | — | — | — | 2026-03-23 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL InpatientFacility | None | — | — | — | — | 2026-03-23 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER InpatientFacility | None | — | — | — | — | 2026-03-23 | MRF ↗ |
| Tyler Memorial Hospital InpatientFacility | None | — | — | — | — | 2026-01-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Inpatient | SEAFARERS HEALTH AND BENEFITS PLAN [5343] | MMC CIGNA | $2,101.00 | $468,821.79 | — | 2026-01-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Inpatient | SEAFARERS HEALTH AND BENEFITS PLAN [5343] | MMC CIGNA OAP | $2,101.00 | $468,835.36 | — | 2026-04-01 | MRF ↗ |
| WEST PENN HOSPITAL Inpatient | Martin's Point | Martin's Point | $2,149.46 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Martin's Point | Martin's Point | $2,149.46 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Martin's Point | Martin's Point | $2,149.46 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Martin's Point | Martin's Point | $2,149.46 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Martin's Point | Martin's Point | $2,149.46 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Martin's Point | Martin's Point | $2,149.46 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Martin's Point | Martin's Point | $2,149.46 | — | — | 2026-04-14 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL InpatientFacility | Tufts Associated Health Maintenance Organization, Inc. | USHFP | $2,149.46 | — | — | 2026-02-28 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Martin's Point | Martin's Point | $2,149.46 | — | — | 2026-04-14 | 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 ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MSMC | $7,328.27 | $124,960.50 | $62,480.25 | 2026-03-23 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MSMC | $7,328.27 | $124,960.50 | $62,480.25 | 2026-03-23 | MRF ↗ |
| ST LUKE'S HOSPITAL Inpatient | TUFTS HEALTH PUBLIC PLANS [1010213] | TUFTS HEALTH DIRECT [101021302] | $8,004.62 | $108,846.67 | $54,423.33 | 2025-12-15 | MRF ↗ |
| METHODIST MIDLOTHIAN MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MLMC | $8,360.00 | $124,960.50 | $62,480.25 | 2026-03-21 | MRF ↗ |
| METHODIST MANSFIELD MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MMMC | $8,360.22 | $124,960.50 | $62,480.25 | 2026-03-21 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MRMC | $8,437.72 | $124,960.50 | $62,480.25 | 2026-03-21 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MRMC | $8,437.72 | $124,960.50 | $62,480.25 | 2026-03-21 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC InpatientFacility | Aetna | Broad Network | $8,452.00 | — | — | 2025-10-08 | MRF ↗ |
| METHODIST CHARLTON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MCMC | $8,629.57 | $124,960.50 | $62,480.25 | 2026-03-21 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | TUFTS HEALTH PUBLIC PLAN CONNECTORCARE [100264] | HB XR THPP CONNECTOR PLANS QHP SUBSIDIZED LGH | $8,640.95 | $3,838.77 | $2,687.14 | 2026-04-01 | MRF ↗ |
| METHODIST CELINA MEDICAL CENTER Inpatient | SUPERIOR MEDICAID MANAGED CARE [5007] | MHS HB MEDICAID 110% STAR PLUS MCEL | $9,517.92 | $124,960.50 | $62,480.25 | 2026-03-23 | MRF ↗ |
| BON SECOURS-ST FRANCIS XAVIER HOSPITAL Inpatient | BLUE CHOICE MEDICAID SC [4807] | BLUE CHOICE HEALTHPLAN MEDICAID SC [4807001] | $10,963.86 | — | — | 2026-04-01 | MRF ↗ |
| BON SECOURS-ST FRANCIS XAVIER HOSPITAL Inpatient | MOLINA HEALTHCARE SC MEDICAID [4847] | MOLINA HEALTHCARE SC MEDICAID [4847001] | $10,963.86 | — | — | 2026-04-01 | MRF ↗ |
| METHODIST DALLAS MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MDMC | $11,463.00 | $124,960.50 | $62,480.25 | 2026-03-20 | 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 | $3,838.77 | $2,687.14 | 2026-04-01 | MRF ↗ |
| BON SECOURS-ST FRANCIS XAVIER HOSPITAL Inpatient | SELECT HEALTH OF SC [4890] | SELECT HEALTH OF SC [4890001] | $11,512.05 | — | — | 2026-04-01 | MRF ↗ |
| BON SECOURS-ST FRANCIS XAVIER HOSPITAL Inpatient | HUMANA MEDICAID SC [4884] | HUMANA MEDICAID SC [4884001] | $11,512.05 | — | — | 2026-04-01 | MRF ↗ |
| ST FRANCIS-DOWNTOWN Inpatient | SELECT HEALTH OF SC [4890] | SELECT HEALTH OF SC [4890001] | $12,547.32 | — | — | 2026-05-06 | MRF ↗ |
| ST FRANCIS-DOWNTOWN Inpatient | BLUE CHOICE MEDICAID SC [4807] | BLUE CHOICE HEALTHPLAN MEDICAID SC [4807001] | $12,547.32 | — | — | 2026-05-06 | MRF ↗ |
| METHODIST CELINA MEDICAL CENTER Inpatient | SUPERIOR MEDICAID MANAGED CARE [5007] | MHS HB MEDICAID 110% STAR PLUS MCEL | $12,723.89 | $98,372.25 | $49,186.13 | 2026-03-23 | MRF ↗ |
| ST FRANCIS-DOWNTOWN Inpatient | HUMANA MEDICAID SC [4884] | HUMANA MEDICAID SC [4884001] | $12,798.27 | — | — | 2026-05-06 | MRF ↗ |
| ST FRANCIS-DOWNTOWN Inpatient | MOLINA HEALTHCARE SC MEDICAID [4847] | MOLINA HEALTHCARE SC MEDICAID [4847001] | $13,174.69 | — | — | 2026-05-06 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Inpatient | CHUBB HEALTH [5073] | MMC COMMERCIAL OTHER | — | $468,821.79 | — | 2026-01-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Inpatient | LUMINARE HEALTH AHS RETIREE [5013] | MMC AETNA AHS EMPLOYEE | — | $468,821.79 | — | 2026-01-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Inpatient | ALLSTATE [5047] | MMC HORIZON CASUALTY PIP | — | $468,821.79 | — | 2026-01-01 | MRF ↗ |
| MASSACHUSETTS GENERAL HOSPITAL Inpatient | MASSHEALTH [3001] | HB MGH MEDICAID | $18,069.95 | $59,078.51 | — | 2026-03-27 | MRF ↗ |
| BRIGHAM AND WOMEN'S HOSPITAL Inpatient | MASSHEALTH [3001] | HB BWH MEDICAID | $18,069.95 | $46,100.05 | — | 2026-03-27 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | MEDICAID HUMANA HEALTHY HORIZONS [6110] | PHM HB HUMANA MEDICAID - RICHLAND | $21,579.00 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | MEDICAID HUMANA HEALTHY HORIZONS [6110] | PHM HB HUMANA MEDICAID - RICHLAND | $21,579.00 | — | — | 2026-03-01 | MRF ↗ |
| METHODIST CELINA MEDICAL CENTER Inpatient | SUPERIOR MEDICAID MANAGED CARE [5007] | MHS HB MEDICAID 110% STAR PLUS MCEL | $21,735.62 | $79,613.50 | $39,806.75 | 2026-03-23 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | MEDICAID SELECT HEALTH OF SC [400] | PHM HB SELECT HEALTH MEDICAID - RICHLAND | $22,184.02 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | MEDICAID SELECT HEALTH OF SC [400] | PHM HB SELECT HEALTH MEDICAID - RICHLAND | $22,184.02 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | MEDICAID BLUECHOICE [420] | PHM HB BLUECHOICE MEDICAID - RICHLAND | $22,990.71 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | MEDICAID BLUECHOICE [420] | PHM HB BLUECHOICE MEDICAID - RICHLAND | $22,990.71 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | MEDICAID MOLINA HEALTHCARE SC [440] | PHM HB MOLINA MEDICAID - RICHLAND | $23,797.40 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | MEDICAID MOLINA HEALTHCARE SC [440] | PHM HB MOLINA MEDICAID - RICHLAND | $23,797.40 | — | — | 2026-03-01 | MRF ↗ |
| MELROSEWAKEFIELD HEALTHCARE Inpatient | MEDICAID MASSHEALTH [300001] | HB XR MEDICAID LIMITED CMSP 100% | — | $3,838.77 | $2,687.14 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Inpatient | MEDICAID MASSHEALTH [300001] | HB XR MEDICAID LIMITED CMSP 100% | — | $3,838.77 | $2,687.14 | 2026-04-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | PENDING MEDICAID DET [333] | PHM HB SC MEDICAID - RICHLAND | $24,482.30 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | MEDICAID SC [300] | PHM HB SC MEDICAID - RICHLAND | $24,482.30 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | PENDING MEDICAID DET [333] | PHM HB SC MEDICAID - RICHLAND | $24,482.30 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | MEDICAID SC [300] | PHM HB SC MEDICAID - RICHLAND | $24,482.30 | — | — | 2026-03-01 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | WELLPOINT MEDICAID MANAGED CARE [5001] | MHS HB WELLPOINT MEDICAID STAR MSMC | $25,108.97 | $124,960.50 | $62,480.25 | 2026-03-23 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | WELLPOINT MEDICAID MANAGED CARE [5001] | MHS HB WELLPOINT MEDICAID STAR MSMC | $25,108.97 | $124,960.50 | $62,480.25 | 2026-03-23 | MRF ↗ |
| METHODIST MANSFIELD MEDICAL CENTER Inpatient | WELLPOINT MEDICAID MANAGED CARE [5001] | MHS HB WELLPOINT MEDICAID STAR MMMC | $25,780.31 | $124,960.50 | $62,480.25 | 2026-03-21 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | MEDICAID ABSOLUTE TOTAL CARE [410] | PHM HB ABSOLUTE TOTAL CARE MEDICAID - RICHLAND | $26,196.06 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | MEDICAID ABSOLUTE TOTAL CARE [410] | PHM HB ABSOLUTE TOTAL CARE MEDICAID - RICHLAND | $26,196.06 | — | — | 2026-03-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Inpatient | LUMINARE HEALTH AHS RETIREE [5013] | NMC AETNA AHS EMPLOYEE | $28,618.37 | $346,564.93 | — | 2026-04-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Inpatient | LUMINARE HEALTH AHS RETIREE [5013] | CMC AETNA AHS EMPLOYEE | $28,618.37 | $346,564.93 | — | 2026-04-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Inpatient | LUMINARE HEALTH AHS RETIREE [5013] | MMC AETNA AHS EMPLOYEE | $28,618.37 | $346,564.93 | — | 2026-04-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | LUMINARE HEALTH AHS RETIREE [5013] | OMC AETNA AHS EMPLOYEE | $28,618.37 | $346,564.93 | — | 2026-04-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | LUMINARE HEALTH AHS RETIREE [5013] | HMC AETNA AHS EMPLOYEE | $28,618.37 | $346,564.93 | — | 2026-04-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Inpatient | MEDICAID [5022] | CSMC MEDICAID | $29,709.45 | $346,552.31 | — | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | ANTHEM BCBSNY MEDICAID [5511] | OMC MEDICAID | $29,709.45 | $346,552.31 | — | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | AETNA BETTER HEALTH [5005] | HMC AETNA BETTER HEALTH | $29,709.45 | $346,552.31 | — | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | WELLPOINT MANAGED MEDICAID [5006] | HMC WELLPOINT MANAGED MEDICAID | $29,709.45 | $346,552.31 | — | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | UNTD HLTH COMMUNITY PLAN BEHAVIORAL HEALTH [5293] | HMC UNITED HEALTH COMMUNITY | $29,709.45 | $346,552.31 | — | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | WELLPOINT MANAGED MEDICAID [5006] | OMC WELLPOINT MANAGED MEDICAID | $29,709.45 | $346,552.31 | — | 2026-01-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Inpatient | UNTD HLTH COMMUNITY PLAN [5034] | CSMC UNITED HEALTH COMMUNITY | $29,709.45 | $346,552.31 | — | 2026-01-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Inpatient | WELLPOINT MANAGED MEDICAID [5006] | CSMC WELLPOINT MANAGED MEDICAID | $29,709.45 | $346,552.31 | — | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Inpatient | WELLPOINT MANAGED MEDICAID [5006] | CMC WELLPOINT MANAGED MEDICAID | $29,709.45 | $346,552.31 | — | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | WELLPOINT MANAGED MEDICAID [5006] | HMC WELLPOINT MANAGED MEDICAID | $29,709.45 | $346,552.31 | — | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | MEDICAID [5022] | HMC MEDICAID | $29,709.45 | $346,552.31 | — | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | UNTD HLTH COMMUNITY PLAN BEHAVIORAL HEALTH [5293] | HMC UNITED HEALTH COMMUNITY | $29,709.45 | $346,552.31 | — | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | MEDICAID [5022] | OMC MEDICAID | $29,709.45 | $346,552.31 | — | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | UNTD HLTH COMMUNITY PLAN BEHAVIORAL HEALTH [5293] | OMC UNITED HEALTH COMMUNITY | $29,709.45 | $346,552.31 | — | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Inpatient | AETNA BETTER HEALTH [5005] | CMC AETNA BETTER HEALTH | $29,709.45 | $346,552.31 | — | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | UNTD HLTH COMMUNITY PLAN [5034] | OMC UNITED HEALTH COMMUNITY | $29,709.45 | $346,552.31 | — | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | FIDELIS CARE MEDICAID [5509] | HMC FEDELIS CARE MANAGED MEDICAID | $29,709.45 | $346,552.31 | — | 2026-01-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Inpatient | WELLPATH CORRECTIONAL [5485] | CSMC WELLPATH/ MONNOUTH CORRECTIONAL | $29,709.45 | $346,552.31 | — | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Inpatient | UNTD HLTH COMMUNITY PLAN BEHAVIORAL HEALTH [5293] | CMC UNITED HEALTH COMMUNITY | $29,709.45 | $346,552.31 | — | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | MEDICAID [5022] | OMC MEDICAID | $29,709.45 | $346,552.31 | — | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | ANTHEM BCBSNY MEDICAID [5511] | HMC MEDICAID | $29,709.45 | $346,552.31 | — | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | AETNA BETTER HEALTH [5005] | OMC AETNA BETTER HEALTH | $29,709.45 | $346,552.31 | — | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | FIDELIS CARE MEDICAID [5509] | HMC FEDELIS CARE MANAGED MEDICAID | $29,709.45 | $346,552.31 | — | 2026-01-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Inpatient | UNTD HLTH COMMUNITY PLAN BEHAVIORAL HEALTH [5293] | CSMC UNITED HEALTH COMMUNITY | $29,709.45 | $346,552.31 | — | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | MEDICAID [5022] | HMC MEDICAID | $29,709.45 | $346,552.31 | — | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | UNTD HLTH COMMUNITY PLAN [5034] | HMC UNITED HEALTH COMMUNITY | $29,709.45 | $346,552.31 | — | 2026-01-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Inpatient | FIDELIS CARE MEDICAID [5509] | CSMC FEDELIS CARE MANAGED MEDICAID | $29,709.45 | $346,552.31 | — | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Inpatient | UNTD HLTH COMMUNITY PLAN [5034] | CMC UNITED HEALTH COMMUNITY | $29,709.45 | $346,552.31 | — | 2026-01-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Inpatient | AETNA BETTER HEALTH [5005] | CSMC AETNA BETTER HEALTH | $29,709.45 | $346,552.31 | — | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Inpatient | MEDICAID [5022] | CMC MEDICAID | $29,709.45 | $346,552.31 | — | 2026-01-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Inpatient | MEDICAID [5022] | CSMC MEDICAID | $29,709.45 | $346,564.93 | — | 2026-04-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Inpatient | UNTD HLTH COMMUNITY PLAN BEHAVIORAL HEALTH [5293] | CSMC UNITED HEALTH COMMUNITY | $29,709.45 | $346,564.93 | — | 2026-04-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Inpatient | AETNA BETTER HEALTH [5005] | CSMC AETNA BETTER HEALTH | $29,709.45 | $346,564.93 | — | 2026-04-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | AETNA BETTER HEALTH [5005] | OMC AETNA BETTER HEALTH | $29,709.45 | $346,552.31 | — | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | FIDELIS CARE MEDICAID [5509] | OMC FEDELIS CARE MANAGED MEDICAID | $29,709.45 | $346,552.31 | — | 2026-01-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Inpatient | ANTHEM BCBSNY MEDICAID [5511] | CSMC MEDICAID | $29,709.45 | $346,564.93 | — | 2026-04-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | ANTHEM BCBSNY MEDICAID [5511] | OMC MEDICAID | $29,709.45 | $346,552.31 | — | 2026-01-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Inpatient | WELLPOINT MANAGED MEDICAID [5006] | CSMC WELLPOINT MANAGED MEDICAID | $29,709.45 | $346,564.93 | — | 2026-04-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | FIDELIS CARE MEDICAID [5509] | OMC FEDELIS CARE MANAGED MEDICAID | $29,709.45 | $346,552.31 | — | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Inpatient | FIDELIS CARE MEDICAID [5509] | CMC FEDELIS CARE MANAGED MEDICAID | $29,709.45 | $346,552.31 | — | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | UNTD HLTH COMMUNITY PLAN [5034] | HMC UNITED HEALTH COMMUNITY | $29,709.45 | $346,552.31 | — | 2026-01-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Inpatient | WELLPATH CORRECTIONAL [5485] | CSMC WELLPATH/ MONNOUTH CORRECTIONAL | $29,709.45 | $346,564.93 | — | 2026-04-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | UNTD HLTH COMMUNITY PLAN BEHAVIORAL HEALTH [5293] | OMC UNITED HEALTH COMMUNITY | $29,709.45 | $346,552.31 | — | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | ANTHEM BCBSNY MEDICAID [5511] | HMC MEDICAID | $29,709.45 | $346,552.31 | — | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | AETNA BETTER HEALTH [5005] | HMC AETNA BETTER HEALTH | $29,709.45 | $346,552.31 | — | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Inpatient | ANTHEM BCBSNY MEDICAID [5511] | CMC MEDICAID | $29,709.45 | $346,552.31 | — | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | UNTD HLTH COMMUNITY PLAN [5034] | OMC UNITED HEALTH COMMUNITY | $29,709.45 | $346,552.31 | — | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | WELLPOINT MANAGED MEDICAID [5006] | OMC WELLPOINT MANAGED MEDICAID | $29,709.45 | $346,552.31 | — | 2026-01-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Inpatient | UNTD HLTH COMMUNITY PLAN [5034] | CSMC UNITED HEALTH COMMUNITY | $29,709.45 | $346,564.93 | — | 2026-04-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Inpatient | ANTHEM BCBSNY MEDICAID [5511] | CSMC MEDICAID | $29,709.45 | $346,552.31 | — | 2026-01-01 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | WELLPOINT MEDICAID MANAGED CARE [5001] | MHS HB WELLPOINT MEDICAID STAR MSMC | $33,566.57 | $98,372.25 | $49,186.13 | 2026-03-23 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | WELLPOINT MEDICAID MANAGED CARE [5001] | MHS HB WELLPOINT MEDICAID STAR MSMC | $33,566.57 | $98,372.25 | $49,186.13 | 2026-03-23 | MRF ↗ |
| SALEM HOSPITAL Inpatient | MASSHEALTH [3001] | HB SLM MEDICAID | $34,358.28 | $57,645.58 | — | 2026-03-27 | MRF ↗ |
| BRIGHAM AND WOMEN'S HOSPITAL Inpatient | WELLSENSE [1003] | HB BWH WELLSENSE MCO | $34,360.08 | $94,455.85 | — | 2026-03-27 | MRF ↗ |
| BRIGHAM AND WOMEN'S HOSPITAL Inpatient | MASSHEALTH [3001] | HB BWH MEDICAID | $34,360.08 | $94,455.85 | — | 2026-03-27 | MRF ↗ |
| MASSACHUSETTS GENERAL HOSPITAL Inpatient | WELLSENSE [1003] | HB MGH WELLSENSE MCO | $34,360.08 | $300,840.71 | — | 2026-03-27 | MRF ↗ |
| MASSACHUSETTS GENERAL HOSPITAL Inpatient | MASSHEALTH [3001] | HB MGH MEDICAID | $34,360.08 | $300,840.71 | — | 2026-03-27 | MRF ↗ |
| METHODIST MANSFIELD MEDICAL CENTER Inpatient | WELLPOINT MEDICAID MANAGED CARE [5001] | MHS HB WELLPOINT MEDICAID STAR MMMC | $34,464.03 | $98,372.25 | $49,186.13 | 2026-03-21 | MRF ↗ |
| ST LUKE'S HOSPITAL Inpatient | WELLSENSE HEALTH PLAN CLARITY CONNECTORCARE & META | WELLSENSE HEALTH PLAN CLARITY CONNECTORCARE & META | $34,569.70 | $108,846.67 | $54,423.33 | 2025-12-15 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Inpatient | ANTHEM BCBSNY MEDICAID [5511] | MMC MEDICAID | $35,651.29 | $346,564.93 | — | 2026-04-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Inpatient | UNTD HLTH COMMUNITY PLAN [5034] | MMC UNITED HEALTH COMMUNITY | $35,651.29 | $346,564.93 | — | 2026-04-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Inpatient | AETNA BETTER HEALTH [5005] | MMC AETNA BETTER HEALTH | $35,651.29 | $346,564.93 | — | 2026-04-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Inpatient | FIDELIS CARE MEDICAID [5509] | MMC FEDELIS CARE MANAGED MEDICAID | $35,651.29 | $346,564.93 | — | 2026-04-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | WELLPATH CORRECTIONAL [5485] | MMC WELLPATH/MORRIS COUNTY CORRECTIONAL | $35,651.29 | $346,564.93 | — | 2026-04-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Inpatient | WELLPATH CORRECTIONAL [5485] | MMC WELLPATH/MORRIS COUNTY CORRECTIONAL | $35,651.29 | $346,564.93 | — | 2026-04-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Inpatient | MEDICAID [5022] | MMC MEDICAID | $35,651.29 | $346,564.93 | — | 2026-04-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Inpatient | WELLPOINT MANAGED MEDICAID [5006] | MMC WELLPOINT MANAGED MEDICAID | $35,651.29 | $346,564.93 | — | 2026-04-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Inpatient | UNTD HLTH COMMUNITY PLAN BEHAVIORAL HEALTH [5293] | MMC UNITED HEALTH COMMUNITY | $35,651.29 | $346,564.93 | — | 2026-04-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | WELLPATH CORRECTIONAL [5485] | MMC WELLPATH/MORRIS COUNTY CORRECTIONAL | $35,651.29 | $346,552.31 | — | 2026-01-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Inpatient | FIDELIS CARE MEDICAID [5509] | MMC FEDELIS CARE MANAGED MEDICAID | $35,651.29 | $346,552.31 | — | 2026-01-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Inpatient | ANTHEM BCBSNY MEDICAID [5511] | MMC MEDICAID | $35,651.29 | $346,552.31 | — | 2026-01-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Inpatient | AETNA BETTER HEALTH [5005] | MMC AETNA BETTER HEALTH | $35,651.29 | $346,552.31 | — | 2026-01-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Inpatient | UNTD HLTH COMMUNITY PLAN BEHAVIORAL HEALTH [5293] | MMC UNITED HEALTH COMMUNITY | $35,651.29 | $346,552.31 | — | 2026-01-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Inpatient | WELLPOINT MANAGED MEDICAID [5006] | MMC WELLPOINT MANAGED MEDICAID | $35,651.29 | $346,552.31 | — | 2026-01-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Inpatient | UNTD HLTH COMMUNITY PLAN [5034] | MMC UNITED HEALTH COMMUNITY | $35,651.29 | $346,552.31 | — | 2026-01-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Inpatient | MEDICAID [5022] | MMC MEDICAID | $35,651.29 | $346,552.31 | — | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | WELLPATH CORRECTIONAL [5485] | MMC WELLPATH/MORRIS COUNTY CORRECTIONAL | $35,651.29 | $346,552.31 | — | 2026-01-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Inpatient | WELLPATH CORRECTIONAL [5485] | MMC WELLPATH/MORRIS COUNTY CORRECTIONAL | $35,651.29 | $346,552.31 | — | 2026-01-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | MEDICAID HUMANA HEALTHY HORIZONS [6110] | PHM HB HUMANA MEDICAID - RICHLAND | $36,854.18 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | MEDICAID HUMANA HEALTHY HORIZONS [6110] | PHM HB HUMANA MEDICAID - RICHLAND | $36,854.18 | — | — | 2026-03-01 | MRF ↗ |
| ST LUKE'S HOSPITAL Inpatient | WELLSENSE HEALTH PLAN [1010202] | WELLSENSE HEALTH PLAN SOUTHCOAST ALLIANCE ACO [101 | $37,115.26 | $108,846.67 | $54,423.33 | 2025-12-15 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | MEDICAID SELECT HEALTH OF SC [400] | PHM HB SELECT HEALTH MEDICAID - RICHLAND | $37,887.48 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | MEDICAID SELECT HEALTH OF SC [400] | PHM HB SELECT HEALTH MEDICAID - RICHLAND | $37,887.48 | — | — | 2026-03-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | MIDDLESEX COUNTY [500015] | HB XR MASSHEALTH NON-CONTRACTED LGH | $39,239.10 | $29,416.34 | $20,591.44 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | MEDICAID MASSHEALTH [300001] | HB XR MASSHEALTH 100% LGH | $39,239.10 | $29,416.34 | $20,591.44 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | MASS GENERAL BRIGHAM HEALTH PLAN MEDICAID REPLACEM | HB XR MGBHP ACO COMPLETE SELECT LGH | $39,239.10 | $29,416.34 | $20,591.44 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | GENERIC PRISON [500099] | HB XR MASSHEALTH NON-CONTRACTED LGH | $39,239.10 | $29,416.34 | $20,591.44 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | FALLON HEALTH MEDICAID REPLACEMENT [350008] | HB XR MASSHEALTH 100% LGH | $39,239.10 | $29,416.34 | $20,591.44 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | WELLSENSE MEDICAID REPLACEMENT [350011] | HB XR WELLSENSE MEDICAID MCO ACO LGH | $39,239.10 | $29,416.34 | $20,591.44 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | TEWKSBURY HOSPITAL [950008] | HB XR MASSHEALTH NON-CONTRACTED LGH | $39,239.10 | $29,416.34 | $20,591.44 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | SUFFOLK COUNTY [500014] | HB XR MASSHEALTH NON-CONTRACTED LGH | $39,239.10 | $29,416.34 | $20,591.44 | 2026-04-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | MEDICAID BLUECHOICE [420] | PHM HB BLUECHOICE MEDICAID - RICHLAND | $39,265.20 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | MEDICAID BLUECHOICE [420] | PHM HB BLUECHOICE MEDICAID - RICHLAND | $39,265.20 | — | — | 2026-03-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | TUFTS HEALTH PUBLIC PLAN [350009] | HB XR THPP MCO ACO LGH | $39,339.53 | $29,416.34 | $20,591.44 | 2026-04-01 | MRF ↗ |
| METHODIST MIDLOTHIAN MEDICAL CENTER Inpatient | SUPERIOR MEDICAID MANAGED CARE [5007] | MHS HB MEDICAID 110% STAR PLUS MLMC | $39,784.79 | $124,960.50 | $62,480.25 | 2026-03-21 | MRF ↗ |
| METHODIST MIDLOTHIAN MEDICAL CENTER Inpatient | MOLINA MEDICAID MANAGED CARE [5005] | MHS HB MEDICAID 110% STAR PLUS MLMC | $39,784.79 | $124,960.50 | $62,480.25 | 2026-03-21 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | MOLINA MEDICAID MANAGED CARE [5005] | MHS HB MEDICAID 110% STAR PLUS MRMC | $40,154.68 | $124,960.50 | $62,480.25 | 2026-03-21 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | SUPERIOR MEDICAID MANAGED CARE [5007] | MHS HB MEDICAID 110% STAR PLUS MRMC | $40,154.68 | $124,960.50 | $62,480.25 | 2026-03-21 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | MOLINA MEDICAID MANAGED CARE [5005] | MHS HB MEDICAID 110% STAR PLUS MRMC | $40,154.68 | $124,960.50 | $62,480.25 | 2026-03-21 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | SUPERIOR MEDICAID MANAGED CARE [5007] | MHS HB MEDICAID 110% STAR PLUS MRMC | $40,154.68 | $124,960.50 | $62,480.25 | 2026-03-21 | MRF ↗ |
| TUFTS MEDICAL CENTER Inpatient | WELLSENSE MEDICAID REPLACEMENT [350011] | HB XR WELLSENSE MEDICAID MCO ACO TMC | $40,269.78 | $47,947.59 | $33,563.31 | 2026-04-01 | 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.