612-2 — Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition
Cite this view
HANK Price Transparency. (n.d.). NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION (OTHER 612-2) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/612-2?code_type=OTHER
“NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION (OTHER 612-2) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/612-2?code_type=OTHER. Accessed .
“NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION (OTHER 612-2) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/612-2?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $23,592–$48,780 (25th–75th percentile) across 160 hospitals · 335 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 612-2 — 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 |
|---|---|---|---|---|---|---|---|
| PRISMA HEALTH PATEWOOD HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $685.69 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Medicaid Other | Medicaid Other | $987.44 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $1,059.68 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $1,098.69 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Select Health | Select Health Medicaid | $1,116.49 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Molina | Molina Medicaid | $1,116.49 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $1,127.33 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $1,138.17 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | Medicaid Other | Medicaid Other | $1,168.35 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $1,175.60 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Inpatient | Medicaid Sc | Medicaid Sc | $1,176.88 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Inpatient | Select Health | Select Health Medicaid | $1,183.48 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Inpatient | Molina | Molina Medicaid | $1,183.48 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $1,194.97 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $1,206.46 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Inpatient | Molina Healthcare | Molina Medicaid | $1,212.20 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Inpatient | Absolute Total Care | Absolute Total Care Medicaid | $1,235.73 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Inpatient | Bluechoice | Bluechoice Medicaid | $1,235.73 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Inpatient | Select Health | Select Health Medicaid | $1,235.73 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $1,244.04 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $1,252.95 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $1,266.22 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Inpatient | Medicaid Other | Medicaid Other | $1,269.31 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | Medicaid | Medicaid | $1,272.55 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $1,281.66 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | Absolute Total Care | Absolute Total Care Medicaid | $1,285.02 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $1,305.83 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $1,305.83 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | Select Health | Select Health Medicaid | $1,321.05 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | Molina | Molina Medicaid | $1,334.09 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | Select Health | Select Health Medicaid | $1,334.09 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $1,336.17 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $1,347.04 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $1,348.44 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $1,348.44 | — | — | 2026-05-14 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $1,358.93 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $1,359.99 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $1,361.62 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | Bluechoice Medicaid | Bluechoice Medicaid | $1,369.08 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Select Health | Select Health Medicaid | $1,375.82 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Molina | Molina Medicaid | $1,375.82 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Select Health | Select Health Medicaid | $1,375.82 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Molina | Molina Medicaid | $1,375.82 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $1,389.18 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $1,389.18 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Medicaid Other | Medicaid Other | $1,391.92 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Medicaid Other | Medicaid Other | $1,391.92 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | Select Health | Select Health Medicaid | $1,399.80 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $1,402.54 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $1,402.54 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid | $1,412.53 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | Molina Healthcare Of Sc | Molina Medicaid | $1,417.12 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Select Health | Select Health Medicaid | $1,420.72 | — | — | 2026-05-14 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Select Health | Select Health Medicaid | $1,420.72 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Molina | Molina Medicaid | $1,420.72 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Molina | Molina Medicaid | $1,420.72 | — | — | 2026-05-14 | MRF ↗ |
| NEW ULM MEDICAL CENTER Inpatient | Medicaid | Medicaid Ma (N) | $1,421.14 | — | — | 2026-05-08 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Inpatient | Medicaid Other | Medicaid Other | $1,423.66 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Inpatient | Molina | Molina Medicaid | $1,431.77 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Inpatient | Select Health | Select Health Medicaid | $1,431.77 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $1,434.51 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $1,434.51 | — | — | 2026-05-14 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | Medicaid Sc | Medicaid Sc | $1,436.20 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $1,443.37 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $1,443.72 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $1,443.72 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $1,445.67 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $1,448.30 | — | — | 2026-05-14 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $1,448.30 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $1,454.12 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $1,454.12 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $1,459.57 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | Molina | Molina Medicaid | $1,463.43 | — | — | 2026-05-06 | MRF ↗ |
| NEW ULM MEDICAL CENTER Inpatient | South Country Health Alliance | Scha Pmap (N) | $1,470.00 | — | — | 2026-05-08 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $1,475.89 | — | — | 2026-05-14 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $1,475.89 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH BAPTIST Inpatient | Medicaid Sc | Medicaid Sc | $1,493.80 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | Medicaid Sc | Medicaid Sc | $1,493.80 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $1,495.31 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | Absolute Total Care | Absolute Total Care Medicaid | $1,508.10 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST Inpatient | Absolute Total Care | Absolute Total Care Medicaid | $1,508.10 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $1,523.32 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $1,536.74 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $1,536.74 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST Inpatient | Select Health | Select Health Medicaid | $1,579.91 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | Select Health | Select Health Medicaid | $1,579.91 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $1,598.36 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $1,598.36 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $1,599.97 | — | — | 2026-05-06 | MRF ↗ |
| PROMEDICA MONROE REGIONAL HOSPITAL Inpatient | Meridian | Meridian | $1,600.00 | — | — | 2026-05-13 | MRF ↗ |
| MEMORIAL HOSPITAL Inpatient | Meridian Health Plan Of Mi | Meridian | $1,600.00 | — | — | 2026-05-22 | MRF ↗ |
| BAY PARK COMMUNITY HOSPITAL Inpatient | Meridian Health Plan Of Mi | Meridian | $1,600.00 | — | — | 2026-05-14 | MRF ↗ |
| PRISMA HEALTH BAPTIST Inpatient | Bluechoice Medicaid | Bluechoice Medicaid | $1,637.37 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | Bluechoice Medicaid | Bluechoice Medicaid | $1,637.37 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | Molina Healthcare Of Sc | Molina Medicaid | $1,694.82 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST Inpatient | Molina Healthcare Of Sc | Molina Medicaid | $1,694.82 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $1,762.91 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $1,762.91 | — | — | 2026-05-14 | MRF ↗ |
| COASTAL COMMUNITIES HOSPITAL Inpatient | Altamed Mcal Hmo (Ancillary) | Altamed Mcal Hmo (Ancillary) | — | — | — | 2026-05-27 | MRF ↗ |
| CHAPMAN GLOBAL MEDICAL CENTER Inpatient | Altamed Mcal Hmo (Ancillary) | Altamed Mcal Hmo (Ancillary) | — | — | — | 2026-05-27 | MRF ↗ |
| CHAPMAN GLOBAL MEDICAL CENTER Inpatient | Prime Health Services | Prime Health Services/Mcal Hmo | — | — | — | 2026-05-27 | MRF ↗ |
| ANAHEIM GLOBAL MEDICAL CENTER Inpatient | Altamed Mcal Hmo (Ancillary) | Altamed Mcal Hmo (Ancillary) | — | — | — | 2026-05-11 | MRF ↗ |
| ORANGE COUNTY GLOBAL MEDICAL CENTER Inpatient | Altamed Mcal Hmo (Ancillary) | Altamed Mcal Hmo (Ancillary) | — | — | — | 2026-05-27 | MRF ↗ |
| Prisma Health North Greenville Ltach Inpatient | Medicaid Other | Medicaid Other | $3,206.53 | — | — | 2026-05-06 | MRF ↗ |
| RIVER FALLS AREA HOSPITAL Inpatient | South Country Health Alliance | Scha Pmap (R) | $3,319.06 | — | — | 2026-05-08 | MRF ↗ |
| Prisma Health North Greenville Ltach Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $3,430.98 | — | — | 2026-05-06 | MRF ↗ |
| Prisma Health North Greenville Ltach Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $3,636.80 | — | — | 2026-05-06 | MRF ↗ |
| Prisma Health North Greenville Ltach Inpatient | Medicaid Of South Carolina | Medicaid | $3,720.13 | — | — | 2026-05-06 | MRF ↗ |
| Prisma Health North Greenville Ltach Inpatient | Select Health | Select Health Medicaid | $3,831.73 | — | — | 2026-05-06 | MRF ↗ |
| Prisma Health North Greenville Ltach Inpatient | Molina | Molina Medicaid | $3,831.73 | — | — | 2026-05-06 | MRF ↗ |
| Prisma Health North Greenville Ltach Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $3,868.93 | — | — | 2026-05-06 | MRF ↗ |
| Prisma Health North Greenville Ltach Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $3,906.13 | — | — | 2026-05-06 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Inpatient | Healthy Way La | Healthy Way La | $10,411.67 | — | — | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Inpatient | Healthy Way La | Healthy Way La | $10,411.67 | — | — | 2026-05-09 | MRF ↗ |
| GARFIELD MEDICAL CENTER Inpatient | Healthy Way La | Healthy Way La | $10,411.67 | — | — | 2026-05-09 | MRF ↗ |
| MONTEREY PARK HOSPITAL Inpatient | Healthy Way La | Healthy Way La | $11,474.82 | — | — | 2026-05-08 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Inpatient | Healthy Way La | Healthy Way La | $11,474.82 | — | — | 2026-05-08 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Inpatient | Healthy Way La | Healthy Way La | $11,474.82 | — | — | 2026-05-06 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Inpatient | Molina | Molina Medicaid Managed Care (Ip) | $13,721.60 | — | — | 2026-05-23 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Inpatient | Meridian | Meridian Medicaid Managed Care (Ip) | $13,721.60 | — | — | 2026-05-08 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Inpatient | Bcbs | Bcbs Medicaid Managed Care (Ip) | $13,721.60 | — | — | 2026-05-08 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Inpatient | Aetna | Aetna Better Health Medicaid Managed Care (Ip) | $13,721.60 | — | — | 2026-05-23 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Inpatient | Aetna | Aetna Better Health Medicaid Managed Care (Ip) | $13,721.60 | — | — | 2026-05-08 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Inpatient | Molina | Molina Medicaid Managed Care (Ip) | $13,721.60 | — | — | 2026-05-08 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Inpatient | Bcbs | Bcbs Medicaid Managed Care (Ip) | $13,721.60 | — | — | 2026-05-23 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Inpatient | Meridian | Meridian Medicaid Managed Care (Ip) | $13,721.60 | — | — | 2026-05-23 | MRF ↗ |
| THE MEDICAL CENTER OF SOUTHEAST TEXAS Inpatient | Medicaid Tx | Medicaid Tx | $14,217.00 | — | — | 2026-05-27 | MRF ↗ |
| THE MEDICAL CENTER OF SOUTHEAST TEXAS Inpatient | Texas Childrens Health Plan | Texas Childrens Health Plan Star Uhrip | $14,217.00 | — | — | 2026-05-27 | MRF ↗ |
| THE MEDICAL CENTER OF SOUTHEAST TEXAS Inpatient | Texas Childrens Health Plan | Texas Childrens Health Plan Star Kids | $14,217.00 | — | — | 2026-05-27 | MRF ↗ |
| THE MEDICAL CENTER OF SOUTHEAST TEXAS Inpatient | Texas Childrens Health Plan | Texas Childrens Health Plan | $14,217.00 | — | — | 2026-05-27 | MRF ↗ |
| THE MEDICAL CENTER OF SOUTHEAST TEXAS Inpatient | Superior Healthplan | Superior Healthplan Medicaid | $14,217.00 | — | — | 2026-05-27 | MRF ↗ |
| ST JOSEPH MEDICAL CENTER Inpatient | Superior Health Plan Medicaid | Superior Health Plan Medicaid | $14,468.02 | — | — | 2026-05-08 | MRF ↗ |
| LAREDO MEDICAL CENTER Inpatient | Medicaid | Node Tx Medicaid | $14,592.27 | — | — | 2026-05-08 | MRF ↗ |
| LAREDO MEDICAL CENTER Inpatient | Node Uhc Chip/Star Kids Medicaid Tx | Node Uhc Chip Medicaid Tx | $14,592.27 | — | — | 2026-05-08 | MRF ↗ |
| LAREDO MEDICAL CENTER Inpatient | Non-Par Medicaid | Node Tx Medicaid Non Par | $14,592.27 | — | — | 2026-05-08 | MRF ↗ |
| LAREDO MEDICAL CENTER Inpatient | Molina | Node Molina Chip Medicaid Tx | $14,592.27 | — | — | 2026-05-08 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Inpatient | Node Uhc Chip/Star Kids Medicaid Tx | Node Uhc Chip Medicaid Tx | $14,597.23 | — | — | 2026-05-08 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Inpatient | Node Uhc Star Medicaid Tx | Node Uhc Star Medicaid Tx | $14,597.23 | — | — | 2026-05-08 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Inpatient | Non-Par Medicaid Tx | Node Tx Medicaid Non Par | $14,597.23 | — | — | 2026-05-08 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Inpatient | Node Tx Children'S Health Plan Medicaid Tx | Node Tx Childrens Health Plan Star Plus Medicaid Tx | $14,597.23 | — | — | 2026-05-08 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Inpatient | Medicaid | Node Tx Medicaid | $14,597.23 | — | — | 2026-05-08 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Inpatient | Node Tx Childrens Health Plan Star Medicaid Tx | Node Tx Childrens Health Plan Star Medicaid Tx | $14,597.23 | — | — | 2026-05-08 | MRF ↗ |
| DeTar Hospital North Inpatient | Node Tx Medicaid Non Par | Node Tx Medicaid Non Par | $14,752.58 | — | — | 2026-05-09 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Inpatient | United Healthcare | Node Uhc Star Plus Medicaid Tx | $14,752.58 | — | — | 2026-05-08 | MRF ↗ |
| DeTar Hospital North Inpatient | Node Driscoll Health Plan Chip/Star Kids Medicaid Tx | Node Driscoll Health Plan Chip Medicaid Tx | $14,752.58 | — | — | 2026-05-09 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Inpatient | Node Tx Medicaid Non Par | Node Tx Medicaid Non Par | $14,752.58 | — | — | 2026-05-08 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Inpatient | Node Jackson County Indigent Program Medicaid Tx | Node Jackson County Indigent Program Medicaid Tx | $14,752.58 | — | — | 2026-05-08 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Inpatient | United Healthcare | Node Uhc Chip Medicaid Tx | $14,752.58 | — | — | 2026-05-08 | MRF ↗ |
| DeTar Hospital North Inpatient | United Healthcare | Node Uhc Star Plus Medicaid Tx | $14,752.58 | — | — | 2026-05-09 | MRF ↗ |
| DeTar Hospital North Inpatient | United Healthcare | Node Uhc Chip Medicaid Tx | $14,752.58 | — | — | 2026-05-09 | MRF ↗ |
| DeTar Hospital North Inpatient | Node Jackson County Indigent Program Medicaid Tx | Node Jackson County Indigent Program Medicaid Tx | $14,752.58 | — | — | 2026-05-09 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Inpatient | Node Driscoll Health Plan Chip/Star Kids Medicaid Tx | Node Driscoll Health Plan Chip Medicaid Tx | $14,752.58 | — | — | 2026-05-08 | MRF ↗ |
| DeTar Hospital North Inpatient | Medicaid | Node Tx Medicaid | $14,752.58 | — | — | 2026-05-09 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Inpatient | Node Uhc Star Kids Medicaid Tx | Node Uhc Star Kids Medicaid Tx | $14,752.58 | — | — | 2026-05-08 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Inpatient | Scott & White | Node Right Care-Scott White Star Medicaid Tx | $14,752.58 | — | — | 2026-05-08 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Inpatient | Medicaid | Node Tx Medicaid | $14,752.58 | — | — | 2026-05-08 | MRF ↗ |
| DeTar Hospital North Inpatient | Node Uhc Star Kids Medicaid Tx | Node Uhc Star Kids Medicaid Tx | $14,752.58 | — | — | 2026-05-09 | MRF ↗ |
| DeTar Hospital North Inpatient | Scott & White | Node Right Care-Scott White Star Medicaid Tx | $14,752.58 | — | — | 2026-05-09 | MRF ↗ |
| THE MEDICAL CENTER OF SOUTHEAST TEXAS Inpatient | Amerigroup | Wellpoint Amerigroup Star Uhrip | $14,785.68 | — | — | 2026-05-27 | MRF ↗ |
| LAREDO MEDICAL CENTER Inpatient | Node Driscoll Health Plan Chip Medicaid Tx | Node Driscoll Health Plan Chip Medicaid Tx | $14,884.12 | — | — | 2026-05-08 | MRF ↗ |
| LAREDO MEDICAL CENTER Inpatient | Node Bcbs Star Kids Medicaid Tx | Node Bcbs Star Kids Medicaid Tx | $14,884.12 | — | — | 2026-05-08 | MRF ↗ |
| THE MEDICAL CENTER OF SOUTHEAST TEXAS Inpatient | Community Health Choice | Community Health Choice Chip | $14,927.85 | — | — | 2026-05-27 | MRF ↗ |
| THE MEDICAL CENTER OF SOUTHEAST TEXAS Inpatient | United Healthcare | United Healthcare Medicaid Star/Chips | $14,927.85 | — | — | 2026-05-27 | MRF ↗ |
| THE MEDICAL CENTER OF SOUTHEAST TEXAS Inpatient | Molina Healthcare | Molina Medicaid | $14,927.85 | — | — | 2026-05-27 | MRF ↗ |
| THE MEDICAL CENTER OF SOUTHEAST TEXAS Inpatient | Molina Medicaid Uhrip | Molina Healthcare Star Uhrip | $14,927.85 | — | — | 2026-05-27 | MRF ↗ |
| THE MEDICAL CENTER OF SOUTHEAST TEXAS Inpatient | United Healthcare | United Healthcare Star Uhrip | $14,927.85 | — | — | 2026-05-27 | MRF ↗ |
| THE MEDICAL CENTER OF SOUTHEAST TEXAS Inpatient | Community Health Choice Uhrip | Community Health Choice Star Uhrip | $14,927.85 | — | — | 2026-05-27 | MRF ↗ |
| ST JOSEPH MEDICAL CENTER Inpatient | Ssi Members | Ssi Members | $14,961.44 | — | — | 2026-05-08 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Inpatient | Node Bcbs Star Kids Medicaid Tx | Node Bcbs Star Kids Medicaid Tx | $15,047.63 | — | — | 2026-05-08 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Inpatient | Bcbs Tx | Node Bcbs Star Medicaid Tx | $15,047.63 | — | — | 2026-05-08 | MRF ↗ |
| DeTar Hospital North Inpatient | Node Bcbs Star Kids Medicaid Tx | Node Bcbs Star Kids Medicaid Tx | $15,047.63 | — | — | 2026-05-09 | MRF ↗ |
| DeTar Hospital North Inpatient | Bcbs Tx | Node Bcbs Star Medicaid Tx | $15,047.63 | — | — | 2026-05-09 | MRF ↗ |
| ODESSA REGIONAL MEDICAL CENTER Inpatient | Star Medicaid | Star Medicaid | $15,112.54 | — | — | 2026-05-07 | MRF ↗ |
| PALMETTO GENERAL HOSPITAL Inpatient | Beacon Health Strategies Medicaid | Beacon Health Strategies Medicaid | — | — | — | 2026-05-08 | MRF ↗ |
| PALMETTO GENERAL HOSPITAL Inpatient | Liga Contra El Cancer | Liga Contra El Cancer | $15,203.50 | — | — | 2026-05-08 | MRF ↗ |
| ODESSA REGIONAL MEDICAL CENTER Inpatient | Medicaid Tx | Medicaid Tx | $15,265.19 | — | — | 2026-05-07 | MRF ↗ |
| ODESSA REGIONAL MEDICAL CENTER Inpatient | Wellpoint Amerigroup Star Kids/Chips | Wellpoint Amerigroup Star Kids/Chips | $15,265.19 | — | — | 2026-05-07 | MRF ↗ |
| ODESSA REGIONAL MEDICAL CENTER Inpatient | Superior Health Plan Medicaid | Superior Health Plan Medicaid | $15,265.19 | — | — | 2026-05-07 | MRF ↗ |
| LAREDO MEDICAL CENTER Inpatient | Node Wellpoint Chip/Star Kids Medicaid Tx | Node Wellpoint Chip Medicaid Tx | $15,321.88 | — | — | 2026-05-08 | MRF ↗ |
| LAREDO MEDICAL CENTER Inpatient | Superior | Node Superior Chip/ Star Health Medicaid Tx | $15,321.88 | — | — | 2026-05-08 | MRF ↗ |
| LAREDO MEDICAL CENTER Inpatient | Cigna Healthspring | Node Cigna Healthspring Medicaid Tx | $15,321.88 | — | — | 2026-05-08 | MRF ↗ |
| LAREDO MEDICAL CENTER Inpatient | Node Wellpoint Star Medicaid Tx | Node Wellpoint Star Medicaid Tx | $15,321.88 | — | — | 2026-05-08 | MRF ↗ |
| LAREDO MEDICAL CENTER Inpatient | Node Wellpoint Star Kids Medicaid Tx | Node Wellpoint Star Kids Medicaid Tx | $15,321.88 | — | — | 2026-05-08 | MRF ↗ |
| LAREDO MEDICAL CENTER Inpatient | Amerigroup | Node Wellpoint Star Plus Medicaid Tx | $15,321.88 | — | — | 2026-05-08 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Inpatient | Node Molina Chip Medicaid Tx | Node Molina Chip Medicaid Tx | $15,327.09 | — | — | 2026-05-08 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Inpatient | Node Wellpoint Star Plus Medicaid Tx | Node Wellpoint Star Plus Medicaid Tx | $15,327.09 | — | — | 2026-05-08 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Inpatient | Superior | Node Superior Chip/ Star Health Medicaid Tx | $15,327.09 | — | — | 2026-05-08 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Inpatient | Node Wellpoint Star Kids Medicaid Tx | Node Wellpoint Star Kids Medicaid Tx | $15,327.09 | — | — | 2026-05-08 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Inpatient | Node Superior Star Kids Medicaid Tx | Node Superior Star Kids Medicaid Tx | $15,327.09 | — | — | 2026-05-08 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Inpatient | Superior | Node Superior Star Plus Medicaid Tx | $15,327.09 | — | — | 2026-05-08 | MRF ↗ |
| DeTar Hospital North Inpatient | Amerigroup Medicaid | Node Wellpoint Star Medicaid Tx | $15,490.21 | — | — | 2026-05-09 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Inpatient | Node Molina Star Plus Medicaid Tx | Node Molina Star Plus Medicaid Tx | $15,490.21 | — | — | 2026-05-08 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Inpatient | Amerigroup Medicaid | Node Wellpoint Star Medicaid Tx | $15,490.21 | — | — | 2026-05-08 | MRF ↗ |
| DeTar Hospital North Inpatient | Node Molina Star Plus Medicaid Tx | Node Molina Star Plus Medicaid Tx | $15,490.21 | — | — | 2026-05-09 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Inpatient | Node Molina Star Medicaid Tx | Node Molina Star Medicaid Tx | $15,490.21 | — | — | 2026-05-08 | MRF ↗ |
| DeTar Hospital North Inpatient | Node Wellpoint Chip/Star Kids Medicaid Tx | Node Wellpoint Chip Medicaid Tx | $15,490.21 | — | — | 2026-05-09 | MRF ↗ |
| DeTar Hospital North Inpatient | Node Molina Chip/Star Kids Medicaid Tx | Node Molina Chip Medicaid Tx | $15,490.21 | — | — | 2026-05-09 | MRF ↗ |
| DeTar Hospital North Inpatient | Node Wellpoint Star Kids Medicaid Tx | Node Wellpoint Star Kids Medicaid Tx | $15,490.21 | — | — | 2026-05-09 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Inpatient | Node Molina Chip/Star Kids Medicaid Tx | Node Molina Chip Medicaid Tx | $15,490.21 | — | — | 2026-05-08 | MRF ↗ |
| DeTar Hospital North Inpatient | Node Molina Star Medicaid Tx | Node Molina Star Medicaid Tx | $15,490.21 | — | — | 2026-05-09 | 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.