612-4 — Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION (OTHER 612-4) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/612-4?code_type=OTHER
MLA (9th ed.)
“NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION (OTHER 612-4) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/612-4?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION (OTHER 612-4) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/612-4?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $64,812–$111,250 (25th–75th percentile) across 160 hospitals · 334 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 612-4 — 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 | $844.33 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Medicaid Other | Medicaid Other | $1,215.90 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $1,304.86 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $1,352.89 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Molina | Molina Medicaid | $1,374.81 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Select Health | Select Health Medicaid | $1,374.81 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $1,388.15 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $1,401.50 | — | — | 2026-05-06 | MRF ↗ |
| NEW ULM MEDICAL CENTER Inpatient | Medicaid | Medicaid Ma (N) | $1,421.14 | — | — | 2026-05-08 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | Medicaid Other | Medicaid Other | $1,438.67 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $1,447.60 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Inpatient | Medicaid Sc | Medicaid Sc | $1,449.18 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Inpatient | Molina | Molina Medicaid | $1,457.29 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Inpatient | Select Health | Select Health Medicaid | $1,457.29 | — | — | 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 PATEWOOD HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $1,471.45 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $1,485.59 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Inpatient | Molina Healthcare | Molina Medicaid | $1,492.65 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Inpatient | Select Health | Select Health Medicaid | $1,521.64 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Inpatient | Absolute Total Care | Absolute Total Care Medicaid | $1,521.64 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Inpatient | Bluechoice | Bluechoice Medicaid | $1,521.64 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $1,531.87 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $1,542.84 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $1,559.18 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Inpatient | Medicaid Other | Medicaid Other | $1,562.99 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | Medicaid | Medicaid | $1,566.97 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $1,578.20 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | Absolute Total Care | Absolute Total Care Medicaid | $1,582.33 | — | — | 2026-05-06 | MRF ↗ |
| BAY PARK COMMUNITY HOSPITAL Inpatient | Meridian Health Plan Of Mi | Meridian | $1,600.00 | — | — | 2026-05-14 | 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 ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $1,607.96 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $1,607.96 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | Select Health | Select Health Medicaid | $1,626.70 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | Molina | Molina Medicaid | $1,642.75 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | Select Health | Select Health Medicaid | $1,642.75 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $1,645.32 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $1,658.70 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $1,660.42 | — | — | 2026-05-14 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $1,660.42 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $1,673.34 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $1,674.65 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $1,676.65 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | Bluechoice Medicaid | Bluechoice Medicaid | $1,685.85 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Select Health | Select Health Medicaid | $1,694.15 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Molina | Molina Medicaid | $1,694.15 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Select Health | Select Health Medicaid | $1,694.15 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Molina | Molina Medicaid | $1,694.15 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $1,710.59 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $1,710.59 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Medicaid Other | Medicaid Other | $1,713.96 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Medicaid Other | Medicaid Other | $1,713.96 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | Select Health | Select Health Medicaid | $1,723.66 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $1,727.04 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $1,727.04 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid | $1,739.33 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | Molina Healthcare Of Sc | Molina Medicaid | $1,745.00 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Select Health | Select Health Medicaid | $1,749.43 | — | — | 2026-05-14 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Molina | Molina Medicaid | $1,749.43 | — | — | 2026-05-14 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Select Health | Select Health Medicaid | $1,749.43 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Molina | Molina Medicaid | $1,749.43 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Inpatient | Medicaid Other | Medicaid Other | $1,753.05 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Inpatient | Molina | Molina Medicaid | $1,763.03 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Inpatient | Select Health | Select Health Medicaid | $1,763.03 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $1,766.41 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $1,766.41 | — | — | 2026-05-14 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | Medicaid Sc | Medicaid Sc | $1,768.50 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $1,777.32 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $1,777.75 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $1,777.75 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $1,780.15 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $1,783.39 | — | — | 2026-05-14 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $1,783.39 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $1,790.56 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $1,790.56 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $1,797.26 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | Molina | Molina Medicaid | $1,802.01 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $1,817.36 | — | — | 2026-05-14 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $1,817.36 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | Medicaid Sc | Medicaid Sc | $1,839.41 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST Inpatient | Medicaid Sc | Medicaid Sc | $1,839.41 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $1,841.27 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | Absolute Total Care | Absolute Total Care Medicaid | $1,857.03 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST Inpatient | Absolute Total Care | Absolute Total Care Medicaid | $1,857.03 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $1,875.77 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $1,892.29 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $1,892.29 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | Select Health | Select Health Medicaid | $1,945.46 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST Inpatient | Select Health | Select Health Medicaid | $1,945.46 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $1,968.17 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $1,968.17 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $1,970.15 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | Bluechoice Medicaid | Bluechoice Medicaid | $2,016.20 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST Inpatient | Bluechoice Medicaid | Bluechoice Medicaid | $2,016.20 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | Molina Healthcare Of Sc | Molina Medicaid | $2,086.94 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST Inpatient | Molina Healthcare Of Sc | Molina Medicaid | $2,086.94 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $2,170.79 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $2,170.79 | — | — | 2026-05-14 | 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 | Medicaid Other | Medicaid Other | $3,948.41 | — | — | 2026-05-06 | MRF ↗ |
| Prisma Health North Greenville Ltach Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $4,224.80 | — | — | 2026-05-06 | MRF ↗ |
| Prisma Health North Greenville Ltach Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $4,478.23 | — | — | 2026-05-06 | MRF ↗ |
| Prisma Health North Greenville Ltach Inpatient | Medicaid Of South Carolina | Medicaid | $4,580.84 | — | — | 2026-05-06 | MRF ↗ |
| Prisma Health North Greenville Ltach Inpatient | Select Health | Select Health Medicaid | $4,718.27 | — | — | 2026-05-06 | MRF ↗ |
| Prisma Health North Greenville Ltach Inpatient | Molina | Molina Medicaid | $4,718.27 | — | — | 2026-05-06 | MRF ↗ |
| Prisma Health North Greenville Ltach Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $4,764.07 | — | — | 2026-05-06 | MRF ↗ |
| Prisma Health North Greenville Ltach Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $4,809.88 | — | — | 2026-05-06 | MRF ↗ |
| EAST GEORGIA REGIONAL MEDICAL CENTER Inpatient | Ga Non Par Medicaid | Non Par Medicaid Ga | $22,702.69 | — | — | 2026-05-06 | MRF ↗ |
| EAST GEORGIA REGIONAL MEDICAL CENTER Inpatient | Peach State Hlth Plan Mcaid Ga | Peach State Hlth Plan Mcaid Ga | $22,702.69 | — | — | 2026-05-06 | MRF ↗ |
| EAST GEORGIA REGIONAL MEDICAL CENTER Inpatient | Amerigroup Medicaid | Amerigroup Medicaid | $22,702.69 | — | — | 2026-05-06 | MRF ↗ |
| EAST GEORGIA REGIONAL MEDICAL CENTER Inpatient | Caresource Medicaid | Caresource Medicaid | $23,837.82 | — | — | 2026-05-06 | MRF ↗ |
| EAST GEORGIA REGIONAL MEDICAL CENTER Inpatient | Uhc Medicaid | Uhc Medicaid | $24,151.48 | — | — | 2026-05-06 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Inpatient | Molina | Molina Medicaid Managed Care (Ip) | $25,195.09 | — | — | 2026-05-23 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Inpatient | Bcbs | Bcbs Medicaid Managed Care (Ip) | $25,195.09 | — | — | 2026-05-23 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Inpatient | Meridian | Meridian Medicaid Managed Care (Ip) | $25,195.09 | — | — | 2026-05-23 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Inpatient | Aetna | Aetna Better Health Medicaid Managed Care (Ip) | $25,195.09 | — | — | 2026-05-23 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Inpatient | Bcbs | Bcbs Medicaid Managed Care (Ip) | $25,195.09 | — | — | 2026-05-08 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Inpatient | Molina | Molina Medicaid Managed Care (Ip) | $25,195.09 | — | — | 2026-05-08 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Inpatient | Aetna | Aetna Better Health Medicaid Managed Care (Ip) | $25,195.09 | — | — | 2026-05-08 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Inpatient | Meridian | Meridian Medicaid Managed Care (Ip) | $25,195.09 | — | — | 2026-05-08 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Inpatient | Healthy Way La | Healthy Way La | $26,700.00 | — | — | 2026-05-09 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Inpatient | Healthy Way La | Healthy Way La | $26,700.00 | — | — | 2026-05-08 | MRF ↗ |
| GARFIELD MEDICAL CENTER Inpatient | Healthy Way La | Healthy Way La | $26,700.00 | — | — | 2026-05-09 | MRF ↗ |
| MONTEREY PARK HOSPITAL Inpatient | Healthy Way La | Healthy Way La | $26,700.00 | — | — | 2026-05-08 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Inpatient | Healthy Way La | Healthy Way La | $26,700.00 | — | — | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Inpatient | Healthy Way La | Healthy Way La | $26,700.00 | — | — | 2026-05-06 | 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 | $31,579.18 | — | — | 2026-05-08 | MRF ↗ |
| TIFT REGIONAL MEDICAL CENTER Inpatient | Ga Medicaid | Ga Medicaid | $32,381.17 | — | — | 2026-05-06 | MRF ↗ |
| SOUTHWELL MEDICAL, A CAMPUS OF TRMC Inpatient | Ga Medicaid | Ga Medicaid | $33,763.85 | — | — | 2026-05-06 | MRF ↗ |
| THE MEDICAL CENTER OF SOUTHEAST TEXAS Inpatient | Texas Childrens Health Plan | Texas Childrens Health Plan | $33,926.66 | — | — | 2026-05-27 | MRF ↗ |
| THE MEDICAL CENTER OF SOUTHEAST TEXAS Inpatient | Texas Childrens Health Plan | Texas Childrens Health Plan Star Kids | $33,926.66 | — | — | 2026-05-27 | MRF ↗ |
| THE MEDICAL CENTER OF SOUTHEAST TEXAS Inpatient | Superior Healthplan | Superior Healthplan Medicaid | $33,926.66 | — | — | 2026-05-27 | MRF ↗ |
| THE MEDICAL CENTER OF SOUTHEAST TEXAS Inpatient | Medicaid Tx | Medicaid Tx | $33,926.66 | — | — | 2026-05-27 | MRF ↗ |
| THE MEDICAL CENTER OF SOUTHEAST TEXAS Inpatient | Texas Childrens Health Plan | Texas Childrens Health Plan Star Uhrip | $33,926.66 | — | — | 2026-05-27 | MRF ↗ |
| TIFT REGIONAL MEDICAL CENTER Inpatient | Ga Medicaid | Ga Medicaid | $34,153.61 | — | — | 2026-05-06 | MRF ↗ |
| ST JOSEPH MEDICAL CENTER Inpatient | Superior Health Plan Medicaid | Superior Health Plan Medicaid | $34,525.69 | — | — | 2026-05-08 | MRF ↗ |
| LAREDO MEDICAL CENTER Inpatient | Molina | Node Molina Chip Medicaid Tx | $34,822.20 | — | — | 2026-05-08 | MRF ↗ |
| LAREDO MEDICAL CENTER Inpatient | Medicaid | Node Tx Medicaid | $34,822.20 | — | — | 2026-05-08 | MRF ↗ |
| LAREDO MEDICAL CENTER Inpatient | Non-Par Medicaid | Node Tx Medicaid Non Par | $34,822.20 | — | — | 2026-05-08 | MRF ↗ |
| LAREDO MEDICAL CENTER Inpatient | Node Uhc Chip/Star Kids Medicaid Tx | Node Uhc Chip Medicaid Tx | $34,822.20 | — | — | 2026-05-08 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Inpatient | Medicaid | Node Tx Medicaid | $34,834.03 | — | — | 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 | $34,834.03 | — | — | 2026-05-08 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Inpatient | Node Uhc Chip/Star Kids Medicaid Tx | Node Uhc Chip Medicaid Tx | $34,834.03 | — | — | 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 | $34,834.03 | — | — | 2026-05-08 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Inpatient | Node Uhc Star Medicaid Tx | Node Uhc Star Medicaid Tx | $34,834.03 | — | — | 2026-05-08 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Inpatient | Non-Par Medicaid Tx | Node Tx Medicaid Non Par | $34,834.03 | — | — | 2026-05-08 | MRF ↗ |
| DeTar Hospital North Inpatient | United Healthcare | Node Uhc Chip Medicaid Tx | $35,204.74 | — | — | 2026-05-09 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Inpatient | United Healthcare | Node Uhc Chip Medicaid Tx | $35,204.74 | — | — | 2026-05-08 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Inpatient | United Healthcare | Node Uhc Star Plus Medicaid Tx | $35,204.74 | — | — | 2026-05-08 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Inpatient | Node Tx Medicaid Non Par | Node Tx Medicaid Non Par | $35,204.74 | — | — | 2026-05-08 | MRF ↗ |
| DeTar Hospital North Inpatient | Node Jackson County Indigent Program Medicaid Tx | Node Jackson County Indigent Program Medicaid Tx | $35,204.74 | — | — | 2026-05-09 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Inpatient | Medicaid | Node Tx Medicaid | $35,204.74 | — | — | 2026-05-08 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Inpatient | Scott & White | Node Right Care-Scott White Star Medicaid Tx | $35,204.74 | — | — | 2026-05-08 | MRF ↗ |
| DeTar Hospital North Inpatient | Medicaid | Node Tx Medicaid | $35,204.74 | — | — | 2026-05-09 | MRF ↗ |
| DeTar Hospital North Inpatient | Node Driscoll Health Plan Chip/Star Kids Medicaid Tx | Node Driscoll Health Plan Chip Medicaid Tx | $35,204.74 | — | — | 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 | $35,204.74 | — | — | 2026-05-08 | MRF ↗ |
| DeTar Hospital North Inpatient | Node Uhc Star Kids Medicaid Tx | Node Uhc Star Kids Medicaid Tx | $35,204.74 | — | — | 2026-05-09 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Inpatient | Node Jackson County Indigent Program Medicaid Tx | Node Jackson County Indigent Program Medicaid Tx | $35,204.74 | — | — | 2026-05-08 | MRF ↗ |
| DeTar Hospital North Inpatient | Node Tx Medicaid Non Par | Node Tx Medicaid Non Par | $35,204.74 | — | — | 2026-05-09 | MRF ↗ |
| DeTar Hospital North Inpatient | United Healthcare | Node Uhc Star Plus Medicaid Tx | $35,204.74 | — | — | 2026-05-09 | MRF ↗ |
| DeTar Hospital North Inpatient | Scott & White | Node Right Care-Scott White Star Medicaid Tx | $35,204.74 | — | — | 2026-05-09 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Inpatient | Node Uhc Star Kids Medicaid Tx | Node Uhc Star Kids Medicaid Tx | $35,204.74 | — | — | 2026-05-08 | MRF ↗ |
| THE MEDICAL CENTER OF SOUTHEAST TEXAS Inpatient | Amerigroup | Wellpoint Amerigroup Star Uhrip | $35,283.73 | — | — | 2026-05-27 | MRF ↗ |
| LAREDO MEDICAL CENTER Inpatient | Node Bcbs Star Kids Medicaid Tx | Node Bcbs Star Kids Medicaid Tx | $35,518.64 | — | — | 2026-05-08 | MRF ↗ |
| LAREDO MEDICAL CENTER Inpatient | Node Driscoll Health Plan Chip Medicaid Tx | Node Driscoll Health Plan Chip Medicaid Tx | $35,518.64 | — | — | 2026-05-08 | MRF ↗ |
| THE MEDICAL CENTER OF SOUTHEAST TEXAS Inpatient | United Healthcare | United Healthcare Medicaid Star/Chips | $35,622.99 | — | — | 2026-05-27 | MRF ↗ |
| THE MEDICAL CENTER OF SOUTHEAST TEXAS Inpatient | United Healthcare | United Healthcare Star Uhrip | $35,622.99 | — | — | 2026-05-27 | MRF ↗ |
| THE MEDICAL CENTER OF SOUTHEAST TEXAS Inpatient | Community Health Choice | Community Health Choice Chip | $35,622.99 | — | — | 2026-05-27 | MRF ↗ |
| THE MEDICAL CENTER OF SOUTHEAST TEXAS Inpatient | Molina Healthcare | Molina Medicaid | $35,622.99 | — | — | 2026-05-27 | MRF ↗ |
| THE MEDICAL CENTER OF SOUTHEAST TEXAS Inpatient | Community Health Choice Uhrip | Community Health Choice Star Uhrip | $35,622.99 | — | — | 2026-05-27 | MRF ↗ |
| THE MEDICAL CENTER OF SOUTHEAST TEXAS Inpatient | Molina Medicaid Uhrip | Molina Healthcare Star Uhrip | $35,622.99 | — | — | 2026-05-27 | MRF ↗ |
| ST JOSEPH MEDICAL CENTER Inpatient | Ssi Members | Ssi Members | $35,703.14 | — | — | 2026-05-08 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Inpatient | Node Bcbs Star Kids Medicaid Tx | Node Bcbs Star Kids Medicaid Tx | $35,908.83 | — | — | 2026-05-08 | MRF ↗ |
| DeTar Hospital North Inpatient | Node Bcbs Star Kids Medicaid Tx | Node Bcbs Star Kids Medicaid Tx | $35,908.83 | — | — | 2026-05-09 | MRF ↗ |
| DeTar Hospital North Inpatient | Bcbs Tx | Node Bcbs Star Medicaid Tx | $35,908.83 | — | — | 2026-05-09 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Inpatient | Bcbs Tx | Node Bcbs Star Medicaid Tx | $35,908.83 | — | — | 2026-05-08 | MRF ↗ |
| ODESSA REGIONAL MEDICAL CENTER Inpatient | Star Medicaid | Star Medicaid | $36,063.72 | — | — | 2026-05-07 | MRF ↗ |
| ODESSA REGIONAL MEDICAL CENTER Inpatient | Wellpoint Amerigroup Star Kids/Chips | Wellpoint Amerigroup Star Kids/Chips | $36,428.00 | — | — | 2026-05-07 | MRF ↗ |
| ODESSA REGIONAL MEDICAL CENTER Inpatient | Medicaid Tx | Medicaid Tx | $36,428.00 | — | — | 2026-05-07 | MRF ↗ |
| ODESSA REGIONAL MEDICAL CENTER Inpatient | Superior Health Plan Medicaid | Superior Health Plan Medicaid | $36,428.00 | — | — | 2026-05-07 | MRF ↗ |
| LAREDO MEDICAL CENTER Inpatient | Cigna Healthspring | Node Cigna Healthspring Medicaid Tx | $36,563.31 | — | — | 2026-05-08 | MRF ↗ |
| LAREDO MEDICAL CENTER Inpatient | Amerigroup | Node Wellpoint Star Plus Medicaid Tx | $36,563.31 | — | — | 2026-05-08 | MRF ↗ |
| LAREDO MEDICAL CENTER Inpatient | Node Wellpoint Chip/Star Kids Medicaid Tx | Node Wellpoint Chip Medicaid Tx | $36,563.31 | — | — | 2026-05-08 | MRF ↗ |
| LAREDO MEDICAL CENTER Inpatient | Superior | Node Superior Chip/ Star Health Medicaid Tx | $36,563.31 | — | — | 2026-05-08 | MRF ↗ |
| LAREDO MEDICAL CENTER Inpatient | Node Wellpoint Star Kids Medicaid Tx | Node Wellpoint Star Kids Medicaid Tx | $36,563.31 | — | — | 2026-05-08 | MRF ↗ |
| LAREDO MEDICAL CENTER Inpatient | Node Wellpoint Star Medicaid Tx | Node Wellpoint Star Medicaid Tx | $36,563.31 | — | — | 2026-05-08 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Inpatient | Superior | Node Superior Star Plus Medicaid Tx | $36,575.73 | — | — | 2026-05-08 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Inpatient | Node Wellpoint Star Plus Medicaid Tx | Node Wellpoint Star Plus Medicaid Tx | $36,575.73 | — | — | 2026-05-08 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Inpatient | Node Wellpoint Star Kids Medicaid Tx | Node Wellpoint Star Kids Medicaid Tx | $36,575.73 | — | — | 2026-05-08 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Inpatient | Superior | Node Superior Chip/ Star Health Medicaid Tx | $36,575.73 | — | — | 2026-05-08 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Inpatient | Node Superior Star Kids Medicaid Tx | Node Superior Star Kids Medicaid Tx | $36,575.73 | — | — | 2026-05-08 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Inpatient | Node Molina Chip Medicaid Tx | Node Molina Chip Medicaid Tx | $36,575.73 | — | — | 2026-05-08 | MRF ↗ |
| DeTar Hospital North Inpatient | Amerigroup Medicaid | Node Wellpoint Star Medicaid Tx | $36,964.98 | — | — | 2026-05-09 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Inpatient | Node Molina Star Plus Medicaid Tx | Node Molina Star Plus Medicaid Tx | $36,964.98 | — | — | 2026-05-08 | MRF ↗ |
| DeTar Hospital North Inpatient | Node Wellpoint Star Kids Medicaid Tx | Node Wellpoint Star Kids Medicaid Tx | $36,964.98 | — | — | 2026-05-09 | MRF ↗ |
| DeTar Hospital North Inpatient | Node Wellpoint Chip/Star Kids Medicaid Tx | Node Wellpoint Chip Medicaid Tx | $36,964.98 | — | — | 2026-05-09 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Inpatient | Amerigroup Medicaid | Node Wellpoint Star Medicaid Tx | $36,964.98 | — | — | 2026-05-08 | MRF ↗ |
| DeTar Hospital North Inpatient | Node Molina Star Medicaid Tx | Node Molina Star Medicaid Tx | $36,964.98 | — | — | 2026-05-09 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Inpatient | Node Molina Star Medicaid Tx | Node Molina Star Medicaid Tx | $36,964.98 | — | — | 2026-05-08 | 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.