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–$89,000 (25th–75th percentile) across 35 hospitals · 127 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 |
|---|---|---|---|---|---|---|---|
| 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 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 | Molina | Molina Medicaid | $1,694.15 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Select Health | Select Health Medicaid | $1,694.15 | — | — | 2026-05-23 | 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 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 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 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 ↗ |
| 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 | Ga Non Par Medicaid | Non Par Medicaid Ga | $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 ↗ |
| GARFIELD MEDICAL CENTER 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 ↗ |
| MONTEREY PARK HOSPITAL Inpatient | Healthy Way La | Healthy Way La | $26,700.00 | — | — | 2026-05-08 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Inpatient | Healthy Way La | Healthy Way La | $26,700.00 | — | — | 2026-05-09 | 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 | $39,928.85 | — | — | 2026-05-06 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Inpatient | Driscoll | Medicaid | $41,017.24 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Inpatient | Driscoll | Medicaid | $41,017.24 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Inpatient | United Healthcare | Medicaid | $41,017.24 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Inpatient | Cigna | Medicaid | $41,017.24 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Inpatient | Cigna | Medicaid | $41,017.24 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Inpatient | Unitedhealthcare | Medicaid | $41,017.24 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Inpatient | Molina | Medicaid | $41,813.69 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Inpatient | Molina | Medicaid | $41,813.69 | — | — | 2026-05-08 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL Inpatient | Amerigroup | Medicaid | $41,813.69 | — | — | 2026-05-08 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL Inpatient | Molina | Medicaid | $41,813.69 | — | — | 2026-05-08 | MRF ↗ |
| NORTHWEST HILLS SURGICAL HOSPITAL Inpatient | Amerigroup | Medicaid | $41,813.69 | — | — | 2026-05-06 | MRF ↗ |
| NORTHWEST HILLS SURGICAL HOSPITAL Inpatient | Molina | Medicaid | $41,813.69 | — | — | 2026-05-06 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND InpatientFacility | Neighborhood Health Plan of Rhode Island | Managed Medicaid | — | — | — | 2024-12-31 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL Inpatient | First Care Star | Medicaid | $43,804.82 | — | — | 2026-05-08 | MRF ↗ |
| NORTHWEST HILLS SURGICAL HOSPITAL Inpatient | First Care Star | Medicaid | $43,804.82 | — | — | 2026-05-06 | MRF ↗ |
| ACMH HOSPITAL Inpatient | United Medicaid | United Medicaid | $54,205.97 | — | — | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Inpatient | United Chip | United Chip | $54,205.97 | — | — | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Inpatient | United Medicaid | United Medicaid | $54,205.97 | — | — | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Inpatient | Upmc Chip | Upmc Chip | $54,205.97 | — | — | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Inpatient | United Chip | United Chip | $54,205.97 | — | — | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Inpatient | Upmc Chip | Upmc Chip | $54,205.97 | — | — | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Inpatient | Amerihealth Caritas | Amerihealth Caritas Medicaid | $56,916.27 | — | — | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Inpatient | Amerihealth Caritas | Amerihealth Caritas Medicaid | $56,916.27 | — | — | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Inpatient | Centene Corporation | Pa H And W Medicaid | $56,916.27 | — | — | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Inpatient | Centene Corporation | Pa H And W Medicaid | $56,916.27 | — | — | 2026-05-23 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | Molina | Molina Managed Medicaid | $57,438.78 | — | — | 2026-05-14 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | Ohio Medicaid | Traditional Medicaid | $57,438.78 | — | — | 2026-05-24 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | United Healthcare | United Healthcare Medicaid | $57,438.78 | — | — | 2026-05-14 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | Molina | Molina Managed Medicaid | $57,438.78 | — | — | 2026-05-24 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | United Healthcare | United Healthcare Medicaid | $57,438.78 | — | — | 2026-05-24 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | Ohio Medicaid | Traditional Medicaid | $57,438.78 | — | — | 2026-05-14 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | Caresource | Caresource Medicaid | $58,587.56 | — | — | 2026-05-14 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | Caresource | Caresource Medicaid | $58,587.56 | — | — | 2026-05-24 | MRF ↗ |
| ACMH HOSPITAL Inpatient | Upmc Health Plan | Upmc Medicaid | $58,943.57 | — | — | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Inpatient | Upmc Health Plan | Upmc Medicaid | $58,943.57 | — | — | 2026-05-14 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Brighton Healthplan | Medicaid | $59,151.09 | — | — | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Healthfirst Health Plan | Medicaid, Essential Plan 3&4, Medicaid Harp, And Child Health Plus | $59,151.09 | — | — | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | United Health | Medicaid | $59,151.09 | — | — | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Excellus | Govt Programs/ Special Products | $59,151.09 | — | — | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Mvp | Essential Plans 3 And 4 | $59,151.09 | — | — | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Wellcare | Medicaid Essential Plan 3 And 4 | $59,151.09 | — | — | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Mycompass | Medicaid | $59,151.09 | — | — | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Mycompass | Medicaid | $59,151.09 | — | — | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Brighton Healthplan | Medicaid | $59,151.09 | — | — | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Healthfirst Health Plan | Medicaid, Essential Plan 3&4, Medicaid Harp, And Child Health Plus | $59,151.09 | — | — | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | United Health | Medicaid | $59,151.09 | — | — | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Mvp | Essential Plans 3 And 4 | $59,151.09 | — | — | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Excellus | Govt Programs/ Special Products | $59,151.09 | — | — | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Wellcare | Medicaid Essential Plan 3 And 4 | $59,151.09 | — | — | 2026-05-22 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | Anthem | Anthem Community Plan | $59,161.94 | — | — | 2026-05-24 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | Anthem | Anthem Community Plan | $59,161.94 | — | — | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Inpatient | Geisinger Medicaid | Geisinger Medicaid | $59,626.57 | — | — | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Inpatient | Geisinger Medicaid | Geisinger Medicaid | $59,626.57 | — | — | 2026-05-14 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | Humana | Humana Medicaid Managed Care Plan | $59,736.33 | — | — | 2026-05-14 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | Humana | Humana Medicaid Managed Care Plan | $59,736.33 | — | — | 2026-05-24 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | Amerihealth Caritas Ohio | Amerihealth Caritas Ohio | $60,310.72 | — | — | 2026-05-24 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | Amerihealth Caritas Ohio | Amerihealth Caritas Ohio | $60,310.72 | — | — | 2026-05-14 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | Buckeye Community Health | Buckeye Community Health Medicaid | $60,310.72 | — | — | 2026-05-14 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | Buckeye Community Health | Buckeye Community Health Medicaid | $60,310.72 | — | — | 2026-05-24 | MRF ↗ |
| FAMILY HEALTH WEST HOSPITAL Inpatient | Rocky Mountain | Medicaid | $61,637.95 | — | — | 2026-05-18 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Inpatient | United Healthcare | Medicaid | $62,089.83 | — | — | 2026-05-08 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Inpatient | Molina | Medicaid | $62,089.83 | — | — | 2026-05-08 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Inpatient | Anthem Blue Cross Blue Shield | Medicaid | $62,089.83 | — | — | 2026-05-23 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Inpatient | Anthem Blue Cross Blue Shield | Medicaid | $62,089.83 | — | — | 2026-05-14 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Inpatient | Kaiser | Medicaid | $63,331.63 | — | — | 2026-05-23 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Inpatient | Kaiser | Medicaid | $63,331.63 | — | — | 2026-05-14 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Inpatient | Kaiser | Medicaid | $63,331.63 | — | — | 2026-05-08 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Inpatient | Blue Shield | Medicaid | $63,642.08 | — | — | 2026-05-23 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Inpatient | Blue Shield | Medicaid | $63,642.08 | — | — | 2026-05-14 | MRF ↗ |
| MEDICAL CENTER ENTERPRISE Inpatient | Florida Medicaid | Fl Medicaid | $64,215.88 | — | — | 2026-05-23 | MRF ↗ |
| MEDICAL CENTER ENTERPRISE Inpatient | Florida Medicaid | Fl Medicaid | $64,215.88 | — | — | 2026-05-14 | MRF ↗ |
| PARRISH MEDICAL CENTER Inpatient | Aetna Better Health | Aetna Better Health | $64,812.32 | — | — | 2026-05-23 | MRF ↗ |
| PARRISH MEDICAL CENTER Inpatient | Healthease/Staywell Of Florida Inc | Staywell | $64,812.32 | — | — | 2026-05-23 | MRF ↗ |
| PARRISH MEDICAL CENTER Inpatient | Humana Medicaid | Humana Medicaid | $64,812.32 | — | — | 2026-05-23 | MRF ↗ |
| PARRISH MEDICAL CENTER Inpatient | Healthease/Staywell Of Florida Inc | Staywell | $64,812.32 | — | — | 2026-05-14 | MRF ↗ |
| PARRISH MEDICAL CENTER Inpatient | Freedom Health | Freedom Health | $64,812.32 | — | — | 2026-05-23 | MRF ↗ |
| PARRISH MEDICAL CENTER Inpatient | Medicaid Hmo | Medicaid Hmo | $64,812.32 | — | — | 2026-05-23 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Inpatient | Clear Health Alliance | Clear Health Alliance | $64,812.32 | — | — | 2026-05-08 | MRF ↗ |
| PARRISH MEDICAL CENTER Inpatient | Florida Medicaid | Medicaid | $64,812.32 | — | — | 2026-05-23 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Ped-I-Care Medicaid Fl | Ped-I-Care Medicaid Fl | $64,812.32 | — | — | 2026-05-09 | MRF ↗ |
| PARRISH MEDICAL CENTER Inpatient | Sunshine State Health Plan | Sunshine State Health Plan | $64,812.32 | — | — | 2026-05-23 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Florida Medicaid Non Par | Fl Medicaid Non-Par | $64,812.32 | — | — | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Childrens Medical Services Medicaid Fl | Childrens Medical Services Medicaid Fl | $64,812.32 | — | — | 2026-05-08 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Childrens Medical Services Medicaid Fl | Childrens Medical Services Medicaid Fl | $64,812.32 | — | — | 2026-05-09 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Inpatient | Molina Healthcare | Molina Healthcare Fl Kidcare | $64,812.32 | — | — | 2026-05-08 | MRF ↗ |
| PARRISH MEDICAL CENTER Inpatient | Florida Medicaid | Medicaid | $64,812.32 | — | — | 2026-05-14 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Florida Medicaid | Fl Medicaid | $64,812.32 | — | — | 2026-05-08 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Florida Medicaid | Fl Medicaid | $64,812.32 | — | — | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Florida Medicaid | Fl Medicaid | $64,812.32 | — | — | 2026-05-09 | MRF ↗ |
| PARRISH MEDICAL CENTER Inpatient | Simply Healthcare Plans | Simply Healthcare Plans | $64,812.32 | — | — | 2026-05-14 | MRF ↗ |
| PARRISH MEDICAL CENTER Inpatient | Florida Mhs Inc | Florida Mhs Inc | $64,812.32 | — | — | 2026-05-14 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | United Healthcare | Uhc Medicaid Fl | $64,812.32 | — | — | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Ped-I-Care Medicaid Fl | Ped-I-Care Medicaid Fl | $64,812.32 | — | — | 2026-05-09 | MRF ↗ |
| PARRISH MEDICAL CENTER Inpatient | Freedom Health | Freedom Health | $64,812.32 | — | — | 2026-05-14 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Ped-I-Care Medicaid Fl | Ped-I-Care Medicaid Fl | $64,812.32 | — | — | 2026-05-08 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Childrens Medical Services | S Fl Community Care Network Medicaid Fl | $64,812.32 | — | — | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Florida Medicaid Non Par | Fl Medicaid Non-Par | $64,812.32 | — | — | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | United Healthcare | Uhc Medicaid Fl | $64,812.32 | — | — | 2026-05-08 | MRF ↗ |
| PARRISH MEDICAL CENTER Inpatient | Florida Mhs Inc | Florida Mhs Inc | $64,812.32 | — | — | 2026-05-23 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Childrens Medical Services Medicaid | Childrens Medical Services Medicaid | $64,812.32 | — | — | 2026-05-09 | MRF ↗ |
| PARRISH MEDICAL CENTER Inpatient | Sunshine State Health Plan | Sunshine State Health Plan | $64,812.32 | — | — | 2026-05-14 | MRF ↗ |
| PARRISH MEDICAL CENTER Inpatient | Aetna Better Health | Aetna Better Health | $64,812.32 | — | — | 2026-05-14 | MRF ↗ |
| PARRISH MEDICAL CENTER Inpatient | Humana Medicaid | Humana Medicaid | $64,812.32 | — | — | 2026-05-14 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Childrens Medical Services | S Fl Community Care Network Medicaid Fl | $64,812.32 | — | — | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Childrens Medical Services | S Fl Community Care Network Medicaid Fl | $64,812.32 | — | — | 2026-05-08 | MRF ↗ |
| PARRISH MEDICAL CENTER Inpatient | Medicaid Hmo | Medicaid Hmo | $64,812.32 | — | — | 2026-05-14 | MRF ↗ |
| PARRISH MEDICAL CENTER Inpatient | Simply Healthcare Plans | Simply Healthcare Plans | $64,812.32 | — | — | 2026-05-23 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Florida Medicaid Non Par | Fl Medicaid Non-Par | $64,812.32 | — | — | 2026-05-08 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | United Healthcare | Uhc Medicaid Fl | $64,812.32 | — | — | 2026-05-09 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Inpatient | Health Net | Medicaid | $64,945.96 | — | — | 2026-05-08 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Healthfirst Health Plan | Essential Plan 1 & 2 And Qualified Health Plans | $65,066.20 | — | — | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Healthfirst Health Plan | Essential Plan 1 & 2 And Qualified Health Plans | $65,066.20 | — | — | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Fidelis | Medicaid Hmo | $65,353.63 | — | — | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Fidelis | Medicaid Hmo | $65,353.63 | — | — | 2026-05-22 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Inpatient | Heritage | Medicaid | $65,815.22 | — | — | 2026-05-08 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Inpatient | Iehp | Medicaid | $66,436.12 | — | — | 2026-05-23 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Inpatient | Iehp | Medicaid | $66,436.12 | — | — | 2026-05-14 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Inpatient | Iehp | Medicaid | $66,436.12 | — | — | 2026-05-08 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Humana | Humana Medicaid Fl | $66,756.69 | — | — | 2026-05-08 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Humana | Humana Medicaid Fl | $66,756.69 | — | — | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Humana | Humana Medicaid Fl | $66,756.69 | — | — | 2026-05-09 | MRF ↗ |
| PARRISH MEDICAL CENTER Inpatient | Molina Healthcare Of Florida | Molina Healthcare Of Florida | $67,404.81 | — | — | 2026-05-23 | MRF ↗ |
| PARRISH MEDICAL CENTER Inpatient | Molina Healthcare Of Florida | Molina Healthcare Of Florida | $67,404.81 | — | — | 2026-05-14 | MRF ↗ |
| PARRISH MEDICAL CENTER Inpatient | United Healthcare | Uhc Medicaid | $68,052.94 | — | — | 2026-05-23 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Inpatient | Sunshine Health Plan | Sunshine Health Plan Medicaid | $68,052.94 | — | — | 2026-05-08 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Inpatient | Aetna Better Health Of Florida | Aetna Better Health Of Florida | $68,052.94 | — | — | 2026-05-08 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Integral Health | Integral Health Medicaid Fl | $68,052.94 | — | — | 2026-05-08 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Integral Health | Integral Health Medicaid Fl | $68,052.94 | — | — | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Integral Health | Integral Health Medicaid Fl | $68,052.94 | — | — | 2026-05-09 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Inpatient | Amerigroup | Simply Healthcare Fl Healthy Kids | $68,052.94 | — | — | 2026-05-08 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Wellcare | Wellcare Medicaid Fl | $68,052.94 | — | — | 2026-05-08 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Wellcare | Wellcare Medicaid Fl | $68,052.94 | — | — | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Wellcare | Wellcare Medicaid Fl | $68,052.94 | — | — | 2026-05-09 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Inpatient | Amerigroup | Simply Healthcare Plans | $68,052.94 | — | — | 2026-05-08 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Inpatient | United Healthcare | United Healthcare Medicaid | $68,052.94 | — | — | 2026-05-08 | MRF ↗ |
| PARRISH MEDICAL CENTER Inpatient | United Healthcare | Uhc Medicaid | $68,052.94 | — | — | 2026-05-14 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Inpatient | United Healthcare | United Healthcare Florida Healthy Kids | $68,052.94 | — | — | 2026-05-08 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Simply Healthcare Plan | Simply Healthcare Plan | $68,701.06 | — | — | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Simply Healthcare Plan | Simply Medicaid Fl | $68,701.06 | — | — | 2026-05-08 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Simply Healthcare Plan | Simply Medicaid Fl | $68,701.06 | — | — | 2026-05-09 | MRF ↗ |
| CORAL GABLES HOSPITAL Inpatient | Sunshine State Health Plan Medicaid | Sunshine State Health Plan Medicaid | $69,359.04 | — | — | 2026-05-08 | MRF ↗ |
| CORAL GABLES HOSPITAL Inpatient | Amerihealth Caritas Medicaid | Amerihealth Caritas Medicaid | $69,359.04 | — | — | 2026-05-08 | MRF ↗ |
| CORAL GABLES HOSPITAL Inpatient | Medicaid Fl | Medicaid Fl | $69,359.04 | — | — | 2026-05-08 | MRF ↗ |
| CORAL GABLES HOSPITAL Inpatient | Aetna Better Health Medicaid Hmo | Aetna Better Health Medicaid Hmo | $69,359.04 | — | — | 2026-05-08 | MRF ↗ |
| CORAL GABLES HOSPITAL Inpatient | Humana Healthy Horizons Medicaid | Humana Healthy Horizons Medicaid | $69,359.04 | — | — | 2026-05-08 | MRF ↗ |
| CORAL GABLES HOSPITAL Inpatient | Non-Contracted Medicaid Hmo | Non-Contracted Medicaid Hmo | $69,359.04 | — | — | 2026-05-08 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Magellan | Magellan Medicaid Fl | $69,673.24 | — | — | 2026-05-08 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Magellan | Magellan Medicaid Fl | $69,673.24 | — | — | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Magellan | Magellan Medicaid Fl | $69,673.24 | — | — | 2026-05-09 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Inpatient | Louisiana Healthcare Connections (Healthy Louisiana) | All Plans | — | — | — | 2026-05-27 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Inpatient | Blue Cross Blue Shield Of Louisiana Hmo | All Plans | — | — | — | 2026-05-27 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Inpatient | United Healthcare Community Plan Of Mississippi | All Plans | $70,123.64 | — | — | 2026-05-06 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Inpatient | Blue Cross Blue Shield Of Louisiana Blue Connect 2 | All Plans | — | — | — | 2026-05-27 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Inpatient | Zelis | All Plans | — | — | — | 2026-05-27 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Inpatient | Blue Cross Blue Shield Of Louisiana Blue Connect 3 | All Plans | — | — | — | 2026-05-27 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Inpatient | Louisiana Workers' Compensation Corporation (Lwcc) | All Plans | — | — | — | 2026-05-27 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Inpatient | Amerihealth Caritas Louisiana (Healthy Louisiana) | All Plans | — | — | — | 2026-05-27 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Inpatient | Healthy Blue (Healthy Louisiana) | All Plans | — | — | — | 2026-05-27 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Inpatient | United Healthcare Community Plan (Healthy Louisiana) | All Plans | — | — | — | 2026-05-27 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Inpatient | Cigna Healthcare | All Plans | — | — | — | 2026-05-27 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Inpatient | Blue Cross Blue Shield Of Louisiana Community Blue 2 | All Plans | — | — | — | 2026-05-27 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Inpatient | American Health Advantage Of Louisiana (Formerly Dignity Health Plan) | All Plans | — | — | — | 2026-05-27 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Inpatient | Molina Healthcare Of Mississippi Managed Medicaid | All Plans | $70,123.64 | — | — | 2026-05-06 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Inpatient | Humana Military � Tricare | All Plans | — | — | — | 2026-05-27 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Inpatient | Aetna Better Health (Healthy Louisiana) | All Plans | — | — | — | 2026-05-27 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Inpatient | Blue Cross Blue Shield Of Louisiana Medicare Advantage Product(S) | All Plans | — | — | — | 2026-05-27 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Inpatient | Magnolia Health Plan Mississippi Managed Medicaid | All Plans | $70,123.64 | — | — | 2026-05-06 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Inpatient | Blue Cross Blue Shield Of Louisiana Blue Connect 1 | All Plans | — | — | — | 2026-05-27 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Inpatient | Blue Cross Blue Shield Of Louisiana Community Blue 1 | All Plans | — | — | — | 2026-05-27 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Inpatient | Healthy Blue Dual Advantage (Hmo-D-Snp) | All Plans | — | — | — | 2026-05-27 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Inpatient | Ochsner Health Plan | All Plans | — | — | — | 2026-05-27 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Inpatient | Optum Va Ccn | All Plans | — | — | — | 2026-05-27 | 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.