6121 — 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 (APR_DRG 6121) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/6121?code_type=APR_DRG
MLA (9th ed.)
“NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION (APR_DRG 6121) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/6121?code_type=APR_DRG. Accessed .
Chicago (notes-bibliography)
“NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION (APR_DRG 6121) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/6121?code_type=APR_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $11,806–$36,368 (25th–75th percentile) across 1,161 hospitals · 628 payers.
“Negotiated” is the hospital’s negotiated rate for the entire inpatient stay under APR_DRG 6121 — the consumer-grade median across the country. An inpatient (DRG) price bundles the whole admission: operating room, room & board, recovery, imaging, anesthesia (facility), implants and supplies. It does not include the surgeon’s or anesthesiologist’s professional fees, which are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| LOMA LINDA UNIVERSITY MEDICAL CENTER-MURRIETA InpatientFacility | Inland Empire Health Plan (IEHP) | Medi-Cal | $2.22 | — | — | 2026-02-19 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Superior Health Plan | CHIP/Medicaid | $2.73 | — | — | 2026-04-15 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Parkland | Medicaid | $2.73 | — | — | 2026-04-15 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Amerigroup | CHIP/Medicaid | $2.73 | — | — | 2026-04-15 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Molina | CHIP/Medicaid | $2.73 | — | — | 2026-04-15 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Cigna | Medicaid | $2.73 | — | — | 2026-04-15 | MRF ↗ |
| MEMORIAL HOSPITAL WEST InpatientFacility | OptumHealth Care Solutions | Transplants - Medicaid | $3.14 | — | — | 2026-05-27 | MRF ↗ |
| Memorial Regional Hospital South InpatientFacility | OptumHealth Care Solutions | Transplants - Medicaid | $3.14 | — | — | 2026-05-27 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL InpatientFacility | — | — | — | — | — | 2024-12-16 | MRF ↗ |
| ELIZABETHTOWN COMMUNITY HOSPITAL InpatientFacility | — | — | — | — | — | 2025-01-01 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Medicaid Other | Medicaid Other | $931.85 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $1,000.03 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $1,036.83 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Select Health | Select Health Medicaid | $1,053.63 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Molina | Molina Medicaid | $1,053.63 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $1,063.86 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $1,074.09 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL InpatientFacility | — | — | — | — | — | 2024-12-10 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $1,109.42 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL InpatientFacility | — | — | — | — | — | 2024-12-12 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | Superior Health Plan | CHPFC | $1,139.00 | — | — | 2024-10-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | Superior Health Plan | STARKids | $1,139.00 | — | — | 2024-10-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | Superior Health Plan | STAR | $1,139.00 | — | — | 2024-10-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | Superior Health Plan | STARPLUS | $1,139.00 | — | — | 2024-10-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | Superior Health Plan | CHIP | $1,139.00 | — | — | 2024-10-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL InpatientFacility | — | — | — | — | — | 2024-12-07 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL InpatientFacility | — | — | — | — | — | 2024-12-13 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL InpatientFacility | — | — | — | — | — | 2024-12-13 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Inpatient | Dignity Health | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Inpatient | Centene Ambttr Slvr Smmit Hlth Pln | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Inpatient | Health Net Federal Services | Tricare | — | — | — | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Inpatient | Northbay Healthcare | Medicare Advantage | — | — | — | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Inpatient | Triwest Healthcare Alliance | Triwest | — | — | — | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Inpatient | Kaiser Permanente | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| PRISMA HEALTH BAPTIST InpatientFacility | — | — | — | — | — | 2025-03-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE InpatientFacility | — | — | — | — | — | 2025-03-06 | MRF ↗ |
| NEW ULM MEDICAL CENTER Inpatient | Medicaid | Medicaid Ma (N) | $1,421.14 | — | — | 2026-07-18 | MRF ↗ |
| NEW ULM MEDICAL CENTER Inpatient | South Country Health Alliance | Scha Pmap (N) | $1,470.00 | — | — | 2026-07-18 | MRF ↗ |
| PROMEDICA DEFIANCE REGIONAL HOSPITAL Inpatient | Meridian Health Plan Of Mi | Meridian | $1,600.00 | — | — | 2026-07-17 | MRF ↗ |
| PROMEDICA MONROE REGIONAL HOSPITAL Inpatient | Meridian | Meridian | $1,600.00 | — | — | 2026-07-15 | MRF ↗ |
| BAY PARK COMMUNITY HOSPITAL Inpatient | Meridian Health Plan Of Mi | Meridian | $1,600.00 | — | — | 2026-07-15 | MRF ↗ |
| FOSTORIA COMMUNITY HOSPITAL Inpatient | Meridian Health Plan Of Mi | Meridian | $1,600.00 | — | — | 2026-07-17 | MRF ↗ |
| PROMEDICA TOLEDO HOSPITAL Inpatient | Health Plan Of Michigan Dba Meridian Health Plan Of Michigan | Meridian | $1,600.00 | — | — | 2026-07-17 | MRF ↗ |
| JAMAICA HOSPITAL MEDICAL CENTER Inpatient | Hotel Trades Council | Dental Or | $1,912.00 | — | — | 2026-07-15 | MRF ↗ |
| FLUSHING HOSPITAL MEDICAL CENTER Inpatient | Hotel Trades Council | Dental Or | $1,912.00 | — | — | 2026-07-15 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS InpatientFacility | UHC COMMUNITY | ALL PRODUCTS | $1,933.14 | — | — | 2026-03-18 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Humana | Tricare | — | — | — | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Soonercare | Managed Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Vantage Health Plan | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Soonercare | Managed Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Healthlink | Ppo | — | — | — | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Centene Managed Health Services | Mgd. Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Healthlink | Hmo | — | — | — | 2026-07-15 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Cigna Hmo Ppo | — | $2,646.00 | $335,158.00 | $217,852.70 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach InpatientFacility | — | — | — | — | — | 2024-12-11 | MRF ↗ |
| EAST COOPER MEDICAL CENTER InpatientFacility | Select Health | Medicaid | $3,179.48 | — | — | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER InpatientFacility | Humana | Medicaid | $3,179.48 | — | — | 2026-03-12 | MRF ↗ |
| RIVER FALLS AREA HOSPITAL Inpatient | South Country Health Alliance | Scha Pmap (R) | $3,319.06 | — | — | 2026-07-15 | MRF ↗ |
| EAST COOPER MEDICAL CENTER InpatientFacility | Absolute Total Care | Medicaid | $3,338.46 | — | — | 2026-03-12 | MRF ↗ |
| THE SHRINERS' HOSPITAL FOR CHILDREN - BOSTON Inpatient | Health New England | Medicare Advantage | — | — | — | 2026-07-15 | MRF ↗ |
| THE SHRINERS' HOSPITAL FOR CHILDREN - BOSTON Inpatient | Humana | Tricare | — | — | — | 2026-07-15 | MRF ↗ |
| THE SHRINERS' HOSPITAL FOR CHILDREN - BOSTON Inpatient | Mass General Brigham Health Plan | Mgd. Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| THE SHRINERS' HOSPITAL FOR CHILDREN - BOSTON Inpatient | Amerihealth Caritas Florida | Managed Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| THE SHRINERS' HOSPITAL FOR CHILDREN - BOSTON Inpatient | Centene Sunshine Health | Mngd Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| THE SHRINERS' HOSPITAL FOR CHILDREN - BOSTON Inpatient | Bms Healthnet Bos | Managed Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| THE SHRINERS' HOSPITAL FOR CHILDREN - BOSTON Inpatient | Centene Meridian Health Plan Of Mi | Mngd Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Health Net Federal Services | Tricare | — | — | — | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Health Net Federal Services | Tricare | — | — | — | 2026-07-15 | MRF ↗ |
| MONTEFIORE ST LUKE'S CORNWALL Inpatient | Anthem | Exchange | $4,418.86 | — | — | 2026-04-01 | MRF ↗ |
| MCLAREN MACOMB | Medicaid - Hmo | — | $5,191.91 | $64,225.91 | $32,112.96 | 2026-07-05 | MRF ↗ |
| MCLAREN MACOMB | Medicaid - Molina | — | $5,295.75 | $64,225.91 | $32,112.96 | 2026-07-05 | MRF ↗ |
| SANFORD LUVERNE MEDICAL CENTER InpatientFacility | Primewest | Medicaid Managed Care | $5,359.36 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD LUVERNE MEDICAL CENTER InpatientFacility | Ucare | Medicaid Managed Care | $5,359.36 | — | — | 2026-03-04 | MRF ↗ |
| MCLAREN MACOMB | Medicaid United Healthcare Community | — | $5,413.75 | $64,225.91 | $32,112.96 | 2026-07-05 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Inpatient | Healthy Way La | Healthy Way La | $6,999.20 | — | — | 2026-07-19 | MRF ↗ |
| GARFIELD MEDICAL CENTER InpatientFacility | — | — | — | — | — | 2026-03-12 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Inpatient | Healthy Way La | Healthy Way La | $6,999.20 | — | — | 2026-07-15 | MRF ↗ |
| SANFORD THIEF RIVER FALLS MEDICAL CENTER InpatientFacility | Ucare | Medicaid Managed Care | $7,187.37 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD BEHAVIORAL HEALTH CENTER InpatientFacility | Ucare | Medicaid Managed Care | $7,187.37 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD BEHAVIORAL HEALTH CENTER InpatientFacility | Primewest | Medicaid Managed Care | $7,187.37 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD CANBY MEDICAL CENTER InpatientFacility | Primewest | Medicaid Managed Care | $7,187.37 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD THIEF RIVER FALLS MEDICAL CENTER InpatientFacility | Primewest | Medicaid Managed Care | $7,187.37 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD WHEATON MEDICAL CENTER InpatientFacility | Ucare | Medicaid Managed Care | $7,407.38 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD WHEATON MEDICAL CENTER InpatientFacility | Primewest | Medicaid Managed Care | $7,407.38 | — | — | 2026-03-04 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Inpatient | Healthy Way La | Healthy Way La | $7,440.09 | — | — | 2026-07-15 | MRF ↗ |
| SANFORD JACKSON MEDICAL CENTER InpatientFacility | Ucare | Medicaid Managed Care | $7,813.78 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD JACKSON MEDICAL CENTER InpatientFacility | Primewest | Medicaid Managed Care | $7,813.78 | — | — | 2026-03-04 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Inpatient | Clear Health Alliance | Medicaid | $7,974.42 | — | — | 2026-07-15 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Inpatient | Humana | Medicaid | $7,974.42 | — | — | 2026-07-15 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Inpatient | Wellcare | Medicaid | $7,974.42 | — | — | 2026-07-15 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Inpatient | United Healthcare | Medicaid | $8,213.65 | — | — | 2026-07-15 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Inpatient | United Healthcare | Medicaid | $8,214.00 | — | — | 2026-07-15 | MRF ↗ |
| SANFORD BAGLEY MEDICAL CENTER InpatientFacility | Primewest | Medicaid Managed Care | $8,222.80 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD BAGLEY MEDICAL CENTER InpatientFacility | Ucare | Medicaid Managed Care | $8,222.80 | — | — | 2026-03-04 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Inpatient | United Healthcare | Medicaid | $8,293.39 | — | — | 2026-07-15 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Inpatient | Humana | Medicaid | $8,373.00 | — | — | 2026-07-15 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Inpatient | Staywell | Wellcare Medicaid | $8,373.00 | — | — | 2026-07-15 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Inpatient | Staywell | Wellcare Medicaid | $8,373.14 | — | — | 2026-07-15 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Inpatient | Humana | Medicaid | $8,373.14 | — | — | 2026-07-15 | MRF ↗ |
| CITIZENS MEDICAL CENTER Inpatient | Christus Health Plan | Christus Medicaid | $8,509.24 | — | — | 2026-09-28 | MRF ↗ |
| CITIZENS MEDICAL CENTER Inpatient | Christus Health Plan | Christus Health Plan | $8,509.24 | — | — | 2026-09-28 | MRF ↗ |
| CITIZENS MEDICAL CENTER Inpatient | Driscoll | Driscoll - Chip | $8,509.24 | — | — | 2026-09-28 | MRF ↗ |
| CITIZENS MEDICAL CENTER Inpatient | Scott & White Health | Rightcare Scott And White Health | $8,509.24 | — | — | 2026-09-28 | MRF ↗ |
| CITIZENS MEDICAL CENTER Inpatient | Medicaid | Medicaid | $8,509.24 | — | — | 2026-09-28 | MRF ↗ |
| CITIZENS MEDICAL CENTER Inpatient | Wellpoint Medicaid | Wellpoint Medicaid | $8,509.24 | — | — | 2026-09-28 | MRF ↗ |
| CITIZENS MEDICAL CENTER Inpatient | Superior | Superior Chip | $8,509.24 | — | — | 2026-09-28 | MRF ↗ |
| CITIZENS MEDICAL CENTER Inpatient | Medicare | Molina Healthcare Of Tx | $8,509.24 | — | — | 2026-09-28 | MRF ↗ |
| CITIZENS MEDICAL CENTER Inpatient | Jackson County Indigent | Jackson County Indigent | $8,509.24 | — | — | 2026-09-28 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Inpatient | Vivada | Medicaid | $8,532.63 | — | — | 2026-07-15 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Inpatient | Vivada | Medicaid | $8,533.00 | — | — | 2026-07-15 | MRF ↗ |
| SANFORD CANBY MEDICAL CENTER InpatientFacility | Ucare | Medicaid Managed Care | $8,540.26 | — | — | 2026-03-04 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Inpatient | Aetna | Medicaid | $8,612.37 | — | — | 2026-07-15 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Inpatient | Aetna | Medicaid | $8,612.37 | — | — | 2026-07-15 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Inpatient | Aetna | Medicaid | $8,612.37 | — | — | 2026-07-15 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Inpatient | Molina | Medicaid | $8,771.86 | — | — | 2026-07-15 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Inpatient | Sunshine State Health | Medicaid | $8,771.86 | — | — | 2026-07-15 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Inpatient | Sunshine State Health | Medicaid | $8,771.86 | — | — | 2026-07-15 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Inpatient | Sunshine State Health | Medicaid | $8,772.00 | — | — | 2026-07-15 | MRF ↗ |
| BATES COUNTY MEMORIAL HOSPITAL InpatientFacility | Home State Health Plan | Managed Medicaid | $8,893.67 | — | — | 2026-04-20 | MRF ↗ |
| BATES COUNTY MEMORIAL HOSPITAL InpatientFacility | Home State Health Plan | Managed Medicaid | $8,893.67 | — | — | 2026-04-20 | MRF ↗ |
| HCA FLORIDA JFK HOSPITAL Inpatient | Palm Beach PACE | MCD | $8,921.45 | — | — | 2026-03-01 | MRF ↗ |
| PALM BEACH GARDENS MEDICAL CENTER Inpatient | Palm Beach PACE | MCD | $8,921.45 | — | — | 2026-03-01 | MRF ↗ |
| Adventhealth Connerton Inpatient | United_HealthCare | HMO_Medicaid | $8,944.00 | $0.01 | $0.01 | 2024-12-15 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Inpatient | Meridian | Meridian Medicaid Managed Care (Ip) | $8,969.05 | — | — | 2026-07-15 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Inpatient | Aetna | Aetna Better Health Medicaid Managed Care (Ip) | $8,969.05 | — | — | 2026-07-15 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Inpatient | Molina | Molina Medicaid Managed Care (Ip) | $8,969.05 | — | — | 2026-07-15 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Inpatient | Bcbs | Bcbs Medicaid Managed Care (Ip) | $8,969.05 | — | — | 2026-07-15 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - EAST CAMPUS InpatientFacility | Molina | Medicaid | $9,027.65 | — | — | 2026-03-24 | MRF ↗ |
| The Hospitals of Providence Emergency Room Montwood InpatientFacility | Molina | Medicaid | $9,027.65 | — | — | 2026-03-24 | MRF ↗ |
| HARLINGEN MEDICAL CENTER Inpatient | Non-Contracted Medicaid | Non-Contracted Managed Medicaid 95 Percent | $9,069.18 | — | — | 2024-12-19 | MRF ↗ |
| HARLINGEN MEDICAL CENTER Inpatient | Non-Contracted Medicaid | Non-Contracted Managed Medicaid 95 Percent | $9,069.18 | — | — | 2024-12-19 | MRF ↗ |
| BAPTIST NEIGHBORHOOD HOSPITAL THOUSAND OAKS InpatientFacility | Community First Health Plan | CHIP | $9,120.62 | — | — | 2026-03-25 | MRF ↗ |
| BAPTIST NEIGHBORHOOD HOSPITAL THOUSAND OAKS InpatientFacility | Community First Health Plan | Medicaid | $9,120.62 | — | — | 2026-03-25 | MRF ↗ |
| HCA FLORIDA NORTH FLORIDA HOSPITAL Inpatient | Palm Beach PACE | MCD | $9,134.25 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA JFK HOSPITAL Inpatient | Palm Beach PACE | MCD | $9,134.25 | — | — | 2024-10-01 | MRF ↗ |
| BAYLOR EMERGENCY MEDICAL CENTER AT AUBREY InpatientFacility | CorVel | Workers Comp | $9,169.03 | — | — | 2026-03-25 | MRF ↗ |
| BAYLOR SCOTT AND WHITE EMERGENCY HOSPITAL InpatientFacility | CorVel | Workers Comp | $9,169.03 | — | — | 2026-03-25 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER Inpatient | CHC | Medicaid|All Plans | $9,242.55 | — | — | 2026-02-28 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER Inpatient | TCHP | Medicaid|All Plans | $9,242.55 | — | — | 2026-02-28 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER Inpatient | CHC | Medicaid|All Plans | $9,242.55 | — | — | 2026-02-28 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER Inpatient | TCHP | Medicaid|All Plans | $9,242.55 | — | — | 2026-02-28 | MRF ↗ |
| The Hospitals of Providence Emergency Room Montwood InpatientFacility | Aetna Better Health | Medicaid | $9,293.17 | — | — | 2026-03-24 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - EAST CAMPUS InpatientFacility | Aetna Better Health | Medicaid | $9,293.17 | — | — | 2026-03-24 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Soonercare | Managed Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Centene Sunshine Health | Mngd Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| FLOWERS HOSPITAL Inpatient | Florida Medicaid | Fl Medicaid | $9,304.58 | — | — | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Centene Peach State Health | Managed Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Centene Managed Health Services | Mngd Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Centene Meridian Health Plan Of Mi | Mngd Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Aetna Better Health Of Fl | Managed Medicaid | $9,304.58 | — | — | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Amerihealth Caritas Florida | Managed Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Centene Home State Health Plan | Mngd Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| THE SHRINERS' HOSPITAL FOR CHILDREN - BOSTON Inpatient | Aetna Better Health Of Fl | Managed Medicaid | $9,304.58 | — | — | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Humana | Tricare | — | — | — | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Amerigroup Of Ga | Managed Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| BANNER HEART HOSPITAL InpatientFacility | Health Choice Arizona, Inc. | Medicaid | $9,351.97 | — | — | 2026-03-02 | MRF ↗ |
| BANNER HEART HOSPITAL InpatientFacility | Health Net | Medicaid | $9,351.97 | — | — | 2026-03-02 | MRF ↗ |
| BANNER HEART HOSPITAL InpatientFacility | Banner University Health Plan | AZ Medicaid - AHCCCS | $9,351.97 | — | — | 2026-03-02 | MRF ↗ |
| BANNER HEART HOSPITAL InpatientFacility | Arizona Physicians IPA | Medicaid | $9,351.97 | — | — | 2026-03-02 | MRF ↗ |
| BANNER HEART HOSPITAL InpatientFacility | Health Choice Arizona, Inc. | Medicaid | $9,351.97 | — | — | 2026-03-02 | MRF ↗ |
| BANNER HEART HOSPITAL InpatientFacility | Mercy Care | Mercy Medicaid | $9,351.97 | — | — | 2026-03-02 | MRF ↗ |
| BANNER HEART HOSPITAL InpatientFacility | Health Net | Medicaid | $9,351.97 | — | — | 2026-03-02 | MRF ↗ |
| BANNER HEART HOSPITAL InpatientFacility | Banner University Health Plan | AZ Medicaid - AHCCCS | $9,351.97 | — | — | 2026-03-02 | MRF ↗ |
| BANNER HEART HOSPITAL InpatientFacility | Arizona Physicians IPA | Medicaid | $9,351.97 | — | — | 2026-03-02 | MRF ↗ |
| BANNER HEART HOSPITAL InpatientFacility | Mercy Care | Mercy Medicaid | $9,351.97 | — | — | 2026-03-02 | MRF ↗ |
| REGIONAL WEST MEDICAL CENTER Inpatient | Health Choice Arizona | Medicaid All Plans | $9,367.35 | — | — | 2026-03-27 | MRF ↗ |
| REGIONAL WEST MEDICAL CENTER Inpatient | United Healthcare | Medicaid All Plans | $9,367.35 | — | — | 2026-03-27 | MRF ↗ |
| REGIONAL WEST MEDICAL CENTER Inpatient | Mercy Care Arizona | Medicaid All Plans | $9,367.35 | — | — | 2026-03-27 | MRF ↗ |
| REGIONAL WEST MEDICAL CENTER Inpatient | Ambetter | Medicaid All Plans | $9,367.35 | — | — | 2026-03-27 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Inpatient | Community First | MCDSTAR | $9,373.00 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Inpatient | USA Managed Care CHIP | CHIP | $9,373.00 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Inpatient | Community First | CHIP | $9,373.00 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Inpatient | United | MCD | $9,373.00 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Inpatient | Community First | MCDSTARKIDS | $9,373.00 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Inpatient | Community First | STARPLUS | $9,373.00 | — | — | 2025-01-01 | MRF ↗ |
| Global Rehabilitation Hospital Inpatient | United | MCD | $9,373.35 | — | — | 2026-03-01 | MRF ↗ |
| Global Rehabilitation Hospital Inpatient | Community First Health Plans | CHIPPerinate | $9,373.35 | — | — | 2026-03-01 | MRF ↗ |
| Global Rehabilitation Hospital Inpatient | Community First Health Plans | STARPLUS | $9,373.35 | — | — | 2026-03-01 | MRF ↗ |
| Global Rehabilitation Hospital Inpatient | Community First Health Plans | MCDSTAR | $9,373.35 | — | — | 2026-03-01 | MRF ↗ |
| Global Rehabilitation Hospital Inpatient | Community First Health Plans | CHIP | $9,373.35 | — | — | 2026-03-01 | MRF ↗ |
| Global Rehabilitation Hospital Inpatient | Community First Health Plans | MCDSTARKIDS | $9,373.35 | — | — | 2026-03-01 | MRF ↗ |
| Global Rehabilitation Hospital Inpatient | USA Managed Care CHIP | CHIP | $9,373.35 | — | — | 2026-03-01 | MRF ↗ |
| Texas Health Specialty Hospital Fort Worth InpatientFacility | United Healthcare | Managed Medicaid | $9,374.42 | — | — | 2026-04-21 | MRF ↗ |
| Texas Health Specialty Hospital Fort Worth InpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $9,374.42 | — | — | 2026-04-21 | MRF ↗ |
| Texas Health Specialty Hospital Fort Worth InpatientFacility | Cook Childrens | Managed Medicaid | $9,374.42 | — | — | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON InpatientFacility | United Healthcare | Managed Medicaid | $9,374.42 | — | — | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON InpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $9,374.42 | — | — | 2026-04-21 | MRF ↗ |
| Texas Health Specialty Hospital Fort Worth InpatientFacility | Parkland | Managed Medicaid | $9,374.42 | — | — | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON InpatientFacility | Amerigroup | Managed Medicaid | $9,374.42 | — | — | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON InpatientFacility | Cook Childrens | Managed Medicaid | $9,374.42 | — | — | 2026-04-21 | MRF ↗ |
| Texas Health Specialty Hospital Fort Worth InpatientFacility | Amerigroup | Managed Medicaid | $9,374.42 | — | — | 2026-04-21 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES InpatientFacility | Daniel Memorial | Managed Medicaid | $9,390.99 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE InpatientFacility | Amerigroup of Georgia | Managed Medicaid OOS | $9,390.99 | — | — | 2026-02-06 | MRF ↗ |
| LAKESIDE MEDICAL CENTER InpatientFacility | Sunshine | Managed Medicaid | $9,390.99 | — | — | 2025-12-02 | MRF ↗ |
| LAKESIDE MEDICAL CENTER InpatientFacility | Aetna | CHIP | $9,390.99 | — | — | 2025-12-02 | MRF ↗ |
| LAKESIDE MEDICAL CENTER InpatientFacility | Simply Healthcare | CHIP | $9,390.99 | — | — | 2025-12-02 | MRF ↗ |
| LAKESIDE MEDICAL CENTER InpatientFacility | UHC | Managed Medicaid | $9,390.99 | — | — | 2025-12-02 | MRF ↗ |
| LAKESIDE MEDICAL CENTER InpatientFacility | AmeriHealth | Managed Medicaid_CHIP | $9,390.99 | — | — | 2025-12-02 | MRF ↗ |
| LAKESIDE MEDICAL CENTER InpatientFacility | WellCare | CHIP | $9,390.99 | — | — | 2025-12-02 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU InpatientFacility | Nassaua County Sheriff's Office | Managed Medicaid | $9,390.99 | — | — | 2026-02-06 | 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.