6122 — 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 6122) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/6122?code_type=APR_DRG
MLA (9th ed.)
“NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION (APR_DRG 6122) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/6122?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 6122) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/6122?code_type=APR_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $17,738–$47,982 (25th–75th percentile) across 1,139 hospitals · 616 payers.
“Negotiated” is the hospital’s negotiated rate for the entire inpatient stay under APR_DRG 6122 — 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 | $3.43 | — | — | 2026-02-19 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Amerigroup | CHIP/Medicaid | $3.87 | — | — | 2026-04-15 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Cigna | Medicaid | $3.87 | — | — | 2026-04-15 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Superior Health Plan | CHIP/Medicaid | $3.87 | — | — | 2026-04-15 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Parkland | Medicaid | $3.87 | — | — | 2026-04-15 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Molina | CHIP/Medicaid | $3.87 | — | — | 2026-04-15 | MRF ↗ |
| Memorial Regional Hospital South InpatientFacility | OptumHealth Care Solutions | Transplants - Medicaid | $4.54 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL WEST InpatientFacility | OptumHealth Care Solutions | Transplants - Medicaid | $4.54 | — | — | 2026-05-27 | MRF ↗ |
| ELIZABETHTOWN COMMUNITY HOSPITAL InpatientFacility | — | — | — | — | — | 2025-01-01 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL InpatientFacility | — | — | — | — | — | 2024-12-16 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Medicaid Other | Medicaid Other | $987.44 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $1,059.68 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $1,098.69 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Select Health | Select Health Medicaid | $1,116.49 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Molina | Molina Medicaid | $1,116.49 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $1,127.33 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $1,138.17 | — | — | 2026-09-21 | 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 | STARPLUS | $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 | CHPFC | $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 GREENVILLE MEMORIAL HOSPITAL InpatientFacility | — | — | — | — | — | 2024-12-10 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $1,175.60 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL InpatientFacility | — | — | — | — | — | 2024-12-12 | 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 ↗ |
| 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 ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE InpatientFacility | — | — | — | — | — | 2025-03-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST InpatientFacility | — | — | — | — | — | 2025-03-06 | MRF ↗ |
| PROMEDICA MONROE REGIONAL HOSPITAL Inpatient | Meridian | Meridian | $1,600.00 | — | — | 2026-07-15 | MRF ↗ |
| PROMEDICA DEFIANCE REGIONAL HOSPITAL Inpatient | Meridian Health Plan Of Mi | Meridian | $1,600.00 | — | — | 2026-07-17 | MRF ↗ |
| BAY PARK COMMUNITY HOSPITAL Inpatient | Meridian Health Plan Of Mi | Meridian | $1,600.00 | — | — | 2026-07-15 | MRF ↗ |
| PROMEDICA TOLEDO HOSPITAL Inpatient | Health Plan Of Michigan Dba Meridian Health Plan Of Michigan | Meridian | $1,600.00 | — | — | 2026-07-17 | MRF ↗ |
| FOSTORIA COMMUNITY HOSPITAL Inpatient | Meridian Health Plan Of Mi | Meridian | $1,600.00 | — | — | 2026-07-17 | MRF ↗ |
| FLUSHING HOSPITAL MEDICAL CENTER Inpatient | Hotel Trades Council | Dental Or | $1,912.00 | — | — | 2026-07-15 | MRF ↗ |
| JAMAICA 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 | $2,146.62 | — | — | 2026-03-18 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Centene Managed Health Services | Mgd. Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Healthlink | Ppo | — | — | — | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Soonercare | Managed 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 | $351,791.00 | $228,664.15 | 2026-07-05 | MRF ↗ |
| Prisma Health North Greenville Ltach InpatientFacility | — | — | — | — | — | 2024-12-11 | MRF ↗ |
| RIVER FALLS AREA HOSPITAL Inpatient | South Country Health Alliance | Scha Pmap (R) | $3,319.06 | — | — | 2026-07-15 | 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 | Centene Meridian Health Plan Of Mi | Mngd 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 | Mass General Brigham Health Plan | Mgd. Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| THE SHRINERS' HOSPITAL FOR CHILDREN - BOSTON Inpatient | Bms Healthnet Bos | Managed 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 ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | United Healthcare Va Behavioral Health | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Sedgwick Government Solutions | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Emblemhealth Hip Of Ny Select Care | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Empire Blue Cross Blue Shield Healthplus | Mgd Medi | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Emblemhealth Ghi | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Empire Blue Cross Blue Shield | Medicare Advantage | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | United Healthcare Community Plan | Managed Medicaid | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Emblem Essential Health Plans 1/2 | Managed Medicaid | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Molina Chp/Harp | Managed Medicaid | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Healthfirst Essential Plan 3/4 | Commerial | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Emblemhealth Hip Of Ny | Medicare Advantage | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Empire Blue Cross Blue Shield Essential Plan | Comm | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Emblemhealth Hip Of Ny | Managed Medicaid | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Empire Blue Cross Blue Shield Individual | Comm | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Aetna | Medicare Advantage | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Elderplan | Medicare Advantage | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Partners Health Plan | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Fidelis Care Ny Chp | Managed Medicaid | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Molina Essential 1 And 2 | Managed Medicaid | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Centerlight | Commerical | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Fidelis Care - Essential Plans 1 | 5 | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Healthfirst | Child Health Plus | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Fidelis Care Ny Harp | Managed Medicaid | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Empire Blue Cross Blue Shield Harp | Managed Medi | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Healthfirst Essential Plan 1/2 | Healthfirst Essential Plan 1/2 | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Healthfirst Health Plan | Medicare Advantage | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Fidelis Care | Exchange (Hbx) | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Aetna Ppo | Medicare Advantage | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Empire Blue Cross Blue Shield Chp | Managed Medicaid | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Emblemhealth Hip Of Ny | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Fidelis Care | Medicare (Including Dual) | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Emblem Essential Health Plans 3/4 | Managed Medicaid | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | United Healthcare Va | Commercial | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Fidelis Care Ny | Managed Medicaid | — | — | — | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Inpatient | Agewell New York | Medicare Advantage | — | — | — | 2026-08-01 | MRF ↗ |
| EAST COOPER MEDICAL CENTER InpatientFacility | Select Health | Medicaid | $4,729.52 | — | — | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER InpatientFacility | Humana | Medicaid | $4,729.52 | — | — | 2026-03-12 | MRF ↗ |
| MCLAREN PORT HURON | Medicaid - Hmo | — | $4,857.91 | $45,583.28 | $22,791.64 | 2026-05-06 | MRF ↗ |
| MCLAREN PORT HURON | Medicaid - United Healthcare Community | — | $4,857.91 | $45,583.28 | $22,791.64 | 2026-05-06 | MRF ↗ |
| MCLAREN PORT HURON | Medicaid - Meridian | — | $4,857.91 | $45,583.28 | $22,791.64 | 2026-05-06 | MRF ↗ |
| MCLAREN PORT HURON | Medicaid - Molina | — | $4,955.07 | $45,583.28 | $22,791.64 | 2026-05-06 | MRF ↗ |
| EAST COOPER MEDICAL CENTER InpatientFacility | Absolute Total Care | Medicaid | $4,966.00 | — | — | 2026-03-12 | MRF ↗ |
| MCLAREN PORT HURON | Medicaid - Midwest Hmo | — | $5,003.65 | $45,583.28 | $22,791.64 | 2026-05-06 | MRF ↗ |
| MONTEFIORE ST LUKE'S CORNWALL Inpatient | Anthem | Exchange | $5,714.93 | — | — | 2026-04-01 | MRF ↗ |
| SANFORD LUVERNE MEDICAL CENTER InpatientFacility | Primewest | Medicaid Managed Care | $7,972.12 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD LUVERNE MEDICAL CENTER InpatientFacility | Ucare | Medicaid Managed Care | $7,972.12 | — | — | 2026-03-04 | MRF ↗ |
| GARFIELD MEDICAL CENTER InpatientFacility | — | — | — | — | — | 2026-03-12 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Inpatient | Healthy Way La | Healthy Way La | $10,411.67 | — | — | 2026-07-15 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Inpatient | Healthy Way La | Healthy Way La | $10,411.67 | — | — | 2026-07-19 | MRF ↗ |
| SANFORD BEHAVIORAL HEALTH CENTER InpatientFacility | Ucare | Medicaid Managed Care | $10,691.31 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD BEHAVIORAL HEALTH CENTER InpatientFacility | Primewest | Medicaid Managed Care | $10,691.31 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD THIEF RIVER FALLS MEDICAL CENTER InpatientFacility | Ucare | Medicaid Managed Care | $10,691.31 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD THIEF RIVER FALLS MEDICAL CENTER InpatientFacility | Primewest | Medicaid Managed Care | $10,691.31 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD CANBY MEDICAL CENTER InpatientFacility | Primewest | Medicaid Managed Care | $10,691.31 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD WHEATON MEDICAL CENTER InpatientFacility | Primewest | Medicaid Managed Care | $11,018.58 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD WHEATON MEDICAL CENTER InpatientFacility | Ucare | Medicaid Managed Care | $11,018.58 | — | — | 2026-03-04 | MRF ↗ |
| ELMHURST HOSPITAL CENTER InpatientFacility | Healthfirst | Small Group | $11,437.92 | — | — | 2025-09-05 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Inpatient | Healthy Way La | Healthy Way La | $11,474.82 | — | — | 2026-07-15 | MRF ↗ |
| SANFORD JACKSON MEDICAL CENTER InpatientFacility | Primewest | Medicaid Managed Care | $11,623.11 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD JACKSON MEDICAL CENTER InpatientFacility | Ucare | Medicaid Managed Care | $11,623.11 | — | — | 2026-03-04 | MRF ↗ |
| CITIZENS MEDICAL CENTER Inpatient | Jackson County Indigent | Jackson County Indigent | $12,079.44 | — | — | 2026-09-28 | MRF ↗ |
| CITIZENS MEDICAL CENTER Inpatient | Scott & White Health | Rightcare Scott And White Health | $12,079.44 | — | — | 2026-09-28 | MRF ↗ |
| CITIZENS MEDICAL CENTER Inpatient | Christus Health Plan | Christus Health Plan | $12,079.44 | — | — | 2026-09-28 | MRF ↗ |
| CITIZENS MEDICAL CENTER Inpatient | Christus Health Plan | Christus Medicaid | $12,079.44 | — | — | 2026-09-28 | MRF ↗ |
| CITIZENS MEDICAL CENTER Inpatient | Medicare | Molina Healthcare Of Tx | $12,079.44 | — | — | 2026-09-28 | MRF ↗ |
| CITIZENS MEDICAL CENTER Inpatient | Medicaid | Medicaid | $12,079.44 | — | — | 2026-09-28 | MRF ↗ |
| CITIZENS MEDICAL CENTER Inpatient | Driscoll | Driscoll - Chip | $12,079.44 | — | — | 2026-09-28 | MRF ↗ |
| CITIZENS MEDICAL CENTER Inpatient | Wellpoint Medicaid | Wellpoint Medicaid | $12,079.44 | — | — | 2026-09-28 | MRF ↗ |
| CITIZENS MEDICAL CENTER Inpatient | Superior | Superior Chip | $12,079.44 | — | — | 2026-09-28 | MRF ↗ |
| SANFORD BAGLEY MEDICAL CENTER InpatientFacility | Primewest | Medicaid Managed Care | $12,231.52 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD BAGLEY MEDICAL CENTER InpatientFacility | Ucare | Medicaid Managed Care | $12,231.52 | — | — | 2026-03-04 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Inpatient | Wellcare | Medicaid | $12,258.90 | — | — | 2026-07-15 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Inpatient | Clear Health Alliance | Medicaid | $12,258.90 | — | — | 2026-07-15 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Inpatient | Humana | Medicaid | $12,258.90 | — | — | 2026-07-15 | MRF ↗ |
| BATES COUNTY MEMORIAL HOSPITAL InpatientFacility | Home State Health Plan | Managed Medicaid | $12,625.17 | — | — | 2026-04-20 | MRF ↗ |
| BATES COUNTY MEMORIAL HOSPITAL InpatientFacility | Home State Health Plan | Managed Medicaid | $12,625.17 | — | — | 2026-04-20 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Inpatient | United Healthcare | Medicaid | $12,626.67 | — | — | 2026-07-15 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Inpatient | United Healthcare | Medicaid | $12,627.00 | — | — | 2026-07-15 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Inpatient | United Healthcare | Medicaid | $12,749.26 | — | — | 2026-07-15 | MRF ↗ |
| The Hospitals of Providence Emergency Room Montwood InpatientFacility | Molina | Medicaid | $12,815.36 | — | — | 2026-03-24 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - EAST CAMPUS InpatientFacility | Molina | Medicaid | $12,815.36 | — | — | 2026-03-24 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Inpatient | Humana | Medicaid | $12,871.85 | — | — | 2026-07-15 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Inpatient | Staywell | Wellcare Medicaid | $12,871.85 | — | — | 2026-07-15 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Inpatient | Staywell | Wellcare Medicaid | $12,872.00 | — | — | 2026-07-15 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Inpatient | Humana | Medicaid | $12,872.00 | — | — | 2026-07-15 | MRF ↗ |
| HARLINGEN MEDICAL CENTER Inpatient | Non-Contracted Medicaid | Non-Contracted Managed Medicaid 95 Percent | $12,874.30 | — | — | 2024-12-19 | MRF ↗ |
| HARLINGEN MEDICAL CENTER Inpatient | Non-Contracted Medicaid | Non-Contracted Managed Medicaid 95 Percent | $12,874.30 | — | — | 2024-12-19 | MRF ↗ |
| PALM BEACH GARDENS MEDICAL CENTER Inpatient | Palm Beach PACE | MCD | $12,925.91 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA JFK HOSPITAL Inpatient | Palm Beach PACE | MCD | $12,925.91 | — | — | 2026-03-01 | MRF ↗ |
| BAPTIST NEIGHBORHOOD HOSPITAL THOUSAND OAKS InpatientFacility | Community First Health Plan | CHIP | $12,947.33 | — | — | 2026-03-25 | MRF ↗ |
| BAPTIST NEIGHBORHOOD HOSPITAL THOUSAND OAKS InpatientFacility | Community First Health Plan | Medicaid | $12,947.33 | — | — | 2026-03-25 | MRF ↗ |
| BAYLOR SCOTT AND WHITE EMERGENCY HOSPITAL InpatientFacility | CorVel | Workers Comp | $13,016.06 | — | — | 2026-03-25 | MRF ↗ |
| BAYLOR EMERGENCY MEDICAL CENTER AT AUBREY InpatientFacility | CorVel | Workers Comp | $13,016.06 | — | — | 2026-03-25 | MRF ↗ |
| SANFORD CANBY MEDICAL CENTER InpatientFacility | Ucare | Medicaid Managed Care | $13,065.60 | — | — | 2026-03-04 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Inpatient | Vivada | Medicaid | $13,117.00 | — | — | 2026-07-15 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Inpatient | Vivada | Medicaid | $13,117.03 | — | — | 2026-07-15 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER Inpatient | CHC | Medicaid|All Plans | $13,120.45 | — | — | 2026-02-28 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER Inpatient | TCHP | Medicaid|All Plans | $13,120.45 | — | — | 2026-02-28 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER Inpatient | CHC | Medicaid|All Plans | $13,120.45 | — | — | 2026-02-28 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER Inpatient | TCHP | Medicaid|All Plans | $13,120.45 | — | — | 2026-02-28 | MRF ↗ |
| The Hospitals of Providence Emergency Room Montwood InpatientFacility | Aetna Better Health | Medicaid | $13,192.28 | — | — | 2026-03-24 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - EAST CAMPUS InpatientFacility | Aetna Better Health | Medicaid | $13,192.28 | — | — | 2026-03-24 | MRF ↗ |
| LAKEWOOD RANCH MEDICAL CENTER Inpatient | Aetna | Medicaid | $13,239.62 | — | — | 2026-07-15 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Inpatient | Aetna | Medicaid | $13,239.62 | — | — | 2026-07-15 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Inpatient | Aetna | Medicaid | $13,239.62 | — | — | 2026-07-15 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Inpatient | United | MCD | $13,306.00 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Inpatient | Community First | STARPLUS | $13,306.00 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Inpatient | Community First | MCDSTARKIDS | $13,306.00 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Inpatient | USA Managed Care CHIP | CHIP | $13,306.00 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Inpatient | Community First | MCDSTAR | $13,306.00 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Inpatient | Community First | CHIP | $13,306.00 | — | — | 2025-01-01 | MRF ↗ |
| Global Rehabilitation Hospital Inpatient | Community First Health Plans | MCDSTARKIDS | $13,306.11 | — | — | 2026-03-01 | MRF ↗ |
| Global Rehabilitation Hospital Inpatient | United | MCD | $13,306.11 | — | — | 2026-03-01 | MRF ↗ |
| Global Rehabilitation Hospital Inpatient | Community First Health Plans | CHIPPerinate | $13,306.11 | — | — | 2026-03-01 | MRF ↗ |
| Global Rehabilitation Hospital Inpatient | Community First Health Plans | CHIP | $13,306.11 | — | — | 2026-03-01 | MRF ↗ |
| Global Rehabilitation Hospital Inpatient | USA Managed Care CHIP | CHIP | $13,306.11 | — | — | 2026-03-01 | MRF ↗ |
| Global Rehabilitation Hospital Inpatient | Community First Health Plans | STARPLUS | $13,306.11 | — | — | 2026-03-01 | MRF ↗ |
| Global Rehabilitation Hospital Inpatient | Community First Health Plans | MCDSTAR | $13,306.11 | — | — | 2026-03-01 | MRF ↗ |
| Texas Health Specialty Hospital Fort Worth InpatientFacility | Amerigroup | Managed Medicaid | $13,307.62 | — | — | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON InpatientFacility | United Healthcare | Managed Medicaid | $13,307.62 | — | — | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON InpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $13,307.62 | — | — | 2026-04-21 | MRF ↗ |
| Texas Health Specialty Hospital Fort Worth InpatientFacility | Cook Childrens | Managed Medicaid | $13,307.62 | — | — | 2026-04-21 | MRF ↗ |
| Texas Health Specialty Hospital Fort Worth InpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $13,307.62 | — | — | 2026-04-21 | MRF ↗ |
| Texas Health Specialty Hospital Fort Worth InpatientFacility | United Healthcare | Managed Medicaid | $13,307.62 | — | — | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON InpatientFacility | Amerigroup | Managed Medicaid | $13,307.62 | — | — | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON InpatientFacility | Cook Childrens | Managed Medicaid | $13,307.62 | — | — | 2026-04-21 | MRF ↗ |
| Texas Health Specialty Hospital Fort Worth InpatientFacility | Parkland | Managed Medicaid | $13,307.62 | — | — | 2026-04-21 | MRF ↗ |
| BAPTIST NEIGHBORHOOD HOSPITAL THOUSAND OAKS InpatientFacility | Molina | Medicaid | $13,335.75 | — | — | 2026-03-25 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA InpatientFacility | Superior Health Plan | Medicaid | $13,361.54 | — | — | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER- AUSTIN InpatientFacility | Superior Health Plan | Medicaid | $13,361.54 | — | — | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER PFLUGERVILLE InpatientFacility | Superior Health Plan | Medicaid | $13,361.54 | — | — | 2026-02-18 | MRF ↗ |
| MISSION REGIONAL MEDICAL CENTER Inpatient | Non Contracted Medicaid | Non-Contracted Medicaid - 95 Percent | $13,400.90 | — | — | 2024-12-19 | MRF ↗ |
| Baylor Scott & White Continuing Care Hospital InpatientFacility | Superior Health Plan | Medicaid | $13,401.10 | — | — | 2026-02-21 | MRF ↗ |
| BAYLOR EMERGENCY MEDICAL CENTER AT AUBREY InpatientFacility | Parkland | Medicaid | $13,418.61 | — | — | 2026-03-25 | MRF ↗ |
| BAYLOR EMERGENCY MEDICAL CENTER AT AUBREY InpatientFacility | Cook Childrens Medical Center | Medicaid | $13,418.61 | — | — | 2026-03-25 | MRF ↗ |
| BAYLOR SCOTT AND WHITE EMERGENCY HOSPITAL InpatientFacility | Cook Childrens Medical Center | Medicaid | $13,418.61 | — | — | 2026-03-25 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHLAKE InpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $13,418.61 | — | — | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHLAKE InpatientFacility | Cook Childrens | Managed Medicaid | $13,418.61 | — | — | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHLAKE InpatientFacility | Amerigroup | Managed Medicaid | $13,418.61 | — | — | 2026-04-21 | MRF ↗ |
| BAYLOR SCOTT AND WHITE EMERGENCY HOSPITAL InpatientFacility | Parkland | Medicaid | $13,418.61 | — | — | 2026-03-25 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHLAKE InpatientFacility | United Healthcare | Managed Medicaid | $13,418.61 | — | — | 2026-04-21 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Amerihealth Caritas Florida | Managed Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Centene Peach State Health | Managed Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Amerigroup Of Ga | Managed Medicaid | — | — | — | 2026-07-15 | 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.