6123 — Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition
Cite this view
HANK Price Transparency. (n.d.). NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION (OTHER 6123) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/6123?code_type=OTHER
“NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION (OTHER 6123) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/6123?code_type=OTHER. Accessed .
“NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION (OTHER 6123) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/6123?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $18,741–$49,370 (25th–75th percentile) across 96 hospitals · 209 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 6123 — 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 |
|---|---|---|---|---|---|---|---|
| THE NEBRASKA METHODIST HOSPITAL Outpatient | Uhc | Uhc Nexus | $12.51 | $78.00 | $28.08 | 2026-05-22 | MRF ↗ |
| Methodist Women's Hospital Outpatient | Uhc | Uhc Nexus | $12.51 | $78.00 | $28.08 | 2026-05-22 | MRF ↗ |
| METHODIST FREMONT HEALTH Outpatient | Wellcare Medicare Advantage | Wellcare Medicare Advantage By Ne Total Care | $12.64 | $282.00 | $104.34 | 2026-05-15 | MRF ↗ |
| Methodist Women's Hospital Outpatient | Wellcare Medicare Advantage | Wellcare Medicare Advantage By Ne Total Care | $12.64 | $78.00 | $28.08 | 2026-05-22 | MRF ↗ |
| THE NEBRASKA METHODIST HOSPITAL Outpatient | Humana | Humana Medicare Advantage | $12.64 | $78.00 | $28.08 | 2026-05-22 | MRF ↗ |
| Methodist Women's Hospital Outpatient | Humana | Humana Medicare Advantage | $12.64 | $78.00 | $28.08 | 2026-05-22 | MRF ↗ |
| METHODIST FREMONT HEALTH Outpatient | Aetna | Aetna Medicare Advantage | $12.64 | $282.00 | $104.34 | 2026-05-15 | MRF ↗ |
| METHODIST FREMONT HEALTH Outpatient | United Healthcare | Uhc Medicare Advantage | $12.64 | $282.00 | $104.34 | 2026-05-15 | MRF ↗ |
| Methodist Women's Hospital Outpatient | Medica | Medica Medicare Advantage | $12.64 | $78.00 | $28.08 | 2026-05-22 | MRF ↗ |
| THE NEBRASKA METHODIST HOSPITAL Outpatient | United Healthcare | Uhc Medicare Advantage | $12.64 | $78.00 | $28.08 | 2026-05-22 | MRF ↗ |
| Methodist Women's Hospital Outpatient | United Healthcare | Uhc Medicare Advantage | $12.64 | $78.00 | $28.08 | 2026-05-22 | MRF ↗ |
| THE NEBRASKA METHODIST HOSPITAL Outpatient | Aetna | Aetna Medicare Advantage | $12.64 | $78.00 | $28.08 | 2026-05-22 | MRF ↗ |
| THE NEBRASKA METHODIST HOSPITAL Outpatient | Wellcare Medicare Advantage | Wellcare Medicare Advantage By Ne Total Care | $12.64 | $78.00 | $28.08 | 2026-05-22 | MRF ↗ |
| THE NEBRASKA METHODIST HOSPITAL Outpatient | Medica | Medica Medicare Advantage | $12.64 | $78.00 | $28.08 | 2026-05-22 | MRF ↗ |
| METHODIST FREMONT HEALTH Outpatient | Humana | Humana Medicare Advantage | $12.64 | $282.00 | $104.34 | 2026-05-15 | MRF ↗ |
| Methodist Women's Hospital Outpatient | Bcbs | Bcbs Medicare Advantage | $12.64 | $78.00 | $28.08 | 2026-05-22 | MRF ↗ |
| METHODIST FREMONT HEALTH Outpatient | Medica | Medica Medicare Advantage | $12.64 | $282.00 | $104.34 | 2026-05-15 | MRF ↗ |
| Methodist Women's Hospital Outpatient | Aetna | Aetna Medicare Advantage | $12.64 | $78.00 | $28.08 | 2026-05-22 | MRF ↗ |
| THE NEBRASKA METHODIST HOSPITAL Outpatient | Bcbs | Bcbs Medicare Advantage | $12.64 | $78.00 | $28.08 | 2026-05-22 | MRF ↗ |
| METHODIST FREMONT HEALTH Outpatient | Bcbs | Bcbs Medicare Advantage | $12.64 | $282.00 | $104.34 | 2026-05-15 | MRF ↗ |
| Methodist Women's Hospital Outpatient | Wellmark Medicare Advantage | Wellmark Medicare Advantage | $12.77 | $78.00 | $28.08 | 2026-05-22 | MRF ↗ |
| THE NEBRASKA METHODIST HOSPITAL Outpatient | Wellmark Medicare Advantage | Wellmark Medicare Advantage | $12.77 | $78.00 | $28.08 | 2026-05-22 | MRF ↗ |
| THE NEBRASKA METHODIST HOSPITAL Outpatient | Molina Medicare Advantage | Molina Medicare Advantage | $12.89 | $78.00 | $28.08 | 2026-05-22 | MRF ↗ |
| METHODIST FREMONT HEALTH Outpatient | Molina Medicare Advantage | Molina Medicare Advantage | $12.89 | $282.00 | $104.34 | 2026-05-15 | MRF ↗ |
| Methodist Women's Hospital Outpatient | Molina Medicare Advantage | Molina Medicare Advantage | $12.89 | $78.00 | $28.08 | 2026-05-22 | MRF ↗ |
| THE NEBRASKA METHODIST HOSPITAL Outpatient | United Healthcare | Uhc | $14.19 | $78.00 | $28.08 | 2026-05-22 | MRF ↗ |
| Methodist Women's Hospital Outpatient | United Healthcare | Uhc | $14.19 | $78.00 | $28.08 | 2026-05-22 | MRF ↗ |
| THE NEBRASKA METHODIST HOSPITAL Outpatient | Medica | Elevate By Medica | $18.15 | $78.00 | $28.08 | 2026-05-22 | MRF ↗ |
| Methodist Women's Hospital Outpatient | Medica | Elevate By Medica | $18.15 | $78.00 | $28.08 | 2026-05-22 | MRF ↗ |
| THE NEBRASKA METHODIST HOSPITAL Outpatient | Medica Choice | Medica Choice | $21.35 | $78.00 | $28.08 | 2026-05-22 | MRF ↗ |
| Methodist Women's Hospital Outpatient | Medica Choice | Medica Choice | $21.35 | $78.00 | $28.08 | 2026-05-22 | MRF ↗ |
| METHODIST FREMONT HEALTH Outpatient | Ambetter By Ne Total Care | Ambetter By Ne Total Care | $26.16 | $282.00 | $104.34 | 2026-05-15 | MRF ↗ |
| METHODIST FREMONT HEALTH Outpatient | Elite Choice | Elite Choice | $26.32 | $282.00 | $104.34 | 2026-05-15 | MRF ↗ |
| THE NEBRASKA METHODIST HOSPITAL Outpatient | Elite Choice | Elite Choice | $26.32 | $78.00 | $28.08 | 2026-05-22 | MRF ↗ |
| Methodist Women's Hospital Outpatient | Elite Choice | Elite Choice | $26.32 | $78.00 | $28.08 | 2026-05-22 | MRF ↗ |
| THE NEBRASKA METHODIST HOSPITAL Outpatient | Ambetter By Ne Total Care | Ambetter By Ne Total Care | $26.70 | $78.00 | $28.08 | 2026-05-22 | MRF ↗ |
| Methodist Women's Hospital Outpatient | Ambetter By Ne Total Care | Ambetter By Ne Total Care | $26.70 | $78.00 | $28.08 | 2026-05-22 | MRF ↗ |
| METHODIST FREMONT HEALTH Outpatient | Alliance Nhn | Alliance Nhn | $30.66 | $282.00 | $104.34 | 2026-05-15 | MRF ↗ |
| Methodist Women's Hospital Outpatient | Ne Furniture Mart | Ne Furniture Mart | $35.88 | $78.00 | $28.08 | 2026-05-22 | MRF ↗ |
| THE NEBRASKA METHODIST HOSPITAL Outpatient | Ne Furniture Mart | Ne Furniture Mart | $35.88 | $78.00 | $28.08 | 2026-05-22 | MRF ↗ |
| THE NEBRASKA METHODIST HOSPITAL Outpatient | Aetna | Aetna | $37.16 | $78.00 | $28.08 | 2026-05-22 | MRF ↗ |
| Methodist Women's Hospital Outpatient | Aetna | Aetna | $37.16 | $78.00 | $28.08 | 2026-05-22 | MRF ↗ |
| THE NEBRASKA METHODIST HOSPITAL Inpatient | Wellmark | Wellmark Hmo | $39.00 | $78.00 | $28.08 | 2026-05-22 | MRF ↗ |
| Methodist Women's Hospital Inpatient | Wellmark | Wellmark Hmo | $39.00 | $78.00 | $28.08 | 2026-05-22 | MRF ↗ |
| Methodist Women's Hospital Outpatient | Wellmark | Wellmark Hmo | $42.90 | $78.00 | $28.08 | 2026-05-22 | MRF ↗ |
| THE NEBRASKA METHODIST HOSPITAL Outpatient | Wellmark | Wellmark Hmo | $42.90 | $78.00 | $28.08 | 2026-05-22 | MRF ↗ |
| Methodist Women's Hospital Outpatient | Wellmark | Wellmark Ppo | $42.97 | $78.00 | $28.08 | 2026-05-22 | MRF ↗ |
| THE NEBRASKA METHODIST HOSPITAL Outpatient | Wellmark | Wellmark Ppo | $42.97 | $78.00 | $28.08 | 2026-05-22 | MRF ↗ |
| THE NEBRASKA METHODIST HOSPITAL Outpatient | Bcbs | Bcbs Select | $44.42 | $78.00 | $28.08 | 2026-05-22 | MRF ↗ |
| Methodist Women's Hospital Outpatient | Bcbs | Bcbs Select | $44.42 | $78.00 | $28.08 | 2026-05-22 | MRF ↗ |
| Methodist Women's Hospital Outpatient | Bcbs | Bcbs | $44.42 | $78.00 | $28.08 | 2026-05-22 | MRF ↗ |
| THE NEBRASKA METHODIST HOSPITAL Outpatient | Bcbs | Bcbs | $44.42 | $78.00 | $28.08 | 2026-05-22 | MRF ↗ |
| Methodist Women's Hospital Outpatient | Midlands Choice | Midlands Choice | $54.60 | $78.00 | $28.08 | 2026-05-22 | MRF ↗ |
| THE NEBRASKA METHODIST HOSPITAL Outpatient | Midlands Choice | Midlands Choice | $54.60 | $78.00 | $28.08 | 2026-05-22 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Outpatient | Santa Barbara Select | Medicare Adv | $114.80 | $574.00 | $401.80 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Outpatient | Sansum | Medicare Adv | $114.80 | $574.00 | $401.80 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Outpatient | Sansum | Medicare Adv | $114.80 | $574.00 | $401.80 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Outpatient | Sansum | Medicare Adv | $114.80 | $574.00 | $401.80 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Outpatient | Santa Barbara Select | Medicare Adv | $114.80 | $574.00 | $401.80 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Outpatient | Santa Barbara Select | Medicare Adv | $114.80 | $574.00 | $401.80 | 2026-05-27 | MRF ↗ |
| METHODIST FREMONT HEALTH Outpatient | Elevate By Medica | Elevate By Medica | $126.90 | $282.00 | $104.34 | 2026-05-15 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Medicaid | Medicaid | $156.47 | $809.04 | $574.58 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Uhc Community Health/Medicaid | Uhc Community Health/Medicaid | $156.47 | $809.04 | $574.58 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Louisiana Healthcare Connections Contract Medicaid | Louisiana Healthcare Connections Contract Medicaid | $156.47 | $809.04 | $574.58 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Amerihealth | Amerihealth/Medicaid | $159.60 | $809.04 | $574.58 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Aetna | Aetna/Medicaid | $161.16 | $809.04 | $574.58 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Louisiana Managed Medicaid-Humana | Louisiana Managed Medicaid-Humana | $164.32 | $809.04 | $574.58 | 2026-05-08 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Outpatient | Health Net | Medicare Adv | $166.46 | $574.00 | $401.80 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Outpatient | United Healthcare | Medicare Adv | $166.46 | $574.00 | $401.80 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Outpatient | Blue Shield | Medicare Adv | $166.46 | $574.00 | $401.80 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Aetna Commercial Facility | Aetna Commercial Facility | $175.26 | $460.00 | $460.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Umr H&H Employees Facility | Umr Hh Employees Facility | $176.32 | $460.00 | $460.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Umr H&H Employees Facility | Umr Hh Employees Facility | $178.39 | $460.00 | $460.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Sagamore Commercial Facility | Sagamore Commercial Facility | $209.76 | $460.00 | $460.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | United Charter (Sg Commercial) Facility | United Charter (Sg Commercial) Facility | $217.12 | $460.00 | $460.00 | 2026-05-27 | MRF ↗ |
| METHODIST FREMONT HEALTH Inpatient | Ne Furniture Mart | Ne Furniture Mart | $234.06 | $282.00 | $104.34 | 2026-05-15 | MRF ↗ |
| METHODIST FREMONT HEALTH Outpatient | United Healthcare | Uhc | $237.44 | $282.00 | $104.34 | 2026-05-15 | MRF ↗ |
| METHODIST FREMONT HEALTH Inpatient | Bcbs | Bcbs Select | $239.70 | $282.00 | $104.34 | 2026-05-15 | MRF ↗ |
| METHODIST FREMONT HEALTH Inpatient | Bcbs | Bcbs | $239.70 | $282.00 | $104.34 | 2026-05-15 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | United Commercial Facility | United Commercial Facility | $246.56 | $460.00 | $460.00 | 2026-05-27 | MRF ↗ |
| METHODIST FREMONT HEALTH Inpatient | Medica Choice | Medica Choice | $248.16 | $282.00 | $104.34 | 2026-05-15 | MRF ↗ |
| METHODIST FREMONT HEALTH Outpatient | Bcbs | Bcbs | $252.39 | $282.00 | $104.34 | 2026-05-15 | MRF ↗ |
| METHODIST FREMONT HEALTH Outpatient | Bcbs | Bcbs Select | $252.39 | $282.00 | $104.34 | 2026-05-15 | MRF ↗ |
| METHODIST FREMONT HEALTH Inpatient | Multiplan | Multiplan | $253.80 | $282.00 | $104.34 | 2026-05-15 | MRF ↗ |
| METHODIST FREMONT HEALTH Inpatient | United Healthcare | Uhc | $254.08 | $282.00 | $104.34 | 2026-05-15 | MRF ↗ |
| METHODIST FREMONT HEALTH Inpatient | Midlands Choice | Midlands Choice | $265.08 | $282.00 | $104.34 | 2026-05-15 | MRF ↗ |
| METHODIST FREMONT HEALTH Inpatient | Aetna | Aetna | $270.72 | $282.00 | $104.34 | 2026-05-15 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Uhc Select | Uhc Select | $280.74 | $809.04 | $574.58 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | United Healthcare Navigate | United Healthcare Navigate | $280.74 | $809.04 | $574.58 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | United Healthcare Heritage | United Healthcare Heritage | $280.74 | $809.04 | $574.58 | 2026-05-08 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | Blue Cross | Dignity Health | $287.00 | $574.00 | $401.80 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Inpatient | Blue Cross | Dignity Health | $287.00 | $574.00 | $401.80 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Inpatient | Blue Cross | Dignity Health | $287.00 | $574.00 | $401.80 | 2026-05-27 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | United Healthcare | United Healthcare | $312.29 | $809.04 | $574.58 | 2026-05-08 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Outpatient | Santa Barbara Select | Commercial | $315.70 | $574.00 | $401.80 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Outpatient | Sansum | Clinic | $315.70 | $574.00 | $401.80 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Outpatient | Sansum | Clinic | $315.70 | $574.00 | $401.80 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Outpatient | Santa Barbara Select | Commercial | $315.70 | $574.00 | $401.80 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Outpatient | Sansum | Clinic | $315.70 | $574.00 | $401.80 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Outpatient | Santa Barbara Select | Commercial | $315.70 | $574.00 | $401.80 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Siho Commercial Facility | Siho Commercial Facility | $345.00 | $460.00 | $460.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Cigna Ppo Commercial Facility | Cigna Ppo Commercial Facility | $391.00 | $460.00 | $460.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Cigna Hmo/Oap Commercial Facility | Cigna Hmo/Oap Commercial Facility | $391.00 | $460.00 | $460.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Encore Main Commercial Facility | Encore Main Commercial Facility | $391.00 | $460.00 | $460.00 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Inpatient | Blue Shield | Trio Hmo | $433.94 | $574.00 | $401.80 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | Blue Shield | Trio Hmo | $433.94 | $574.00 | $401.80 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Inpatient | Blue Shield | Trio Hmo | $433.94 | $574.00 | $401.80 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Inpatient | Anthem Blue Cross | Commercial | $444.85 | $574.00 | $401.80 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | Anthem Blue Cross | Commercial | $444.85 | $574.00 | $401.80 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Inpatient | Anthem Blue Cross | Commercial | $444.85 | $574.00 | $401.80 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Cigna | Cigna Exchange Facility | $460.00 | $460.00 | $460.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Eskenazi Health | Anthem Facility Exchange | $460.00 | $460.00 | $460.00 | 2026-05-27 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Verity Health | Verity | $461.15 | $809.04 | $574.58 | 2026-05-08 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Inpatient | Health Net | Hmo/Pos/Ppo/Epo | $471.25 | $574.00 | $401.80 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | Health Net | Hmo/Pos/Ppo/Epo | $471.25 | $574.00 | $401.80 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Inpatient | Health Net | Hmo/Pos/Ppo/Epo | $471.25 | $574.00 | $401.80 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Inpatient | Blue Shield | Epn | $475.27 | $574.00 | $401.80 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Inpatient | Blue Shield | Epn | $475.27 | $574.00 | $401.80 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | Blue Shield | Epn | $475.27 | $574.00 | $401.80 | 2026-05-27 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Ppoplus | Ppoplus | $485.42 | $809.04 | $574.58 | 2026-05-08 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | Aetna | Commercial | $516.60 | $574.00 | $401.80 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | Cigna | Hmo/Ppo | $516.60 | $574.00 | $401.80 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | Multiplan Eff | Commercial | $516.60 | $574.00 | $401.80 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Inpatient | Blue Shield | Commercial | $516.60 | $574.00 | $401.80 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Inpatient | United Healthcare | Commercial | $516.60 | $574.00 | $401.80 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Inpatient | Cigna | Hmo/Ppo | $516.60 | $574.00 | $401.80 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | United Healthcare | Commercial | $516.60 | $574.00 | $401.80 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | Blue Shield | Commercial | $516.60 | $574.00 | $401.80 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Inpatient | Multiplan Eff | Commercial | $516.60 | $574.00 | $401.80 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Inpatient | Blue Shield | Ppo | $516.60 | $574.00 | $401.80 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Inpatient | Blue Shield | Commercial | $516.60 | $574.00 | $401.80 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Inpatient | Aetna | Commercial | $516.60 | $574.00 | $401.80 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | Blue Shield | Hmo | $516.60 | $574.00 | $401.80 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Inpatient | Multiplan Eff | Commercial | $516.60 | $574.00 | $401.80 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Inpatient | Cigna | Hmo/Ppo | $516.60 | $574.00 | $401.80 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Inpatient | United Healthcare | Commercial | $516.60 | $574.00 | $401.80 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Inpatient | Blue Shield | Hmo | $516.60 | $574.00 | $401.80 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | Blue Shield | Ppo | $516.60 | $574.00 | $401.80 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Inpatient | Aetna | Commercial | $516.60 | $574.00 | $401.80 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Inpatient | Blue Shield | Hmo | $516.60 | $574.00 | $401.80 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Inpatient | Blue Shield | Ppo | $516.60 | $574.00 | $401.80 | 2026-05-27 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Multiplan Inc | Multiplan | $525.88 | $809.04 | $574.58 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Health Net Federal Services | Tricare | — | $7.38 | $7.38 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | United Healthcare | Nat | — | $7.38 | $7.38 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Multiplan | Commercial | — | $7.38 | $7.38 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Stratose | Commercial | — | $7.38 | $7.38 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Alliance Coal Health Plan | Commercial | — | $7.38 | $7.38 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Sana Benefits | Commercial | — | $7.38 | $7.38 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Anthem | Commercial | — | $7.38 | $7.38 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Aetna National | Commercial | — | $7.38 | $7.38 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Aetna Better Health Of Mi | Managed Medicaid | — | $7.38 | $7.38 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Centene Coordinated Care | Managed Medicaid | — | $7.38 | $7.38 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Centene Meridian Health Of Mi | Managed Medicaid | — | $7.38 | $7.38 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Centene Silversummitt Healthplan | Medicare | — | $7.38 | $7.38 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Centene Western Sky Community Care | Mgd. Medicaid | — | $7.38 | $7.38 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Blue Cross Blue Shield Of Ca | Commercial | — | $7.38 | $7.38 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Centene Trillium Community Health Plan | Mgd Mcd | — | $7.38 | $7.38 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Centene Ambttr Slvr Smmit Hlth Pln | Commercial | — | $7.38 | $7.38 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Uc Of Davis | Commercial | — | $7.38 | $7.38 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Sutter Medical Foundation | Commercial | — | $7.38 | $7.38 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Prime Health Services | Commercial | — | $7.38 | $7.38 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Dignity Health | Commercial | $536.00 | $7.38 | $7.38 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Providence Health Plan | Managed Medicaid | — | $7.38 | $7.38 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Health Smart | Preferred Care | — | $7.38 | $7.38 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Providence Health Plan | Commercial | — | $7.38 | $7.38 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Northbay Healthcare | Medicare Advantage | — | $7.38 | $7.38 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Kaiser Permanente | Commercial | — | $7.38 | $7.38 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Triwest Healthcare Alliance | Triwest | — | $7.38 | $7.38 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Health Net Of Ca | Commercial | — | $7.38 | $7.38 | 2026-05-23 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Cigna Healthcare Of Louisiana Inc | Cigna Ppo | $542.87 | $809.04 | $574.58 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Coventry Health Of Louisiana | First Health | $647.23 | $809.04 | $574.58 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Aetna Health Managment | Aetna | $679.59 | $809.04 | $574.58 | 2026-05-08 | MRF ↗ |
| SARATOGA HOSPITAL Both | Cigna | Commercial - Outpatient | $724.50 | $1,035.00 | $517.50 | 2026-05-09 | MRF ↗ |
| SARATOGA HOSPITAL Both | Multiplan | Commercial - Outpatient | $776.25 | $1,035.00 | $517.50 | 2026-05-09 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Inpatient | $776.25 | $1,035.00 | $517.50 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Inpatient | $776.25 | $1,035.00 | $517.50 | 2026-05-23 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Champus/Tricare | Champus/Tricare | $809.04 | $809.04 | $574.58 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Champ Va | Champ Va | $809.04 | $809.04 | $574.58 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Workers Comp | Workers Comp | $809.04 | $809.04 | $574.58 | 2026-05-08 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Outpatient | $828.00 | $1,035.00 | $517.50 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Outpatient | $828.00 | $1,035.00 | $517.50 | 2026-05-23 | MRF ↗ |
| GLENS FALLS HOSPITAL Both | Multiplan | Commercial | $879.75 | $1,035.00 | $517.50 | 2026-05-08 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Beech Street | Commercial | $879.75 | $1,035.00 | $517.50 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Hrgi | Commercial | $879.75 | $1,035.00 | $517.50 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Excellus - Rmsco | Commercial | $879.75 | $1,035.00 | $517.50 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Phcs | Commercial | $879.75 | $1,035.00 | $517.50 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Beech Street | Commercial | $879.75 | $1,035.00 | $517.50 | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Phcs | Commercial | $879.75 | $1,035.00 | $517.50 | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Excellus - Rmsco | Commercial | $879.75 | $1,035.00 | $517.50 | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Hrgi | Commercial | $879.75 | $1,035.00 | $517.50 | 2026-05-23 | MRF ↗ |
| SARATOGA HOSPITAL Both | United Healthcare | Commercial - Inpatient | $931.50 | $1,035.00 | $517.50 | 2026-05-09 | MRF ↗ |
| RIO GRANDE HOSPITAL Both | Apostrophe | Medicare | $1,814.10 | $4,773.94 | $3,580.46 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Both | Medicare | Medicare | $1,814.10 | $4,773.94 | $3,580.46 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Both | Blue Cross | Medicare | $1,814.10 | $4,773.94 | $3,580.46 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Both | Humana | Medicare Pffs | $1,814.10 | $4,773.94 | $3,580.46 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Both | Humana | Medicare Ppo | $1,814.10 | $4,773.94 | $3,580.46 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Both | Aetna | Medicare | $1,814.10 | $4,773.94 | $3,580.46 | 2026-05-08 | MRF ↗ |
| JAMAICA HOSPITAL MEDICAL CENTER Inpatient | Hotel Trades Council | Dental Or | $1,912.00 | — | — | 2026-05-17 | MRF ↗ |
| AVITA ONTARIO Inpatient | Traditional Medicare | Inpatient | $3,518.05 | $46,486.70 | $39,513.70 | 2026-05-14 | MRF ↗ |
| RIO GRANDE HOSPITAL Both | Slvhmo Friday | Commercial | $3,580.46 | $4,773.94 | $3,580.46 | 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.