6123 — 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 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
MLA (9th ed.)
“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 .
Chicago (notes-bibliography)
“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 $29,215–$66,422 (25th–75th percentile) across 47 hospitals · 76 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 |
|---|---|---|---|---|---|---|---|
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Wellcare | Medicaid Wellcare | $17,719.09 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Blue Cross Community Family Health Plan Xxl / Xog | Medicaid Blue Cross Community Family Health Plan Xxl / Xog | $17,719.09 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Illinois | Medicaid Illinois | $17,719.09 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Molina | Medicaid Molina | $17,719.09 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Aetna Better Health | Medicaid Aetna Better Health | $17,719.09 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Youth Care | Medicaid Youth Care | $17,719.09 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Meridian | Medicaid Meridian | $17,719.09 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Meridian | Medicaid Meridian | $17,719.09 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Humana Health Plan | Medicaid Humana Health Plan | $17,719.09 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Health Alliance | Medicaid Health Alliance | $17,719.09 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Countycare Claims | Medicaid Countycare Claims | $17,719.09 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Blue Cross Community Family Health Plan Xxl / Xog | Medicaid Blue Cross Community Family Health Plan Xxl / Xog | $17,719.09 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Illinois | Medicaid Illinois | $17,719.09 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Molina | Medicaid Molina | $17,719.09 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Aetna Better Health | Medicaid Aetna Better Health | $17,719.09 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Countycare Claims | Medicaid Countycare Claims | $17,719.09 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Health Alliance | Medicaid Health Alliance | $17,719.09 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Humana Health Plan | Medicaid Humana Health Plan | $17,719.09 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Youth Care | Medicaid Youth Care | $17,719.09 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Wellcare | Medicaid Wellcare | $17,719.09 | — | — | 2026-05-14 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER | Medicaid|Texas Childrens (Tch)|All Plans | — | $18,299.11 | — | — | 2026-07-30 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER | Medicaid|Community Health Choice|All Plans | — | $18,299.11 | — | — | 2026-07-30 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER | Medicaid|Amerigroup|All Plans | — | $19,262.22 | — | — | 2026-07-30 | MRF ↗ |
| CHI ST LUKE'S HEALTH BRAZOSPORT | Medicaid|Amerigroup|All Plans | — | $19,762.59 | — | — | 2026-08-01 | MRF ↗ |
| CHI ST LUKE'S HEALTH BRAZOSPORT | Medicaid|Texas Childrens (Tch)|All Plans | — | $19,762.59 | — | — | 2026-08-01 | MRF ↗ |
| ST LUKE'S PATIENTS MEDICAL CENTER | Medicaid|United|All Plans | — | $19,840.09 | — | — | 2026-07-30 | MRF ↗ |
| CHI ST LUKE'S HEALTH BRAZOSPORT | Medicaid|Superior Health Plan|All Plans | — | $20,750.72 | — | — | 2026-08-01 | MRF ↗ |
| CHI ST LUKE'S HEALTH BRAZOSPORT | Medicaid|Community Health Choice|All Plans | — | $20,750.72 | — | — | 2026-08-01 | MRF ↗ |
| CHI ST LUKE'S HEALTH BRAZOSPORT | Medicaid|Bcbs - Tx|All Plans | — | $20,750.72 | — | — | 2026-08-01 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL | Medicaid|Texas Childrens (Tch)|Starkids | — | $21,998.02 | — | — | 2026-07-31 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL | Medicaid|Texas Childrens (Tch)|Starkids | — | $21,998.02 | — | — | 2026-07-31 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE | Medicaid|Texas Childrens (Tch)|Starkids | — | $21,998.02 | — | — | 2026-07-30 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL | Medicaid|Texas Childrens (Tch)|Starkids | — | $21,998.02 | — | — | 2026-07-30 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL | Medicaid|United|Starkids | — | $22,657.96 | — | — | 2026-07-31 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE | Medicaid|Amerigroup|Starkids | — | $22,657.96 | — | — | 2026-07-30 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL | Medicaid|United|Chip | — | $22,657.96 | — | — | 2026-07-30 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL | Medicaid|Amerigroup|Starkids | — | $22,657.96 | — | — | 2026-07-30 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL | Medicaid|Amerigroup|Chip | — | $22,657.96 | — | — | 2026-07-31 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL | Medicaid|United|Starkids | — | $22,657.96 | — | — | 2026-07-30 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL | Medicaid|United|Starplus | — | $22,657.96 | — | — | 2026-07-31 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL | Medicaid|United|Starkids | — | $22,657.96 | — | — | 2026-07-31 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL | Medicaid|United|Chip | — | $22,657.96 | — | — | 2026-07-31 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL | Medicaid|Amerigroup|Starkids | — | $22,657.96 | — | — | 2026-07-31 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL | Medicaid|Amerigroup|Chip | — | $22,657.96 | — | — | 2026-07-31 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE | Medicaid|United|Chip | — | $22,657.96 | — | — | 2026-07-30 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL | Medicaid|Amerigroup|Starkids | — | $22,657.96 | — | — | 2026-07-31 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL | Medicaid|Amerigroup|Chip | — | $22,657.96 | — | — | 2026-07-30 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL | Medicaid|United|Chip | — | $22,657.96 | — | — | 2026-07-31 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE | Medicaid|Amerigroup|Chip | — | $22,657.96 | — | — | 2026-07-30 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE | Medicaid|United|Starkids | — | $22,657.96 | — | — | 2026-07-30 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL | Medicaid|Bcbs - Tx|All Plans | — | $23,097.92 | — | — | 2026-07-31 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL | Medicaid|Bcbs - Tx|All Plans | — | $23,097.92 | — | — | 2026-07-31 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL | Medicaid|Bcbs - Tx|All Plans | — | $23,097.92 | — | — | 2026-07-30 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE | Medicaid|Bcbs - Tx|All Plans | — | $23,097.92 | — | — | 2026-07-30 | MRF ↗ |
| Baylor St Lukes Medical Center | Medicaid|United|Chip | — | $23,433.52 | — | — | 2026-07-31 | MRF ↗ |
| Baylor St Lukes Medical Center | Medicaid|Texas Childrens (Tch)|Starkids | — | $23,433.52 | — | — | 2026-07-31 | MRF ↗ |
| Baylor St Lukes Medical Center | Medicaid|Amerigroup|Chip | — | $24,136.53 | — | — | 2026-07-31 | MRF ↗ |
| Baylor St Lukes Medical Center | Medicaid|United|Starkids | — | $24,136.53 | — | — | 2026-07-31 | MRF ↗ |
| Baylor St Lukes Medical Center | Medicaid|Amerigroup|Starkids | — | $24,136.53 | — | — | 2026-07-31 | MRF ↗ |
| Baylor St Lukes Medical Center | Medicaid|Bcbs - Tx|All Plans | — | $24,605.20 | — | — | 2026-07-31 | MRF ↗ |
| HILLSDALE HOSPITAL Inpatient | Meridian Health Plan | Medicaid | $26,019.16 | — | — | 2026-05-06 | MRF ↗ |
| HILLSDALE HOSPITAL Inpatient | Bcbs | Medicaid | $26,019.16 | — | — | 2026-05-06 | MRF ↗ |
| HILLSDALE HOSPITAL Inpatient | Uhc | Medicaid | $26,019.16 | — | — | 2026-05-06 | MRF ↗ |
| HILLSDALE HOSPITAL Inpatient | Wellpath | Medicaid | $26,019.16 | — | — | 2026-05-06 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicaid|Caresource|All Products | — | $26,301.43 | — | — | 2026-07-30 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Aetna | Medicaid | $26,448.68 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Molina | Medicaid Illinois | $26,448.68 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Molina | Medicaid Illinois | $26,448.68 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Mutual Medical | Commercial | $26,448.68 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Aetna | Medicaid | $26,448.68 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid | Medicaid Illinois | $26,448.68 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Mutual Medical | Commercial | $26,448.68 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid | Medicaid Illinois | $26,448.68 | — | — | 2026-05-14 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicaid|Molina|All Products | — | $26,827.46 | — | — | 2026-07-30 | MRF ↗ |
| Chi St Joseph Health College Station Hospital | Medicaid|Superior Health Plan|Chip | — | $26,841.24 | — | — | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicaid|United|All Products | — | $27,090.47 | — | — | 2026-07-30 | MRF ↗ |
| Chi St Joseph Health College Station Hospital | Medicaid|United|Starkids | — | $27,378.06 | — | — | 2026-07-30 | MRF ↗ |
| Chi St Joseph Health College Station Hospital | Medicaid|United|All Other Plans | — | $27,378.06 | — | — | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicaid|Paramount|All Products | — | $27,616.50 | — | — | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicaid|Buckeye|All Products | — | $27,616.50 | — | — | 2026-07-30 | MRF ↗ |
| Chi St Joseph Health College Station Hospital | Medicaid|Superior Health Plan|Star | — | $28,183.30 | — | — | 2026-07-30 | MRF ↗ |
| Chi St Joseph Health College Station Hospital | Medicaid|Amerigroup|All Plans | — | $28,183.30 | — | — | 2026-07-30 | MRF ↗ |
| Chi St Joseph Health College Station Hospital | Medicaid|Bcbs - Tx|All Plans | — | $28,183.30 | — | — | 2026-07-30 | MRF ↗ |
| THREE RIVERS HEALTH Inpatient | Priority Health | Mi Medicaid | $28,865.77 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Inpatient | Molina | Mi Medicaid | $28,865.77 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Inpatient | Uhc | Mi Medicaid | $28,865.77 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Inpatient | Mclaren | Mi Medicaid | $28,865.77 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Inpatient | Aetna | Mi Medicaid | $28,865.77 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Mclaren (Mi | Mi Medicaid | $28,865.77 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Uhc | Mi Medicaid | $28,865.77 | — | — | 2026-05-13 | MRF ↗ |
| HILLSDALE HOSPITAL Inpatient | Medicaid | Medicaid | $29,214.51 | — | — | 2026-05-13 | MRF ↗ |
| HILLSDALE HOSPITAL Inpatient | Uhc | Medicaid | $29,214.51 | — | — | 2026-05-13 | MRF ↗ |
| HILLSDALE HOSPITAL Inpatient | Meridian Health Plan | Medicaid | $29,214.51 | — | — | 2026-05-13 | MRF ↗ |
| HILLSDALE HOSPITAL Inpatient | Bcbs | Medicaid | $29,214.51 | — | — | 2026-05-13 | MRF ↗ |
| HARRIS HEALTH Inpatient | Tx Childrens | Medicaid | $29,712.54 | — | — | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Inpatient | Uhc | Medicaid | $29,712.54 | — | — | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Inpatient | Molina | Medicaid | $29,712.54 | — | — | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Inpatient | Molina | Medicaid | $29,712.54 | — | — | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Inpatient | Superior | Medicaid | $29,712.54 | — | — | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Inpatient | Uhc | Medicaid | $29,712.54 | — | — | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Inpatient | Tx Childrens | Medicaid | $29,712.54 | — | — | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Inpatient | Superior | Medicaid | $29,712.54 | — | — | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Inpatient | Chc | Medicaid | $30,306.79 | — | — | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Inpatient | Chc | Medicaid | $30,306.79 | — | — | 2026-05-22 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Inpatient | Blue Cross Complete Medicaid | Ppo | $30,933.92 | $443,786.86 | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Inpatient | Medicaid | Ppo | $30,933.92 | $443,786.86 | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Inpatient | Priority Health Medicaid | Ppo | $30,933.92 | $443,786.86 | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Inpatient | Mclaren Medicaid | Ppo | $30,933.92 | $443,786.86 | — | 2026-05-09 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Inpatient | Anthem | In Medicaid | $31,717.13 | — | — | 2026-05-22 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Inpatient | Anthem | In Medicaid | $31,717.13 | — | — | 2026-05-14 | MRF ↗ |
| UNIVERSITY OF LOUISVILLE HOSPITAL Inpatient | Anthem | In Medicaid | $31,717.13 | — | — | 2026-05-14 | MRF ↗ |
| UNIVERSITY OF LOUISVILLE HOSPITAL Inpatient | Anthem | In Medicaid | $31,717.13 | — | — | 2026-05-22 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Inpatient | Aetna Better Health | Ppo | $32,171.28 | $443,786.86 | — | 2026-05-09 | MRF ↗ |
| SOUTHEAST GEORGIA HEALTH SYSTEM- BRUNSWICK CAMPUS Inpatient | Amerigroup Community Care | Managed Medicaid | $32,332.22 | $5,806.95 | — | 2026-05-06 | MRF ↗ |
| SOUTHEAST GEORGIA HEALTH SYSTEM- BRUNSWICK CAMPUS Inpatient | Peachstate Health Plan | Managed Medicaid | $32,332.22 | $5,806.95 | — | 2026-05-06 | MRF ↗ |
| SOUTHEAST GEORGIA HEALTH SYSTEM- BRUNSWICK CAMPUS Inpatient | Caresource Georgia Families | Managed Medicaid | $32,332.22 | $5,806.95 | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Inpatient | Molina Medicaid | Ppo | $34,027.31 | $443,786.86 | — | 2026-05-09 | MRF ↗ |
| AVERA MARSHALL REGIONAL MEDICAL CTR Inpatient | Bcbsmn Insurance | Min | $35,729.13 | — | — | 2026-05-09 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | United Healthcare | United Healthcare Community Plan Of Pa Medicaid | $36,276.44 | — | — | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | Highmark | Wholecare Medicaid | $36,276.44 | — | — | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | Upmc | Upmc For Kids Medicaid | $36,276.44 | — | — | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | Aetna | Aetna Better Health | $36,276.44 | — | — | 2026-05-13 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Inpatient | Geisinger | Mcd Advantage | $36,276.44 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Inpatient | Upmc | Chip | $36,276.44 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Inpatient | Upmc | Mcd Advantage | $36,276.44 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Inpatient | Aetna | Mcd Advantage | $36,276.44 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Inpatient | Traditional Medicaid | Traditional Medicaid | $36,276.44 | — | — | 2026-05-14 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | Highmark | Wholecare Medicaid | $36,276.44 | — | — | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | Upmc | Upmc For Kids Medicaid | $36,276.44 | — | — | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | Aetna | Aetna Better Health | $36,276.44 | — | — | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | United Healthcare | United Healthcare Community Plan Of Pa Medicaid | $36,276.44 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Inpatient | Geisinger | Mcd Advantage | $36,276.44 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Inpatient | Upmc | Mcd Advantage | $36,276.44 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Inpatient | Upmc | Chip | $36,276.44 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Inpatient | Aetna | Mcd Advantage | $36,276.44 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Inpatient | Traditional Medicaid | Traditional Medicaid | $36,276.44 | — | — | 2026-05-23 | MRF ↗ |
| HILLSDALE HOSPITAL Inpatient | Vcpg | Medicaid | $36,518.14 | — | — | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | Upmc | Upmc For You Medicaid | $36,983.83 | — | — | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | Upmc | Upmc For You Medicaid | $36,983.83 | — | — | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | Upmc | Upmc Community Healthchoices Plan | $36,983.83 | — | — | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | Upmc | Upmc Community Healthchoices Plan | $36,983.83 | — | — | 2026-05-13 | MRF ↗ |
| CLARION HOSPITAL Inpatient | Upmc | Medicaid | $38,090.29 | — | — | 2026-05-13 | MRF ↗ |
| CLARION HOSPITAL Inpatient | Upmc | Medicaid | $38,090.29 | — | — | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | Geisinger | Geisinger Medicaid | $38,453.03 | — | — | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | Geisinger | Geisinger Medicaid | $38,453.03 | — | — | 2026-05-13 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Inpatient | Jefferson Health | Mcd Advantage | $38,454.25 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Inpatient | Jefferson Health | Mcd Advantage | $38,454.25 | — | — | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas Community Health Choices Plan | $38,815.79 | — | — | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | Pa Health And Wellness | Pa Health And Wellness Community Health Choices Plan | $38,815.79 | — | — | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | Health Partners | Health Partners Medicaid | $38,815.79 | — | — | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | Health Partners | Health Partners Medicaid | $38,815.79 | — | — | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | Pa Health And Wellness | Pa Health And Wellness Community Health Choices Plan | $38,815.79 | — | — | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas Community Health Choices Plan | $38,815.79 | — | — | 2026-05-23 | MRF ↗ |
| CLARION HOSPITAL Inpatient | Medicaid | Traditional Medicaid | $39,413.93 | — | — | 2026-05-23 | MRF ↗ |
| CLARION HOSPITAL Inpatient | Medicaid | Traditional Medicaid | $39,413.93 | — | — | 2026-05-13 | MRF ↗ |
| EXCELA HEALTH LATROBE HOSPITAL Inpatient | Amerihealth Caritas | Medical Assistance | $40,915.38 | — | — | 2026-05-08 | MRF ↗ |
| EXCELA HEALTH LATROBE HOSPITAL Inpatient | Pa Health And Wellness | Medical Assistance | $41,290.75 | — | — | 2026-05-08 | MRF ↗ |
| CLARION HOSPITAL Inpatient | Geisinger | Mcd Advantage | $43,062.68 | — | — | 2026-05-13 | MRF ↗ |
| CLARION HOSPITAL Inpatient | Geisinger | Mcd Advantage | $43,062.68 | — | — | 2026-05-23 | MRF ↗ |
| EXCELA HEALTH LATROBE HOSPITAL Inpatient | Geisinger | Medical Assistance | $43,167.60 | — | — | 2026-05-08 | MRF ↗ |
| EXCELA HEALTH LATROBE HOSPITAL Inpatient | Health Partners Plans | Medical Assistance | $43,167.60 | — | — | 2026-05-08 | MRF ↗ |
| CLARION HOSPITAL Inpatient | Amerihealth | Mcd Advantage | $43,457.78 | — | — | 2026-05-23 | MRF ↗ |
| CLARION HOSPITAL Inpatient | Amerihealth | Mcd Advantage | $43,457.78 | — | — | 2026-05-13 | MRF ↗ |
| CLARION HOSPITAL Inpatient | Jefferson Health Plan | Mcd Advantage | $43,803.86 | — | — | 2026-05-13 | MRF ↗ |
| CLARION HOSPITAL Inpatient | Jefferson Health Plan | Mcd Advantage | $43,803.86 | — | — | 2026-05-23 | MRF ↗ |
| Foundation Surgical Hospital Of El Paso Inpatient | El Paso Health | Medicaid | $43,963.13 | — | — | 2026-05-09 | MRF ↗ |
| Foundation Surgical Hospital Of El Paso Inpatient | Medicaid | Medicaid | $43,963.13 | — | — | 2026-05-09 | MRF ↗ |
| Foundation Surgical Hospital Of El Paso Inpatient | Molina Tx | Medicaid | $43,963.13 | — | — | 2026-05-09 | MRF ↗ |
| Foundation Surgical Hospital Of El Paso Inpatient | Amerigroup Tx | Medicaid | $43,963.13 | — | — | 2026-05-09 | MRF ↗ |
| Foundation Surgical Hospital Of El Paso Inpatient | Superior Tx | Medicaid | $45,721.66 | — | — | 2026-05-09 | MRF ↗ |
| EXCELA HEALTH LATROBE HOSPITAL Inpatient | Upmc | Medical Assistance | $46,170.56 | — | — | 2026-05-08 | MRF ↗ |
| Chi St Lukes Health Memorial San Augustine | Medicaid|Texas Childrens (Tch)|All Plans | — | $46,377.79 | — | — | 2026-08-01 | MRF ↗ |
| Chi St Lukes Health Memorial San Augustine | Medicaid|United|All Plans | — | $46,377.79 | — | — | 2026-08-01 | MRF ↗ |
| Chi St Lukes Health Memorial San Augustine | Medicaid|Superior Health Plan|All Plans | — | $46,377.79 | — | — | 2026-08-01 | MRF ↗ |
| Chi St Lukes Health Memorial San Augustine | Medicaid|Amerigroup|All Other Plans | — | $46,377.79 | — | — | 2026-08-01 | MRF ↗ |
| Chi St Lukes Health Memorial San Augustine | Medicaid|Cigna|All Plans | — | $47,305.35 | — | — | 2026-08-01 | MRF ↗ |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER InpatientFacility | Caloptima | Medi-Cal Medicaid Managed Care Plan | $47,331.55 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER InpatientFacility | Caloptima | Medi-Cal Medicaid Managed Care Plan | $47,331.55 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER InpatientFacility | Healthnet | Medi-Cal Medicaid Managed Care Plan | $47,331.55 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER InpatientFacility | Healthnet | Medi-Cal Medicaid Managed Care Plan | $47,331.55 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER InpatientFacility | Healthnet | Medi-Cal Medicaid Managed Care Plan | $47,331.55 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER InpatientFacility | Caloptima | Medi-Cal Medicaid Managed Care Plan | $47,331.55 | — | — | 2026-04-01 | MRF ↗ |
| Chi St Lukes Health Memorial San Augustine | Medicaid|Amerigroup|Starplus | — | $47,769.12 | — | — | 2026-08-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Molina | Medi-Cal Medicaid Managed Care Plan | $47,869.06 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Avanti Health System | Medi-Cal Medicaid Managed Care Plan | $47,869.06 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Blue Shield | Promise Health Plan Medicaid Managed Care Plan | $47,869.06 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Beverly Community Hospital Association | Medi-Cal Medicaid Managed Care Plan | $47,869.06 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Global Care Medical Group | Ancillary Medi-Cal Medicaid Managed Care Plan | $47,869.06 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | La Care | Medi-Cal Medicaid Managed Care Plan | $47,869.06 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Healthnet | Medi-Cal Medicaid Managed Care Plan | $47,869.06 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Healthnet | Medi-Cal Select Health Medicaid Managed Care Plan | $47,869.06 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Healthcare Partners | Medi-Cal Medicaid Managed Care Plan | $47,869.06 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Blue Cross | Medi-Cal Medicaid Managed Care Plan | $47,869.06 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Molina | Medi-Cal Medicaid Managed Care Plan | $47,869.06 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Blue Shield | Promise Health Plan Medicaid Managed Care Plan | $47,869.06 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Cal Care | Ancillary Medi-Cal Ipa Medicaid Managed Care Plan | $47,869.06 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Citrus Valley | Ipa Medi-Cal Medicaid Managed Care Plan | $47,869.06 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Healthcare La | Ancillary Medi-Cal Medicaid Managed Care Plan | $47,869.06 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Beverly Community Hospital Association | Medi-Cal Medicaid Managed Care Plan | $47,869.06 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER InpatientFacility | Blue Cross | Medi-Cal Medicaid Managed Care Plan | $47,869.06 | — | — | 2026-04-01 | 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.