6124 — Neonate Bwt 1500-1999g W Resp Dist Synd/Oth Maj Resp Cond
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Neonate Bwt 1500-1999G W Resp Dist Synd/Oth Maj Resp Cond (CPT 6124) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/6124?code_type=CPT
MLA (9th ed.)
“Neonate Bwt 1500-1999G W Resp Dist Synd/Oth Maj Resp Cond (CPT 6124) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/6124?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“Neonate Bwt 1500-1999G W Resp Dist Synd/Oth Maj Resp Cond (CPT 6124) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/6124?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $330–$44,665 (25th–75th percentile) across 12 hospitals · 43 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT 6124 — 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 |
|---|---|---|---|---|---|---|---|
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Health Options Inc | Bcbs Health Options Medicare | $83.52 | $439.56 | $439.56 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Blue Cross Blue Shield Of Florida | Bcbs Medicare Ppo | $83.52 | $439.56 | $439.56 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Careplus | Careplus | $105.49 | $439.56 | $439.56 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Medicaid Hmo Apr Drg | Medicaid Hmo Apr Drg | $129.72 | $439.56 | $439.56 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Aetna Health | Aetna Medicare | $131.87 | $439.56 | $439.56 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Magellan Complete Care | Magellan Complete Care | $138.80 | $439.56 | $439.56 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Msmc | Cigna | $184.62 | $439.56 | $439.56 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Humana | Humana Humx | $189.01 | $439.56 | $439.56 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Dimension Health | Dimension Plus | $197.80 | $439.56 | $439.56 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Oscar Health (Hie) | Oscar Health (Hie) | $197.80 | $439.56 | $439.56 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Aetna Health | Aetna Workers Comp | $206.59 | $439.56 | $439.56 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Health Options Inc | Bcbs Health Options Hmo | $241.76 | $439.56 | $439.56 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Blue Cross Blue Shield Of Florida | Bcbs Traditional | $241.76 | $439.56 | $439.56 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Blue Cross Blue Shield Of Florida | Bcbs Network Blue | $241.76 | $439.56 | $439.56 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Blue Cross Blue Shield Of Florida | Bcbs Ppo | $241.76 | $439.56 | $439.56 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Dimension Health | Dimension International | $263.74 | $439.56 | $439.56 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Corvel Healthcare | Corvel Healthcare | $265.71 | $439.56 | $439.56 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Workmans Compensation | Workmans Compensation | $285.71 | $439.56 | $439.56 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Care Management Network | Care Management Network | $285.71 | $439.56 | $439.56 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Aetna Health | Aetna | $285.71 | $439.56 | $439.56 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Corvel Healthcare | Corvel Healthcare | $306.59 | $439.56 | $439.56 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Cigna Behavioral Health | Cigna Behavioral Health | $307.69 | $439.56 | $439.56 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Behavioral Services Network | Behavioral Services Network | $307.69 | $439.56 | $439.56 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Dimension Health | Dimension | $307.69 | $439.56 | $439.56 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Beech Street | Beech Street | $307.69 | $439.56 | $439.56 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Coventry | Coventry | $312.09 | $439.56 | $439.56 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Beech Street | Beech Street | $329.67 | $439.56 | $439.56 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Multiplan | Multiplan | $329.67 | $439.56 | $439.56 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Seasons Hospice | Seasons Hospice | $329.67 | $439.56 | $439.56 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Blue Cross Blue Shield Of Florida | Bcbs Workers Compensation | $329.67 | $439.56 | $439.56 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Workmans Compensation | Workmans Compensation | $329.67 | $439.56 | $439.56 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Blue Cross Blue Shield Of Florida | Bcbs Workers Compensation | $351.65 | $439.56 | $439.56 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Wellcare | Wellcare | $373.63 | $439.56 | $439.56 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Aetna International Ppo | Aetna International Ppo | $373.63 | $439.56 | $439.56 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | First Health Network | First Health | $373.63 | $439.56 | $439.56 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Miscellaneous Insurances | Miscellaneous Insurances | $439.56 | $439.56 | $439.56 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Nch Devoted Medicare | Nch Devoted Medicare Rad Onc | $439.56 | $439.56 | $439.56 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient | Nch Devoted Medicare | Nch Devoted Medicare Rad Onc | $439.56 | $439.56 | $439.56 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Nch Devoted Medicare | Nch Devoted Medicare Med Onc | $439.56 | $439.56 | $439.56 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Concordia Behavioral Health | Concordia Behavioral Health | $439.56 | $439.56 | $439.56 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Nch Management Systems | Nch Coventry Medicare | $439.56 | $439.56 | $439.56 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Nch Management Systems | Nch Simply Medicare | $439.56 | $439.56 | $439.56 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | New Directions Behavioral Health | New Directions Behavioral Health | $439.56 | $439.56 | $439.56 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | University Of Miami Behavioral Health | University Of Miami Behavioral Health | $439.56 | $439.56 | $439.56 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Vitas Healthcare Of Fl | Vitas | $439.56 | $439.56 | $439.56 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Nch Management Systems | Nch Careplus Medicare | $439.56 | $439.56 | $439.56 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | United Healthcare | United Behavioral Medicare | $439.56 | $439.56 | $439.56 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | United Healthcare | United Behavioral | $439.56 | $439.56 | $439.56 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Nch Management Systems | Nch Humana Medicare | $439.56 | $439.56 | $439.56 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Humana Behavioral Health | Humana Behavioral Health | $439.56 | $439.56 | $439.56 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Humana Behavioral Health | Humana Behavioral Health Medicare | $439.56 | $439.56 | $439.56 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Magellan Behavioral Health | Magellan Behavioral Health | $439.56 | $439.56 | $439.56 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Value Options | Value Options Behavioral Health | $439.56 | $439.56 | $439.56 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Tricare | Tricare | $439.56 | $439.56 | $439.56 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | United Healthcare | United Behavioral Medicaid | $439.56 | $439.56 | $439.56 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Blue Cross Blue Shield Of Florida | Bcbs Rehab Ppo | $439.56 | $439.56 | $439.56 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Mental Health Associates | Mental Health Associates | $439.56 | $439.56 | $439.56 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Cenpatico Behavioral Health | Cenpatico Behavioral Health | $439.56 | $439.56 | $439.56 | 2026-05-22 | MRF ↗ |
| LINCOLN SURGICAL HOSPITAL Both | Midlands Choice | Ppo | $700.00 | $1,400.00 | $1,400.00 | 2026-05-06 | MRF ↗ |
| LINCOLN SURGICAL HOSPITAL Both | Aetna | Ppo | $840.00 | $1,400.00 | $1,400.00 | 2026-05-06 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Molina | Marketplace | — | $3,106.00 | $1,553.00 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Cigna | Cigna | — | $3,106.00 | $1,553.00 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Anthem | Traditional | — | $3,106.00 | $1,553.00 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Aetna | Hmo Ppo | — | $3,106.00 | $1,553.00 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Med Mutual | Ppo Hmo | — | $3,106.00 | $1,553.00 | 2026-05-13 | MRF ↗ |
| WILSON MEMORIAL HOSPITAL Both | Anthem | Ppo Hmo | — | $3,106.00 | $1,553.00 | 2026-05-13 | MRF ↗ |
| TEXAS HEALTH HOSPITAL FRISCO Inpatient | Superior | Bh | $32,326.22 | — | — | 2026-05-24 | MRF ↗ |
| TEXAS HEALTH HOSPITAL FRISCO Inpatient | Parkland | Medicaid | $32,326.22 | — | — | 2026-05-07 | MRF ↗ |
| TEXAS HEALTH HOSPITAL FRISCO Inpatient | Amerigroup | Medicaid | $32,326.22 | — | — | 2026-05-07 | MRF ↗ |
| TEXAS HEALTH HOSPITAL FRISCO Inpatient | Superior | Bh | $32,326.22 | — | — | 2026-05-07 | MRF ↗ |
| TEXAS HEALTH HOSPITAL FRISCO Inpatient | Parkland | Medicaid | $32,326.22 | — | — | 2026-05-24 | MRF ↗ |
| TEXAS HEALTH HOSPITAL FRISCO Inpatient | Amerigroup | Medicaid | $32,326.22 | — | — | 2026-05-24 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE Inpatient | Cook Childrens | Medicaid | $32,877.57 | — | — | 2026-05-24 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE Inpatient | Superior | Bh | $32,877.57 | — | — | 2026-05-08 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE Inpatient | Amerigroup | Medicaid | $32,877.57 | — | — | 2026-05-24 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE Inpatient | Superior | Bh | $32,877.57 | — | — | 2026-05-24 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE Inpatient | Amerigroup | Medicaid | $32,877.57 | — | — | 2026-05-08 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE Inpatient | Cook Childrens | Medicaid | $32,877.57 | — | — | 2026-05-08 | MRF ↗ |
| TEXAS HEALTH HOSPITAL FRISCO Inpatient | Molina | Medicaid | $34,912.32 | — | — | 2026-05-07 | MRF ↗ |
| TEXAS HEALTH HOSPITAL FRISCO Inpatient | Molina | Medicaid | $34,912.32 | — | — | 2026-05-24 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE Inpatient | Molina | Medicaid | $35,507.78 | — | — | 2026-05-08 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE Inpatient | Molina | Medicaid | $35,507.78 | — | — | 2026-05-24 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE Inpatient | Aetna | Medicaid | $36,165.33 | — | — | 2026-05-08 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE Inpatient | Aetna | Medicaid | $36,165.33 | — | — | 2026-05-24 | MRF ↗ |
| TEXAS HEALTH HOSPITAL FRISCO Inpatient | Superior | Medicaid | $44,286.92 | — | — | 2026-05-24 | MRF ↗ |
| TEXAS HEALTH HOSPITAL FRISCO Inpatient | Superior | Medicaid | $44,286.92 | — | — | 2026-05-07 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE Inpatient | Superior | Medicaid | $45,042.27 | — | — | 2026-05-24 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE Inpatient | Superior | Medicaid | $45,042.27 | — | — | 2026-05-08 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Inpatient | Bcbsmn Insurance | Min | $48,578.45 | — | — | 2026-05-23 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Inpatient | Bcbsmn Insurance | Min | $48,578.45 | — | — | 2026-05-13 | MRF ↗ |
| AVERA MARSHALL REGIONAL MEDICAL CTR Inpatient | Bcbsmn Insurance | Min | $51,720.90 | — | — | 2026-05-09 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Inpatient | Empire Blue Cross Blue Shield | Pathway Small Grou | $96,163.95 | — | — | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Inpatient | Empire Blue Cross Blue Shield | Pathway Individual | $96,163.95 | — | — | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Inpatient | Empire Blue Cross Blue Shield | Hmo/Epo/Blue Prior | $116,100.03 | — | — | 2026-05-26 | MRF ↗ |
| AVERA HEART HOSPITAL OF SOUTH DAKOTA Inpatient | Bcbsmn Insurance | Min | $132,561.25 | — | — | 2026-05-22 | MRF ↗ |
| AVERA HEART HOSPITAL OF SOUTH DAKOTA Inpatient | Bcbsmn Insurance | Min | $132,561.25 | — | — | 2026-05-13 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Inpatient | Empire Blue Cross Blue Shield | Ppo | $136,657.08 | — | — | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Inpatient | Empire Blue Cross Blue Shield | Indemnity | $136,657.08 | — | — | 2026-05-26 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Inpatient | Bcbsmn Insurance | Awa | $164,961.27 | — | — | 2026-05-13 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Inpatient | Bcbsmn Insurance | Awa | $164,961.27 | — | — | 2026-05-23 | MRF ↗ |
| AVERA HEART HOSPITAL OF SOUTH DAKOTA Inpatient | Bcbsmn Insurance | Awa | $177,997.26 | — | — | 2026-05-22 | MRF ↗ |
| AVERA HEART HOSPITAL OF SOUTH DAKOTA Inpatient | Bcbsmn Insurance | Awa | $177,997.26 | — | — | 2026-05-13 | MRF ↗ |
| AVERA MARSHALL REGIONAL MEDICAL CTR Inpatient | Bcbsmn Insurance | Awa | $190,549.78 | — | — | 2026-05-09 | MRF ↗ |
| AVERA ST MARY'S HOSPITAL Inpatient | Wellmark Insurance | Ppo | $192,055.76 | — | — | 2026-05-22 | MRF ↗ |
| AVERA ST MARY'S HOSPITAL Inpatient | Wellmark Insurance | Ppo | $192,055.76 | — | — | 2026-05-14 | MRF ↗ |
| AVERA HEART HOSPITAL OF SOUTH DAKOTA Inpatient | Wellmark Insurance | Ppo | $193,041.89 | — | — | 2026-05-13 | MRF ↗ |
| AVERA HEART HOSPITAL OF SOUTH DAKOTA Inpatient | Wellmark Insurance | Hmo | $193,041.89 | — | — | 2026-05-13 | MRF ↗ |
| AVERA HEART HOSPITAL OF SOUTH DAKOTA Inpatient | Wellmark Insurance | Ppo | $193,041.89 | — | — | 2026-05-22 | MRF ↗ |
| AVERA HEART HOSPITAL OF SOUTH DAKOTA Inpatient | Wellmark Insurance | Hmo | $193,041.89 | — | — | 2026-05-22 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Inpatient | Wellmark Insurance | Hmo | $202,077.65 | — | — | 2026-05-23 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Inpatient | Wellmark Insurance | Ppo | $202,077.65 | — | — | 2026-05-23 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Inpatient | Wellmark Insurance | Ppo | $202,077.65 | — | — | 2026-05-13 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Inpatient | Wellmark Insurance | Hmo | $202,077.65 | — | — | 2026-05-13 | MRF ↗ |
| AVERA QUEEN OF PEACE Inpatient | Wellmark Insurance | Ppo | $234,562.82 | — | — | 2026-05-09 | MRF ↗ |
| AVERA ST LUKES Inpatient | Wellmark Insurance | Ppo | $243,071.11 | — | — | 2026-05-09 | MRF ↗ |