6124 — 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 6124) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/6124?code_type=OTHER
MLA (9th ed.)
“NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION (OTHER 6124) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/6124?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION (OTHER 6124) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/6124?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $29,460–$71,294 (25th–75th percentile) across 90 hospitals · 179 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 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 |
|---|---|---|---|---|---|---|---|
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Uhc Community Health/Medicaid | Uhc Community Health/Medicaid | $78.23 | $404.52 | $287.29 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Medicaid | Medicaid | $78.23 | $404.52 | $287.29 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Louisiana Healthcare Connections Contract Medicaid | Louisiana Healthcare Connections Contract Medicaid | $78.23 | $404.52 | $287.29 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Amerihealth | Amerihealth/Medicaid | $79.80 | $404.52 | $287.29 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Aetna | Aetna/Medicaid | $80.58 | $404.52 | $287.29 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Louisiana Managed Medicaid-Humana | Louisiana Managed Medicaid-Humana | $82.16 | $404.52 | $287.29 | 2026-05-08 | MRF ↗ |
| GOLETA 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 ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Outpatient | Santa Barbara Select | 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 ↗ |
| GOLETA 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 ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | United Healthcare Heritage | United Healthcare Heritage | $140.37 | $404.52 | $287.29 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Uhc Select | Uhc Select | $140.37 | $404.52 | $287.29 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | United Healthcare Navigate | United Healthcare Navigate | $140.37 | $404.52 | $287.29 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | United Healthcare | United Healthcare | $156.14 | $404.52 | $287.29 | 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 ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Verity Health | Verity | $230.58 | $404.52 | $287.29 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Ppoplus | Ppoplus | $242.71 | $404.52 | $287.29 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Multiplan Inc | Multiplan | $262.94 | $404.52 | $287.29 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Cigna Healthcare Of Louisiana Inc | Cigna Ppo | $271.43 | $404.52 | $287.29 | 2026-05-08 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Inpatient | $281.25 | $375.00 | $187.50 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Inpatient | $281.25 | $375.00 | $187.50 | 2026-05-23 | MRF ↗ |
| SANTA BARBARA 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 ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | Blue Cross | Dignity Health | $287.00 | $574.00 | $401.80 | 2026-05-27 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Outpatient | $300.00 | $375.00 | $187.50 | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Outpatient | $300.00 | $375.00 | $187.50 | 2026-05-14 | MRF ↗ |
| SARATOGA HOSPITAL Both | Cigna | Commercial - Outpatient | $306.25 | $437.50 | $218.75 | 2026-05-09 | 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 ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Outpatient | Santa Barbara Select | Commercial | $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 ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Outpatient | Sansum | Clinic | $315.70 | $574.00 | $401.80 | 2026-05-27 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Excellus - Rmsco | Commercial | $318.75 | $375.00 | $187.50 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Beech Street | Commercial | $318.75 | $375.00 | $187.50 | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Beech Street | Commercial | $318.75 | $375.00 | $187.50 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Excellus - Rmsco | Commercial | $318.75 | $375.00 | $187.50 | 2026-05-23 | MRF ↗ |
| GLENS FALLS HOSPITAL Both | Multiplan | Commercial | $318.75 | $375.00 | $187.50 | 2026-05-08 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Hrgi | Commercial | $318.75 | $375.00 | $187.50 | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Hrgi | Commercial | $318.75 | $375.00 | $187.50 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Phcs | Commercial | $318.75 | $375.00 | $187.50 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Phcs | Commercial | $318.75 | $375.00 | $187.50 | 2026-05-23 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Coventry Health Of Louisiana | First Health | $323.62 | $404.52 | $287.29 | 2026-05-08 | MRF ↗ |
| SARATOGA HOSPITAL Both | Multiplan | Commercial - Outpatient | $328.12 | $437.50 | $218.75 | 2026-05-09 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Aetna Health Managment | Aetna | $339.80 | $404.52 | $287.29 | 2026-05-08 | MRF ↗ |
| SARATOGA HOSPITAL Both | United Healthcare | Commercial - Inpatient | $393.75 | $437.50 | $218.75 | 2026-05-09 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Champus/Tricare | Champus/Tricare | $404.52 | $404.52 | $287.29 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Champ Va | Champ Va | $404.52 | $404.52 | $287.29 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Workers Comp | Workers Comp | $404.52 | $404.52 | $287.29 | 2026-05-08 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | Blue Shield | Trio Hmo | $433.94 | $574.00 | $401.80 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA 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 ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Inpatient | Health Net | Hmo/Pos/Ppo/Epo | $471.25 | $574.00 | $401.80 | 2026-05-27 | 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 ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | Blue Shield | Epn | $475.27 | $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 ↗ |
| RIO GRANDE HOSPITAL Both | Medicare | Medicare | $503.46 | $1,324.90 | $993.68 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Both | Apostrophe | Medicare | $503.46 | $1,324.90 | $993.68 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Both | Blue Cross | Medicare | $503.46 | $1,324.90 | $993.68 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Both | Humana | Medicare Pffs | $503.46 | $1,324.90 | $993.68 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Both | Humana | Medicare Ppo | $503.46 | $1,324.90 | $993.68 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Both | Aetna | Medicare | $503.46 | $1,324.90 | $993.68 | 2026-05-08 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | Blue Shield | Ppo | $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 ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Inpatient | Cigna | Hmo/Ppo | $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 ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Inpatient | Blue Shield | Hmo | $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 | Blue Shield | Hmo | $516.60 | $574.00 | $401.80 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | Aetna | Commercial | $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 ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | Multiplan Eff | Commercial | $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 YNEZ VALLEY COTTAGE HOSPITAL Inpatient | Aetna | 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 ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | United Healthcare | 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 YNEZ VALLEY COTTAGE HOSPITAL Inpatient | Blue Shield | 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 | Blue Shield | Hmo | $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 | Blue Shield | Ppo | $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 ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Outpatient | Health Net Of Ca | Commercial | — | $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 | Alliance Coal Health Plan | 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 | Multiplan | 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 | Kaiser Permanente | 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 | Health Net Federal Services | Tricare | — | $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 | Prime Health Services | Commercial | — | $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 | Dignity Health | Commercial | $536.00 | $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 | Providence Health Plan | Managed Medicaid | — | $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 | Northbay Healthcare | Medicare Advantage | — | $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 | Triwest Healthcare Alliance | Triwest | — | $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 | Centene Ambttr Slvr Smmit Hlth Pln | Commercial | — | $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 | Centene Coordinated Care | Managed Medicaid | — | $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 | Centene Silversummitt Healthplan | Medicare | — | $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 ↗ |
| RIO GRANDE HOSPITAL Both | Slvhmo Friday | Commercial | $993.68 | $1,324.90 | $993.68 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Both | Cigna | Commercial | $1,078.47 | $1,324.90 | $993.68 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Both | Blue Cross | Commercial | $1,126.17 | $1,324.90 | $993.68 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Both | Uhc | Commercial | $1,126.17 | $1,324.90 | $993.68 | 2026-05-08 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Umr H&H Employees Facility | Umr Hh Employees Facility | $1,183.25 | $3,087.00 | $3,087.00 | 2026-05-27 | MRF ↗ |
| RIO GRANDE HOSPITAL Both | Aetna | Commercial | $1,192.41 | $1,324.90 | $993.68 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Both | Cofinity | Commercial | $1,192.41 | $1,324.90 | $993.68 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Both | Humana | Choicecare | $1,192.41 | $1,324.90 | $993.68 | 2026-05-08 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Umr H&H Employees Facility | Umr Hh Employees Facility | $1,197.14 | $3,087.00 | $3,087.00 | 2026-05-27 | MRF ↗ |
| RIO GRANDE HOSPITAL Both | Aetna | Medical Rental Cofinity | $1,232.16 | $1,324.90 | $993.68 | 2026-05-08 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Humana Medicare Facility | Humana Medicare Facility | $1,234.80 | $3,087.00 | $3,087.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Sagamore Commercial Facility | Sagamore Commercial Facility | $1,407.67 | $3,087.00 | $3,087.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | United Charter (Sg Commercial) Facility | United Charter (Sg Commercial) Facility | $1,457.06 | $3,087.00 | $3,087.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Siho Commercial Facility | Siho Commercial Facility | $1,537.33 | $3,087.00 | $3,087.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Sagamore Commercial Facility | Sagamore Commercial Facility | $1,537.33 | $3,087.00 | $3,087.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Encore Main Commercial Facility | Encore Main Commercial Facility | $1,537.33 | $3,087.00 | $3,087.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | United Commercial Facility | United Commercial Facility | $1,537.33 | $3,087.00 | $3,087.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | United Charter (Sg Commercial) Facility | United Charter (Sg Commercial) Facility | $1,537.33 | $3,087.00 | $3,087.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Eskenazi Health | Anthem Facility Exchange | $1,537.33 | $3,087.00 | $3,087.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Caresource Exchange Facility | Caresource Exchange Facility | $1,537.33 | $3,087.00 | $3,087.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Umr H&H Employees Facility | Umr Hh Employees Facility | $1,537.33 | $3,087.00 | $3,087.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Zing Medicare Facility | Zing Medicare Facility | $1,537.33 | $3,087.00 | $3,087.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | United Medicare Facility | United Medicare Facility | $1,537.33 | $3,087.00 | $3,087.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Workers Comp | Workers Comp - Generic | $1,537.33 | $3,087.00 | $3,087.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Aetna Medicare Advantage Facility | Aetna Medicare Advantage Facility | $1,537.33 | $3,087.00 | $3,087.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Anthem | Anthem Medicare Advantage | $1,537.33 | $3,087.00 | $3,087.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Mdwise Medicare Facility | Mdwise Medicare Facility | $1,537.33 | $3,087.00 | $3,087.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Cigna Hmo/Oap Commercial Facility | Cigna Hmo/Oap Commercial Facility | $1,537.33 | $3,087.00 | $3,087.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Communicare Ma Facility | Communicare Ma Facility | $1,537.33 | $3,087.00 | $3,087.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Cigna Ppo Commercial Facility | Cigna Ppo Commercial Facility | $1,537.33 | $3,087.00 | $3,087.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | United Commercial Facility | United Commercial Facility | $1,654.63 | $3,087.00 | $3,087.00 | 2026-05-27 | MRF ↗ |
| JAMAICA HOSPITAL MEDICAL CENTER Inpatient | Hotel Trades Council | Dental Or | $1,912.00 | — | — | 2026-05-17 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Siho Commercial Facility | Siho Commercial Facility | $2,315.25 | $3,087.00 | $3,087.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Cigna Ppo Commercial Facility | Cigna Ppo Commercial Facility | $2,623.95 | $3,087.00 | $3,087.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Cigna Hmo/Oap Commercial Facility | Cigna Hmo/Oap Commercial Facility | $2,623.95 | $3,087.00 | $3,087.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Encore Main Commercial Facility | Encore Main Commercial Facility | $2,623.95 | $3,087.00 | $3,087.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Cigna Ppo Commercial Facility | Cigna Ppo Commercial Facility | $2,778.30 | $3,087.00 | $3,087.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Aetna Commercial Facility | Aetna Commercial Facility | $3,087.00 | $3,087.00 | $3,087.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Cigna | Cigna Exchange Facility | $3,087.00 | $3,087.00 | $3,087.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Eskenazi Health | Anthem Facility Exchange | $3,087.00 | $3,087.00 | $3,087.00 | 2026-05-27 | MRF ↗ |
| AVITA ONTARIO Inpatient | Traditional Medicare | Inpatient | $3,518.05 | $74,453.26 | $63,285.27 | 2026-05-14 | MRF ↗ |
| AVITA ONTARIO Inpatient | Medical Mutual | Medicare Inpatient | $3,588.41 | $74,453.26 | $63,285.27 | 2026-05-14 | MRF ↗ |
| GALION COMMUNITY HOSPITAL Both | Medical Mutual | Medicare Outpatient | $4,224.38 | $74,453.26 | $63,285.27 | 2026-05-23 | MRF ↗ |
| BUCYRUS COMMUNITY HOSPITAL Both | Anthem | Medicare Outpatient | $23,825.04 | $74,453.26 | $63,285.27 | 2026-05-23 | MRF ↗ |
| AVITA ONTARIO Inpatient | Molina | Medicare Outpatient | $23,825.04 | $74,453.26 | $63,285.27 | 2026-05-14 | MRF ↗ |
| AVITA ONTARIO Inpatient | United Healthcare | Medicare Outpatient | $23,825.04 | $74,453.26 | $63,285.27 | 2026-05-14 | MRF ↗ |
| BUCYRUS COMMUNITY HOSPITAL Both | Mount Carmel | Medicare Outpatient | $23,825.04 | $74,453.26 | $63,285.27 | 2026-05-23 | MRF ↗ |
| AVITA ONTARIO Inpatient | Humana | Medicare Outpatient | $23,825.04 | $74,453.26 | $63,285.27 | 2026-05-14 | MRF ↗ |
| AVITA ONTARIO Inpatient | Buckeye | Medicare Outpatient | $23,825.04 | $74,453.26 | $63,285.27 | 2026-05-14 | MRF ↗ |
| BUCYRUS COMMUNITY HOSPITAL Both | Traditional Medicare | Outpatient | $23,825.04 | $74,453.26 | $63,285.27 | 2026-05-23 | MRF ↗ |
| AVITA ONTARIO Inpatient | Traditional Medicare | Outpatient | $23,825.04 | $74,453.26 | $63,285.27 | 2026-05-14 | MRF ↗ |
| AVITA ONTARIO Inpatient | Aetna | Medicare Outpatient | $23,825.04 | $74,453.26 | $63,285.27 | 2026-05-14 | MRF ↗ |
| BUCYRUS COMMUNITY HOSPITAL Both | Molina | Medicare Outpatient | $23,825.04 | $74,453.26 | $63,285.27 | 2026-05-23 | MRF ↗ |
| BUCYRUS COMMUNITY HOSPITAL Both | Buckeye | Medicare Outpatient | $23,825.04 | $74,453.26 | $63,285.27 | 2026-05-23 | MRF ↗ |
| AVITA ONTARIO Inpatient | Mount Carmel | Medicare Outpatient | $23,825.04 | $74,453.26 | $63,285.27 | 2026-05-14 | MRF ↗ |
| BUCYRUS COMMUNITY HOSPITAL Both | United Healthcare | Medicare Outpatient | $23,825.04 | $74,453.26 | $63,285.27 | 2026-05-23 | MRF ↗ |
| AVITA ONTARIO Inpatient | Anthem | Medicare Outpatient | $23,825.04 | $74,453.26 | $63,285.27 | 2026-05-14 | MRF ↗ |
| BUCYRUS COMMUNITY HOSPITAL Both | Humana | Medicare Outpatient | $23,825.04 | $74,453.26 | $63,285.27 | 2026-05-23 | MRF ↗ |
| AVITA ONTARIO Inpatient | Medical Mutual | Medicare Outpatient | $24,301.54 | $74,453.26 | $63,285.27 | 2026-05-14 | MRF ↗ |
| BUCYRUS COMMUNITY HOSPITAL Both | Aetna | Medicare Outpatient | $24,301.54 | $74,453.26 | $63,285.27 | 2026-05-23 | MRF ↗ |
| BUCYRUS COMMUNITY HOSPITAL Both | Medical Mutual | Medicare Outpatient | $24,301.54 | $74,453.26 | $63,285.27 | 2026-05-23 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Inpatient | Humana | Medicaid | $24,901.00 | — | — | 2026-05-07 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Inpatient | Wellcare | Medicaid | $24,901.00 | — | — | 2026-05-07 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Inpatient | Clear Health Alliance | Medicaid | $24,901.00 | — | — | 2026-05-07 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Aetna Better Health | Medicaid Aetna Better Health | $25,195.09 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Illinois | Medicaid Illinois | $25,195.09 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Health Alliance | Medicaid Health Alliance | $25,195.09 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Youth Care | Medicaid Youth Care | $25,195.09 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Meridian | Medicaid Meridian | $25,195.09 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Humana Health Plan | Medicaid Humana Health Plan | $25,195.09 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Molina | Medicaid Molina | $25,195.09 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Wellcare | Medicaid Wellcare | $25,195.09 | — | — | 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 | $25,195.09 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Molina | Medicaid Molina | $25,195.09 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Illinois | Medicaid Illinois | $25,195.09 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Aetna Better Health | Medicaid Aetna Better Health | $25,195.09 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Meridian | Medicaid Meridian | $25,195.09 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Youth Care | Medicaid Youth Care | $25,195.09 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Countycare Claims | Medicaid Countycare Claims | $25,195.09 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Wellcare | Medicaid Wellcare | $25,195.09 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Countycare Claims | Medicaid Countycare Claims | $25,195.09 | — | — | 2026-05-24 | 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.