612 — Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION (APR_DRG 612) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/612?code_type=APR_DRG
MLA (9th ed.)
“NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION (APR_DRG 612) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/612?code_type=APR_DRG. Accessed .
Chicago (notes-bibliography)
“NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION (APR_DRG 612) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/612?code_type=APR_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $28,916–$67,843 (25th–75th percentile) across 48 hospitals · 276 payers.
“Negotiated” is the hospital’s negotiated facility rate for this APR_DRG 612 — 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 |
|---|---|---|---|---|---|---|---|
| Driscoll Children's Hospital Transplant Center Inpatient | TEXAS REHABILITATION COMM [50038] | TEXAS REHABILITATION COMM [5003801] | $165.82 | $788,538.15 | $157,707.63 | 2026-03-31 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Inpatient | POLICE DEPARTMENTS [50065] | POLICE DEPTS [5006501] | $1,000.00 | $788,538.15 | $157,707.63 | 2026-03-31 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS InpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $3,730.73 | $140,251.73 | — | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL SOUTHEAST InpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $3,730.73 | $76,735.97 | — | 2026-03-18 | MRF ↗ |
| NEWTON MEDICAL CENTER Inpatient | LUMINARE HEALTH AHS RETIREE [5013] | NMC AETNA AHS EMPLOYEE | — | $188,960.01 | — | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Inpatient | ALLSTATE [5047] | NMC HORIZON CASUALTY PIP | — | $227,629.35 | — | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Inpatient | ALLSTATE [5047] | NMC HORIZON CASUALTY PIP | — | $227,629.35 | — | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Inpatient | LUMINARE HEALTH AHS RETIREE [5013] | NMC AETNA AHS EMPLOYEE | — | $188,960.01 | — | 2026-01-01 | MRF ↗ |
| BETHESDA HOSPITAL EAST Inpatient | MEDICAID | SIMPLYHLTH MD HMO NC | — | — | — | 2026-03-30 | MRF ↗ |
| BETHESDA HOSPITAL EAST Inpatient | SUNSHINE STATE | SUNSHINE ST MD HMONC | — | — | — | 2026-03-30 | MRF ↗ |
| BETHESDA HOSPITAL EAST Inpatient | UNITED HEALTHCARE | UNITED MD HMO | — | — | — | 2026-03-30 | MRF ↗ |
| BETHESDA HOSPITAL EAST Inpatient | MEDICAID | PRESTIGE MD HMO NC | — | — | — | 2026-03-30 | MRF ↗ |
| BETHESDA HOSPITAL EAST Inpatient | WELLCARE | WELL CARE MD HMONC | — | — | — | 2026-03-30 | MRF ↗ |
| BETHESDA HOSPITAL EAST Inpatient | VISTA | COVENTRY MEDICAID | — | — | — | 2026-03-30 | MRF ↗ |
| MAYO CLINIC HEALTH SYSTEM EAU CLAIRE HOSPITAL InpatientFacility | HEALTHPARTNERS [91210021] | MEDICAID CAH HEALTHPARTNERS [1174] | $12,249.02 | — | — | 2026-03-31 | MRF ↗ |
| MAYO CLINIC HEALTH SYSTEM EAU CLAIRE HOSPITAL InpatientFacility | HEALTHPARTNERS [91200021] | MEDICAID CAH HEALTHPARTNERS [1174] | $12,249.02 | — | — | 2026-03-31 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS InpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $13,870.48 | $140,251.73 | — | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS InpatientFacility | MEDICAID [20240] | HB STLO CAPE IL MEDICAID | $13,870.48 | $140,251.73 | — | 2026-03-12 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $14,291.03 | $178,512.00 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $14,291.03 | $178,512.00 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $14,291.03 | $178,512.00 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $14,291.03 | $178,512.00 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $14,291.03 | $178,512.00 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $14,291.03 | $178,512.00 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $14,291.03 | $178,512.00 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $14,291.03 | $178,512.00 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $14,291.03 | $178,512.00 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $14,291.03 | $178,512.00 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $14,291.03 | $178,512.00 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $14,291.03 | $178,512.00 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $14,291.03 | $178,512.00 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $14,291.03 | $178,512.00 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $14,291.03 | $178,512.00 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $14,291.03 | $178,512.00 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $14,291.03 | $178,512.00 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $14,291.03 | $178,512.00 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $14,291.03 | $178,512.00 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $14,291.03 | $178,512.00 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $14,291.03 | $178,512.00 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $14,291.03 | $178,512.00 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $14,291.03 | $178,512.00 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $14,291.03 | $178,512.00 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $14,291.03 | $178,512.00 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $14,291.03 | $178,512.00 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $14,291.03 | $178,512.00 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $14,291.03 | $178,512.00 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $14,291.03 | $178,512.00 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $14,291.03 | $178,512.00 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $14,291.03 | $178,512.00 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $14,291.03 | $178,512.00 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $14,291.03 | $178,512.00 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $14,291.03 | $178,512.00 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $14,291.03 | $178,512.00 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $14,291.03 | $178,512.00 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $14,291.03 | $178,512.00 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $14,291.03 | $178,512.00 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $14,291.03 | $178,512.00 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | CLEAR HEALTH [25030901] | $14,291.03 | $178,512.00 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $14,291.03 | $178,512.00 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $14,291.03 | $178,512.00 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $14,291.03 | $178,512.00 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | SIMPLY HEALTHCARE [250309] | SIMPLY MEDICAID [25030902] | $14,291.03 | $178,512.00 | — | 2026-03-26 | MRF ↗ |
| Rehabilitation Hospital of Fort Myers InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $14,291.03 | $178,512.00 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $14,291.03 | $178,512.00 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [250313] | AETNA BETTER HEALTH MEDICAID HMO [25031301] | $14,291.03 | $178,512.00 | — | 2026-03-26 | MRF ↗ |
| GULF COAST MEDICAL CENTER LEE HEALTH InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $14,291.03 | $178,512.00 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $14,291.03 | $178,512.00 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | AETNA BETTER HEALTH [210102] | AETNA HEALTHY KIDS [21010201] | $14,291.03 | $178,512.00 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | HUMANA MEDICAID HMO [250318] | HUMANA MEDICAID HMO [25031801] | $14,291.03 | $178,512.00 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | MOLINA HEALTHCARE [250307] | MOLINA MEDICAID HMO [25030701] | $14,291.03 | $178,512.00 | — | 2026-03-26 | MRF ↗ |
| CAPE CORAL HOSPITAL InpatientFacility | FREEDOM FIRST HEALTHCARE [250305] | FREEDOM FIRST MEDICAID HMO [25030501] | $14,291.03 | $178,512.00 | — | 2026-03-26 | MRF ↗ |
| LEE MEMORIAL HOSPITAL InpatientFacility | SUNSHINE STATE HEALTH PLAN [250311] | SUNSHINE MEDICAID HMO [25031101] | $14,291.03 | $178,512.00 | — | 2026-03-26 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | WELLPOINT [1007] | ABOVE FPIL WELLPOINT CHIP PERINATE [100709] | $15,102.88 | $113,969.49 | $45,587.80 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | WELLPOINT [1007] | WELLPOINT CHIP PERINATE POST PARTUM [100704] | $15,102.88 | $113,969.49 | $45,587.80 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | WELLPOINT [1007] | BELOW FPIL WELLPOINT CHIP PERINATE [100708] | $15,102.88 | $113,969.49 | $45,587.80 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | WELLPOINT [1007] | WELLPOINT CHIP PERINATE POST PARTUM [100704] | $15,102.88 | $113,969.49 | $45,587.80 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | WELLPOINT [1007] | BELOW FPIL WELLPOINT CHIP PERINATE [100708] | $15,102.88 | $113,969.49 | $45,587.80 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | WELLPOINT [1007] | ABOVE FPIL WELLPOINT CHIP PERINATE [100709] | $15,102.88 | $113,969.49 | $45,587.80 | 2026-03-31 | MRF ↗ |
| CHRIST HOSPITAL Inpatient | UHC COMMUNITY MEDICAID [2175] | HB XR UHC INDIANA PATHWAYS MEDICAID | $15,191.47 | $101,449.45 | $60,869.67 | 2025-12-19 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | MOLINA [1382] | MOLINA STAR PLUS [138200] | $15,490.13 | $113,969.49 | $45,587.80 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | MOLINA [1382] | MOLINA STAR PLUS [138200] | $15,490.13 | $113,969.49 | $45,587.80 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | MOLINA [1382] | MOLINA STAR MEDICAID [138204] | $15,490.13 | $113,969.49 | $45,587.80 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | MOLINA [1382] | MOLINA STAR MEDICAID [138204] | $15,490.13 | $113,969.49 | $45,587.80 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | SUPERIOR HEALTH PLAN [1402] | SUPERIOR STAR HEALTH FOSTER CARE [140200] | $15,556.74 | $113,969.49 | $45,587.80 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | SUPERIOR HEALTH PLAN [1402] | SUPERIOR STAR HEALTH FOSTER CARE [140200] | $15,556.74 | $113,969.49 | $45,587.80 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | SUPERIOR HEALTH PLAN [1402] | SUPERIOR STAR HEALTH FOSTER CARE [140200] | $15,556.74 | $113,969.49 | $45,587.80 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | COOK CHILDREN HEALTH PLAN [1380] | COOK CHILDREN CHIP PERINATE POST PARTUM [138002] | $15,858.02 | $113,969.49 | $45,587.80 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | COOK CHILDREN HEALTH PLAN [1380] | COOK CHILDRENS CHIP [138006] | $15,858.02 | $113,969.49 | $45,587.80 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | PARKLAND CHIP PERINATE [1320] | ABOVE FPIL CHIP PERINATE [132002] | $15,858.02 | $113,969.49 | $45,587.80 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | COOK CHILDREN HEALTH PLAN [1380] | BELOW FPIL COOK CHIP PERINATE [138004] | $15,858.02 | $113,969.49 | $45,587.80 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | AETNA BETTER HEALTH [1317] | AETNA BETTER HEALTH CHIP [131701] | $15,858.02 | $113,969.49 | $45,587.80 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | PARKLAND CHIP PERINATE [1320] | ABOVE FPIL CHIP PERINATE [132002] | $15,858.02 | $113,969.49 | $45,587.80 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | COOK CHILDREN HEALTH PLAN [1380] | ABOVE FPIL COOK CHIP PERINATE [138003] | $15,858.02 | $113,969.49 | $45,587.80 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | AETNA BETTER HEALTH [1317] | AETNA BETTER HEALTH CHIP [131701] | $15,858.02 | $113,969.49 | $45,587.80 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | AETNA BETTER HEALTH [1317] | BELOW FPIL AETNA CHIP PERINATE [131702] | $15,858.02 | $113,969.49 | $45,587.80 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | AETNA BETTER HEALTH [1317] | ABOVE FPIL AETNA CHIP PERINATE [131703] | $15,858.02 | $113,969.49 | $45,587.80 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | PARKLAND CHIP PERINATE [1320] | BELOW FPIL CHIP PERINATE [132001] | $15,858.02 | $113,969.49 | $45,587.80 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | PARKLAND COMMUNITY HEALTH PLAN [1056] | Parkland CHIP [105606] | $15,858.02 | $113,969.49 | $45,587.80 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | COOK CHILDREN HEALTH PLAN [1380] | COOK CHILDREN STAR MEDICAID [138000] | $15,858.02 | $113,969.49 | $45,587.80 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | COOK CHILDREN HEALTH PLAN [1380] | ABOVE FPIL COOK CHIP PERINATE [138003] | $15,858.02 | $113,969.49 | $45,587.80 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | COOK CHILDREN HEALTH PLAN [1380] | COOK CHILDRENS STAR KIDS [138005] | $15,858.02 | $113,969.49 | $45,587.80 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | PARKLAND CHIP PERINATE [1320] | BELOW FPIL CHIP PERINATE [132001] | $15,858.02 | $113,969.49 | $45,587.80 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | COOK CHILDREN HEALTH PLAN [1380] | COOK CHILDREN STAR MEDICAID [138000] | $15,858.02 | $113,969.49 | $45,587.80 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | COOK CHILDREN HEALTH PLAN [1380] | COOK CHILDRENS CHIP [138006] | $15,858.02 | $113,969.49 | $45,587.80 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | COOK CHILDREN HEALTH PLAN [1380] | COOK CHILDRENS CHIP [138006] | $15,858.02 | $113,969.49 | $45,587.80 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | PARKLAND COMMUNITY HEALTH PLAN [1056] | Parkland CHIP [105606] | $15,858.02 | $113,969.49 | $45,587.80 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | COOK CHILDREN HEALTH PLAN [1380] | COOK CHILDREN CHIP PERINATE POST PARTUM [138002] | $15,858.02 | $113,969.49 | $45,587.80 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | COOK CHILDREN HEALTH PLAN [1380] | BELOW FPIL COOK CHIP PERINATE [138004] | $15,858.02 | $113,969.49 | $45,587.80 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | AETNA BETTER HEALTH [1317] | ABOVE FPIL AETNA CHIP PERINATE [131703] | $15,858.02 | $113,969.49 | $45,587.80 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | AETNA BETTER HEALTH [1317] | BELOW FPIL AETNA CHIP PERINATE [131702] | $15,858.02 | $113,969.49 | $45,587.80 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | COOK CHILDREN HEALTH PLAN [1380] | COOK CHILDRENS STAR KIDS [138005] | $15,858.02 | $113,969.49 | $45,587.80 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | COOK CHILDREN HEALTH PLAN [1380] | COOK CHILDRENS STAR KIDS [138005] | $15,858.02 | $113,969.49 | $45,587.80 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | PARKLAND COMMUNITY HEALTH PLAN [1056] | Parkland CHIP [105606] | $15,858.02 | $113,969.49 | $45,587.80 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | COOK CHILDREN HEALTH PLAN [1380] | COOK CHILDREN STAR MEDICAID [138000] | $15,858.02 | $113,969.49 | $45,587.80 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | AETNA BETTER HEALTH [1317] | AETNA BETTER HEALTH CHIP [131701] | $15,858.02 | $113,969.49 | $45,587.80 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | POINT COMFORT UNDERWRITERS [1801] | POINT COMFORT UNDERWRITERS [180100] | $16,651.89 | $113,969.49 | $45,587.80 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | MOLINA [1382] | BELOW FPIL MOLINA CHIP PERINATE [138211] | $16,651.89 | $113,969.49 | $45,587.80 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | MOLINA [1382] | POST PARTUM VST-MOLINA CHIP [138205] | $16,651.89 | $113,969.49 | $45,587.80 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | MOLINA [1382] | MOLINA CHIP [138201] | $16,651.89 | $113,969.49 | $45,587.80 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | MOLINA [1382] | POST PARTUM VST-MOLINA CHIP [138205] | $16,651.89 | $113,969.49 | $45,587.80 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | MOLINA [1382] | MOLINA RSA MEDICAID [138203] | $16,651.89 | $113,969.49 | $45,587.80 | 2026-05-29 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | MOLINA [1382] | BELOW FPIL MOLINA CHIP PERINATE [138211] | $16,651.89 | $113,969.49 | $45,587.80 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | MOLINA [1382] | ABOVE FPIL MOLINA CHIP PERINATE [138210] | $16,651.89 | $113,969.49 | $45,587.80 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | MOLINA [1382] | MOLINA RSA MEDICAID [138203] | $16,651.89 | $113,969.49 | $45,587.80 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | POINT COMFORT UNDERWRITERS [1801] | POINT COMFORT UNDERWRITERS [180100] | $16,651.89 | $113,969.49 | $45,587.80 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | MOLINA [1382] | POST PARTUM VST-MOLINA CHIP [138205] | $16,651.89 | $113,969.49 | $45,587.80 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | MOLINA [1382] | MOLINA RSA MEDICAID [138203] | $16,651.89 | $113,969.49 | $45,587.80 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | POINT COMFORT UNDERWRITERS [1801] | POINT COMFORT UNDERWRITERS [180100] | $16,651.89 | $113,969.49 | $45,587.80 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | MOLINA [1382] | ABOVE FPIL MOLINA CHIP PERINATE [138210] | $16,651.89 | $113,969.49 | $45,587.80 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | MOLINA [1382] | MOLINA CHIP [138201] | $16,651.89 | $113,969.49 | $45,587.80 | 2026-03-31 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM InpatientFacility | MOLINA [1382] | MOLINA CHIP [138201] | $16,651.89 | $113,969.49 | $45,587.80 | 2026-05-29 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Independent Health | Independent Health State Products | $16,764.56 | — | — | 2026-04-14 | MRF ↗ |
| TRINITY HEALTH OAKLAND HOSPITAL InpatientFacility | MOLINA MEDICAID | MOLINA MEDICAID | $16,954.21 | — | — | 2026-03-31 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis Child Health Plus | $18,027.63 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Aetna | Aetna Better Health CHIP | $18,143.44 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Aetna | Aetna Better Health CHIP | $18,143.44 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $18,143.44 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Aetna | Aetna Better Health CHIP | $18,143.44 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $18,143.44 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $18,143.44 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Aetna | Aetna Better Health CHIP | $18,143.44 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $18,143.44 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $18,143.44 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Aetna | Aetna Better Health CHIP | $18,143.44 | — | — | 2026-04-14 | MRF ↗ |
| TRINITY HEALTH OAKLAND HOSPITAL InpatientFacility | HAP MEDICAID | HAP CARESOURCE MEDICAID | $18,350.52 | — | — | 2026-03-31 | MRF ↗ |
| TRINITY HEALTH OAKLAND HOSPITAL InpatientFacility | BLUE CROSS COMPLETE - MI | BLUE CROSS COMPLETE MEDICAID | $18,350.52 | — | — | 2026-03-31 | MRF ↗ |
| TRINITY HEALTH OAKLAND HOSPITAL InpatientFacility | MCLAREN HEALTH MEDICAID | MCLAREN MEDICAID | $18,350.52 | — | — | 2026-03-31 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID [3000] | MEDICAID TEMPORARY PRESUMPTIVE [300005] | $18,874.85 | $103,241.41 | $103,241.41 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID [3000] | PLAN FIRST FAMILY PLANNING [300003] | $18,874.85 | $103,241.41 | $103,241.41 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID DEDUCTIBLE/SPENDDOWN [3001] | MEDICAID DEDUCTIBLE/SPENDDOWN [300101] | $18,874.85 | $103,241.41 | $103,241.41 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID [3000] | MEDICAID QMB [300007] | $18,874.85 | $103,241.41 | $103,241.41 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MOLINA HEALTH CARE [9008] | MOLINA HEALTH CARE [900801] | $18,874.85 | $103,241.41 | $103,241.41 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | HEALTH ALLIANCE PLAN MEDICAID [9012] | HAP CARESOURCE [901202] | $18,874.85 | $103,241.41 | $103,241.41 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MCLAREN HEALTH PLAN [9006] | MCLAREN HEALTH PLAN [900601] | $18,874.85 | $103,241.41 | $103,241.41 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MERIDIAN HEALTH PLAN [9007] | MERIDIAN HEALTH PLAN [900701] | $18,874.85 | $103,241.41 | $103,241.41 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | OUT OF STATE MEDICAID [3004] | OUT OF STATE MEDICAID GENERIC [300402] | $18,874.85 | $103,241.41 | $103,241.41 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | OUT OF STATE MEDICAID [3004] | OUT OF STATE MEDICAID [300401] | $18,874.85 | $103,241.41 | $103,241.41 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | AETNA BETTER HEALTH PLAN [9018] | AETNA BETTER HEALTH PLAN [901801] | $18,874.85 | $103,241.41 | $103,241.41 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | GENERIC MEDICAID HMO [9000] | GENERIC MEDICAID HMO [900001] | $18,874.85 | $103,241.41 | $103,241.41 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | BLUE CROSS COMPLETE [9001] | BLUE CROSS COMPLETE [900102] | $18,874.85 | $103,241.41 | $103,241.41 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID HEALTHY MICHIGAN [3007] | MEDICAID HEALTHY MICHIGAN [300701] | $18,874.85 | $103,241.41 | $103,241.41 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID [3000] | MEDICAID MICHILD [300008] | $18,874.85 | $103,241.41 | $103,241.41 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | ABW COVERAGE NO HMO LISTED [3003] | ABW COVERAGE NO HMO LISTED [300301] | $18,874.85 | $103,241.41 | $103,241.41 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID [3000] | BCCCP/WISEWOMAN [300006] | $18,874.85 | $103,241.41 | $103,241.41 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID [3000] | MEDICAID [300001] | $18,874.85 | $103,241.41 | $103,241.41 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID [3000] | MATERNITY OUT PATIENT MEDICAL (MOMS) [300002] | $18,874.85 | $103,241.41 | $103,241.41 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | UNITED HEALTH CARE COMMUNITY PLAN MEDICAID [9004] | UNITED HEALTH CARE MEDICAID [900401] | $18,874.85 | $103,241.41 | $103,241.41 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | HARBOR HEALTH PLAN [9016] | HARBOR HEALTH PLAN [901601] | $18,874.85 | $103,241.41 | $103,241.41 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | UPPER PENINSULA HEALTH PLAN MEDICAID [9015] | UPPER PENINSULA HEALTH [901501] | $18,874.85 | $103,241.41 | $103,241.41 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MERIDIAN HEALTH PLAN [9007] | MERIDIAN MICHILD [900702] | $18,874.85 | $103,241.41 | $103,241.41 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | CHILDRENS SPECIAL HEALTHCARE SERVICES (CSHCS) [3002] | CHILDRENS SPECIAL HEALTHCARE SERVICES [300201] | $18,874.85 | $103,241.41 | $103,241.41 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | PRIORITY HEALTH PLAN MEDICAID [9013] | PRIORITY HEALTH PLAN MEDICAID [901301] | $18,874.85 | $103,241.41 | $103,241.41 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | COVENTRY CARES MEDICAID [9009] | OMNICARE HEALTH PLAN MEDICAID [900901] | $18,874.85 | $103,241.41 | $103,241.41 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | CHILDRENS SPECIAL HEALTH SERVICES ALT [3009] | CHILDRENS SPECIAL HEALTHCARE SERVICES [300901] | $18,874.85 | $103,241.41 | $103,241.41 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | MEDICAID [3000] | EMERGENCY MEDICAID [300004] | $18,874.85 | $103,241.41 | $103,241.41 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Inpatient | HEALTH PARTNERS MEDICAID [9017] | HEALTH PARTNERS MEDICAID [901701] | $18,874.85 | $103,241.41 | $103,241.41 | 2026-03-23 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Aetna | Aetna Better Health CHIP | $19,050.62 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $19,050.62 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $19,544.11 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $19,544.11 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $19,544.11 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis Medicaid | $19,595.25 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Fidelis | Fidelis HARP | $19,595.25 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $19,745.97 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $19,745.97 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $19,745.97 | — | — | 2026-04-14 | MRF ↗ |
| HOLLYWOOD PRESBYTERIAN MEDICAL CENTER Inpatient | LA Care | PASC-SEIU | — | — | — | 2025-11-19 | MRF ↗ |
| HOLLYWOOD PRESBYTERIAN MEDICAL CENTER Inpatient | Blue Shield of California | Medi-Cal | — | — | — | 2025-11-19 | MRF ↗ |
| HOLLYWOOD PRESBYTERIAN MEDICAL CENTER Inpatient | Alta Hospital Systems | Medi-Cal | — | — | — | 2025-11-19 | MRF ↗ |
| HOLLYWOOD PRESBYTERIAN MEDICAL CENTER Inpatient | Kern Health Systems | Medi-Cal | — | — | — | 2025-11-19 | MRF ↗ |
| HOLLYWOOD PRESBYTERIAN MEDICAL CENTER Inpatient | Pipeline formerly Avanti | Medi-Cal | — | — | — | 2025-11-19 | MRF ↗ |
| HOLLYWOOD PRESBYTERIAN MEDICAL CENTER Inpatient | LA Care | Medi-Cal | — | — | — | 2025-11-19 | MRF ↗ |
| HOLLYWOOD PRESBYTERIAN MEDICAL CENTER Inpatient | Medicaid | Medicaid | — | — | — | 2025-11-19 | MRF ↗ |
| HOLLYWOOD PRESBYTERIAN MEDICAL CENTER Inpatient | Brand New Day | Medi-Cal | — | — | — | 2025-11-19 | MRF ↗ |
| HOLLYWOOD PRESBYTERIAN MEDICAL CENTER Inpatient | Valley Presbyterian Medical Center | Medi-Cal | — | — | — | 2025-11-19 | MRF ↗ |
| RIVERSIDE UNIVERSITY HEALTH SYSTEM-MEDICAL CENTER Inpatient | LA CARE HEALTH PLAN | MCAL HMO | $19,933.97 | $603,810.47 | — | 2026-01-01 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Amerihealth | Amerihealth Medicaid HC | $19,957.78 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Amerihealth | Amerihealth Medicaid CHC | $19,957.78 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Amerihealth | Amerihealth Medicaid HC | $19,957.78 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Amerihealth | Amerihealth Medicaid HC | $19,957.78 | — | — | 2026-04-14 | 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.