612 — Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition,minor
Cite this view
HANK Price Transparency. (n.d.). NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,MINOR (MS_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=MS_DRG
“NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,MINOR (MS_DRG 612) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/612?code_type=MS_DRG. Accessed .
“NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,MINOR (MS_DRG 612) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/612?code_type=MS_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $31,394–$76,956 (25th–75th percentile) across 58 hospitals · 80 payers.
“Negotiated” is the hospital’s negotiated facility rate for this MS_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 |
|---|---|---|---|---|---|---|---|
| Uh Geauga Medical Center InpatientFacility | Medical Mutual of Ohio | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Devoted Health | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | SummaCare | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Primetime Health Plan | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Anthem | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Aetna | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Molina | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | The Health Plan | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Cigna | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | WellCare by AllWell | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | United Healthcare | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Humana | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Paramount | Medicare Advantage | $52.19 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Valor Health Plans | Medicare Advantage | $53.20 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Perennial Advantage of Ohio | Medicare Advantage | $53.20 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Aetna CVSHealth QHP | Commercial | $90.19 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Ambetter | Commercial | $91.21 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | CareSource | Marketplace | $91.21 | — | — | 2025-05-16 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | TUFTS HEALTH PUBLIC PLAN CONNECTORCARE [100264] | HB XR THPP CONNECTOR PLANS QHP SUBSIDIZED LGH | $2,022.72 | $58,991.09 | $41,293.76 | 2026-04-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Inpatient | SEAFARERS HEALTH AND BENEFITS PLAN [5343] | MMC CIGNA OAP | $2,101.00 | $352,339.60 | — | 2026-04-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Inpatient | SEAFARERS HEALTH AND BENEFITS PLAN [5343] | MMC CIGNA | $2,101.00 | $188,960.01 | — | 2026-01-01 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC InpatientFacility | Aetna | NC+ Preferred | $6,527.00 | — | — | 2025-10-08 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC InpatientFacility | Aetna | Whole Health | $6,955.00 | — | — | 2025-10-08 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | LUMINARE HEALTH AHS RETIREE [5013] | HMC AETNA AHS EMPLOYEE | — | $227,629.35 | — | 2026-01-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Inpatient | ALLSTATE [5047] | CSMC HORIZON CASUALTY PIP | — | $227,629.35 | — | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | ALLSTATE [5047] | HMC HORIZON CASUALTY PIP | — | $227,629.35 | — | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Inpatient | LUMINARE HEALTH AHS RETIREE [5013] | CMC AETNA AHS EMPLOYEE | — | $227,629.35 | — | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Inpatient | ALLSTATE [5047] | CMC HORIZON CASUALTY PIP | — | $227,629.35 | — | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | ALLSTATE [5047] | HMC HORIZON CASUALTY PIP | — | $227,629.35 | — | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | LUMINARE HEALTH AHS RETIREE [5013] | HMC AETNA AHS EMPLOYEE | — | $227,629.35 | — | 2026-01-01 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MSMC | $8,081.97 | $152,901.25 | $76,450.63 | 2026-03-23 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MSMC | $8,081.97 | $152,901.25 | $76,450.63 | 2026-03-23 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC InpatientFacility | Aetna | Broad Network | $8,452.00 | — | — | 2025-10-08 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | TUFTS HEALTH PUBLIC PLAN CONNECTORCARE [100264] | HB XR THPP CONNECTOR PLANS QHP SUBSIDIZED LGH | $8,640.95 | $375,633.23 | $262,943.26 | 2026-04-01 | MRF ↗ |
| METHODIST MIDLOTHIAN MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MLMC | $9,219.82 | $152,901.25 | $76,450.63 | 2026-03-21 | MRF ↗ |
| METHODIST MANSFIELD MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MMMC | $9,220.06 | $152,901.25 | $76,450.63 | 2026-03-21 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MRMC | $9,305.54 | $152,901.25 | $76,450.63 | 2026-03-21 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MRMC | $9,305.54 | $152,901.25 | $76,450.63 | 2026-03-21 | MRF ↗ |
| METHODIST CHARLTON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MCMC | $9,517.11 | $152,901.25 | $76,450.63 | 2026-03-21 | MRF ↗ |
| METHODIST CELINA MEDICAL CENTER Inpatient | SUPERIOR MEDICAID MANAGED CARE [5007] | MHS HB MEDICAID 110% STAR PLUS MCEL | $10,496.83 | $152,901.25 | $76,450.63 | 2026-03-23 | MRF ↗ |
| BON SECOURS-ST FRANCIS XAVIER HOSPITAL Inpatient | BLUE CHOICE MEDICAID SC [4807] | BLUE CHOICE HEALTHPLAN MEDICAID SC [4807001] | $10,963.86 | — | — | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | TUFTS HEALTH PUBLIC PLAN CONNECTORCARE [100264] | HB XR THPP CONNECTOR PLANS QHP NON-SUBSIDIZED LGH | $11,478.22 | $375,633.23 | $262,943.26 | 2026-04-01 | MRF ↗ |
| BON SECOURS-ST FRANCIS XAVIER HOSPITAL Inpatient | SELECT HEALTH OF SC [4890] | SELECT HEALTH OF SC [4890001] | $11,512.05 | — | — | 2026-04-01 | MRF ↗ |
| BON SECOURS-ST FRANCIS XAVIER HOSPITAL Inpatient | HUMANA MEDICAID SC [4884] | HUMANA MEDICAID SC [4884001] | $11,512.05 | — | — | 2026-04-01 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MSMC | $12,076.75 | $180,592.75 | $90,296.38 | 2026-03-23 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MSMC | $12,076.75 | $180,592.75 | $90,296.38 | 2026-03-23 | MRF ↗ |
| ST FRANCIS-DOWNTOWN Inpatient | BLUE CHOICE MEDICAID SC [4807] | BLUE CHOICE HEALTHPLAN MEDICAID SC [4807001] | $12,547.32 | — | — | 2026-05-06 | MRF ↗ |
| ST FRANCIS-DOWNTOWN Inpatient | SELECT HEALTH OF SC [4890] | SELECT HEALTH OF SC [4890001] | $12,547.32 | — | — | 2026-05-06 | MRF ↗ |
| ST FRANCIS-DOWNTOWN Inpatient | HUMANA MEDICAID SC [4884] | HUMANA MEDICAID SC [4884001] | $12,798.27 | — | — | 2026-05-06 | MRF ↗ |
| METHODIST MIDLOTHIAN MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MLMC | $13,088.15 | $180,592.75 | $90,296.38 | 2026-03-21 | MRF ↗ |
| METHODIST MANSFIELD MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MMMC | $13,088.50 | $180,592.75 | $90,296.38 | 2026-03-21 | MRF ↗ |
| ST FRANCIS-DOWNTOWN Inpatient | MOLINA HEALTHCARE SC MEDICAID [4847] | MOLINA HEALTHCARE SC MEDICAID [4847001] | $13,174.69 | — | — | 2026-05-06 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MRMC | $13,209.84 | $223,711.50 | $111,855.75 | 2026-03-21 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MRMC | $13,209.84 | $223,711.50 | $111,855.75 | 2026-03-21 | MRF ↗ |
| METHODIST CHARLTON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MCMC | $13,510.19 | $180,592.75 | $90,296.38 | 2026-03-21 | MRF ↗ |
| METHODIST CELINA MEDICAL CENTER Inpatient | SUPERIOR MEDICAID MANAGED CARE [5007] | MHS HB MEDICAID 110% STAR PLUS MCEL | $14,900.95 | $180,592.75 | $90,296.38 | 2026-03-23 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MSMC | $16,001.35 | $278,983.25 | $139,491.63 | 2026-03-23 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MSMC | $16,001.35 | $278,983.25 | $139,491.63 | 2026-03-23 | MRF ↗ |
| METHODIST DALLAS MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MDMC | $17,946.11 | $249,204.50 | $124,602.25 | 2026-03-20 | MRF ↗ |
| METHODIST MIDLOTHIAN MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MLMC | $18,254.16 | $280,992.50 | $140,496.25 | 2026-03-21 | MRF ↗ |
| METHODIST MANSFIELD MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MMMC | $18,254.64 | $280,992.50 | $140,496.25 | 2026-03-21 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MRMC | $18,423.87 | $421,519.75 | $210,759.88 | 2026-03-21 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MRMC | $18,423.87 | $421,519.75 | $210,759.88 | 2026-03-21 | MRF ↗ |
| METHODIST CHARLTON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MCMC | $18,842.77 | $280,992.50 | $140,496.25 | 2026-03-21 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | MEDICAID HUMANA HEALTHY HORIZONS [6110] | PHM HB HUMANA MEDICAID - RICHLAND | $19,026.09 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | MEDICAID HUMANA HEALTHY HORIZONS [6110] | PHM HB HUMANA MEDICAID - RICHLAND | $19,026.09 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | MEDICAID SELECT HEALTH OF SC [400] | PHM HB SELECT HEALTH MEDICAID - RICHLAND | $19,559.53 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | MEDICAID SELECT HEALTH OF SC [400] | PHM HB SELECT HEALTH MEDICAID - RICHLAND | $19,559.53 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | MEDICAID BLUECHOICE [420] | PHM HB BLUECHOICE MEDICAID - RICHLAND | $20,270.78 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | MEDICAID BLUECHOICE [420] | PHM HB BLUECHOICE MEDICAID - RICHLAND | $20,270.78 | — | — | 2026-03-01 | MRF ↗ |
| METHODIST CELINA MEDICAL CENTER Inpatient | SUPERIOR MEDICAID MANAGED CARE [5007] | MHS HB MEDICAID 110% STAR PLUS MCEL | $20,782.48 | $278,983.25 | $139,491.63 | 2026-03-23 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | MEDICAID MOLINA HEALTHCARE SC [440] | PHM HB MOLINA MEDICAID - RICHLAND | $20,982.04 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | MEDICAID MOLINA HEALTHCARE SC [440] | PHM HB MOLINA MEDICAID - RICHLAND | $20,982.04 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | MEDICAID GEORGIA-AMERIGROUP [3009] | PHU HB 100% OF MEDICAID - GMH | $21,157.75 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | MEDICAID NEW YORK [320] | PHU HB 100% OF MEDICAID - GMH | $21,157.75 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | MEDICAID TENNESSEE [325] | PHU HB 100% OF MEDICAID - GMH | $21,157.75 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | MEDICAID GEORGIA-AMERIGROUP [3009] | PHU HB 100% OF MEDICAID - GMH | $21,157.75 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | MEDICAID FLORIDA [315] | PHU HB 100% OF MEDICAID - GMH | $21,157.75 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | MEDICAID TENNESSEE [325] | PHU HB 100% OF MEDICAID - GMH | $21,157.75 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | MEDICAID GEORGIA-CARESOURCE [3228] | PHU HB 100% OF MEDICAID - GMH | $21,157.75 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | MEDICAID GEORGIA-CARESOURCE [3228] | PHU HB 100% OF MEDICAID - GMH | $21,157.75 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | MEDICAID FLORIDA [315] | PHU HB 100% OF MEDICAID - GMH | $21,157.75 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | MEDICAID NEW YORK [320] | PHU HB 100% OF MEDICAID - GMH | $21,157.75 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | PENDING MEDICAID DET [333] | PHM HB SC MEDICAID - RICHLAND | $21,585.91 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | MEDICAID SC [300] | PHM HB SC MEDICAID - RICHLAND | $21,585.91 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | PENDING MEDICAID DET [333] | PHM HB SC MEDICAID - RICHLAND | $21,585.91 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | MEDICAID SC [300] | PHM HB SC MEDICAID - RICHLAND | $21,585.91 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | MEDICAID SELECT HEALTH OF SC [400] | PHU HB 103% OF MEDICAID - GMH | $21,792.48 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | MEDICAID MOLINA HEALTHCARE SC [440] | PHU HB 103% OF MEDICAID - GMH | $21,792.48 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | MEDICAID MOLINA HEALTHCARE SC [440] | PHU HB 103% OF MEDICAID - GMH | $21,792.48 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | MEDICAID SELECT HEALTH OF SC [400] | PHU HB 103% OF MEDICAID - GMH | $21,792.48 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | MEDICAID BLUECHOICE [420] | PHU HB BLUECHOICE MEDICAID 104% - GMH | $22,004.06 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | MEDICAID BLUECHOICE [420] | PHU HB BLUECHOICE MEDICAID 104% - GMH | $22,004.06 | — | — | 2026-03-01 | MRF ↗ |
| SPRINGFIELD HOSPITAL Inpatient | CARESOURCE [2002] | CARESOURCE OH MEDICAID [2002001] | $22,818.34 | — | — | 2026-04-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | MEDICAID ABSOLUTE TOTAL CARE [410] | PHM HB ABSOLUTE TOTAL CARE MEDICAID - RICHLAND | $23,096.92 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | MEDICAID ABSOLUTE TOTAL CARE [410] | PHM HB ABSOLUTE TOTAL CARE MEDICAID - RICHLAND | $23,096.92 | — | — | 2026-03-01 | MRF ↗ |
| SPRINGFIELD HOSPITAL Inpatient | AMERIHEALTH CARITAS OH [4813] | AMERIHEALTH CARITAS OH [4813001] | $23,149.05 | — | — | 2026-04-01 | MRF ↗ |
| SPRINGFIELD HOSPITAL Inpatient | BUCKEYE COMMUNITY HEALTH PLAN [2001] | BUCKEYE COMMUNITY HEALTH PLAN [2001001] | $23,149.05 | — | — | 2026-04-01 | MRF ↗ |
| SPRINGFIELD HOSPITAL Inpatient | ANTHEM OH MEDICAID [6565] | ANTHEM OH MEDICAID [656501] | $23,149.05 | — | — | 2026-04-01 | MRF ↗ |
| SPRINGFIELD HOSPITAL Inpatient | MOLINA HEALTHCARE OH MEDICAID [3070] | MOLINA HEALTHCARE OHIO MEDICA [3070001] | $23,149.05 | — | — | 2026-04-01 | MRF ↗ |
| SPRINGFIELD HOSPITAL Inpatient | UNITED HEALTHCARE COMMUNITY PL [3519] | UNITED HEALTHCARE COMMUNITY PLAN OH [3519001] | $23,149.05 | — | — | 2026-04-01 | MRF ↗ |
| SPRINGFIELD HOSPITAL Inpatient | HUMANA MEDICAID OH [4455] | HUMANA MEDICAID OH [4455001] | $23,149.05 | — | — | 2026-04-01 | MRF ↗ |
| SALEM HOSPITAL Inpatient | MASSHEALTH [3001] | HB SLM MEDICAID | $23,311.04 | $50,660.00 | — | 2026-03-27 | MRF ↗ |
| MASSACHUSETTS GENERAL HOSPITAL Inpatient | MASSHEALTH [3001] | HB MGH MEDICAID | $23,312.26 | $90,496.92 | — | 2026-03-27 | MRF ↗ |
| ANDERSON HOSPITAL Inpatient | CARESOURCE [2002] | CARESOURCE OH MEDICAID [2002001] | $23,882.66 | — | — | 2026-04-01 | MRF ↗ |
| ANDERSON HOSPITAL Inpatient | HUMANA MEDICAID OH [4455] | HUMANA MEDICAID OH [4455001] | $24,228.78 | — | — | 2026-04-01 | MRF ↗ |
| ANDERSON HOSPITAL Inpatient | UNITED HEALTHCARE COMMUNITY PL [3519] | UNITED HEALTHCARE COMMUNITY PLAN OH [3519001] | $24,228.78 | — | — | 2026-04-01 | MRF ↗ |
| ANDERSON HOSPITAL Inpatient | AMERIHEALTH CARITAS OH [4813] | AMERIHEALTH CARITAS OH [4813001] | $24,228.78 | — | — | 2026-04-01 | MRF ↗ |
| ANDERSON HOSPITAL Inpatient | ANTHEM OH MEDICAID [6565] | ANTHEM OH MEDICAID [656501] | $24,228.78 | — | — | 2026-04-01 | MRF ↗ |
| METHODIST DALLAS MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MDMC | $25,029.59 | $280,992.50 | $140,496.25 | 2026-03-20 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | PENDING MEDICAID DET [333] | PHU HB SC MEDICAID - GREENVILLE | $25,085.83 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | MEDICAID SC [300] | PHU HB SC MEDICAID - GREENVILLE | $25,085.83 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | PENDING MEDICAID DET [333] | PHU HB SC MEDICAID - GREENVILLE | $25,085.83 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | MEDICAID SC [300] | PHU HB SC MEDICAID - GREENVILLE | $25,085.83 | — | — | 2026-03-01 | MRF ↗ |
| ANDERSON HOSPITAL Inpatient | MOLINA HEALTHCARE OH MEDICAID [3070] | MOLINA HEALTHCARE OHIO MEDICA [3070001] | $25,151.78 | — | — | 2026-04-01 | MRF ↗ |
| ANDERSON HOSPITAL Inpatient | BUCKEYE COMMUNITY HEALTH PLAN [2001] | BUCKEYE COMMUNITY HEALTH PLAN [2001001] | $25,382.53 | — | — | 2026-04-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Inpatient | LUMINARE HEALTH AHS RETIREE [5013] | CMC AETNA AHS EMPLOYEE | $25,958.31 | $227,396.83 | — | 2026-04-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Inpatient | ALLSTATE [5047] | MMC HORIZON CASUALTY PIP | — | $227,396.83 | — | 2026-04-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | ALLSTATE [5047] | HMC HORIZON CASUALTY PIP | — | $227,396.83 | — | 2026-04-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | LUMINARE HEALTH AHS RETIREE [5013] | OMC AETNA AHS EMPLOYEE | — | $227,629.35 | — | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | LUMINARE HEALTH AHS RETIREE [5013] | HMC AETNA AHS EMPLOYEE | $25,958.31 | $227,396.83 | — | 2026-04-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | ALLSTATE [5047] | OMC HORIZON CASUALTY PIP | — | $227,396.83 | — | 2026-04-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | ALLSTATE [5047] | OMC HORIZON CASUALTY PIP | — | $227,629.35 | — | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | LUMINARE HEALTH AHS RETIREE [5013] | OMC AETNA AHS EMPLOYEE | $25,958.31 | $227,396.83 | — | 2026-04-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | ALLSTATE [5047] | OMC HORIZON CASUALTY PIP | — | $227,629.35 | — | 2026-01-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Inpatient | LUMINARE HEALTH AHS RETIREE [5013] | MMC AETNA AHS EMPLOYEE | $25,958.31 | $227,396.83 | — | 2026-04-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Inpatient | CHUBB HEALTH [5073] | MMC COMMERCIAL OTHER | — | $227,629.35 | — | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Inpatient | LUMINARE HEALTH AHS RETIREE [5013] | NMC AETNA AHS EMPLOYEE | $25,958.31 | $227,396.83 | — | 2026-04-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Inpatient | LUMINARE HEALTH AHS RETIREE [5013] | MMC AETNA AHS EMPLOYEE | — | $227,629.35 | — | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Inpatient | ALLSTATE [5047] | NMC HORIZON CASUALTY PIP | — | $227,396.83 | — | 2026-04-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Inpatient | ALLSTATE [5047] | MMC HORIZON CASUALTY PIP | — | $227,629.35 | — | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Inpatient | ALLSTATE [5047] | CMC HORIZON CASUALTY PIP | — | $227,396.83 | — | 2026-04-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | LUMINARE HEALTH AHS RETIREE [5013] | OMC AETNA AHS EMPLOYEE | — | $227,629.35 | — | 2026-01-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | MEDICAID ABSOLUTE TOTAL CARE [410] | PHU HB ABSOLUTE TOTAL CARE MEDICAID - GMH | $26,340.12 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | MEDICAID ABSOLUTE TOTAL CARE [410] | PHU HB ABSOLUTE TOTAL CARE MEDICAID - GMH | $26,340.12 | — | — | 2026-03-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | GENERIC PRISON [500099] | HB XR MASSHEALTH NON-CONTRACTED LGH | $26,622.52 | $58,991.09 | $41,293.76 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | FALLON HEALTH MEDICAID REPLACEMENT [350008] | HB XR MASSHEALTH 100% LGH | $26,622.52 | $58,991.09 | $41,293.76 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | WELLSENSE MEDICAID REPLACEMENT [350011] | HB XR WELLSENSE MEDICAID MCO ACO LGH | $26,622.52 | $58,991.09 | $41,293.76 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | MEDICAID MASSHEALTH [300001] | HB XR MASSHEALTH 100% LGH | $26,622.52 | $58,991.09 | $41,293.76 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | MASS GENERAL BRIGHAM HEALTH PLAN MEDICAID REPLACEM | HB XR MGBHP ACO COMPLETE SELECT LGH | $26,622.52 | $58,991.09 | $41,293.76 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | TEWKSBURY HOSPITAL [950008] | HB XR MASSHEALTH NON-CONTRACTED LGH | $26,622.52 | $58,991.09 | $41,293.76 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | SUFFOLK COUNTY [500014] | HB XR MASSHEALTH NON-CONTRACTED LGH | $26,622.52 | $58,991.09 | $41,293.76 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | MIDDLESEX COUNTY [500015] | HB XR MASSHEALTH NON-CONTRACTED LGH | $26,622.52 | $58,991.09 | $41,293.76 | 2026-04-01 | MRF ↗ |
| Lowell General Hospital - Saints Campus Inpatient | TUFTS HEALTH PUBLIC PLAN [350009] | HB XR THPP MCO ACO LGH | $26,690.66 | $58,991.09 | $41,293.76 | 2026-04-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | MEDICAID HUMANA HEALTHY HORIZONS [6110] | PHU HB 107% OF MEDICAID - GMH | $26,841.84 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | MEDICAID HUMANA HEALTHY HORIZONS [6110] | PHU HB 107% OF MEDICAID - GMH | $26,841.84 | — | — | 2026-03-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Inpatient | WELLPATH CORRECTIONAL [5485] | CSMC WELLPATH/ MONNOUTH CORRECTIONAL | $26,947.97 | $227,629.35 | — | 2026-01-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Inpatient | FIDELIS CARE MEDICAID [5509] | CSMC FEDELIS CARE MANAGED MEDICAID | $26,947.97 | $227,629.35 | — | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | ANTHEM BCBSNY MEDICAID [5511] | OMC MEDICAID | $26,947.97 | $227,629.35 | — | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | WELLPOINT MANAGED MEDICAID [5006] | OMC WELLPOINT MANAGED MEDICAID | $26,947.97 | $227,629.35 | — | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | FIDELIS CARE MEDICAID [5509] | OMC FEDELIS CARE MANAGED MEDICAID | $26,947.97 | $227,629.35 | — | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | AETNA BETTER HEALTH [5005] | OMC AETNA BETTER HEALTH | $26,947.97 | $227,629.35 | — | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | MEDICAID [5022] | OMC MEDICAID | $26,947.97 | $227,629.35 | — | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | UNTD HLTH COMMUNITY PLAN BEHAVIORAL HEALTH [5293] | OMC UNITED HEALTH COMMUNITY | $26,947.97 | $227,629.35 | — | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | UNTD HLTH COMMUNITY PLAN [5034] | OMC UNITED HEALTH COMMUNITY | $26,947.97 | $227,629.35 | — | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | AETNA BETTER HEALTH [5005] | HMC AETNA BETTER HEALTH | $26,947.97 | $227,396.83 | — | 2026-04-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | UNTD HLTH COMMUNITY PLAN BEHAVIORAL HEALTH [5293] | HMC UNITED HEALTH COMMUNITY | $26,947.97 | $227,629.35 | — | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | UNTD HLTH COMMUNITY PLAN BEHAVIORAL HEALTH [5293] | HMC UNITED HEALTH COMMUNITY | $26,947.97 | $227,629.35 | — | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | AETNA BETTER HEALTH [5005] | HMC AETNA BETTER HEALTH | $26,947.97 | $227,629.35 | — | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | MEDICAID [5022] | HMC MEDICAID | $26,947.97 | $227,396.83 | — | 2026-04-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | MEDICAID [5022] | HMC MEDICAID | $26,947.97 | $227,629.35 | — | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | AETNA BETTER HEALTH [5005] | HMC AETNA BETTER HEALTH | $26,947.97 | $227,629.35 | — | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | UNTD HLTH COMMUNITY PLAN [5034] | HMC UNITED HEALTH COMMUNITY | $26,947.97 | $227,396.83 | — | 2026-04-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | UNTD HLTH COMMUNITY PLAN [5034] | HMC UNITED HEALTH COMMUNITY | $26,947.97 | $227,629.35 | — | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | FIDELIS CARE MEDICAID [5509] | HMC FEDELIS CARE MANAGED MEDICAID | $26,947.97 | $227,629.35 | — | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | WELLPOINT MANAGED MEDICAID [5006] | HMC WELLPOINT MANAGED MEDICAID | $26,947.97 | $227,629.35 | — | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | FIDELIS CARE MEDICAID [5509] | HMC FEDELIS CARE MANAGED MEDICAID | $26,947.97 | $227,629.35 | — | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | ANTHEM BCBSNY MEDICAID [5511] | HMC MEDICAID | $26,947.97 | $227,396.83 | — | 2026-04-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | ANTHEM BCBSNY MEDICAID [5511] | HMC MEDICAID | $26,947.97 | $227,629.35 | — | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | MEDICAID [5022] | OMC MEDICAID | $26,947.97 | $227,629.35 | — | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | MEDICAID [5022] | OMC MEDICAID | $26,947.97 | $227,396.83 | — | 2026-04-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | WELLPOINT MANAGED MEDICAID [5006] | HMC WELLPOINT MANAGED MEDICAID | $26,947.97 | $227,629.35 | — | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | AETNA BETTER HEALTH [5005] | OMC AETNA BETTER HEALTH | $26,947.97 | $227,629.35 | — | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | FIDELIS CARE MEDICAID [5509] | HMC FEDELIS CARE MANAGED MEDICAID | $26,947.97 | $227,396.83 | — | 2026-04-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | AETNA BETTER HEALTH [5005] | OMC AETNA BETTER HEALTH | $26,947.97 | $227,396.83 | — | 2026-04-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | MEDICAID [5022] | HMC MEDICAID | $26,947.97 | $227,629.35 | — | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Inpatient | UNTD HLTH COMMUNITY PLAN [5034] | CMC UNITED HEALTH COMMUNITY | $26,947.97 | $227,629.35 | — | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | WELLPOINT MANAGED MEDICAID [5006] | OMC WELLPOINT MANAGED MEDICAID | $26,947.97 | $227,396.83 | — | 2026-04-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Inpatient | MEDICAID [5022] | CMC MEDICAID | $26,947.97 | $227,629.35 | — | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | WELLPOINT MANAGED MEDICAID [5006] | OMC WELLPOINT MANAGED MEDICAID | $26,947.97 | $227,629.35 | — | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Inpatient | UNTD HLTH COMMUNITY PLAN BEHAVIORAL HEALTH [5293] | CMC UNITED HEALTH COMMUNITY | $26,947.97 | $227,629.35 | — | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | UNTD HLTH COMMUNITY PLAN [5034] | HMC UNITED HEALTH COMMUNITY | $26,947.97 | $227,629.35 | — | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | UNTD HLTH COMMUNITY PLAN [5034] | OMC UNITED HEALTH COMMUNITY | $26,947.97 | $227,629.35 | — | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | UNTD HLTH COMMUNITY PLAN [5034] | OMC UNITED HEALTH COMMUNITY | $26,947.97 | $227,396.83 | — | 2026-04-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | ANTHEM BCBSNY MEDICAID [5511] | OMC MEDICAID | $26,947.97 | $227,396.83 | — | 2026-04-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | UNTD HLTH COMMUNITY PLAN BEHAVIORAL HEALTH [5293] | HMC UNITED HEALTH COMMUNITY | $26,947.97 | $227,396.83 | — | 2026-04-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Inpatient | AETNA BETTER HEALTH [5005] | CMC AETNA BETTER HEALTH | $26,947.97 | $227,629.35 | — | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Inpatient | FIDELIS CARE MEDICAID [5509] | CMC FEDELIS CARE MANAGED MEDICAID | $26,947.97 | $227,629.35 | — | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Inpatient | ANTHEM BCBSNY MEDICAID [5511] | CMC MEDICAID | $26,947.97 | $227,629.35 | — | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | WELLPOINT MANAGED MEDICAID [5006] | HMC WELLPOINT MANAGED MEDICAID | $26,947.97 | $227,396.83 | — | 2026-04-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Inpatient | WELLPOINT MANAGED MEDICAID [5006] | CSMC WELLPOINT MANAGED MEDICAID | $26,947.97 | $227,629.35 | — | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | UNTD HLTH COMMUNITY PLAN BEHAVIORAL HEALTH [5293] | OMC UNITED HEALTH COMMUNITY | $26,947.97 | $227,629.35 | — | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Inpatient | UNTD HLTH COMMUNITY PLAN [5034] | CMC UNITED HEALTH COMMUNITY | $26,947.97 | $227,396.83 | — | 2026-04-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Inpatient | ANTHEM BCBSNY MEDICAID [5511] | CSMC MEDICAID | $26,947.97 | $227,396.83 | — | 2026-04-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | ANTHEM BCBSNY MEDICAID [5511] | HMC MEDICAID | $26,947.97 | $227,629.35 | — | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | UNTD HLTH COMMUNITY PLAN BEHAVIORAL HEALTH [5293] | OMC UNITED HEALTH COMMUNITY | $26,947.97 | $227,396.83 | — | 2026-04-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Inpatient | WELLPOINT MANAGED MEDICAID [5006] | CSMC WELLPOINT MANAGED MEDICAID | $26,947.97 | $227,396.83 | — | 2026-04-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Inpatient | ALLSTATE [5047] | CSMC HORIZON CASUALTY PIP | — | $227,396.83 | — | 2026-04-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Inpatient | AETNA BETTER HEALTH [5005] | CMC AETNA BETTER HEALTH | $26,947.97 | $227,396.83 | — | 2026-04-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Inpatient | WELLPATH CORRECTIONAL [5485] | CSMC WELLPATH/ MONNOUTH CORRECTIONAL | $26,947.97 | $227,396.83 | — | 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.