613-4 — Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
Cite this view
HANK Price Transparency. (n.d.). NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION (OTHER 613-4) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/613-4?code_type=OTHER
“NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION (OTHER 613-4) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/613-4?code_type=OTHER. Accessed .
“NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION (OTHER 613-4) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/613-4?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $53,543–$86,412 (25th–75th percentile) across 158 hospitals · 333 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 613-4 — 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 |
|---|---|---|---|---|---|---|---|
| PRISMA HEALTH PATEWOOD HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $759.89 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Medicaid Other | Medicaid Other | $1,094.29 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $1,174.36 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $1,217.58 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Select Health | Select Health Medicaid | $1,237.31 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Molina | Molina Medicaid | $1,237.31 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $1,249.32 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $1,261.33 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | Medicaid Other | Medicaid Other | $1,294.78 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $1,302.82 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Inpatient | Medicaid Sc | Medicaid Sc | $1,304.24 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Inpatient | Select Health | Select Health Medicaid | $1,311.55 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Inpatient | Molina | Molina Medicaid | $1,311.55 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $1,324.28 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $1,337.01 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Inpatient | Molina Healthcare | Molina Medicaid | $1,343.37 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Inpatient | Bluechoice | Bluechoice Medicaid | $1,369.45 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Inpatient | Absolute Total Care | Absolute Total Care Medicaid | $1,369.45 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Inpatient | Select Health | Select Health Medicaid | $1,369.45 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $1,378.66 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $1,388.54 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $1,403.24 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Inpatient | Medicaid Other | Medicaid Other | $1,406.66 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | Medicaid | Medicaid | $1,410.25 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $1,420.36 | — | — | 2026-05-06 | MRF ↗ |
| NEW ULM MEDICAL CENTER Inpatient | Medicaid | Medicaid Ma (N) | $1,421.14 | — | — | 2026-05-08 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | Absolute Total Care | Absolute Total Care Medicaid | $1,424.08 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $1,447.14 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $1,447.14 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | Select Health | Select Health Medicaid | $1,464.01 | — | — | 2026-05-06 | MRF ↗ |
| NEW ULM MEDICAL CENTER Inpatient | South Country Health Alliance | Scha Pmap (N) | $1,470.00 | — | — | 2026-05-08 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | Molina | Molina Medicaid | $1,478.45 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | Select Health | Select Health Medicaid | $1,478.45 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $1,480.76 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $1,492.81 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $1,494.36 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $1,494.36 | — | — | 2026-05-14 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $1,505.99 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $1,507.17 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $1,508.97 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | Bluechoice Medicaid | Bluechoice Medicaid | $1,517.24 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Molina | Molina Medicaid | $1,524.70 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Select Health | Select Health Medicaid | $1,524.70 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Molina | Molina Medicaid | $1,524.70 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Select Health | Select Health Medicaid | $1,524.70 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $1,539.50 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $1,539.50 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Medicaid Other | Medicaid Other | $1,542.54 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Medicaid Other | Medicaid Other | $1,542.54 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | Select Health | Select Health Medicaid | $1,551.28 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $1,554.31 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $1,554.31 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid | $1,565.38 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | Molina Healthcare Of Sc | Molina Medicaid | $1,570.47 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Molina | Molina Medicaid | $1,574.46 | — | — | 2026-05-14 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Molina | Molina Medicaid | $1,574.46 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Select Health | Select Health Medicaid | $1,574.46 | — | — | 2026-05-14 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Select Health | Select Health Medicaid | $1,574.46 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Inpatient | Medicaid Other | Medicaid Other | $1,577.73 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Inpatient | Select Health | Select Health Medicaid | $1,586.70 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Inpatient | Molina | Molina Medicaid | $1,586.70 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $1,589.74 | — | — | 2026-05-14 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $1,589.74 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | Medicaid Sc | Medicaid Sc | $1,591.62 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $1,599.56 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $1,599.95 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $1,599.95 | — | — | 2026-05-23 | MRF ↗ |
| PROMEDICA MONROE REGIONAL HOSPITAL Inpatient | Meridian | Meridian | $1,600.00 | — | — | 2026-05-13 | MRF ↗ |
| MEMORIAL HOSPITAL Inpatient | Meridian Health Plan Of Mi | Meridian | $1,600.00 | — | — | 2026-05-22 | MRF ↗ |
| BAY PARK COMMUNITY HOSPITAL Inpatient | Meridian Health Plan Of Mi | Meridian | $1,600.00 | — | — | 2026-05-14 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $1,602.11 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $1,605.03 | — | — | 2026-05-14 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $1,605.03 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $1,611.48 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $1,611.48 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $1,617.52 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | Molina | Molina Medicaid | $1,621.79 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $1,635.60 | — | — | 2026-05-14 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $1,635.60 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH BAPTIST Inpatient | Medicaid Sc | Medicaid Sc | $1,655.44 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | Medicaid Sc | Medicaid Sc | $1,655.44 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $1,657.11 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | Absolute Total Care | Absolute Total Care Medicaid | $1,671.30 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST Inpatient | Absolute Total Care | Absolute Total Care Medicaid | $1,671.30 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $1,688.16 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $1,703.03 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $1,703.03 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | Select Health | Select Health Medicaid | $1,750.88 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST Inpatient | Select Health | Select Health Medicaid | $1,750.88 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $1,771.33 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $1,771.33 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $1,773.12 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST Inpatient | Bluechoice Medicaid | Bluechoice Medicaid | $1,814.55 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | Bluechoice Medicaid | Bluechoice Medicaid | $1,814.55 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST Inpatient | Molina Healthcare Of Sc | Molina Medicaid | $1,878.22 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | Molina Healthcare Of Sc | Molina Medicaid | $1,878.22 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $1,953.68 | — | — | 2026-05-14 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $1,953.68 | — | — | 2026-05-23 | MRF ↗ |
| RIVER FALLS AREA HOSPITAL Inpatient | South Country Health Alliance | Scha Pmap (R) | $3,319.06 | — | — | 2026-05-08 | MRF ↗ |
| Prisma Health North Greenville Ltach Inpatient | Medicaid Other | Medicaid Other | $3,553.51 | — | — | 2026-05-06 | MRF ↗ |
| Prisma Health North Greenville Ltach Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $3,802.25 | — | — | 2026-05-06 | MRF ↗ |
| Prisma Health North Greenville Ltach Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $4,030.35 | — | — | 2026-05-06 | MRF ↗ |
| Prisma Health North Greenville Ltach Inpatient | Medicaid Of South Carolina | Medicaid | $4,122.70 | — | — | 2026-05-06 | MRF ↗ |
| Prisma Health North Greenville Ltach Inpatient | Molina | Molina Medicaid | $4,246.37 | — | — | 2026-05-06 | MRF ↗ |
| Prisma Health North Greenville Ltach Inpatient | Select Health | Select Health Medicaid | $4,246.37 | — | — | 2026-05-06 | MRF ↗ |
| Prisma Health North Greenville Ltach Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $4,287.60 | — | — | 2026-05-06 | MRF ↗ |
| Prisma Health North Greenville Ltach Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $4,328.82 | — | — | 2026-05-06 | MRF ↗ |
| EAST GEORGIA REGIONAL MEDICAL CENTER Inpatient | Peach State Hlth Plan Mcaid Ga | Peach State Hlth Plan Mcaid Ga | $15,815.36 | — | — | 2026-05-06 | MRF ↗ |
| EAST GEORGIA REGIONAL MEDICAL CENTER Inpatient | Ga Non Par Medicaid | Non Par Medicaid Ga | $15,815.36 | — | — | 2026-05-06 | MRF ↗ |
| EAST GEORGIA REGIONAL MEDICAL CENTER Inpatient | Amerigroup Medicaid | Amerigroup Medicaid | $15,815.36 | — | — | 2026-05-06 | MRF ↗ |
| PROMEDICA MONROE REGIONAL HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas | $16,238.86 | — | — | 2026-05-13 | MRF ↗ |
| EAST GEORGIA REGIONAL MEDICAL CENTER Inpatient | Caresource Medicaid | Caresource Medicaid | $16,606.12 | — | — | 2026-05-06 | MRF ↗ |
| EAST GEORGIA REGIONAL MEDICAL CENTER Inpatient | Uhc Medicaid | Uhc Medicaid | $16,824.63 | — | — | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Inpatient | Healthy Way La | Healthy Way La | $18,600.00 | — | — | 2026-05-09 | MRF ↗ |
| MONTEREY PARK HOSPITAL Inpatient | Healthy Way La | Healthy Way La | $18,600.00 | — | — | 2026-05-08 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Inpatient | Healthy Way La | Healthy Way La | $18,600.00 | — | — | 2026-05-09 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Inpatient | Healthy Way La | Healthy Way La | $18,600.00 | — | — | 2026-05-08 | MRF ↗ |
| GARFIELD MEDICAL CENTER Inpatient | Healthy Way La | Healthy Way La | $18,600.00 | — | — | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Inpatient | Healthy Way La | Healthy Way La | $18,600.00 | — | — | 2026-05-06 | MRF ↗ |
| BAY PARK COMMUNITY HOSPITAL Inpatient | Aetna Better Health Of Ohio | Aetna Better Health Of Ohio | $22,855.96 | — | — | 2026-05-14 | MRF ↗ |
| BAY PARK COMMUNITY HOSPITAL Inpatient | Anthem Blue Cross And Blue Shield | Anthem Medicaid | $23,541.64 | — | — | 2026-05-14 | MRF ↗ |
| BAY PARK COMMUNITY HOSPITAL Inpatient | Dayton Area Health Plan Dba Caresource | Caresource | $23,770.20 | — | — | 2026-05-14 | MRF ↗ |
| TIFT REGIONAL MEDICAL CENTER Inpatient | Ga Medicaid | Ga Medicaid | $23,792.40 | — | — | 2026-05-06 | MRF ↗ |
| TIFT REGIONAL MEDICAL CENTER Inpatient | Ga Medicaid | Ga Medicaid | $23,861.77 | — | — | 2026-05-06 | MRF ↗ |
| BAY PARK COMMUNITY HOSPITAL Inpatient | Unison Administrative Svcs Dba Unitedhealthcare Community Plan | Uhc Medicaid - Unison | $23,998.76 | — | — | 2026-05-14 | MRF ↗ |
| BAY PARK COMMUNITY HOSPITAL Inpatient | Buckeye Community Health Plan | Buckeye | $24,227.32 | — | — | 2026-05-14 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Inpatient | Meridian | Meridian Medicaid Managed Care (Ip) | $24,719.35 | — | — | 2026-05-08 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Inpatient | Aetna | Aetna Better Health Medicaid Managed Care (Ip) | $24,719.35 | — | — | 2026-05-08 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Inpatient | Molina | Molina Medicaid Managed Care (Ip) | $24,719.35 | — | — | 2026-05-08 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Inpatient | Bcbs | Bcbs Medicaid Managed Care (Ip) | $24,719.35 | — | — | 2026-05-08 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Inpatient | Meridian | Meridian Medicaid Managed Care (Ip) | $24,719.35 | — | — | 2026-05-23 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Inpatient | Molina | Molina Medicaid Managed Care (Ip) | $24,719.35 | — | — | 2026-05-23 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Inpatient | Bcbs | Bcbs Medicaid Managed Care (Ip) | $24,719.35 | — | — | 2026-05-23 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Inpatient | Aetna | Aetna Better Health Medicaid Managed Care (Ip) | $24,719.35 | — | — | 2026-05-23 | MRF ↗ |
| BAY PARK COMMUNITY HOSPITAL Inpatient | Amerihealth Caritas | Amerihealth Caritas | $25,141.56 | — | — | 2026-05-14 | MRF ↗ |
| SOUTHWELL MEDICAL, A CAMPUS OF TRMC Inpatient | Ga Medicaid | Ga Medicaid | $27,815.61 | — | — | 2026-05-06 | MRF ↗ |
| SOUTHWELL MEDICAL, A CAMPUS OF TRMC Inpatient | Ga Medicaid | Ga Medicaid | $27,815.61 | — | — | 2026-05-06 | MRF ↗ |
| MEMORIAL HOSPITAL Inpatient | Caresource | Caresource | $29,933.07 | — | — | 2026-05-22 | MRF ↗ |
| MEMORIAL HOSPITAL Inpatient | Buckeye Community Health Plan | Buckeye | $29,933.07 | — | — | 2026-05-22 | MRF ↗ |
| MEMORIAL HOSPITAL Inpatient | Uhc Medicaid - Unison | Uhc Medicaid - Unison | $29,933.07 | — | — | 2026-05-22 | MRF ↗ |
| MEMORIAL HOSPITAL Inpatient | Aetna Better Health Of Ohio | Aetna Better Health Of Ohio | $29,933.07 | — | — | 2026-05-22 | MRF ↗ |
| MEMORIAL HOSPITAL Inpatient | Molina Healthcare Of Ohio | Molina Of Oh | $29,933.07 | — | — | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Inpatient | Cdphp | Essential Plan 3 & 4 | $30,097.40 | — | — | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Inpatient | Mvp | Medicaid | $30,097.40 | — | — | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Inpatient | Cdphp | Essential Plan 1 & 2 | $30,097.40 | — | — | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Inpatient | Cdphp | Essential Plan 3 & 4 | $30,097.40 | — | — | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Inpatient | Cdphp | Essential Plan 1 & 2 | $30,097.40 | — | — | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Inpatient | Mvp | Medicaid | $30,097.40 | — | — | 2026-05-13 | MRF ↗ |
| MEMORIAL HOSPITAL Inpatient | Anthem Blue Cross Blue Shield | Anthem Medicaid | $30,831.06 | — | — | 2026-05-22 | MRF ↗ |
| PALMETTO GENERAL HOSPITAL Inpatient | Beacon Health Strategies Medicaid | Beacon Health Strategies Medicaid | — | — | — | 2026-05-08 | MRF ↗ |
| PALMETTO GENERAL HOSPITAL Inpatient | Liga Contra El Cancer | Liga Contra El Cancer | $31,736.40 | — | — | 2026-05-08 | MRF ↗ |
| MEMORIAL HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas | $32,926.38 | — | — | 2026-05-22 | MRF ↗ |
| DUKES MEMORIAL HOSPITAL Inpatient | Caresource | Caresource In Medicaid | $34,358.10 | — | — | 2026-05-13 | MRF ↗ |
| KOSCIUSKO COMMUNITY HOSPITAL Inpatient | Caresource | Caresource In Medicaid | $34,358.10 | — | — | 2026-05-08 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | Caresource | Caresource Medicaid | $34,358.10 | — | — | 2026-05-09 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Inpatient | Medicaid | Medicaid Out Of State | $34,358.10 | — | — | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Inpatient | Caresource | Caresource Medicaid | $34,358.10 | — | — | 2026-05-27 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Inpatient | Uhc | Medicaid | $36,116.88 | — | — | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Inpatient | Mvp | Essential Plan 1,2,5,6 | $36,116.88 | — | — | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Inpatient | Uhc | Medicaid | $36,116.88 | — | — | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Inpatient | Mvp | Essential Plan 1,2,5,6 | $36,116.88 | — | — | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | United Health | Medicaid | $36,390.20 | — | — | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Brighton Healthplan | Medicaid | $36,390.20 | — | — | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Healthfirst Health Plan | Medicaid, Essential Plan 3&4, Medicaid Harp, And Child Health Plus | $36,390.20 | — | — | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Wellcare | Medicaid Essential Plan 3 And 4 | $36,390.20 | — | — | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Mycompass | Medicaid | $36,390.20 | — | — | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Mvp | Essential Plans 3 And 4 | $36,390.20 | — | — | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Excellus | Govt Programs/ Special Products | $36,390.20 | — | — | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Excellus | Govt Programs/ Special Products | $36,390.20 | — | — | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Mvp | Essential Plans 3 And 4 | $36,390.20 | — | — | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | United Health | Medicaid | $36,390.20 | — | — | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Mycompass | Medicaid | $36,390.20 | — | — | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Wellcare | Medicaid Essential Plan 3 And 4 | $36,390.20 | — | — | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Brighton Healthplan | Medicaid | $36,390.20 | — | — | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Healthfirst Health Plan | Medicaid, Essential Plan 3&4, Medicaid Harp, And Child Health Plus | $36,390.20 | — | — | 2026-05-13 | MRF ↗ |
| RIVER FALLS AREA HOSPITAL Inpatient | Blue Cross Blue Shield Of Minnesota | Bc Pmap (R) | $38,207.72 | — | — | 2026-05-08 | MRF ↗ |
| JACKSONVILLE MEMORIAL HOSPITAL Inpatient | Molina Healthcare | Molina Medicaid | $38,661.14 | — | — | 2026-05-09 | MRF ↗ |
| NEW ULM MEDICAL CENTER Inpatient | Blue Cross Blue Shield Of Minnesota | Bc Pmap (N) | $38,895.46 | — | — | 2026-05-08 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Healthfirst Health Plan | Essential Plan 1 & 2 And Qualified Health Plans | $40,029.22 | — | — | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Healthfirst Health Plan | Essential Plan 1 & 2 And Qualified Health Plans | $40,029.22 | — | — | 2026-05-13 | MRF ↗ |
| BUFFALO HOSPITAL Inpatient | Blue Cross Blue Shield | Bc Pmap (B D O S V) | $41,569.38 | — | — | 2026-05-14 | MRF ↗ |
| OWATONNA HOSPITAL Inpatient | Blue Cross Blue Shield | Bc Pmap (B D O S V) | $41,569.38 | — | — | 2026-05-18 | MRF ↗ |
| ALLINA HEALTH FARIBAULT MEDICAL CENTER Inpatient | Blue Cross Blue Shield | Bc Pmap (B D O S V) | $41,569.38 | — | — | 2026-05-24 | MRF ↗ |
| BUFFALO HOSPITAL Inpatient | Blue Cross Blue Shield | Bc Pmap (B D O S V) | $41,569.38 | — | — | 2026-05-24 | MRF ↗ |
| ST FRANCIS REGIONAL MEDICAL CENTER Inpatient | Blue Cross Blue Shield | Bc Pmap (B D O S V) | $41,569.38 | — | — | 2026-05-06 | MRF ↗ |
| CAMBRIDGE MEDICAL CENTER Inpatient | Blue Cross Blue Shield | Bc Pmap (B D O S V) | $41,569.38 | — | — | 2026-05-09 | MRF ↗ |
| ABBOTT NORTHWESTERN HOSPITAL Inpatient | Blue Cross Blue Shield Of Minnesota | Bc Pmap (Amu) | $42,490.65 | — | — | 2026-05-17 | MRF ↗ |
| ALLINA UNITED HOSPITAL Inpatient | Blue Cross Blue Shield Of Minnesota | Bc Pmap (Amu) | $42,490.65 | — | — | 2026-05-24 | MRF ↗ |
| MERCY HOSPITAL Inpatient | Blue Cross Blue Shield Of Minnesota | Bc Pmap (Amu) | $42,490.65 | — | — | 2026-05-24 | MRF ↗ |
| MERCY HOSPITAL Inpatient | Blue Cross Blue Shield Of Minnesota | Bc Pmap (Amu) | $42,490.65 | — | — | 2026-05-07 | MRF ↗ |
| ORO VALLEY HOSPITAL Inpatient | Health Choice Medicaid Az | Health Choice Medicaid Az | $42,916.99 | — | — | 2026-05-27 | MRF ↗ |
| FORREST GENERAL HOSPITAL Inpatient | Mscan Uhc | Mscan Uhc | $42,999.44 | — | — | 2026-05-13 | MRF ↗ |
| Northwest Medical Center Houghton Inpatient | Health Choice Medicaid Az | Health Choice Medicaid Az | $43,271.15 | — | — | 2026-05-27 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Inpatient | Health Choice Medicaid Az | Health Choice Medicaid Az | $43,271.15 | — | — | 2026-05-06 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Inpatient | Health Choice Medicaid Az | Health Choice Medicaid Az | $43,271.15 | — | — | 2026-05-06 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Fidelis | Medicaid Hmo | $43,399.57 | — | — | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Fidelis | Medicaid Hmo | $43,399.57 | — | — | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Wellcare | Medicaid Essential Plan 1 And 2 | $43,668.24 | — | — | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Mvp | Essential Plans 5 And 6 | $43,668.24 | — | — | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Mvp | Essential Plans 5 And 6 | $43,668.24 | — | — | 2026-05-13 | 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.