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 $57,069–$68,799 (25th–75th percentile) across 33 hospitals · 122 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 GREER MEMORIAL HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $1,447.14 | — | — | 2026-05-23 | 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 | Molina | Molina Medicaid | $1,524.70 | — | — | 2026-05-13 | 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 | Select Health | Select Health Medicaid | $1,524.70 | — | — | 2026-05-23 | 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 | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $1,539.50 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Medicaid Other | Medicaid Other | $1,542.54 | — | — | 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 | 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 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 ↗ |
| MEMORIAL HOSPITAL Inpatient | Meridian Health Plan Of Mi | Meridian | $1,600.00 | — | — | 2026-05-22 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $1,611.48 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $1,611.48 | — | — | 2026-05-13 | MRF ↗ |
| EAST GEORGIA REGIONAL MEDICAL CENTER Inpatient | Amerigroup Medicaid | Amerigroup Medicaid | $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 | 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 | 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 ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL 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 ↗ |
| GARFIELD MEDICAL CENTER 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 ↗ |
| TIFT REGIONAL MEDICAL CENTER Inpatient | Ga Medicaid | Ga Medicaid | $23,861.77 | — | — | 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 | Molina Healthcare Of Ohio | Molina Of Oh | $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 | Aetna Better Health Of Ohio | Aetna Better Health Of Ohio | $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 | Anthem Blue Cross Blue Shield | Anthem Medicaid | $30,831.06 | — | — | 2026-05-22 | MRF ↗ |
| MEMORIAL HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas | $32,926.38 | — | — | 2026-05-22 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Inpatient | Caresource | Caresource Medicaid | $34,358.10 | — | — | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | Caresource | Caresource Medicaid | $34,358.10 | — | — | 2026-05-09 | 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 | Healthfirst Health Plan | Medicaid, Essential Plan 3&4, Medicaid Harp, And Child Health Plus | $36,390.20 | — | — | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Mycompass | Medicaid | $36,390.20 | — | — | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Brighton Healthplan | 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 | — | — | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Mvp | Essential Plans 3 And 4 | $36,390.20 | — | — | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | United Health | Medicaid | $36,390.20 | — | — | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Mvp | Essential Plans 3 And 4 | $36,390.20 | — | — | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Mycompass | Medicaid | $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 | United Health | 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 | — | — | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Healthfirst Health Plan | Essential Plan 1 & 2 And Qualified Health Plans | $40,029.22 | — | — | 2026-05-13 | 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 | 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 | — | — | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Mvp | Essential Plans 5 And 6 | $43,668.24 | — | — | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Mvp | Essential Plans 5 And 6 | $43,668.24 | — | — | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Wellcare | Medicaid Essential Plan 1 And 2 | $43,668.24 | — | — | 2026-05-22 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND InpatientFacility | Neighborhood Health Plan of Rhode Island | Managed Medicaid | — | — | — | 2024-12-31 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Inpatient | Anthem | Anthem In Medicaid | $50,146.39 | — | — | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Inpatient | In Medicaid | In Medicaid Non-Par | $50,146.39 | — | — | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Inpatient | Humana Pathways In Medicaid | Humana Pathways In Medicaid | $50,146.39 | — | — | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | Uhc | Uhc Hcc In Medicaid | $50,146.39 | — | — | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | Mhs | Mhs Hcc In Medicaid | $50,146.39 | — | — | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | Indiana Medicaid | In Medicaid | $50,146.39 | — | — | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | Mhs | Mhs Hhw In Medicaid | $50,146.39 | — | — | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | Anthem | Anthem In Medicaid | $50,146.39 | — | — | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Inpatient | Mhs | Mhs Hcc In Medicaid | $50,146.39 | — | — | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | Managed Health Services | Mhs In Hip | $50,146.39 | — | — | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | Caresource | Caresource In Hip | $50,146.39 | — | — | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Inpatient | Caresource | Caresource In Hip | $50,146.39 | — | — | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | Caresource | Caresource Hhw In Medicaid | $50,146.39 | — | — | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | Uhc Pathways In Medicaid | Uhc Pathways In Medicaid | $50,146.39 | — | — | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | Humana Pathways In Medicaid | Humana Pathways In Medicaid | $50,146.39 | — | — | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | In Medicaid | In Medicaid Non-Par | $50,146.39 | — | — | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Inpatient | Caresource | Caresource Hhw In Medicaid | $50,146.39 | — | — | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Inpatient | Indiana Medicaid | In Medicaid | $50,146.39 | — | — | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Inpatient | Managed Health Services | Mhs In Hip | $50,146.39 | — | — | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Inpatient | Mhs | Mhs Hhw In Medicaid | $50,146.39 | — | — | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Inpatient | Uhc Pathways In Medicaid | Uhc Pathways In Medicaid | $50,146.39 | — | — | 2026-05-27 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Inpatient | Uhc | Uhc Hcc In Medicaid | $50,146.39 | — | — | 2026-05-27 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Inpatient | Molina | Medicaid | $52,627.32 | — | — | 2026-05-08 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Inpatient | United Healthcare | Medicaid | $52,627.32 | — | — | 2026-05-08 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Inpatient | Anthem Blue Cross Blue Shield | Medicaid | $52,627.32 | — | — | 2026-05-23 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Inpatient | Anthem Blue Cross Blue Shield | Medicaid | $52,627.32 | — | — | 2026-05-14 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Inpatient | Kaiser | Medicaid | $53,679.87 | — | — | 2026-05-08 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Inpatient | Kaiser | Medicaid | $53,679.87 | — | — | 2026-05-14 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Inpatient | Kaiser | Medicaid | $53,679.87 | — | — | 2026-05-23 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Inpatient | Blue Shield | Medicaid | $53,943.01 | — | — | 2026-05-14 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Inpatient | Blue Shield | Medicaid | $53,943.01 | — | — | 2026-05-23 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Inpatient | Health Net | Medicaid | $55,048.18 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Inpatient | Cigna | Medicaid | $55,149.46 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Inpatient | Unitedhealthcare | Medicaid | $55,149.46 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Inpatient | Cigna | Medicaid | $55,149.46 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Inpatient | United Healthcare | Medicaid | $55,149.46 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Inpatient | Driscoll | Medicaid | $55,149.46 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Inpatient | Driscoll | Medicaid | $55,149.46 | — | — | 2026-05-08 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Inpatient | Heritage | Medicaid | $55,784.96 | — | — | 2026-05-08 | MRF ↗ |
| WHITTIER HOSPITAL MEDICAL CENTER Inpatient | Medi-Cal Sub Acute | Medi-Cal Sub Acute | — | — | — | 2026-05-27 | MRF ↗ |
| WHITTIER HOSPITAL MEDICAL CENTER Inpatient | Blue Cross | Blue Cross Healthy Family | $55,800.00 | — | — | 2026-05-27 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Inpatient | Blue Cross Medi-Cal Managed Care | Blue Cross Healthy Families | $55,800.00 | — | — | 2026-05-08 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL Inpatient | Amerigroup | Medicaid | $56,220.32 | — | — | 2026-05-08 | MRF ↗ |
| NORTHWEST HILLS SURGICAL HOSPITAL Inpatient | Amerigroup | Medicaid | $56,220.32 | — | — | 2026-05-06 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL Inpatient | Molina | Medicaid | $56,220.32 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Inpatient | Molina | Medicaid | $56,220.32 | — | — | 2026-05-08 | MRF ↗ |
| NORTHWEST HILLS SURGICAL HOSPITAL Inpatient | Molina | Medicaid | $56,220.32 | — | — | 2026-05-06 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Inpatient | Molina | Medicaid | $56,220.32 | — | — | 2026-05-08 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Inpatient | Iehp | Medicaid | $56,311.23 | — | — | 2026-05-14 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Inpatient | Iehp | Medicaid | $56,311.23 | — | — | 2026-05-23 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Inpatient | Iehp | Medicaid | $56,311.23 | — | — | 2026-05-08 | MRF ↗ |
| ACMH HOSPITAL Inpatient | Upmc Chip | Upmc Chip | $57,069.19 | — | — | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Inpatient | United Medicaid | United Medicaid | $57,069.19 | — | — | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Inpatient | United Chip | United Chip | $57,069.19 | — | — | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Inpatient | United Medicaid | United Medicaid | $57,069.19 | — | — | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Inpatient | United Chip | United Chip | $57,069.19 | — | — | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Inpatient | Upmc Chip | Upmc Chip | $57,069.19 | — | — | 2026-05-23 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL Inpatient | First Care Star | Medicaid | $58,897.48 | — | — | 2026-05-08 | MRF ↗ |
| NORTHWEST HILLS SURGICAL HOSPITAL Inpatient | First Care Star | Medicaid | $58,897.48 | — | — | 2026-05-06 | MRF ↗ |
| ACMH HOSPITAL Inpatient | Amerihealth Caritas | Amerihealth Caritas Medicaid | $59,922.65 | — | — | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Inpatient | Centene Corporation | Pa H And W Medicaid | $59,922.65 | — | — | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Inpatient | Amerihealth Caritas | Amerihealth Caritas Medicaid | $59,922.65 | — | — | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Inpatient | Centene Corporation | Pa H And W Medicaid | $59,922.65 | — | — | 2026-05-23 | MRF ↗ |
| FAMILY HEALTH WEST HOSPITAL Inpatient | Rocky Mountain | Medicaid | $60,474.68 | — | — | 2026-05-18 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Childrens Medical Services Medicaid Fl | Childrens Medical Services Medicaid Fl | $62,000.00 | — | — | 2026-05-08 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Childrens Medical Services Medicaid Fl | Childrens Medical Services Medicaid Fl | $62,000.00 | — | — | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Florida Medicaid | Fl Medicaid | $62,000.00 | — | — | 2026-05-08 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Florida Medicaid | Fl Medicaid | $62,000.00 | — | — | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Florida Medicaid | Fl Medicaid | $62,000.00 | — | — | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | United Healthcare | Uhc Medicaid Fl | $62,000.00 | — | — | 2026-05-08 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | United Healthcare | Uhc Medicaid Fl | $62,000.00 | — | — | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | United Healthcare | Uhc Medicaid Fl | $62,000.00 | — | — | 2026-05-09 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Inpatient | Other Non Contracted Medi-Cal Hmo | Other Non Contracted Medi Cal Hmo | $62,000.00 | — | — | 2026-05-08 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Inpatient | Other Non Contracted Medi-Cal Hmo | Other Non Contracted Medi Cal Hmo | $62,000.00 | — | — | 2026-05-09 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Inpatient | State Of California | Medi Cal/Medicaid | $62,000.00 | — | — | 2026-05-08 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Inpatient | State Of California | Medi Cal/Medicaid | $62,000.00 | — | — | 2026-05-09 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Inpatient | Health Net Foundation | Health Net Medi-Cal | $62,000.00 | — | — | 2026-05-08 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Inpatient | Health Net Foundation | Health Net Medi-Cal | $62,000.00 | — | — | 2026-05-09 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Inpatient | Emanate Health | Emanate Health Medi-Cal | $62,000.00 | — | — | 2026-05-08 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Inpatient | Emanate Health | Emanate Health Medi-Cal | $62,000.00 | — | — | 2026-05-09 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Inpatient | Beverly Hospital | Beverly Hospital Mcl | $62,000.00 | — | — | 2026-05-08 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Inpatient | Beverly Hospital | Beverly Hospital Mcl | $62,000.00 | — | — | 2026-05-09 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Inpatient | Avanti | Elas Drs Hospital/Avanti/Mcal | $62,000.00 | — | — | 2026-05-08 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Inpatient | Avanti | Elas Drs Hospital/Avanti/Mcal | $62,000.00 | — | — | 2026-05-09 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Inpatient | Altamed Health Network | Altamed Health Network Medi-Cal | $62,000.00 | — | — | 2026-05-08 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Inpatient | Altamed Health Network | Altamed Health Network Medi-Cal | $62,000.00 | — | — | 2026-05-09 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Inpatient | Aids Health Foundation | Aids Health Foundation/Positive Health Medi-Cal | $62,000.00 | — | — | 2026-05-08 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Inpatient | Aids Health Foundation | Aids Health Foundation/Positive Health Medi-Cal | $62,000.00 | — | — | 2026-05-09 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Inpatient | Blue Cross Of California | Blue Cross Medi Cal | $62,000.00 | — | — | 2026-05-08 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Inpatient | La Care Health Plan | La Care Healthy Families | $62,000.00 | — | — | 2026-05-08 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Inpatient | La Care Health Plan | La Care Medi-Cal | $62,000.00 | — | — | 2026-05-08 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Inpatient | La Care Health Plan | La Care Healthy Families | $62,000.00 | — | — | 2026-05-09 | MRF ↗ |
| PARRISH MEDICAL CENTER Inpatient | Freedom Health | Freedom Health | $62,000.00 | — | — | 2026-05-14 | MRF ↗ |
| PARRISH MEDICAL CENTER Inpatient | Florida Medicaid | Medicaid | $62,000.00 | — | — | 2026-05-14 | MRF ↗ |
| PARRISH MEDICAL CENTER Inpatient | Medicaid Hmo | Medicaid Hmo | $62,000.00 | — | — | 2026-05-14 | MRF ↗ |
| PARRISH MEDICAL CENTER Inpatient | Healthease/Staywell Of Florida Inc | Staywell | $62,000.00 | — | — | 2026-05-14 | MRF ↗ |
| GARFIELD MEDICAL CENTER Inpatient | State Of California Medi-Cal | Medi Cal/Medicaid | $62,000.00 | — | — | 2026-05-09 | MRF ↗ |
| PARRISH MEDICAL CENTER Inpatient | Simply Healthcare Plans | Simply Healthcare Plans | $62,000.00 | — | — | 2026-05-14 | MRF ↗ |
| GARFIELD MEDICAL CENTER Inpatient | Other Non-Contracting Medi-Cal | Other Non-Contracting Medi-Cal | $62,000.00 | — | — | 2026-05-09 | MRF ↗ |
| PARRISH MEDICAL CENTER Inpatient | Florida Mhs Inc | Florida Mhs Inc | $62,000.00 | — | — | 2026-05-14 | MRF ↗ |
| MEDICAL CENTER ENTERPRISE Inpatient | Florida Medicaid | Fl Medicaid | $62,000.00 | — | — | 2026-05-14 | MRF ↗ |
| GARFIELD MEDICAL CENTER Inpatient | Community Health Plan | Community Health Plan Medi-Cal Managed Care | $62,000.00 | — | — | 2026-05-09 | MRF ↗ |
| GARFIELD MEDICAL CENTER Inpatient | Emanate Health | Emanate Health Medi-Cal | $62,000.00 | — | — | 2026-05-09 | MRF ↗ |
| PARRISH MEDICAL CENTER Inpatient | Aetna Better Health | Aetna Better Health | $62,000.00 | — | — | 2026-05-14 | MRF ↗ |
| GARFIELD MEDICAL CENTER Inpatient | Beverly Hospital | Beverly Hospital Mcl | $62,000.00 | — | — | 2026-05-09 | MRF ↗ |
| GARFIELD MEDICAL CENTER Inpatient | Aids Health Foundation | Aids Health Foundation/Positive Health Medi-Cal | $62,000.00 | — | — | 2026-05-09 | MRF ↗ |
| GARFIELD MEDICAL CENTER Inpatient | La Care Health Plan | La Care Healthy Families | $62,000.00 | — | — | 2026-05-09 | MRF ↗ |
| GARFIELD MEDICAL CENTER Inpatient | Brand New Day | Universal Care Brand New Day Medi-Cal | $62,000.00 | — | — | 2026-05-09 | MRF ↗ |
| FAIRVIEW HOSPITAL Inpatient | Other Medicaid | Mcd New York | $62,000.00 | — | — | 2026-05-09 | MRF ↗ |
| GARFIELD MEDICAL CENTER Inpatient | Health Net | Health Net Medi Cal | $62,000.00 | — | — | 2026-05-09 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Inpatient | Non Contracting Medi Cal | Other Non Contracting Medi Cal | $62,000.00 | — | — | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Inpatient | Molina Healthcare Of California | Molina Medi-Cal | $62,000.00 | — | — | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Inpatient | Medi-Cal/Medicaid | Medi-Cal/Medicaid | $62,000.00 | — | — | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Inpatient | Healthnet Medi-Cal Non-Contract | Health Net Medi-Cal | $62,000.00 | — | — | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Inpatient | Aids Healthcare Foundation | Aids Hlth Fndn/Positive Hlth Mcal | $62,000.00 | — | — | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Inpatient | Blue Cross Medi-Cal Managed Care | Blue Cross Medi-Cal | $62,000.00 | — | — | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Inpatient | Emanate Health | Emanate Health Medi-Cal | $62,000.00 | — | — | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Inpatient | Beverly Hospital | Beverly Hospital Mcl | $62,000.00 | — | — | 2026-05-08 | MRF ↗ |
| PARRISH MEDICAL CENTER Inpatient | Sunshine State Health Plan | Sunshine State Health Plan | $62,000.00 | — | — | 2026-05-14 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Inpatient | Altamed Health Network | Altamed Health Network Medi-Cal | $62,000.00 | — | — | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Inpatient | La Care Health Plan | La Care Healthy Kids And Medi-Cal Managed Care | $62,000.00 | — | — | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Inpatient | Brand New Day | Universal Care/Brand New Day Medi-Cal | $62,000.00 | — | — | 2026-05-08 | MRF ↗ |
| CORAL GABLES HOSPITAL Inpatient | Sunshine State Health Plan Medicaid | Sunshine State Health Plan Medicaid | $62,000.00 | — | — | 2026-05-08 | MRF ↗ |
| CORAL GABLES HOSPITAL Inpatient | Non-Contracted Medicaid Hmo | Non-Contracted Medicaid Hmo | $62,000.00 | — | — | 2026-05-08 | MRF ↗ |
| CORAL GABLES HOSPITAL Inpatient | Medicaid Fl | Medicaid Fl | $62,000.00 | — | — | 2026-05-08 | MRF ↗ |
| CORAL GABLES HOSPITAL Inpatient | Humana Healthy Horizons Medicaid | Humana Healthy Horizons Medicaid | $62,000.00 | — | — | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Inpatient | Kaiser Foundation Hospitals | Kaiser Medi-Cal | $62,000.00 | — | — | 2026-05-08 | MRF ↗ |
| CORAL GABLES HOSPITAL Inpatient | Aetna Better Health Medicaid Hmo | Aetna Better Health Medicaid Hmo | $62,000.00 | — | — | 2026-05-08 | MRF ↗ |
| CORAL GABLES HOSPITAL Inpatient | Amerihealth Caritas Medicaid | Amerihealth Caritas Medicaid | $62,000.00 | — | — | 2026-05-08 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Inpatient | Clear Health Alliance | Clear Health Alliance | $62,000.00 | — | — | 2026-05-08 | MRF ↗ |
| MONTEREY PARK HOSPITAL Inpatient | Other Non-Contracted Medi-Cal | Other Non-Contracted Medi-Cal | $62,000.00 | — | — | 2026-05-08 | MRF ↗ |
| MONTEREY PARK HOSPITAL Inpatient | Health Net Medi Cal | Health Net Medi Cal | $62,000.00 | — | — | 2026-05-08 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Inpatient | Molina Healthcare | Molina Healthcare Fl Kidcare | $62,000.00 | — | — | 2026-05-08 | MRF ↗ |
| MONTEREY PARK HOSPITAL Inpatient | Alta Med Health Services Corp | Alta Med Senior Buenacare/Medi-Cal | $62,000.00 | — | — | 2026-05-08 | MRF ↗ |
| MONTEREY PARK HOSPITAL Inpatient | Medi Cal | Medi Cal/Medicaid | $62,000.00 | — | — | 2026-05-08 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Inpatient | Brand New Day | Universal Care Brand New Day Medi-Cal | $62,000.00 | — | — | 2026-05-09 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Inpatient | Brand New Day | Universal Care Brand New Day Medi-Cal | $62,000.00 | — | — | 2026-05-08 | MRF ↗ |
| PARRISH MEDICAL CENTER Inpatient | Humana Medicaid | Humana Medicaid | $62,000.00 | — | — | 2026-05-14 | MRF ↗ |
| MONTEREY PARK HOSPITAL Inpatient | Community Health Plan | Community Health Plan Medi-Cal Managed Care | $62,000.00 | — | — | 2026-05-08 | MRF ↗ |
| MONTEREY PARK HOSPITAL Inpatient | Emanate Health | Emanate Health Medi-Cal | $62,000.00 | — | — | 2026-05-08 | 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.